On this page, BHC provides resources and tools to assist in the diagnosis, treatment, and management of these diseases.
ME/CFS Diagnostic Criteria
National Academy of Medicine ME/CFS Diagnostic and Treatment Guidelines:
Mayo Clinic Proceedings (2021)
U.S. ME/CFS Clinician Coalition (2021)
- Testing Recommendations for Suspected ME/CFS
- ME/CFS Treatment Recommendations
- Basics of diagnosis & treatment of ME/CFS (2020 guidelines)
Top Resources
Special considerations and tools to gather patient information:
- ER and Urgent Care Considerations for ME/CFS (Bateman Horne Center)
- Information about ME/CFS for Providers
- Good Day/Bad Day Questionnaire: Hours of Upright Activity (HUA) and level of impairment
- Health Assessment Worksheet
Post-Exertional Malaise (PEM)
- ME/CFS Crash Survival Guidebook (Bateman Horne Center)
- PEM Patient Handout (Workwell Foundation)
Orthostatic Intolerance (OI)
- Orthostatic Intolerance (basics, symptoms, interventions)
- 10-Minute NASA Lean Test (assessing for OI, provider instructions)
Quick Access: Diagnostic Tools
Fatigue Screen:
Mental Health Screen
Orthostatic Screens
- Orthostatic Hypotension (Intolerance) Questionnaire (OHQ)
- 10-Minute NASA Lean Test (provider instructions)
- 10-Mintue NASA Lean Test (patient instructions)
Pain Screens
- Fibromyalgia Impact Questionnaire-Revised (FIQR)
- 2016 FM Diagnostic Criteria
- Symptom Impact Questionnaire-Revised (SIQ-R)
Somnolence Screen
- Epworth Sleepiness Scale (ESS): score of 0-7 suggest patient is not abnormally sleepy.
Top Provider Videos
Project ECHO
- Long COVID & Post-Viral Syndromes ECHO (with University of Utah Health) ME/CFS (Bateman Horne Center)
- Long COVID & Fatiguing Illness Recovery Program ECHO
Additional Videos
- Unraveling the Complexity of Chronic Pain & Fatigue (3-part series)
- What is ME/CFS? (diagnostic criteria- 6 minute video)
- What is Orthostatic Intolerance in ME/CFS Part 1 (assessment- 6 min video)
- What is Orthostatic Intolerance in ME/CFS Part 2 (management -5 minute video)