Standard Health Record FHIR Implementation Guide

Extensions defined for this Guide

SHR Namespace Name Definition
Actor Affiliation Membership, association, or connection to an organization.
Actor AgeAtDeath The age, age range, or age group when the cessation of life happens.
Actor Anonymized Flag indicating if personally identifiable information has been withheld.
Actor DateOfDeath The calendar date of subject's death.
Actor Deceased An indication that the person is no longer living, given by a date, time of death, or a boolean value which, when true, indicates the person is deceased.
Actor FictionalPerson Flag indicating if this record represents a fictional (synthetic, not real) person.
Actor LanguageQualifier Additional information about a person's use of language.
Actor LanguageUsed Language used for communication by a human, either the subject of record, parent, or other involved person.
Actor MedicalSpecialty A branch of medicine practiced by the provider.
Actor Participant A statement about an actor who did (or did not) participate in a certain task or activity. Unlike a HealthcareInvolvement which continues over period of time, the participant is associated with doing or not doing a specific task, such admitting a patient, performing a procedure, or taking a measurement.
Actor ParticipationType The detail of how the performer engaged in the task, for example, as the attending physician, surgical assistant, etc.
Actor Practitioner A person who practices a healing art.
Actor RelatedPerson A person, other than a practitioner or the patient (the person of record) who is relevant to the health or social situation of the subject.
Actor SpokenLanguageProficiency Accuracy and fluency in spoken communication in a language.
Actor WrittenLanguageProficiency Accuracy and fluency of reading and writing in a language.
Adverse AdverseEventGrade A coded value specifying the level of injury suffered by the subject for whom the event is reported, using the CTCAE coding system.
Adverse AdverseReaction Any noxious and unintended response to a medical product, procedure, or other intervention, for which a causal relationship to an intervention is at least a reasonable possibility i.e., the relationship cannot be ruled out. The AssessmentFocus is one or more observations, typically the symptoms of the adverse reaction, such as severe nausea or elevated liver enyzmes.
Allergy FoodAllergy An immune or biochemical adverse reaction to a food substance.
Assessment AssessmentFocus The topic or target of an analysis or assessment. For example, if the question involves the progression of the subject's diabetes, then the FocalCondition would be diabetes. If the investigation involves the toxicity of chemotherapy regimen, the focus would be that regimen (currently the MedicationUse of the chemotherapy drug). If the analysis involves certain observations, they would be listed as the focus.
Assessment EvidenceQuality An estimate of the quality and/or quantity of the source information that supports the assessment.
Base Action A deed or endeavor; an action taken to address a undesired health state, behavior, risk, or goal. An action can have various contexts: definitional, occurred/not occurred, ordered/not ordered, recommended/recommended against.
Base AssertionNegationModifier When true, this modifier indicates that the associated observation, assessment, or finding is false, the condition is absent. For example, if the assessment is 'allergy to peanuts' and the AssertionNegationModifier is true, it means the subject does not have an allergy to peanuts.
Base AssociatedEncounter The encounter or episode of care that led to creation of this entry.
Base Author The person or organization who created the entry and is responsible for (and may certify) its content.
Base Category A categorization of the action according its type, often a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This can be used for searching, sorting and display purposes.
Base FocalSubject The person or thing that this entry refers to, usually the Person of Record. However, not all entries refer to the Person of Record. The entry could refer to a fetus, care giver, or relative (living or dead).
Base Informant The person or entity that provided the information in the entry, as distinct from the actor creating the entry, e.g. the subject (patient), medical professional, family member, device or software program.
Base Language A human language, spoken or written.
Base NonOccurrenceModifier When true, indicates either that the event or action documented in the entry did not occur. For example, if immunization is not given, the NonOccurrenceModifier=true will indicate this. When applied to a recommendation, the modifier indicates the action mentioned in the topic should not take place. For example, a request to NOT elevate the head of a bed using the code for elevating the bed, and setting ProhibitedModifier to true. Other examples include do not ambulate, do not flush NG tube, do not take blood pressure on a certain arm, etc. If the SpecificType contains negation and ProhibitedModifier is true, that will reinforce the prohibition, and should not be interpreted as a double negative that equals a positive.
Base OriginalCreationDate The point in time when the information was recorded in the system of record.
