Stream: implementers
Topic: HeartRate Profile - irregular or missing heartbeat?
Russ Pastorchik (Dec 15 2020 at 19:48):
We are integrating to a blood pressure monitor that provides bp measurement, the number of heartbeats per minute and missing heartbeats. Specifically, an Omron device reports 0, 1, 2, 3, etc to indicate the number of "missed beats". Can anyone recommend how the "missed beats" observation value would be represented?
Lloyd McKenzie (Dec 15 2020 at 19:53):
@Rob Hausam
Lin Zhang (Dec 16 2020 at 00:12):
Two related DevDays presentations:
Russ Pastorchik (Dec 16 2020 at 01:12):
Lin Zhang said:
Two related DevDays presentations:
Thanks @Lin Zhang , interesting, but neither of those presentations seem to address the use case for an observation of "missing beats per minute".
Lin Zhang (Dec 16 2020 at 02:23):
Technical or Clinical missing?
Lin Zhang (Dec 16 2020 at 02:29):
In the DevDays Presentation, the slide #13 mentioned representaion of missing data possibly due to tech issues (I think).
Russ Pastorchik (Dec 16 2020 at 02:32):
I'm understanding "missing beats per minute" as a measurement of the number of expected beats within a minute that weren't measured, because the heart is not beating at a regular rate.
Rob Hausam (Dec 16 2020 at 06:19):
@Russ Pastorchik Yes, that understanding seems correct. So the value is a rate quantity (Observation.valueQuantity) for "missed beats per minute" with a unit of "beats per minute"? You would need to find (or request/create, if needed) codes for the observation (Observation.code - most likely a LOINC code) and the unit (Observation.valueQuantity.code - UCUM). That's really off the top of my head (without doing any looking), but I think it probably shouldn't be too far off.
Lin Zhang (Dec 16 2020 at 11:43):
@Rob Hausam Agree.
Russ Pastorchik (Dec 16 2020 at 17:40):
Thanks @Rob Hausam and @Lin Zhang . Searching through LOINC, I could not find anything that looked like it was intended to represent missed beats per minute. Sounds like I was on the right path.
Russ Pastorchik (Dec 16 2020 at 17:49):
SNOMED has "Pulse missed beats" as a concept though: https://snomedbrowser.com/Codes/Details/248629002
Lin Zhang (Dec 16 2020 at 23:39):
For this case, SCT concepts are not intended for "questions" but "answers".
Last updated: Apr 12 2022 at 19:14 UTC
