ID

23656

Descrição

Derived from www.openehr.org . Use to record the presence or absence of a pulse or heart beat. In practice, the terms 'heart rate' and 'pulse rate' are often used interchangeably, although they may be measured at different body sites. This archetype allows either term to be used when the measurement site is not specified, to suit clinician preferences. Use to record the measurement of the pulse rate, or heart rate, observations about the associated pattern and character, and clinical interpretation of the findings. Measurements such as the maximum pulse or heart rate over an interval of time can be recorded using 'Maximum' event. Others point-in-time or interval events may be specified within a template or at run-time. In development of this archetype, there has been some tension around representation of the regularity of the pulse or heart beat. This archetype represents the relevant data points separately: firstly establishing 'Regular' vs 'Irregular' and then, if 'Irregular', further options of 'Regularly irregular' and 'Irregularly irregular'. In practice, clinical systems could offer users a combination of the values from the 'Regular?' and 'Irregular type' - for example, 'Regular', 'Regularly irregular' and 'Irregularly irregular' drawn from these two data elements. Data could be recorded against both data elements with the assumption that if one of the irregular types are selected, then the 'Irregular' value in the 'Regular?' data element is also automatically selected. In certain situations it is important to be very specific so that a rate observed at a peripheral body site, such as the radial artery, can be differentiated from the rate of the heart. To record a pulse deficit, record the measurements of the mechanical heart rate and a peripheral pulse rate in two instances of this archetype - the difference between these measurments is the pulse deficit. The actual pulse deficit will be recorded in a separate OBSERVATION archetype.

Link

www.openehr.org

Palavras-chave

  1. 10/07/2017 10/07/2017 - Martin Dugas
  2. 10/07/2017 10/07/2017 - Martin Dugas
Transferido a

10 de julho de 2017

DOI

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Licença

Creative Commons BY-SA 3.0

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Pulse/Heart Beat (EHR Archetype)

openEHR-EHR-OBSERVATION.pulse.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.pulse.v1
    1. openEHR-EHR-OBSERVATION.pulse.v1
openEHR-EHR-OBSERVATION.pulse.v1.xml
Descrição

openEHR-EHR-OBSERVATION.pulse.v1.xml

Pulse/Heart beat
Descrição

Record details about the rate and associated attributes for a pulse or heart beat.

Tipo de dados

integer

Alias
UMLS CUI [1]
C0232117
Rate
Descrição

The rate, measured in beats per minute.

Tipo de dados

text

Alias
UMLS CUI [1]
C1521828
Maximum
Descrição

Maximum pulse rate or heart rate observed during a period of exertion.

Tipo de dados

integer

Alias
UMLS CUI [1]
C0806909
Body site
Descrição

Body site where the pulse or heart beat were observed.

Tipo de dados

text

Alias
UMLS CUI [1]
C1515974
Regular?
Descrição

Is the pulse or heart beat regular?

Tipo de dados

text

Alias
UMLS CUI [1]
C0425565
Irregular type
Descrição

More specific pattern of an irregular pulse or heart beat.

Tipo de dados

text

Alias
UMLS CUI [1]
C0392684
Character
Descrição

Description of the character of the pulse or heart beat.

Tipo de dados

text

Alias
UMLS CUI [1]
C0425570
Position
Descrição

The body position of the subject during the observation.

Tipo de dados

text

Alias
UMLS CUI [1]
C0733755
Presence
Descrição

Presence of a pulse or heart beat.

Tipo de dados

text

Alias
UMLS CUI [1]
C0150312
Device
Descrição

Details about the device used to measure the pulse rate or heart rate.

Tipo de dados

text

Alias
UMLS CUI [1]
C0699733
Exertion
Descrição

Details about physical exertion being undertaken during the examination.

Tipo de dados

text

Alias
UMLS CUI [1]
C0015264
Method
Descrição

Method used to observe the pulse or heart beat.

Tipo de dados

text

Alias
UMLS CUI [1]
C0871511
Clinical description
Descrição

Narrative description about the pulse or heart beat.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C0205210
Clinical interpretation
Descrição

Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.

Tipo de dados

text

Alias
UMLS CUI [1]
C4086187
Confounding factors
Descrição

Narrative description about any incidental factors that may affect interpretation of the physical findings.

Tipo de dados

text

Alias
UMLS CUI [1]
C0009673
Comment
Descrição

Additional narrative about the pulse or heart beat findings not captured in other fields.

Tipo de dados

text

Alias
UMLS CUI [1]
C0947611

Similar models

openEHR-EHR-OBSERVATION.pulse.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.pulse.v1
    1. openEHR-EHR-OBSERVATION.pulse.v1
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Pulse
Item
Pulse/Heart beat
integer
C0232117 (UMLS CUI [1])
Item
Rate
text
C1521828 (UMLS CUI [1])
Code List
Rate
CL Item
Pulse Rate (1)
C0232117 (UMLS CUI-1)
CL Item
Heart Rate (2)
C0018810 (UMLS CUI-1)
Maximum
Item
Maximum
integer
C0806909 (UMLS CUI [1])
Item
Body site
text
C1515974 (UMLS CUI [1])
Code List
Body site
CL Item
Radial Artery - Left (1)
CL Item
Radial Artery - Right (2)
CL Item
Heart (3)
CL Item
Carotid Artery - Left (4)
CL Item
Carotid Artery - Right (5)
CL Item
Femoral Artery - Left (6)
CL Item
Femoral Artery - Right (7)
CL Item
Brachial artery - Right (8)
CL Item
Brachial artery - Left (9)
CL Item
Finger (10)
CL Item
Toe (11)
CL Item
Ear lobe (12)
Item
Regular?
text
C0425565 (UMLS CUI [1])
Code List
Regular?
CL Item
Regular (1)
C0425565 (UMLS CUI-1)
CL Item
Irregular (2)
C0392684 (UMLS CUI-1)
Item
Irregular type
text
C0392684 (UMLS CUI [1])
Code List
Irregular type
CL Item
Regularly Irregular (1)
CL Item
Irregularly Irregular (2)
Pulse Character
Item
Character
text
C0425570 (UMLS CUI [1])
Item
Position
text
C0733755 (UMLS CUI [1])
Code List
Position
CL Item
Standing/upright (2)
C0231472 (UMLS CUI-2)
CL Item
Sitting (3)
C0277814 (UMLS CUI-1)
CL Item
Reclining (4)
C0515708 (UMLS CUI-1)
CL Item
Lying (5)
C0444334 (UMLS CUI-1)
Item
Presence
text
C0150312 (UMLS CUI [1])
Code List
Presence
CL Item
Pulse presence (1)
CL Item
Heart beat presence (2)
CL Item
Present (3)
CL Item
Not detected (4)
Device
Item
Device
text
C0699733 (UMLS CUI [1])
Exertion
Item
Exertion
text
C0015264 (UMLS CUI [1])
Item
Method
text
C0871511 (UMLS CUI [1])
Code List
Method
CL Item
Palpation (1)
C0030247 (UMLS CUI-1)
CL Item
Auscultation (2)
C0004339 (UMLS CUI-1)
CL Item
Automatic, non-invasive (3)
CL Item
Automatic, invasive (4)
Clinical description
Item
Clinical description
text
C0678257 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Item
Clinical interpretation
text
C4086187 (UMLS CUI [1])
Code List
Clinical interpretation
CL Item
Clinical interpretation (1)
CL Item
Rhythm (2)
Confounding factors
Item
Confounding factors
text
C0009673 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])

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