Hi,

We need a third type of concept dealing with Age.

-3- After life :-)

Gerard


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Gerard Freriks, arts
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On 27 Jan 2005, at 13:32, Sam Heard wrote:

> Hi
>
> Gerard has raised other issues - there are names for age-ranges or 
> phases such as adolescence, neonatal, toddler. It may be too much for 
> us to deal with but age is certainly not just a number - you just have 
> to ask the mother of a small baby - it has units like days, weeks, 
> months.
>
> I think Gerard missed the point of post-conceptual age - it is the 
> time since conception and if a child is born very early, remains the 
> basis on which dosing and milestones are based - sometimes for years 
> after birth.
>
> This was raised as a key issue in systems for paediatricians.
>
> So I was wondering if we should model a class specifically for date of 
> birth.....which handles date of birth and age as a function, and which 
> takes arguments like date of conception, date of mothers LMP, Expected 
> Date of Delivery and stores the normal gestational birthdate as well. 
> The class then has a feature called post-conception age as well.
>
> The advantage is that we could even deal with things like 'post-natal' 
> as a function (actual birth to day 28) and other phases in future if 
> appropriate. It would mean that in family history you could enter 
> 'young adulthood' as an age which might be better than guessing 22.
>
> Further, I think in our DateTime class we should store text as well as 
> the date if people want - this would allow us to store "4.30 
> yesterday" if a transcription tool wanted to - and the actual date 
> time. This can make observational data much easier to read when 
> scanning back.
>
> It also means that we can deal with almost impossible fuzzy times like 
> 'last night' in some reasonable fuzzy way without losing the key 
> information.
>
> In our timing specification for workflow the same will have the same 
> issue ie we may need the text as well as the computable data - three 
> times a day might be at 08:00, 16:00 and 00:00, but it is a different 
> instruction than 8 hourly (where there is no flexibility on spacing of 
> doses).
>
> Thats enough for now...but I am thinking of putting a change request 
> together if there is enough interest. The DateOfBirth issue will win a 
> lot of friends in paediatrics...they are really concerned that their 
> absolute requirements are never addressed in systems!
>
> Cheers, Sam
>
>
>
>
> Any more thoughts?
>
> Sam
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