9/6 Reading &key in data

Improving Patient Reported Outcomes using item respone theory and computerized adaptive testing.
PRO (include physical function or disability,side effects,medical care costs, pain, and other content areas) are easier to administer and less expensive than physician-observed health status measures.But in this time, have a limitation of these standard measurement is pricision.Besides this, there also have a major limitation is the "one size fits all", that will makes a standard questionaire contain many items that are irrelevant and uninformative for the particular patient.
So we have planned to develop a comprehensive bank of questionaire items to measure the latent trait of interrest(e.g.,physical function/disability),use of a psychometric technique called item response theory(IRT) and use of computerized adaptive testing(CAT)to administer the items.
First step,the development of a comprehensive item bank -construct a domain hierarchy--from global constructs(health) to more specific domains(physical,mental ,and social health).

Clinical Question:
1.One p't had a history of old stroke(2007/7/3), but this time is due to left side weakness caused by his abdominal hit the bathroom closet and had a spleen hemorrhage.Besides, his left side motion more badly than first time and have sublaxution . Is this p't still can in clude in our data base again?The onset time of stroke are too close?
ANS: if he has other truama that will make more complicated,that will not include in.
2. Another p't has left caudate head infarct and residual AcomaA aneurysm, in the chart stated this p't right side weakness,but the p't complaint about left hand side and ring leg side have weakness.How i want to determine/compare about this two different information?
ANS: we need to examine her whether p't complaintment isn't right
3.If p't has wound in abdominal, then should the item of bathing will give it NA or zero! ANS :NA and check out the different kind of bathing, which one is the general one?(to take a sponge bath or use water bathing?)

Discussion:
1.rememner to prepare the papers(ADL) and clothes!
2.Ask the Mr.歐 what need to be caused when take assess to p't
3.Need to ask about he would like the data after asessment? If yes , we will give it(photocopies)
to him next week.
4.Arrange the next assessment time with him