diff --git a/src/Components/Assets/AssetType/HL7Monitor.tsx b/src/Components/Assets/AssetType/HL7Monitor.tsx
index e50a9312467..40895b5c53a 100644
--- a/src/Components/Assets/AssetType/HL7Monitor.tsx
+++ b/src/Components/Assets/AssetType/HL7Monitor.tsx
@@ -15,6 +15,7 @@ import CareIcon from "../../../CAREUI/icons/CareIcon";
 import TextFormField from "../../Form/FormFields/TextFormField";
 import HL7PatientVitalsMonitor from "../../VitalsMonitor/HL7PatientVitalsMonitor";
 import VentilatorPatientVitalsMonitor from "../../VitalsMonitor/VentilatorPatientVitalsMonitor";
+import CheckBoxFormField from "../../Form/FormFields/CheckBoxFormField";
 
 interface HL7MonitorProps {
   assetId: string;
@@ -31,6 +32,8 @@ const HL7Monitor = (props: HL7MonitorProps) => {
   const [isLoading, setIsLoading] = useState(true);
   const [localipAddress, setLocalIPAddress] = useState("");
   const [ipadrdress_error, setIpAddress_error] = useState("");
+  const [gains, setGains] = useState<any>();
+  const [editGains, setEditGains] = useState(false);
 
   const dispatch = useDispatch<any>();
 
@@ -50,6 +53,17 @@ const HL7Monitor = (props: HL7MonitorProps) => {
     setAssetType(asset?.asset_class);
     setMiddlewareHostname(asset?.meta?.middleware_hostname);
     setLocalIPAddress(asset?.meta?.local_ip_address);
+    if (asset?.meta?.gains) {
+      setGains(asset?.meta?.gains);
+      setEditGains(true);
+    } else {
+      setGains(
+        asset?.asset_class === "HL7MONITOR"
+          ? { ecg: 1, pleth: 1, resp: 1 }
+          : { pressure: 1, flow: 1, volume: 1 }
+      );
+      setEditGains(false);
+    }
     setIsLoading(false);
   }, [asset]);
 
@@ -57,13 +71,16 @@ const HL7Monitor = (props: HL7MonitorProps) => {
     e.preventDefault();
     if (checkIfValidIP(localipAddress)) {
       setIpAddress_error("");
+
       const data = {
         meta: {
           asset_type: assetType,
           middleware_hostname: middlewareHostname, // TODO: remove this infavour of facility.middleware_address
           local_ip_address: localipAddress,
+          gains: editGains ? gains : undefined,
         },
       };
+
       const res: any = await Promise.resolve(
         dispatch(partialUpdateAsset(assetId, data))
       );
@@ -87,20 +104,27 @@ const HL7Monitor = (props: HL7MonitorProps) => {
   return (
     <div className="flex w-full mx-auto xl:mt-8">
       <div className="flex flex-col xl:flex-row-reverse gap-4 mx-auto">
-        <div className="w-full xl:max-w-xs shrink-0 flex flex-col gap-4">
+        <div className="w-full xl:max-w-lg shrink-0 flex flex-col gap-4">
           <Card className="w-full flex flex-col">
             <form onSubmit={handleSubmit}>
-              <h2 className="text-lg font-bold mb-2">Connection</h2>
-              <div className="flex flex-col">
+              <div className="flex items-center justify-between mb-2">
+                <h2 className="text-lg font-bold">Connection</h2>
+                <Submit ghost border size="small">
+                  <CareIcon className="care-l-save text-lg" />
+                  <span>Save</span>
+                </Submit>
+              </div>
+              <div className="flex flex-col md:flex-row gap-2">
                 <TextFormField
+                  labelClassName="!text-sm"
                   name="middlewareHostname"
                   label="Middleware Hostname"
                   placeholder={facilityMiddlewareHostname}
                   value={middlewareHostname}
                   onChange={(e) => setMiddlewareHostname(e.value)}
-                  errorClassName="hidden"
                 />
                 <TextFormField
+                  labelClassName="!text-sm"
                   name="localipAddress"
                   label="Local IP Address"
                   value={localipAddress}
@@ -108,10 +132,35 @@ const HL7Monitor = (props: HL7MonitorProps) => {
                   required
                   error={ipadrdress_error}
                 />
-                <Submit className="w-full">
-                  <CareIcon className="care-l-save" />
-                  <span>Save Configuration</span>
-                </Submit>
+              </div>
+              <div className="flex items-center justify-between mb-2">
+                <h2 className="text-lg font-bold">Waveform Configurations</h2>
+                <CheckBoxFormField
+                  labelClassName="!text-sm"
+                  name="editGains"
+                  label="Override Gains"
+                  value={editGains}
+                  onChange={(e) => setEditGains(e.value)}
+                  errorClassName="hidden"
+                />
+              </div>
+              <div className="flex flex-col md:flex-row gap-2">
+                {gains &&
+                  Object.keys(gains).map((key) => (
+                    <TextFormField
+                      disabled={!editGains}
+                      labelClassName="!text-sm"
+                      name={key}
+                      label={`${key.toUpperCase()} Gain`}
+                      placeholder="1.00"
+                      value={(gains[key] ?? 1).toString()}
+                      type="number"
+                      onChange={(e) =>
+                        setGains((prev: any) => ({ ...prev, [key]: e.value }))
+                      }
+                      step={0.01}
+                    />
+                  ))}
               </div>
             </form>
           </Card>
@@ -124,7 +173,9 @@ const HL7Monitor = (props: HL7MonitorProps) => {
 
