HdBe-BloodPressure
CBB | Description | Status |
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HdBe-BloodPressure | The blood pressure is a parameter for determining the condition of the blood circulation and is expressed in systolic and diastolic pressure in mmHg. PurposeBlood pressure is measured to gain an indication of the health condition of the patient’s cardiovascular system. Evidence BaseThe 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). | 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 |
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Mappings |
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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 |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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BloodPressure.BloodPressureDateTime | |
Definition | The date and time at which these blood pressure values were measured. |
Cardinality | 1...1 |
Type | dateTime |
Invariants |
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Mappings |
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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 |
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Mappings |
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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 |
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Mappings |
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Example instances
BloodPressure | |
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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 |
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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 |
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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 |