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Home/Clinical calculators/Palliative Performance Scale (PPS)

Clinical calculator · Palliative care and hospice

Palliative Performance Scale (PPS)

Measures functional status in palliative care patients to guide prognosis and care planning

Highest activation tier
Recommended
How it is scored
Scored in code; a detected disagreeing draft value is flagged for correction
Scoring type
questionnaire
Care settings
Inpatient, Outpatient

When it activates

Scribeable activates a calculator from the encounter. The Palliative Performance Scale (PPS) can activate when the transcript or pasted chart context documents any of these:

  • Palliative care functional assessment
  • Hospice eligibility evaluation
  • End-of-life prognosis

Inputs the note needs

1 input. Each is resolved from the transcript, the pasted chart context and charted labs; at this calculator’s tier a missing input is never requested, and a missing required input keeps the score out of the draft.

InputTypeUnit / optionsGuidance
PPS score (0-100, multiples of 10)history

Reference for licensed clinicians. Where the registry text carries dose thresholds or conversion factors, they are as published in the cited sources. This page is not a prescribing tool and not individualised medical advice; verify against a current drug reference and the current guideline before acting. Medical disclaimer.

Scoring

Ambulation, activity/evidence of disease, self-care, intake, consciousness. Score 0-100 in 10-point increments.

Interpretation

70-100: Transitional, stable. 40-60: End of life approaching. 10-30: Final days. 0: Death.

Evidence

Sources carried in Scribeable's citation registry for this calculator; guideline version: Anderson 1996.

  • Anderson F et al. Palliative Performance Scale (PPS): a new toolAnderson et al. (PPS) 1996 · 1996 · Victoria Hospice Society · link last verified 2026-03-28

How Scribeable handles it in the note

When an encounter activates the Palliative Performance Scale (PPS) (its highest tier is recommended), Scribeable does not ask you for missing inputs. The score is computed in code from whatever inputs resolve from the transcript, the pasted chart context or charted labs; a computed value is written into the draft only when every required input already resolves.

The score is computed in code from the resolved inputs, not recalled by the language model. If the draft states a Palliative Performance Scale (PPS) value that disagrees with the computed one, the disagreement is flagged to the second drafting pass, which is instructed to correct the score and its interpretation before you see the note.

Classified as a staging or classification system: activated strictly, because a wrong stage on the wrong patient is a documentation hazard.

Related calculators

  • Edmonton Symptom Assessment System (ESAS)Monitors symptom burden in palliative care patients across 9 common symptoms
  • Functional Assessment Staging (FAST)Stages dementia severity for prognosis and hospice eligibility determination
  • Karnofsky Performance Status (KPS)Quantifies functional status on a 0-100 scale for prognosis, treatment decisions, and hospice eligibility determination
  • Palliative Prognostic Index (PPI)Predicts survival in terminally ill cancer patients using clinical parameters
  • Palliative Prognostic Score (PaP)Estimates 30-day survival probability in terminally ill patients using clinical and laboratory data
  • Brief Pain Inventory (BPI)Measures pain severity and interference with daily function for treatment monitoring

Can activate in: Oncology, Geriatrics, Palliative Care.

Scored in code

See it activate on your own encounter

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