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Comorbidity sections moved.
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kravmaga91 committed Apr 4, 2024
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**If the IADL score is <=2, the dashboard will generate an alert for you to consider excluding the patient.**


<<<<<<< HEAD
During the Baseline Assessment, a profiling functionality is available for the users to confirm which comorbidities will be monitored. There is an orange button in the lower right corner which opens a form, where the proposed profile of the patient is shown: select/unselect the comorbidities to be monitored, then click on ACCEPT. Consequently, the specific assessment tabs will be activated according to the selection.

<figure id="Pic 44a" >
<img src="Baseline Assessment Images/Pic 44a.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 45" >
<img src="Baseline Assessment Images/Pic 45.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

**Note: this tab is provided to confirm the ascertained conditions or disable one or more tabs, except the Cardiovascular diseases which must be confirmed here to open the related tab**.

The Patient profiling algorithm and the risk of exclusion factors are illustrated in a flowchart [here](https://github.com/Smartbear-Unimi/sb-ui-doc/blob/12-exclusion-criteria/content/en/docs/operating/exclusion-criteria/Flowchart.md).



## Hearing Loss {#hearing_loss}

Tick the Hearing Loss condition, or uses hearing aids in the tab Medical History, then confirm the patient's profile to activate the Hearing Loss tab. Click on the HEARING LOSS button to open the tab.

<figure id="Pic 46" >
<img src="Baseline Assessment Images/Pic 46.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 47" >
<img src="Baseline Assessment Images/Pic 47.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>


It is divided into two sections:

1. General Info. Click on EDIT to insert or edit data.

<figure id="Pic 48" >
<img src="Baseline Assessment Images/Pic 48.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

This tab is for saving the following data to be collected during the Audoligical examination:
o Noise Exposure History. Click on the label and type a value in dB.
o Tympanometry. Click on the label and type a value in daPa
o Pure tone audiometry. Clik on the label and type a value in Pa
o Otoscopy. Click on the label, then select a Abnormal or Normal from the menu.
2. Questionnaires. It contains the MoCA and the GHABP questionnaires. To fill a questionnaire, click on +ADD to open the tab, select the responses and save the results (see section ). It is possible to open a curtain menu, which displays the responses. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.

**Note: if you tick "Hearing Aids user" under General info of Medical History, the Hearing Loss tab will not be activated.**

### General Info

Follow the steps below to fill the General Info tab:

1. Click on the EDIT button;
2. Click on and type a value in Noise Exposure History, Tympanometry and Pure Tone Audiometry. If necessary, tick Family History of Hearing Loss
3. Click on Otoscopy and a dropdown menu appears. Select a value
4. Click on the SAVE button to save the data, otherwise click on the CANCEL button to discard them.

<figure id="Pic 49" >
<img src="Baseline Assessment Images/Pic 49.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 50" >
<img src="Baseline Assessment Images/Pic 50.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

If you have completed the form correctly click on SAVE to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 50a" >
<img src="Baseline Assessment Images/Pic 50a.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

## Balance Disorder {#balance_disorder}

To activate the Balance Disorders tab, select a value under Balance Disorders in Medical History, then confirm the patient's profile. Click on BALANCE DISORDER, to open the tab. It features the following questionnaires: Fall Efficacy Scale International, Activities Specific Balance Confidence Scale (ABC), Functional Gait Assessment (FGA), Mini-Balance Evaluation System Test (Mini-BEST), Rapid Assessment of Physical Activity (RAPA). To fill a questionnaire, click on +ADD to open the tab, select the responses and save the results. It is possible to open a curtain menu, which displays the responses. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.

<figure id="Pic 51" >
<img src="Baseline Assessment Images/Pic 51.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 52" >
<img src="Baseline Assessment Images/Pic 52.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

If you have completed the form correctly click on SAVE to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 53" >
<img src="Baseline Assessment Images/Pic 53.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

## Cardio Vascular {#cardio_vascular}

Tick the Cardiovascular condition in Medical History, then confirm the patient's profile to activate the Cardiovascular tab. Click on CARDIOVASCULAR to open the Cardiovascular tab.

<figure id="Pic 54" >
<img src="Baseline Assessment Images/Pic 54.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>


This tab is divided into the following tabs:
• General Info. Data concerning medical conditions are saved here.
• Observations. Data collected during the physical examinations are saved here, i.e. Blood Pressure and Heart rate (see Medical History)
• Cardiovascular history. Data concerning specific conditions are saved here, i.e. Atrial Fibrillation, Coronary Artery Disease, Hypertension, Heart Failure.
• ECG. Data collected with ECG are saved here.
• Cholesterol and scores. Data concerning cholesterol amount are saved here, and a link to a Heart Score calculator is provided.


