{
  "release_id": "c7fb95f1d15a7d13",
  "id": "maternal:developmental-surveillance",
  "owner": "maternal",
  "kind": "care_topic",
  "slug": "developmental-surveillance",
  "name": "Developmental milestones and surveillance",
  "aliases": [],
  "atlases": [
    "maternal"
  ],
  "summary_plain": "During the first year babies start to learn skills they will use all their lives: moving, using their hands, sensing, communicating and playing with others. Babies do not all develop at the same rate, and a wide range is normal. MedlinePlus advises parents who are worried about possible delays to talk to their baby's health care provider.",
  "summary_technical": "This page rests on the MedlinePlus summary on infant and newborn development (public domain), which divides normal development into gross motor, fine motor, sensory, language and social areas and lists CDC's developmental milestones first among its links. The 2022 evidence-informed milestones paper in the journal Pediatrics was not fetched (this atlas treats Pediatrics articles as identity-only), so no milestone age, screening tool or surveillance schedule is recorded here. CDC's milestone pages were not read (cdc.gov returns HTTP 403 to scripts, per the plan's host checks). The recipient is the baby; parents and clinicians watch for milestones.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "maternal": {
      "life-stage": [
        "infant-follow-up"
      ],
      "care-area": [
        "infant-health"
      ]
    }
  },
  "payload": {
    "scope": "What development in the first year covers, and that the normal range is wide.",
    "life_stages": [
      "Newborn",
      "Infant follow-up"
    ],
    "life_stage_terms": {
      "maternal": [
        "newborn",
        "infant-follow-up"
      ]
    },
    "care_setting": "Home and well-baby care."
  },
  "content_digest": "2a1505ebbad54cc82d4ed92b027f47cdf55a6cb2396343181bf9383776923463",
  "review": {
    "content_digest": "2a1505ebbad54cc82d4ed92b027f47cdf55a6cb2396343181bf9383776923463",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [
    {
      "release_id": "c7fb95f1d15a7d13",
      "id": "maternal:claim-medlineplus-infant-development",
      "owner": "maternal",
      "subject_entity_id": "maternal:developmental-surveillance",
      "category": "descriptive",
      "statement": "MedlinePlus says that during their first year babies start to develop skills they will use for the rest of their lives, and that normal growth of babies can be divided into gross motor, fine motor, sensory, language and social areas. It says babies do not develop at the same rate, that there is a wide range of what is considered normal, and that a baby may be ahead in some areas and slightly behind in others. Parents who are worried about possible delays are advised to talk to their baby's health care provider.",
      "context": {
        "id": "maternal:ctx-medlineplus-babies-first-year",
        "label": "Babies in their first year (MedlinePlus development summary)",
        "recipient": "child",
        "population": "Babies in their first year of life and the families who care for them, as the MedlinePlus health topic on infant and newborn development addresses them.",
        "care_setting": "Home and well-baby care; the page is general health information.",
        "geography": "Not stated (a US government health information site)",
        "life_stage_note": "Infants in the first year of life",
        "life_stage_terms": {
          "maternal": [
            "newborn",
            "infant-follow-up"
          ]
        },
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (health topic summary)",
        "eligibility": {
          "inclusion": [
            "Babies in the first year of life"
          ],
          "exclusion": [
            "Not stated in the source that was read"
          ]
        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "A plain-language health topic summary. It gives no ages for particular milestones and no screening schedule; the milestone lists it links to (CDC's page and Nemours pages) were not read. The 2022 evidence-informed milestones paper in Pediatrics, an AAP journal, was not fetched or read, so no milestone age or surveillance advice from it is recorded here.",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
        {
          "evidence_role": "supports",
          "locator": "Summary, paragraph 1, sentence 2",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, list item 1 (gross motor)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, list item 2 (fine motor)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, list item 3 (sensory)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, list item 4 (language)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, list item 5 (social)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, paragraph 3, sentences 1 and 2 (part)",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, paragraph 3, sentence 3",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, paragraph 3, sentence 4",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "context",
          "locator": "Start Here, first link",
          "applicability_note": "MedlinePlus health topic summary (context for the claim).",
          "snapshot": {
            "id": "maternal:medlineplus-infant-development-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:52Z",
            "content_hash": "8571e120195e03234a7a532cb8111efb9f4bf051d310e58133adb025076a1be5",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-infant-development",
            "source_type": "webpage",
            "title": "Infant and Newborn Development (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/infantandnewborndevelopment.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The request URL infantandtoddlerdevelopment.html returned the page whose own address line reads infantandnewborndevelopment.html, which is used as the canonical address. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        }
      ],
      "review": {
        "content_digest": "b3d755f97f14701039f94ef7ed3e703ad82f63dac3c5edba2344494b04b5269d",
        "current": [],
        "conflicting": [],
        "stale": [],
        "inactive": []
      },
      "api_path": "api/v1/claims/maternal--claim-medlineplus-infant-development.json"
    }
  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "related_to",
        "label": "Follow-up after preterm birth (existing page)",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:preterm-lbw-care",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "related_to",
        "label": "Retinopathy of prematurity, an eye condition of very preterm babies (page on the condition)",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:retinopathy-of-prematurity",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "related_to",
        "label": "Chronic lung disease of prematurity (page on the condition)",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:bronchopulmonary-dysplasia",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "part_of",
        "label": "Filed under this front",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:front-screening-and-tests",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": true,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": []
  },
  "page_path": "care-topics/developmental-surveillance/",
  "context_path": "api/v1/context/maternal--developmental-surveillance.md"
}