diff --git a/extensions/elation/actions/addVitals/addVitals.ts b/extensions/elation/actions/addVitals/addVitals.ts
index 203abbef9..7976e480d 100644
--- a/extensions/elation/actions/addVitals/addVitals.ts
+++ b/extensions/elation/actions/addVitals/addVitals.ts
@@ -1,5 +1,5 @@
 import { z } from 'zod'
-import { omitBy, isEmpty } from 'lodash'
+import { isEmpty } from 'lodash'
 import { type Action, Category, validate } from '@awell-health/extensions-core'
 import { SettingsValidationSchema, type settings } from '../../settings'
 import { makeAPIClient } from '../../client'
@@ -17,7 +17,7 @@ import {
 const createMeasurement = (
   value?: number,
   note?: string
-): Array<z.infer<typeof measurementInputSchema>> | undefined => {
+): Array<z.infer<typeof measurementInputSchema>> => {
   // the undefined check is stupid but otherwise the build is failing
   if (value !== undefined && !isEmpty(value)) {
     return isEmpty(note)
@@ -32,7 +32,7 @@ const createMeasurement = (
           >,
         ]
   }
-  return undefined
+  return []
 }
 
 export const addVitals: Action<
@@ -58,7 +58,12 @@ export const addVitals: Action<
 
     const api = makeAPIClient(settings)
 
-    const measurements = {
+    const body: AddVitalsInputType = {
+      patient: fields.patientId,
+      practice: fields.practiceId,
+      visit_note: fields?.visitNoteId,
+      non_visit_note: fields?.nonVisitNoteId,
+      bmi: fields.bmi,
       height: createMeasurement(fields.height, fields.heightNote),
       weight: createMeasurement(fields.weight, fields.weightNote),
       oxygen: createMeasurement(fields.oxygen, fields.oxygenNote),
@@ -75,17 +80,6 @@ export const addVitals: Action<
       bfm: createMeasurement(fields.bfm, fields.bfmNote),
       wc: createMeasurement(fields.wc, fields.wcNote),
     }
-    // remove empty measurements
-    const validMeasurements = omitBy(measurements, isEmpty)
-
-    const body: AddVitalsInputType = {
-      patient: fields.patientId,
-      practice: fields.practiceId,
-      visit_note: fields?.visitNoteId,
-      non_visit_note: fields?.nonVisitNoteId,
-      bmi: fields.bmi,
-      ...validMeasurements,
-    }
 
     const { id } = await api.addVitals(body)
 
diff --git a/extensions/elation/actions/addVitals/config/fields.ts b/extensions/elation/actions/addVitals/config/fields.ts
index ab69f49ac..e4611f422 100644
--- a/extensions/elation/actions/addVitals/config/fields.ts
+++ b/extensions/elation/actions/addVitals/config/fields.ts
@@ -89,7 +89,7 @@ export const fields = {
   },
   rr: {
     id: 'rr',
-    label: 'Respiratory Rate',
+    label: 'Respiratory Rate (rr)',
     description: 'Respiratory rate',
     type: FieldType.NUMERIC,
     required: false,
@@ -103,7 +103,7 @@ export const fields = {
   },
   hr: {
     id: 'hr',
-    label: 'Heart Rate',
+    label: 'Heart Rate (hr)',
     description: 'Heart rate',
     type: FieldType.NUMERIC,
     required: false,
@@ -117,7 +117,7 @@ export const fields = {
   },
   hc: {
     id: 'hc',
-    label: 'Head Circumference',
+    label: 'Head Circumference (hc)',
     description: 'Head circumference',
     type: FieldType.NUMERIC,
     required: false,
@@ -145,7 +145,7 @@ export const fields = {
   },
   bp: {
     id: 'bp',
-    label: 'Blood Pressure',
+    label: 'Blood Pressure (bp)',
     description: 'Blood pressure',
     type: FieldType.NUMERIC,
     required: false,
@@ -173,7 +173,7 @@ export const fields = {
   },
   dlm: {
     id: 'dlm',
-    label: 'Dry Lean Mass',
+    label: 'Dry Lean Mass (dlm)',
     description: 'Dry lean mass',
     type: FieldType.NUMERIC,
     required: false,
@@ -187,7 +187,7 @@ export const fields = {
   },
   bfm: {
     id: 'bfm',
-    label: 'Body Fat Mass',
+    label: 'Body Fat Mass (bfm)',
     description: 'Body fat mass',
     type: FieldType.NUMERIC,
     required: false,
@@ -201,7 +201,7 @@ export const fields = {
   },
   wc: {
     id: 'wc',
-    label: 'Waist Circumference',
+    label: 'Waist Circumference (wc)',
     description: 'Waist circumference',
     type: FieldType.NUMERIC,
     required: false,
diff --git a/extensions/elation/types/vitals.ts b/extensions/elation/types/vitals.ts
index f19759be7..be2773d37 100644
--- a/extensions/elation/types/vitals.ts
+++ b/extensions/elation/types/vitals.ts
@@ -23,37 +23,30 @@ export const AddVitalsInputSchema = z
     bmi: z.number().optional(),
     height: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Height; only one item allowed'),
     weight: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Weight; only one item allowed'),
     oxygen: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Oxygen; only one item allowed'),
     rr: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Respiratory rate; only one item allowed'),
     hr: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Heart rate; only one item allowed'),
     hc: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Head circumference; only one item allowed'),
     temperature: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Temperature; only one item allowed'),
     bp: z
@@ -64,22 +57,18 @@ export const AddVitalsInputSchema = z
     // ketone: z.array(measurementInputSchema).optional().describe("Optional ketone; see Vital Object Definition for supported observations"),
     bodyfat: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Optional body fat; only one item allowed'),
     dlm: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Optional DLM; only one item allowed'),
     bfm: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Optional BFM; only one item allowed'),
     wc: z
       .array(measurementInputSchema)
-      .length(1)
       .optional()
       .describe('Optional WC; only one item allowed'),
   })