Base PatientInstructions Information for the patient, such as, where to get the test, how to prepare for the test, etc.
Base PerformerInstructions Information for the performer of the test, if needed.
Base ShrId A unique, persistent identifier for the Standard Health Record to which this entry belongs.
Base Status The position of affairs at a particular time
Base SubjectIsThirdPartyFlag If true, the subject of this entry is someone other than the Person of Record, for example, a family member.
Behavior AlcoholBingeFrequency How often have you had 6 or more Units if female, or 8 or more if male, on a single occasion in the last year?.
Behavior AssessmentTool The name of the formal assessment or screening tool used to assess the behavior.
Behavior DietNutritionConcern An anxiety or worry about the diet or nutritional intake of the subject.
Behavior ExerciseHoursPerWeek Hours of moderate or vigorous activity per week.
Behavior HasSufficientFood Frequency that the person of record unable to obtain food to stay hunger.
Behavior HoursSleepPerNight Typical hours spent sleeping per night.
Behavior PhysicalActivityLimitation Anything that limits physical activity, including health factors, logistical, monetary, or social restrictions.
Behavior ReadinessToChange How motivated the subject is to change the behavior, if the behavior is ongoing, and change would be beneficial.
Behavior Religion
Behavior ReligiousCongregation A group of place of religious practice.
Behavior ReligiousPracticeStatus The extent to which the religious practice is actively followed.
Behavior ReligiousRestriction Any restriction on that derives from religion and may impact medical treatment, other than dietary (handled elsewhere).
Behavior SleepQualityReason Reason for poor sleep quality.
Behavior SpecialDietFollowed A type of nutritional plan followed by the subject.
Behavior TroubleFallingAsleep How often the subject has trouble falling asleep.
Behavior TroubleStayingAsleep How often the subject has trouble staying asleep.
Behavior ViolentRiskToOthers Risk or danger posed by the focal subject to others.
Behavior ViolentRiskToSelf Risk or danger posed by the focal subject to his or herself.
Behavior WakeFeelingRested How often the subject feels rested when they wake up.
Careplan AssociatedGoal The goal associated with this objective.
Careplan Goal A broad statement about what should be accomplished and the progress towards that goal. It represents the intended long-term outcome toward which an individual or a group aspires, and toward which, effort is directed, in the form of activities.
Careplan Objective Describes the of an expected or desired achievement that is well-defined, specific, measurable, and derived from one or more goals. There are similarities with Observation, since an objective can sometimes be interpreted as a yet-to-be-made, future observation with a certain target result.
Condition Abatement The end, remission or resolution.
Condition Criticality The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Condition IncludeOnProblemList Whether or not to include this condition on the subject's current problem list.
Condition Preexisting If the problem or condition existed before the current episode of care.
Condition Severity Degree of harshness or extent of a symptom, disorder, or condition.
Condition WhenClinicallyRecognized The time at which a condition or condition was first identified in a healthcare context.
Core Age How long something has existed (quantitative).
Core AgeGroup Subgroups of populations based on age.
Core AgeRange A quantitative range of ages. One of the two ages must be specified.
Core Area The extent of a 2-dimensional surface enclosed within a boundary.
Core BodySiteMarker A marker surgically placed at the site, often during a biopsy procedure, to pinpoint the location. The marker is typically a metal clip or radioactive seed.
Core Circumference The length of such a boundary line of a figure, area, or object.
Core ClockDirection A direction indicated by an angle relative to 12 o'clock.
Core CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
Core Country Country - a nation as commonly understood or generally accepted, expressed in ISO 3166 Alpha-2 (2-letter) codes.
Core Depth The extent downward or inward; the perpendicular measurement from the surface downward to determine deepness.
Core Description An account, representation, statement, or explanation of something.
Core Details Particulars considered individually and in relation to a whole.
Core Distance The space separating two objects or points.
Core EffectiveDate The date when something is to take effect.
Core EffectiveTimePeriod The date and time span for which something is active, valid, or in force.
Core GeneralizedAge Qualitative or quantitative, exact or inexact description of age.
Core GeneralizedDateTime A point in time, specified qualitatively or quantitatively.
Core GeneralizedTemporalContext A generalized indicator of a dateTime or an age when an event happened.
