Step 6 Interim treating health professioStep 6 Interim treating health professional questionnaire score

Step 6 Interim treating health professional questionnaire score

(1) Calculate the questionnaire weighting in column 3 of the following table by dividing each score in column 2 by 2.

(2) Calculate the milestone weighted scores in column 4 for functional domains 1, 2, 3, 5, 6 and 7 by multiplying the score for each domain in column 3 by 10 and then dividing the result by 10.

(3) Calculate the milestone weighted scores for functional domains 4 and 8 by multiplying the score for each domain in column 3 by 10 and then dividing the result by 9.

(4) Calculate the self care score in column 5 by adding the scores in column 4 for functional domains 3, 4 and 5, and dividing the result by 3.

(5) The raw scores in column 6 are the following:

(a) the scores in column 4 for functional domains 1 and 2;

(b) the self care skills score in column 5;

(c) the scores in column 4 for functional domains 6, 7 and 8.

(6) Calculate the functional weighting in column 7 by multiplying the score in column 6 for functional domain 1 by 1.2, and multiplying the score in column 6 for functional domain 10 by 2.

(7) The total scores in column 8 are as follows:

(a) the scores in column 7 for functional domains 1 and 10;

(b) the scores in column 6 for the remaining functional domains.

(8) Calculate the interim treating health professional questionnaire score by adding the total weighted scores in column 8 together.

<table cellspacing="0" cellpadding="0" style="width:438pt; border-collapse:collapse"><thead><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Functional domain</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Scores in steps 2 to 5</span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Questionnaire weighting</span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Milestone weighting</span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Self care skills score</span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Raw score for each domain</span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Functional weighting</span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableColHead" style="widows:0; orphans:0"><span>Total weighted score</span></p></td></tr></thead><tbody><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>1</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>2</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>3</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>4</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>5</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid; widows:0; orphans:0"><span>6</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid; widows:0; orphans:0"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid"><span>7</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid"><span>8</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid"><span>9</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td></tr><tr><td style="width:45.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="margin-right:10.5pt; text-align:right; page-break-after:avoid"><span>10</span></p></td><td colspan="2" style="width:41pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:60.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:48.7pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:36.8pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:34.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:45.9pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td style="width:37.5pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:58.4pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText"><span>Interim treating health professional score</span></p></td><td colspan="2" style="width:47.6pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p class="TableText"><span></span></p></td><td style="width:41.3pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p class="TableText"><span></span></p></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:56.5pt"></td><td style="width:12.7pt"></td><td style="width:39.1pt"></td><td style="width:19.3pt"></td><td style="width:52.1pt"></td><td style="width:59.5pt"></td><td style="width:47.6pt"></td><td style="width:45.45pt"></td><td style="width:56.7pt"></td><td style="width:48.3pt"></td></tr></tbody></table>