ABCDE Criteria for Melanoma
Screens suspicious pigmented lesions for melanoma using clinical morphologic criteria
- Highest activation tier
- Recommended
- How it is scored
- Scored in code; a stated value is compared only from the structured summary or a supplied value
- Scoring type
- point sum
- Care settings
- Inpatient, Outpatient
When it activates
Scribeable activates a calculator from the encounter. The ABCDE Criteria for Melanoma can activate when the transcript or pasted chart context documents any of these:
- Melanoma screening
- Pigmented lesion evaluation
- Skin cancer assessment
Inputs the note needs
5 inputs. 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.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| Asymmetry present (true/false) | exam | ||
| Border irregularity present (true/false) | exam | ||
| Color variation present (true/false) | exam | ||
| Diameter >6mm present (true/false) | exam | ||
| Evolving/changing present (true/false) | exam |
Scoring
5 criteria: Asymmetry, Border, Color, Diameter, Evolving. Score = number present (0-5).
Interpretation
0-2: Low suspicion — monitor. ≥3: High suspicion for melanoma — biopsy recommended.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Friedman 1985.
- Friedman RJ et al. Early detection of malignant melanoma: the role of physician examination and self-examination of the skin (ABCDE criteria)Friedman et al. (ABCDE Melanoma) 1985 · 1985 · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the ABCDE Criteria for Melanoma (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. A stated ABCDE Criteria for Melanoma value is compared against the computed one when the draft's structured summary carries it; a disagreement found there is flagged to the second drafting pass, which is instructed to correct the score and its interpretation, unless Scribeable has supplied the computed value to that pass, in which case the value the draft writes is checked against the supplied one and a detected difference is shown beside the note for you to adjudicate rather than silently rewritten.
Classified as a risk score: activated strictly, by a documented trigger, never by a permissive reading of the encounter.
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