Framingham Heart Failure Diagnostic Criteria

Framingham Heart Failure Diagnostic Criteria
------------------------------------------------------------
Major Criteria (CHF diagnosis requires 1 or more positive)
A. Acute pulmonary edema ---> [select name="acute_pulmonary"   value="no=0|yes=10"]
B. Cardiomegaly ---> [select name="cardiomegaly"   value="no=0|yes=10"]
C. Hepatojugular reflex ---> [select name="hepatojugular"   value="no=0|yes=10"]
D. Neck vein distention ---> [select name="neck_vein"   value="no=0|yes=10"]
E. Paroxysmal nocturnal Dyspnea or Orthopnea ---> [select name="orthopnea"   value="no=0|yes=10"]
F. Pulmonary rales ---> [select name="rales"   value="no=0|yes=10"]
G. Third Heart Sound (S3 Gallup Rhythm) ---> [select name="third_sound"   value="no=0|yes=10"]
Minor Criteria (CHF diagnosis requires 2 or more positive)
A. Ankle edema  ---> [select name="ankle"   value="no=0|yes=1"]
B. Dyspnea on exertion  ---> [select name="dyspnea"   value="no=0|yes=1"]
C. Hepatomegaly  ---> [select name="hepatomegaly"   value="no=0|yes=1"]
D. Nocturnal cough  ---> [select name="nocturnal_cough"   value="no=0|yes=1"]
E. Pleural Effusion  ---> [select name="pleural_effusion"   value="no=0|yes=1"]
F. Tachycardia (Heart Rate >120 beats per minute)  ---> [select name="tachycardia"   value="no=0|yes=1"]
------------------------------------------------------------
Interpretation:  [calc value="score=(tachycardia)+(pleural_effusion)+(nocturnal_cough)+(hepatomegaly)+(dyspnea)+(ankle)+(third_sound)+(rales)+(orthopnea)+(neck_vein)+(hepatojugular)+(cardiomegaly)+(acute_pulmonary); score>71?'meets Framingham criteria for CHF':score>69?'does not meet Framingham criteria for CHF':score>61?'meets Framingham criteria for CHF':score>59?'does not meet Framingham criteria for CHF':score>51?'meets Framingham criteria for CHF':score>49?'does not meet Framingham criteria for CHF':score>41?'meets Framingham criteria for CHF':score>39?'does not meet Framingham criteria for CHF':score>31?'meets Framingham criteria for CHF':score>29?'does not meet Framingham criteria for CHF':score>21?'meets Framingham criteria for CHF':score>19?'does not meet Framingham criteria for CHF':score>11?'meets Framingham criteria for CHF':'does not meet Framingham criteria for CHF'" memo="score interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
[link url="//www.ncbi.nlm.nih.gov/pubmed/19239582" memo="#1"] Maestre (2009) J Eval Clin Pract 15:55
[link url="//www.fpnotebook.com/cv/exam/FrmnghmHrtFlrDgnstcCrtr.htm" memo="#2"] FP Notebook page[/conditional]
Framingham Heart Failure Diagnostic Criteria
------------------------------------------------------------
Major Criteria (CHF diagnosis requires 1 or more positive)
A. Acute pulmonary edema --->
B. Cardiomegaly --->
C. Hepatojugular reflex --->
D. Neck vein distention --->
E. Paroxysmal nocturnal Dyspnea or Orthopnea --->
F. Pulmonary rales --->
G. Third Heart Sound (S3 Gallup Rhythm) --->
Minor Criteria (CHF diagnosis requires 2 or more positive)
A. Ankle edema --->
B. Dyspnea on exertion --->
C. Hepatomegaly --->
D. Nocturnal cough --->
E. Pleural Effusion --->
F. Tachycardia (Heart Rate >120 beats per minute) --->
------------------------------------------------------------
Interpretation: score interpretationscore=(tachycardia)+(pleural_effusion)+(nocturnal_cough)+(hepatomegaly)+(dyspnea)+(ankle)+(third_sound)+(rales)+(orthopnea)+(neck_vein)+(hepatojugular)+(cardiomegaly)+(acute_pulmonary); score>71?'meets Framingham criteria for CHF':score>69?'does not meet Framingham criteria for CHF':score>61?'meets Framingham criteria for CHF':score>59?'does not meet Framingham criteria for CHF':score>51?'meets Framingham criteria for CHF':score>49?'does not meet Framingham criteria for CHF':score>41?'meets Framingham criteria for CHF':score>39?'does not meet Framingham criteria for CHF':score>31?'meets Framingham criteria for CHF':score>29?'does not meet Framingham criteria for CHF':score>21?'meets Framingham criteria for CHF':score>19?'does not meet Framingham criteria for CHF':score>11?'meets Framingham criteria for CHF':'does not meet Framingham criteria for CHF'
display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 18 form elements, 102 boilerplate words, 1 checkboxes, 13 drop downs, 2 links, 1 calculations, 1 conditionals, 14 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: