Nursing observations · VERSION 96ca7318

Record and verify a synthetic heart-rate observation

Use the configured Heart Rate form, recover from required-field validation, save a fictional value with a note, then verify its response, observation, server effective time and Pulse history on exact release 96ca7318.

Nurse

Recorded product version 96ca7318

These lessons apply to their recorded version and observed role. Check local permissions and configuration. A qualified lesson does not establish complete product or facility coverage.

Version, screenshot scope and limits

Full product version: 96ca7318eb2b93f5fa477908a1543075e0d1f056

Fourteen bounded lessons from exact committed96ca7318 using ordinary non-superuser Doctor, Nurse and Facility Admin roles in fictional Polyclinic and Laboratory examples. The original seven chart/history/ended-intake/current-versus-corrected row/coded-definition/Cancel/dashboard lessons remain unchanged. The actual retained baseline two-page PDF lacks repeated page-two patient context; keep both pages together. Its separately qualified source repair is committed as664f6a8f but that later version is not depicted by96ca screenshots. One additional normal Laboratory lesson creates a Draft Boolean parent with Decimal,Integer,DateTime,Time,String and Quantity components and saved UCUMmg unit, using clearly fictional custom URN codes rather than licensed clinical concepts. Both original definitions and all three objects after cancelled inspection remain exactly unchanged. The interpretation/status lessons are included below. One additional ordinary Doctor lesson reviews an IT-prepared prior Resolved non-error diagnosis, its author/note/completed source, sidebar preview versus chosen encounter, and the zero-selected history selector. It changes no clinical record; ordinary Doctor/Nurse readbacks preserve four diagnoses and three symptoms within seven total condition records, fourteen administrations,four requests and all encounters. Its intermediate browser leave-confirmation screenshot remains missing and explicitly disclosed. All-role/all-facility coverage, external NPHIES/fiscal/bank qualification, clinical interpretation authority and the original six prerequisite gaps remain open. Three additional ordinary Nurse lessons show required-field validation, synthetic72/min entry and optional note, persisted response/unit/server effective time, Pulse graph/recent data/full history, source Entered in Error confirmation and a distinct74/min replacement. Current96ca leaves the original derived observation Final and visible despite its source error; both chart points remain. All24 original wide frames and30 complete instructional blocks were root-reviewed, exact interactive geometry and six normal Nurse/Doctor state/unit response phases checked, and20 original clinical datasets compared field-for-field with only nested actor last_login ignored. This teaches actual current behavior and its explicit correction limitation, not a clinically approved replacement workaround or an already deployed repair. Two additional ordinary Laboratory lessons teach the clearly synthetic Decimal component range 0.00–10.00, child-sheet Save versus parent Save, the component/root conflict and cancelled removal, activation, cancelled retirement, actual update-to-Retired despite the Delete label, retained retired view, and normal edit through Unknown back to final Draft. All31 original wide frames and27 complete instructional blocks were root-reviewed. Root independently verified15 evidence hashes and eight normal API states: both original definitions, all six component codes/types/unit, and both cancelled target states are unchanged; only the intended fictional range and explicit lifecycle status change. This demonstrates software metadata controls without clinical reference-range authority, patient results, permanent deletion, or all-role coverage.

Check the required heart-rate input and fixed unit. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:34:08.383Z · 1728 × 921**
Check the required heart-rate input and fixed unit
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The configured required Integer control displays fixed /min unit and explicit synthetic training instruction. No effective-time/backdating input is rendered, despite the stored collect_time flag. No field value or clinical record has been written.
Image SHA-256 `246b08fc57fb39faa4bed3a7a462d2c60bf8e2ebf7d2280b64d54392c18685c6`
**Required numeric value**: This configured Integer question is required and displays/min as its fixed unit.
**Submit**: An empty required input is validated before a save request.

Verify the persisted Nurse response. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:36:04.364Z · 1728 × 921**
Verify the persisted Nurse response
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Normal Responses tab shows the saved72 response filed by the existing Nurse at 05:35 AM on October 19. Independent ordinary Nurse/Doctor reads confirm a new Completed response and Final observation with value 72, UCUM /min and server effective time2026-10-19T02:35:35.601029Z. The response card does not display its unit; the form and independent observation record establish that unit.
Image SHA-256 `844f334f6847bed72dead51be3ab51712192954f9b578b3d159dd4d4cf4f2798`
**Saved response value 72**: This is the persisted response value; the card does not show the unit.
**See saved note**: Open the retained training note from the saved response.
**Observations tab**: Review the linked observation and its effective time separately.

