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iuec / current-spec-issues

Temporary repo for collation of legacy issues to be triaged and migrated to new issues list
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Age without DOB #10

Open StickNitro opened 8 years ago

StickNitro commented 8 years ago

Where a patient presents and the DOB is no known there is no way of passing the age through the ITK 111 message

tonyyates commented 8 years ago

I do wonder if there is a standard way of representing this? It seems like a problem many older systems will have in acute particularly ED's etc. Obviously we could add an age field, but it would be good to know if there is something around how systems without a place to put this would store the data.

StickNitro commented 7 years ago

This has arisen as we have had occasions where the patients date of birth is not known so an age is entered into CLEO, this (for the purposes of Spine interactions) calculates a date of birth range +/-2 years

However, if a patient is not found on the spine or the User does not have Smartcard then the call would be transferred to the OOH (or any other) service without a date of birth and there is nowhere to pass just the age

I appreciate that we should in all cases be tracing and verifying patients but callhandlers are prone to forgetting their Smartcards and in those scenarios are unable to access Spine features

mattstibbs commented 7 years ago

I think lack of accurate DOB information is a reality we have to accept in urgent care - and we probably need to find out if there's an official way of representing this in CDA. Most urgent care systems have a method to handle 'estimated age' in one way or another so we can leave this to the individual systems to process however they see fit.

Annoyingly my initial investigations seem to have highlighted that there isn't really a defacto standard for representing estimated age in CDA...

mattstibbs commented 7 years ago

Additional information originally raised by Tim Coates on Bitbucket:

Where a caller's age is known, but not the actual DOB, there isn't a way to indicate this in the CDA. It is possible to only include a partial dob, ie yyyymm or yyyy, however the use of this is then open to some interpretation: Suggest there are multiple 'flavours' of approximate ages, which might be best handled in different ways: Baby known to be "2 months old" Child known to be "12 or 13" Adult known to be "In their late 80s" Adult known to be "85 years old"