Vital Signs Refsets
- Susan Castillo
- Susan Matney
- John Kilbourne
Owned by Susan Castillo
| Version | Release Date | Number of Refsets | Number of New Concepts |
|---|---|---|---|
| 20180824 | August, 24th 2018 | 9 | |
| Refset Name | Version | Date Published | Status of Refset | Total Members | Purpose |
|---|---|---|---|---|---|
| Body Height Measurement Devices Refset | TBD | TBD | This reference set is used to result LOINC code 41910-1 "Type of Height device" | ||
| Body Position Refset | 20180824 | August, 24th 2018 | 11 | This reference set contains concepts used to result the patient's body position, referencing the SNOMED Code 397155001 Body position (observable entity) and the LOINC term "Body position with respect to gravity" 8361-8. | |
| Blood Pressure Device Cuff Size Refset | 20180824 | August, 24th 2018 | 13 | This reference set contains concepts used to result the size of a blood pressure cuff used during a blood pressure measurement, referencing the SNOMED Code 722471002 "Size of blood pressure cuff (observable entity)" and the LOINC term "Blood pressure device Cuff size" 8358-4. | |
| Blood Pressure Device Type Refset | 20180824 | August, 24th 2018 | 5 | This reference set contains concepts used to result the type of device used to measure a body blood pressure, referencing the SNOMED Code 23591000205102 “Blood pressure device type (observable entity)" and the LOINC term “Type of Blood pressure device” 41901-0. | |
| Blood Pressure Measurement Site Refset | 20180824 | August, 24th 2018 | 16 | This reference set contains values used to result the body location where a blood pressure was measured, referencing the SNOMED Code 2281000205100 “Blood pressure measurement site (observable entity)” and the LOINC term "Blood pressure measurement site", 41904-4. | |
| Blood Pressure Method Refset | 20180824 | August, 24th 2018 | 8 | This reference set contains concepts used to result the method used for a blood pressure measurement, referencing the SNOMED Code 2291000205103 “Blood pressure method (observable entity)” and the LOINC term "Blood pressure method" 8357-6. | |
| Body Side Refset | TBD | TBD | This reference set contains concepts used to result the body side of a condition or measurement. This reference set is used to result LOINC code 20228-3 "Anatomic part Laterality". | ||
| Body Temperature Device Type Refset | 20180824 | August, 24th 2018 | Retired | 7 | The content previously found in this refset is now found in Body temperature method measurement and device reference set |
| Body Temperature Measurement Method and Device Refset | TBD | TBD | Body temperature is taken and the user records measurement method or instrument used to evaluate the temperature. It combines method and device values because they often overlap in EHR documentation systems. | ||
| Body Temperature Measurement Site Refset | 20180824 | August, 24th 2018 | 11 | This reference set contains values used to result the body location where a body temperature was measured, referencing the SNOMED Code 1520000000000 "Body temperature measurement site (observable entity)" and the LOINC term "Body temperature measurement site", 8327-9. | |
| Clock Face Position Refset | TBD | TBD | This reference set is used to describe the clock face position the relative direction of an clinical finding described using the analogy of a 12-hour clock. One imagines a clock face lying either upright or flat in front of oneself, and identifies the twelve hour markings with the directions in which they point. | ||
| Clinical Observation Status Refset | TBD | TBD | The purpose of the Clinical Observation Status reference set is to report the status of observation result values. It is a value set used to result FHIR observation.status.code. | ||
| Clothing Worn During Measure Refset | 20180824 | August, 24th 2018 | 3 | This reference set contains concepts used to result the amount of clothing worn during the measure, referencing the SNOMED Code 248159006 "State of dress (observable entity)" and the LOINC term "Clothing worn during measure" 8352-7. | |
| Exercise Association Reference Set | TBD | TBD | The purpose of the reference set is to document exercise associated with a measurement. Resulting LOINC code 74008-4 "Exercise intensity". | ||
| Head Circumference Measurement Device Refset | TBD | TBD | The purpose of this reference set is to contain devices or tools used to measure head circumference. | ||
| Heart Rate Device Type Refset | 20180824 | August, 24th 2018 | 6 | This reference set contains concepts used to result the type of device used to measure a heart rate, referencing the LOINC term "Type of Heart rate device" 8887-2. | |
| Heart Rate Measurement Body Location Refset | TBD | TBD | This reference set contains values used to result the body location where a heart rate was measured, referencing the LOINC term "Heart rate measurement site", 41904-4. | ||
| Heart Rate Measurement Method Refset | TBD | TBD | This reference set contains concepts used to result the method used for a blood pressure measurement, referencing the LOINC term "Heart rate method" 8886-4. | ||
| Measurement Means Refset | TBD | TBD | The purpose of this reference set is to record action by which a result is brought about. Referencing LOINC code xxx. | ||
| Observation Setting Refset | The purpose of this reference set is to document the place where a measurement was taken such as hospital, clinic or home. | ||||
| Oxygen Saturation Body Location Refset | TBD | TBD | Values used to record the site where an oximeter was placed and capillary oxygen saturation measured. | ||
| Oxygen Saturation Sensor Description Refset | TBD | TBD | This reference set contains concepts used to result the type of blood pressure measurement device, referencing the LOINC term "Oxygen Saturation Sensor Type" 73803-9. | ||
| Quantitative Result Interpretation Refset | TBD | TBD | The purpose of this reference set is to provide interpretive values for quantitative measurements as they pertain to a specified range. | ||
| Respiratory Rate Measurement Device Refset | TBD | TBD | This reference set contains concepts used to result the type of device used to measure a heart rate, referencing the LOINC term "Type of Breath rate device" 9277-5. | ||
| Respiratory Rate Measurement Method | TBD | TBD | This reference set contains concepts used to result the method used for a respiratory rate measurement, referencing the LOINC term "Breath rate method" 9275-9. | ||
| Sleep Status Refset | TBD | TBD | This reference set contains values used to indicate the state of wakefulness during measurement | ||
| Shoes Worn During Measure Refset | This reference set contains concepts used to result if shoes were worn during the measure. | ||||
| Vital Signs Associated Precondition Refset | TBD | TBD | Values used to record previously existing conditions or states that could affect a measurement or assessment. For example; a patient's heart rate taken during or after a procedure, heart rhythm taken after an apneic episode. These temporal period concepts can be used as allowed qualifiers to post-coordinated/precoordinated vital signs concepts. Referencing the LOINC term XXX. | ||
| Weight Measurement Device Refset | TBD | TBD | This reference set contains concepts used to result the type of instrument used to measure a body weight, referencing the LOINC term "XXX" (need LOINC). | ||
| Weight Precondition Refset | TBD | TBD | This reference set specifies clinical conditions and other circumstances are present prior to the weight measurement. Examples include wearing a prosthesis or cast in place. |