a Project # 643735 www.do-change.eu Do CHANGE Data Dictionaries and Third Party Interfaces Design [Deliverable 4.14 (D65), Revision 1.0] Key Information from the DoA Due Date 30-Nov-2016 Type Report Security Public Description: This document presents the data dictionaries and third-party interface components that are to be employed within the overall Do CHANGE ecosystem during the phase 2 clinical field trials. Lead Editor: Mart Wetzels (TU/e) Internal Reviewer: Paul Bunkham (DSD)
Transcript
a
Project # 643735 www.do-change.eu
Do CHANGE Data Dictionaries and Third Party Interfaces Design
[Deliverable 4.14 (D65), Revision 1.0]
Key Information from the DoA
Due Date 30-Nov-2016
Type Report
Security Public
Description:
This document presents the data dictionaries and third-party interface components that are to be employed within the overall Do CHANGE ecosystem during the phase 2 clinical field trials.
Lead Editor: Mart Wetzels (TU/e) Internal Reviewer: Paul Bunkham (DSD)
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 2 of 59
Versioning and contribution history Version Date Author Partner Description
0.6 24-Nov 2016 RS DOC Incorporated feedback from review including revisions to the text, correction of typos, inclusion of an example Do in Section 3 and making Section 3 landscape so that the message sequence charts are larger and so clearer.
1.0 25-Nov 2016 AB SmH Official release
Statement of originality: This deliverable contains original unpublished work except where clearly indicated otherwise. Acknowledgement of previously published material and of the work of others has been made through appropriate citation, quotation or both.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 3 of 59
Executive Summary This document presents the data dictionaries and third party interfaces elements of the Do CHANGE ecosystem. These are key components of the Do CHANGE architecture (Ref. [A]), which facilitate data sharing and input of data from third parties.
This document taken in combination with other Do CHANGE design documents defines the ecosystem architecture that will be implemented for use in the 2nd phase of Do CHANGE field trials.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 4 of 59
Table of Contents
1. About This Document ............................................................................................... 7
[J] ECMAScript Wikipedia page - https://en.wikipedia.org/wiki/ECMAScript
[K] NGINX web site - https://www.nginx.com/
[L] Process Manager 2 web page - http://pm2.keymetrics.io/
[M] RFC 2616 (Hypertext Transfer Protocol -- HTTP/1.1) and associated RFCs that obsolete
this version and or updated it as specified at URL - https://tools.ietf.org/html/rfc2616
[N] RFC 6749 (The OAuth 2.0 Authorization Framework) -
https://tools.ietf.org/html/rfc6749
[O] RFC 7797 (JSON Web Token (JWT)) - https://tools.ietf.org/html/rfc7519
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 7 of 59
1. About This Document
Do CHANGE aims to develop and provide a health infrastructure for integrated disease management of citizens with high blood pressure and patients with ischemic heart disease or heart failure. In this context, it aims to give them access to a range of personalised health services intended to encourage behaviour change and to allow their behaviour and clinical parameters to be monitored. The information collected will be shared amongst the health services in a manner that reflects the citizens wishes and aims to optimise their health and well-being. This document presents the data encoding to be employed for information exchange within the Do CHANGE ecosystem. It also describes the interface to allow patient related resources to be obtained from third-party systems in a generic manner and made available to services / care providers within the Do CHANGE ecosystem.
1.1. Deliverable context
Project item Relationship
Objectives This document is linked to the following WP4 objectives:
To Specify and develop the overall Do CHANGE Ecosystem Architecture, both the services & component infrastructure, the data infostructure and its semantics.
The Data collection, storage, management and communication will take place in a secure patient controlled environment and feedback on transactions will be fed back to the individual.
All incoming data will be semantically tagged such that background knowledge, context and precise meaning are stored with the data and will inform any use of the data and its analytics.
To define the service interfaces of all parties.
Exploitable results This part of the project is service design. It is anticipated that the services developed from this design would be further developed to commercially exploitable systems.
Work plan This deliverable is associated with Tasks 4.3 and 4.5 of WP4.
Milestones This deliverable is not linked to an overall project milestone but does mark the submission of D4.14 (D65)
Deliverables This document presents the data dictionaries and third-party interface components that are to be employed within the overall Do CHANGE ecosystem during the phase 2 clinical field trials.
Risks By having this document available, the risk of failure of the technology supporting the Do CHANGE phase 2 clinical trials due to inability with exchange data between systems and with external systems, should be reduced.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 8 of 59
2. Data Exchange
2.1. Intention
The intention of this section is to detail the mechanism that shall be used to represent data that can be exchanged both within the Do CHANGE ecosystem and with external systems, such that its information content can be interpreted by consumers of the data. The scope of the data to be exchanged includes:
Do’s (messages intended to encourage behaviour change).
2.2. Use of HL7 FHIR Observations for Recorded Information
Various means by which recorded information could be exchanged were considered. It was notable that the physiological measures had well established approaches for their representation via Health Level Seven (HL7) (Ref. [B]). In contrast, while there are ways of encapsulating other types of data, these do not cover all types and tend to be specific to particular commercial vendors (for example Fitbit – see Ref. [C]) and / or are not widely adopted (e.g. HumanAPI – see [D]). Hence, the approach adopted builds on the functionality for data exchanged offered by HL7.
HL7 itself has various versions and forms. The variant to be employed as the basis encapsulating recorded information within Do CHANGE, is the Observation type specified by HL7 FHIR (Ref. [E]). The reason for selecting this is that it provides a relatively compact representation of data, compatible with more modern REST based interfaces, and that it allows the following key information items to be grouped:
timestamp;
the person (patient) to whom the encapsulated data relates;
the value of the data;
one or more codes that are associated with the data and / or the process for collecting it.
Furthermore, it provides a fall-back, plain-text / narration representation of the information for recipients that do not understand the coding used.
The structure of a HL7 FHIR compliant Observation is summarised as follows:
Text – this element contains the optional plain-text / narration element.
Status – this is a mandatory element that supports observations with different status values; in the context of Do CHANGE, it would have a fixed value equal to “final”.
Code – this is the optional representation of the encoding of the observation.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 9 of 59
Subject – this identifies the patient associated with the data using a generic scheme that supports pseudonymised and non-pseudonymised identifiers.
Value – this is the value of the measurement, which will be the subtype Quantity for all supported Do CHANGE data items. It optionally includes one or more encodings for the value.
In the case of the physiological values, a combination of SNOMED (Ref. [G]), Loinc (Ref. [F]) and IEEE 11073 (Ref. [H]) codes are employed that uniquely identify the observation process and / or data type are used as appropriate. For other data items, an extendible Do CHANGE code system is used (see Annex A).
2.3. Use of HL7 FHIR Procedure Request for Do’s
Building on the use of HL7 FHIR Observations, a separate entity specified by HL7 that is relevant to the scheduling of Do’s is the Procedure Request (Ref. [E]). The structure of a HL7 FHIR compliant Procedure Request is summarised as follows:
Code – this mandatory item specifies a code, which explicitly defines the “procedure”. In this case, the “Procedure” is the delivery of a Do, and so a Do CHANGE specific coding scheme is employed, in which each Do has a unique code as summarised in Append A.
Subject – this mandatory item identifies the patient to whom the Do should be delivered.
Scheduled – within HL7, this is this is an optional item with three variants; where used by Do CHANGE to convey the scheduling of Do’s, it shall be mandatory and the scheduledTiming variant shall be used, with one entry that specifies the earliest time that the Do should be scheduled for presentation to the patient..
2.4. Examples
A range of samples of data of the type employed in Do CHANGE when encapsulated using HL7 FHIR are presented in this section, to provide models for the specific implementation used by the Do CHANGE ecosystem. Note that the “Subject” element in each of these examples employs a “DocoboAgreementNumber” reference. This is for illustration purposes only and in actual use, the scope of the Subject element will depend upon the consumer of the information.
2.4.1. Body Temperature Measurements
An example body temperature measurement data item is as follows:
An example scale question response data item is as follows:
{"resourceType":"Observation",
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 12 of 59
"text":{"status":"generated", "div":"<div><table><tr><td>Time-stamp:</td><td>2015-07-21 09:32:36Z</td></tr><tr><td>Subject:</td><td>12345 67890</td></tr><tr><td>DoChange Code:</td><td>ebed3e8f-ae83-4e58-9ff0-1d867bafb806</td></tr><tr><td>Value:</td><td>56</td></tr></table></div>"}, "status":"final", "code":{"coding":[{"system":"http://www.do-change.eu","code":"ebed3e8f-ae83-4e58-9ff0-1d867bafb806","display":"How satisfied are you with your physical health?"}]}, "subject":{"reference":"DocoboAgreementNumber: 12345 67890","display":"12345 67890"}, "issued":"2015-07-21T10:32:36+01:00", "valueQuantity":{"value":56}
}
Codes for the initial set of scale questions supported are presented in Appendix A.
2.4.9. Multiple Choice Question Response
An example multiple choice question response data item is as follows:
{"resourceType":"Observation", "text":{"status":"generated","div":"<div><table><tr><td>Time-stamp:</td><td>2015-07-21 09:32:36Z</td></tr><tr><td>Subject:</td><td>12345 67890</td></tr><tr><td>DoChange Code:</td><td>11e94e61-97c9-4f88-bdc4-df63477b7092</td></tr><tr><td>Values:</td><td>3,7,10</td></tr></table></div>"}, "status":"final", "code":{"coding":[{"system":"http://www.do-change.eu","code":"11e94e61-97c9-4f88-bdc4-df63477b7092","display":"Which of the following describe you and work?"}]}, "subject":{"reference":"DocoboAgreementNumber: 12345 67890","display":"12345 67890"}, "issued":"2015-07-21T10:32:36+01:00", "component":[{"valueQuantity":{"value":3}},{"valueQuantity":{"value":7}},{"valueQuantity":{"value":10}}]
}
Note that the above has multiple values because multiple options have been selected for the multiple-choice question.