Core GestationalAge The age of the embryo or fetus. This may be assessed by medical history, physical examination, early immunologic pregnancy tests, radiography, ultrasonography, and amniotic fluid analysis.
Core GestationalTemporalContext A named gestational time period, or a gestational age.
Core GestationalTimePeriod A time relative to a pregnancy or childbirth event.
Core Identifier A unique string that identifies a specific person or thing.
Core Length The measurement or linear extent of something from end to end; the greatest dimensions of a body.
Core Location A position, site, or point in space where something can be found.
Core OccurrenceTime The point in time or span of time in which something happens.
Core Priority An ordinal numbered priority where 1=highest priority, 2=second highest priority, etc.
Core QualitativeDateTime A point in time, described qualitatively.
Core Quantity A quantity with units.
Core Reason The justification for an action or non-action, conclusion, opinion, etc.
Core Setting Description of the place or type of surroundings where something is positioned or where an event takes place.
Core SpecificType A code or description representing the concept represented by the instance at a specific level. For example, for a Condition, the concept is MTH#C0348080 (Condition) but the Value is the SpecificType, i.e. MTH#C0011849 (Diabetes Mellitus). For an observation, the SpecificType defines what is being observed, measured, or asked, as specifically as possible. The SpecificType should always align with the concept of the element, for example, a blood pressure observation can be coded as a sitting blood pressure or standing blood pressure, and may be from a different code system (e.g. LOINC versus MTH). In other cases, the SpecificType is the specific question being asked, or the specific goal being pursued.
Core State Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). (Source: HL7 FHIR).
Core StatisticType The type of statistic that is represented by the value.
Core Substance Any matter of defined composition that has discrete existence, whose origin may be biological, mineral or chemical.
Core TimePeriod A period of time defined by a start and end time, date, or year.
Core Title A distinguishing word or group of words naming an item.
Core Version A string identifying the particular of form of something (such as a code system or software product) that is different in some way from another form of the same thing.
Core Volume The amount of three dimensional space occupied by an object or the capacity of a space or container.
Core Width The measurement or extent of something from side to side.
Demographics CountryOfIssue A country acting as an assuing authority for a document.
Demographics DriversLicenseNumber Identifying information from a drivers license.
Demographics FamilialRelationship The relationship of the subject to another person in the same (extended) family. May or may not be a blood relative (determined by value). Can be used to indicate there is no relation of the given type (e.g., no siblings), using the NonOccurrenceModifier.
Demographics FathersName The name of the father as it was or likely to have been recorded on the birth certificate of the subject; most likely the name of the father at the time of birth of the subject.
Demographics PassportNumber Indicator of citizenship and identity.
Demographics PersonOfRecord Extended demographic information about the subject of this SHR.
Demographics SocialSecurityNumber A US social security number (SSN).
Demographics StateOfIssue Issuing authority for a drivers license.
Demographics TelecomTypeOther Specification of the type of telecom channel, if the TelecomType is other.
Device DeviceUseStatus A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.
Device Implanted Whether this device is implanted in the body.
Encounter EncounterNonOccurrenceModifier True if the encounter did not occur.
Encounter Facility Services and space and equipment provided for a particular purpose; a building or place that provides a particular service or is used for a particular industry. Could be a clinical site, community site, or a mobile facility.
Encounter MobileFacility A facility that moves from place to place, such as Meals-On-Wheels.
Encounter PaymentSource The source of payment for the current encounter.
Encounter ReferralDate The date when the provider received a referral for service. A referral includes an oral, written, faxed or electronic request for services made by the client or on the client�s behalf.
Encounter ReferralSourceType The type of person or entity that instigated the encounter.
Encounter TreatmentCooperation Whether the patient is undergoing treatment voluntarily, or under a legal order.
Environment AnimalExposure The type of animals or pets the subject is exposed to.
Environment AnnualIncome The amount of earnings made by a family unit in one year, estimated or self-reported.
Environment CanAffordChildCare How often can the subject afford child care?
Environment CanAffordClothing How often can the subject afford clothing?
Environment CanAffordDentalCare How often can the subject afford dental care?
Environment CanAffordFood How often can the subject afford food?
Environment CanAffordHousing How often can the subject afford housing?
