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ELECTRONIC HEALTH RECORDS Understanding and Using Computerized Medical Records

CHAPTER LESSON

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Using the EHR to Improve Patient Health

CHAPTER NINE ONE

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Prevention and Early Detection

• In this chapter, will be discussed ways in which preventive care, immunization, preventive screening, patients' participation in their healthcare, education, and counseling can help people live longer, healthier lives.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Pediatric Wellness Visits

• Early screening, detection, education, and immunizations have all contributed to increased life spans.

• In pediatric practice, regular examinations are recommended for wellness visits, not just when child is ill.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Case Study – Tyrell Williams is a six-month-old male who is

brought by his mother to the pediatric clinic where he has always been seen.

– As a result, the clinic has a lifelong history of his care and growth.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 1 – Start Student Edition software. – Click Select on Menu bar; then click Patient. – In Patient Selection window, locate and click

on Tyrell Williams (Figure 9-1).

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-1: Selecting Tyrell Williams from Patient Selection window.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 2 – Click Select on Menu bar; then click New

Encounter. – Use date May 25, 2012, time 11:00 AM,

reason Well-Baby Check. – Compare your screen to Figure 9-2; if correct

click OK button.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-2: New encounter for a well-baby check, May 25, 2012 11:00 AM.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 3 – Locate and click on Forms button on Toolbar. – Locate and click on form labeled “Pediatric 6

Month.”

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-3: Selecting pediatric 6-month from the Form Manager window.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 4 – Pediatric form will be displayed; contains

items a practice might cover during checkup for six-month-old baby.

– Well-baby checkups are extensive and involve social history of parents as well as of baby.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 5 – Locate finding in form labeled “The Chief

Complaint is:”; Click on note button to right of finding (circled in red in Figure 9-4).

– Chief complaint dialog window will be invoked.

– In dialog window, type “6 month check up.” – Compare your screen to Figure 9-4; then click

on button labeled “Close the note form.”

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-4: Pediatric form—CC/HPI tab with Chief Complaint dialogue invoked.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 6 – This form uses check boxes to record

findings. – Form asks for source of information. Tyrell is

accompanied by his mother. Click mouse in check box:  Y “the mother”

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 6 (cont.) – Locate sleep patterns on top right of form;

click on check box:  N Sleep patterns ABN

– Locate and click button labeled “Negs” (Auto Negative) in Toolbar at top of your screen.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 7 – Complete HPI by locating and clicking check

boxes indicated for findings about patient's feeding:  Y Is the infant breast-feeding?  N Any difficulties w/ breast-feeding?  Y Is rice cereal introduced?  Y Fruits: ______ oz/day  Y Vegetables: ______ oz/day

– Compare your screen to Figure 9-5.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-5: Pediatric form—HPI findings recorded with Auto Negative.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 8 – Locate and click on tab labeled “Birth,

Med/Surg Hx” at top of form. – Tyrell has no previous medical or surgical

history indicated by findings at top of middle and right columns (Figure 9-6).

– Locate and click on following check boxes:  Y No Significant PM Hx  Y No Significant Surg Hx

– Compare your screen to Figure 9-6.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-6: Pediatric form—Birth, Med/Surg Hx.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 9 – Locate and click on tab labeled “FS Hx” at top

of form. – FS Hx stands for Family and Social History. – Locate and click on check boxes indicated for

following findings: – Family History:  Y No Significant Family Hx

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 9 (cont.) – Family Social History:  Y Tobacco  Y Alcohol  N Drugs

– Patient's Social History:  Y Exposure to cig. smoke at home  Y Living with parents

– Compare your screen to Figure 9-7.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-7: Family and Social History tab.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 10 – Locate and click on tab labeled “ROS” at top

of form. – Locate and click button labeled “Negs” in

Toolbar at top of screen.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 10 (cont.) – Complete ROS by clicking check boxes for

findings:  N GI Symptoms  N Have you had exposure to tuberculosis?  N Have you had exposure to lead?

