Vitals data

Vitals data includes blood pressure, body temperature, and body mass index data. The tables show the available data, whether the data is mandatory, and the differences in the data when it is manually created or received from integrated systems.

Vitals data conforms with standard coding systems for vital signs data. If received from integrated systems, vitals data codes are displayed in the Reporting application for the purposes of creating reports. However, vitals codes are not displayed in the Care Team application.

After a client is registered, you can add new Clinical data, with the exception of Coverage and Observation data.

Important: Clinical data from integrated systems refreshes overnight in Watson Care Manager and cannot be modified.

Mapping vitals data from integrated systems

When vitals data comes from IBM Phytel products, the following mapping steps occur.

Watson Care Manager checks that the data is classified as a vitals-sign and is specified as a particular vitals sign type, such as Weight.
Watson Care Manager creates an appropriate vitals data record in the Clinical data category, for example, a Weight record. Otherwise, an observation is record is created.

Fields displayed on all Vitals data records

The table lists the fields that are displayed on all vitals data records.

Field	Mandatory	When manually created	When received from integrated systems
Measurement Date	Yes
Source	Yes	Displays the source of the vitals data that was selected from a configured list. The following default values are available for selection: Chart Encounter Lab Self Reported	Not applicable This field is automatically populated by Watson Care Manager. Displays EMR to indicate that the record came from an integrated system.
Original Source	No	Displays the original source system where the vitals data originated that was selected from a configured list. The following default values are available for selection: Watson Care Manager Other	Not applicable
Status	Displays one of the following values: Amended Canceled Completed Duplicate Invalid		Displays one of the following values: Registered (Maps to the Registered status FHIR standard). Preliminary (Maps to the Unknown status FHIR standard) Final (Maps to the Final status FHIR standard) Amended (Maps to the Correction to Result status FHIR standard). Valid (Maps to the Valid status FHIR standard. Unknown (Maps to the Unknown status in FHIR). Corrected (Maps to the Correction to Result status FHIR standard. Cancelled (Maps to the Order Cancelled status FHIR standard). Entered-in-error (Maps to the Invalid status FHIR standard).
Verified by	No	Displays the name of the healthcare professional who captured and verified the data that was entered.	Not applicable This data is not received from integrated systems.
Comments	No

Blood Pressure data

The table lists the fields that are displayed on a blood pressure record.

Field	Mandatory	When manually created	When received from integrated systems
Blood Pressure	Yes	Displays the following values that were created: Systolic Systolic units (mmHg or kPa) Diastolic	When the data is received from IBM Phytel, Watson Care Manager creates one blood pressure record. A `/` separates the systolic and diastolic values.
Measurement Site	No	Displays one of the following values: Ankle Left Ankle Right Forearm Left Forearm Right Other Thigh Left Thigh Right Upper Arm Left Upper Arm Right	Displays the measurement site that was received from the integrated system. When the record is received electronically, the measurement site that is displayed might be different to the measurement site for manually created blood pressure records.
Observation Method	No	Displays one of the following values: Lying Sitting Standing	Displays the observation method that was received from the integrated system. When the record is received electronically, the observation site that is displayed might be different to the observation method for manually created blood pressure records.

Body Mass Index data

The table lists the fields that are displayed on a body mass index record.

Field	Mandatory	When manually created	When received from integrated systems
Body Mass Index	Yes	Displays the body mass index measurement that was created.	Displays the body mass index measurement that was received from the integrated system.

Body Temperature data

The table lists the fields that are displayed on a body temperature record.

