ARCHETYPE Patient generated subjective global assessement of nutritional status (openEHR-EHR-OBSERVATION.patient_generated_subjective_global_assessement_of_nutritional_status.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.patient_generated_subjective_global_assessement_of_nutritional_status.v0
ConceptPatient generated subjective global assessement of nutritional status
DescriptionScreening tool for malnutrition in cancer patients
UseTo be used in oncologic patients; to be used in adults and children;
PurposePG-SGA is a screening tool for early detection of nutrition risk and malnutrition.
ReferencesFaith D. Ottery. Assessment and interventional pathways in oncology. Nutrition, 12, n.1, 1996.

Nayara de Souza Gomes, Regiane Maio. Patient-generated subjective Global Assessment ans Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy. Revista Brasileira de Cancerologia, 2015; 61 (3):235-242.

Vázquez de la Torre MJ, Stein K, Vásquez Garibay EM, Kumazawa Ichikawa MR, Troyo Sanromán R, Salcedo Flores AG, Sánchez Zubieta FA. Patient-generated subjective Global Assessment of Nutritional status in pediatric patients with recent cancer diagnosis. Nutr Hospi, 2017, 24;34(5):1050-1058.

Copyright© openEHR Foundation
AuthorsAuthor name: Priscila Maranhao; Gustavo Bacelar
Organisation: MEDCIDS/FMUP; VirtualCare
Email: priscilamaranhao@gmail.com; gbacelar@gmail.com
Date originally authored: 2018-09-06
Other Details LanguageAuthor name: Priscila Maranhao; Gustavo Bacelar
Organisation: MEDCIDS/FMUP; VirtualCare
Email: priscilamaranhao@gmail.com; gbacelar@gmail.com
Date originally authored: 2018-09-06
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Faith D. Ottery. Assessment and interventional pathways in oncology. Nutrition, 12, n.1, 1996. Nayara de Souza Gomes, Regiane Maio. Patient-generated subjective Global Assessment ans Nutritional Risk Indicators in Oncology Patients Receiving Chemotherapy. Revista Brasileira de Cancerologia, 2015; 61 (3):235-242. Vázquez de la Torre MJ, Stein K, Vásquez Garibay EM, Kumazawa Ichikawa MR, Troyo Sanromán R, Salcedo Flores AG, Sánchez Zubieta FA. Patient-generated subjective Global Assessment of Nutritional status in pediatric patients with recent cancer diagnosis. Nutr Hospi, 2017, 24;34(5):1050-1058. , original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=9A270DA208A6B42E6008B1C79B7CC15F, build_uid=5e57adc1-99a0-4059-8e19-f23be79ae926, revision=0.0.1-alpha}
Keywordsmalnutrition, screening, cancer, physical exam, nutrition imtake
Lifecyclein_development
UIDe1598e3f-8424-4b6b-ba00-aeec838b2458
Language useden
Citeable Identifier1013.1.3598
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Screening tool for malnutrition in cancer patients , archetypeConceptComment=null, otherContributors=Ricardo Cruz-Correia, FMUP, Portugal
Pedro Vieira-Marques, FMUP, Portugal
Duarte Gonçalves-Ferreira, FMUP, Portugal
Luis Reis, FMUP, Portugal, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={details=[], identities=[], source=[], credentials=[], context=[], description=[], ism_transition=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], content=[], items=[], capabilities=[], other_participations=[], contacts=[], target=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=CLUSTER, level=4, text=1. Weight, description=In summary of my current ans recent weight:, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=I currently weigh about:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • lb
  • kg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=I am about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • m
  • ft
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=A year ago I weighed about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • kg
  • lb
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Six months ago I weighed about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • kg
  • lb
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=During the past two weeks my weight has:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • decreased [decreased]
  • not changed [not changed]
  • increased [increased]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=CLUSTER, level=4, text=2. Food Intake, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=As compared to my normal, I would rate my food intake during the past month as either: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unchanged [Unchanged]
  • more than usual [more than usual]
  • less than usual [less than usual]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=I am now taking:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • little solid food [little solid food]
  • only liquids [only liquids]
  • only nutritional supplements [only nutritional supplements]
  • very little of anything [very little of anything]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=CLUSTER, level=4, text=3. Symptoms , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=I have had the following problmes that kept me from eating enough (check all that apply):, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • no problems eating [no problems eating]
  • no appetite, just did not feel like eating [no appetite, just did not feel like eating]
  • nausea [nausea]
  • vomiting [vomiting]
  • constipation [constipation]
  • diarrhea [diarrhea]
  • mouth sores [mouth sores]
  • dry mouth [dry mouth]
  • pain [pain]
  • things taste funny or have no taste [things taste funny or have no taste]
  • smells bother me [smells bother me ]
  • other [other]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0038], code=at0038, itemType=ELEMENT, level=5, text=pain; where?, description=If the patient marked pain, he should describe where. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0039], code=at0039, itemType=ELEMENT, level=5, text=other, description=if the patiente marked "other", he should describe it. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=CLUSTER, level=4, text=Functional Capacity, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=5, text=Over the past, I would rate my activity as generally: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • normal with no limitations [normal with no limitations]
  • not my normal self, but able to be up and about with fairly normal activies. [not my normal self, but able to be up and about with fairly normal activies.]
  • not feeling up to most things , but in bed less than half the day. [not feeling up to most things , but in bed less than half the day]
  • able to do little activity and spend mots of the day in bed or chair. [able to do little activity and spend mots of the day in bed or chair. ]
  • pretty much bedridden, rarely out of bed [pretty much bedridden, rarely out of bed]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050], code=at0050, itemType=CLUSTER, level=4, text=5. Disease and its relation to Nutitional Requirements , description=The remainder of this form will be completed by your doctor, nurse, or therapist. thank you. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Primary diagnosis (specify), description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0052], code=at0052, itemType=ELEMENT, level=5, text=Stage, if known, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=Metabolic demand (stress), description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • no stress [no stress]
