HeartRate-v3.4.1(2026-1EN) - Bewerkingsoverzicht

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Version: '''3.4.1'''
HCIM Status:Final
Release: '''2026-1'''
2026-04-18T16:31:16Z

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.3(EN)|1|HeartRate-v3.4.1(2026-1EN)}}

==General information==
Name: '''nl.zorg.HeartRate''' [[Bestand:NL.png|link=Hartfrequentie-v3.4.1(2026-1NL)]]<BR>
Version: '''3.4.1''' <br>
HCIM Status:Final<br>
Release: '''2026-1''' <br>
Release status: Prepublished<br>
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||29-11-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.3
|-
|style="width:250px; "|DCM::KeywordList||hartfrequentie, vitale parameters, hartslag
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Hartfrequentie
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||17-11-2021
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Hartfrequentie-v3.4
|-
|style="width:250px; "|DCM::Version||3.4.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

<u>Publicatieversie 1.0</u> (15-02-2013)

<u>Publicatieversie 1.1</u> (01-07-2013)

<u>Publicatieversie 1.2</u> (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-141 | ZIB-141 ]]
|Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst HartslagMethodeCodelijst n.a.v. review terminologie expert.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-234 | ZIB-234 ]]
|HartMethodeCodelijst bevat een typefout, namelijk aplation i.p.v. Palpation.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-360 | ZIB-360 ]]
|Palpatie als hartslagmethode in hartfrequentie
|}

Incl. algemene wijzigingsverzoeken:
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}

<u>Publicatieversie 3.0</u> (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}

<u>Publicatieversie 3.1</u> (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-431 | ZIB-431 ]]
|Gebruik van LOINC en SNOMED CT in vitale functies gerelateerde zorginformatiebouwstenen
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-549 | ZIB-549 ]]
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-564 | ZIB-564 ]]
|Aanpassing/harmonisatie Engelse conceptnamen
|}

<u>Publicatieversie 3.2</u> (01-10-2018)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-509 | ZIB-509 ]]
|Wat is de toegevoegde waarde van zib Polsfrequentie naast Hartfrequentie?
|}

Publicatieversie <u>3.3</u> (06-07-2019)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-732 | ZIB-732 ]]
|Een aantal Snomed codes blijken bij nadere controle invalide. Een aantal andere codes zijn inmiddels Inactive verklaard in SNOMED
|}

Publicatieversie <u>3.4</u> (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-881 | ZIB-881 ]]
|HartslagSnelheid/hartslagFrequentie toevoegen met waardelijst
|}

Publicatieversie <u>3.4.1</u> (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1575 | ZIB-1575 ]]
|Deprecated termen en waardelijsten uit de prepublicatie halen
|}
</div>

==Concept==
The heart rate is the number of heartbeats per minute.

==Purpose==
Obtaining information on circulation and heart function by measuring the heartrate.

==Evidence Base==
Heart rate (electric or auscultatory rhythm of the ventricles) and pulse rate (tangible output in the peripheral arteries) are physiologically different things, but produce the same values in normal circulation (beats per minute) and are therefore used interchangeably by many healthcare providers (and laymen). This is however incorrect, as a patient’s pulse rate can be lower than their heart rate. Nevertheless, in daily practice, the pulse is usually palpated to measure heart rate and also written down as the heart rate. For this reason, the HeartRate information model, in addition to the PulseRate information model, offers the option to enter palpation as the HeartRateMeasurementMethod.

