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. 2017 Feb 10;2016:1293–1302.

Table 1.

Examples of Flowsheet Data Elements and Their Attributes and Value Set Found in LMR

Data Elements Attributes or Properties and Values
Blood pressure Body location: right arm, left arm, right leg, left leg, both arms, wrist
Method: doppler, manual, auto
Position: sitting, standing, lying
Device: large cuff, small cuff, thigh cuff, pedi cuff, adult cuff, dinamap
As per: home monitoring, from note, doctor repeated, patient reported, nurse verifiedm
Patient state: after relaxation, after exam, after medication, orthostatic
Comments: e.g. patient did not take medication, second reading
Pulse Body location: radial, apical, brachial, carotid, peripheral, pedal
Method: oximeter, EKG, manual
Position: standing, sitting, lying
Rhythm: regular, irregular, abnormal
Abnormal Rhythm: murmur, pre-mature beats, sinus arrhythmia
As per: reported by nurse, observed, verified by doctor
Negation: no
Temperature Body location: axillary, rectal, per ear
Patient condition: eating or drinking (hot or cold), post medication
As per: reported by nurse
Comments: e.g. patient eating chewing gum
Respiratory rate Rhythm: regular, irregular, deep, rapid, shallow
Patient condition: pre and post nebulizar, coughing, respiratory stress, wheezing
Patient state: at rest
As per: verified by nurse