CodeSystemDevMilestoneFineMotor (MY Core)

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="code-system-dev-milestone-fine-motor-my-core" />
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <url value="http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core" />
    <name value="CodeSystemDevMilestoneFineMotorMyCore" />
    <title value="CodeSystemDevMilestoneFineMotor (MY Core)" />
    <status value="active" />
    <date value="2024-02-12T04:04:09.5621857+00:00" />
    <description value="Developmental Milestone Fine Motor" />
    <compositional value="false" />
    <content value="complete" />
    <count value="12" />
    <concept>
        <code value="f6w" />
        <display value="Up to 6 weeks of age" />
        <definition value="Fixates on objects. \nIn supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks" />
    </concept>
    <concept>
        <code value="f3m" />
        <display value="Up to 3 months of age" />
        <definition value="Hand regard. \nFollows dangling toy from side to side (180&#176;) Hands loosely open. \nHolds rattle placed in hand momentarily" />
    </concept>
    <concept>
        <code value="f6m" />
        <display value="Up to 6 months of age" />
        <definition value="Palmar grasp of cube. \nDrops one cube when another is given at 6 mths, retains one cube at hand when another is offered at 7 mths. \nTransfers object from one hand to another at 7 mths. \nEyes move together (any squint is abnormal). \nFollows activities across room with alertness." />
    </concept>
    <concept>
        <code value="f9m" />
        <display value="Up to 9 months of age" />
        <definition value="Pokes at small object &amp; begins to point at distant object with index finger. \nInferior pincer grasp. \nRelease toy by dropping or pressing against firm surface. \nLooks in correct direction for fallen toys. \nGrasp string to pull toy (causal understanding)." />
    </concept>
    <concept>
        <code value="f12m" />
        <display value="Up to 12 months of age" />
        <definition value="Neat pincer grasp. \nBangs 2 cubes. \nPoints with index finger at object of interest." />
    </concept>
    <concept>
        <code value="f15m" />
        <display value="Up to 15 months of age" />
        <definition value="Tower of 2 cubes. \nHold 2 cubes in one hand. \nTo and fro scribble with palmar grasp" />
    </concept>
    <concept>
        <code value="f18m" />
        <display value="Up to 18 months of age" />
        <definition value="Tower of 3 cubes. \nEnjoys putting small objects in and out of containers. \nScribbles spontaneously. \nEnjoys picture books, turns few pages at a time. \nHand preference." />
    </concept>
    <concept>
        <code value="f2y" />
        <display value="Up to 2 years of age" />
        <definition value="Tower of 6 - 7 cubes. \nImitates train of cubes, without adding chimney. \nCircular scribbles. \nImitates vertical line. \nEnjoys picture books and turns pages singly" />
    </concept>
    <concept>
        <code value="f2.5y" />
        <display value="Up to 2.5 years of age" />
        <definition value="Tower of 7- 8 cubes. \nImitates train, adding chimney. \nRecognizes minute details in picture books. \nImitates horizontal and vertical line." />
    </concept>
    <concept>
        <code value="f3y" />
        <display value="Up to 3 years of age" />
        <definition value="Tower of 9 - 10 cubes. \nImitates bridge with 3 cubes. \nCopies a circle. \nImitates a cross. \nDraw a man on request (3 - 10y). \nCuts with scissors" />
    </concept>
    <concept>
        <code value="f4y" />
        <display value="Up to 4 years of age" />
        <definition value="Builds 3 steps with 6 cubes after demonstration. \nHolds pencil with good control. \nCopies cross. \nDraws a person with head, legs and trunks. \nMatches 4 primary colours." />
    </concept>
    <concept>
        <code value="f5y" />
        <display value="Up to 5 years of age" />
        <definition value="Copies square at 5 years and a triangle at 5 &#189; years. \nColours neatly, staying within outlines. \nDraws a man with head, trunk, legs, arms and features. \nCan cut a strip of paper neatly" />
    </concept>
</CodeSystem>

