Lithuanian Vital Signs Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Vital Signs Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-vitalsigns/ and changes regularly. See the Directory of published versions

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Profiles

Observation, Device, and BodyStructure profiles for vital signs

Blood Pressure Panel

Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.

Body Height

The measurement in centimeters or feet and inches from the top of the head to the heel, usually while standing.

Body Mass Index

Body Mass Index (BMI) is a measure of body fat based on height and weight.

Body Weight

The measured mass of an individual's body.

Heart Rate

The number of heart beats in a minute.

Head Circumference

Head Occipital-frontal circumference by Tape measure. The measurement in centimeters or inches around the largest part of the head.

Waist Circumference

Waist circumference by Tape measure. The measurement in centimeters or inches around the narrowest part of the waist.

Device for Blood Pressure Measurement

Device used to measure blood pressure.

Device for Body Height Measurement

Device used to measure body height.

Body Weight Measurement Device

Device used to measure body weight.

Device for Heart Rate Measurement

Device used to measure heart rate.

Body Structure for Blood Pressure

Body Structure profile to describe where on the body a blood pressure measurement was taken.

Extensions

Extensions for vital signs context

Associated Situation Extension

Situations that may affect the measurement or assessment.

Body Position Extension

The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code.

Exercise Association Extension

The exercise state associated with the measurement.

Measurement Setting Extension

The location or setting the subject was in when the measurement was obtained. For example, home, clinic, hospital. etc.

Sleep Status Extension

The state of wakefulness during the measurement.

Terminology

ValueSets and CodeSystems for vital signs

Blood Pressure Cuff Size

SNOMED CT code system values that describe the size of blood pressure cuff in use.

BP Panel observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing an arterial systolic and diastolic BP panel of vital signs measurements in Observation.component.code.

Blood Pressure Panel observation codes (SNOMED CT)

SNOMED CT codes for blood pressure panel vital sign measurements in Observation.code.

BP Systolic observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing an arterial systolic BP vital sign measurement in Observation.component.code.

BP Systolic observation codes (SNOMED CT)

SNOMED CT codes for systolic blood pressure component in Observation.component.code.

BP Diastolic observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing an arterial diastolic BP vital sign measurement in Observation.component.code.

BP Diastolic observation codes (SNOMED CT)

SNOMED CT codes for diastolic blood pressure component in Observation.component.code.

BP Mean observation codes (LOINC)

LOINC codes for mean arterial blood pressure component in Observation.component.code.

BP Mean observation codes (SNOMED CT)

SNOMED CT codes for mean arterial blood pressure component in Observation.component.code.

Blood Pressure Units

UCUM units for recording blood pressure.

Blood Pressure Measurement Body Location

SELECT SNOMED CT code system values that describe the location on the body where the blood pressure was measured.

Blood Pressure Measurement Method

SNOMED CT code system values that describe how a blood pressure was measured.

Heart Rate observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing heart rate vital sign measurements in Observation.code.

Heart Rate observation codes (SNOMED CT)

SNOMED CT codes for heart rate vital sign measurements in Observation.code.

Heart Rate Measurement Body Location

SNOMED CT code system values that describe where on the body the heart rate was measured.

Heart Rate Measurement Method

SNOMED CT code system values that describe how the heart rate was measured.

Body Height observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing body height (including body length) vital sign measurements in Observation.code.

Body Height observation codes (SNOMED CT)

SNOMED CT codes for body height vital sign measurements in Observation.code.

Body Weight observation codes

This value set defines the set of LOINC codes considered to be appropriate for representing body weight vital sign measurements in Observation.code.

Body Weight observation codes (SNOMED CT)

SNOMED CT codes for body weight vital sign measurements in Observation.code.

Body Mass Index observation codes (LOINC)

LOINC codes for body mass index vital sign measurements in Observation.code.

Body Mass Index observation codes (SNOMED CT)

SNOMED CT codes for body mass index vital sign measurements in Observation.code.

BMI Units

UCUM units for recording BMI

Body Length Units

UCUM units for recording body length measures such as height and head circumference

Body Weight Associated Situation

SNOMED CT code system values and temporary code system values that describe situations to be considered when interpreting measured values.

Rate Units

UCUM rate units for recording vital signs including heart and respiratory rate.

Height Length Measurement Method

SNOMED CT code system values that describe how the height/length was measured.

Head Circumference observation codes (LOINC)

LOINC codes for head circumference vital sign measurements in Observation.code.

Head Circumference observation codes (SNOMED CT)

SNOMED CT codes for head circumference vital sign measurements in Observation.code.

Waist Circumference observation codes (LOINC)

LOINC codes for waist circumference vital sign measurements in Observation.code.

Waist Circumference observation codes (SNOMED CT)

SNOMED CT codes for waist circumference vital sign measurements in Observation.code.

WaistCircumference Result Interpretation value set

that describes interpretations associated with a measured value.

Device Types for Blood Pressure Measurement

SNOMED CT code system values that describe the isntrument used to measure the blood pressure.

Device Types for Height Length Measurement

SNOMED CT code system values that describe the instrument used to measure the body height/length.

Device Types for Weight Measurement

SNOMED CT code system values that describe the instrument used to measure the body weight.

Device Types for Heart Rate Measurement

SELECT SNOMED CT code system values that describe the instrument used to measure the heart rate.

Body Position used in Vital Signs Measurements

SNOMED CT code system values the position in which the individual was in during a measurement.

Sleep Status in Vital Signs Measurements

SNOMED CT code system values that contains terms used to indicate the state of wakefulness during measurement.

Exertion Phase

SNOMED CT code system values that contains terms for exercise associated with a measurement.

Measurement Environment

Environment that indicate the surroundings the individual was in during the measurement (i.e. home, clinic, hospital, etc.).

Numeric Result Interpretation value set

The HL7 V3:ObservationInterpretation code set (OID: 2.16.840.1.113883.5.83) that describes interpretations associated with a measured value.

Numeric Result Interpretation without panic values, value set

The HL7 V3:ObservationInterpretation code set (OID: 2.16.840.1.113883.5.83) that describes interpretations associated with a measured value, constrained to terms that are not those associated with 'panic' terms.

SNOMED CT Vital Signs Extension

A set of codes that are defined in the Vital Signs extension to the SNOMED CT code system. To be used until they are adopted by SNOMED CT.

Examples

Example instances for vital signs and devices

Patient: John Doe (example)

An example Patient.

Observation: Blood Pressure (example)

Example observation representing a patient's blood pressure measurement.

Observation: Heart Rate (example)

Example observation representing the patient's heart rate measured at rest.

Observation: Body Height (example)

Example observation representing the patient's body height measured in centimeters.

Observation: Body Weight (example)

Example observation representing the patient's body weight measured in kilograms.

Observation: Body Mass Index (example)

An example BMI measurement for a patient.

Observation: Head Circumference (example)

Measured head circumference using a tape measure.

Observation: Waist Circumference (example)

Measured waist circumference using a tape measure.

Device: Blood Pressure Measurement (example)

Automated digital blood pressure monitor with adult cuff.

Device: Body Height Measurement (example)

A stadiometer used to measure the patient's height.

Device: Body Weight Measurement (example)

A weighing scale used to measure the patient's body weight.

Device: Heart Rate Measurement (example)

An automated digital heart rate monitor used for the measurement.

BodyStructure: Blood Pressure Measurement Site (example)

Example showing where on the body a blood pressure measurement was taken.