Berechnung der Parameter speziell für frühgeborene Patienten

Frühgeborene Patienten werden automatisch als solche erkannt, wenn die Parameter WeekBirth und DayBirth gesetzt sind, sodass eine Geburt vor der 37. Schwangerschaftswoche angegeben ist.

<?xml version="1.0"?>
<Patient>
<DateOfBirth>2020-05-04</DateOfBirth>
<Gender>Female</Gender>
<WeekBirth>30</WeekBirth>
<DayBirth>2</DayBirth>
<Measurements>
    <Measurement>
        <Date>2020-06-01</Date>
        <SizeCm>32</SizeCm>
        <WeightKg>2.8</WeightKg>
        <HeadCm>23</HeadCm>
    </Measurement>
    <Measurement>
        <Date>2020-09-30</Date>
        <SizeCm>43</SizeCm>
        <WeightKg>4.8</WeightKg>
        <HeadCm>32</HeadCm>
    </Measurement>
</Measurements>
</Patient>

Für frühgeborene Patienten werden zusätzliche Parameter berechnet.

<?xml version="1.0" encoding="utf-8"?>
<Patient xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <DateOfBirth>2020-05-04T00:00:00</DateOfBirth>
  <AgeInYears>6.5</AgeInYears>
  <Gender>Female</Gender>
  <Diseases />
  <SizeFatherCm xsi:nil="true" />
  <SizeMotherCm xsi:nil="true" />
  <SizeBirthCm xsi:nil="true" />
  <WeightBirthG xsi:nil="true" />
  <WeekBirth>30</WeekBirth>
  <DayBirth>2</DayBirth>
  <HeadBirthCm xsi:nil="true" />
  <TargetSizeCm xsi:nil="true" />
  <SizeBirthUndersized xsi:nil="true" />
  <Is_Premature>true</Is_Premature>
  <Calculated_DateOfBirth>2020-07-11T00:00:00</Calculated_DateOfBirth>
  <Measurements>
    <Measurement>
      <Date>2020-06-01T00:00:00</Date>
      <BoneAgeYears xsi:nil="true" />
      <SizeCm>32</SizeCm>
      <WeightKg>2.8</WeightKg>
      <HeadCm>23</HeadCm>
      <SeatCm xsi:nil="true" />
      <AgeYears>0.1</AgeYears>
      <Is_Premature>true</Is_Premature>
      <Premature_Age_Week>34</Premature_Age_Week>
      <Premature_Age_Day>2</Premature_Age_Day>
      <Premature_Corrected_AgeYears xsi:nil="true" />
      <Bmi>27.34</Bmi>
      <EquiBmi xsi:nil="true" />
      <LegCm xsi:nil="true" />
      <SeatLegRatio xsi:nil="true" />
      <SizeSds accuracy="exact">-5.2</SizeSds>
      <SizePercentile>0</SizePercentile>
      <WeightSds accuracy="exact">1.69</WeightSds>
      <WeightPercentile>95.45</WeightPercentile>
      <WeightLengthPercentile xsi:nil="true" />
      <SizeTurnerSyndromePercentile xsi:nil="true" />
      <SizeNoonanSyndromePercentile xsi:nil="true" />
      <BmiSds accuracy="greater_or_equal">6</BmiSds>
      <BmiPercentile>100</BmiPercentile>
      <HeadSds accuracy="exact">-5.69</HeadSds>
      <HeadPercentile>0</HeadPercentile>
      <SeatPercentile xsi:nil="true" />
      <LegPercentile xsi:nil="true" />
      <SeatLegPercentile xsi:nil="true" />
      <SizeAchondroplasiaPercentile xsi:nil="true" />
      <WeightAchondroplasiaPercentile xsi:nil="true" />
      <BmiAchondroplasiaPercentile xsi:nil="true" />
      <HeadAchondroplasiaPercentile xsi:nil="true" />
      <SeatAchondroplasiaPercentile xsi:nil="true" />
      <LegAchondroplasiaPercentile xsi:nil="true" />
      <SeatSizeRatio xsi:nil="true" />
      <SeatSizeRatioAchondroplasiaPercentile xsi:nil="true" />
      <SizeTrisomy21Percentile xsi:nil="true" />
      <WeightTrisomy21Percentile xsi:nil="true" />
      <BmiTrisomy21Percentile xsi:nil="true" />
      <HeadTrisomy21Percentile xsi:nil="true" />
      <WeightLengthRatioTrisomy21Percentile xsi:nil="true" />
      <Validation_Message severity="warning" target="weight">BMI (SDS) ist extrem hoch. Prüfen Sie Messung bzw. Eingabe.<Severity>Warning</Severity><Target>Weight</Target></Validation_Message>
