Outcome measures (NPRS, LEFS, Oxford, QuickDASH, ODI)
Questionnaires patients fill in that score themselves, scores taken in clinic, and the trend on the patient’s record.
The measures
Hally scores six outcome measures:
- NPRS (Numeric Pain Rating Scale): pain 0–10, lower is better.
- LEFS (Lower Extremity Functional Scale): 20 activities, 0–80, higher is better.
- Oxford Knee Score and Oxford Hip Score: 12 questions each, 0–48, higher is better.
- QuickDASH: 11 questions on the arm, shoulder and hand, 0–100, lower is better.
- ODI (Oswestry Disability Index): 10 sections on back pain, as a percentage, lower is better.
Sending one to a patient
Owners and managers set one up once in Forms & exercises → Forms: start a new form from the measure's template. Send it from the patient's record (Send a form) or as a follow-up after a visit, like any other questionnaire. When the patient sends it back it's scored for you.
NPRS and LEFS are free to use, so their wording is built in. The Oxford scores, QuickDASH and the ODI are copyright and need a licence from their owners (Oxford University Innovation, the Institute for Work & Health and Mapi Research Trust) to use in your clinic. Their templates come with the scoring built in but placeholder wording in [square brackets]: once your clinic has a licence, paste the licensed wording in. The form won't publish while any placeholder is left. You can reword the questions and answers, but keep the number of questions and answers, and keep the answers in the licensed order, so the form can still be scored.
Scores taken in clinic
On a clinical note, press Outcome measure score, choose the measure and type the score (for example an NPRS asked out loud, or a paper questionnaire). Earlier scores are shown to compare.
The trend
The patient's Body chart and MSK page charts each measure over time, from forms and notes together, with the latest score, a guide band where the measure has one (the Oxford scores and the ODI), and the change in words. Where a change of a certain size is usually taken as meaningful (for example 9 points on the LEFS), it says so. Bands and meaningful changes are guides, not a diagnosis.