{
    "resourceType": "CodeSystem",
    "id": "code-system-dev-milestone-fine-motor-my-core",
    "text": {
        "status": "generated",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "url": "http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core",
    "name": "CodeSystemDevMilestoneFineMotorMyCore",
    "title": "CodeSystemDevMilestoneFineMotor (MY Core)",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "Developmental Milestone Fine Motor",
    "compositional": false,
    "content": "complete",
    "count": 12,
    "concept":  [
        {
            "code": "f6w",
            "display": "Up to 6 weeks of age",
            "definition": "Fixates on objects. \nIn supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks"
        },
        {
            "code": "f3m",
            "display": "Up to 3 months of age",
            "definition": "Hand regard. \nFollows dangling toy from side to side (180°) Hands loosely open. \nHolds rattle placed in hand momentarily"
        },
        {
            "code": "f6m",
            "display": "Up to 6 months of age",
            "definition": "Palmar grasp of cube. \nDrops one cube when another is given at 6 mths, retains one cube at hand when another is offered at 7 mths. \nTransfers object from one hand to another at 7 mths. \nEyes move together (any squint is abnormal). \nFollows activities across room with alertness."
        },
        {
            "code": "f9m",
            "display": "Up to 9 months of age",
            "definition": "Pokes at small object & begins to point at distant object with index finger. \nInferior pincer grasp. \nRelease toy by dropping or pressing against firm surface. \nLooks in correct direction for fallen toys. \nGrasp string to pull toy (causal understanding)."
        },
        {
            "code": "f12m",
            "display": "Up to 12 months of age",
            "definition": "Neat pincer grasp. \nBangs 2 cubes. \nPoints with index finger at object of interest."
        },
        {
            "code": "f15m",
            "display": "Up to 15 months of age",
            "definition": "Tower of 2 cubes. \nHold 2 cubes in one hand. \nTo and fro scribble with palmar grasp"
        },
        {
            "code": "f18m",
            "display": "Up to 18 months of age",
            "definition": "Tower of 3 cubes. \nEnjoys putting small objects in and out of containers. \nScribbles spontaneously. \nEnjoys picture books, turns few pages at a time. \nHand preference."
        },
        {
            "code": "f2y",
            "display": "Up to 2 years of age",
            "definition": "Tower of 6 - 7 cubes. \nImitates train of cubes, without adding chimney. \nCircular scribbles. \nImitates vertical line. \nEnjoys picture books and turns pages singly"
        },
        {
            "code": "f2.5y",
            "display": "Up to 2.5 years of age",
            "definition": "Tower of 7- 8 cubes. \nImitates train, adding chimney. \nRecognizes minute details in picture books. \nImitates horizontal and vertical line."
        },
        {
            "code": "f3y",
            "display": "Up to 3 years of age",
            "definition": "Tower of 9 - 10 cubes. \nImitates bridge with 3 cubes. \nCopies a circle. \nImitates a cross. \nDraw a man on request (3 - 10y). \nCuts with scissors"
        },
        {
            "code": "f4y",
            "display": "Up to 4 years of age",
            "definition": "Builds 3 steps with 6 cubes after demonstration. \nHolds pencil with good control. \nCopies cross. \nDraws a person with head, legs and trunks. \nMatches 4 primary colours."
        },
        {
            "code": "f5y",
            "display": "Up to 5 years of age",
            "definition": "Copies square at 5 years and a triangle at 5 ½ years. \nColours neatly, staying within outlines. \nDraws a man with head, trunk, legs, arms and features. \nCan cut a strip of paper neatly"
        }
    ]
}

Defining URL http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core
version 1.0.0
Name CodeSystemDeveMilestoneFineMotorMYCore
Description Extension of Developmental Milestone in Malaysia
Title CodeSystemDevMilestoneFineMotor(MY Core)
Status Active as of 11-3-2022
Publisher Malaysia MOH - HIE Steering Committee
Copyright Used by permission of HL7 International, all rights reserved Creative Commons License

This code system http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core defines the following codes:

CodeDisplayDefinition
f6wUp to 6 weeks of ageFixates on objects. In supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks
f3mUp to 3 months of ageHand regard. Follows dangling toy from side to side (180°) Hands loosely open. Holds rattle placed in hand momentarily
f6mUp to 6 months of agePalmar grasp of cube. Drops one cube when another is given at 6 mths, retains one cube at hand when another is offered at 7 mths. Transfers object from one hand to another at 7 mths. Eyes move together (any squint is abnormal). Follows activities across room with alertness.
f9mUp to 9 months of agePokes at small object & begins to point at distant object with index finger. Inferior pincer grasp. Release toy by dropping or pressing against firm surface. Looks in correct direction for fallen toys. Grasp string to pull toy (causal understanding).
f12mUp to 12 months of ageNeat pincer grasp. Bangs 2 cubes. Points with index finger at object of interest.
f15mUp to 15 months of ageTower of 2 cubes. Hold 2 cubes in one hand. To and fro scribble with palmar grasp
f18mUp to 18 months of ageTower of 3 cubes. Enjoys putting small objects in and out of containers. Scribbles spontaneously. Enjoys picture books, turns few pages at a time. Hand preference.
f2yUp to 2 years of ageTower of 6 - 7 cubes. Imitates train of cubes, without adding chimney. Circular scribbles. Imitates vertical line. Enjoys picture books and turns pages singly
f2.5yUp to 2.5 years of ageTower of 7- 8 cubes. Imitates train, adding chimney. Recognizes minute details in picture books. Imitates horizontal and vertical line.
f3yUp to 3 years of ageTower of 9 - 10 cubes. Imitates bridge with 3 cubes. Copies a circle. Imitates a cross. Draw a man on request (3 - 10y). Cuts with scissors
f4yUp to 4 years of ageBuilds 3 steps with 6 cubes after demonstration. Holds pencil with good control. Copies cross. Draws a person with head, legs and trunks. Matches 4 primary colours.
f5yUp to 5 years of ageCopies square at 5 years and a triangle at 5 ½ years. Colours neatly, staying within outlines. Draws a man with head, trunk, legs, arms and features. Can cut a strip of paper neatly