This article by Chiang, Liu, and Bock (2017) might be useful: Article A discussion on disease severity index values. Part I: warni...

"The disease severity is estimated by a rater as a value on the scale and has been used to determine a disease severity index (DSI) on a percentage basis, where DSI (%) = [sum (class frequency × score of rating class)]/[(total number of plants) × (maximal disease index)] × 100....the most accurate method for estimation of a DSI is to use the midpoint of the severity range for each class with an amended 10% ordinal scale (an ordinal scale based on a 10% linear scale emphasising severities ≤50% disease, with additional grades at low severities)."