Form Coding Instructions

INSTRUCTIONS: This survey asks for your view about your hip. This information will help us keep track of how you feel about your hip and how well you are able to do your usual activities. Answer every question by ticking the appropriate box, only one box for each question. If you are uncertain about how to answer a question, please give the best answer you can

Source: Hip dysfunction and osteoarthritis outcome score

86633-5 Pain

Form Coding Instructions

What amount of hip pain have you experienced the last week during the following activities?

Source: Hip dysfunction and osteoarthritis outcome score

Fully-Specified Name

Component
Pain panel
Property
-
Time
1W
System
^Patient
Scale
-
Method
HOOSJR

Long Common Name

Pain panel [HOOSJR]

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82317-9 Going up or down stairs

Fully-Specified Name

Component
Amount of hip pain experienced while going up or down stairs in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Amount of hip pain experienced while going up or down stairs in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.64 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82318-7 Walking on an uneven surface

Fully-Specified Name

Component
Amount of hip pain experienced while walking on an uneven surface in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Amount of hip pain experienced while walking on an uneven surface in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

86634-3 Function, daily living

Form Coding Instructions

The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your hip

Source: Hip dysfunction and osteoarthritis outcome score

Fully-Specified Name

Component
Function and daily living panel
Property
-
Time
1W
System
^Patient
Scale
-
Method
HOOSJR

Long Common Name

Function and daily living panel [HOOSJR]

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82319-5 Rising from sitting

Fully-Specified Name

Component
Degree of difficulty experienced due to your hip while rising from sitting in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Degree of difficulty experienced due to your hip while rising from sitting in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82320-3 Bending to floor/pick up an object

Fully-Specified Name

Component
Degree of difficulty experienced due to your hip while bending to floor &or pick up an object in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Degree of difficulty experienced due to your hip while bending to floor AndOr pick up an object in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82321-1 Lying in bed (turning over, maintaining hip position)

Fully-Specified Name

Component
Degree of difficulty experienced due to your hip while lying in bed (turning over, maintaining hip position) in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Degree of difficulty experienced due to your hip while lying in bed (turning over, maintaining hip position) in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82322-9 Sitting

Fully-Specified Name

Component
Degree of difficulty experienced due to your hip while sitting in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HOOS

Long Common Name

Degree of difficulty experienced due to your hip while sitting in the last week [HOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

AnswerCodeScoreAnswer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)0LA137-2
Mild1LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value)2LA6751-7
Severe3LA6750-9
Extreme4LA11912-5

Member of these Panels

LOINCLong Common Name
72092-0Hip Dysfunction and Osteoarthritis Outcome Score [HOOS]
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

82323-7 Total interval score [HOOSJR]

Term Description

The patient's score for the Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR) survey. The survey is scored by summing the raw scores and then converting the total raw score to an interval score, which ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. PMID: 26926772

Fully-Specified Name

Component
Total interval score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
HOOSJR

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Both

Member of these Panels

LOINCLong Common Name
82316-1Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR]

Example Units

UnitSource
{score}Example UCUM Units