BloodPressure-v4.0(2022EN)
General information
Name: nl.zorg.BloodPressure 
Version: 4.0
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023
Metadata
| DCM::CoderList | Kerngroep Registratie aan de Bron |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::CreationDate | 29-11-2012 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | PM |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.4 |
| DCM::KeywordList | bloeddruk, diastolische bloeddruk, systolische bloeddruk, tensie |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.zorg.Bloeddruk |
| DCM::PublicationDate | 15-10-2023 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 12-09-2023 |
| DCM::Supersedes | nl.zorg.Bloeddruk-v3.2.1 |
| DCM::Version | 4.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 1.2 (01-04-2015)
Issue summaries niet beschikbaarBevat: ZIB-135, ZIB-136, ZIB-137, ZIB-148, ZIB-169, ZIB-218, ZIB-219, ZIB-220, ZIB-308, ZIB-315, ZIB-362, ZIB-363.
Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.
Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-453.
Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-431, ZIB-552, ZIB-564, ZIB-571.
Publicatieversie 3.2 (31-01-2020) Bevat: ZIB-846.
Publicatieversie 3.2.1 (01-09-2020) Bevat: ZIB-962.
Publicatieversie 4.0 (15-10-2023) Bevat: ZIB-1731, ZIB-1813.
Concept
The blood pressure is a parameter for determining the condition of the blood circulation and is expressed in systolic and diastolic pressure in mmHg.
Purpose
Blood pressure is measured to gain an indication of the health condition of the patient’s cardiovascular system.
Evidence Base
The local measurement of the arterial blood pressure, which acts as a surrogate for the arterial pressure in the systematic circulation. In most cases, the term ‘blood pressure' refers to the measurement of blood pressure of the arteria brachialis in the upper arm with the cuff using the Riva-Rocci method.
The protocol for this measurement comprises many details that are not general knowledge (such as the correct way to interpret Korotkoff sounds) or carried out correctly (adjusting the cuff width to a very large or small diameter of the upper arm, the right rate of descent of the mercury column, cut-off values for cardiac arrhythmias).
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
|
NL-CM:12.4.1 |  BloodPressure
|
Root concept of the BloodPressure information model. This root concept contains all data elements of the BloodPressure information model. |
|
||||||||||
|
NL-CM:12.4.9 |  CuffType
|
0..1 | The size of the cuff used in the measurement. |
|
| ||||||||
|
|
NL-CM:12.4.7 | MeasuringMethod
|
0..1 | The type of method used to measure blood pressure. |
| |||||||||
|
NL-CM:12.4.2 | SystolicBloodPressure
|
1 | The highest (peak) systematic arterial blood pressure - measured in the contraction stage or systole of the cardiac cycle. |
|
|||||||||
|
|
NL-CM:12.4.3 | DiastolicBloodPressure
|
1 | The lowest systematic arterial blood pressure - measured in the relaxation stage or diastole of the cardiac cycle. |
|
|||||||||
|
|
NL-CM:12.4.4 | AverageBloodPressure
|
0..1 | Average blood pressure during one cycle of the heart contracting and relaxing.
Estimated based on systolic and diastolic blood pressure. This estimate is unreliable in cases of circulatory disorders. This value can only be reliably determined when invasive blood pressure is measured. |
|
|||||||||
|
NL-CM:12.4.5 | BloodPressureDateTime
|
1 | The date and time at which these blood pressure values were measured. | ||||||||||
|
NL-CM:12.4.6 | Comment
|
0..1 | Comments on the measured blood pressure. Here, an explanation could be given, for example, of circumstances that may have influenced the patient’s blood pressure, such as pain, stress, exertion and sleep/wake cycles. |
|
|||||||||
|
NL-CM:12.4.12 | AnatomicalLocation
|
0..1 | Anatomical location where the blood pressure was measured. |
| |||||||||
|
|
NL-CM:20.7.4 | Location
|
Localisation on/in the body. |
| ||||||||||
|
|
NL-CM:12.4.11 | Position
|
0..1 | The position of the patient when the blood pressure was measured. |
| |||||||||
|
|
NL-CM:12.4.8 | DiastolicEndpoint
|
0..1 | Registration of the Korotkoff sound used to measure diastolic pressure with the auscultatory method. |
|
| ||||||||
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v4.0(NL)_Voorbeeld.docx
References
1. Parelsnoer DCM Bloeddruk v0.9 [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/parelsnoer/Bloeddruk%20v0.9.pdf [Geraadpleegd: 23 februari 2015].
2. openEHR-EHR-OBSERVATION.blood_pressure.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 februari 2015].
Traceability to other Standards
This health and care information model is in accordance with the information model template Measurement v1.0.
