TEMPLATE Vital signs (Vital signs)

TEMPLATE IDVital signs
ConceptVital signs
DescriptionNot Specified
PurposeNot Specified
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.857
Root archetype idopenEHR-EHR-SECTION.vital_signs.v1
Vital signsVital signs: A group of observations that are recorded at the same time and record the blood pressure, pulse, temperature and other readings
Blood PressureBlood Pressure: The local measurement of arterial blood pressure which is a surrogate for arterial. pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm.
DataData: History Structural node.
any eventany event: Default event.
Data
SystolicSystolic: Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
0..1000 mmHg
DiastolicDiastolic: Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
0..1000 mmHg
Mean Arterial PressureMean Arterial Pressure: The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
0..1000 mmHg
Pulse PressurePulse Pressure: The difference between the systolic and diastolic pressure.
0..1000 mmHg
CommentComment: Comment on blood pressure measurement.
State
PositionPosition: The position of the subject at the time of measurement.
  • Standing 
  • Sitting 
  • Reclining 
  • Lying 
  • Lying with tilt to left 
Assumed value: Sitting
Confounding factorsConfounding factors: Comment on and record other incidental factors that may be contributing to the blood pressure measurement. For example, level of anxiety or 'white coat syndrome'; pain or fever; changes in atmospheric pressure etc.
Sleep statusSleep status: Sleep status - supports interpretation of 24 hour ambulatory blood pressure records.
  • Alert & awake 
  • Sleeping 
Assumed value: Alert & awake
TiltTilt: The craniocaudal tilt of the surface on which the person is lying at the time of measurement.
-90..90 °
Assumed value: 0 °
24 hour average24 hour average: Estimate of the average blood pressure over a 24 hour period.
Data
SystolicSystolic: Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
0..1000 mmHg
DiastolicDiastolic: Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
0..1000 mmHg
Mean Arterial PressureMean Arterial Pressure: The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
0..1000 mmHg
Pulse PressurePulse Pressure: The difference between the systolic and diastolic pressure.
0..1000 mmHg
CommentComment: Comment on blood pressure measurement.
State
PositionPosition: The position of the subject at the time of measurement.
  • Standing 
  • Sitting 
  • Reclining 
  • Lying 
  • Lying with tilt to left 
Assumed value: Sitting
Confounding factorsConfounding factors: Comment on and record other incidental factors that may be contributing to the blood pressure measurement. For example, level of anxiety or 'white coat syndrome'; pain or fever; changes in atmospheric pressure etc.
Sleep statusSleep status: Sleep status - supports interpretation of 24 hour ambulatory blood pressure records.
  • Alert & awake 
  • Sleeping 
Assumed value: Alert & awake
TiltTilt: The craniocaudal tilt of the surface on which the person is lying at the time of measurement.
-90..90 °
Assumed value: 0 °
ProtocolProtocol: List structure.
Cuff sizeCuff size: The size of the cuff used for blood pressure measurement.
Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993;88;2460-2470.
  • Adult Thigh 
  • Large Adult 
  • Adult 
  • Small Adult 
  • Paediatric/Child 
  • Infant 
  • Neonatal 
LocationLocation: Body location where blood pressure is measured. Use 'Location of measurement' to select from common sites. Use 'Specific location' to record more specific details or a site that is not in the common set or to refer to an external terminology.
Location of measurementLocation of measurement: Common body sites where blood pressure is recorded.
  • Right arm 
  • Left arm 
  • Right thigh 
  • Left thigh 
  • Right wrist 
  • Left wrist 
  • Right ankle 
  • Left ankle 
  • Finger 
  • Toe 
  • Intra-arterial 
Specific locationSpecific location: Specific details about the body site where blood pressure is recorded.
MethodMethod: Method of measurement of blood pressure.
  • Auscultation 
  • Palpation 
  • Machine 
  • Invasive 
Mean Arterial Pressure FormulaMean Arterial Pressure Formula: Formula used to calculate the MAP (if recorded in data).
Diastolic endpointDiastolic endpoint: Record which Korotkoff sound is used for determining diastolic pressure using auscultative method.
  • Phase IV 
  • Phase V 
Clinical SynopsisClinical Synopsis: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations.
Data
SynopsisSynopsis: The summary, assessment, conclusions or evaluation of the clinical findings.