         {assetType === "HL7MONITOR" && (
           <HL7PatientVitalsMonitor
+            key={JSON.stringify(gains)}
             socketUrl={`wss://${middleware}/observations/${localipAddress}`}
+            options={{ gains }}
           />
         )}
         {assetType === "VENTILATOR" && (
diff --git a/src/Components/Assets/configure/MonitorConfigure.tsx b/src/Components/Assets/configure/MonitorConfigure.tsx
index 5e86f380a7b..d1bc042f444 100644
--- a/src/Components/Assets/configure/MonitorConfigure.tsx
+++ b/src/Components/Assets/configure/MonitorConfigure.tsx
@@ -10,7 +10,6 @@ import {
 import * as Notification from "../../../Utils/Notifications.js";
 import { useDispatch } from "react-redux";
 import { Submit } from "../../Common/components/ButtonV2";
-import { FieldLabel } from "../../Form/FormFields/FormField";
 
 const saveLink = (assetId: string, bedId: string, dispatch: Dispatch<any>) => {
   dispatch(createAssetBed({}, assetId, bedId));
@@ -75,9 +74,15 @@ export default function MonitorConfigure({ asset }: { asset: AssetData }) {
         }
       }}
     >
-      <div className="flex flex-col">
-        <div className="w-full">
-          <FieldLabel className="">Bed</FieldLabel>
+      <div className="w-full">
+        <div className="flex justify-between items-center mb-2">
+          <h2 className="text-lg font-bold">Bed</h2>
+          <Submit ghost border size="small">
+            <i className="fas fa-bed-pulse" />
+            {updateLink ? "Update" : "Save"}
+          </Submit>
+        </div>
+        <div className="flex items-center gap-2">
           <BedSelect
             name="bed"
             setSelected={(selected) => setBed(selected as BedModel)}
@@ -89,10 +94,6 @@ export default function MonitorConfigure({ asset }: { asset: AssetData }) {
             className="w-full"
           />
         </div>
-        <Submit className="shrink-0 w-full mt-6">
-          <i className="fas fa-bed-pulse" />
-          {updateLink ? "Update Bed" : "Save Bed"}
-        </Submit>
       </div>
     </form>
   );
diff --git a/src/Components/Form/FormFields/TextFormField.tsx b/src/Components/Form/FormFields/TextFormField.tsx
index 8cf61d97907..27de931e975 100644
--- a/src/Components/Form/FormFields/TextFormField.tsx
+++ b/src/Components/Form/FormFields/TextFormField.tsx
@@ -18,6 +18,7 @@ export type TextFormFieldProps = FormFieldBaseProps<string> & {
   leadingPadding?: string | undefined;
   min?: string | number;
   max?: string | number;
+  step?: string | number;
   onFocus?: (event: React.FocusEvent<HTMLInputElement>) => void;
   onBlur?: (event: React.FocusEvent<HTMLInputElement>) => void;
 };
@@ -59,6 +60,7 @@ const TextFormField = React.forwardRef((props: TextFormFieldProps, ref) => {
       onFocus={props.onFocus}
       onBlur={props.onBlur}
       onChange={(e) => field.handleChange(e.target.value)}
+      step={props.step}
     />
   );
 
