CodeSystemDevMilestoneSpeech (MY Core)

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="code-system-dev-milestone-speech-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-speech-my-core" />
    <name value="CodeSystemDevmilestoneSpeechmyCore" />
    <title value="CodeSystemDevMilestoneSpeech (MY Core)" />
    <status value="active" />
    <date value="2024-02-12T04:04:09.5621857+00:00" />
    <description value="Developmental Milestone Speech Motor" />
    <compositional value="false" />
    <content value="complete" />
    <count value="12" />
    <concept>
        <code value="s6w" />
        <display value="Up to 6 weeks of age" />
        <definition value="Quietens to sound at 4 weeks. \nVocalises when talked to at 8 weeks." />
    </concept>
    <concept>
        <code value="s3m" />
        <display value="Up to 3 months of age" />
        <definition value="Squeals of pleasure. \nSays ‘aah’ or ‘naah’ when spoken to. \nTurns head to sound at the same level." />
    </concept>
    <concept>
        <code value="s6m" />
        <display value="Up to 6 months of age" />
        <definition value="Smiles and vocalises at mirror image. \nmonosyllabic babble. \nPolysyllabic sounds formedba,da,ka at 7 mths. \nTurns head towards a sound above the level (7 to 9 months)." />
    </concept>
    <concept>
        <code value="s9m" />
        <display value="Up to 9 months of age" />
        <definition value="Babbles loudly in long repetitive syllables. \nResponds to name. \nUnderstands ‘No’ and ‘Bye- bye’ Imitates playful sounds e.g. \ncough, ‘brrr’ Localises sound above and below the ear level." />
    </concept>
    <concept>
        <code value="s12m" />
        <display value="Up to 12 months of age" />
        <definition value="Knows and responds to name. \nBabbles in conversational cadences. \nUnderstands simple instructions. \n1 - 3 words with meaning. \nLocates sounds in all directions." />
    </concept>
    <concept>
        <code value="s15m" />
        <display value="Up to 15 months of age" />
        <definition value="Jargon. \n2-6 intelligible words. \nObeys simple commands. \nPoints to familiar persons, toys when requested." />
    </concept>
    <concept>
        <code value="s18m" />
        <display value="Up to 18 months of age" />
        <definition value="Jargon. \n6-20 intelligible words. \nPoints to 2 - 3 body parts." />
    </concept>
    <concept>
        <code value="s2y" />
        <display value="Up to 2 years of age" />
        <definition value="Uses 50 or more words. \nUses 2 - 3 word phrases. \nPoints to 6 body parts. \nNames familiar objects and pictures. \nFollows a series of 2 simple but related commands. \nJoins in nursery rhymes and sings." />
    </concept>
    <concept>
        <code value="s2.5y" />
        <display value="Up to 2.5 years of age" />
        <definition value="Speaks in phrases. \nFrequently asks questions (What, Who). \nUses pronouns (I, me, you) correctly. \nKnows full name. \nCan select pictures of action e.g. \nwhich one is eating" />
    </concept>
    <concept>
        <code value="s3y" />
        <display value="Up to 3 years of age" />
        <definition value="Gives full name, gender, sometimes age. \nUses personal pronouns and most prepositions correctly. \nAsk many questions (What, where, who) Identify objects by function e.g. \nwhich one we drink from. \nCounts by rote up to 10 or more but does not appreciate quantity beyond 2 or 3. \nNames 2 colours." />
    </concept>
    <concept>
        <code value="s4y" />
        <display value="Up to 4 years of age" />
        <definition value="Speech grammatically correct and completely intelligible Names 4 colours. \nGives full name, address and age. \nListens to and tells long stories. \nCounts by rote up to 20 and begins to count by word and touch up to 4 or 5." />
    </concept>
    <concept>
        <code value="s5y" />
        <display value="Up to 5 years of age" />
        <definition value="Names birthday and home address. \nDefines nouns by use. \nUses “first, then, last” (time and sequence concepts). \nEnjoys jokes and riddles. \nTells time." />
    </concept>
</CodeSystem>