Valuesets
CuffTypeCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.3 | Binding: Required |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Standard | STD | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Standaard (Standaard manchet voor een volwassene (manchet 16x30 cm) |
| Large | L | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Groot (Een manchet voor een volwassene met een armomtrek van 35 tot 44 cm (manchet 16x36 cm)) |
| Small | S | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Klein (Een manchet voor een volwassene met een armomtrek van 22 tot 26 cm (manchet 12x22 cm) ) |
| Extra large | XL | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Extra groot (Een manchet voor het dijbeen of arm wanneer de armomtrek 45 tot 52 cm is (manchet 16x42 cm)) |
| Child | KIND | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Maat voor kind (Een manchet voor kinderen of voor volwassenen met een dunne arm (manchet ca. 8x21 cm) ) |
| Infant | JONGKIND | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Maat voor jong kind (Een manchet voor jonge kinderen (manchet ca. 5x15 cm)) |
| Neonate | NEONAAT | ManchetType | 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 | Maat voor neonaat (Een manchet voor neonaten (manchet ca. 3x6 cm)) |
DiastolicEndpointCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.2 | Binding: Required |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Phase 4 | 255271000 | SNOMED CT | 2.16.840.1.113883.6.96 | Fase IV |
| Phase 5 | 255272007 | SNOMED CT | 2.16.840.1.113883.6.96 | Fase V |
MeasuringLocationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.4 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Upper arm structure | 40983000 | SNOMED CT | 2.16.840.1.113883.6.96 | Bovenarm |
| Right upper arm structure | 368209003 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechter bovenarm [DEPRECATED] |
| Left upper arm structure | 368208006 | SNOMED CT | 2.16.840.1.113883.6.96 | Linker bovenarm [DEPRECATED] |
| Thigh structure | 68367000 | SNOMED CT | 2.16.840.1.113883.6.96 | Bovenbeen |
| Structure of right thigh | 11207009 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechter bovenbeen [DEPRECATED] |
| Structure of left thigh | 61396006 | SNOMED CT | 2.16.840.1.113883.6.96 | Linker bovenbeen [DEPRECATED] |
| Wrist region structure | 8205005 | SNOMED CT | 2.16.840.1.113883.6.96 | Pols |
| Structure of right wrist region | 9736006 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechterpols [DEPRECATED] |
| Structure of left wrist region | 5951000 | SNOMED CT | 2.16.840.1.113883.6.96 | Linkerpols [DEPRECATED] |
| Finger structure | 7569003 | SNOMED CT | 2.16.840.1.113883.6.96 | Vinger [DEPRECATED] |
| Ankle region structure | 344001 | SNOMED CT | 2.16.840.1.113883.6.96 | Enkel |
| Structure of right ankle | 6685009 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechterenkel [DEPRECATED] |
| Structure of left ankle | 51636004 | SNOMED CT | 2.16.840.1.113883.6.96 | Linkerenkel [DEPRECATED] |
| Digit of hand structure | 125685002 | SNOMED CT | 2.16.840.1.113883.6.96 | Vinger (inclusief duim) |
| Lower leg structure | 30021000 | SNOMED CT | 2.16.840.1.113883.6.96 | Onderbeen |
MeasuringMethodCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.1 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Non-invasive | 22762002 | SNOMED CT | 2.16.840.1.113883.6.96 | Niet-invasief |
| Measurement of blood pressure using cuff method | 371911009 | SNOMED CT | 2.16.840.1.113883.6.96 | Niet-invasief (met manchet) |
| Measurement of blood pressure using automatic blood pressure monitor | 95691000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Niet-invasief (met automatische bloeddrukmeter) |
| Invasive | 10179008 | SNOMED CT | 2.16.840.1.113883.6.96 | Invasief |
PositionCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.5 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Orthostatic body position | 10904000 | SNOMED CT | 2.16.840.1.113883.6.96 | Staande positie |
| Recumbent body position | 102538003 | SNOMED CT | 2.16.840.1.113883.6.96 | Liggende positie |
| Sitting position | 33586001 | SNOMED CT | 2.16.840.1.113883.6.96 | Zittende positie |
| Position with tilt | 272587006 | SNOMED CT | 2.16.840.1.113883.6.96 | Achteroverleunende positie |
| Trendelenburg position | 34106002 | SNOMED CT | 2.16.840.1.113883.6.96 | Trendelenburgligging |
This information model in other releases
- Release 2015, (Version 1.2)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 3.2)
- Release 2020, (Version 3.2.1)
- Prerelease 2021-2, (Version 3.2.1)
- Prerelease 2023-1, (Version 4.0)
- Prerelease 2024-1, (Version 5.0)
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Pre-release 2022-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
- LOINC version 2.76
Conditions for use are located on the mainpage
This page is generated on 27/03/2024 09:31:47 with ZibExtraction v. 9.3.8851.20230