ayunilaDocs
Sign in
Docs/Features

Vitals & BMI

Record BP, pulse, temperature, SpO₂, respiratory rate, weight and height — with automatic BMI and age-aware flags.

Recording vitals

On an appointment's detail screen, the Vitals card lets you Record vitals for that visit: BP (systolic/diastolic), Pulse, Temp, SpO₂, Resp rate, Weight and Height, plus a free-text Notes field. Fill in whatever was measured — you don't need every field to save.

  1. 1Open the appointment and find the Vitals card.
  2. 2Click Record vitals (or Record new if one is already on file for this visit).
  3. 3Enter any of BP systolic/diastolic, Pulse, Temp, SpO₂, Resp rate, Weight and Height.
  4. 4Add a note if useful, then click Save vitals.
Note

Vitals recorded here also appear as a read-only summary on the doctor's prescription-writing screen, so nothing needs re-entering during the consult.

Automatic BMI

Once both Weight and Height are on file, BMI is calculated automatically and shown as its own tile alongside the other vitals — no separate calculation step.

How the colour-coded flags work

Each vital tile is checked against a reference range for the patient's age and coloured accordingly: a plain tile means Normal, amber means Low or High, and red means Critical. A short label (e.g. Fever, Elevated, Low, High, Critical) and the exact range used appear under any flagged value. If several vitals are out of range, a count badge ("N vitals out of range") appears at the top of the card.

  • Pulse and respiratory rate use age bands for children (under 1, 1–2, 3–5, 6–11, 12–15) and an adult range from age 16 up — a child's normal resting pulse is naturally faster than an adult's.
  • SpO₂: 95% and above is normal, 90–94% is flagged low, and below 90% is flagged critical.
  • Temperature: 36.1–37.2°C is normal; up to 38.0°C is flagged elevated, above 38.0°C is flagged fever, below 36.1°C is flagged low, and under 35.0°C or over 41.0°C is flagged critical.
  • Blood pressure (age 13+): under 120/80 mmHg is normal, 120–139/80–89 is flagged Elevated / Stage 1, 140/90 and above is flagged Stage 2 hypertension (critical), and under 90/60 is flagged low (hypotension).

BMI categories

  • Under 18.5 — Underweight (flagged low)
  • 18.5–24.9 — Normal
  • 25–29.9 — Overweight (flagged high)
  • 30 and above — Obese (flagged critical)

Children: percentile note

For patients under 13, blood pressure isn't checked against the adult mmHg thresholds — the app shows "Pediatric — assess by percentile" instead, since normal BP in children depends on age, sex and height percentile, not a single cutoff. BMI for anyone under 18 is shown the same way: "Interpret with age/sex percentile (pediatric)" rather than the adult Underweight/Normal/Overweight/Obese bands, which don't apply to growing children.

Heads up

These flags are a guide to help you spot values worth a second look — they are not a diagnosis. Always apply clinical judgment, especially for pediatric patients, pregnant patients, or anyone with a known condition that shifts what's "normal" for them.

Why is BMI missing even though I entered vitals?

BMI only calculates once both Weight and Height are recorded for the same visit — enter both to see it.

A child's pulse is flagged high but it looks fine to me.

Pulse ranges are age-banded, but every child is different — the flag is a prompt to double-check, not a verdict. Use it alongside your own assessment.

Why does a child's BP tile never show High or Low?

Under age 13, BP can't be judged against a single adult range, so the app deliberately shows a neutral "assess by percentile" note instead of a potentially misleading flag.

Can I edit vitals after saving?

Use Record new on the Vitals card to add a fresh reading for the same visit; the latest recording is what's shown and used for the flags.