– Compare your screen to Figure 9-8.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-8: ROS finding recorded with Auto Negative.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 11 – Form uses two tabs to record physical exam. – Locate and click on tab labeled “Px 1” at top

of form. – First page of Physical Exam form displayed. – Px 1 tab allows vital signs to be entered

without leaving form.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 11 (cont.) – Infant growth is measured in length not

height. – Temperature is measured in ear (tympanic). – Circumference of head is recorded. – Blood pressure readings are not typically

taken in healthy children under age of three.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 11 (cont.) – Enter following measurements for Tyrell in

corresponding Vital Signs fields:  Temperature: 99  Respiration Rate: 40  Pulse: 128  Length (in): 27.5  Weight (kg): 8.7  Head Circumference (cm): 43.9

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 11 (cont.) – Click button labeled “Negs” (Auto Negative) in

Toolbar at top of screen to record the rest of physical exam findings for this page.

– Compare your screen with Figure 9-9.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-9: First of two Px tabs includes vital signs.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 12 – Record remainder of physical exam. – Locate and click on tab labeled “Px 2” at top

of form. – Second page of Physical Exam form

displayed. – Locate and click button labeled “Negs” (Auto

Negative) in Toolbar at top of screen.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 12 (cont.) – Locate and click check box for physical exam

finding:  Y Growth and Development WNL

– Compare your screen with Figure 9-10.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-10: Second Px tab completes physical exam.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 13 – Locate and click on tab labeled “Dx + Free

Text” at top of form. – Unless child is ill, diagnosis for a well-baby

checkup is same for each child. – Locate and click on check box for diagnosis:  Y Dx: Well Baby 6-month visit

– Compare your screen to Figure 9-11.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-11: Dx tab with free-text findings.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 14 – During well-baby visits, pediatrician provides

educational information to mother about child's development, nutrition, immunizations, and safety.

– Locate and click on tab labeled “Education” at top of form.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 14 (cont.) – Locate and click on “Y” check box for each of

following to indicate points were covered during visit:  Y Nutrition  Y Safety Guidelines  Y Teething  Y Dental Hygiene  Y Stranger Safety

– Compare your screen to Figure 9-12.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

Figure 9-12: Parent Education tab.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 15 – Click on Encounter tab at bottom of screen. – Click on Print button on Toolbar at top of

screen to invoke Print Data window. – Be certain there is check mark in box next to

“Current Encounter”; then click on button to either print or export a file.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 54: A Well-Baby CheckUp

• Step 15 (cont.) – Compare printout or file output to Figure 9-13. – If there are differences, review previous steps

in exercise and find your error.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Understanding Growth Charts

• Childhood growth depends on nutritional, health, and environmental conditions.

• Growth Charts: National Center for Health Statistics (NCHS) created set of graphs used to track growth of child and compare him or her to statistical information gathered about growth rate of babies in general population.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Understanding Growth Charts

• 16 pediatric growth charts maintained and distributed by Centers for Disease Control and Prevention (CDC).

• Infants, birth to 36 months: – Length-for-age; Weight-for-age – Head circumference-for-age; Weight-for-

length

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Understanding Growth Charts

• Children and adolescents, 2 to 20 years – Stature-for-age; Weight-for-age – BMI-for-age

• Preschoolers, 2 to 5 years – Weight-for-stature

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

What Is a Percentile?

• See Figure 9-14. It shows a blank paper form of one of the CDC growth charts.

• This form would be used by a clinic to manually record two graphs on one page.

• Age of child indicated horizontally across top of graph; height and weight measurements listed vertically down sides of graph.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

What Is a Percentile?

• Curved blue lines printed across face of graph are called percentiles.

• Curved lines represent what percent of reference population individual would equal or exceed.

• Graph includes 5th through 95th percentiles.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

What Is a Percentile?

• By finding percentile line closest to patient's vitals, clinician can assess size and growth patterns of individual as compared to other children in United States.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• In this exercise, you will create a growth chart for Tyrell Williams.

• Step 1 – Click Select on Menu bar; then click Patient. – In Patient Selection window, locate and click

on Tyrell Williams (as shown in Figure 9-1).

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• Step 2 – Click Select on Menu

bar; then click Existing Encounter.

– Locate and click on encounter dated May 25, 2012, at 11:00 AM

Figure 9-15: Select existing encounter for May 25, 2012 11:00 AM.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• Step 3 – Click on word “Graph”

on Menu bar; then click “Length”

– A pediatric growth chart will be displayed (Figure 9-17).

Figure 9-16: Select length from graph menu to generate a Growth Chart.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

Figure 9-17: Growth chart for Tyrell Williams.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• Step 4 – Review growth chart for Tyrell Williams

displayed on screen. – Blue X marks patient's length at various

months, listed across bottom of graph. – Curved lines represent comparable growth

rate as a percentage of general population. – Similar growth charts can be generated for a

child's weight and head circumference.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• Step 5 – Print out Tyrell's growth chart. – Locate and click on Print button in upper left

corner of graph window to invoke Print Data window.