Environment CanAffordMedication How often can the subject afford medications?
Environment CanAffordTransportation How often can the subject afford transportation?
Environment CanAffordUtilities How often can the subject afford utilities?
Environment DomesticViolence Whether the subject experiences domestic violence.
Environment EmotionalSafety Whether the subject feels physically safe in the subject's home environment.
Environment ExposureMethod How the exposure occurred, e.g. cutaneous contact, injection, ingestion, sexual contact, inhalation.
Environment ExposureReason Why the exposure occurred.
Environment ExposureSourceOrVector Where the substance originated. Vectors include animals (e.g., tick, mosquito, cats, livestock) capable of transmitting an infectious agent among vertebrates. Sources could include food, contaminated drinking water, air, radon gas in the home, etc.
Environment HomeEnvironmentRisk A risk experienced in the home environment.
Environment HousingSecurity Whether the subject is at-risk of losing their housing or in a stable housing situation.
Environment IncomeSource Where the household income comes from.
Environment IncomeStability Whether the subject regards his or her source of income as dependable.
Environment NonCashBenefit Government benefits received by the focal subject, other than cash benefits.
Environment PhysicalSafety How often the subject feels physically safe in the subject's home environment.
Environment TransportationAvailability Whether the subject has reliable transportation to bring him or her to medical appointments and to get medications.
Lab ChangeFlag Indicator of significant change (delta) from the last or previous measurement.
Lab Interpretation A clinical interpretation of a measurement.
Lab Test A laboratory, radiologic, or other clinical test or measurement used to determine the presence, absence, or degree of a condition, or assess the function or health of an individual. This includes patient-generated data, such as pedometer readings.
Lifehistory Employer A person or entity which hires the services of another.
Lifehistory EmploymentStatus Condition of employment including full- or part-time, temporary or permanent, and unemployment.
Medication Adherence A statement of the ability and cooperation of the patient in taking medicine or supplement as recommended or prescribed. This includes correct timing, dosage, and frequency.
Medication AdherenceLevel The frequency that the stated treatment plan, prescription, or protocol is followed.
Medication MedicationAfterChange A medication taken, after the change.
Medication MedicationBeforeChange The medication taken, prior to the change.
Medication MedicationPrescription Report of a medication prescription.
Medication NonAdherenceReason Reason for not following the stated treatment plan, prescription, or protocol.
Medication RouteIntoBody The way a substance enters an organism after contact, particularly, the route of drug administration.
Medication TypeOfChange Whether the change is a dose change, switch to a new medication, or discontinuation.
Observation AssociatedStudy The clinical trial or other formal study related to this finding.
Observation DataAbsentReason Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value).
Observation Manifestation A complaint or observed indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
Observation Method The method of the observation, for example, the specific imaging technical or assessment vehicle.
Observation ObservationQualifier A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
Observation ReferenceRange The usual or acceptable range for a test result.
Oncology BRCA1Variant Whether the patient has a mutation in the BRCA1 gene.
Oncology BRCA2Variant Whether the patient has a mutation in the BRCA2 gene.
Oncology Cellularity Percentage of cells in a sample that are cancerous
Oncology DegreeOfLymphaticInvolvement Assessment of how much cancer is in a lymph node.
Oncology EstrogenReceptorStatus Estrogen receptor alpha is the predominant estrogen receptor expressed in breast tissue and is overexpressed in around 50% of breast carcinomas. ER status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options.
Oncology GeneIdentifier A unique code for a gene, including protein coding genes, ncRNA genes and pseudogenes, to allow unambiguous communication, drawn from HUGO Gene Nomenclature Committee.
Oncology HumanEpiduralGrowthFactorReceptor2Status HER2 is a member of the human epidermal growth factor receptor family of proteins and is encoded by the ERBB2 oncogene. HER2 is overexpressed in 20-30% of breast tumors,10 and is associated with an aggressive clinical course and poor prognosis. HER2 status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options.
Oncology Ki Ki-67LabelingIndex Ki-67 is a protein phosphatase whose expression is strongly associated with cell proliferation and encoded by the MKI67 gene. The Ki67 labeling index is the fraction of Ki-67-positive cells to total cells in a tumor specimen and may be useful for determining prognosis with respect to survival and disease recurrence. The more positive cells there are, the more quickly they are dividing and forming new cells. ReferenceRange: Low <10, Intermediate 10-20, >20 High
Oncology LargestLymphNodeSize The largest dimension of the largest lymph node invaded by cancer cells.
