Rockall Score
Predicts rebleeding and mortality risk after upper GI bleeding based on pre- and post-endoscopy factors
- Highest activation tier
- Recommended
- How it is scored
- Scored in code; a detected disagreeing draft value is flagged for correction
- Care settings
- Emergency department, Inpatient
When it activates
Scribeable activates a calculator from the encounter. The Rockall Score can activate when the transcript or pasted chart context documents any of these:
- Post-endoscopy GI bleed risk assessment
- Upper GI bleed prognosis
- Rebleeding risk estimation
- GI bleed disposition after endoscopy
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: K92.
Note-type scope: it activates on notes whose subject resolves to hepatology, gi, hospital medicine, critical care. 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
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 |
|---|---|---|---|
| Patient age | age | ||
| Shock: none, tachycardia (HR>100), or hypotension (SBP<100) | vital | ||
| Comorbidity: none, major (CHF, IHD, major comorbidity), or renal/liver failure/metastatic cancer | history | ||
| Endoscopic diagnosis: Mallory-Weiss/no lesion, all other, or malignancy | exam | ||
| Major stigmata of hemorrhage: none, blood/adherent clot/visible vessel/spurting | exam |
Scoring
Age: <60=0, 60-79=1, ≥80=2. Shock: none=0, tachycardia=1, hypotension=2. Comorbidity: none=0, major=2, renal/liver/mets=3. Diagnosis: MW/no lesion=0, other=1, malignancy=2. Stigmata: none=0, blood/clot/vessel/spurting=2. Max 11.
Age Patient age + Shock Shock: none, tachycardia (HR>100), or hypotension (SBP<100) + Comorbidity Comorbidity: none, major (CHF, IHD, major comorbidity), or renal/liver failure/metastatic cancer + Diagnosis Endoscopic diagnosis: Mallory-Weiss/no lesion, all other, or malignancy + Stigmata Major stigmata of hemorrhage: none, blood/adherent clot/visible vessel/spurting
Interpretation
≤2: Low risk (~5% rebleed, <1% mortality). 3-5: Moderate risk (~11% rebleed, 6% mortality). >5: High risk (~25% rebleed, 17% mortality).
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Rockall TA et al. 1996.
- Rockall TA et al. Risk assessment after acute upper gastrointestinal haemorrhage (Rockall Score)Rockall et al. 1996 · 1996 · Level I · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the Rockall Score (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 Rockall Score 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.
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