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Demo 5: Vital Signs CDA Document - Datasets

 
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true50
Pulse regularity
Id demo5-dataelement-2840 Version 2014-07-08
Status Draft Version Label
Description
The normal  pulse rhythm  is regular, meaning that the frequency of the pulsation felt by your fingers follows an even tempo with equal intervals between pulsations. If you compare this to music, it involves a constant beat that does not speed up or slow down, but stays at the same tempo. Thus, the interval between pulsations is the same.

However, sinus arrhythmia is a common condition in children, adolescents, and young adults. Sinus arrhythmia involves an irregular pulse rhythm in which the pulse rate varies with the respiratory cycle: the heart rate increases at inspiration and decreases back to normal upon expiration. The underlying physiology of sinus arrhythmia is that the heart rate increases to compensate for the decreased stroke volume from the heart’s left side upon inspiration.
Source
Vital Sign Measurement Across the Lifespan – 1st Canadian edition (https://opentextbc.ca/vitalsign/)
Rationale
Irregularly irregular pulse rhythm is highly specific to atrial fibrillation.
Operationalization
Counting 1 full minute permits a more accurate reading and allows assessment of pulse strength and rhythm.
false
Value
Type Code
Value Set Association
Required/CNETo be conformant, instances of this element SHALL include a code from the specified value set. Pulse Rhythm (LOINC) (2013-12-31)
Concepts
Level/Type Concept Synonyms Code Display Name Codesystem
0-L regular
rhythmic
162999005
LA28148-7
On examination - pulse rhythm regular (finding)
Rhythmic
2.16.840.1.113883.2.4.4.30.14
Logical Observation Identifier Names and Codes
0-L irregular
arrhythmic
275954009
LA19581-0
On examination - irregular pulse (finding)
Arrhythmic
2.16.840.1.113883.2.4.4.30.14
Logical Observation Identifier Names and Codes
/
<  <<  !<<  (r) 
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/
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false
Usage (2)
Transaction Cardinality / Conformance Project
Summary Vital Signs 1…1 Demo 5: Vital Signs CDA Document
Template Path (Card/Conf) Project
HeartRatePeripheral 2013-12-19T00:00:00 hl7:observation (1…1 R) / hl7:entryRelationship (0…* R) / hl7:observation (1…1 R) / hl7:value (1…1 R) Demo 5: Vital Signs CDA Document
 
 
false
History (2)
Date Author Status Type
2020-06-24 18:07:25 dr Kai U. Heitmann Draft version
2020-06-24 17:57:05 dr Kai U. Heitmann Draft version
true50
Dataset Demo 5 dataset –
Id demo5-dataset-1 Version 2014-07-08
Status Draft Version Label
false
Description
Demo 5 dataset
false
Usage (1)
Transaction Project
Summary Vital Signs Demo 5: Vital Signs CDA Document
 
 
false
History (2)
Date Author Status Type
2018-04-05 21:55:13 dr Kai U. Heitmann Draft version
2018-04-05 21:54:33 dr Kai U. Heitmann Draft version