Type: openEHR ARCHETYPE
Purpose: To record details about the rate and rhythm of the heart.
Use: Use to record the measured characteristics related to the rate and rhythm of the heart, including a simple statement of presence of heart rate. These are not recorded by direct observation of the heart itself but inferenced from alternative sources including the auscultation of the apex beat or an electrocardiograph reflecting the electrical activity of the heart.
Heart rate and rhythm (or it's specialisation, Pulse) are commonly recorded as one component of Vital signs - comprising Blood Pressure, Respirations, Temperature, and Oximetry. There are additional specific archetypes for each of these concepts.
Misuse: Not to be used to record conclusions about the measured heart rate and rhythm. Statements such as the patient is in Atrial Fibrillation, or is tachycardic, should be recorded in other specific and related EVALUATION archetypes.
Not to be used to record the mechanical heart rate, rhythm and related characteristics - this is recorded using the specialisation of this archetype OBSERVATION.heart_rate-pulse.
Not to be used to record other details of the broader cardiovascular examination or assessment. Other specific archetypes will be used to record characteristics such as apex beat, murmurs, auscultatory findings etc.
Concepts such as Maximal or Target Heart Rate should be recorded in separate archetypes specifically related to exercise assessment.
| ARCHETYPE ID | openEHR-EHR-OBSERVATION.heart_rate.v1 |
|---|---|
| Concept | Heart rate and rhythm |
| Description | The characteristics of the heart rate and rhythm. |
| Use | Use to record the measured characteristics related to the rate and rhythm of the heart, including a simple statement of presence of heart rate. These are not recorded by direct observation of the heart itself but inferenced from alternative sources including the auscultation of the apex beat or an electrocardiograph reflecting the electrical activity of the heart. Heart rate and rhythm (or it's specialisation, Pulse) are commonly recorded as one component of Vital signs - comprising Blood Pressure, Respirations, Temperature, and Oximetry. There are additional specific archetypes for each of these concepts. |
| Misuse | Not to be used to record conclusions about the measured heart rate and rhythm. Statements such as the patient is in Atrial Fibrillation, or is tachycardic, should be recorded in other specific and related EVALUATION archetypes. Not to be used to record the mechanical heart rate, rhythm and related characteristics - this is recorded using the specialisation of this archetype OBSERVATION.heart_rate-pulse. Not to be used to record other details of the broader cardiovascular examination or assessment. Other specific archetypes will be used to record characteristics such as apex beat, murmurs, auscultatory findings etc. Concepts such as Maximal or Target Heart Rate should be recorded in separate archetypes specifically related to exercise assessment. |
| Purpose | To record details about the rate and rhythm of the heart. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 26/03/2006 |
| Other Details Language | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 26/03/2006 |
| Other Details (Language Independent) |
|
| Keywords | rate, heart rate, rhythm |
| Lifecycle | Initial |
| Language used | en |
| Citeable Identifier | 1013.1.170 |
| data | |
| Heart rate present | Heart rate present: The pulse rate is present (implied true if rate >0). |
| Rate | Rate: The rate of the heart in beats per minute. Property: Frequency Units: >=0.0 /min Limit decimal places: 0 |
| Rhythm | Rhythm: The non-interpreted rhythm of the heartbeat.
|
| Comment | Comment: Comment about the heart rate and rhythm. |
| events | |
| Any event | Any event: Default unspecified event. |
| state | |
| Position | Position: The position of the patient when the heartbeat was recorded.
Assumed value: Sitting |
| Confounding factors | Confounding factors: Comment on and record other incidental factors that may be contributing to the heart rate and rhythm measurement. For example, level of anxiety or 'white coat syndrome'; pain or fever etc. |
| Exertion | Exertion: Details about physical exertion being undertaken at the time of recording heart rate and/or rhythm. Include: openEHR-EHR-CLUSTER.exertion.v1 and specialisations |
| protocol | |
| Device | Device: Details about the device used to measure heart rate and rhythm. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations Exclude: All not explicitly included archetypes |
| Description | Description : Details about the method used to record the heart rate and rhythm. |
| Method | Method: Source of heart rate and rhythm record.
|
| Other contributors | |
| Translators |