– In left column of Print Data window make sure there is check mark in box next to “Body length (0-2 years)”; click on button to either print or export a file.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 55: Creating a Growth Chart

• Step 5 (cont.) – When graph has printed, click on Exit button

in upper right corner of window displaying growth chart.

– This completes Exercise 55.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Body Mass Index

• BMI stands for Body Mass Index. • It is a number that shows body weight

adjusted for height. • BMI-for-age provides a reference for

adolescents and is consistent with adult index.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Body Mass Index

• BMI in childhood is determinant of adult BMI.

• BMI is gender specific and age specific for children ages 2 to 20 years.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Case Study – Sally Sutherland is a 48-year-old female with

hypertension and borderline diabetes. – She has been struggling with her weight and

in Chapter 7 you created a graph of her weight gain.

– In this exercise, you are going to create a graph of Sally's BMI.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Step 1 – Start Student Edition software. – Click Select on Menu bar; then click Patient. – In Patient Selection window, locate and click

on Sally Sutherland (Figure 9-18).

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

Figure 9-18: Selecting Sally Sutherland from Patient Selection window.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Step 2 – Click Select on Menu bar; then click Existing

Encounter. – Locate and click on encounter dated

5/23/2012, at 10:00 AM (Figure 9-19).

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

Figure 9-19: Select existing encounter for May 23, 2012 10:00 AM.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Step 3 – Click on word “Graph”

on Menu bar, then click “Body Mass Index” (Figure 9-20).

– Graph of her BMI displayed (Figure 9- 21).

Figure 9-20: Select Body Mass Index from the Graph menu.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

Figure 9-21: Graph of Sally Sutherland's Body Mass Index.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Step 4 – Compare your screen to Figure 9-21; then

print out Ms. Sutherland's BMI graph. – Locate and click on Print button in upper left

corner of graph window to invoke Print Data window.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Guided Exercise 56: Graphing BMI

• Step 4 (cont.) – In left column of Print Data window make sure

there is check mark in box next to “Body Mass Index;” then click on button to either print or export a file.

– When graph has printed, click on Exit button in upper right corner of window displaying BMI graph.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• CDC provides free online BMI calculator. You will need access to Internet for this exercise.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• Step 1 – Start web browser; type following URL in

address:  www.cdc.gov/healthyweight/assessing/bmi/index.html

• Step 2 – Locate and click on “Adult BMI Calculator.”

http://www.cdc.gov/healthyweight/assessing/bmi/index.html

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• Step 3 – Sally Sutherland's measurements were:  Height: 5 feet 0 inches  Weight: 168 lbs.

– Enter Sally's data, following on-screen instructions.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• Step 3 (cont.) – When Sally's category is displayed, write

category on printout of her BMI graph and give to your instructor.

– If your BMI graph has been printed to a file, report Ms. Sutherland's category to instructor separately.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• Step 4 – Because BMI is useful measurement for

adults, you may have interest in how you measure up.

– Repeat step 1.

Electronic Health Records: Understanding and Using Computerized Medical Records, Second Edition Richard Gartee

Critical Thinking Exercise 57: Adult BMI Categories

• Step 5 – Locate and click on “Adult BMI Calculator” if

you are at least 20 years old. – If you are not yet 20, locate and click on

“Children and Teen BMI Calculator.” – Follow on-screen instructions.

Slide Number 1
Prevention and Early Detection
Pediatric Wellness Visits
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Guided Exercise 54: �A Well-Baby CheckUp
Understanding Growth Charts
Understanding Growth Charts
Understanding Growth Charts
What Is a Percentile?
What Is a Percentile?
What Is a Percentile?
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Guided Exercise 55: �Creating a Growth Chart
Body Mass Index
Body Mass Index
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Guided Exercise 56: Graphing BMI
Critical Thinking Exercise 57: �Adult BMI Categories
Critical Thinking Exercise 57: �Adult BMI Categories
Critical Thinking Exercise 57: �Adult BMI Categories
Critical Thinking Exercise 57: �Adult BMI Categories
Critical Thinking Exercise 57: �Adult BMI Categories
Critical Thinking Exercise 57: �Adult BMI Categories