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Concept
The arterial blood pressure is a parameter for determining the condition of the mmHgblood circulation and is expressed in systolic and diastolic pressure in .
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.
85354-9 Blood pressure panel with all children optional
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.
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.
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
BloodPressure
CuffType
or as spreadsheet 