diff --git a/src/Components/VitalsMonitor/HL7DeviceClient.ts b/src/Components/VitalsMonitor/HL7DeviceClient.ts
index 72f6406193a..a6b75e05256 100644
--- a/src/Components/VitalsMonitor/HL7DeviceClient.ts
+++ b/src/Components/VitalsMonitor/HL7DeviceClient.ts
@@ -4,7 +4,7 @@ import { VitalsDataBase, VitalsValueBase, VitalsWaveformBase } from "./types";
 const WAVEFORM_KEY_MAP: Record<string, EventName> = {
   II: "ecg-waveform",
   Pleth: "pleth-waveform",
-  Respiration: "spo2-waveform",
+  Respiration: "resp-waveform",
 };
 
 /**
@@ -101,7 +101,7 @@ type EventName =
   | HL7MonitorData["observation_id"]
   | "ecg-waveform"
   | "pleth-waveform"
-  | "spo2-waveform";
+  | "resp-waveform";
 
 const parseObservations = (data: string) => {
   return JSON.parse(data || "[]") as HL7MonitorData[];
diff --git a/src/Components/VitalsMonitor/HL7PatientVitalsMonitor.tsx b/src/Components/VitalsMonitor/HL7PatientVitalsMonitor.tsx
index abc3c298a1f..978bea63fba 100644
--- a/src/Components/VitalsMonitor/HL7PatientVitalsMonitor.tsx
+++ b/src/Components/VitalsMonitor/HL7PatientVitalsMonitor.tsx
@@ -1,5 +1,5 @@
 import { useEffect } from "react";
-import useHL7VitalsMonitor from "./useHL7VitalsMonitor";
+import useHL7VitalsMonitor, { Options } from "./useHL7VitalsMonitor";
 import { PatientAssetBed } from "../Assets/AssetTypes";
 import { Link } from "raviger";
 import { GENDER_TYPES } from "../../Common/constants";
@@ -11,14 +11,17 @@ interface Props {
   patientAssetBed?: PatientAssetBed;
   socketUrl: string;
   size?: { width: number; height: number };
+  options?: Options;
 }
 
 export default function HL7PatientVitalsMonitor({
   patientAssetBed,
   socketUrl,
   size,
+  options,
 }: Props) {
-  const { connect, waveformCanvas, data, isOnline } = useHL7VitalsMonitor();
+  const { connect, waveformCanvas, data, isOnline } =
+    useHL7VitalsMonitor(options);
   const { patient, bed } = patientAssetBed ?? {};
 
   useEffect(() => {
@@ -145,10 +148,10 @@ export default function HL7PatientVitalsMonitor({
           <div className="flex justify-between items-center p-1">
             <div className="flex gap-2 items-start h-full text-yellow-300 font-bold">
               <span className="text-sm">SpO2</span>
-              <span className="text-xs">{data.spo2?.unit ?? "--"}</span>
+              <span className="text-xs">{data.resp?.unit ?? "--"}</span>
             </div>
             <span className="text-4xl md:text-6xl font-black text-yellow-300 mr-3">
-              {data.spo2?.value ?? "--"}
+              {data.resp?.value ?? "--"}
             </span>
           </div>
 
diff --git a/src/Components/VitalsMonitor/HL7VitalsRenderer.ts b/src/Components/VitalsMonitor/HL7VitalsRenderer.ts
index 1a4df38aabc..a6964a975b7 100644
--- a/src/Components/VitalsMonitor/HL7VitalsRenderer.ts
+++ b/src/Components/VitalsMonitor/HL7VitalsRenderer.ts
@@ -52,7 +52,7 @@ interface Options {
   /**
    * Options for SPO2 channel.
    */
-  spo2: ChannelOptions;
+  resp: ChannelOptions;
 }
 