Codes for the initial set of multiple choice questions supported are presented in Appendix A. The same encapsulation is used for yes/no questions, which are a special case of multiple choice questions.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 13 of 59
3. Third-Party Interfaces
3.1. Introduction - Consume / Collect Service Pair
This chapter addresses the third-party integration with the Do CHANGE Ecosystem. As indicated in Figure 1, two services, Consume and Collect, facilitate the data acquisition and aggregation from external, third-party sources including Fitbit, Moves, Beddit, SAL, MySleeve, and Onmi Analytics.
The Consume service facilitates the authentication and authorisation of the participants granting Do CHANGE access to the data through a web browser view integrated in to the patient portal user interface (in this case the Do CHANGE Vire Smart Phone application is shown for illustration). The Collect service requests data from the external, third-party APIs through the Consume service, with Consume only authenticating requests made by the Collect service. The primary reason to separate these services, is to allow hosting on different servers, thereby ensuring security. The participant’s identity is pseudonymised by an identity provider service, which in this example is indicated by Auth0.
Figure 1 - Context of Consume / Collect Subsystems
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 14 of 59
The Collect and Consume services have similar designs, being based on Node.JS (Ref. [I]), and employing the scripting-language ECMAScript (ES) (Ref. [J]). Both host machines run a NGINX http server (Ref. [K]) and employ a reverse proxy configuration to ‘re-route’ external access to the internal server process. The NGINX server is also configured to provide secure connections by only allowing https connections. Non-secure connections shall be automatically re-routed to their corresponding secure URL. In addition, the reverse proxy ‘cloaks’ the identity of the process that is running on the host. Both hosts have a MongoDB (Ref. #) database instance, with access to this restricted to the host. For the Consume service, this is used to store User Access Tokens and APIs details specific to each third-party interface. In the case of the Consume service, it is used to store User Data and inbound Requests. Both services are to run on a local cluster using Process Manager 2 (PM2 – see Ref. [L]) to ensure availability should a process crash and facilitate increasing capacity under normal operating conditions.
3.2. Concepts Employed
3.2.1. End-points
The interactions between subsystems is based upon the hypertext transfer protocol (http – see Ref. [M]) protocol. Reference is often made to end-points which are specified by a path, for example
/provider/subscription
This indicates that the system in question provides a http or https (secure version of http) interface and that the functionality in question is access via the URI (assuming https):
https://hostname/provider/subscription
Where ‘hostname’ is the name or IP address of the host providing the functionality.
3.2.2. JSON Web Tokens and OAuth2
The design makes extensive use of OAuth2 (Ref. [N]) and associated JSON Web Tokens (JWT – see Ref. [O]) to provide security in system-to-system interactions. The key ones of these are as summarised as follows:
JWT – JSON Web Tokens are items included in http headers that are an efficient way to combine attribute / value pairs with a digital signature that can be used to verify the authenticity of the attribute / value pair information. The signature may use either a shared, secret key or public / private keys, and the data itself is base64-encoded JavaScript Object Notation (JSON) format data.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 15 of 59
OAuth2 is a standard that supports functionality related to the security and authentication of systems-to-system interactions. One of these is the following authorisation / authentication life cycle for a resource provider / resource consumer relationship.
1) The resource provider issues the consumer and ‘authorisation code’, to allow a specific type of access to specific resources; often this follows approval of such access by the owner of the resources through an interactive process.
2) The consumer exchanges the authorisation code for a pair of ‘tokens’, one for immediate use, which normally has a limited validity period, the other a ‘refresh token’ that can be used to obtain a new pair of tokens when the one for immediate use becomes invalid. Within the following text, these are referred to as ‘UserTokens’.
The tokens exchange using JWT.
A second form of interaction is when the provider issues a token to the consumer along with a shared secret. This token is then used by the consumer in interactions with the provider to verify it authenticity. In this case, the token is passed as a JWT with the signature being based on the shared secret.
In this section, interactions between subsystems are presented and explained for the following cases:
Consume service authorisation, that is the process by which the end-user (a patient) grants access to their resources held by a third-party provider through the Consume service;
Collect service invocation of third-party API – this is the process by which the Collect service calls a third-party API function (to access a resource) using the Consume service.
Consumption of pushed, third-party data – this is the process by which subscription data pushed out by a third-party is ‘consumed’ into the Collect service’s local database.
Notification of new or updated data - the third-party provider sends a notification that new or updated data is available, which is then consumed’ into the Collect service’s local database.
Collect service pulls data from third party, that is the process when the Collect service initiates the transfer of resources from a third-party;
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 16 of 59
String of resource data by the Collect service, that is, the processing of inbound resource data from third-party providers within the Collect service.
In many of these the third-party source Fitbit is used for illustration, although the approached used is generic.
3.3.2. Consume Service Authorisation
Figure 2 illustrates the message sequence chart for authenticating with the Do CHANGE ecosystem for third-party API integration.
a) The process starts with a Do CHANGE client, in this case indicated by ‘DoCHANGE App’, sending a POST request to the Consume API authorisation end-point for the third-party source. The general path to the end-point is ‘/provider/auth’; in the case of Fitbit, it would be ‘/fitbit/auth’. The POST request includes the query parameter ‘user’, which specifies identity provider ID for the entity making the request.
b) Upon receiving this POST request, the Consume API will trigger the authenticate function. This obtains API settings for the third-party provider (e.g. Fitbit) the API collection in the Consume service’s local database. Assuming these details are present, they are returned and loaded as a Passport Strategy. If no valid settings are present, the Do CHANGE client handles this appropriately as an unexpected error (in a normal use-case this can only be caused by a bug on the client-side).
c) The authenticate function redirects to the authentication URL associated with provider, which are contained in the API settings obtained from the Consume service’s local database. The third-party provider will request the interactive user associated with the Do CHANGE App to authenticate themselves (login using the account details they have with the provider). Upon successful authentication of the interactive user, the third-party provider requests that the interactive user authorises the Do CHANGE interface to have a specified level of access to resources within the third-party provider system that are associated with the interactive user. When the interactive user approves this access, the Consume API is called by the third-party provider an access authorisation code. The access authorisation code is exchanged by the backend for access and refresh tokens issued by the third-party provider.
d) Upon receiving the access and refresh tokens, the backend sends a GET request to the third-party for the profile information. Upon receiving the profile, containing the interactive user’s ID on the third-party system, the backend will search its local database for ‘UserTokens’ records with matching provider and user ID attributes. If existing documents are found, these are update with the new information provided by the third-party provider, otherwise, a new ‘UserTokens’ record is created identified by a composite consisting of the third-party name, third-party user ID for the interactive user, and the Do CHANGE identity provider used in the POST request that initiated the sequence.
e) Upon success or failure, the DO CHANGE client provides appropriate feedback to the interactive user. If the third-party supports subscriptions or notifications, the backend sends the third-party a further request to enable reception of updates.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 17 of 59
Figure 2 Message sequence chart for Consume service authorisation
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 18 of 59
3.3.3. Collect service invocation of third-party API
The message sequence chart for the Collect service accessing a resource on a third-party via that third-party’s API function, is presented in Figure 3.
a) The sequence begins when the Collect service sends the Consume service’s API a GET-request containing a JSON WebToken (JWT), that has the provider name as a parameter.
b) The Consume API then relays the URL, provider, and user ID to the Consume backend. Using this information, the Consume backend attempts to lookup the associated ‘UserTokens’ for the third-party in its local database. Assuming the ‘UserTokens’ exist (which is expected because Collect would not be notified otherwise), a GET-request is sent to the third-party based on the URL specified by Collect service and the ‘AccessTokens’. Since in accordance with the OAuth2 specification ‘AccessTokens’ have a limited lifespan, the third-party provider will respond with the requested data if the ‘AccessTokens’ are still valid. Otherwise, the response will indicate an ‘invalid access token’ error, in which case the Consume Backend will find the obtain a new ‘UserTokens’ using the refresh token previously issued, and the Consume Backend will update the ‘UserTokens’ and re-issue the initial request obtained from Collect.
c) The returned resources from the third-party are added to the body of a POST request, which is secured using a JWT and sent back to the Collect service. The Collect service will verify reception by issuing a http status code with value 200 (OK). It will also verify the JWT before processing the data in the POST; this is to prevent spoofing attacks.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 19 of 59
Figure 3 Message sequence chart foir Collect service service invocation of third-party API
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 20 of 59
3.3.4. Consumption of pushed, third-party data
Figure 4 presents the message sequence chart for the consumption of data pushed by a third-party into the Collect service.
a) The sequence commences when the third-party sends data to the end-point specified when the interface was authorised by the patient (see above). This is directed to an end-point in the Consume service of the form /provider/subscription, where ‘provider’ identifies the third-party and ‘subscription’ is a fixed string.
b) In accordance with the third-party provider’s protocol, the Consume API returns an appropriate response to indicate successful reception of the subscription information. Normally, this would be a response with a http status code equal to 200 (OK).
c) The handling of the subscription data is provider specific. For example, in the case of Fitbit, it contains an array of one or multiple updates, each with the Fitbit user id associated with the data and the Do CHANGE identity provider id associated with the original authorisation.
d) A POST request containing the update along with a JWT is created and send to the Collect end-point for subscriptions. Collect return http status code value 200 (OK) to acknowledge that it has received the information.
