ARCHETYPE howRU score (openEHR-EHR-OBSERVATION.howru.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.howru.v1
ConcepthowRU score
DescriptionInformation 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

MisuseShould 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.
PurposeTo record information captured by the howRU™patient-reported outcomes instrument.
ReferencesBenson 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 Unpublished Draft 2008;Available from: http://www.routinehealthoutcomes.com/HowRU.pdf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
AuthorsAuthor name: Kieran D Evans
Organisation: Cardiff COMSC
Email: k.evans@cs.cf.ac.uk
Date originally authored: 03/03/2010
Other Details LanguageAuthor name: Kieran D Evans
Organisation: Cardiff COMSC
Email: k.evans@cs.cf.ac.uk
Date originally authored: 03/03/2010
Other Details (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
Keywordsproms, pain, symptom, patient, dependent, outcome
LifecycleAuthorDraft
Language useden
Citeable Identifier1246.145.2767
protocol
DeviceDevice: The device used to obtain this set of readings.
Include:
All not explicitly excluded archetypes
Exclude:
openEHR-EHR-CLUSTER.device.v1 and specialisations
data
Pain or discomfortPain or discomfort: Symptoms such as pain – includes all physical forms of discomfort such as breathlessness, itching, dizziness or nausea.
0: none [The subject is not affected at all.]
1: slight [The subject is only slighly affected.]
2: quite a lot [The subject is considerably affected.]
3: extreme [The subject is extremely affected.]
Feeling low or worriedFeeling low or worried: Feeling low or worried – includes all psychological states, including anxiety, feeling low and depression.
0: none [The subject is not affected at all.]
1: slight [The subject is only slighly affected.]
2: quite a lot [The subject is considerably affected.]
3: extreme [The subject is extremely affected.]
Limited in what I can doLimited in what I can do: 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.
0: none [The subject is not affected at all.]
1: slight [The subject is only slighly affected.]
2: quite a lot [The subject is considerably affected.]
3: extreme [The subject is extremely affected.]
Dependent on othersDependent on others: Dependent on others – the need to rely on other people or equipment.
0: none [The subject is not affected at all.]
1: slight [The subject is only slighly affected.]
2: quite a lot [The subject is considerably affected.]
3: extreme [The subject is extremely affected.]
Summary scoreSummary score: An overall score combining the 4 individual ratings.
min: >=0; max: <=12

events
Recording eventRecording event: The event at which the recording was made.
Other contributorsDr Ian McNicoll, Ocean Informatics, UK
Translators