Oncology LymphaticSystemSubdivision A lymph node area or nodal group; a subdivision of the entire lymphatic system. For breast cancer, this includes 5 areas: internal mammary lymph nodes, axillary lymph nodes level I, II, and III, and the supraclavicular lymph nodes.
Oncology M M-Stage Part of the TNM classification system representing metastases. The system is used to describe the spread of cancer to other parts of the body. See Table 144 in HL7 CDA® R2 Implementation Guide: Clinical Oncology Treatment Plan and Summary, Release 1 - US Realm
Oncology MitoticCountScore How fast the tumor cells are growing and dividing, determined from the number of mitotic cells present. Scored 1 to 3, with 3 being the most mitotic cells.
Oncology N N-Stage The presence of metastases in regional lymph nodes. TNM node category for staging derived from the American Joint Committee on Cancer. See Table 147 in HL7 CDA® R2 Implementation Guide: Clinical Oncology Treatment Plan and Summary, Release 1 - US Realm
Oncology NuclearPleomorphismScore How large and varied the nuclei of the tumor cells are. Scored 1 to 3, with 3 being the most pleomorphism.
Oncology NumberOfLymphNodesInvolved A count of lymph nodes invaded by cancer cells of those examined.
Oncology PercentageInSituCarcinoma The percentage of the cancer that is in situ, as opposed to invading other tissues.
Oncology ProgesteroneReceptorStatus Progesterone receptor is expressed in 65% of breast carcinomas. PR status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options.
Oncology ReceptorAllredTotalScore Part of the Allred scoring, the total of proportion and intensity scores, from 0 to 8.
Oncology ReceptorIntensityScore Part of the Allred scoring, based on the intensity of that staining, on a scale of 0 to 3.
Oncology ReceptorPositivityPercentage The percentage of cells that test (stain) positive for the presence of a receptor.
Oncology ReceptorProportionScore Part of Allred scoring, based on the percentage of cells that stain for a receptor, on a scale of 0 to 5.
Oncology ReceptorType A protein located on the cell surface, or in the cytoplasm, that binds to a specific signaling factor, such as a hormone, antigen, or neurotransmitter, causing a conformational and functional change in the receptor molecule. The ligand-bound receptor then alters its interaction with target molecules, which leads to changes in cellular physiology through modification of the activity of one or more signal transduction pathways.
Oncology Refseq The Reference Sequence (RefSeq) collection provides a comprehensive, integrated, non-redundant, well-annotated set of sequences, including genomic DNA, transcripts, and proteins. RefSeq sequences form a foundation for medical, functional, and diversity studies. They provide a stable reference for genome annotation, gene identification and characterization, mutation and polymorphism analysis (especially RefSeqGene records), expression studies, and comparative analyses.
Oncology S S-PhaseFraction An expression of the number of mitoses found in a stated number of cells. The S-phase fraction number tells you what percentage of cells in the tissue sample are in the process of copying their genetic information (DNA). This S-phase, short for synthesis phase, happens just before a cell divides into two new cells. ReferenceRange: Low <6, Intermediate 6-10, >10 High.
Oncology SizeOfGrossTumorBed The largest dimension of the gross tumor bed/fibrotic area.
Oncology StagingSystem What staging system are used
Oncology StagingTiming Indicates when the staging was done, in terms of treatment landmarks, for example, at diagnosis (clinical), at surgery(pathologic), after treatment (post-neoadjuvant), at entry to a clinical trial, or at recurrence.
Oncology T T-Stage The size and extent of the primary tumor (greatest dimension), based on criteria from the American Joint Committee on Cancer. See Table 152 in HL7 CDA® R2 Implementation Guide: Clinical Oncology Treatment Plan and Summary, Release 1 - US Realm
Oncology TubuleFormationScore A comparison between structures formed by the tumor cells as opposed to those formed by normal cells. Scored 1 to 3 with 3 being the most abnormal.
