ARCHETYPE Developmental milestone summary (openEHR-EHR-EVALUATION.developmental_milestones.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.developmental_milestones.v0
ConceptDevelopmental milestone summary
DescriptionSummary information about the achievement of developmental milestones for an individual, usually a child, to monitor progress over time.
UseUse to record an overview of developmental progress across all age-appropriate milestones and details about each specific milestone. Parents or caregivers may report the achievement and associated date for each milestone, for example in the context of a personal health record; however, assessments of age-appropriate progress or variations from typical development should be recorded only by a healthcare professional.
PurposeTo record an overview of developmental progress across all age-appropriate milestones and details about each specific milestone.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-03-01
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-03-01
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=, current_contact=Heather Leslie, Atomica Informatics, Australia, ,heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F2C8B5BC5C5D6F61458BD5BD7BFC5885, build_uid=d6e090ae-63f2-4a4b-80ba-8c7a63d4c2c1, revision=0.0.1-alpha}
Keywordschildhood, infant, baby, achievement, toddler, child
Lifecyclein_development
UIDf336cdef-3359-4135-9ad2-b226c9c78062
Language useden
Citeable Identifier1013.1.5244
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary information about the achievement of developmental milestones for an individual, usually a child, to monitor progress over time., archetypeConceptComment=null, otherContributors=Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Kim Drever, Kudos Paediatrics, Australia
Nyree Taylor, CSIRO, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], contacts=[], state=[], capabilities=[], relationships=[], context=[], description=[], ism_transition=[], identities=[], target=[], credentials=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0032], code=at0032, itemType=ELEMENT, level=2, text=Overall status, description=Statement describing the current level of achievement across all age-appropriate milestones., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Up-to-date for age [The individual's developmental milestone achievements are consistent with what is expected for their age.]
    • Not up-to-date for age [The individual's developmental milestone achievements are not consistent with what is expected for their age.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Overall description, description=Narrative summary about the individual’s overall progress in achieving developmental milestones., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Overall trajectory, description=The observed pattern or direction of an individual's developmental progress over time, relative to age-based expectations., comment=Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Typical [The individual's developmental progress is consistent with what is expected for their age.]
  • Acute/Temporary [The individual's developmental progress has changed in the short term, usually in response to a transient condition such as illness, injury, hospitalisation, or psychosocial stressors, but is expected to improve over time.]
  • Delayed [The individual's developmental progress is behind what is expected for their age, but is expected to improve over time.]
  • Permanent impairment [The individual's developmental progress is behind what is expected for their age and is not expected to improve over time.]
  • Plateau/Lack of progress [The individual's developmental progress has stalled, but is expected to improve over time.]
  • Indeterminate [The individual's developmental trajectory cannot be determined due to insufficient, unclear, or conflicting information.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=CLUSTER, level=2, text=Per milestone, description=Details about each individual milestone., comment=Record one instance of this cluster per milestone., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Milestone name, description=Name of the developmental milestone., comment=For example: walking independently, speaking first words, and using a pincer grasp to pick up small objects. Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Category, description=Name of the developmental domain associated with the identified milestone., comment=Each category is used to classify milestones into commonly recognised areas of child development and to support monitoring of progress at the domain level. Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Physical - gross motor
    • Physical - fine motor
    • Cognitive
    • Language
    • Social
    • Emotional
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=3, text=Trajectory, description=The observed pattern or direction of an individual's developmental progress over time, related to an identified milestone and relative to age-based expectations., comment=Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Typical [The individual's developmental progress is consistent with what is expected for their age.]
  • Acute/Temporary [The individual's developmental progress has changed in the short term, usually in response to a transient condition such as illness, injury, hospitalisation, or psychosocial stressors, but is expected to improve over time.]
  • Delayed [The individual's developmental progress is behind what is expected for their age, but is expected to improve over time.]
  • Permanent impairment [The individual's developmental progress is behind what is expected for their age and is not expected to improve over time.]
  • Plateau/Lack of progress [The individual's developmental progress has stalled, but is expected to improve over time.]
  • Indeterminate [The individual's developmental trajectory cannot be determined due to insufficient, unclear, or conflicting information.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Status, description=Statement describing the current level of achievement for the identified milestone., comment="Reported as achieved" may be used to support documentation by carers or others when the milestone achievement is entered into a citizen's health record but cannot be directly witnessed or verified by a clinician. Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Achieved [The milestone has been completed and either directly observed or reliably confirmed by a healthcare professional.]
  • Reported as achieved [The milestone has been completed based on information provided by a parent, caregiver, or other observer, but has not been directly observed by a healthcare professional.]
  • Not achieved [The milestone has not yet been completed or demonstrated by the individual.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Date achieved, description=The date when the milestone was reached., comment=The younger the child, especially under 1 year, the greater the precision expected, but approximations are acceptable when this is the only information available and clearly identified as such in the health record, for example '~August 1, 2025'. For older children, or when information is recorded long after the event, partial dates such as month and year may be recorded. Where only an age is known, it should be converted to an approximate date and recorded using this data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Date of assertion, description=The date when the milestone was assessed., comment=The date on which the 'Status' for the identified 'Milestone name' is documented., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Variation, description=Narrative description about the deviation from normal development., comment=For example, include commentary about the child belly crawling instead of typical hands-and-knees crawling., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Reason for delay, description=Identification of the reason for delay in achievement of milestones., comment=For example: prematurity, Down syndrome, recurrent ear infections, Autism Spectrum Disorder (ASD). Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Reason for regression, description=Identification of the reason for regression in achievement of milestones., comment=For example: emotional neglect; neurodegenerative disease, hearing loss, or Autism Spectrum Disorder (ASD). Coding with an external terminology is recommended. Free text entry should only be permitted if no appropriate coded value is available. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
  •  Text
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