Form VS - Vital Signs HorizontalGeneric
VS - Horizontal Header
Were vital signs performed?
No
Yes
What was the date of the measurement(s)?
01 Jan 2000
VS - Implementation Options: HorizontalGeneric
What was the result of the Systolic Blood Pressure measurement?
*
What was the unit of the Systolic Blood Pressure measurement?
mmHg
What was the result of the Diastolic Blood Pressure measurement?
*
What was the unit of the Diastolic Blood Pressure measurement?
mmHg
What was the position of the subject during the blood pressure measurement?
Choose
Prone
Semi-Recumbent
Sitting
Standing
Supine
What was the anatomical location where the blood pressure measurement was taken?
Choose
Brachial Artery
Finger
Peripheral Artery
Radial Artery
What was the result of the height measurement?
What was the unit of the height measurement?
Centimeter
Inch
What was the result of the weight measurement?
What was the unit of the weight measurement?
Kilogram
Pound
What was the result of the pulse measurement?
*
What was the unit of the pulse measurement?
beats/min
*
What was the anatomical location where the pulse measurement was taken?
Choose
Brachial Artery
Carotid Artery
Cerebral Artery
Dorsalis Pedis Artery
Femoral Artery
Peripheral Artery
What was the result of the respiratory rate measurement?
*
What was the unit of the Respiratory Rate Unit measurement?
breaths/min
What was the result of the temperature measurement?
What was the unit of the temperature measurement?
Celsius
Fahrenheit
What was the anatomical location where the temperature was taken?
Choose
Axilla
Ear
Forehead
Oral Cavity
*
Mandatory field