Stream: implementers
Topic: birth plurality
Richard Townley-O'Neill (Aug 08 2017 at 03:25):
In Patient I can record that the patient was the 2nd of a multiple birth using Patient.multipleBirthInteger. How should I represent that the multiple birth produced 3 children?
I'm tempted to use an observation with some suitable value for code. (there is a SNOMED CT code for triplet birth, but none for 'multiple birth specify number')
Any comments?
Sunanda Veeraganti (Aug 08 2017 at 04:05):
`Richard You can also record the patient was 3rd of a multiple birth using Patient.multipleBirthInteger. Do we need to use a code value for this? I am trying to understand your question
Richard Townley-O'Neill (Aug 08 2017 at 04:10):
Hi Sunanda.
I want to say 2nd of 3 children, multipleBirthInteger lets me say '2nd', but does not let me say 'of 3'
Sunanda Veeraganti (Aug 08 2017 at 04:13):
`Ah! I get it now. Does it add any value for a patient record to capture 2nd of 3?
Sunanda Veeraganti (Aug 08 2017 at 04:16):
we have multiple siblings to a patient but that is not captured anywhere in patient record
Richard Townley-O'Neill (Aug 08 2017 at 04:17):
I do not know what the value is, but it is part of the AIHW set of birth data.
Lloyd McKenzie (Aug 08 2017 at 04:27):
I think an extension on Patient would be more appropriate for this sort of demographic information
Richard Townley-O'Neill (Aug 09 2017 at 06:49):
@Lloyd McKenzie
An extension of Patient certainly keeps it close to multipleBirth. Do you know why multipleBirth is not an extension or an observation? I agree that it belongs in Patient for neonates, as multipleBirthInteger might be identifying information, but for everyone else it is just interesting information about their birth.
John Moehrke (Aug 09 2017 at 12:23):
It can be both... right? It could be recorded in Patient, but also as an Observation.
Lloyd McKenzie (Aug 09 2017 at 17:47):
multipleBirthInteger is part of Patient for use in identifying neonates. Certainly on the mother's record there would probably be Observations capturing number of children for a pregnancy, number of live births, etc. But that wouldn't generally be on the child's records.
Last updated: Apr 12 2022 at 19:14 UTC
