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.'
package_name: healthdata.be.r4.cbb
derivation: specialization
name: HdBeBloodPressure
abstract: true
type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/blood_pressure
elements:
  diastolic_endpoint:
    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: 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/DiastolicEndpoint'}
    index: 3
  cuff_type:
    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: 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/CuffType'}
    index: 1
  measuring_location:
    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: 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/MeasuringLocation'}
    index: 2
  diastolic_blood_pressure:
    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: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: DiastolischeBloeddruk}
    index: 5
  average_blood_pressure:
    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: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: GemiddeldeBloeddruk}
    index: 6
  blood_pressure_date_time:
    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: dateTime
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: BloeddrukDatumTijd}
    index: 7
  measuring_method:
    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: 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/MeasuringMethod'}
    index: 0
  comment:
    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: string
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Toelichting}
    index: 8
  position:
    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: 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/MeasuringPosition'}
    index: 9
  systolic_blood_pressure:
    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: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: SystolischeBloeddruk}
    index: 4
package_version: 0.4.0-alpha
class: logical
kind: logical
url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-BloodPressure
base: http://hl7.org/fhir/StructureDefinition/Element
version: null
required: [blood_pressure_date_time, diastolic_blood_pressure, systolic_blood_pressure]