Oncology TumorMargins The edge or border of the tissue removed in cancer surgery. The margin is described as negative or clean when the pathologist finds no cancer cells at the edge of the tissue, suggesting that all of the cancer has been removed. The margin is described as positive or involved when the pathologist finds cancer cells at the edge of the tissue, suggesting that all of the cancer has not been removed.
Oncology TumorSecondaryDimensionSize The longest perpendicular diameter of the primary tumor.
Primitive base64Binary The base64Binary that represents the value of the SHR element to which it is applied.
Primitive boolean The boolean that represents the value of the SHR element to which it is applied.
Primitive code The code that represents the value of the SHR element to which it is applied.
Primitive date The date that represents the value of the SHR element to which it is applied.
Primitive dateTime The dateTime that represents the value of the SHR element to which it is applied.
Primitive decimal The decimal that represents the value of the SHR element to which it is applied.
Primitive id The id that represents the value of the SHR element to which it is applied.
Primitive instant The instant that represents the value of the SHR element to which it is applied.
Primitive integer The integer that represents the value of the SHR element to which it is applied.
Primitive markdown The markdown that represents the value of the SHR element to which it is applied.
Primitive oid The oid that represents the value of the SHR element to which it is applied.
Primitive positiveInt The positiveInt that represents the value of the SHR element to which it is applied.
Primitive string The string that represents the value of the SHR element to which it is applied.
Primitive time The time that represents the value of the SHR element to which it is applied.
Primitive unsignedInt The unsignedInt that represents the value of the SHR element to which it is applied.
Primitive uri The uri that represents the value of the SHR element to which it is applied.
Primitive xhtml The xhtml that represents the value of the SHR element to which it is applied.
Sex ContraceptiveMethodUsed A contraceptive method used by the subject.
Sex ContraceptiveNotUsedReason If not using a method of contraception, why.
Sex CurrentPregnancyStatus Whether or not the subject is currently pregnant.
Sex Dispensed Whether an item, such as a medication or device, was given to a subject.
Sex IntercourseDifficulty Condition affecting sexual intercourse.
Sex NumberOfLivingChildren Number of living children.
Sex NumberOfPreviousPregnancies Number of previous pregnancies.
Sex NumberOfSexualPartnersPastYear Number of sexual partners in past year.
Sex ReasonForNotRecommendingContraceptive If not using a method of contraception, why.
Sex SexualActivity Characterization of the sexual activity of the subject.
Skin CausativeFactor The cause the irritation or inflammation.
Skin ImmersionDepth Depth of penetration (sinking) into a support surface.
Skin PressureUlcerManifestation Observation regarding the properties and severity of a single pressure ulcer.
Skin SupportSurfaceBodyPosition What body positions the surface can be used for, specifically, sitting or lying.
Skin SupportSurfaceCategory The category of support surface.
Skin SupportSurfaceComponent A physical material, structure, or system used alone or in combination with other components to fashion a support surface.
Skin VisibleInternalStructure An internal body structure visible from outside the body, for example, due to injury.
Skin WoundBedAndEdge
Skin WoundEdgeAppearance Evaluation of the state of the tissue at the edge of the wound.
Skin WoundExudate A mass of cells and fluid that has seeped out of a wound.
Skin WoundSize The estimated or measured dimensions of a wound.
Skin WoundTunnelling A discharging blind-ended track that extends from the surface of an organ to an underlying area or abscess cavity. The track is invariably lined with granulation tissue. In chronic cases this may be augmented with epithelial tissue.
Skin WoundUndermining Assessment of deep tissue (subcutaneous fat and muscle) damage around the wound margin. Tunneling is just under the skin surface and doesn't involve deep tissue, and sinus tracts are a narrow tract that are away from the wound margins and go downward into the wound.
Vital BodyHeight The distance from the sole to the crown of the head.
Vital BodyWeight The mass or quantity of heaviness of an individual. Does not include estimates of fetal bodyweight.
Vital DiastolicPressure The blood pressure after the contraction of the heart while the chambers of the heart refill with blood, when the pressure is lowest.
Vital HeadTiltAngle The angle at which the head is tilted relative to a level position while physiologic tests are taken.
Vital SystolicPressure The blood pressure during the contraction of the left ventricle of the heart, when blood pressure is at its highest.