Figure 4 Message sequence chart for cconsumption of pushed, third-party data
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 21 of 59
3.3.5. Notification of New or Updated Data
Figure 5 is the message sequence chart for notification by the third-party system of the availability of new or updated data, which triggers a transfer to / update of the Collect database.
a) The sequence commences when the third-party reports the update via the Consume Backend, which sends an array of updates signed by a JWT. The Collect service responds with http status value equal to 200 (OK), thereby acknowledging reception of the request.
b) The Collect service verifies the JWT and returns the decoded updates.
c) The Collect service queries its local database for requests. Requests are templates for URLs that contain placeholders for the parameters available in the updates. A function, utilising Regular Expressions will replace the placeholders with actual values, sign a JWT, and add this to the header of a POST request sent to the /request end-point of the Consume service’s API interface.
Figure 5 Message sequence chart for Consume and Collect request on subscription
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 22 of 59
3.3.6. Collect Service Pulls Data from Third-Party
The message sequence chart for the Collect service requesting a patient’s resources that are stored on a third-party system is presented in Figure 6.
a) The sequence is triggered by an update received from Consume. The Collect service sends a request containing a JWT in the header and the request to be made of the third-party provider.
b) The Consume service verifies the JWT and decodes it. The Consume service API handler sends the third-party provider and user id details to the Consume backend.
c) The Consume Backend locates the ‘UserTokens’ in its local database and using these in the header, sends a request to the specified third-party URL.
d) The third-party provider returns the requested resource.
e) The Consume Backend packages the returned data from the third-party provider with a JWT. The returned data is sent as JSON in the body of the http packet,
f) The Consume Backend sends a POST request to the /response end-point of the Collect service with the JWT in the header and the data from the third-party encapsulated in JSON within the body; the data is placed in the body of the http request because it may be too large to fit in the header.
g) Collect will send http status code value 200 (OK) to acknowledge receiving the request and verify the JWT.
Note that the connection between Consume and Collect is encrypted by the TLS-tunnel (https) so the data cannot be sniffed by intruders.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 23 of 59
Figure 6 Message sequence chart for Collect service pulling data from third-party
3.3.7. Storing of Resources Data by the Collect Service
Figure 7 is the message sequence chart for the processing of inbound resource data from third-party providers within the Collect service.
a) The sequence commences after data is received from the third-party provider. The Consume service sends a POST request with a JWT in the header to the /response end-point of the Collect service.
b) The Collect service responds with http status value equal to 200 (OK) to acknowledge it has received the request.
c) After verifying the JWT, the Collect service checks for existing data in its local database based on the combination of the provider, user id, request URL and date; which are available in the JWT sent by the Consume service. If no documents are returned, the Collect service creates a new document with the data from the body. If a matching document exists, the Collect service overwrites the data element in the document and update the ‘updated-at’ timestamp in the document.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 24 of 59
Figure 7 Message sequence chart for Collect storing
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 25 of 59
4. Conclusion / Future Work
Taken together, the two main parts of this document provide designs for two key elements of the overall Do CHANGE ecosystem. The next stage is to implement them and combine them with other key elements to form a working prototype for the Do CHANGE ecosystem for use in the phase 2 clinical field trials. This working prototype should then be tested and evaluated, making any necessary refinements before commencing the phase 2 clinical field trials.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 26 of 59
Appendix A – Do CHANGE Specific Data Encoding
Overview
This Appendix presidents the initial contents of the Do CHANGE specific data coding dictionary. Most the dictionary entries are related to questionnaires and / the presentation of prompt information and DOs. Hence, the following types are supported:
Prompt – textural information shown to the patient.
Yes/No Question – a question in which a prompt is presented to a patient and they are expected to respond with either ‘yes’ or a ‘no’.
Single Selection Multiple Choice Question - – a question in which a prompt is presented to a patient and they are expected to select one textural item from a list of options.
Multi Selection Multiple Choice Question - – a question in which a prompt is presented to a patient and they are allow to select one or more textural items from a list of options.
Scale Question - – a question in which a prompt is presented to a patient along with a slider scale that they can adjust. The scale may have numeric or textural labels at each end. The ends are associated with numeric values and the resolution with which the patient can adjust the scale is determined by a step-size parameter.
Grouped Questions – these are questions of the type that are grouped and may have a common prompt for the group.
DOs – textural messages, optionally with an associated URL providing further information, which are intended to promote lifestyle change.
The details presented in the following section indicate the question identifiers, their types and their associated parameters (prompt, multiple choice options, scale options etc.).
Questionnaires
Hypertention Programme Title and Description.
ID 138117EE-ECC8-4ADD-B18D-92FCFA4A8B84
Type Prompt
GroupID
Question Text (en-GB)
Grouped Multiple Choice Common Prompt (en-GB)
Multiple Choice Question Options (en-GB)
Prompt Text (en-GB) <h1>DO SOMETHING DIFFERENT: HYPERTENSION SELF-CARE</h1> <p> Managing your own care is very important if you have high blood pressure. You can help yourself to stay healthy by paying careful attention to your lifestyle and any medications you are on. Medicines will help to lower your blood pressure, but there is also a lot you can do to help bring it down. In particular changes to your diet and activity levels can really make a
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 27 of 59
difference. However, we know that it can be difficult to make changes to lifestyle. That's why this Do Something Different programme is here to help you. This programme will support you in developing the self-care skills that are so important to your health, while helping you to continue to enjoy life to the full. </p>
Prompt Text (en-GB) <h1>DO SOMETHING DIFFERENT: HEART CARE</h1> <p>Managing your own care is an essential part of managing your heart condition. By paying careful attention to your medications and lifestyle you have more chance of staying out of hospital in future. But we know that change can be challenging. That's why this Do Something Different programme is here to help and support you. The most effective care comes through working closely with your healthcare team, but you are a very important part of that team. Self-care means taking responsibility for your own health and wellbeing, with support from the people involved in your care. There is a lot you can do to help yourself. You can restrict your salt intake, monitor your weight, know the early warning signs of deterioration, and adjust your fluid intake when necessary.This programme will support you in developing the self-care skills that are so important to your health, while continuing to get the most from life.</p>
Prompt Text (en-GB) <h1>DO SOMETHING DIFFERENT FOR A HEALTHY HEART</h1> <p>Managing your heart condition and making the lifestyle changes that are required of you can be challenging at times. This Do Something
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 28 of 59
Different programme is here to help and support you. The most effective care comes through working closely with your healthcare team. However, the most important person in the team is you. That's because there a lot you can do to help yourself. This programme will support you in taking responsibility for your health needs on a day-to day basis. It will make sure you stay informed, deal with any worries you have and make the changes you need to stay healthy and happy.</p>
Prompt Text (en-GB) <p> Everything you've done so far helps us to personalise your Do Something Different programme for you. It works like this: </p> <p> Managing your health requires you to make some lifestyle changes. But this isn't always easy. We all tend to stick to our habits and routines. We find it hard to change the way we've been doing things for years, even if a doctor tells us we should. But help is on its way to you now: </p> <p> The Do’s being chosen for you are small positive actions designed to disrupt some of your old habits. To make it easier for you to adopt new ones. We all forget the things we are supposed to do from time to time. This programme will help to remind you. Despite good intentions we sometimes slip back to our old ways. This programme will help those new healthy habits stick. </p> <p> Please have a go at as many Do’s as you can. And do try to stretch yourself a bit. Go and venture out of your comfort zone. See it as an adventure, a series of small experiments. Over time these small, seemingly simple tasks will add up to real lifestyle changes and will have a positive impact on your health. </p> <p> You may not see the point of a Do right away. You may tell yourself you don’t have time to do it. It may not fit with your usual way of doing things. Please give each one a try and see what happens. </p> <p>
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 29 of 59
It’s only when you do something different that you get something different. This Do Something Different programme has been designed by psychologists and medical experts. This method has been shown to improve happiness, reduce stress and improve health, wellbeing and relationships. You can even have a little fun along the way! </p>
Multi Selection, Multiple Choice Question “Which of the Following describe you and your work”
ID CFDB21A5-AEC2-466C-9767-C9B3ED77593D
Type Multi Selection, Multiple Choice
GroupID
Question Text (en-GB) Which of the following describe you and work? (select all that are appropriate)
Grouped Multiple Choice Common Prompt (en-GB)
Multiple Choice Question Options (en-GB)
“I'm in paid employment/self-employment”;“I look after my home / family”;“I'm a volunteer”;“I'm not in paid employment but I'd like to be”;“I'm not self-employed but I'd like to be”;“I'm retired”;“I'm not able to work”;“I'm studying”;“Other”
Multi Selection, Multiple Choice Question “Which of the following describes you best”
ID 104A192C-CB0E-4687-A3B0-5F7F573704CC
Type Multi Selection, Multiple Choice
GroupID
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 30 of 59
Question Text (en-GB) Which of the following describes you best? Click on the behaviours below that best describes you. Select as many or as few as you like, so long as they describe how you generally are. There is no right or wrong answers. Click on the Next button at the bottom when you have finished. Think about how a friend, a partner or work colleague might describe you. Don't take too long. Just select the ones that feel right.
