Edinburgh Claudication Questionnaire
Edinburgh Claudication Questionnaire Decision tool for diagnosis of the claudication symptoms of peripheral vascular disease (PVD). Criteria (Asterisk indicates requirement for diagnosis of PVD) [select name="Q1" value="no=0|YES=100"] <-- Leg Pain with walking* [select name="Q2" value="yes=0|NO=100"] <-- Pain has onset while standing or sitting* [select name="Q3" value="no=0|YES=100"] <-- Pain occurs while walking fast or uphill* [select name="Q4" value="no=0|YES=1"] <-- Pain occur even at normal pace on level ground [select name="Q5" value="no=0|YES=100"] <-- Pain resolves within 10 minutes of standing still* [select name="Q6" value="Calf pain=10|Thigh or buttock pain without calf pain=20"] <-- Pain location Interpretation --> [calc memo="Interpretation" value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>420?'Meets criteria for PVD, findings of severe, atypical claudication':score>419?'Meets criteria for PVD, findings of atypical claudication':score>410?'Meets criteria for PVD, findings of severe, classic claudication':score>409?'Meets criteria for PVD, findings of classic claudication':score>400?'Meets criteria for PVD, findings suggest severe claudication':score>399?'Meets criteria for PVD':'Does not meet criteria for PVD'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link memo="#1" url="http://www.ncbi.nlm.nih.gov/pubmed/1474406"] Leng (1992) J Clin Epidemiol 45: 1101-9.[/conditional]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 10 form elements, 75 boilerplate words, 1 checkboxes, 6 drop downs, 1 links, 1 calculations, 1 conditionals, 7 total clicks
Send Feedback for this SOAPnote