Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
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 building block. This root concept contains all data elements of the BloodPressure building block.
75367002 blood pressure
NL-CM:12.4.7
MeasuringMethod
0..1
The type of method used to measure blood pressure.
The highest (peak) systematic arterial blood pressure - measured in the contraction stage or systole of the cardiac cycle.
271649006 systolic blood pressure
NL-CM:12.4.3
DiastolicBloodPressure
1
The lowest systematic arterial blood pressure - measured in the relaxation stage or diastole of the cardiac cycle.
271650006 diastolic blood pressure
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.
6797001 mean arterial pressure
NL-CM:12.4.5
BloodPressureDateTime
1
The date and time at which these blood pressure values were measured.
NL-CM:12.4.6
Explanation
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:12.4.11
Position
0..1
The position of the patient when the blood pressure was measured.
2. openEHR-EHR-OBSERVATION.blood_pressure.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 februari 2015].
Valuesets
CuffTypeCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.3
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Standaard
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)
Groot
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))
Klein
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 groot
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))
Kind
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) )
Jong kind
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))
Neonaat
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
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
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
Left upper arm structure
368208006
SNOMED CT
2.16.840.1.113883.6.96
Linker bovenarm
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
Structure of left thigh
61396006
SNOMED CT
2.16.840.1.113883.6.96
Linker bovenbeen
Wrist region structure
8205005
SNOMED CT
2.16.840.1.113883.6.96
Pols
Structure of right wrist
9736006
SNOMED CT
2.16.840.1.113883.6.96
Rechterpols
Structure of left wrist
5951000
SNOMED CT
2.16.840.1.113883.6.96
Linkerpols
Finger structure
7569003
SNOMED CT
2.16.840.1.113883.6.96
Vinger
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
Structure of left ankle
51636004
SNOMED CT
2.16.840.1.113883.6.96
Linkerenkel
MeasuringMethodCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.12.4.1
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Non-invasive
22762002
SNOMED CT
2.16.840.1.113883.6.96
Niet-invasief
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
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Orthostatic body position
10904000
SNOMED CT
2.16.840.1.113883.6.96
Staand
Recumbent body position
102538003
SNOMED CT
2.16.840.1.113883.6.96
Liggend
Sitting position
33586001
SNOMED CT
2.16.840.1.113883.6.96
Zittend
Position with tilt
272587006
SNOMED CT
2.16.840.1.113883.6.96
Achteroverleunend
Trendelenburg position
34106002
SNOMED CT
2.16.840.1.113883.6.96
Positie van Trendelenburg
More on this information model
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 27/09/2017 23:58:39