The nutrition care process (NCP) includes comparison of current data with previous status, nutrition intervention goals, and/or reference standards and evaluate the overall impact of the nutrition intervention on the client’s nutrition diagnosis(es) and health outcomes. The use of standardized indicators and criteria increases the validity and reliability of outcome data collection, communication, an aggregation of data for reporting outcomes of the nutrition and dietetics practitioner’s interventions.
Specific comparative standards by the World Health Organization for expected growth in children: https://www.who.int/childgrowth/standards/Chap_3.pdf?ua=1 are used by dietitians to evaluate actual changes in growth velocity or to establish goal growth velocity expectations. Adequate nutrition necessary to meet expected growth velocity is critical to ensure appropriate, and possibly catch up, growth.
Tables from this document are used to support growth comparative standard concepts for:
*Goal weight gain/day (grams/day) https://www.who.int/childgrowth/standards/velocity/weight_inc_birth_to_60_days_girls.pdf?ua=1
*Goal weight-for-length z score (z score)
*Goal BMI-for-age z score (z score)
The complete technical report is here: https://www.who.int/childgrowth/standards/technical_report/en/
WHO also has comparative standards established for the following concept:
- Goal mid-upper arm circumference z score (z score) https://www.who.int/childgrowth/standards/ac_for_age/en/
- Percent medium BMI https://www.who.int/gho/ncd/risk_factors/bmi_text/en/
Questions:
- Need help on how to model observable concepts like these e.g. Goal weight gain/day (grams/day)
- Can we add concepts like these?
- Thoughts?
SNOMED has some similar "target observables" (e.g., 390734006 |Target weight (observable entity)|) and some were recently added some with approval by Ed Panel (see here and here).
Modeling these type of observables is now under discussion by the OIMP. See https://docs.google.com/presentation/d/1m6g6X4yZXItsJQdTkA5tesb_WOf16z1JvzqRRQy1Iu4/edit#slide=id.p.
Note, there is an existing tracker which has not progressed