Read the saved observation’s value, time and author. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:36:46.039Z · 1728 × 921**
Read the saved observation’s value, time and author
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Actual Observations tab shows72, saved fictional note, Heart rate label and Nurse filed-by context grouped Today at 05:35 AM. This is the server effective time, independently read as 2026-10-19T02:35:35.601029Z. The card does not render the stored/min unit; do not infer another unit from its bare72 label.
Image SHA-256 `2d219039d35668743786e9a0b58f315ff38263e6c8a1a41e03c4fcccbe793774`
**Saved observation value**: This value is linked to the saved questionnaire response; its effective time and filed-by Nurse appear in the same entry.
**Plots**: Open the numeric plot and observation history views for the selected encounter.

Verify the selected encounter’s retained Pulse history. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:37:45.445Z · 1728 × 921**
Verify the selected encounter’s retained Pulse history
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The fully loaded Pulse Full History table shows the same saved observation effective time, configured Pulse label for the Heart rate code,72, Nurse entered-by identity and fictional note. Current-source requests include the selected encounter filter. This is one observation, not a physical trend or an edit history.
Image SHA-256 `35a545ea1a188c90aaf2c7db7cc18bee6a038c94b4e48ee7470b37cf79423042`
**Responses**: Return to the source response before using its supported correction action.

11 of 11 content blocks have reviewed image alignment. Missing overview or prerequisite images remain open.

Before you begin

Use an authorized Nurse account and confirm the intended patient and ongoing Inpatient encounter. This Polyclinic example has an existing active Synthetic Training — Heart Rate form, with required Integer input, installed LOINC Heart rate code 8867-4 and fixed UCUM /min unit displayed as beats/minute. No new permission, code or configuration was added for this flow.
12
Recorded release 96ca7318 · 2026-10-19T02:33:48.318Z · 1728 × 921
Open Forms on the intended ongoing encounter
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Ordinary existing Nurse on exact committed 96ca. The existing fictional patient and current Inpatient encounter are confirmed. No prior observations exist for this selected encounter; all prior diagnoses, symptoms, administrations and requests remain unchanged. The configured synthetic Heart Rate form will be used through normal UI.
Image SHA-256 68ff09b207f7a9eb41760d9a7c4f7a1eccf3ce9e3241a89a5d3e650ecbf2e5dd
1. Forms: Open the encounter form collection after confirming the intended patient and chosen encounter.
2. Chosen encounter context: This is the ongoing Inpatient encounter for the fictional software exercise.
1
Recorded release 96ca7318 · 2026-10-19T02:34:00.055Z · 1728 × 921
Select the configured synthetic Heart Rate form
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Actual configured encounter form collection. The existing synthetic Heart Rate form uses the installed LOINC 8867-4 code and UCUM /min unit; other listed forms are not submitted in this exercise.
Image SHA-256 74c936309433b427639c57ea4446330a27a143d9c14c4be30a7a2c8f68998f00
1. Synthetic Training — Heart Rate: Choose the configured synthetic observation form, rather than a different clinical template.
12
Recorded release 96ca7318 · 2026-10-19T02:34:08.383Z · 1728 × 921
Check the required heart-rate input and fixed unit
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The configured required Integer control displays fixed /min unit and explicit synthetic training instruction. No effective-time/backdating input is rendered, despite the stored collect_time flag. No field value or clinical record has been written.
Image SHA-256 246b08fc57fb39faa4bed3a7a462d2c60bf8e2ebf7d2280b64d54392c18685c6
1. Required numeric value: This configured Integer question is required and displays/min as its fixed unit.
2. Submit: An empty required input is validated before a save request.
This is a fictional software exercise, not a physical measurement or clinical recommendation. The synthetic patient name retains an older release label; actual captured software is 96ca7318. The selected encounter initially has no observations. Existing diagnoses, symptoms, administrations and requests are preserved.
12
Recorded release 96ca7318 · 2026-10-19T02:34:08.383Z · 1728 × 921
Check the required heart-rate input and fixed unit
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The configured required Integer control displays fixed /min unit and explicit synthetic training instruction. No effective-time/backdating input is rendered, despite the stored collect_time flag. No field value or clinical record has been written.
Image SHA-256 246b08fc57fb39faa4bed3a7a462d2c60bf8e2ebf7d2280b64d54392c18685c6
1. Required numeric value: This configured Integer question is required and displays/min as its fixed unit.
2. Submit: An empty required input is validated before a save request.
1
Recorded release 96ca7318 · 2026-10-19T02:35:28.415Z · 1728 × 921
Record optional observation context
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The question note popover contains explicit fictional training context. This optional note is separate from the required numeric input; no effective-time/backdating control exists here. The observation is still unsaved.
Image SHA-256 3025b5ba839899d743cd7cc758230ada277b31300c13661901fbe7853c8c1582
1. Optional question note: This note explains the fictional software example and is saved with the observation.

