ARCHETYPE ID | openEHR-EHR-OBSERVATION.howru.v1 |
Concept | howRU score |
Description | Information captured by the howRU™ patient-reported outcomes instrument. |
Use | 'howRU' (TM) is a generic patient-reported outcomes instrument, designed to meet these requirements, and answer the central question: "How are you today?" It has four dimensions, which reflect the presence or absence of what matters most to patients, in addition to survival: - Symptoms such as pain includes discomfort such as breathlessness or nausea - Feeling low or worried includes anxiety, depression and fatigue. - Limits to what you can do includes physical incapacity, loss of memory, sight or hearing. - Dependence on others reliance on other people or equipment. For each dimension, the patient picks one of four levels, indicated using a traffic-light metaphor with labels, colour, position and images. The four dimensions and four levels give 256 (44) different permutations, each of which represents a different health state. For data storage and analysis, each level is recorded on a 0-3 ordinal scale, with none = 3, slight = 2 quite a lot = 1, and extreme = 0. Higher score means better health. A simple aggregate howRU score is calculated by adding the scores for each dimension, giving a range from 12 (4 x none, ceiling) to 0 (4 x extreme, floor). Copyright 2008 Routine Health Outcomes Ltd. All rights reserved. Used with Permission. Users should notify Tim Benson by email: timbenson@routinehealthoutcomes.com |
Misuse | Should not be used other than to record information derived from the patient-reported outcomes instrument. Copyright 2008 Routine Health Outcomes Ltd. All rights reserved - Do not use without permission. |
Purpose | To record information captured by the howRU™patient-reported outcomes instrument. |
References | Benson T, Arikan S, Whatling J. Introducing howRU™ An Instrument for Routine Health Outcomes Measurement [Internet]. Unpublished Draft 2008;Available from: http://www.routinehealthoutcomes.com/HowRU.pdf |
Copyright | © Clinical Models UK |
Authors | Author name: Kieran D Evans Organisation: Cardiff COMSC Email: k.evans@cs.cf.ac.uk Date originally authored: 03/03/2010 |
Other Details Language | Author name: Kieran D Evans Organisation: Cardiff COMSC Email: k.evans@cs.cf.ac.uk Date originally authored: 03/03/2010 |
OtherDetails Language Independent | {references=Benson T, Arikan S, Whatling J. Introducing howRU™ An Instrument for Routine Health Outcomes Measurement [Internet]. Unpublished Draft 2008;Available from: http://www.routinehealthoutcomes.com/HowRU.pdf , MD5-CAM-1.0.1=C52023F71787B1E5D9DB0A72339221DE} |
Keywords | proms, pain, symptom, patient, dependent, outcome |
Lifecycle | AuthorDraft |
Language used | en |
Citeable Identifier | 1013.1.3336 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[LOINC: All not explicitly excluded archetypes Exclude: openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=Pain or discomfort, description=Symptoms such as pain – includes all physical forms of discomfort such as breathlessness, itching, dizziness or nausea., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[LOINC(2_ 1: slight [The subject is only slighly affected.] 2: quite a lot [The subject is considerably affected.] 3: extreme [The subject is extremely affected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Feeling low or worried, description=Feeling low or worried – includes all psychological states, including anxiety, feeling low and depression., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[LOINC: 1: slight [The subject is only slighly affected.] 2: quite a lot [The subject is considerably affected.] 3: extreme [The subject is extremely affected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=ELEMENT, level=4, text=Limited in what I can do, description=Limited in what I can do – includes incapacity due to physical or psychological reasons, such as not being able to perform activities of daily living, or not being able to carry out leisure activities., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[LOINC: 1: slight [The subject is only slighly affected.] 2: quite a lot [The subject is considerably affected.] 3: extreme [The subject is extremely affected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Dependent on others, description=Dependent on others – the need to rely on other people or equipment., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[LOINC: 1: slight [The subject is only slighly affected.] 2: quite a lot [The subject is considerably affected.] 3: extreme [The subject is extremely affected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Summary score, description=An overall score combining the 4 individual ratings. , comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=[LOINC: , extendedValues=null]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0022], code=at0022, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=5..*, subCardinalityText=Minimum of 5 items , ordered , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0022]/items[at0038], code=at0038, itemType=SLOT, level=2, text=Device, description=The device used to obtain this set of readings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes Exclude: openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |