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HdBe-TensionArtérielle

CBB	Concept	Status
HdBe-BloodPressure	La tension artérielle est un paramètre permettant de déterminer l'état de la circulation sanguine. Elle est exprimée en tensions systolique et diastolique, en mmHg. Purpose La tension artérielle est mesurée afin d'obtenir une indication de l'état de santé du système cardiovasculaire du patient. Evidence Base La mesure locale de la tension artérielle, qui sert de substitut à la tension artérielle dans la circulation systémique. Dans la plupart des cas, le terme de ‘tension artérielle’ désigne la mesure de la tension artérielle de l'artère brachiale dans le bras avec le brassard à l'aide de la méthode de Riva-Rocci. Le protocole de cette mesure comprend de nombreux détails ne faisant pas partie des connaissances générales (comme la bonne façon d'interpréter les bruits de Korotkoff) ou devant être effectués correctement (ajustement de la largeur du brassard à un bras de très grand ou petit diamètre, vitesse correcte de descente de la colonne de mercure, valeurs seuils pour les arythmies cardiaques).	active

CBB

Concept

Status

HdBe-BloodPressure

La tension artérielle est un paramètre permettant de déterminer l'état de la circulation sanguine. Elle est exprimée en tensions systolique et diastolique, en mmHg.

Purpose

La tension artérielle est mesurée afin d'obtenir une indication de l'état de santé du système cardiovasculaire du patient.

Evidence Base

La mesure locale de la tension artérielle, qui sert de substitut à la tension artérielle dans la circulation systémique. Dans la plupart des cas, le terme de ‘tension artérielle’ désigne la mesure de la tension artérielle de l'artère brachiale dans le bras avec le brassard à l'aide de la méthode de Riva-Rocci. Le protocole de cette mesure comprend de nombreux détails ne faisant pas partie des connaissances générales (comme la bonne façon d'interpréter les bruits de Korotkoff) ou devant être effectués correctement (ajustement de la largeur du brassard à un bras de très grand ou petit diamètre, vitesse correcte de descente de la colonne de mercure, valeurs seuils pour les arythmies cardiaques).

active

BloodPressure			BloodPressure	Element id BloodPressure Short description TensionArtérielle Definition Concept root du modèle d'information TensionArtérielle. Ce concept root contient tous les éléments de données du modèle d'information TensionArtérielle. Data type BloodPressure Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id BloodPressure.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id BloodPressure.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
MeasuringMethod		0..1	CodeableConceptBinding	Element id BloodPressure.MeasuringMethod Short description MéthodeMesure Definition Le type de méthode utilisée pour mesurer la tension artérielle. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes MéthodeMesure MeasuringMethod (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
CuffType		0..1	CodeableConceptBinding	Element id BloodPressure.CuffType Short description TypeBrassard Definition La taille du brassard utilisé pour la mesure. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes TypeBrassard CuffType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MeasuringLocation		0..1	CodeableConceptBinding	Element id BloodPressure.MeasuringLocation Short description LocalisationMesure Definition Localisation anatomique où la tension artérielle a été mesurée. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes LocalisationMesure MeasuringLocation (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DiastolicEndpoint		0..1	CodeableConceptBinding	Element id BloodPressure.DiastolicEndpoint Short description PointFinalDiastolique Definition Enregistrement des bruits de Korotkoff utilisés pour mesurer la tension diastolique avec la méthode auscultatoire. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes PointFinalDiastolique DiastolicEndpoint (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
SystolicBloodPressure	I	1..1	Quantity	Element id BloodPressure.SystolicBloodPressure Short description TensionSystolique Definition La tension artérielle systémique la plus élevée (pic) en mm[Hg] - mesurée au stade de contraction ou systole du cycle cardiaque. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
DiastolicBloodPressure	I	1..1	Quantity	Element id BloodPressure.DiastolicBloodPressure Short description TensionDiastolique Definition La tension artérielle systémique la plus basse en mm[Hg] - mesurée au stade de relaxation ou diastole du cycle cardiaque. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
AverageBloodPressure	I	0..1	Quantity	Element id BloodPressure.AverageBloodPressure Short description TensionArtérielleMoyenne Definition Tension artérielle moyenne en mm[Hg] pendant un cycle de contraction et de relaxation du cœur. Estimation basée sur la tension artérielle systolique et diastolique. Cette estimation n'est pas fiable en cas de troubles circulatoires. Cette valeur ne peut être déterminée de manière fiable que par une mesure invasive de la tension artérielle. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
BloodPressureDateTime		1..1	dateTime	Element id BloodPressure.BloodPressureDateTime Short description DateHeureTensionArtérielle Definition Les date et heure auxquelles ces valeurs de tension artérielle ont été mesurées. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..1	string	Element id BloodPressure.Comment Short description Commentaire Definition Commentaires sur la tension artérielle mesurée. Une explication peut être donnée ici, par exemple, de circonstances susceptibles d'avoir influencé la tension artérielle du patient, comme la douleur, le stress, l'effort et les cycles sommeil/éveil. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Position		0..1	CodeableConceptBinding	Element id BloodPressure.Position Short description Position Definition La position du patient lors de la mesure de la tension artérielle. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes Position MeasuringPosition (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

