TEMPLATE Intensivmedizinisches Monitoring Herzfrequenz (Intensivmedizinisches Monitoring Herzfrequenz)

TEMPLATE IDIntensivmedizinisches Monitoring Herzfrequenz
ConceptIntensivmedizinisches Monitoring Herzfrequenz
DescriptionZur Darstellung der Herzfrequenz innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten.
UseDieses Template wird verwendet, um die Herzfrequenz innerhalb eines intensivmedizinischen Monitorings eines Patienten mit COVID-19 aufzuzeichnen.
PurposeZur Darstellung der Herzfrequenz innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten.
References
Authorsdate: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg
Other Details Languagedate: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1246.169.3506
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
ReportReport: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Bericht NameBericht Name: Identification information about the report.
  • Intensivmedizinisches Monitoring
StatusStatus: The status of the entire report. Note: This is not the status of any of the report components.
Case identificationCase identification: To record case identification details for public health purposes.
Case identifierCase identifier: The identifier of this case.
HerzfrequenzHerzfrequenz: The rate and associated attributes for a pulse or heart beat.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
PresencePresence: Presence of a pulse or heart beat.
It can be implied that the pulse or heart beat is present if Rate >0 /min.
  • Present 
  • Not detected 
RateRate: The rate of the pulse or heart beat, measured in beats per minute.
0..1000 /min
RegularityRegularity: Regularity of the pulse or heart beat.
  • Regular 
  • Irregular 
Irregular typeIrregular type: More specific pattern of an irregular pulse or heart beat.
Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.
  • Regularly Irregular 
  • Irregularly Irregular 
CharacterCharacter: Description of the character of the pulse or heart beat.
Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.
Clinical descriptionClinical description: Narrative description about the pulse or heart beat.
(Clinical interpretation)(Clinical interpretation): Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.
Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed.
CommentComment: Additional narrative about the pulse or heart beat findings not captured in other fields.
State
PositionPosition: The body position of the subject during the observation.
  • Standing/upright 
  • Sitting 
  • Reclining 
  • Lying 
Confounding factorsConfounding factors: Narrative description about any incidental factors that may affect interpretation of the physical findings.
For example, presence of a pacemaker, level of anxiety; pain or fever etc.
MaximumMaximum: Maximum pulse rate or heart rate observed during a period of exertion.
Data
PresencePresence: Presence of a pulse or heart beat.
It can be implied that the pulse or heart beat is present if Rate >0 /min.
  • Present 
  • Not detected 
RateRate: The rate of the pulse or heart beat, measured in beats per minute.
0..1000 /min
RegularityRegularity: Regularity of the pulse or heart beat.
  • Regular 
  • Irregular 
Irregular typeIrregular type: More specific pattern of an irregular pulse or heart beat.
Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.
  • Regularly Irregular 
  • Irregularly Irregular 
CharacterCharacter: Description of the character of the pulse or heart beat.
Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.
Clinical descriptionClinical description: Narrative description about the pulse or heart beat.
(Clinical interpretation)(Clinical interpretation): Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.
Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed.
CommentComment: Additional narrative about the pulse or heart beat findings not captured in other fields.
State
PositionPosition: The body position of the subject during the observation.
  • Standing/upright 
  • Sitting 
  • Reclining 
  • Lying 
Confounding factorsConfounding factors: Narrative description about any incidental factors that may affect interpretation of the physical findings.
For example, presence of a pacemaker, level of anxiety; pain or fever etc.
Protocol
Body siteBody site: Body site where the pulse or heart beat were observed.
  •  Coded Text
    • Radial Artery - Left 
    • Radial Artery - Right 
    • Heart 
    • Carotid Artery - Left 
    • Carotid Artery - Right 
    • Femoral Artery - Left 
    • Femoral Artery - Right 
    • Brachial artery - Right 
    • Brachial artery - Left 
    • Finger 
    • Toe 
    • Ear lobe 
  •  Text