Select the reference date in the bottom field. Then select the EDC date in the top field.
The estimated gestational age is calculated automatically and displayed as weeks and days.
LMP Date
LMP Date
EDC Date
EGA
Date of Conception
Conception Date
Visit or Other Reference Date
Reference Date
Instructions
Select the date of the last menstrual period in the LMP field.
Select the visit date or other reference date in the bottom field.
Surgery Date
Days Since Surgery
Days and Weeks
10-Day Global
42-Day Global
90-Day Global
Visit or Other Reference Date
Instructions
Select the date the surgery was performed in the top field.
Select the visit date or other reference date in the bottom field.
Injection Date
Earliest Date for Next Injection
Latest Date for Next Injection
Instructions
Select the date that the last Depo-Provera injection was given in the calendar.
The 'Earliest Date for Next Injection' is eleven (11) weeks from the prior injection.
The 'Latest Date for Next Injection' is thirteen (13) weeks from the prior injection.
Height (Feet&Inches)
Weight (Pounds)
BMI
BMI Category
BMI Instructions
Enter the patient's Height in feet and inches and Weight in pounds. Due to a design constraint,
you will have to click on each field (you cannot use the tab key).
The BMI is calculated using the formula:
(Weight * 703)/(Height * Height).