      <Validation_Message severity="hint" target="height">Körpergröße ist ungewöhnlich niedrig.<Severity>Hint</Severity><Target>Height</Target></Validation_Message>
      <Validation_Message severity="hint" target="head">Kopfumfang ist ungewöhnlich niedrig.<Severity>Hint</Severity><Target>Head</Target></Validation_Message>
    </Measurement>
    <Measurement>
      <Date>2020-09-30T00:00:00</Date>
      <BoneAgeYears xsi:nil="true" />
      <SizeCm>43</SizeCm>
      <WeightKg>4.8</WeightKg>
      <HeadCm>32</HeadCm>
      <SeatCm xsi:nil="true" />
      <AgeYears>0.4</AgeYears>
      <Is_Premature>false</Is_Premature>
      <Premature_Age_Week xsi:nil="true" />
      <Premature_Age_Day xsi:nil="true" />
      <Premature_Corrected_AgeYears>0.2219</Premature_Corrected_AgeYears>
      <Premature_Corrected_SizeSds accuracy="less_or_equal">-6</Premature_Corrected_SizeSds>
      <Premature_Corrected_WeightSds accuracy="exact">-1.24</Premature_Corrected_WeightSds>
      <Premature_Corrected_BmiSds accuracy="exact">5.2</Premature_Corrected_BmiSds>
      <Premature_Corrected_HeadSds accuracy="exact">-5.77</Premature_Corrected_HeadSds>
      <Bmi>25.96</Bmi>
      <EquiBmi xsi:nil="true" />
      <LegCm xsi:nil="true" />
      <SeatLegRatio xsi:nil="true" />
      <SizeSds accuracy="less_or_equal">-6</SizeSds>
      <SizePercentile>0</SizePercentile>
      <WeightSds accuracy="exact">-2.92</WeightSds>
      <WeightPercentile>0.18</WeightPercentile>
      <WeightLengthPercentile xsi:nil="true" />
      <SizeTurnerSyndromePercentile xsi:nil="true" />
      <SizeNoonanSyndromePercentile xsi:nil="true" />
      <BmiSds accuracy="exact">4.68</BmiSds>
      <BmiPercentile>100</BmiPercentile>
      <HeadSds accuracy="less_or_equal">-6</HeadSds>
      <HeadPercentile>0</HeadPercentile>
      <SeatPercentile xsi:nil="true" />
      <LegPercentile xsi:nil="true" />
      <SeatLegPercentile xsi:nil="true" />
      <SizeAchondroplasiaPercentile xsi:nil="true" />
      <WeightAchondroplasiaPercentile xsi:nil="true" />
      <BmiAchondroplasiaPercentile xsi:nil="true" />
      <HeadAchondroplasiaPercentile xsi:nil="true" />
      <SeatAchondroplasiaPercentile xsi:nil="true" />
      <LegAchondroplasiaPercentile xsi:nil="true" />
      <SeatSizeRatio xsi:nil="true" />
      <SeatSizeRatioAchondroplasiaPercentile xsi:nil="true" />
      <SizeTrisomy21Percentile xsi:nil="true" />
      <WeightTrisomy21Percentile xsi:nil="true" />
      <BmiTrisomy21Percentile xsi:nil="true" />
      <HeadTrisomy21Percentile xsi:nil="true" />
      <WeightLengthRatioTrisomy21Percentile xsi:nil="true" />
      <Validation_Message severity="warning" target="height">Körpergröße ist extrem niedrig. Prüfen Sie Messung bzw. Eingabe.<Severity>Warning</Severity><Target>Height</Target></Validation_Message>
      <Validation_Message severity="warning" target="head">Kopfumfang ist extrem niedrig. Prüfen Sie Messung bzw. Eingabe.<Severity>Warning</Severity><Target>Head</Target></Validation_Message>
      <Validation_Message severity="hint" target="weight">BMI (SDS) ist ungewöhnlich hoch.<Severity>Hint</Severity><Target>Weight</Target></Validation_Message>
    </Measurement>
  </Measurements>
  <Markers />
</Patient>

Dieses Beispiel umfasst zwei Messpunkte desselben frühgeborenen Patienten. Der erste Messpunkt ist zu einem Zeitpunkt, wo der Patient noch als "frühgeboren" gilt. Die angegebenen SD-Scores verwenden somit automatisch Referenzdaten für Frühgeborene. Der zweite Messpunkt ist später, berechnet aber trotzdem zusäztlich korrigierte Werte für das berechnete Geburtsdatum.