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Re: Standard approach for recording age at the time of diagnosis when date of birth is unknown

 

Thanks very much Lise, you described my concerns very well (although I had to stop to work out what DE and PI meant!).
Cheers,
Hazim
 
From: GROUT, Lise 
Sent: 11 October 2017 17:09
To: Abyot Asalefew Gizaw; TIMIMI, Hazim Bakir
Cc: dhis2-users@xxxxxxxxxxxxxxxxxxx
Subject: RE: [Dhis2-users] Standard approach for recording age at the time of diagnosis when date of birth is unknown

 
Dear all, 
 
I tested the Age-type date element which is good to capture the approximate age of the patient. But this is a dynamic variable, in the sense that every day, the patient will be older of one day. Obviously, this is a very good attribute for the registration for example in tracker, in order to be able to look for a patient with the age variable, even if s/he shows up months or years later.
 
But it is also important for us to capture the age at the moment of clinical examination/admission/presentation (whatever the name you give it) and that this variable is static (it won’t change over time). And for this, the age-type DE is therefore not helpful. 
 
We currently have “Date of birth” which is date-type and “Age in years” which is number-type DE, and we would actually like to have a PI “Age at clinical examination” which is calculated with “DOB” if available or “Age in years” if not available (not configured properly yet). Probably, ideally, the PI “Age at clinical examination” should be calculated either on the “DOB” DE or in the approximative DOB provided through the Age-type DE, but I don’t know if this is possible. (Don’t know if I make sense). 
 
Best
Lise.
 
From: Dhis2-users [mailto:dhis2-users-bounces+groutl=who.int@xxxxxxxxxxxxxxxxxxx] On Behalf Of Abyot Asalefew Gizaw
Sent: 11 October 2017 16:46
To: TIMIMI, Hazim Bakir
Cc: dhis2-users@xxxxxxxxxxxxxxxxxxx
Subject: Re: [Dhis2-users] Standard approach for recording age at the time of diagnosis when date of birth is unknown
 
Hi,
 

We will try to update the documentation :)

 

As to the issue you refereed, it is a new one and most of us here haven't looked into it before... Nonetheless, looking into the requirement mentioned there - I think introducing the concept of age there will probably over complicate things. What is required seems to capture a static figure - and defining a simple data element of type number will handle that.



--

Abyot A. Gizaw.

Senior Engineer, DHIS2

University of Oslo

http://www.dhis2.org

 
On Wed, Oct 11, 2017 at 4:23 PM, TIMIMI, Hazim Bakir <timimih@xxxxxxx> wrote:
Hi Abyot,
 
Interesting, thanks. I wasn’t aware of the value type called AGE within DHIS2. I tried to find some documentation for this at https://www.dhis2.org/documentation  but couldn't see anything. I only found references to it on Github and also on the 2.26 release notes (https://www.dhis2.org/226). It doesn't explain what to do if you only know approximate age in years, not whether the reference date is the data entry date or the report/event/diagnosis date (if data entry is post hoc). I see this is already reported as a request in JIRA (https://jira.dhis2.org/browse/DHIS2-2345). 
 
Cheers,
Hazim  
 
 
 
From: Abyot Asalefew Gizaw [mailto:abyot@xxxxxxxxx] 
Sent: 11 October 2017 15:02
To: TIMIMI, Hazim Bakir
Cc: Edward Robinson; dhis2-users@xxxxxxxxxxxxxxxxxxx
Subject: Re: [Dhis2-users] Standard approach for recording age at the time of diagnosis when date of birth is unknown
 
Hi,
 

We don't capture the additional data if DOB is approximated or not...

 

Otherwise, we have a value type called AGE, then during data entry a special input field is rendered, see below

 

 [Inline image 1] 



Users are free to fill any or combination of these and behind the scene the system calculates/updates each field and in the end DOB is saved.

 

--

Abyot A. Gizaw.

Senior Engineer, DHIS2

University of Oslo

http://www.dhis2.org

 
On Wed, Oct 11, 2017 at 2:21 PM, TIMIMI, Hazim Bakir <timimih@xxxxxxx> wrote:
Hi Ed,

Thanks very much, that makes sense. I also came across this yesterday which seems similar to what you have done in the past (see under "Collection and usage attributes"): http://meteor.aihw.gov.au/content/index.phtml/itemId/287007

Cheers,
Hazim

-----Original Message-----
From: Edward Robinson [mailto:erobinson@xxxxxxxxxxxxxxxxxx]
Sent: 11 October 2017 13:40
To: TIMIMI, Hazim Bakir; dhis2-users@xxxxxxxxxxxxxxxxxxx
Subject: RE: [Dhis2-users] Standard approach for recording age at the time of diagnosis when date of birth is unknown

What we've done in the past with other systems is have a field for estimated age at time of registration - only completed if the DOB is not known.  DOB is then auto-populated based on the entered age, and an additional YES/NO field is updated to note that the DOB is estimated and not exact.
Ed

-----Original Message-----
From: Dhis2-users [mailto:dhis2-users-bounces+erobinson=projectbalance.com@xxxxxxxxxxxxxxxxxxx] On Behalf Of TIMIMI, Hazim Bakir
Sent: Tuesday, 10 October 2017 5:01 PM
To: dhis2-users@xxxxxxxxxxxxxxxxxxx
Subject: [Dhis2-users] Standard approach for recording age at the time of diagnosis when date of birth is unknown

Is there a standard approach commonly in use to handle ages when the exact date of birth of a patient is unknown? I can think of two ways -- either using a surrogate (approximate) date of birth that tallies with a person's reported age, or have an extra data element for age at time of diagnosis to be used only if date of birth is unknown. Obviously, if date of birth is known then age is calculated automatically.

I would like to know what people have been using and have seen to be working in practice (and not necessarily just in DHIS2).

Thanks!

Hazim
…..
Hazim Timimi
Data Manager, Tuberculosis Monitoring and Evaluation, World Health Organization, Geneva, Switzerland Tel : +41 22 791 3468



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