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Hospital Patient Monitoring System

System Requirements Specification (SyRS) — ISO/IEC/IEEE 15289 — Specification | IEEE 29148 §6.2–6.4
Generated 2026-03-27 — UHT Journal / universalhex.org

Referenced Standards

StandardTitle
IEC 60601
IEC 60601-1-8 Alarm systems — General requirements, tests, and guidance
IEC 62304 Medical device software — Software life cycle processes
IEC 80001-1
IEEE 11073
IEEE 1588 Standard for a Precision Clock Synchronization Protocol for Networked Measurement and Control Systems
IEEE 802.1Q

Acronyms & Abbreviations

AcronymExpansion
ARC Architecture Decisions
CCCS Completeness, Consistency, Correctness, Stability
EARS Easy Approach to Requirements Syntax
IFC Interface Requirements
STK Stakeholder Requirements
SUB Subsystem Requirements
SYS System Requirements
UHT Universal Hex Taxonomy
VER Verification Plan

Stakeholder Requirements (STK)

RefRequirementV&VTags
STK-STAKEHOLDERNEEDS-001 The Hospital Patient Monitoring System SHALL continuously monitor patient vital signs including heart rate, blood pressure, oxygen saturation, respiration rate, and body temperature without interruption during the patient's stay. stakeholder, session-169
STK-STAKEHOLDERNEEDS-002 The Hospital Patient Monitoring System SHALL alert clinical staff within clinically acceptable timeframes when patient vital signs deviate from prescribed thresholds. stakeholder, session-169
STK-STAKEHOLDERNEEDS-003 The Hospital Patient Monitoring System SHALL integrate with the hospital Electronic Health Record system to provide a unified patient data view and avoid duplicate data entry. stakeholder, session-169
STK-STAKEHOLDERNEEDS-004 The Hospital Patient Monitoring System SHALL comply with applicable medical device regulations including IEC 60601, IEC 62304, and FDA 21 CFR Part 820 quality system requirements. stakeholder, session-169
STK-STAKEHOLDERNEEDS-005 The Hospital Patient Monitoring System SHALL reduce clinically non-actionable alarms to mitigate alarm fatigue among nursing staff while maintaining sensitivity to genuine patient deterioration events. stakeholder, session-169
STK-STAKEHOLDERNEEDS-006 The Hospital Patient Monitoring System SHALL protect patient health information in accordance with HIPAA privacy and security rules and hospital data governance policies. stakeholder, session-169

System Requirements (SYS)

RefRequirementV&VTags
SYS-SYSTEM-LEVELREQUIREMENTS-001 The Hospital Patient Monitoring System SHALL acquire and display continuous ECG waveforms with a minimum of 3-lead configuration at a sampling rate of no less than 250 Hz. system, vital-signs, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-002 The Hospital Patient Monitoring System SHALL measure and display pulse oximetry (SpO2) with an accuracy of +/- 2% in the range of 70-100% saturation. system, vital-signs, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-003 The Hospital Patient Monitoring System SHALL perform non-invasive blood pressure measurements at configurable intervals ranging from 1 minute to 480 minutes and on manual demand. system, vital-signs, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-004 When a monitored vital sign exceeds a configured alarm threshold, the Hospital Patient Monitoring System SHALL generate an audible and visual alarm at the bedside within 10 seconds of threshold violation. system, alarm, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-005 The Hospital Patient Monitoring System SHALL display real-time vital signs and alarm status for all monitored patients on the central monitoring station simultaneously, supporting a minimum of 32 patients per station. system, display, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-006 The Hospital Patient Monitoring System SHALL export patient vital sign data and alarm events to the Electronic Health Record using HL7 FHIR R4 observation resources. system, integration, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-007 The Hospital Patient Monitoring System SHALL automatically associate bedside monitors with patient identity upon receiving ADT admit messages and disassociate upon discharge. system, integration, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-008 The Hospital Patient Monitoring System SHALL support configurable alarm delay periods of 0 to 60 seconds per parameter to suppress transient threshold crossings caused by patient movement or artifact. system, alarm, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-009 The Hospital Patient Monitoring System SHALL encrypt all patient data in transit using TLS 1.2 or higher and at rest using AES-256 encryption. system, security, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-010 The Hospital Patient Monitoring System SHALL maintain continuous monitoring operation during a single network path failure through redundant communication links with automatic failover completing within 5 seconds. system, network, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-011 The Hospital Patient Monitoring System SHALL store a minimum of 72 hours of trending data per patient including all monitored vital sign parameters at one-minute resolution. system, storage, session-169
SYS-SYSTEM-LEVELREQUIREMENTS-012 The Hospital Patient Monitoring System SHALL meet the safety and essential performance requirements of IEC 60601-1-8 for medical electrical equipment alarm systems. system, regulatory, session-169

Requirements by Category (IEEE 29148)

4
Functional Requirements
6
Performance Requirements
12
Interface Requirements
1
Security Requirements
1
Environmental Requirements
1
Reliability & Availability
1
Compliance & Regulatory

Traceability Matrix — STK to SYS

SourceTargetTypeDescription
STK-STAKEHOLDERNEEDS-006 SYS-SYSTEM-LEVELREQUIREMENTS-009 derives
STK-STAKEHOLDERNEEDS-005 SYS-SYSTEM-LEVELREQUIREMENTS-008 derives
STK-STAKEHOLDERNEEDS-004 SYS-SYSTEM-LEVELREQUIREMENTS-012 derives
STK-STAKEHOLDERNEEDS-003 SYS-SYSTEM-LEVELREQUIREMENTS-011 derives
STK-STAKEHOLDERNEEDS-003 SYS-SYSTEM-LEVELREQUIREMENTS-007 derives
STK-STAKEHOLDERNEEDS-003 SYS-SYSTEM-LEVELREQUIREMENTS-006 derives
STK-STAKEHOLDERNEEDS-002 SYS-SYSTEM-LEVELREQUIREMENTS-005 derives
STK-STAKEHOLDERNEEDS-002 SYS-SYSTEM-LEVELREQUIREMENTS-004 derives
STK-STAKEHOLDERNEEDS-001 SYS-SYSTEM-LEVELREQUIREMENTS-010 derives
STK-STAKEHOLDERNEEDS-001 SYS-SYSTEM-LEVELREQUIREMENTS-003 derives
STK-STAKEHOLDERNEEDS-001 SYS-SYSTEM-LEVELREQUIREMENTS-002 derives
STK-STAKEHOLDERNEEDS-001 SYS-SYSTEM-LEVELREQUIREMENTS-001 derives