Use our readymade template to create your Knee injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR) form
Create your care assessments
| KOOS, JR score | Interval Score | Proposed treatment |
|---|---|---|
| 0-4 | 100-76.332 | May not need treatment |
| 5-9 | 73.342-63.776 | Watchful waiting |
| 10-14 | 61.583-52.465 | Consider counseling |
| 15-19 | 50.012-39.625 | Active treatment |
| 20-28 | 36.931-100 | Immediate initiation |
- Prebuilt template with KOOS, JR scoring to assess the presence of knee injury and osteoarthritis and measure its severity
- 7-item questionnaire that scores each of the 7 criteria as “0” (None) to “4” (Extreme)
- Real-time calculation of KOOS, JR Score and interval score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of knee injury and osteoarthritis
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. How severe is your knee stiffness after first wakening in the morning? | Mild |
| 2. Twisting/pivoting on your knee | Moderate |
| 3. Straightening knee fully | Severe |
| 4. Going up or down stairs | Extreme |
| 5. Standing upright | None |
| 6. Rising from sitting | Mild |
| 7. Bending to floor/pick up an object | Moderate |
| Raw Score | 16 |
| Interval Score | 50.012 |
- Pre-populate patient details such as patient id, name, email etc in the KOOS, JR assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their KOOS, JR assessment form prior to their visit
- Allow patients to save their progress and complete their KOOS, JR assessment form at a later time without losing any responses
- Set up an email template for your KOOS, JR assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their KOOS, JR score, diagnosis, next steps when they submit their KOOS, JR assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. How severe is your knee stiffness after first wakening in the morning? | Mild | 1 | 50.012 |
| 3 | John W | 2. Twisting/pivoting on your knee | Moderate | 2 | 50.012 |
| 4 | John W | 3. Straightening knee fully | Severe | 3 | 50.012 |
| 5 | John W | 4. Going up or down stairs | Extreme | 4 | 50.012 |
| 6 | John W | 5. Standing upright | None | 0 | 50.012 |
| 7 | John W | 6. Rising from sitting | Mild | 1 | 50.012 |
| 8 | John W | 7. Bending to floor/pick up an object | Moderate | 2 | 50.012 |
- Export patient responses including the calculated KOOS, JR score and interval score to Google Sheets for easy record-keeping
- Export individual points for 7 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their knee injury and osteoarthritis symptoms
- Receive a copy of the response and the calculated KOOS, JR score by email whenever a patient submits their KOOS, JR assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. How severe is your knee stiffness after first wakening in the morning? : | Mild |
| 2. Twisting/pivoting on your knee: | Moderate |
| 3. Straightening knee fully: | Severe |
| 4. Going up or down stairs: | Extreme |
| 5. Standing upright : | None |
| 6. Rising from sitting: | Mild |
| 7. Bending to floor/pick up an object: | Moderate |
| Raw Score: | 16 |
| Interval Score: | 50.012 |
| Interval Score: | 50.012 |
- Create a HIPAA compliant KOOS, JR assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting KOOS, JR form responses to Google Sheets and sending them on email
- Prepopulate patient details in KOOS, JR assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
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July 23, 2023
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