Modified Rankin Scale (mRS)
Measures degree of disability and dependence after stroke or neurological event
- Highest activation tier
- Recommended
- How it is scored
- Scored in code; a detected disagreeing draft value is flagged for correction
- Scoring type
- classification
- Care settings
- Inpatient, Outpatient
When it activates
Scribeable activates a calculator from the encounter. The Modified Rankin Scale (mRS) can activate when the transcript or pasted chart context documents any of these:
- Post-stroke functional assessment
- Stroke outcome documentation
- Disability classification
- Rehabilitation planning
- Stroke clinical trial outcome
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: I60, I61, I63.
Note-type scope: it activates on notes whose subject resolves to rehab, neurology, hospital medicine. 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 |
|---|---|---|---|
| Modified Rankin Scale score (0-6) | exam |
Scoring
0=No symptoms. 1=No significant disability despite symptoms. 2=Slight disability (own affairs without assistance). 3=Moderate disability (requires some help). 4=Moderately severe (unable to walk/attend to needs unassisted). 5=Severe (bed-bound, incontinent, requires constant care). 6=Dead.
mRS Modified Rankin Scale score (0-6) (0=asymptomatic, 1=no disability, 2=slight, 3=moderate, 4=moderately severe, 5=severe/bed-bound, 6=dead)
Interpretation
mRS 0-1: Excellent outcome (functionally independent). mRS 2: Good outcome (independent but some limitations). mRS 3: Fair (requires assistance). mRS 4-5: Poor outcome (dependent). mRS 6: Death. Commonly used as primary endpoint in stroke trials (favorable outcome typically mRS 0-2).
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Rankin 1957, van Swieten 1988.
- Rankin J. Cerebral vascular accidents in patients over the age of 60 (Original Rankin Scale)Rankin 1957 · 1957 · link last verified 2026-03-28
- van Swieten JC et al. Interobserver agreement for the assessment of handicap in stroke patients (Modified Rankin Scale)van Swieten et al. (mRS) 1988 · 1988 · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the Modified Rankin Scale (mRS) (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 Modified Rankin Scale (mRS) 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 risk score: activated strictly, by a documented trigger, never by a permissive reading of the encounter.
See it activate on your own encounter
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