{
"description": "**Concept**\\r\\nThe blood pressure is a parameter for determining the condition of the blood circulation and is expressed in systolic and diastolic pressure in mmHg.\\r\\n**Purpose**\\r\\nBlood pressure is measured to gain an indication of the health condition of the patient’s cardiovascular system.\\r\\n**Evidence Base**\\r\\nThe 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. \\r\\nThe 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).\\r\\n\\r\\n**Example Instances**\\r\\n\\r\\n**Traceability to other Standards**\\r\\nThis health and care information model is in accordance with the information model template Measurement v1.0.",
"_filename": "HdBe-BloodPressure.json",
"package_name": "healthdata.be.r4.cbb",
"date": null,
"derivation": "specialization",
"publisher": "Healthdata.be (Sciensano)",
"fhirVersion": "4.0.1",
"name": "HdBeBloodPressure",
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/blood_pressure",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HdBe BloodPressure",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "**Concept**\r\nDe bloeddruk is een parameter om de toestand van de bloedsomloop vast te leggen en wordt uitgedrukt in de systolische en diastolische druk in mmHg.\r\n**Purpose**\r\nDe bloeddruk wordt gemeten om een indruk te krijgen van de gezondheidstoestand van het cardiovasculairsysteem van de patiënt.\r\n**Evidence Base**\r\nDe 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.\r\nHet 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). \r\n**Example Instances**\r\n\r\n**References**\r\n1. Parelsnoer DCM Bloeddruk v0.9 [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/parelsnoer/Bloeddruk%20v0.9.pdf [Geraadpleegd: 23 februari 2015].\r\n\r\n2. openEHR-EHR-OBSERVATION.blood_pressure.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 februari 2015].\r\n**Traceability to other Standards**\r\nDeze zorginformatie bouwsteen is in lijn met de bouwsteen blauwdruk Meting v1.0.\r\n**Revision History**\r\nPublicatieversie 1.0 (15-02-2013)\r\n\r\nPublicatieversie 1.1 (01-07-2013)\r\n\r\nPublicatieversie 1.2 (01-04-2015)\r\nBevat: [ZIB-135](https://bits.nictiz.nl/browse/ZIB-135), [ZIB-136](https://bits.nictiz.nl/browse/ZIB-136), [ZIB-137](https://bits.nictiz.nl/browse/ZIB-137), [ZIB-148](https://bits.nictiz.nl/browse/ZIB-148), [ZIB-169](https://bits.nictiz.nl/browse/ZIB-169), [ZIB-218](https://bits.nictiz.nl/browse/ZIB-218), [ZIB-219](https://bits.nictiz.nl/browse/ZIB-219), [ZIB-220](https://bits.nictiz.nl/browse/ZIB-220), [ZIB-308](https://bits.nictiz.nl/browse/ZIB-308), [ZIB-315](https://bits.nictiz.nl/browse/ZIB-315), [ZIB-362](https://bits.nictiz.nl/browse/ZIB-362), [ZIB-363](https://bits.nictiz.nl/browse/ZIB-363).\r\n\r\nIncl. algemene wijzigingsverzoeken: \r\n[ZIB-94](https://bits.nictiz.nl/browse/ZIB-94), [ZIB-154](https://bits.nictiz.nl/browse/ZIB-154), [ZIB-200](https://bits.nictiz.nl/browse/ZIB-200), [ZIB-201](https://bits.nictiz.nl/browse/ZIB-201), [ZIB-309](https://bits.nictiz.nl/browse/ZIB-309), [ZIB-324](https://bits.nictiz.nl/browse/ZIB-324), [ZIB-326](https://bits.nictiz.nl/browse/ZIB-326).\r\n\r\nPublicatieversie 3.0 (01-05-2016)\r\nBevat: [ZIB-453](https://bits.nictiz.nl/browse/ZIB-453)\r\n\r\nPublicatieversie 3.1 (04-09-2017)\r\nBevat: [ZIB-431](https://bits.nictiz.nl/browse/ZIB-431), [ZIB-552](https://bits.nictiz.nl/browse/ZIB-552), [ZIB-564](https://bits.nictiz.nl/browse/ZIB-564), [ZIB-571](https://bits.nictiz.nl/browse/ZIB-571).\r\n\r\nPublicatieversie 3.2 (31-01-2020)\r\nBevat: [ZIB-846](https://bits.nictiz.nl/browse/ZIB-846).\r\n\r\nPublicatieversie 3.2.1 (01-09-2020)\r\nBevat: [ZIB-962](https://bits.nictiz.nl/browse/ZIB-962)."
} ]
} ]
},
"package_version": "0.3.0-alpha",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2020-09-01T00:00:00+02:00"
}
} ],
"status": "draft",
"language": "en-US",
"id": "37faaafd-58f4-496d-b42a-8ad97b46ffad",
"kind": "logical",
"_name": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "HdBe-Bloeddruk"
} ]
} ]
},
"url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-BloodPressure",
"version": null,
"differential": {
"element": [ {
"path": "blood_pressure",
"min": 0,
"definition": "Root concept of the BloodPressure information model. This root concept contains all data elements of the BloodPressure information model.",
"short": "BloodPressure",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Rootconcept van de bouwsteen Bloeddruk. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Bloeddruk."