BloodPressure		0..*
BloodPressure.MeasuringMethod	CodeableConcept	0..1
BloodPressure.CuffType	CodeableConcept	0..1
BloodPressure.MeasuringLocation	CodeableConcept	0..1
BloodPressure.DiastolicEndpoint	CodeableConcept	0..1
BloodPressure.SystolicBloodPressure	Quantity	1..1
BloodPressure.DiastolicBloodPressure	Quantity	1..1
BloodPressure.AverageBloodPressure	Quantity	0..1
BloodPressure.BloodPressureDateTime	dateTime	1..1
BloodPressure.Comment	string	0..1
BloodPressure.Position	CodeableConcept	0..1

BloodPressure
Definition	Root concept of the BloodPressure information model. This root concept contains all data elements of the BloodPressure information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
BloodPressure.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
BloodPressure.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
BloodPressure.MeasuringMethod
Definition	The type of method used to measure blood pressure.
Cardinality	0...1
Type	CodeableConcept
Binding	MeasuringMethod codes MeasuringMethod (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BloodPressure.CuffType
Definition	The size of the cuff used in the measurement.
Cardinality	0...1
Type	CodeableConcept
Binding	CuffType codes CuffType (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BloodPressure.MeasuringLocation
Definition	Anatomical location where the blood pressure was measured.
Cardinality	0...1
Type	CodeableConcept
Binding	MeasuringLocation codes MeasuringLocation (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BloodPressure.DiastolicEndpoint
Definition	Registration of the Korotkoff sound used to measure diastolic pressure with the auscultatory method.
Cardinality	0...1
Type	CodeableConcept
Binding	DiastolicEndpoint codes DiastolicEndpoint (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BloodPressure.SystolicBloodPressure
Definition	The highest (peak) systematic arterial blood pressure in mm[Hg] - measured in the contraction stage or systole of the cardiac cycle.
Cardinality	1...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
BloodPressure.DiastolicBloodPressure
Definition	The lowest systematic arterial blood pressure in mm[Hg] - measured in the relaxation stage or diastole of the cardiac cycle.
Cardinality	1...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
BloodPressure.AverageBloodPressure
Definition	Average blood pressure in mm[Hg] 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.
Cardinality	0...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
BloodPressure.BloodPressureDateTime
Definition	The date and time at which these blood pressure values were measured.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
BloodPressure.Comment
Definition	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.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
BloodPressure.Position
Definition	The position of the patient when the blood pressure was measured.
Cardinality	0...1
Type	CodeableConcept
Binding	Position codes MeasuringPosition (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

Example instances

BloodPressure
MeasuringMethod	371911009 - Measurement of blood pressure using cuff method (code by SNOMED CT)
CuffType	720737000 - Blood pressure cuff, adult size (code by SNOMED CT)
MeasuringLocation	368209003 - Right upper arm structure (code by SNOMED CT)
DiastolicEndpoint
SystolicBloodPressure	126 mmHg
DiastolicBloodPressure	67 mmHg
AverageBloodPressure
BloodPressureDateTime	2022-04-22T09:17:00
Comment
Position	33586001 - Sitting position (code by SNOMED CT)

zib BloodPressure-v3.2.1 difference

Concept	Category	Description
`CuffType`	terminology	Modified ValueSet to descendant of SNOMED CT values and added Unknown and Other value. (zib ticket #1719)
`SystolicBloodPressure`	textual	Added mm[Hg] as a unit to the definition.
`DiastolicBloodPressure`	textual	Added mm[Hg] as a unit to the definition.
`AverageBloodPressure`	textual	Added mm[Hg] as a unit to the definition.
`Position`	terminology	Changed name of ValueSet Position to MeasuringPosition because of duplicate Position ValueSet names. (zib ticket #892)

Terminology Bindings

Path	Name	Strength	URL
MeasuringMethod	MeasuringMethod	extensible	https://fhir.healthdata.be/ValueSet/MeasuringMethod
CuffType	CuffType	required	https://fhir.healthdata.be/ValueSet/CuffType
MeasuringLocation	MeasuringLocation	extensible	https://fhir.healthdata.be/ValueSet/MeasuringLocation
DiastolicEndpoint	DiastolicEndpoint	required	https://fhir.healthdata.be/ValueSet/DiastolicEndpoint
Position	MeasuringPosition	extensible	https://fhir.healthdata.be/ValueSet/MeasuringPosition