1. Open the configured Heart Rate form

From the intended ongoing encounter’s Overview, choose Forms, then Synthetic Training — Heart Rate. Confirm the patient name again on the opened form. Other facilities may configure different forms; this example uses the existing training form rather than submitting a different clinical template.

Open Forms on the intended ongoing encounter. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:33:48.318Z · 1728 × 921**
Open Forms on the intended ongoing encounter
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Ordinary existing Nurse on exact committed 96ca. The existing fictional patient and current Inpatient encounter are confirmed. No prior observations exist for this selected encounter; all prior diagnoses, symptoms, administrations and requests remain unchanged. The configured synthetic Heart Rate form will be used through normal UI.
Image SHA-256 `68ff09b207f7a9eb41760d9a7c4f7a1eccf3ce9e3241a89a5d3e650ecbf2e5dd`
**Forms**: Open the encounter form collection after confirming the intended patient and chosen encounter.
**Chosen encounter context**: This is the ongoing Inpatient encounter for the fictional software exercise.

Select the configured synthetic Heart Rate form. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:34:00.055Z · 1728 × 921**
Select the configured synthetic Heart Rate form
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Actual configured encounter form collection. The existing synthetic Heart Rate form uses the installed LOINC 8867-4 code and UCUM /min unit; other listed forms are not submitted in this exercise.
Image SHA-256 `74c936309433b427639c57ea4446330a27a143d9c14c4be30a7a2c8f68998f00`
**Synthetic Training — Heart Rate**: Choose the configured synthetic observation form, rather than a different clinical template.

2. Check the required value and fixed unit

Read the required Heart rate (synthetic training) question and its /min label. The description specifies beats/minute. In this demonstration, choosing Submit with an empty input produces inline “This field is required” and a Validation Errors summary. Scroll to question returns to the missing input. Client validation prevents this empty form from being saved.

Recover from an empty required observation. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:34:17.221Z · 1728 × 921**
Recover from an empty required observation
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Normal Submit on the empty Heart Rate form displays inline and summary validation errors. No observation submission request was made. The input can be completed to clear this client validation.
Image SHA-256 `30eff9a145d95b83f62f90dd4b9919982031c62b392b7d5eb3d50398a911bc72`
**Required field to complete**: Enter the simulated numeric value in the required input.
**Scroll to question**: The validation summary links back to the required question.

3. Enter the simulated value and optional context

Enter 72 only as a synthetic demonstration value. The required-field errors clear. Open the question’s note icon and enter context identifying the software exercise and that no real measurement occurred. The note is optional in the software; it is separate from the required numeric value. Escape closes the note popover without discarding its entered text.

Review the pending simulated heart-rate value. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:34:25.518Z · 1728 × 921**
Review the pending simulated heart-rate value
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. After the required error,72 is entered only as a fictional software-training value. The validation errors clear, the fixed /min unit remains and no Save has occurred. This is not a physical measurement or clinical recommendation.
Image SHA-256 `9b0664a1287f5ccfe90ac3280f896f162a59390a14f83f18bf981cb4416362a1`
**Pending value 72**: The numeric value is still an unsaved form input; its configured unit is/min.
**Question options**: Open the question menu to add contextual training notes if needed.

Record optional observation context. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:35:28.415Z · 1728 × 921**
Record optional observation context
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The question note popover contains explicit fictional training context. This optional note is separate from the required numeric input; no effective-time/backdating control exists here. The observation is still unsaved.
Image SHA-256 `3025b5ba839899d743cd7cc758230ada277b31300c13661901fbe7853c8c1582`
**Optional question note**: This note explains the fictional software example and is saved with the observation.

Submit the reviewed synthetic observation. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:35:35.305Z · 1728 × 921**
Submit the reviewed synthetic observation
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. The required simulated value 72 and optional fictional note have been entered; configured /min unit and patient context are checked. Submit will create a new questionnaire response and linked observation using server effective time. No backdated effective time is supplied.
Image SHA-256 `c9235893c97542fc3a0cf9750c2a44b1b5d728c29db19fc202722cdd7913e0a0`
**Submit reviewed entry**: Save this distinct fictional observation once after reviewing patient, value and configured unit.
**Reviewed numeric input**: 72 is a synthetic demonstration value only.

4. Submit once and verify the saved response

Review the patient, simulated 72 and configured /min unit, then choose Submit once. After success, open Responses. The saved Synthetic Training — Heart Rate card shows 72 filed by MANSOQ E2E Nurse at 05:35 AM on October 19 in this example. Choose See Note to inspect the retained fictional note. The response card does not repeat the unit; the form configuration and independently read observation record establish /min.

