| ARCHETYPE ID | openEHR-EHR-OBSERVATION.harris_hip.v0 |
|---|---|
| Concept | Harris Hip Score (HHS) |
| Description | An assessment score used to evaluate the functional capacity of an individual following hip surgery. |
| Use | Use to record:
While openEHR archetypes are all freely available under an open license, it is not clear if the specific content of this Harris Hip Score archetype is copyright protected. The original source was published in 1969 by Dr William Harris. Any use of this archetype within implementations should be in compliance with the terms established by the copyright owners, if available. |
| Purpose | To record the results for each component parameter and their total sum for the clinician-assessed Harris Hip Score (HHS), and the associated patient-reported outcome measure, the Modified Harris Hip Score (mHHS). |
| References | Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969 Jun;51(4):737-55. PMID: 5783851. Söderman P, Malchau H. Is the Harris hip score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res. 2001 Mar;(384):189-97. doi: 10.1097/00003086-200103000-00022. PMID: 11249165. Wamper KE, Sierevelt IN, Poolman RW, Bhandari M, Haverkamp D. The Harris hip score: Do ceiling effects limit its usefulness in orthopedics? Acta Orthop. 2010 Dec;81(6):703-7. doi: 10.3109/17453674.2010.537808. PMID: 21110703; PMCID: PMC3216080. |
| Authors | Author name: Jonas Lyshaug Organisation: HN IKT Email: Jonas.nils.erik.lyshaug@hnikt.no Date originally authored: 2025-03-14 |
| Other Details Language | Author name: Jonas Lyshaug Organisation: HN IKT Email: Jonas.nils.erik.lyshaug@hnikt.no Date originally authored: 2025-03-14 |
| Other Details (Language Independent) |
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| Keywords | arthroplasty, fractures, osteoarthritis, hip, HHS, mHHS |
| Lifecycle | in_development |
| UID | 3db0a81a-c247-4b80-9eb0-4bfe03fb1d04 |
| Language used | en |
| Citeable Identifier | 1246.145.2585 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| 1. Pain | 1. Pain: 44: None, or ignores it 40: Slight, occasional, no compromise in activity 30: Mild pain, no effect on average activities, rarely moderate pain with unusual activity, may take aspirin 20: Moderate pain, tolerable but makes concessions to pain. Some limitations of ordinary activity or work. May require occasional pain medication stronger than aspirin 10: Marked pain, serious limitation of activities 0: Totally disabled, crippled, pain in bed, bedridden |
| 2. Support devices | 2. Support devices: 11: None 7: Cane/walking stick for long walks 5: Cane/walking stick most of the time 3: One crutch 2: Two canes/walking sticks 0: Two crutches or not able to walk |
| 3. Distance walked | 3. Distance walked: 11: Unlimited 8: Six blocks 5: Two or three blocks 2: Indoors only 0: Bed and chair only |
| 4. Limp | 4. Limp: 11: None 8: Slight 5: Moderate 0: Severe |
| 5. Shoes and socks | 5. Shoes and socks: 4: With ease 2: With difficulty 0: Unable |
| 6. Stairs | 6. Stairs: 4: Normally without using a railing 2: Normally using a railing 1: In any manner 0: Unable to do stairs |
| 7. Public transportation | 7. Public transportation: 1: Able to use transportation (bus) 0: Unable to use public transportation (bus) |
| 8. Sitting | 8. Sitting: 5: Comfortably in ordinary chair for one hour 3: On a high chair for 30 minutes 0: Unable to sit comfortably in any chair |
| 9. Absence of deformity | 9. Absence of deformity: Less than 30degrees of fixed flexion.
Less than 10 degrees of fixed internal rotation in extension.
Less than 10 degrees of fixed adduction.
Limb length discrepancy less than 3.2 cm (1.5 inches). 0: One or more criteria are not met. 4: All four criteria are met. |
| 10. Total degrees of flexion | 10. Total degrees of flexion: 0.0: None 0.04: 0>8 0.08: 8>16 1.2: 16>24 1.6: 24>32 2.0: 32>40 2.25: 40>45 2.55: 45>55 2.85: 55>65 3.0: 65>70 3.15: 70>75 3.3: 75>80 3.6: 80>90 3.75: 90>100 3.9: 100>110 |
| 11. Total degrees of abduction | 11. Total degrees of abduction: 0.0: None 0.2: 0>5 0.4: 5>10 0.6: 10>15 0.65: 15>20 |
| 12. Total degrees of external rotation | 12. Total degrees of external rotation: 0.0: None 0.1: 0>5 0.2: 5>10 0.3: 10>15 |
| 13. Total degrees of adduction | 13. Total degrees of adduction: 0.0: None 0.05: 0>5 0.1: 5>10 0.15: 10>15 |
| HHS total | HHS total: The total sum of each component parameter for the Harris hip score. Property: Qualified real Units: 0.0..100.0 Limit decimal places: 2 |
| mHHS raw total | mHHS raw total: The total sum of each component parameter for the modified Harris hip score. Property: Qualified real Units: 0.0..91.0 Limit decimal places: 2 |
| mHHS normalised total | mHHS normalised total: The adjusted score for the Modified Harris Hip Score, representing the raw score expressed on a 0–100 scale for comparability with the original Harris Hip Score. Property: Qualified real Units: 0.0..100.0 Limit decimal places: 2 |
| Grading | Grading: Grading derived from Harris hip score.
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| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Marte Vassli Gullesen, HelseNord IKT HF, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) |
| Translators |