Generated Narrative: Questionnaire homehosp-q-onco-definitions Structure LinkID Text Cardinality Type Description & Constraints Questionnaire http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-onco-definitions#0.1.0 #xD; NursingAssessment Nursing assessment 0..1 group #xD; MedicationStorage Medication storage 0..1 group #xD; A1_MedicationStorage Are there any comments or concerns about the (correct) home storage of the medication? 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; A2_MedicationStorageSpecify > If comments or concerns: specify 0..1 string Definition: Observation.note.text Enable When: A1_MedicationStorage = Improper storage of medication (SNOMED CT#424363005) #xD; ObservationParameters Observation parameters 0..1 group #xD; B1_BodyTemperature Body temperature: 1..1 decimal Definition: Observation.valueQuantity.value #xD; B2_HeartRate Heart rate: 1..1 decimal Definition: Observation.valueQuantity.value #xD; B3_SystolicBloodPressure Systolic blood pressure: 1..1 decimal Definition: Observation.valueQuantity.value #xD; B4_DiastolicBloodPressure Diastolic blood pressure: 1..1 decimal Definition: Observation.valueQuantity.value #xD; B5_BodyWeight Body weight: 1..1 decimal Definition: Observation.valueQuantity.value #xD; Contraindications Contraindications 0..1 group #xD; C1_ContraindicationPresent Are there any contraindications for administration? 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C2_ContraindicationSpecify > If 'yes': specify 0..1 display Enable When: C1_ContraindicationPresent = Yes (qualifier value) (SNOMED CT#373066001) #xD; C3_FeverChills Fever, chills, feeling ill 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C4_LowBloodPressure Blood pressure repeatedly below 100/60 mmHg 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C5_ElevatedOrIrregularHeartRate Heart rate above 100 bpm at rest or irregular heart rhythm, unless a chronically known problem. 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C6_WeightGain A weight gain of 3 kg / 3 weeks or 5 kg / 6 weeks, especially in combination with increased edema. 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C7_Edema Increased edema of the hands and/or feet. 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C8_SevereDyspnea Increased breathlessness and/or severe breathlessness (i.e. breathlessness at rest/without exertion and/or breathlessness that interferes with daily activities) (Trastuzumab, Azacitidine) 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; C9_Other Other: (if applicable) 0..1 string Definition: Observation.note.text #xD; C10_ContactCareTeam > If contraindication(s): please contact the hospital care team 0..1 display Enable When: C1_ContraindicationPresent = Yes (qualifier value) (SNOMED CT#373066001) #xD; C11_Decision Decision after consultation with hospital 0..1 choice Definition: Observation.valueCodeableConcept Options: 3 options #xD; C12_DecisionSpecify > If 'other': specify 0..1 string Definition: Observation.note.text Enable When: C11_Decision = other #xD; SymptomBurden Symptom burden 0..1 group #xD; D1_Nausea Nausea 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D2_Vomiting Vomiting 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D3_DecreasedAppetite Decreased appetite or taste change 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D4_Diarrhea Diarrhea 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D5_Constipation Constipation 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D6_Fatigue Fatigue/lethargy 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D7_Pain Pain 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D8_SkinRash Skin rash 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D9_PsychosocialBurden Psychosocial burden 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D10_Dyspnea Dyspnea 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D11_Edema Edema 0..1 choice Definition: Observation.valueCodeableConcept Options: 4 options #xD; D12_OtherObservations Other side effects or relevant clinical and psychosocial observations (in case of clinical concerns, please contact the hospital for discussion) 0..1 string Definition: Observation.note.text #xD; Assignment Assignment 0..1 group #xD; MedicationPreparation Medication preparation 0..1 group #xD; E1_PreparationCorrect Could the medication be prepared according to the procedure? 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; E2_ContactCareTeam > If 'no': please contact the hospital care team 0..1 display Enable When: E1_PreparationCorrect = No (qualifier value) (SNOMED CT#373067005) #xD; MedicationAdministration Medication administration 0..1 group #xD; E3_AdministrationCorrect Could the medication be administered exactly according to the procedure (there were no deviations)? 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; E4_SpecifyNo > If 'no': specify 0..1 string Definition: Observation.note.text Enable When: E3_AdministrationCorrect = No (qualifier value) (SNOMED CT#373067005) #xD; Aftercare Aftercare 0..1 group #xD; E5_ReactionDuringHomeObservation Was there a reaction during the home observation period? 