 /**
@@ -67,7 +67,7 @@ class HL7VitalsRenderer {
     const {
       ecg,
       pleth,
-      spo2,
+      resp,
       size: { height: h, width: w },
     } = options;
 
@@ -95,14 +95,14 @@ class HL7VitalsRenderer {
         rows: 1,
       },
 
-      spo2: {
+      resp: {
         color: "#03a9f4",
         buffer: [],
         cursor: { x: 0, y: 0 },
-        deltaX: w / (DURATION * spo2.samplingRate),
-        transform: lerp(spo2.lowLimit, spo2.highLimit, h, h * 0.75),
-        chunkSize: spo2.samplingRate * options.animationInterval * 1e-3,
-        options: spo2,
+        deltaX: w / (DURATION * resp.samplingRate),
+        transform: lerp(resp.lowLimit, resp.highLimit, h, h * 0.75),
+        chunkSize: resp.samplingRate * options.animationInterval * 1e-3,
+        options: resp,
         rows: 1,
       },
     };
@@ -110,23 +110,23 @@ class HL7VitalsRenderer {
     // Draw baseline for each channel.
     this.initialize(this.state.ecg);
     this.initialize(this.state.pleth);
-    this.initialize(this.state.spo2);
+    this.initialize(this.state.resp);
 
     // Start rendering.
     setInterval(() => {
       this.render(this.state.ecg);
       this.render(this.state.pleth);
-      this.render(this.state.spo2);
+      this.render(this.state.resp);
     }, options.animationInterval);
   }
 
   private options: Options;
-  private state: { ecg: ChannelState; pleth: ChannelState; spo2: ChannelState };
+  private state: { ecg: ChannelState; pleth: ChannelState; resp: ChannelState };
 
   /**
    * Appends data to the buffer of the specified channel.
    */
-  append(channel: "ecg" | "pleth" | "spo2", data: number[]) {
+  append(channel: "ecg" | "pleth" | "resp", data: number[]) {
     const state = this.state[channel];
     state.buffer.push(...data.map(state.transform));
   }
diff --git a/src/Components/VitalsMonitor/useHL7VitalsMonitor.ts b/src/Components/VitalsMonitor/useHL7VitalsMonitor.ts
index 8b14dff12e3..37ba2499f05 100644
--- a/src/Components/VitalsMonitor/useHL7VitalsMonitor.ts
+++ b/src/Components/VitalsMonitor/useHL7VitalsMonitor.ts
@@ -28,7 +28,15 @@ interface VitalsBPValue {
   map: VitalsValue;
 }
 
-export default function useHL7VitalsMonitor() {
+export interface Options {
+  gains?: {
+    ecg?: number;
+    pleth?: number;
+    resp?: number;
+  };
+}
+
+export default function useHL7VitalsMonitor(options?: Options) {
   const waveformForegroundCanvas = useCanvas();
   const waveformBackgroundCanvas = useCanvas();
 
