DASH Score (Disabilities of the Arm, Shoulder and Hand)
Quantifies upper extremity disability to guide treatment and track outcomes
- 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
- questionnaire
- Care settings
- Inpatient, Outpatient
When it activates
Scribeable activates a calculator from the encounter. The DASH Score (Disabilities of the Arm, Shoulder and Hand) can activate when the transcript or pasted chart context documents any of these:
- Upper extremity functional assessment
- Shoulder/arm disability evaluation
- Post-operative upper limb outcome tracking
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: M79.
Note-type scope: it activates on notes whose subject resolves to rehab. A note that resolves to another subject does not carry it even when the clinician's specialty matches; a note with no resolvable subject (a generic consultation) falls back to the specialty match.
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.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| DASH score (0-100, higher = more disability) | symptom |
Scoring
30 items scored 1-5. DASH = ((sum/n)-1) x 25. Range 0-100.
Interpretation
0-25: Minimal disability. 26-50: Moderate disability. 51-75: Severe disability. 76-100: Extreme disability.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Hudak 1996.
- Hudak PL et al. Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand)Hudak et al. (DASH) 1996 · 1996 · Level I · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the DASH Score (Disabilities of the Arm, Shoulder and Hand) (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 DASH Score (Disabilities of the Arm, Shoulder and Hand) 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 questionnaire: a patient-reported or clinician-rated instrument, where a spare activation carries low harm.
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