Review the retained observation note. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:36:20.920Z · 1728 × 921**
Review the retained observation note
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. See Note on the saved response displays the exact fictional training note entered before Submit. This is a saved readback, not the earlier unsaved popover. No record is changed by this inspection.
Image SHA-256 `9600917151fea194d7a311eb607ee34507b99a56a2113f02db29ee8297275253`
**Saved note expanded**: The response retains its explicit fictional software-training context.

5. Read the observation’s effective time and author

Close the note with Escape and choose Observations. The new entry shows 72, Heart rate, the retained note and Nurse filed-by context, grouped Today at 05:35 AM. This exact source assigns effective_datetime at server submission time; the saved value is 2026-10-19T02:35:35.601029Z, corresponding to the displayed local time. This form does not render an effective-time or backdating control. The observation card also omits the stored unit, so refer to the configured /min form rather than assuming another unit.

6. Review Pulse graph, recent data and full history

Choose Plots and locate Pulse under Primary Parameters. Its Graph shows the synthetic 72 point at 05:35. On this same Pulse card, choose Recent Data to inspect time, value, entered-by Nurse and note context, then Full History to inspect the retained observation row. The Code column uses this plot’s configured “Pulse” label for Heart rate. Long notes are clipped in these narrow table cells; use the saved response’s See Note for the complete context. These views are filtered to the selected encounter in this source.

Review the selected encounter’s Pulse plot. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:37:30.165Z · 1728 × 921**
Review the selected encounter’s Pulse plot
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Primary Parameters Pulse graph includes the newly saved72 at 05:35 local for installed Heart rate code8867-4. This is a software plotting demonstration, not a clinical trend interpretation. The Graph, Recent Data and Full History controls belong to this Pulse card.
Image SHA-256 `35bb09421255148d3924f2171ee84019af31684c2b8f655459c2ed715ad899b5`
**Pulse Recent Data**: Switch this Pulse card to its recent observation data.
**Pulse Full History**: Read historical observations for this card and selected encounter.

Read recent Pulse data with author and note. Actual MANSOQ wide desktop with a fictional training case. — **Recorded release 96ca7318 · 2026-10-19T02:37:37.302Z · 1728 × 921**
Read recent Pulse data with author and note
Capture details
Exact committed release 96ca7318 on an isolated nonproduction clone, using an existing Nurse and fictional Polyclinic inpatient case. The synthetic patient name retains an earlier release label. Pulse Recent Data displays05:35 October 19, Pulse72, the existing Nurse and saved fictional note. The displayed time corresponds to the server effective datetime. This table does not provide a value edit or effective-time edit control.
Image SHA-256 `749064ca655a7e644b380fddebffd0c7c057490515c2470cfc48d9c8130f316c`
**Pulse Full History**: Open the complete paginated observation history for this Pulse code and selected encounter.

Effective time and unit controls actually available

The saved form has collect_time enabled in configuration, but this renderer does not consume that flag as a time input and the generic submission does not send taken_at. The observation conversion assigns the current server time. This lesson therefore qualifies the actual saved time and fixed-unit behavior, not backdated observations, selectable units or a measurement protocol. Those additional controls remain unobserved or unavailable in this flow.

Verified scope

Ordinary Nurse and Doctor reads independently verified one new Completed response and one Final observation with the same 72, /min unit, fictional note and Nurse actor. This is one desktop Nurse entry in a configured Polyclinic encounter, not all vital-sign types, physical clinical validation, every facility permission or observation correction. The correction and replacement lessons separately show a concrete source limitation.

Source evidence

Every citation uses this exact committed version. The private source repository requires access.

repositories/platform/mansoq-web/src/components/Questionnaire/QuestionnaireForm.tsx:740 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/components/Questionnaire/QuestionnaireForm.tsx:857 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
Source file checksum
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repositories/platform/mansoq-web/src/components/Questionnaire/QuestionTypes/NumberQuestion.tsx:22 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/components/Questionnaire/QuestionRenderer.tsx:55 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-core/mansoq/emr/resources/questionnaire/utils.py:354 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-core/mansoq/emr/resources/questionnaire_response/spec.py:24 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/pages/Encounters/tabs/observations.tsx:76 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/pages/Encounters/tabs/observations.tsx:140 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/components/Common/Charts/ObservationChart.tsx:118 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-web/src/components/Common/Charts/ObservationHistoryTable.tsx:70 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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repositories/platform/mansoq-core/mansoq/emr/api/viewsets/observation.py:45 · 96ca7318eb2b93f5fa477908a1543075e0d1f056
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