  • low stress [low stress]
  • moderate stress [moderate stress]
  • high stress [high stress]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059], code=at0059, itemType=CLUSTER, level=4, text=Physical, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=loss of subcutaneous fat (triceps, chest), description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=muscle wasting (quadriceps, deltoids), description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0063], code=at0063, itemType=ELEMENT, level=5, text=ankle edema, description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=sacral edema, description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=ascites, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=SGA rating, description=select one:, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • A = well nourished [A = well nourished]
  • B = moderately (or suspected of being) malnourished [B = moderately (or suspected of being) malnourished]
  • C = severely malnourished [C = severely malnourished]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0072], code=at0072, itemType=ELEMENT, level=4, text=Total PG-SGA score, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null]], relationships=[], state=[], protocol=[], activities=[], provider=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, ordered, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=data, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=CLUSTER, level=4, text=1. Weight, description=In summary of my current ans recent weight:, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=I currently weigh about:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • lb
  • kg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=I am about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • m
  • ft
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=A year ago I weighed about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • kg
  • lb
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Six months ago I weighed about: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Mass
Units:
  • kg
  • lb
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=During the past two weeks my weight has:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • decreased [decreased]
  • not changed [not changed]
  • increased [increased]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=CLUSTER, level=4, text=2. Food Intake, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=As compared to my normal, I would rate my food intake during the past month as either: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unchanged [Unchanged]
  • more than usual [more than usual]
  • less than usual [less than usual]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=I am now taking:, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • little solid food [little solid food]
  • only liquids [only liquids]
  • only nutritional supplements [only nutritional supplements]
  • very little of anything [very little of anything]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=CLUSTER, level=4, text=3. Symptoms , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=I have had the following problmes that kept me from eating enough (check all that apply):, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • no problems eating [no problems eating]
  • no appetite, just did not feel like eating [no appetite, just did not feel like eating]
  • nausea [nausea]
  • vomiting [vomiting]
  • constipation [constipation]
  • diarrhea [diarrhea]
  • mouth sores [mouth sores]
  • dry mouth [dry mouth]
  • pain [pain]
  • things taste funny or have no taste [things taste funny or have no taste]
  • smells bother me [smells bother me ]
  • other [other]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0038], code=at0038, itemType=ELEMENT, level=5, text=pain; where?, description=If the patient marked pain, he should describe where. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024]/items[at0039], code=at0039, itemType=ELEMENT, level=5, text=other, description=if the patiente marked "other", he should describe it. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=CLUSTER, level=4, text=Functional Capacity, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=5, text=Over the past, I would rate my activity as generally: , description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • normal with no limitations [normal with no limitations]
  • not my normal self, but able to be up and about with fairly normal activies. [not my normal self, but able to be up and about with fairly normal activies.]
  • not feeling up to most things , but in bed less than half the day. [not feeling up to most things , but in bed less than half the day]
  • able to do little activity and spend mots of the day in bed or chair. [able to do little activity and spend mots of the day in bed or chair. ]
  • pretty much bedridden, rarely out of bed [pretty much bedridden, rarely out of bed]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050], code=at0050, itemType=CLUSTER, level=4, text=5. Disease and its relation to Nutitional Requirements , description=The remainder of this form will be completed by your doctor, nurse, or therapist. thank you. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Primary diagnosis (specify), description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0052], code=at0052, itemType=ELEMENT, level=5, text=Stage, if known, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=Metabolic demand (stress), description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • no stress [no stress]
  • low stress [low stress]
  • moderate stress [moderate stress]
  • high stress [high stress]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059], code=at0059, itemType=CLUSTER, level=4, text=Physical, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=loss of subcutaneous fat (triceps, chest), description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=muscle wasting (quadriceps, deltoids), description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0063], code=at0063, itemType=ELEMENT, level=5, text=ankle edema, description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=sacral edema, description=For each trait specify: 0= normal, 1 = mild, 2 = moderate; 3 = severe, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=ascites, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=3

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=SGA rating, description=select one:, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • A = well nourished [A = well nourished]
  • B = moderately (or suspected of being) malnourished [B = moderately (or suspected of being) malnourished]
  • C = severely malnourished [C = severely malnourished]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0072], code=at0072, itemType=ELEMENT, level=4, text=Total PG-SGA score, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]