Field	Mandatory	When manually created	When received from integrated systems
Body Temperature	Yes	Displays the following values that were created: Body Temperature Units (°F or °C)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a comparator (`<),` a value (`99`) and a unit (`°F`), the Body Temperature field displays `<99 °F`. If Watson Care Manager receives a value without a unit, the Value field displays only the value. For example, `99`.
Measurement Site	No	Displays one of the following values: Axillary Ear Forehead Oral Rectal	Displays the measurement site that was received from the integrated system. When the record is received electronically, the measurement site that is displayed might be different to the measurement site for manually created body temperature records.
Measurement Method	No	Displays one of the following values: Ear Thermometer Electronic Thermometer Forehead Thermometer Mercury Thermometer Temporal Artery Thermometer	Displays the measurement method that was received from the integrated system. When the record is received electronically, the measurement method that is displayed might be different to the measurement method for manually created body temperature records.

Heart Rate data

The table lists the fields that are displayed on a heart rate record.

Field	Mandatory	When manually created	When received from integrated systems
Heart Rate	Yes	Displays the following values that were created: Heart Rate Units (Bpm)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a comparator (`=`) and a value string (`90 bpm`). the Heart Rate field displays `= 90 bpm`. If Watson Care Manager receives a value string without a comparator, the Heart Rate field displays only value. For example, `90 bpm`.
Measurement Method	No	Displays one of the following values: Auscultation EKG Palpation	Displays the measurement method that was received from the integrated system. When the record is received electronically, the measurement method that is displayed might be different to the measurement method for manually created body heart rate records.

Height data

The table lists the fields that are displayed on a height record.

Field	Mandatory	When manually created	When received from integrated systems
Height	Yes	Displays the following values that were created: Height Units (Inches or cm)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a comparator (`<,`) a value, (`65`) and a unit (`Inches`), the Height field displays `<65` `Inches`. If WCM receives a value without a unit, the Heart Rate field displays only the value. For example, `65`.

Oxygen Saturation data

The table lists the fields that are displayed on an oxygen saturation record.

Field	Mandatory	When manually created	When received from integrated systems
Oxygen Saturation	Yes	Displays the following values that were created: Oxygen Saturation Units `(%)`	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a comparator (`<`), a value (`92`) and a unit (`%`), the Oxygen Saturation field displays `<92 %`. If WCM receives a comparator, a unit, and no value, the Oxygen Saturation field displays only the comparator and unit. For example, `< %`.

Respiratory rate data

The table lists the fields that are displayed on a respiratory rate record.

Field	Mandatory	When manually created	When received from integrated systems
Respiratory Rate	Yes	Displays the following values that were created: Respiratory Rate Units (bpm)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a value (`28`) and a unit (`bpm`), the Respiratory Rate field displays `=28 bpm`. If Watson Care Manager receives a value without a unit, the Respiratory Rate field displays only the value. For example, `28`.

Waist Circumference data

The lists the fields that are displayed on a waist circumference record.

Field	Mandatory	When manually created	When received from integrated systems
Waist Circumference	Yes	Displays the following values that were created: Waist Circumference Units (Inches or cm)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Unit Value String For example, if a record has a comparator (`>),` a value (`102`) and a unit (`cm`), the Waist Circumference field displays `>102 cm`. If Watson Care Manager receives a value without a unit, the Waist Circumference field displays only the value. For example, `102`.

Waist-to-Height Ratio data

The table lists the fields that are displayed on a waist-to-height record.

Field	Mandatory	When manually created	When received from integrated systems
Waist-to-Height Ratio	Yes	Displays the waist-to-height ratio measurement that was created.	Displays the waist-to-height ratio measurement that was received from the integrated system.

Weight data

The table lists the fields that are displayed on a weight record.

Field	Mandatory	When manually created	When received from integrated systems
Weight	Yes	Displays the following values that were entered: Weight Units (Pounds or Kilos)	Displays the data that is received from the integrated system. This could be one or any combination of the following: Comparator `(< > =)` Value Units Value String For example, if a record has a comparator (`<)`, a value (`169`), and a unit (`Pounds`), the Weight field displays `<169 Pounds`. If Watson Care Manager receives a comparator, and a value without a unit, the Weight field displays only the comparator and value. For example, `<169`.