Standard Patient Evaluation of Eye Dryness (SPEED)
Rapid screening tool for dry eye symptom frequency and severity to support clinical decision-making
- Highest activation tier
- Available
- 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
- Outpatient
When it activates
Scribeable activates a calculator from the encounter. The Standard Patient Evaluation of Eye Dryness (SPEED) can activate when the transcript or pasted chart context documents any of these:
- Dry eye screening
- Dry eye symptom assessment
- Eye dryness evaluation
- Contact lens intolerance workup
- Dry eye treatment response
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: H04.12.
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 the code-scoring engine never inserts the score unprompted.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| SPEED score (0-28) from frequency and severity of 4 symptoms | symptom |
Scoring
4 symptoms (dryness/grittiness/scratchiness, soreness/irritation, burning/watering, eye fatigue) each rated for frequency (0-3: never, sometimes, often, constant) and severity (0-4: no problems, tolerable, uncomfortable, bothersome, intolerable). Score = sum of frequency + severity scores. Range 0-28.
Interpretation
Score 0-4: Mild or no dry eye. Score 5-7: Moderate dry eye — consider treatment. Score >=8: Severe dry eye — treatment recommended. Quick and reproducible in clinical practice. Often used alongside OSDI for comprehensive assessment. Good correlation with clinical signs of dry eye disease.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: Ngo 2013.
- Ngo W et al. Psychometric properties and validation of the Standard Patient Evaluation of Eye Dryness questionnaire (SPEED)Ngo et al. (SPEED) 2013 · 2013 · Level I · link last verified 2026-03-28
How Scribeable handles it in the note
Scribeable can list the Standard Patient Evaluation of Eye Dryness (SPEED) as available to the note when the clinician's specialty matches and the encounter activates it. Its highest activation tier is available: you are never asked for its inputs, and the code-scoring engine never inserts it into the draft unprompted.
The registry entry carries the inputs, scoring criteria and interpretation above so a score you state is documented against the same reference.
Classified as a questionnaire: a patient-reported or clinician-rated instrument, where a spare activation carries low harm.
See it activate on your own encounter
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