Coded results Manually entered if not autopopulated Ordered eGFR Single Code Entry: GFR calculated abbreviated MDRD... Date & Result: Performance Status Key (for hospital use when booking an appointment) 0 Fully active, able to carry on all pre-disease performance without restriction Restricted in physically strenuous activity but ambulatory and able to 1 carry out light/sedentary work, e.g. house or office work Ambulatory and capable of self-care, but unable to carry out work activities 2 Up and active > 50% of waking hours 3 Capable of only limited self-care. Confined to bed or chair >50% of waking hours 4 Completely disabled. Cannot carry out any self-care. Totally confined to bed or chair Consultations Medication Problems Allergies
Coded results Manually entered if not autopopulated Ordered eGFR Single Code Entry: GFR calculated abbreviated MDRD... Date & Result: Performance Status Key (for hospital use when booking an appointment) Fully active, able to carry on all pre-disease performance without restriction 0 Restricted in physically strenuous activity but ambulatory and able to carry out light/sedentary work, e.g. house or office work 1 Ambulatory and capable of self-care, but unable to carry out work activities Up and active > 50% of waking hours 2 Capable of only limited self-care. Confined to bed or chair >50% of waking hours 3 Completely disabled. Cannot carry out any self-care. Totally confined to bed or chair 4 Consultations Medication Problems Allergies
2WW-Head-Neck-Proforma-v2.0-Berkshire.docx