Grouped Multiple Choice Common Prompt (en-GB)
Multiple Choice Question Options (en-GB)
"Firm"; "Unpredictable"; "Individually-centred"; "Behave as others want you to"; "Behave as you wish"; "Reactive"; "Lively"; “Definite”; "Calm/Relaxed"; "Gentle"; "Plays safe"; "Proactive"; "Not lively/Laid back"; "Open-minded"; "Assertive"; "Introverted"; "Systematic"; "Extroverted"; "Predictable"; "Conventional"; "Flexible"; "Trusting"; "Group-centred"; "Spontaneous"; "Risk-taker"; "Wary of others"; "Unconventional"; "Single-minded"; "Unassertive"; "Energetic/Driven"
Question Text (en-GB) Fellings of sadness first thing in the morning
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 43 of 59
ID 0081C88A-D15B-4044-979E-297D36F2423E
Type Single Selection, Multiple Choice
GroupID 8BC0FE2A-568F-496E-9CA6-A96AC088DBDF
Question Text (en-GB) Finding it difficult to "think on the spot" and concentrate
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
Question Text (en-GB) Feeling low and wanting to give up trying
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
Question Text (en-GB) Feeling as though you are "falling apart at the seems" but unsure why
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 44 of 59
Question Text (en-GB) Lack of interest and enjoyment in food
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
Question Text (en-GB) Feeling uneasy and wanting to "escape"
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
Question Text (en-GB) Feeling life is difficult to cope with
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event. You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
Question Text (en-GB) Worrying about things which causes feelings of tension and strain
Grouped Multiple Choice Common Prompt (en-GB)
Your well-being. Think about how your life has been IN THE LAST MONTH. How often has each of these statements applied to you? Think of 'a little' as something you almost never do. 'A lot' means it's a fairly frequent event.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 45 of 59
You can choose anywhere along the scale. Just answer as honestly as you can.
Multiple Choice Question Options (en-GB)
“Very frequently/often”; “Now and again”; “Very rarely”; “Never”
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 48 of 59
DOs
The coding of DOs is presented below; note that the English version of the text is shown here.
ID Text (en-GB)
E9B645D2-F587-42D7-B42C-8CCD85987BD3 ONE SWITCH! Ask someone close to make one positive health change with you. E.g. switch to semi-skimmed, take salt off the table or add an extra veg to meals.
9C00141F-A3A2-44E1-B446-EE39D0D8FF19 GOOD NEWS! There are some great tips to help you manage your hearts condition and live healthier. Today take a look online at<LINK>
51D807BB-BC7E-49FD-A20E-702E5337B982 COOK SOMETHING SIMPLE! Soup, stir fries and curries are healthy and so easy. Find a new recipe today at <LINK>
22CE083E-C022-4FB0-96B3-B421D9BFB0BA FOOD TRACKER DAY. Write down or photograph everything you eat today. Are you eating regularly? Making healthy choices? It might surprise you.
B6498A6C-8EBC-45AC-B8ED-BD12CF15CB20 STAND UP FOR YOUR HEALTH. Find ways to reduce sitting time today, e.g. take a gentle walk, pick up the post, visit the water cooler or deliver a message to someone in person.
14F77C68-5D67-425C-9430-7E8D000CD336 TALK TALK! Show someone close to you the <link> website. Talk about one positive health change that you would like them to support you in making.
29276E6D-8A84-45DA-A1C4-9CBCA793BF07 MAKE A NEW FRIEND DAY. Look for opportunities for new friendships today. Tip: Ask questions, let others tell you about themselves.
0EEFACD3-62F6-4D49-B3D5-D51EF95CA24C KEEP AN EYE. Find out from your doctor or nurse what self-checks you should be doing. Set up a schedule to remind you to do them.
8FD57EB0-23FB-400D-8653-ECF45AEC3A24 CONFIRM DAY. Make time to check that you are following all aspects of your health care plan today. Take another look at advice you were given. Have you overlooked anything?
28FB3E22-A69D-40CD-AE0A-F9254DC19E5A SUNSHINE DAY! Jot down 3 things you're looking forward to today, this week, this month. New experiences, someone to see, even small pleasures count!
9456165E-B18D-4904-B1D1-0E3905A81C0D GET FRUITY DAY. Swap your usual sweet or salty snack for fruit today. Go bananas, grab some grapes or try a veggie recipe at <LINK>
139923D7-4DF8-4FBB-9551-AE0BC9119B7E NEW FACT. Today find out one new fact about managing your heart condition. Search online or join a forum or self-help group.
6C937A0A-20E6-4912-A49C-1A51E2ECFE09 CHECK LIST. Jot down 3 small chores you'd like to get done today (tidy a drawer, fix something that's broken, answer mail). Tick them off as you do them.
879932C5-10F8-4307-9D4C-0A89326EBECE DINE IN. Sit down to dinner tonight. Set the table, turn off the TV and eat slowly and mindfully. Bon appetit!
A45BB709-C10B-41DD-A8F7-715A67622AB4 OPEN UP DAY. Share a problem or issue you have with someone who will listen and react positively today. Find out where you can get help and support.
68CFCC2F-95D5-4CF3-9AD5-12264DA69317 GET MOVING DAY. Today get out of the chair and stretch, take the stairs, the longer route, use your bike, get off the bus early, walk for 20 minutes.
0E4402CE-4EB7-48C5-9A54-0C9AD5FABE30 TOGETHER DAY! Support from family and friends can keep your health on track. Ask them to help you stick to your care plan: using a calendar, logbook or app.
53599EFA-BC24-4503-8AAE-4382CF45D7EC TALK TO A STRANGER DAY. Today engage a stranger in conversation; someone you meet when out and about or who serves you in a shop or café.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 49 of 59
ID Text (en-GB)
10B28361-0105-44A9-AD5E-6055F713297B KEEP AN EYE. Find out from your doctor or nurse what self-checks you should be doing. Set up a schedule to remind you to do them.
3B8480CE-193C-4871-85E2-E1086714C2A1 A SYSTEM! Remind/reward yourself for taking meds. Put them where you can see them, create a star chart, use a pill box and don't miss a dose. Order refills in advance.
AADFE2CB-9ADA-48D1-8452-9DDBD9FB9FAD MAKE A DATE! Write down your upcoming medical appointments/checks. Put in diary/calendar. Tell a friend/family member too, ask them to remind you.
B18CAB5D-DE71-4950-8C07-25AFEA391FDF POSITIVE DIARY. Start jotting down things that go well or make you feel good. See if you can add to it every day.
D16D254B-8F28-4A3E-891C-0104D6D1607E TODAY PICK A PLACE where you smoke most often. Make that one place a no-smoking zone from now on and you've taken the first step towards quitting.
C4D8F23A-D0C6-4FA5-A083-DB8E6C6441DD KNOW YOUR LIMIT! Keep track of this week's alcohol consumption by logging the units you drink following these guidelines: <LINK>
FAE80EC8-4039-4878-8792-4EF06A76A761 TIME IT. Set an alarm to go to bed at the same time every night this week. And one to get up at the same time each day. This will help get your sleep back on track.
772BCDD8-0AEC-49E8-B52A-2344763B69F0 FOOD ADVENTURE DAY. Today try a fruit or veg you've never eaten before. Maybe kale or kumquat, blueberries or broccolini, leek or lychee. Be adventurous!
336088C4-AECB-43BA-8FD9-D46A86564CEC HEAD FOR A BOOK. Ask 3 friends for their favourite book. Get one to read today. Fiction opens your mind, improves mental skills and empathy. Opt for a light-hearted read before bedtime.
8B175264-425D-4B01-BA9A-A2E71D499E3B SCREEN-FREE EVENING. Supercharge your evening - hit the Off button on TV/screens. Do something different e.g. play games, music, dance or phone a friend.
249E0249-BB15-4975-A29A-D40DB68462E0 LINGER LONGER. Make every meal last at least 20 minutes today. Try new foods, savour the tastes, chew slowly but mindfully.
405564BA-DDA0-463E-8C05-46870DC8CEFD WORRY WINDOW. Allow yourself 15-minutes of worry time a day, starting today. Outside of that time find ways to distract yourself. If a worry creeps in, put it into tomorrow's 15 mins.
6E7EF889-ADA1-4DD0-9ED2-EB556C9D6882 SHAKE IT UP. Today vary the way you exercise. Take a different route. Speed it up. Slow it down. Do it outside or with someone else.
4E22AEFC-3777-4488-B725-8601E51EE156 THANKS DAY! Today tell someone how much you appreciate their support. Phone them, send a card or message. Let them know why it's important to you.
5175CDCE-7487-479E-B34C-0BB974819E7B BACK IN TOUCH DAY. Who do you regret having lost touch with? Reconnect now: Give them a call, send a card or message them now.
1BC48674-0D92-4FA7-8B09-9AB06DE1CC2B CHECK UP. Do research or talk to someone about how to understand the importance of your symptoms and the meaning of the physical tests you have.
733C85BA-1634-438C-8511-7622144B2AC1 MEDS CHECK DAY. See your health professional soon and ask them to review your medications and give you advice on keeping to your schedule.
6F45F637-A869-4200-8394-7930C65A869E REGROUP DAY. Choose a group/network you feel a connection with e.g. a sports, professional, walking, book or faith group. Join one today or start one up.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 50 of 59
ID Text (en-GB)
34143DFC-F204-4E26-8BC8-98DC377E8FDC TODAY ASK 3 ex-smokers how they quit smoking. Set your quit date now, tell those around you and get support here: <LINK>
09D86952-212C-41C6-82F0-645A23011F71 WITHIN LIMITS! Work out how to cut down on booze e.g. 2 alcohol-free days a week and sticking to 2 units max daily. Get the facts here <LINK>
F5FAE71D-97E8-4B32-9BD0-0D8EF029AC8D Be a bit more assertive today. Speak up when you would normally hold back. Ask someone for something you really want.
