SLEDAI-2K (Systemic Lupus Erythematosus Disease Activity Index)
Quantifies lupus disease activity to guide immunosuppressive therapy adjustments
- Highest activation tier
- Mandatory
- How it is scored
- Scored in code; a detected disagreeing draft value is flagged for correction
- Scoring type
- questionnaire
- Care settings
- Inpatient, Outpatient
When it activates
Scribeable activates a calculator from the encounter. The SLEDAI-2K (Systemic Lupus Erythematosus Disease Activity Index) can activate when the transcript or pasted chart context documents any of these:
- SLE disease activity assessment
- Lupus flare evaluation
- Immunosuppressive therapy adjustment
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: M32.
Note-type scope: it activates on notes whose subject resolves to rheumatology. 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; an input marked "asks you" is requested as a clarification when it is undocumented.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| SLEDAI-2K total score (0-105) | exam |
Scoring
24 weighted items across 9 organ systems. Total 0-105.
Interpretation
0: Inactive. 1-5: Mild activity. 6-10: Moderate activity. 11-19: High activity. ≥20: Very high activity — aggressive immunosuppression needed.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Gladman 2002.
- Bombardier C et al. Derivation of the SLEDAI — a disease activity index for lupus patients (SLEDAI-2K)Bombardier et al. (SLEDAI) 2002 · 2002 · Level I · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the SLEDAI-2K (Systemic Lupus Erythematosus Disease Activity Index) at the mandatory tier, Scribeable resolves its inputs from the transcript, the pasted chart context and any charted labs, and asks you for a missing input you can supply before the note is finalised. Bedside-exam and separately ordered study values are not requested one input at a time; a calculator that carries a combined clarification question may still put that single question to you.
The score is computed in code from the resolved inputs, not recalled by the language model. If the draft states a SLEDAI-2K (Systemic Lupus Erythematosus Disease Activity Index) 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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