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Table 6 Examples of final algorithm thresholds for Level 1, Level 2 and Level 3 actions

From: Developing a real-time electronic symptom monitoring system for patients after discharge following cancer-related surgery

ePRO self-report item question

Item response

Level generated

During the last week, were you short of breath?

Sub-item: If yes, have you been short of breath when just sitting down or resting?

Not at all

No feedback

A little, but not when resting

No feedback

A little, and while at rest

Level 2: Advice to contact HCP

Quite a bit, but not when resting

Level 1 Self-management advice

Quite a bit, and while at rest

Level 2 Advice to contact HCP a

Very much, but not when resting

Level 2 Advice to contact HCP a

Very much, and while at rest

Level 3 alert to HCPb

During the last week, has your surgical wound been red, warmer that the surrounding skin, swollen or had any leaking fluid?

Sub-item: If yes, if this a current issue?

Not at all

No feedback

A little, but this is not a current issue

No feedback

A little, and this is a current issue

Level 2 Advice to contact HCP a

Quite a bit, but this is not a current issue

Level 1 Self-management advice

Quite a bit, and this is a current issue

Level 2 Advice to contact HCP a

Very much, but this is not a current issue

Level 1 Self-management advice

Very much, and this is a current issue

Level 3 alert to HCPb

During the last week, have you vomited?

Sub-item: If yes, is your vomiting stopping you from drinking or eating?

Not at all

No feedback

A little

Level 1 Self-management advice

Quite a bit, but it has not stopped me from eating or drinking

Level 2 Advice to contact HCP a

Quite a bit, and it has stopped me from eating and drinking

Level 3 alert to HCPb

Very much, but it has not stopped me from eating or drinking

Level 2 Advice to contact HCP a

Very much, and it has stopped me from eating and drinking

Level 3 alert to HCPb

  1. aLevel 2 advises patients to contact a health care professional today if their symptoms are new or unreported
  2. bLevel 3 advises patients to contact a health care professional immediately. Additionally, an automated email alert is sent to the Cancer Nurse Specialist team