### General Info

Follow the steps below to fill this tab:
1. Click on EDIT
2. Click Type the requested values, i.e. Number of visits and Time spent doing Physical activity in min/week.
3. Tick the checkbox for Sleep Disorder if necessary
4. Fill the box with Special Dietary Conditions if necessary
5. Click on SAVE button to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 56" >
<img src="Baseline Assessment Images/Pic 56.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

### Cardiovascular History

Follow the steps below to fill the tab:

1. Click on EDIT
2. Click on the Atrial Fibrillation and Coronary Artery Disease, select a value from the menus.
3. If necessary, tick the checkboxes for one or more conditions.
4. Click on SAVE to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 58" >
<img src="Baseline Assessment Images/Pic 58.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 61" >
<img src="Baseline Assessment Images/Pic 61.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 62" >
<img src="Baseline Assessment Images/Pic 62.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 63" >
<img src="Baseline Assessment Images/Pic 63.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

### ECG

Follow the steps below to fill this tab:

1. Click on EDIT
2. Click on PR Interval, QRS Interval, QTC Intervals and type the requested values in ms which appear on the ECG curve
3. Click on Rhythm, select a value from the menu
4. Click on QRS Morphology, select a value from the menu
5. Click on Peripheral arteries pulsation, select a value from the menu
6. If necessary tick the Left ventricular hypertrophy checkbox
7. Click on Cardiac Auscultation Finding, select a value from the menu
8. If necessary tick the Audible murmurs checkbox
9. If necessary tick the Ascites checkbox
10. If necessary tick the Hepatomegaly/Splenomegaly checkbox
11. Click on the SAVE to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 59" >
<img src="Baseline Assessment Images/Pic 59.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 65" >
<img src="Baseline Assessment Images/Pic 65.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 66" >
<img src="Baseline Assessment Images/Pic 66.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 67" >
<img src="Baseline Assessment Images/Pic 67.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 68" >
<img src="Baseline Assessment Images/Pic 67.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

### Cholesterol and Scores

1. Click on EDIT (see figure )
2. Click on HB A1C level, type a value in %
3. Click on LDL Cholesterol, type a value in mg/dl
4. Click on HDL Cholesterol, type a value in mg/dl
5. The Heart Score can be calculated with an online tool. Click on Calculate to open the webpage
6. Click on SAVE to save the data, otherwise click on CANCEL to discard them.

<figure id="Pic 60" >
<img src="Baseline Assessment Images/Pic 60.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 70" >
<img src="Baseline Assessment Images/Pic 70.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 71" >
<img src="Baseline Assessment Images/Pic 71.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>


## Mental Disorders {#mental_disorders}

Tick the Anxiety or Depression disorder condition in Medical History, then confirm the patient's profile to activate the Mental Disorders tab.

<figure id="Pic 72" >
<img src="Baseline Assessment Images/Pic 72.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 73" >
<img src="Baseline Assessment Images/Pic 73.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>


Click on MENTAL DISORDERS, to open the Mental Disorders tab. It features the following questionnaires: Single Item Sleep Quality Scale and GDS. To fill a questionnaire, click on +ADD to open the tab, select the responses and save the results. It is possible to open a curtain menu, which displays the responses. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.

<figure id="Pic 74" >
<img src="Baseline Assessment Images/Pic 74.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 75" >
<img src="Baseline Assessment Images/Pic 75.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>



## Cognitive Disorders {#cognitive_disorders}

The Cognitive Disorders tab is activated in the following cases:

1. MoCA score is under 22
2. The user ticks Cognitive issue in Medical History.

<figure id="Pic 77" >
<img src="Baseline Assessment Images/Pic 77.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>


First, confirm the patient's profile. Click on the COGNITIVE DISORDES button to open the Cognitive Disorders tab. To fill the GDS questionnaire, click on +ADD to open the tab, select the responses and save the results. It is possible to open a curtain menu, which displays the responses. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.

<figure id="Pic 78" >
<img src="Baseline Assessment Images/Pic 78.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

## Frailty {#frailty}

Tick Weight Loss in Medical History, then confirm the patient's profile to activate the Frailty tab. Click on FRAILTY to open the Frailty tab which includes the Edmonton Frailty Scale (EFS) questionnaire. To fill this questionnaire, click on +ADD to open the tab, select the responses and save the results. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.

<figure id="Pic 79" >
<img src="Baseline Assessment Images/Pic 79.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 80" >
<img src="Baseline Assessment Images/Pic 80.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

<figure id="Pic 81" >
<img src="Baseline Assessment Images/Pic 81.png" alt="Patient">
<figcaption style="text-align:center"></figcaption>
</figure>

**Note: the EFS score can impact on the patient profiling or be a risk of exclusion factor.**
**If the EFS score is <=5, the Frailty tab is deactivated.**
**If the EFS score is => 12 and <=17, the dashboard will generate an alert for you to consider excluding the patient.**
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