65D8BA58-6A4B-4E62-A175-C9ED39550C0D It's NO Day today. Don't say yes when you really want to say no. Give no reason or excuse. Just say, "Sorry, but the answer's no".
7194E8D4-356A-4BFD-9E60-A93BCDF94C5A Be a bit more laid back today. Don’t rush things, enjoy the journey, consider taking up a relaxing hobby.
7A8F3892-D11B-4BB7-B628-0CABE76D50AD Become less time bound today. Leave off your watch, switch off your mobile phone and unplug for at least an hour.
7AB85450-5FDE-4F8B-A66A-4C7A4ADFBA3F Take more risks with others today. Ask someone what they honestly think of you or of something you are doing.
AA6FA172-8315-4ABF-B6E5-8E5525731551 List five daring things that sound fun. Take a real step towards making one of them happen – book, plan, involve others.
E972B504-EBF5-4CC8-BEDE-47B7DDACE513 Be a bit more of an extrovert today. Get to know somebody new, make the first move towards a new friendship.
F5CAC418-3DE6-4F8B-974C-F3C7D7748E7B Be more outgoing today. Initiate a conversation with someone you don't usually speak to.
E330DDC2-C193-4F07-8DEB-A9D34E44F718 Be More Wary Day. Review a financial arrangement, a mobile contract, a rental agreement or bank statement. Could it be improved?
0299D7CE-3468-482F-A50A-EE0FB44A3C61 Be a little more wary today. Take nothing for granted, ask for a reason why. Check facts carefully.
C3B46FEA-2982-45CA-B56E-D2F0E5801E4C It's Extra Courteous Day today. E.g. give way to traffic, let others into a queue or parking space, give up your seat on public transport.
7B55226E-2CD5-4487-88F4-46BC1363D43A Be less assertive today. Let another person decide or choose for you. Try saying, "Today I'm leaving it up to you".
DE309D6E-BD0E-41A3-9089-F709F0381195 Hold Back Day. Let others take the lead, give their opinions, make decisions. Listen carefully. Write down what you learn by taking a back seat.
D954C9B3-3367-4C6B-982B-BE7199138893 Be as flexible as you can today. Try breaking away from your usual routine. Experiment with doing the same things but at different times.
9473ABE3-4634-496B-942B-877A268A28BE It's Flexible Day. Welcome alternative views, allow others to be ‘right’ or let the other person win the argument.
9B0F1706-BF26-4E16-8849-D49645C85503 It's Shake-up Day. Wear something unusual. Take a different route. Mash up your routine. Invite others to break their routines too.
D733150E-69DE-4C37-ACA3-3F873DD9F677 Be calmer today. Stop and just daydream, watch the world go by or read for pleasure in the middle of the day.
4FEC9508-321B-4CFB-928B-8E5A196F6C1B Step outside for a few quiet moments. If you feel rushed or things are getting to you today, pop into a museum, mosque or church or sit on a park bench.
3F3EE5F8-60DC-4671-A192-2F7786186828 Be firm today and express your view. Stand up for what you believe in, write to the newspaper or comment on a blog.
F118D07D-9257-48E5-A757-89F2A9EB4F0E Stand Up For Your Rights Day. Report bad service you have received, send back a meal or goods you're not happy with, say no and stick to it.
15DCD464-0018-4BEE-9CDD-951AF17990F2 Loosen up a bit today. Dance madly to music, wear something you wouldn't normally (even if it’s hidden), eat something wildly different.
2F057B84-C942-4A68-8729-CBC5B6EA998F Test assumptions and question conventional wisdom today. Ask why things are done the way they are. Maybe it's just habit - time for a change?
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 51 of 59
ID Text (en-GB)
8675F3B3-FE38-42ED-91CB-FC77F16AA848 Be livelier today. Get at least one of tomorrow’s activities or chores done today.
C3D6CF9B-A66C-48AD-9773-624DF28BAA4B It's Look Lively Day. Bound into every room with a big smile on your face. Energise someone else with your enthusiasm.
B8C65C00-5E07-4D73-8497-7BAD9F6313E4 Be more conventional today. Be extra polite with everyone you come into contact with. Write thank you notes.
A99A3105-E0FD-46CA-AD20-D096C2116580 It's Fit In Day. Do your best to blend into the crowd today. Tone down what you wear. Hold back on provocative comments. See what happens.
553F80E1-B04F-4D5B-A540-D381C041B313 Be more definite today. Come to a decision on something you've been putting off and act on it.
D2F9D86C-3141-4CBC-AD20-29E651A93DA5 Be definite about the type of person you'd like to be today. Imagine you are a brand and create a slogan for yourself.
BDD9F97C-BCB3-495B-8CAD-935480192263 Approach everything today with child-like enthusiasm and curiosity. Share three things you're feeling excited about with others.
988B6BC7-D6D1-40ED-AB2F-D9B0DF54CCAB Energise yourself. Do an energetic activity (e.g. swim, jog, bike ride, dance) early tomorrow morning. Ask a friend or family member to join you?
8A853583-0AF6-4AD4-A74C-75D251839623 Use more soothing language with others today. Be gentler, use their name, show compassion if they're having a bad day.
2E08B327-6381-4F47-95A4-5417F940DB12 Spend ten minutes doing something low key and undemanding today. Listen to gentle sounds perhaps, doodle with a pencil or simply hum.
4C033F95-2132-4EE8-B1A7-C8C763E7307E Offer to help another person achieve their goal today. E.g. a colleague with a work challenge, or a family, friends or neighbours with DIY or a hobby.
AC7D0E4F-2FE0-4D00-B8AD-E7BC486D0357 Be more of a team player today. Organise something everyone can take part in (e.g. family, friends, colleagues).
E7C65659-0FAE-431B-A5F1-23B3E10FEAE9 Arrange to meet up regularly with people who share your interests. Join or start a club, team or online community.
1FEF1C9A-B34B-418C-AA9A-242DE43935D4 Today spend time doing something you enjoy. Pursue your passion and commit to do more of the things you love.
012FB96D-49F0-491B-A32B-A136B8731B13 Put yourself first today. Practice saying "no" to others. Say to yourself, "My needs are as important as other people's".
EE230650-7556-449B-BF34-BFB3563D9766 Be more open-minded today. Hold back on criticism. Delay making judgments. Look for the good.
4ACE46F7-A47B-4F3B-AAA8-0AE4502C299E Stretch your horizons today. Try out the music/food/customs/film of another culture e.g. watch a Japanese movie while eating sushi.
D2E1B495-CFD9-42FF-8A48-E4AFD6950E55 Ask yourself 'What if' today. Jot down plans for an imaginary, but possible, future event in your life.
0722F13C-CAEA-4DE3-B009-355DCE09A2B6 It's Fast Forward Day. Do one thing for your better future e.g. plant a tree, start saving, record memories, make an appointment you've been putting off.
2E197865-424B-475C-B845-66E3E578C4ED Don’t jump when others call today. Urgent needn’t mean right now. Respond but don’t necessarily act, tell them your intended timeline.
2C4F4430-A3D0-4C64-A76F-916FC4BC4343 Focus on something you want in the future. Now seek out opportunities, courses, people, events that could help make it happen.
C91ECC67-DC0B-4AA1-B104-FA13E72DEBA9 Be more single-minded today. Stick up for the underdog, refuse to listen to gossip, disagree constructively.
40C209E6-D45B-4F0A-A4FD-3C6F9D1BF354 Today scrutinise your views. Question what you hear and try to spot bias. Read a newspaper/news feed you don't normally pay attention to.
17AB5A30-0C2A-4C0A-A0F2-29C67CF0921E Be more spontaneous today. Do something on the spur of the moment. Sing aloud, make everyone tea or give a hug.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 52 of 59
ID Text (en-GB)
36A1B55A-09E9-4A89-BF90-A9DAE5B824B7 Flip A Coin Day. Use a coin to make a safe but random decisions. E.g. Go out for a walk: Heads go left, tails go right. See what happens.
F03D3807-DB73-4C37-AA1B-3BF297747B41 It's 'Of The Moment' Day. Give someone an unexpected treat or visit. Or turn up at the cinema and watch the next film that's starting.
E3E795B9-2350-482D-BB6D-A49AF76537D6 Be systematic today. Spend 15 minutes at the end of the day putting things in order ready for tomorrow.
BA1663C9-1D45-4A55-A287-A026C6004C37 Today designate a time when you will answer messages/emails/do certain chores or surf the net. Stick to the allotted time.
2699036D-783E-4CEA-8577-91DF6DCFE569 Today timetable your whole day in half-hour slots. Schedule time for non-urgent things (friends, lunch, a nap) as well as jobs.
695DE0BF-DCBA-4372-B856-5B7F70964775 It's Trusting Day. E.g. reveal something personal to another, share an embarrassing story or trust someone with a 'secret'.
4DC218EF-7880-44C9-8D05-0005C775D9E8 Let go of the need to be in control today. Leave a task you’d normally do to someone else, let them do it their way.
662E7131-0739-4420-8168-AB075DBF3C95 It's YES Day. Say yes to new opportunities or requests (as long as they feel safe) and see where they take you.
F6844E21-5D03-4FCA-9C7F-E0E899CE9D82 Today let another person take the initiative. E.g. leave a decision to a trusted friend, let others take the lead, sit back and just go with the flow.