} ]
} ]
},
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Bloeddruk"
} ]
} ]
},
"max": "*",
"id": "blood_pressure",
"base": {
"max": "*",
"min": 0,
"path": "blood_pressure"
}
}, {
"path": "blood_pressure.measuring_method",
"min": 0,
"definition": "The type of method used to measure blood pressure.",
"short": "MeasuringMethod",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De soort methode die is toegepast voor het meten van de bloeddruk."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Meetmethode"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/Meetmethode",
"description": "MeasuringMethod codes"
},
"max": "1",
"id": "blood_pressure.measuring_method",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.measuring_method"
}
}, {
"path": "blood_pressure.cuff_type",
"min": 0,
"definition": "The size of the cuff used in the measurement.",
"short": "CuffType",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De grootte van de manchet gebruikt bij de meting."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "ManchetType"
} ]
} ]
},
"binding": {
"strength": "required",
"valueSet": "https://fhir.healthdata.be/ValueSet/ManchetType",
"description": "CuffType codes"
},
"max": "1",
"id": "blood_pressure.cuff_type",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.cuff_type"
}
}, {
"path": "blood_pressure.measuring_location",
"min": 0,
"definition": "Anatomical location where the blood pressure was measured.",
"short": "MeasuringLocation",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Lichaamslocatie waar de bloeddruk is gemeten."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "MeetLocatie"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/MeetLocatie",
"description": "MeasuringLocation codes"
},
"max": "1",
"id": "blood_pressure.measuring_location",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.measuring_location"
}
}, {
"path": "blood_pressure.diastolic_endpoint",
"min": 0,
"definition": "Registration of the Korotkoff sound used to measure diastolic pressure with the auscultatory method.",
"short": "DiastolicEndpoint",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Registratie van de Korotkoff toon die gebruikt is om de diastolische druk te meten met de auscultatieve methode."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "DiastolischEindpunt"
} ]
} ]
},
"binding": {
"strength": "required",
"valueSet": "https://fhir.healthdata.be/ValueSet/DiastolischEindpunt",
"description": "DiastolicEndpoint codes"
},
"max": "1",
"id": "blood_pressure.diastolic_endpoint",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.diastolic_endpoint"
}
}, {
"path": "blood_pressure.systolic_blood_pressure",
"min": 1,
"definition": "The highest (peak) systematic arterial blood pressure - measured in the contraction stage or systole of the cardiac cycle.",
"short": "SystolicBloodPressure",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De hoogste (piek) systemische arteriële bloeddruk - gemeten in de systolische of samentrekkingsfase van de hartslag."
} ]
} ]
},
"type": [ {
"code": "Quantity"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "SystolischeBloeddruk"
} ]
} ]
},
"max": "1",
"id": "blood_pressure.systolic_blood_pressure",
"base": {
"max": "1",
"min": 1,
"path": "blood_pressure.systolic_blood_pressure"
}
}, {
"path": "blood_pressure.diastolic_blood_pressure",
"min": 1,
"definition": "The lowest systematic arterial blood pressure - measured in the relaxation stage or diastole of the cardiac cycle.",
"short": "DiastolicBloodPressure",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De laagste systemische arteriële bloeddruk - gemeten in de diastolische of ontspanningsfase van de hartslag."
} ]
} ]
},
"type": [ {
"code": "Quantity"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "DiastolischeBloeddruk"
} ]
} ]
},
"max": "1",
"id": "blood_pressure.diastolic_blood_pressure",
"base": {
"max": "1",
"min": 1,
"path": "blood_pressure.diastolic_blood_pressure"
}
}, {
"path": "blood_pressure.average_blood_pressure",
"min": 0,
"definition": "Average blood pressure during one cycle of the heart contracting and relaxing. \r\nEstimated 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.",
"short": "AverageBloodPressure",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De gemiddelde bloeddruk gedurende één cyclus van samentrekken en ontspannen van het hart.\r\nDeze wordt geschat op basis van de boven- en onderdruk. Die schatting is onbetrouwbaar bij circulatiestoornissen. Alleen bij een invasief gemeten bloeddruk kan deze waarde betrouwbaar vastgesteld worden."
} ]
} ]
},
"type": [ {
"code": "Quantity"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "GemiddeldeBloeddruk"
} ]
} ]
},
"max": "1",
"id": "blood_pressure.average_blood_pressure",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.average_blood_pressure"
}
}, {
"path": "blood_pressure.blood_pressure_date_time",
"min": 1,
"definition": "The date and time at which these blood pressure values were measured.",
"short": "BloodPressureDateTime",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De datum en tijd, dat de bloeddrukwaarden werden verkregen."
} ]
} ]
},
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "BloeddrukDatumTijd"
} ]
} ]
},
"max": "1",
"id": "blood_pressure.blood_pressure_date_time",
"base": {
"max": "1",
"min": 1,
"path": "blood_pressure.blood_pressure_date_time"
}
}, {
"path": "blood_pressure.comment",
"min": 0,
"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.",
"short": "Comment",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Opmerkingen over de gemeten bloeddruk. Hier kan bijvoorbeeld een toelichting worden gegeven op omstandigheden die de meting hebben beïnvloed, zoals pijn, (in)spanning en slaap/waak toestand."
} ]
} ]
},
"type": [ {
"code": "string"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Toelichting"
} ]
} ]
},
"max": "1",
"id": "blood_pressure.comment",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.comment"
}
}, {
"path": "blood_pressure.position",
"min": 0,
"definition": "The position of the patient when the blood pressure was measured.",
"short": "Position",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "De houding van de patiënt bij het meten van de bloeddruk."
} ]
} ]
},
"type": [ {
"code": "CodeableConcept"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "nl-NL"
}, {
"url": "content",
"valueMarkdown": "Houding"
} ]
} ]
},
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.healthdata.be/ValueSet/Houding",
"description": "Position codes"
},
"max": "1",
"id": "blood_pressure.position",
"base": {
"max": "1",
"min": 0,
"path": "blood_pressure.position"
}
} ]
},
"contact": [ {
"name": "Service Portal - Sciensano",
"telecom": [ {
"use": "work",
"value": "https://sciensano.service-now.com/sp",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}