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. 2019 May 17;19:463. doi: 10.1186/s12885-019-5657-6

Table 6.

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

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

aLevel 2 advises patients to contact a health care professional today if their symptoms are new or unreported

bLevel 3 advises patients to contact a health care professional immediately. Additionally, an automated email alert is sent to the Cancer Nurse Specialist team