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

 

Dear All

In DHIS2 tracker data element and attribute type 'Age' is saving as date
and always calculated and show in front page according to difference
between current date and date of birth.
For attribute in tracker capture, it is good to calculate and show like
existing way as tracker has build to registration and tracking and most
cases it is better to show current age. We can Calculate age by using
program indicators.

As we know Anonymous and Tracker data have a basic difference that,
anonymous data has captured for once. In case of Anonymous events it will
give better result if age calculated and show according to difference
between event date and birth date rather according to current date.

It would be better if the age calculated according to difference between
current date and date of birth in case of an attribute. On the other side
in case of data element, Age can be calculated according to difference
between event date and date of birth.

I have put the issue in jira.

https://jira.dhis2.org/browse/DHIS2-2345


*Nayeem Al Mifthah*
*Consultant for HSS, Health MIS, M&E*
Email: n.mifthah@xxxxxxxxx
Cell:+8801914030574
Skype: nayeem.a.m

On Wed, Oct 11, 2017 at 10:04 PM, Markus Bekken <markus@xxxxxxxxx> wrote:

> Hey,
> I know some have used a program rule to calculate the age based on the
> years between the birth date and either the registration date or the event
> date. When date of birth is filled out, the "age at visit" or "age at
> registration" is filled automatically by the rule. When date of birth is
> not filled out, the data entry person would enter an estimate number into
> the "age at visit" or "age at registration" field.
>
> Here is an example for how such a program rule could look:
>
>
> 11. okt. 2017 kl. 17.30 skrev Abyot Asalefew Gizaw <abyot@xxxxxxxxx>:
>
> Hi,
>
> To avoid confusion, probably better we rename AGE value type to DOB -
> this, I believe, should always be calculated against today.
>
> And for your usecases, what you need is not really DOB or AGE as we know
> is conventionally ... rather just a number that you can store with "age"
> value.
>
> --
> Abyot A. Gizaw.
> Senior Engineer, DHIS2
> University of Oslo
> http://www.dhis2.org
>
> On Wed, Oct 11, 2017 at 5:14 PM, TIMIMI, Hazim Bakir <timimih@xxxxxxx>
> wrote:
>
>> 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+gr
>> outl=who.int@xxxxxxxxxxxxxxxxxxx
>> <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
>>
>> <image001.jpg>
>>
>> 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/cont
>> ent/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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>>
>
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