Opioid Risk Tool (ORT)
Predicts risk of opioid aberrant behaviors before initiating opioid therapy
- 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 Opioid Risk Tool (ORT) can activate when the transcript or pasted chart context documents any of these:
- Opioid therapy candidacy assessment
- Chronic pain opioid risk evaluation
- Pre-opioid prescribing screening
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 |
|---|---|---|---|
| ORT total score (0-26) | history |
Scoring
Family history (substance abuse: alcohol/drugs/Rx), personal history (substance abuse, age 16-45, Hx of preadolescent sexual abuse, psychological disease). Total 0-26.
Interpretation
0-3: Low risk. 4-7: Moderate risk. ≥8: High risk for opioid misuse.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Webster & Webster 2005.
- Webster LR, Webster RM. Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk ToolWebster & Webster (ORT) 2005 · 2005 · Level I · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the Opioid Risk Tool (ORT) (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 Opioid Risk Tool (ORT) 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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