{
    "resourceType": "CodeSystem",
    "id": "code-system-dev-milestone-speech-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-speech-my-core",
    "name": "CodeSystemDevmilestoneSpeechmyCore",
    "title": "CodeSystemDevMilestoneSpeech (MY Core)",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "Developmental Milestone Speech Motor",
    "compositional": false,
    "content": "complete",
    "count": 12,
    "concept":  [
        {
            "code": "s6w",
            "display": "Up to 6 weeks of age",
            "definition": "Quietens to sound at 4 weeks. \nVocalises when talked to at 8 weeks."
        },
        {
            "code": "s3m",
            "display": "Up to 3 months of age",
            "definition": "Squeals of pleasure. \nSays ‘aah’ or ‘naah’ when spoken to. \nTurns head to sound at the same level."
        },
        {
            "code": "s6m",
            "display": "Up to 6 months of age",
            "definition": "Smiles and vocalises at mirror image. \nmonosyllabic babble. \nPolysyllabic sounds formedba,da,ka at 7 mths. \nTurns head towards a sound above the level (7 to 9 months)."
        },
        {
            "code": "s9m",
            "display": "Up to 9 months of age",
            "definition": "Babbles loudly in long repetitive syllables. \nResponds to name. \nUnderstands ‘No’ and ‘Bye- bye’ Imitates playful sounds e.g. \ncough, ‘brrr’ Localises sound above and below the ear level."
        },
        {
            "code": "s12m",
            "display": "Up to 12 months of age",
            "definition": "Knows and responds to name. \nBabbles in conversational cadences. \nUnderstands simple instructions. \n1 - 3 words with meaning. \nLocates sounds in all directions."
        },
        {
            "code": "s15m",
            "display": "Up to 15 months of age",
            "definition": "Jargon. \n2-6 intelligible words. \nObeys simple commands. \nPoints to familiar persons, toys when requested."
        },
        {
            "code": "s18m",
            "display": "Up to 18 months of age",
            "definition": "Jargon. \n6-20 intelligible words. \nPoints to 2 - 3 body parts."
        },
        {
            "code": "s2y",
            "display": "Up to 2 years of age",
            "definition": "Uses 50 or more words. \nUses 2 - 3 word phrases. \nPoints to 6 body parts. \nNames familiar objects and pictures. \nFollows a series of 2 simple but related commands. \nJoins in nursery rhymes and sings."
        },
        {
            "code": "s2.5y",
            "display": "Up to 2.5 years of age",
            "definition": "Speaks in phrases. \nFrequently asks questions (What, Who). \nUses pronouns (I, me, you) correctly. \nKnows full name. \nCan select pictures of action e.g. \nwhich one is eating"
        },
        {
            "code": "s3y",
            "display": "Up to 3 years of age",
            "definition": "Gives full name, gender, sometimes age. \nUses personal pronouns and most prepositions correctly. \nAsk many questions (What, where, who) Identify objects by function e.g. \nwhich one we drink from. \nCounts by rote up to 10 or more but does not appreciate quantity beyond 2 or 3. \nNames 2 colours."
        },
        {
            "code": "s4y",
            "display": "Up to 4 years of age",
            "definition": "Speech grammatically correct and completely intelligible Names 4 colours. \nGives full name, address and age. \nListens to and tells long stories. \nCounts by rote up to 20 and begins to count by word and touch up to 4 or 5."
        },
        {
            "code": "s5y",
            "display": "Up to 5 years of age",
            "definition": "Names birthday and home address. \nDefines nouns by use. \nUses “first, then, last” (time and sequence concepts). \nEnjoys jokes and riddles. \nTells time."
        }
    ]
}

Defining URL http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-speech-my-core
version 1.0.0
Name CodeSystemDeveMilestoneSpeechMYCore
Description Extension of Developmental Milestone in Malaysia
Title CodeSystemDevMilestoneSpeech(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-speech-my-core defines the following codes:

CodeDisplayDefinition
s6wUp to 6 weeks of ageQuietens to sound at 4 weeks. Vocalises when talked to at 8 weeks.
s3mUp to 3 months of ageSqueals of pleasure. Says ‘aah’ or ‘naah’ when spoken to. Turns head to sound at the same level.
s6mUp to 6 months of ageSmiles and vocalises at mirror image. monosyllabic babble. Polysyllabic sounds formedba,da,ka at 7 mths. Turns head towards a sound above the level (7 to 9 months).
s9mUp to 9 months of ageBabbles loudly in long repetitive syllables. Responds to name. Understands ‘No’ and ‘Bye- bye’ Imitates playful sounds e.g. cough, ‘brrr’ Localises sound above and below the ear level.
s12mUp to 12 months of ageKnows and responds to name. Babbles in conversational cadences. Understands simple instructions. 1 - 3 words with meaning. Locates sounds in all directions.
s15mUp to 15 months of ageJargon. 2-6 intelligible words. Obeys simple commands. Points to familiar persons, toys when requested.
s18mUp to 18 months of ageJargon. 6-20 intelligible words. Points to 2 - 3 body parts.
s2yUp to 2 years of ageUses 50 or more words. Uses 2 - 3 word phrases. Points to 6 body parts. Names familiar objects and pictures. Follows a series of 2 simple but related commands. Joins in nursery rhymes and sings.
s2.5yUp to 2.5 years of ageSpeaks in phrases. Frequently asks questions (What, Who). Uses pronouns (I, me, you) correctly. Knows full name. Can select pictures of action e.g. which one is eating
s3yUp to 3 years of ageGives full name, gender, sometimes age. Uses personal pronouns and most prepositions correctly. Ask many questions (What, where, who) Identify objects by function e.g. which one we drink from. Counts by rote up to 10 or more but does not appreciate quantity beyond 2 or 3. Names 2 colours.
s4yUp to 4 years of ageSpeech grammatically correct and completely intelligible Names 4 colours. Gives full name, address and age. Listens to and tells long stories. Counts by rote up to 20 and begins to count by word and touch up to 4 or 5.
s5yUp to 5 years of ageNames birthday and home address. Defines nouns by use. Uses “first, then, last” (time and sequence concepts). Enjoys jokes and riddles. Tells time.