Vitals & Clinical Observations

February 2026 · 4 min

Overview

Vitals recording captures patient physiological parameters at every encounter -- temperature, blood pressure, pulse, respiratory rate, SpO2, height, weight, BMI, and pain score. Vitals flow into the EMR timeline, trigger early warning score calculations, and are available for trend analysis across visits.

Recording Vitals

Vitals can be entered at multiple touchpoints:

• Nurse Triage Station -- Before the patient sees the doctor in OPD
• Consultation Screen -- Doctor can record vitals inline during the visit
• Nursing Console (IPD) -- Scheduled vital charting at configurable intervals (every 1h, 4h, 8h)
• Emergency Triage -- Vital signs captured as part of triage assessment
• IoT Integration -- Auto-capture from connected vital sign monitors

Required fields are configurable per department (e.g., ICU requires more parameters than OPD).

Early Warning Score (EWS)

The system auto-calculates early warning scores:

• NEWS2 (National Early Warning Score 2) for adults
• PEWS (Pediatric Early Warning Score) for children
• MEOWS (Modified Early Obstetric Warning Score) for maternity

Scores are color-coded (green, amber, red) and trigger automated escalation alerts when thresholds are breached. The alert routes to the treating doctor and nursing supervisor.

Trend Charts

View vital sign trends over time:

• Line charts showing BP, pulse, temperature, SpO2 over hours/days/weeks
• Overlay multiple parameters on one chart for correlation
• Mark clinical events on the timeline (medication change, procedure, transfusion)
• Export charts as PDF for discharge summaries
• Compare current admission vitals with previous admission patterns

Notes

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