@@ -37,7 +45,7 @@ export default function useHL7VitalsMonitor() {
   const [pulseRate, setPulseRate] = useState<VitalsValue>();
   const [heartRate, setHeartRate] = useState<VitalsValue>();
   const [bp, setBp] = useState<VitalsBPValue>();
-  const [spo2, setSpo2] = useState<VitalsValue>();
+  const [resp, setResp] = useState<VitalsValue>();
   const [respiratoryRate, setRespiratoryRate] = useState<VitalsValue>();
   const [temperature1, setTemperature1] = useState<VitalsValue>();
   const [temperature2, setTemperature2] = useState<VitalsValue>();
@@ -48,7 +56,7 @@ export default function useHL7VitalsMonitor() {
 
   const ecgOptionsRef = useRef<ChannelOptions>();
   const plethOptionsRef = useRef<ChannelOptions>();
-  const spo2OptionsRef = useRef<ChannelOptions>();
+  const respOptionsRef = useRef<ChannelOptions>();
 
   const connect = useCallback(
     (socketUrl: string) => {
@@ -62,7 +70,7 @@ export default function useHL7VitalsMonitor() {
         if (
           !ecgOptionsRef.current ||
           !plethOptionsRef.current ||
-          !spo2OptionsRef.current
+          !respOptionsRef.current
         )
           return;
 
@@ -75,19 +83,28 @@ export default function useHL7VitalsMonitor() {
           animationInterval: 50,
           ecg: ecgOptionsRef.current,
           pleth: plethOptionsRef.current,
-          spo2: spo2OptionsRef.current,
+          resp: respOptionsRef.current,
         });
 
         const _renderer = renderer.current;
-        device.current!.on("ecg-waveform", ingestTo(_renderer, "ecg"));
-        device.current!.on("pleth-waveform", ingestTo(_renderer, "pleth"));
-        device.current!.on("spo2-waveform", ingestTo(_renderer, "spo2"));
+        device.current!.on(
+          "ecg-waveform",
+          ingestTo(_renderer, "ecg", options?.gains?.ecg)
+        );
+        device.current!.on(
+          "pleth-waveform",
+          ingestTo(_renderer, "pleth", options?.gains?.pleth)
+        );
+        device.current!.on(
+          "resp-waveform",
+          ingestTo(_renderer, "resp", options?.gains?.resp)
+        );
 
         const hook = (set: (data: any) => void) => (d: HL7MonitorData) =>
           set(d);
         device.current!.on("pulse-rate", hook(setPulseRate));
         device.current!.on("heart-rate", hook(setHeartRate));
-        device.current!.on("SpO2", hook(setSpo2));
+        device.current!.on("SpO2", hook(setResp));
         device.current!.on("respiratory-rate", hook(setRespiratoryRate));
         device.current!.on("body-temperature1", hook(setTemperature1));
         device.current!.on("body-temperature2", hook(setTemperature2));
@@ -108,8 +125,8 @@ export default function useHL7VitalsMonitor() {
         obtainRenderer();
       });
 
-      device.current.once("spo2-waveform", (observation) => {
-        spo2OptionsRef.current = getChannel(
+      device.current.once("resp-waveform", (observation) => {
+        respOptionsRef.current = getChannel(
           observation as HL7VitalsWaveformData
         );
         obtainRenderer();
@@ -129,7 +146,7 @@ export default function useHL7VitalsMonitor() {
       pulseRate,
       heartRate,
       bp,
-      spo2,
+      resp,
       respiratoryRate,
       temperature1,
       temperature2,
@@ -141,14 +158,23 @@ export default function useHL7VitalsMonitor() {
 
 const ingestTo = (
   vitalsRenderer: HL7VitalsRenderer,
-  channel: "ecg" | "pleth" | "spo2"
+  channel: "ecg" | "pleth" | "resp",
+  gain = 1
 ) => {
   return (observation: HL7MonitorData) => {
-    vitalsRenderer.append(
-      channel,
+    let data =
       (observation as HL7VitalsWaveformData).data
         .split(" ")
-        .map((x) => parseInt(x)) || []
-    );
+        .map((x) => parseInt(x)) || [];
+
+    const baseline = (observation as HL7VitalsWaveformData)["data-baseline"];
+
+    if (gain !== 1) {
+      data = data.map((x: number) =>
+        Math.round((x - baseline) * gain + baseline)
+      );
+    }
+
+    vitalsRenderer.append(channel, data);
   };
 };