==Information Model==
<BR>
<imagemap> Bestand:HeartRate-v3.4.1Model(2026-1EN).png | center
rect 205 461 378 511 [[#HeartRateMeasurementMethodCodelist]]
rect 222 339 358 409 [[#209]]
rect 402 460 592 510 [[#HeartbeatRegularityCodelist]]
rect 423 338 569 408 [[#211]]
rect 451 86 541 156 [[#210]]
rect 265 86 379 156 [[#207]]
rect 159 212 289 282 [[#208]]
rect 345 212 467 282 [[#206]]
rect 535 211 663 281 [[#1738]]
rect 707 221 865 271 [[#InterpretationHeartRateCodelist]]
desc none
</imagemap>
<BR>
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.3.1
|colspan ="6" style ="padding-left: 0px"|<span Id=206 Title="NL: Hartfrequentie">[[Bestand: arrowdown.png | 10px | link=]]HeartRate</span>
|
|Root concept of the HeartRate information model. This root concept contains all data elements of the HeartRate information model.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Bevinding betreffende hartritme en/of hartfrequentie (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=106066004 106066004] Cardiac rhythm AND/OR rate finding</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.3.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=207 Title="NL: HartfrequentieWaarde">[[Bestand: arrowright.png | 10px | link=]]HeartRateValue</span>
|1
|The heart rate measured as the number of heartbeats per minute.
|
{|
|-
|<span title = "Codesystem: LOINC; Hartslagfrequentie [aantal/tijd] (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=8867-4 8867-4] Heart rate</span>
|-
|<span title = "Codesystem: SNOMED CT; Hartslagfrequentie (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=364075005 364075005] Heart rate</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.3.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=208 Title="NL: HartfrequentieDatumTijd">[[Bestand: arrowright.png | 10px | link=]]HeartRateDateTime</span>
|1
|Date and time of the heart rate measurement.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.3.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=209 Title="NL: HartslagMeetMethode">[[Bestand: arrowright.png | 10px | link=]]HeartRateMeasurementMethod</span>
|0..1
|The method used to count and observe the heart rate.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Onderzoek per methode (procedure)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=315306007 315306007] Examination by method</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#HeartRateMeasurementMethodCodelist]]||[[#HeartRateMeasurementMethodCodelist|HeartRateMeasurementMethodCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:12.3.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=210 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|Comment on any problems or factors that may influence the measurement.
|
{|
|-
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (tekstueel) (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.3.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=211 Title="NL: HartslagRegelmatigheid">[[Bestand: arrowright.png | 10px | link=]]HeartbeatRegularity</span>
|0..1
|Regularity of the heartbeat.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Bevinding betreffende hartritme (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=301112006 301112006] Finding of heart rhythm</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#HeartbeatRegularityCodelist]]||[[#HeartbeatRegularityCodelist|HeartbeatRegularityCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.3.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=1738 Title="NL: InterpretatieFrequentie">[[Bestand: arrowright.png | 10px | link=]]InterpretationHeartRate</span>
|0..1
|Interpretation heart rate
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Bevinding betreffende hartfrequentie (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=301113001 301113001] Finding of heart rate</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#InterpretationHeartRateCodelist]]||[[#InterpretationHeartRateCodelist|InterpretationHeartRateCodelist]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="700px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 19%; "|<font color=#FFFFFF><b>HartfrequentieDatumTijd</b></font>
| style="background-color: #1F497D; width: 19%; "|<font color=#FFFFFF><b>Hartfrequentie</b></font><font color=#FFFFFF><b>Waarde</b></font>
| style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>Hartslag</b></font><font color=#FFFFFF><b>Meet</b><BR></font><font color=#FFFFFF><b>Methode</b></font>
| style="background-color: #1F497D; width: 19%; "|<font color=#FFFFFF><b>Hartslag</b><BR></font><font color=#FFFFFF><b>Regelmatigheid</b></font>
| style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Toelichting</b></font>
|-style=vertical-align:top;
| style="width: 19%; "|08-02-2013 6:43
| style="width: 19%; "|126/min
| style="width: 18%; "|Auscultatie
| style="width: 19%; "|Hartslag onregelmatig
| style="width: 24%; "|Misschien bigeminie?
|}

==Instructions==
A Holter registration is a 24-hour ECG: an ECG with a very long measuring period.

==References==
1. Parelsnoer DCM Hartslag v0.98. [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/parelsnoer/Hartslag%20v0.64.pdf [Geraadpleegd: 19 februari 2015].
2. openEHR-EHR-OBSERVATION.heart_rate.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 19 februari 2015].

== Valuesets ==
=== HeartbeatRegularityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.3.1
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|<span title = "Regelmatige pulsaties (finding)">Pulse regular</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=271636001 271636001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Hartslag regelmatig
|-style="vertical-align:top; "
|<span title = "Onregelmatige hartslag (finding)">Irregular heart beat</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=361137007 361137007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Hartslag onregelmatig
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Other values are not allowed
|}
=== HeartRateMeasurementMethodCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.3.2
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|<span title = "Auscultatie (procedure)">Auscultation</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37931006 37931006]
|SNOMED CT
|2.16.840.1.113883.6.96
|Auscultatie
|-style="vertical-align:top; "
|<span title = "Bewaking met hartmonitor (regime/therapy)">Cardiac monitor surveillance</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=88140007 88140007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Cardiale monitoring
|-style="vertical-align:top; "
|<span title = "ECG-bewaking (procedure)">Electrocardiographic monitoring</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=46825001 46825001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Electrocardiografie
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}
=== InterpretationHeartRateCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.3.3
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|<span title = "Bradycardie (finding)">Bradycardia</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=48867003 48867003]
|SNOMED CT
|2.16.840.1.113883.6.96
|Bradycardie
|-style="vertical-align:top; "
|<span title = "Normale hartfrequentie (finding)">Normal heart rate</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=76863003 76863003]
|SNOMED CT
|2.16.840.1.113883.6.96
|Normale hartfrequentie
|-style="vertical-align:top; "
|<span title = "Tachycardie (finding)">Tachycardia</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=3424008 3424008]
|SNOMED CT
|2.16.840.1.113883.6.96
|Tachycardie
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.3(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|12.3}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|Hartfrequentie}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.HeartRate-v3.4.1(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.HeartRate-v3.4.1(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 <BR>
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 18/04/2026 18:12:27 with ZibExtraction v. 10.0.9604.31200 <BR>
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>