1. A computer-implemented method comprises: retrieving information indicative of a medical study instrument, wherein the medical study instrument comprises questions; generating by one or more computers information for a graphical user interface that when rendered on a display device comprises: a visual representation for review of the medical study instrument; retrieving a scoring rule for the medical study instrument, with the scoring rule including a series of instructions for associating a weighted value with a question, and with the weighted value indicating an importance of the question associated with the weighted value relative to other questions in the medical study instrument; transmitting, to a client device, information indicative of the medical study instrument; determining, based on answers to the questions in the medical study instrument, score values for one or more of the questions; applying the scoring rule to the determined score values; generating, based on applying, weighted score values; and generating, based on the weighted score values, a score for the medical study instrument.