RxTrayClinical toolkit

Emergency medicine · Pretest probability

Wells Score for Pulmonary Embolism

Apply the two-tier Wells framework to a patient in whom pulmonary embolism is clinically suspected.

Evidence recordRestricted clinical scopeVersion 0.1 · Updated July 17, 2026

Patient factors

Select one answer per row

Private by design. Values are calculated on this device and are not saved or sent to analytics.

01Clinical signs of DVTLeg swelling and pain with palpation of deep veins.
02PE judged more likely than an alternative diagnosisA clinician-dependent item; do not select automatically.
03Heart rate greater than 100/min
04Immobilization or recent surgeryImmobilization for at least 3 days or surgery in the previous 4 weeks.
05Previous DVT or PE
06Hemoptysis
07MalignancyTreatment within 6 months or palliative disease.

Result

Complete all factors

7 remaining
points

The score and its interpretation band will appear here.

No automatic diagnosis or treatment recommendation. The score does not diagnose or exclude PE. It must be used only after clinical assessment and within a validated local diagnostic pathway.

Evidence packet

What this tool is based on

This versioned record keeps the citations, equation or decision rule, units, test coverage, intended population, and exclusions attached to the tool.

How evidence review works →
Intended population

Clinically assessed patients with suspected pulmonary embolism in a validated diagnostic pathway.

Equation record

Seven-item Wells PE score with the two-tier threshold: PE unlikely ≤4; PE likely >4.

Unit handling

Categorical weighted point score only.

Test coverage

Half-point arithmetic, every factor, incomplete state, maximum score, and >4 two-tier boundary.

Do not skip

Limitations and exclusions

  • Does not diagnose or exclude PE.
  • The 'PE more likely' item requires clinician judgment and cannot be inferred automatically.
  • Do not mix two-tier and three-tier interpretation schemes.
  • Pregnancy, pediatric patients, anticoagulated patients, and population-specific pathways may require different approaches.

About this tool

Wells Score for Pulmonary Embolism Calculator

Use this Wells PE calculator to total the published clinical criteria used in pulmonary-embolism pretest probability assessment.

The result belongs inside a validated diagnostic pathway and does not diagnose or exclude pulmonary embolism by itself. Apply the scoring model and local pathway consistently.

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