Wagner Classification for Diabetic Foot Ulcers

When it activates

Scribeable activates a calculator from the encounter. The Wagner Classification for Diabetic Foot Ulcers can activate when the transcript or pasted chart context documents any of these:

• Diabetic foot ulcer grading
• Diabetic wound assessment
• Foot ulcer treatment planning

Inputs the note needs

1 input. Each is resolved from the transcript, the pasted chart context and charted labs; an input marked "asks you" is requested as a clarification when it is undocumented.

Scoring

0=Intact skin/bony deformity, 1=Superficial ulcer, 2=Deep ulcer to tendon/bone, 3=Deep with abscess/osteomyelitis, 4=Gangrene forefoot, 5=Gangrene whole foot.

Interpretation

0: Preventive care. 1: Offloading, local wound care. 2: Debridement, antibiotics if infected. 3: Surgical debridement, IV antibiotics. 4: Partial amputation may be needed. 5: Major amputation likely needed.

Evidence

Sources carried in Scribeable's citation registry for this calculator; guideline version: Wagner 1981.

• Wagner FW Jr. The dysvascular foot: a system for diagnosis and treatmentWagner (Diabetic Foot) 1981 · 1981 · link last verified 2026-03-28

How Scribeable handles it in the note

When an encounter activates the Wagner Classification for Diabetic Foot Ulcers at the mandatory tier, Scribeable resolves its inputs from the transcript, the pasted chart context and any charted labs, and asks you for a missing input you can supply before the note is finalised. Bedside-exam and separately ordered study values are not requested one input at a time; a calculator that carries a combined clarification question may still put that single question to you.

The score is computed in code from the resolved inputs, not recalled by the language model. A stated Wagner Classification for Diabetic Foot Ulcers value is compared against the computed one when the draft's structured summary carries it; a disagreement found there is flagged to the second drafting pass, which is instructed to correct the score and its interpretation, unless Scribeable has supplied the computed value to that pass, in which case the value the draft writes is checked against the supplied one and a detected difference is shown beside the note for you to adjudicate rather than silently rewritten.

Classified as a staging or classification system: activated strictly, because a wrong stage on the wrong patient is a documentation hazard.

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Can activate in: Vascular Surgery, Endocrinology, Wound Care, Podiatry.