Purpose: The purposes of this study were to develop a process and test the feasibility of acquiring the 18-month well-baby visit (WBV) data from the electronic medical records (EMR) from BORN Ontario, to examine the data quality for the height, weight, nutrition and socio-demographic variables currently collected through the EMRs from BORN Ontario, and to estimate the prevalence of optimal growth, [...] Public health could play a role in increasing awareness of the prevalence of overweight and obesity in this early childhood population, advocating for the use and transmission of clinical data within the EMRs to better facilitate care and management, and the monitoring of healthy weights, increasing awareness of the importance of health information standards for system interoperability, and partic [...] The purpose of this mechanism would be to enhance the quality of the data and usability of the EMR as a data source for improving care and management, and for monitoring children’s height and weight, and the risk and protective factors for overweight and obesity. [...] Purpose The three main purposes of this study were: To develop a process and test the feasibility of acquiring the 18-month WBV EMR data from BORN Ontario, To examine the data quality for the height, weight, nutrition and socio-demographic variables currently collected through EMRs from BORN Ontario, and To estimate the prevalence of optimal growth, and the differences in marginalization, am [...] Data Analysis Plan The analysis plan included an assessment of the coverage of the 18-month WBV data, validation of the data for completeness and acceptable ranges, and an estimation of the prevalence of overweight and obesity, stratified by the 2006 Ontario Marginalization Index (ON-Marg) quintiles for the four ON-Marg dimensions of residential instability, material deprivation, dependency and et