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Oncera framework

The Oncera Health Index (OHI)

The Oncera Health Index (OHI) is a self-reported tracking score that summarizes how a cancer survivor is doing across the seven domains of survivorship, calculated from their own daily check-ins.

Last updated July 2026 · Educational, non-diagnostic

Key takeaways

  • The Oncera Health Index (OHI) is a self-reported tracking score, not a diagnostic test or a clinical assessment.
  • The OHI summarizes a survivor’s own daily check-ins across the seven domains of survivorship.
  • The OHI is built to show change over time, so trends matter more than any single day’s score.
  • The OHI is proprietary to Oncera and is not a validated clinical instrument like PROMIS or FACT.

What is the Oncera Health Index?

The Oncera Health Index (OHI) is a self-reported tracking score that summarizes how a cancer survivor is doing across the seven domains of survivorship, calculated from their own daily check-ins.

The Oncera Health Index turns many small, personal observations into one plain-language read on how survivorship is going overall. A survivor logs short daily check-ins in Oncera, and the OHI organizes those signals into a single summary score that is easy to glance at and easy to discuss. The point of the Oncera Health Index is not precision about any one symptom, but a clearer view of the whole picture over time.

What does the Oncera Health Index summarize?

The Oncera Health Index summarizes a survivor’s own daily check-ins across the seven domains of survivorship: Physical Health, Emotional Wellbeing, Sleep, Nutrition, Hormone Therapy, Alcohol & Nicotine, and Environmental Health. Each domain covers a different part of life after cancer, and together they describe the whole person rather than a single symptom or scan.

Because the Oncera Health Index draws from all seven domains, it reflects how these areas move together. Poor sleep can deepen fatigue; emotional stress can disrupt both sleep and appetite. The OHI is designed to make those relationships visible in one place, so a survivor and their care team can see patterns instead of chasing one symptom at a time.

Why does the Oncera Health Index exist?

The Oncera Health Index exists because survivorship is easy to lose track of. After treatment ends, survivors often carry a vague sense that something has shifted without a simple way to describe it, and short follow-up visits leave little time to reconstruct months of scattered notes. A single, self-reported summary gives survivors a steadier way to notice change and a clearer starting point for the conversations that matter.

The Oncera Health Index also reduces the mental load of managing life after cancer. Instead of holding dozens of separate worries in mind, a survivor has one organized read they can watch over weeks and months, and a doctor-ready summary they can bring to survivorship appointments.

What the Oncera Health Index is not

The Oncera Health Index is not a diagnosis, a clinical assessment, or a medical measurement. It is a self-reported tracking score built entirely from what a survivor reports about themselves, and it does not detect disease, predict recurrence, or replace any test or judgment from a care team. Oncera is educational and non-diagnostic by design.

The Oncera Health Index is also proprietary to Oncera and is not a validated clinical instrument. It should not be read as, or compared to, validated patient-reported outcome measures such as PROMIS or FACT, which are developed and tested through clinical research. For how those validated measures differ, see our guide to survivorship questionnaires.

How should you read your Oncera Health Index over time?

The Oncera Health Index is most useful read as a trend rather than a single number. Scores vary from day to day, and one lower day is not a cause for alarm; what tends to be meaningful is the direction of travel over several weeks. A steady rise, a gradual dip, or a sudden change that lasts are the kinds of patterns worth noticing and, when they persist, worth raising with your care team.

How the Oncera Health Index moves varies from person to person, depending on cancer type, treatment, and circumstances, so the most helpful comparison is with your own earlier check-ins rather than with anyone else. Read that way, the OHI becomes a quiet record of recovery and a prompt for better questions, never a verdict about your health.

Oncera Health Index questions

What is the Oncera Health Index?

The Oncera Health Index (OHI) is a self-reported tracking score that summarizes how a cancer survivor is doing across the seven domains of survivorship, calculated from their own daily check-ins. It is a way to see change over time across the whole of survivorship, not a medical test or a measure of whether cancer is present.

Is the Oncera Health Index a diagnostic or clinical assessment?

No. The Oncera Health Index is educational and non-diagnostic. It is a self-reported tracking score built from your own daily check-ins, and it does not diagnose disease, predict recurrence, or replace any clinical assessment. It is not a validated clinical instrument, and it does not belong in the same category as validated patient-reported outcome measures such as PROMIS or FACT.

What does the Oncera Health Index summarize?

The Oncera Health Index summarizes your own daily check-ins across the seven domains of survivorship: Physical Health, Emotional Wellbeing, Sleep, Nutrition, Hormone Therapy, Alcohol and Nicotine, and Environmental Health. It reflects what you report about yourself, organized so patterns are easier to see.

How is the Oncera Health Index different from PROMIS or FACT?

PROMIS and FACT are validated patient-reported outcome measures developed and tested through clinical research. The Oncera Health Index is a proprietary, self-reported tracking score that Oncera uses to help you organize your own check-ins over time. They are not the same thing, and the OHI should not be read as a validated clinical measurement.

Can the Oncera Health Index tell me if my cancer is coming back?

No. The Oncera Health Index does not detect, diagnose, or predict cancer or recurrence. It reflects how you report feeling and functioning across the seven domains, which can help you notice changes worth raising with your care team. Medical interpretation always belongs with your clinicians.

Related reading: the seven domains of survivorship, survivorship questionnaires explained, and how Oncera works.

See your survivorship in one place.

Oncera turns your daily check-ins across seven domains into a plain-language read you can track over time and bring to your care team. Educational and non-diagnostic.