bodyPositionQualifierCertain disease states can be detected by observing differences in heart rate, blood pressure, or respiration when the patient’s body is in different positions (e.g., sitting, standing, etc.). It therefore may be necessary to record the patient’s body position when recording the primary observation. This property records an observation of the patient’s body position during the time the heart rate, blood pressure, or respiration rate was observed."Position for orthostatic blood pressure." - PCORnet Common Data Model, Vital.BP_Position. Possible values include: Sitting; Standing; Supine; No information; Unknown; Other.
bodySiteCertain disease states may cause a person’s blood pressure to be different in different parts of the body. It is therefore often important to know where on the body the blood pressure was measured, especially when comparing to other blood pressure measurements.This property contains the code that specifies the anatomical site or system that is the focus of the Observation. In the generic clinical Observation class, this code is not “bound” to a particular value set. In this class, the property is re-defined to a set of values that are appropriate to Blood Pressure measurements. These values come from the SNOMED-CT coding system.
cuffSizeQualifierThe most common method of measuring blood pressure involves the use of an inflatable (Riva-Rocci) cuff to constrict the blood flow during measurement. These cuffs are designed to operate on a specific range of body-part (e.g., arm, thigh) circumferences. Occasionally a cuff is used that is not of the ideal size for the given patient (i.e., the patient may be an infant or an obese adult), usually because the appropriate sized cuff is not available. The use of a non-ideal sized cuff may result in an inaccurate reading, and therefore must be noted. This property indicates the cuff size that was used to obtain the Blood Pressure measurement.
diastolicEndpointQualifierOf the five sounds defined by Korotkof early in the 20th century, there has been disagreement on whether diastolic pressure should be measured at phase IV (muffling of sound) or phase V (disappearance of sound). In some patients, the measurements can differ significantly. In cases where the distinction is significant, local policy may specify one point or the other: in at least these cases, and potentially all, the phase, or "end point," at which the measurement is taken should be recorded. - Adapted from Practical Management of Hypertension (Birkenhäger, ed.); ABC of Hypertension (Beevers et al); The 5-minute Pediatric Consult (Schwartz, ed).This property indicates the phase at which the diastolic pressure was measured.
methodThis property contains a code that specifies additional detail about the means or technique used to ascertain the Observation. In the generic clinical Observation class, this code is not “bound” to a particular value set. In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements. These values come from the SNOMED-CT coding system.
patientStateExertionQualifierHeart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise. This property records an sub-observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.
sleepStatusQualifierBlood pressure normally rises and falls depending on whether a person is awake or asleep. This indicates whether the patient was awake or asleep at the time that the Blood Pressure measurement was taken.
FHIM::ClinicalObservation::ObservationStatement