1..1 choice Definition: Observation.valueCodeableConcept Options: 2 options #xD; E6a_Fever Fever 0..1 choice Definition: Observation.valueCodeableConcept Enable When: E5_ReactionDuringHomeObservation = Yes (qualifier value) (SNOMED CT#373066001) Options: 2 options #xD; E6b_Nausea Nausea 0..1 choice Definition: Observation.valueCodeableConcept Enable When: E5_ReactionDuringHomeObservation = Yes (qualifier value) (SNOMED CT#373066001) Options: 2 options #xD; E6c_TightnessSensation Tightness sensation 0..1 choice Definition: Observation.valueCodeableConcept Enable When: E5_ReactionDuringHomeObservation = Yes (qualifier value) (SNOMED CT#373066001) Options: 2 options #xD; E6d_Chills Chills 0..1 choice Definition: Observation.valueCodeableConcept Enable When: E5_ReactionDuringHomeObservation = Yes (qualifier value) (SNOMED CT#373066001) Options: 2 options #xD; E6e_InfluenzaLikeSyndrome Influenza-like syndromes 0..1 choice Definition: Observation.valueCodeableConcept Enable When: E5_ReactionDuringHomeObservation = Yes (qualifier value) (SNOMED CT#373066001) Options: 2 options #xD; QualityMonitoring (Quality) monitoring 0..1 group #xD; F1_CommentsRegistration Please note any comments or concerns regarding the registration of this patient, the sharing of data from the hospital, the communication by and contact with the hospital, the availability of materials, or other aspects of the transmural collaboration around home hospitalization oncology. Thank you. 0..1 string Definition: DiagnosticReport.conclusion #xD; Documentation for this format Options Sets Answer options for A1_MedicationStorage http://snomed.info/sct#710977001 ("Safe storage and management of medication") http://snomed.info/sct#424363005 ("Improper storage of medication") Answer options for C1_ContraindicationPresent http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C3_FeverChills http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C4_LowBloodPressure http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C5_ElevatedOrIrregularHeartRate http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C6_WeightGain http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C7_Edema http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C8_SevereDyspnea http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for C11_Decision administration no administration other Answer options for D1_Nausea http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D2_Vomiting http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D3_DecreasedAppetite http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D4_Diarrhea http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D5_Constipation http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D6_Fatigue http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D7_Pain http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D8_SkinRash http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D9_PsychosocialBurden http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D10_Dyspnea http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for D11_Edema http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3 (qualifier value)") http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3 (qualifier value)") Answer options for E1_PreparationCorrect http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E3_AdministrationCorrect http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E5_ReactionDuringHomeObservation http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E6a_Fever http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E6b_Nausea http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E6c_TightnessSensation http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E6d_Chills http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Answer options for E6e_InfluenzaLikeSyndrome http://snomed.info/sct#373066001 ("Yes (qualifier value)") http://snomed.info/sct#373067005 ("No (qualifier value)") Contained Resources Patient #patient-placeholder Profile: BePatient Tag: subsetted (Details: ObservationValue code SUBSETTED = 'subsetted') Patient Unknown (no stated gender), DoB Unknown ( http://terminology.hl7.org/CodeSystem/v2-0203#UNKNOWN)
Ability to store medications (observable entity)
Are there any comments or concerns about the (correct) home storage of the medication?
Safe storage and management of medication
Medication stopped - contra-indication (situation)
Are there any contraindications for administration?
Blood pressure repeatedly below 100/60 mmHg
Heart rate above 100 bpm at rest or irregular heart rhythm, unless a chronically known problem.
A weight gain of 3 kg / 3 weeks or 5 kg / 6 weeks, especially in combination with increased edema.
Increased edema of the hands and/or feet.
Increased breathlessness and/or severe breathlessness (i.e. breathlessness at rest/without exertion and/or breathlessness that interferes with daily activities) (Trastuzumab, Azacitidine)
Administration of drug or medicament contraindicated (situation)
> If contraindication(s): please contact the hospital care team
Decision after consultation with hospital
Review of current supply of medication (procedure)
Grade 0 on a scale of 0 to 3 (qualifier value)
Grade 1 on a scale of 0 to 3 (qualifier value)
Grade 2 on a scale of 0 to 3 (qualifier value)
Grade 3 on a scale of 0 to 3 (qualifier value)
Mental state, behavior and/or psychosocial function finding (finding)
Other side effects or relevant clinical and psychosocial observations (in case of clinical concerns, please contact the hospital for discussion)
Medication prefill preparation (procedure)
Could the medication be prepared according to the procedure?
> If 'no': please contact the hospital care team
Medication administered following procedure (situation)
Could the medication be administered exactly according to the procedure (there were no deviations)?
Was there a reaction during the home observation period?
Tightness sensation quality (qualifier value)
Please note any comments or concerns regarding the registration of this patient, the sharing of data from the hospital, the communication by and contact with the hospital, the availability of materials, or other aspects of the transmural collaboration around home hospitalization oncology. Thank you.