7C657725-54F2-49DA-9FC7-42F284BA2041 Loosen up today. Do something you weren't allowed to do as a child e.g. bounce on the bed, answer back, write in books.
C74D8F27-D71E-439D-8FA5-AB5E19BB8823 Behave a bit out of character today. E.g. turn up earlier or later than expected, wear something daringly different.
177F7311-5272-45BE-80A7-BB66133137CB Be less predictable today. Change how you answer, 'How are you?'. Use a new phrase to describe how you are.
B0560F05-5576-48AA-9622-691ECC8E87DE Spot your people-pleasing habit and put yourself first at least once today. Don't feel guilty – enjoy it!
9774BCFB-D26A-407B-A29E-8DBE0D145D36 Behave a little more as you want to today. E.g. plan an evening or future event around what YOU enjoy doing.
FD5EA563-2270-47DB-9112-221C43E94818 Go along with others more today. Say ‘Yes’ to the next thing someone asks you to do. Give serious consideration to projects or offers that come your way.
CA6FD988-B3D9-4E96-8C17-8AFAC3CEA928 Behave more as others wish today. Ask someone for three ways you can contribute or improve things, try to make at least one of them happen.
F262B3AC-ECE4-4340-ACAF-FE2355FCA755 Explore being introverted today. Express your deepest feelings in a poem, letter, drawing or haiku - but don’t share it.
A9AD07B5-55DA-4734-852C-E09F0CE82015 Spend some time alone today. Focus on enjoying your own company without noise or distractions.
9E4BE8A7-C10D-445A-A454-6745A268E8E5 It's Play It Safe Day. Check all the facts before doing something today, read the small print.
CB87D75C-50A1-44E7-8EC9-A8D5889786B3 Be cautious today. E.g. Have a back-up plan, emergency rations, spare keys, learn a first aid technique.
AD0A8436-1531-40DA-9C6E-58D44BEBF0B0 Do what you say you’ll do today. Keep promises, show up, be punctual. Under-promise and over-deliver where you can.
BE3BA0B9-187D-4F05-9B8C-66D58CFBDFAF Prioritise the most important things you have to get done today. Do them first.
A5366022-5534-4F7C-9CDF-48838ABD6118 SAY NO TO SALT. Try 3 new salt substitutes to flavour food today. Experiment with herbs, chilli, lemon or spices. Find tasty salt-free recipes here <LINK NEEDED HERE>
2944C987-2BC8-4AA5-8BE4-D2D7F6AE05C1 EXPLORE MORE DAY. Today instead of going the same old way, take a different route. Look around, spot 10 things you wouldn't see on your usual journey.
9F74EF0C-C9F1-4068-8F56-824C5EE06F31 IT'S A DATE! Make a note of all scheduled appointments with your health professional in your diary or calendar. Start a list of any questions you want to ask next time.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 53 of 59
ID Text (en-GB)
3E9C1394-1BA8-40F8-B90A-0FC218C0D8C8 MAKE SOMEONE'S DAY DAY. Today give compliments to three people, including one you don't know well. Be genuine, make their day and you’ll feel good too.
4593E7B0-DB07-4278-AD54-CF6BEF9B4AE2 LET'S GO DAY. Today plan some fun for the weekend. Book up somewhere, plan an outing, arrange a fun get-together with friends or family now.
05876371-EB95-4EF4-A1B0-614E1C65AD96 JOYFUL DAY. Do something that lifts your mood. Listen to music, watch comedy, sing, read a poem, cycle, dance, go outside or connect with friends.
79FB7866-EFBE-4704-92BF-3E835B11B4E0 SEE THE FUNNY SIDE DAY. Share something that makes you laugh with 3 people today. E.g. a YouTube clip, a joke, your favourite funny film or moment.
BAF3838E-58C6-428D-98E9-EBECC53E1B96 SWITCH SEATS DAY! Move seating around, sit somewhere different at meals, swap with another person. Get a new view, either at work or even at home!.
9D0D5946-DB3D-496C-951B-CD0129FBF098 Cutting down on salt and processed foods is important for blood pressure and for maintaining a healthy heart. Ask for low salt options when out or visiting others.
0130C605-398E-405E-A253-5E44C6D4FFE0 At your best. A healthy weight, stronger bones, better sleep and a happier mood: some of the benefits of staying active. See<LINK NEEDED HERE>
3F70BAAD-30F3-43B5-BD25-40BCCC81518F Don't forget. Involve others in your understanding and care of your condition. They may be able to help you, or to go with you to your healthcare appointment.
347073E0-6B74-4F15-A563-622548001777 Having new experiences with new people is a key element in staying happy and maintaining wellbeing.
3E688D6F-3DF5-4768-BE76-BE641C432ECA Doing something enjoyable helps reduce stress & improves mood. Make sure you have fun activities scheduled regularly.
CB557E61-06F3-467C-9B18-471E922C638E Feeling happy comes from doing the things we love. Even if it's an effort, when we do joyful things we feel alive and are nice to be with!
3119185A-18D8-4899-8C55-96DD549B4671 Laughter is good for our health! It can reduce inflammation, lower blood pressure, improve memory, circulation and blood oxygenation.
7A490E78-4450-474A-A29B-25DB48701BA4 Shaking up routines is a good way to keep life interesting and varied. It can help you feel you're taking back charge of your life.
0DA94671-05BD-4DE0-9B9B-5BB3BB51AE02 EXPANDERS. These Do's are designed to help you use a different aspect of your personality. A flexible personality helps us cope better with life
613F181F-4F1F-43EF-8726-2076DA72FD1A JUST FOR YOU. Some Do's are designed to help you step outside your normal comfort zone. This expander Do is designed to expand your personality
STARTER DO
08D3632B-C5D0-4CEF-9BE8-FDF7797D8C7D Something to Declare. Share one personal goal that you have. What would you like to have achieved by the end of this programme? Now's the time to shout it out.
60397586-4E88-4BA5-90D5-33DB716CBC33 GOOD NEWS! There are some great tips to help you manage your high blood pressure and live healthier. Today take a look online at <LINK>
11A5A737-FDDA-4EA2-86A4-A6009D1AE2FE TALK ABOUT IT. Talk to someone close to you about one positive health change that you would like to make. Ask them to support you in making it.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 54 of 59
ID Text (en-GB)
0565BF81-0045-4843-9661-0DD80B93478D WELL DONE. You're good at taking your meds on time, that's great. Keep up the good work, it's important. Talk to your doctor if you notice changes or side-effects.
956845B3-3ECA-4ABB-966B-6157DE0576B5 NEW FACT. Today find out one new fact about managing your high blood pressure. Where can you improve? Make a plan.
08B2A9B1-F761-478D-B020-299B9856903D MOVING ON! Today look for ways to be more active. Take 10- to15-minute walking breaks during the day or in the evening; swim, hike or jog whenever you can.
45E19FB2-3B55-4EDF-AA8E-32C9CCB4835F ASK FOR HELP DAY. You can't help worrying but you can get help. Speak to an expert, a close friend or seek out a patient support group online.
FEAE65E7-6D50-4210-A8C9-090E565F4752 ANOTHER WAY. It's good that you're active, well done. If you walk regularly, today why not find a different route or invite someone different to join you?
168C04CA-D223-466F-BEA9-A1693DE6D105 THANKS DAY! It's great that you have good support from others. Today let them know it's appreciated. Phone them, send a card or message of thanks.
A0374C95-1D35-437F-B621-44FA6F8AC9B7 TIME IT. Set an alarm to go to bed at the same time every night this week. And one to get up at the same time each day. This will help you keep a healthy sleep regime.
EA3BA6A6-7EBA-4636-86F6-DEB1B361169C TIME IT. Set an alarm to go to bed at the same time every night this week. And one to get up at the same time each day. This may help you sleep less during the day.
16562AFA-8E2C-42CC-A497-E2630E40A62E CHECK UP. Do research or talk to someone about how to understand the importance of your symptoms and the meaning of the physical tests you have.
A935C312-7097-4737-B57B-58148ACCB949 EXPANDER: Be a bit more assertive today. Speak up when you would normally hold back. Ask someone for something you really want.
0055E710-5771-4CA2-8A95-20B5EC9A885D EXPANDER: It's NO Day today. Don't say yes when you really want to say no. Give no reason or excuse. Just say, "Sorry, but the answer's no".
E9AB9D49-F351-4C40-B24D-35A137D753A8 EXPANDER: Be a bit more laid back today. Don’t rush things, enjoy the journey, consider taking up a relaxing hobby.
9C03E1FC-B037-4848-B5EF-FD0119204D27 EXPANDER: Become less time bound today. Leave off your watch, switch off your mobile phone and unplug for at least an hour.
87665447-4F91-472E-BE30-A78A2D212E96 EXPANDER: Take more risks with others today. Ask someone what they honestly think of you or of something you are doing.
E6AD7D2D-5250-4339-92E8-57E459159D61 EXPANDER: List five daring things that sound fun. Take a real step towards making one of them happen – book, plan, involve others.
490550DF-3C58-40C2-9137-05BDEC2A61C4 EXPANDER: Be a bit more of an extrovert today. Get to know somebody new, make the first move towards a new friendship.
9559D33C-6485-48A2-851F-08CD404E456E EXPANDER: Be more outgoing today. Initiate a conversation with someone you don't usually speak to.
A0234221-98F7-4600-B673-083A63B54703 EXPANDER: Be More Wary Day. Review a financial arrangement, a mobile contract, a rental agreement or bank statement. Could it be improved?
32025CC8-E4B4-480D-BFC8-09835410890E EXPANDER: Be a little more wary today. Take nothing for granted, ask for a reason why. Check facts carefully.
