Hi Thanks USM, it is clear there are a lot of labels, the point is that I do not want to determine what they are, rather allow them to be used with an appropriate quantity or quantity range stored in the class.
My proposal is that we have a 'named quantity' class that displays a term, a quantity or a quantity range (as quantity range already has the interface for quantity). Cheers, Sam > On Sat, Jan 29, 2005 at 02:45:38PM +0000, Thomas Beale wrote: > >>Williamtfgoossen at cs.com wrote: >> >>>I know that a lot of this material has already been classified >>>and coded in the international classification for nursing >>>practice of ICN (Geneva). This kind of referring to age and >>>time is quite usual in nursing practice, (after birth, post >>>operative, young), infant) >>> >> >>what vocabularies and reference ranges should we be using? It >>appears that we need not just sets of terms like "after birth", >>"post operative" etc, but age ranges for them; and then there >>will probably be a similar set for different disciplines. E.g. >>I imagine that in perinatology "infant" might be defined as one >>range, while for psychiatry it will be defined another way. So >>a single vocabulary won't do it. >> > > > This is an attempt to address the vocab and ranges issue. > > This is a difficult issue. There are numerous terms in use, > which may be modulated by local factors and language of > communication. There are no WHO definitions here. Variations in > terminologies are large. > > The International Paed Assn accepts the following only: > > o Neonate : > 0 days <= 28 days (4 wks) > o Infant : > 4 weeks <= 1 year > o Child : > 1 year <= Adult (18 yr) > > This adult is a 'legal' definition (in most countries) rather > than a biological entity. There is no biological definition for > the term 'adult'. > > IOW, only the terms 'neonatal' and 'infant' are defined, and is > accepted by ALL medical disciplines. The problem comes in the > huge age group of 'child' encompassing 17 years ! I have not > come across any clear definition by any international or > professional body to things like 'adolescence', 'puberty' or > other things brought out on the list (though they are in common > use everywhere). > > In India, an age-group range for acceptance of terms are noted > below. This is after discussions with a dozen or so > paediatricians to direct questions like 'what do you infer or > mean by the term toddler?'. This can at best serve as a > starting point to work from. It may be prudent to get further > opinions of practitiones in other countries before formalising > these terms since these would have to be defined 'by the EHR'. > > o Toddler > 1 yr <= 2.5 yr (not yet learnt verbal commn) > o Pre-school > 2.5 yr <= 5 yr (happiness !) > o year-old ... e.g. 6 year old ... 9 year old child > o Pre-teen > 9 yr <= 13 yr (occasionally used) > o Adolescent > 12 yr <= 16 yr (infrequently used) > o Teenager > 13 yr <= 19 yr (commonly used) > > The term 'puberty' is normally avoided because of individual > and sex dependent variances, though sometime used by an odd > practitioner here and there (mainly in Obs & Gynae). The term > 'adolescence' is not in common usage here, this normally refers > to the 12-16 year age group. The pre-teen term is seldom used > and the 'year-old' nomenclature is used right through 6-12 yrs. > (viz. 11 year old boy/ girl/ child). > > As stated above, there would be regional variations in use of > these terms, and a consensus needs to be reached for ranges > after studying all terms used for this sub-18 age group in > different countries. > > This may serve the purpose of getting on track though ... > > Dr USM Bish > Bangalore > > - > If you have any questions about using this list, > please send a message to d.lloyd at openehr.org > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
