Build the study narrative as you enter findings

Enter only the findings you want documented. Blank fields are omitted automatically. The generated text below is designed to be copied directly into the chart and can still be edited after pasting.

RIGHT LOWER EXTREMITY

Study / deep-system screening

Position

Deep-system statement (optional)

Study limitations (optional)

Great Saphenous Vein (GSV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

SFJ

GSV just distal to SFJ

GSV proximal thigh

GSV mid thigh

GSV distal thigh

GSV at knee

GSV proximal calf

GSV mid calf

GSV distal calf

Anterior Saphenous Vein (ASV / AASV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

ASV junction/origin

ASV proximal thigh

ASV mid thigh

ASV distal thigh

Posterior Accessory Saphenous Vein (PASV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

PASV proximal

PASV mid

PASV distal

Small Saphenous Vein (SSV / SPJ)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

SPJ / level of SPJ

SSV proximal calf

SSV mid calf

SSV distal calf

Perforating veins

LocationDiameter mmReflux msComment

Tributaries, varicosities & non-saphenous reflux

Varicosities

Refluxing tributaries

Non-saphenous reflux

Other finding

LEFT LOWER EXTREMITY

Study / deep-system screening

Position

Deep-system statement (optional)

Study limitations (optional)

Great Saphenous Vein (GSV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

SFJ

GSV just distal to SFJ

GSV proximal thigh

GSV mid thigh

GSV distal thigh

GSV at knee

GSV proximal calf

GSV mid calf

GSV distal calf

Anterior Saphenous Vein (ASV / AASV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

ASV junction/origin

ASV proximal thigh

ASV mid thigh

ASV distal thigh

Posterior Accessory Saphenous Vein (PASV)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

PASV proximal

PASV mid

PASV distal

Small Saphenous Vein (SSV / SPJ)

Overall finding

Reflux source

Reflux extends from

Reflux extends to

Maximum reflux (ms)

Maximum diameter (mm)

Prior treatment / anatomy

Optional free-text detail

SegmentDiameter mmReflux msFinding

SPJ / level of SPJ

SSV proximal calf

SSV mid calf

SSV distal calf

Perforating veins

LocationDiameter mmReflux msComment

Tributaries, varicosities & non-saphenous reflux

Varicosities

Refluxing tributaries

Non-saphenous reflux

Other finding

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