3866414E-5346-4D4B-9D0F-4936376F212A EXPANDER: It's Extra Courteous Day today. E.g. give way to traffic, let others into a queue or parking space, give up your seat on public transport.
C4C1C438-C4F5-41EC-B014-80243448251A EXPANDER: Be less assertive today. Let another person decide or choose for you. Try saying, "Today I'm leaving it up to you".
1BEB558C-25FB-4944-BFF3-F1769BC62849 EXPANDER: Hold Back Day. Let others take the lead, give their opinions, make decisions. Listen carefully. Write down what you learn by taking a back seat.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 55 of 59
ID Text (en-GB)
4632A576-0219-4648-97D0-2EADF13A4B00 EXPANDER: Be as flexible as you can today. Try breaking away from your usual routine. Experiment with doing the same things but at different times.
ABA7255C-D8AE-45F2-B1B7-20D39D469297 EXPANDER: It's Flexible Day. Welcome alternative views, allow others to be ‘right’ or let the other person win the argument.
FA8279B4-7031-4764-AFAC-F7894A9F73BB EXPANDER: It's Shake-up Day. Wear something unusual. Take a different route. Mash up your routine. Invite others to break their routines too.
E5866E7C-AC13-4BF1-8BA8-C5DBDE3E715F EXPANDER: Be calmer today. Stop and just daydream, watch the world go by or read for pleasure in the middle of the day.
F29AD2DC-E77E-43EE-B363-0B4C39AE7671 EXPANDER: Step outside for a few quiet moments. If you feel rushed or things are getting to you today, pop into a museum, mosque or church or sit on a park bench.
ABBA2B25-FD0D-4C8B-92EA-64DE2ACB3F08 EXPANDER: Be firm today and express your view. Stand up for what you believe in, write to the newspaper or comment on a blog.
CF7143C7-5BD1-4567-88DC-185152D83ACC EXPANDER: Stand Up For Your Rights Day. Report bad service you have received, send back a meal or goods you're not happy with, say no and stick to it.
F6CB99DB-007C-4BBF-83EC-CA3BEDD6DBEB EXPANDER: Loosen up a bit today. Dance madly to music, wear something you wouldn't normally (even if it’s hidden), eat something wildly different.
748309C3-21E0-4BF0-81FC-B0D7C6CDF9FF EXPANDER: Test assumptions and question conventional wisdom today. Ask why things are done the way they are. Maybe it's just habit - time for a change?
745FE755-7745-4CE6-BA2B-655DFE354EDF EXPANDER: Be livelier today. Get at least one of tomorrow’s activities or chores done today.
95278892-DF14-47EB-8587-3E3B9C7EED09 EXPANDER: It's Look Lively Day. Bound into every room with a big smile on your face. Energise someone else with your enthusiasm.
0BC4D579-EDB1-4E85-8B7A-946C3DFD8B5B EXPANDER: Be more conventional today. Be extra polite with everyone you come into contact with. Write thank you notes.
98DA9641-C8FB-4EFE-B6D8-7C3F8F1CFB5E EXPANDER: It's Fit In Day. Do your best to blend into the crowd today. Tone down what you wear. Hold back on provocative comments. See what happens.
564F3963-3906-4FE6-B55C-FF8F11B45EF5 EXPANDER: Be more definite today. Come to a decision on something you've been putting off and act on it.
21473F41-ADEF-4C53-9327-6F3E4C39E688 EXPANDER: Be definite about the type of person you'd like to be today. Imagine you are a brand and create a slogan for yourself.
8E22A817-AE62-46E4-9E02-47DFB39A14C7 EXPANDER: Approach everything today with child-like enthusiasm and curiosity. Share three things you're feeling excited about with others.
56B02CFB-8E18-4367-B3D3-339C8CF90CBB EXPANDER: Energise yourself. Do an energetic activity (e.g. swim, jog, bike ride, dance) early tomorrow morning. Ask a friend or family member to join you?
0FD4057A-02A7-4C3E-86B0-B8BF938FFAC6 EXPANDER: Use more soothing language with others today. Be gentler, use their name, show compassion if they're having a bad day.
9C2C5756-81B9-4A16-95DA-A98F5A48346C EXPANDER: Spend ten minutes doing something low key and undemanding today. Listen to gentle sounds perhaps, doodle with a pencil or simply hum.
FB467665-2189-4709-8B84-AD08822EDE9A EXPANDER: Offer to help another person achieve their goal today. E.g. a colleague with a work challenge, or a family, friends or neighbours with DIY or a hobby.
5C7F1DFA-8BA8-425C-9C2A-DCC4D867EBF8 EXPANDER: Be more of a team player today. Organise something everyone can take part in (e.g. family, friends, colleagues).
64C6AEDE-51B1-4B09-96CA-A3FDD6DE0179 EXPANDER: Arrange to meet up regularly with people who share your interests. Join or start a club, team or online community.
43CB7C3C-AA7D-445D-AB41-6D69D69B8070 EXPANDER: Today spend time doing something you enjoy. Pursue your passion and commit to do more of the things you love.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 56 of 59
ID Text (en-GB)
B89787EA-0971-48E8-A056-9F5C5EFD2764 EXPANDER: Put yourself first today. Practice saying "no" to others. Say to yourself, "My needs are as important as other people's".
F48D85ED-D7DD-423A-ABC7-12BE4D51E902 EXPANDER: Be more open-minded today. Hold back on criticism. Delay making judgments. Look for the good.
6AC736C1-88C4-478C-A77B-71080D598C29 EXPANDER: Stretch your horizons today. Try out the music/food/customs/film of another culture e.g. watch a Japanese movie while eating sushi.
74B58868-225A-4262-8697-2B344E471CCC EXPANDER: Ask yourself 'What if' today. Jot down plans for an imaginary, but possible, future event in your life.
BE0489AE-CFF2-41B7-804A-A4EB01567447 EXPANDER: It's Fast Forward Day. Do one thing for your better future e.g. plant a tree, start saving, record memories, make an appointment you've been putting off.
0988BE92-D789-48B2-82B3-65DB719104EA EXPANDER: Don’t jump when others call today. Urgent needn’t mean right now. Respond but don’t necessarily act, tell them your intended timeline.
9FB5911E-A958-4314-8DFA-0E70275428FF EXPANDER: Focus on something you want in the future. Now seek out opportunities, courses, people, events that could help make it happen.
23CC192D-4328-488D-B0B4-79230237BBBE EXPANDER: Be more single-minded today. Stick up for the underdog, refuse to listen to gossip, disagree constructively.
C44687E9-3067-49B7-8D5D-14243E87B3D6 EXPANDER: Today scrutinise your views. Question what you hear and try to spot bias. Read a newspaper/news feed you don't normally pay attention to.
7296CFCE-A165-4303-8262-C4D7765F104E EXPANDER: Be more spontaneous today. Do something on the spur of the moment. Sing aloud, make everyone tea or give a hug.
5E3FC08C-B4A4-40C7-BA8C-235189DDB0F7 EXPANDER: Flip A Coin Day. Use a coin to make a safe but random decisions. E.g. Go out for a walk: Heads go left, tails go right. See what happens.
7278C19E-8D9E-4C47-B89E-138FAA5B235F EXPANDER: It's 'Of The Moment' Day. Give someone an unexpected treat or visit. Or turn up at the cinema and watch the next film that's starting.
7906B17D-295D-494E-8CD6-BA6ED5F00D4E EXPANDER: Be systematic today. Spend 15 minutes at the end of the day putting things in order ready for tomorrow.
443B5A61-8B84-459E-98D4-EC89ECA55165 EXPANDER: Today designate a time when you will answer messages/emails/do certain chores or surf the net. Stick to the allotted time.
FFCCA40B-C204-410D-A1C7-49BA80B5F4DF EXPANDER: Today timetable your whole day in half-hour slots. Schedule time for non-urgent things (friends, lunch, a nap) as well as jobs.
275D2B34-BADA-4F00-9FE6-424319054B26 EXPANDER: It's Trusting Day. E.g. reveal something personal to another, share an embarrassing story or trust someone with a 'secret'.
F5E69704-9963-41BB-950A-2B3D4862AF25 EXPANDER: Let go of the need to be in control today. Leave a task you’d normally do to someone else, let them do it their way.
8A4B77E0-F5E9-4B20-B6EF-A84853EDD060 EXPANDER: It's YES Day. Say yes to new opportunities or requests (as long as they feel safe) and see where they take you.
FCFEC2A7-3484-44E6-A62A-1145CAACB84B EXPANDER: Today let another person take the initiative. E.g. leave a decision to a trusted friend, let others take the lead, sit back and just go with the flow.
386BD4FB-5DE6-4E05-B30C-90B1363088D7 EXPANDER: Loosen up today. Do something you weren't allowed to do as a child e.g. bounce on the bed, answer back, write in books.
79970591-469E-4A2B-8BAB-88814B5DFDB9 EXPANDER: Behave a bit out of character today. E.g. turn up earlier or later than expected, wear something daringly different.
246A25E6-9B0B-42CE-ADC9-264691E9D730 EXPANDER: Be less predictable today. Change how you answer, 'How are you?'. Use a new phrase to describe how you are.
CC1E0EBF-121F-469D-A421-9169F6AD6BD8 EXPANDER: Spot your people-pleasing habit and put yourself first at least once today. Don't feel guilty – enjoy it!
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 57 of 59
ID Text (en-GB)
EF44B910-C8E5-464A-964E-0389617B1DA0 EXPANDER: Behave a little more as you want to today. E.g. plan an evening or future event around what YOU enjoy doing.
B9E5F701-9C91-496E-A8F9-877334A47115 EXPANDER: Go along with others more today. Say ‘Yes’ to the next thing someone asks you to do. Give serious consideration to projects or offers that come your way.
525C654D-F7E7-43EF-B8D3-92DF9278F344 EXPANDER: Behave more as others wish today. Ask someone for three ways you can contribute or improve things, try to make at least one of them happen.
66E13FB4-5309-4B92-A71A-6AD514E9294B EXPANDER: Explore being introverted today. Express your deepest feelings in a poem, letter, drawing or haiku - but don’t share it.
B8BA1A4F-87EF-43CA-94F9-8B7503DE8B05 EXPANDER: Spend some time alone today. Focus on enjoying your own company without noise or distractions.
0B782E13-9090-458B-B927-24556FC338E6 EXPANDER: Do what you say you’ll do today. Keep promises, show up, be punctual. Under-promise and over-deliver where you can.
37D10EDE-6225-447F-93F5-FB971C3192B4 EXPANDER: Prioritise the most important things you have to get done today. Do them first.
8B5F3B4D-44A7-4057-B1B4-BA9C145CB653 HEALTH CHECK. Start to monitor your weight, alcohol intake and steps walked every day. Note down the numbers and set healthy goals to aim for.
0B4842CD-053B-44CD-A894-3FC2F0A70974 BACK TO BASICS. Ditch processed foods and cook from scratch today. Healthy soup, curry or stir fries are simple and nutritious.
B2979142-954F-4692-BB9A-132CB3481948 WEIGHT WATCH. Start writing down your weight and your waist measurement every week. It may help to use an app, chart or notebook.
2FA24E4F-A25E-484B-829E-683810467779 JOYFUL DAY. Do something today that lifts your mood. Listen to music, watch comedy, sing, read a poem, go outside or call an old friend.
912A126C-077D-479A-AAAC-C75C5F06FC2C KNOW YOUR NUMBERS! Keep a log of your blood pressure and know what the numbers mean. Then your medical team can evaluate how you are doing and make adjustments as needed.
58F5A32F-6AF9-4D9A-988A-C0C7AC312C64 MAKE IT HAPPEN. Today plan some fun for the weekend. Book up somewhere, plan an outing, arrange a fun get-together with friends or family now.
B0C5F7F4-AC48-4A7B-A149-A24BA9759BE4 DO FACT: High blood pressure affects millions of people worldwide. Research shows that people who employ self-care measures are likely to stay healthier.
4B590C5B-D4A8-43D6-BBB4-29912C0BCC71 DO SCIENCE: Limiting your salt intake is vital for healthy blood pressure. Keep to under half a teaspoon a day. Read labels carefully to spot hidden salt (sodium).
BCFA7643-EBF2-4F81-8697-7E4C902577AE DO FACT: Processed foods tend to be loaded with sodium. Cooking your own meals, and leaving out the salt, is the best way to keep to a healthy diet.
1BBC1EE9-F6C8-4D2D-86CC-DA585DDB12CB DO SCIENCE: Just losing a few pounds can improve your blood pressure. And if you have extra fat around the waistline losing a few cms will be beneficial.
3B91B1D0-6D79-4DB5-A248-D1BEA60BFF56 DO SCIENCE: Doing something enjoyable helps reduce stress & improves mood. Make sure you have fun activities scheduled regularly.
2804579D-30E3-41E2-962A-ABCA5EA02B46 DO TIP: Involve others in your understanding and care of your condition. They may be able to help you, or to go with you to your healthcare appointment.
40F5B650-6585-4DA8-954A-A2D93781EC44 DO NOTE: Laughter is good for health! It can reduce inflammation, lower blood pressure, improve memory, circulation and blood oxygenation.
0583BD63-9473-4863-86D8-C08B973094C4 DO TIP: Make it a goal to maintain an active lifestyle. Get professional advice about how active you can and should be. Start slowly and build up gradually.
63123A2D-5A48-45A0-BAD0-070B02F110EB NEW FACT. Today find out one new fact about managing your heart condition. Where can you improve? Make a plan.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 58 of 59
ID Text (en-GB)
662F537C-990C-4E2B-BF76-BEDDC1C270D1 WEIGH EVERY DAY. Log your weight every day. Start a routine: Wake up, Wee, Weigh and Write.
571BE68D-97EF-4681-9FBD-9AF69A54F579 STAND UP FOR YOUR HEALTH. Find ways to reduce sitting time today, e.g. go for a gentle walk, deliver a message to someone in person, take the longer route somewhere.
C4B88AD8-DE12-4DD7-9AC8-83238BEC9677 UP AND ABOUT. Today look for ways to be more active. Take 10- to15-minute walking breaks during the day or after meals
8E84568A-3AEC-4561-83B1-127CA9CFB2E6 KNOW YOUR ALLOWANCE. Check how many mls you can drink per day. Spread it over the day. Tips here: http://bit.ly/1U03Fe2 If in doubt ask your doctor.
5F317D9C-8A44-4DC3-9C92-28D0C3831327 DOWNSIZE YOUR DRINK. Have a smaller glass or cup for your drinks. Use a measuring device to accurately record how much you drink. Tips here: http://bit.ly/1U03Fe2
5594A6DC-A8B8-4081-BBE0-88A5EF1726D6 MEDS MANAGEMENT. Today make a list of your medications and keep it in your purse or wallet. Learn how each medication helps your heart.
95987BE9-06C4-4DB0-906E-D8FDA9326E3B KNOW WHEN TO SEEK HELP. Today make sure you and your family know the symptoms of heart failure and when to seek help. http://bit.ly/24iqV8B
81122984-7665-406A-BE2F-5F84CB4BCFEE WEIGHT WATCH. Use an app, chart or notebook and get into the habit of writing down your weight every day. Watch out for sudden increases.
D6D128AC-24C5-4460-8318-EE123E686174 KNOW YOUR NUMBERS! Keep a note of your physical signs and symptoms. Then you can give your medical team all the information they need to help you.
11A33A37-FCDF-41F8-BA37-E4F06745960C MAKE IT HAPPEN. Today plan some fun for the weekend. Book up somewhere, plan an outing, arrange a fun get-together with friends or family now.
A660D865-99D9-466B-BD1B-D0E2BED0C892 DO SCIENCE: Research shows that medication can improve symptoms and even prolong life. Tell your doctor right away about any problems with your medicines.
00F6855C-5533-491D-A592-1EC10DBBDA20 DO TIP: Limiting your salt and liquids (sodas, coffee, soups, etc.) helps avoid fluid buildup. Read labels carefully to spot hidden salt (sodium).
7DE35AC8-770B-4144-9C76-5B7584B9451D DO TIP: Involve others in your understanding and care of your condition. They may be able to help you, or to go with you to your healthcare appointment.
CA2F1A51-CE7D-492B-9120-FB30032052FF WHY WEIGH? Weighing yourself daily helps you keep an eye on your fluid balance. A weight gain of 1kg in a day or 3kg in a week should be reported.
3FFDF45E-86B5-488F-A077-745573A4FEFE DO FACT: When the heart can't pump enough blood this can cause swelling, cough, shortness of breath when active or lying flat. Report any symptoms promptly.
C1E6B748-6D8F-461E-8B59-6F71E14D57E7 DO TIP: Make it a goal to maintain an active lifestyle. Get professional advice about how active you can and should be. Start slowly and build up gradually.
4265422D-63BF-4BA4-9C42-17DF23232C63 EXPLORE MORE DAY. Today instead of going the same old way, take a different route. Look around, spot 10 things you wouldn't see on your usual journey.
3CF4D589-6597-43FA-90AC-6616C0A219CF IT'S A DATE. Make a note of all scheduled appointments with your health professional in your diary or calendar. Start a list of any questions you want to ask next time.
180E840E-5384-41E9-AB25-631E79CCE6A2 MAKE SOMEONE'S DAY! Today give compliments to three people, including one you don't know well. Be genuine, make their day and you’ll feel good too.
134D6395-5E7F-421B-AD4D-72812C68737B LET'S GO DAY. Today plan some fun for the weekend. Book up somewhere, plan an outing, arrange a fun get-together with friends or family now.
1BEE80DB-8074-4395-8959-651B3E0A4888 SWITCH SEATS DAY! Move seating around, sit somewhere different at meals, swap with another person. Get a new view, either at work or even at home!.
D4.14 (D65) Do CHANGE Data Dictionaries and Third Party Interfaces Design Page 59 of 59
ID Text (en-GB)
7939620B-8055-4419-8E37-BB5E8C50B713 DO TIP: Cutting down on salt and processed foods is important for maintaining a healthy heart. Ask for low salt options when out or visiting others.
CB1D30DE-CE0D-4262-BD73-6C638B53BD8B AT YOUR BEST: A healthy weight, stronger bones, better sleep and a happier mood: some of the benefits of staying active. See <LINK>
03C160D1-7143-4C43-8AEA-1AB68AE5FE4A DO TIP: Having new experiences with new people is a key element in staying happy and maintaining wellbeing.
E4B46AA6-9A36-46D1-931F-ACAF72BFB315 DO TIP: Feeling happy comes from doing the things we love. Even if it's an effort, when we do joyful things we feel alive and are nice to be with!
EA5711C9-0A47-4AF7-88E7-07213F49D8BA DO FACT: Shaking up routines is a good way to keep life interesting and varied. It can help you feel you're taking back charge of your life.
