HdBe-Bloeddruk
CBB | Concept | Status |
---|---|---|
HdBe-BloodPressure | De bloeddruk is een parameter om de toestand van de bloedsomloop vast te leggen en wordt uitgedrukt in de systolische en diastolische druk in mmHg. PurposeDe bloeddruk wordt gemeten om een indruk te krijgen van de gezondheidstoestand van het cardiovasculairsysteem van de patiënt. Evidence BaseDe lokale meting van de arteriële bloeddruk, welke surrogaat is voor de arteriële druk in de systemische circulatie. Meest gebruikelijk is dat de term 'bloeddruk' refereert aan de meting van de bloeddruk van de arteria brachialis in de bovenarm met manchet volgens de methode van Riva-Rocci. Het protocol voor deze meting bevat veel details die niet algemeen bekend zijn (zoals de juiste toepassing van de Korotkoff tonen) of goed worden uitgevoerd (manchetbreedte aanpassen aan zeer grote of kleine diameter van de bovenarm, juiste daalsnelheid van de kwikkolom, afkapwaarden bij ritmestoornissen). References
Traceability to other StandardsDeze zorginformatie bouwsteen is in lijn met de bouwsteen blauwdruk Meting v1.0. | active |
BloodPressure | BloodPressure | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
MeasuringMethod | 0..1 | CodeableConceptBinding | |
CuffType | 0..1 | CodeableConceptBinding | |
MeasuringLocation | 0..1 | CodeableConceptBinding | |
DiastolicEndpoint | 0..1 | CodeableConceptBinding | |
SystolicBloodPressure | I | 1..1 | Quantity |
DiastolicBloodPressure | I | 1..1 | Quantity |
AverageBloodPressure | I | 0..1 | Quantity |
BloodPressureDateTime | 1..1 | dateTime | |
Comment | 0..1 | string | |
Position | 0..1 | CodeableConceptBinding |
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 |
|
Mappings |
|
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 |
|
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 |
|
Mappings |
|
BloodPressure.MeasuringMethod | |
Definition | The type of method used to measure blood pressure. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | MeasuringMethod codes |
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 |
|
Mappings |
|
BloodPressure.CuffType | |
Definition | The size of the cuff used in the measurement. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | CuffType codes |
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 |
|
Mappings |
|
BloodPressure.MeasuringLocation | |
Definition | Anatomical location where the blood pressure was measured. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | MeasuringLocation codes |
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 |
|
Mappings |
|
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 |
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 |
|
Mappings |
|
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 |
|
Mappings |
|
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 |
|
Mappings |
|
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 |
|
Mappings |
|
BloodPressure.BloodPressureDateTime | |
Definition | The date and time at which these blood pressure values were measured. |
Cardinality | 1...1 |
Type | dateTime |
Invariants |
|
Mappings |
|
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 |
|
Mappings |
|
BloodPressure.Position | |
Definition | The position of the patient when the blood pressure was measured. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | Position codes |
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 |
|
Mappings |
|
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 |