ID

23561

Description

Derived from www.openehr.org . Use to record all representations of systemic arterial blood pressure measurement, no matter which method or body location is used to record it. The archetype is intended to capture blood pressure measurements in all clinical scenarios - for example, self-measurement with a home blood pressure machine; an emergency assessment of systolic using palpation and a sphygmomanometer; measurements taken in clinical consultations or during exercise stress testing; and a series of measurements made by a machine in Intensive Care. There is a rich state model that supports interpretation of measurements through identifying patient position, exercise, confounding factors and angle of a tilt table in research. Named events have been limited to average over a 24 hour period, however templates can further constrain the default 'any event' to cater for specific requirements for blood pressure measurements such as recording Blood Pressure against specific points in time, or over a range of intervals (+/- mathematical functions).

Link

www.openehr.org

Keywords

  1. 12/6/13 12/6/13 - Martin Dugas
  2. 7/8/17 7/8/17 - Martin Dugas
  3. 7/9/17 7/9/17 - Martin Dugas
Uploaded on

July 9, 2017

DOI

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License

Creative Commons BY-SA 3.0

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Blood Pressure (EHR Archetype)

openEHR-EHR-OBSERVATION.blood_pressure.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.blood_pressure.v1
    1. openEHR-EHR-OBSERVATION.blood_pressure.v1
openEHR-EHR-OBSERVATION.blood_pressure.v1.xml
Description

openEHR-EHR-OBSERVATION.blood_pressure.v1.xml

Blood Pressure
Description

The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm.

Data type

text

Alias
UMLS CUI [1]
C0005823
Systolic
Description

Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.

Data type

float

Alias
UMLS CUI [1]
C0871470
Diastolic
Description

Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.

Data type

float

Alias
UMLS CUI [1]
C0428883
Position
Description

The position of the subject at the time of measurement.

Data type

text

Alias
UMLS CUI [1]
C1828063
Cuff size
Description

The size of the cuff used for blood pressure measurement.

Data type

text

Alias
UMLS CUI [1]
C0489480
Location of measurement
Description

Simple body site where blood pressure was measured.

Data type

text

Alias
UMLS CUI [1]
C0450429
Comment
Description

Additional narrative about the measurement, not captured in other fields.

Data type

text

Alias
UMLS CUI [1]
C0947611
Tilt
Description

The craniocaudal tilt of the surface on which the person is lying at the time of measurement.

Data type

float

Alias
UMLS CUI [1]
C1711426
Mean arterial pressure
Description

The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.

Data type

float

Alias
UMLS CUI [1]
C0513528
Pulse pressure
Description

The difference between the systolic and diastolic pressure.

Data type

float

Alias
UMLS CUI [1]
C0949236
Diastolic endpoint
Description

Record which Korotkoff sound is used for determining diastolic pressure using auscultative method.

Data type

text

Device
Description

Details about sphygmomanometer or other device used to measure the blood pressure.

Data type

text

Exertion
Description

Details about physical activity undertaken at the time of blood pressure measurement.

Data type

text

Location
Description

Body location where blood pressure is measured.

Data type

text

X - Specific location
Description

Data element deprecated, and replaced by free text component of 'Location of measurement' data type.

Data type

text

Method
Description

Method of measurement of blood pressure.

Data type

text

Alias
UMLS CUI [1]
C0489446
Mean arterial pressure formula
Description

Formula used to calculate the Mean Arterial Pressure (if recorded in data).

Data type

text

24 hour average
Description

Estimate of the average blood pressure over a 24 hour period.

Data type

text

Sleep status
Description

Sleep status - supports interpretation of 24 hour ambulatory blood pressure records.

Data type

text

Confounding factors
Description

Comment on and record other incidental factors that may be contributing to the blood pressure measurement. For example, level of anxiety or 'white coat syndrome'; pain or fever; changes in atmospheric pressure etc.

Data type

text

Systolic pressure formula
Description

Formula used to calculate the systolic pressure from from mean arterial pressure (if recorded in data).

Data type

text

Diastolic pressure formula
Description

Formula used to calculate the diastolic pressure from mean arterial pressure (if recorded in data).

Data type

text

Structured measurement location
Description

Structured anatomical location of where the measurement was taken.

Data type

text

Extension
Description

Additional information required to capture local context or to align with other reference models/formalisms.

Data type

text

Similar models

openEHR-EHR-OBSERVATION.blood_pressure.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.blood_pressure.v1
    1. openEHR-EHR-OBSERVATION.blood_pressure.v1
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Blood Pressure
Item
Blood Pressure
text
C0005823 (UMLS CUI [1])
Systolic
Item
Systolic
float
C0871470 (UMLS CUI [1])
Diastolic
Item
Diastolic
float
C0428883 (UMLS CUI [1])
Item
Position
text
C1828063 (UMLS CUI [1])
Code List
Position
CL Item
Sitting (1)
C0277814 (UMLS CUI-1)
CL Item
Standing (2)
C0231472 (UMLS CUI-1)
CL Item
Reclining (4)
C0515708 (UMLS CUI-1)
CL Item
Lying (5)
C0444334 (UMLS CUI-1)
CL Item
Lying with tilt to left (6)
C0444334 (UMLS CUI-1)
C1532124 (UMLS CUI-2)
Item
Cuff size
text
C0489480 (UMLS CUI [1])
Code List
Cuff size
CL Item
Adult Thigh (1)
C0001675 (UMLS CUI-1)
C0039866 (UMLS CUI-2)
CL Item
Large Adult (2)
C0001675 (UMLS CUI-1)
C0549177 (UMLS CUI-2)
CL Item
Adult (3)
C0001675 (UMLS CUI-1)
CL Item
Small Adult (4)
C0001675 (UMLS CUI-1)
C0700321 (UMLS CUI-2)
CL Item
Paediatric/Child (5)
C1521725 (UMLS CUI-1)
CL Item
Infant (6)
C0021270 (UMLS CUI-1)
CL Item
Neonatal (7)
C2939425 (UMLS CUI-1)
Item
Location of measurement
text
C0450429 (UMLS CUI [1])
Code List
Location of measurement
CL Item
Right arm (1)
C0230346 (UMLS CUI-1)
CL Item
Left arm (2)
C0230347 (UMLS CUI-1)
CL Item
Right thigh (3)
C0230425 (UMLS CUI-1)
CL Item
Left thigh (4)
C0230426 (UMLS CUI-1)
CL Item
Right wrist (5)
C0043262 (UMLS CUI-1)
C0205090 (UMLS CUI-2)
CL Item
Left wrist (6)
C0043262 (UMLS CUI-1)
C0205091 (UMLS CUI-2)
CL Item
Right ankle (7)
C0003086 (UMLS CUI-1)
C0205090 (UMLS CUI-2)
CL Item
Left ankle (8)
C0003086 (UMLS CUI-1)
C0205091 (UMLS CUI-2)
CL Item
Finger (9)
C0582802 (UMLS CUI-1)
CL Item
Toe (10)
C0040357 (UMLS CUI-1)
CL Item
Intra-arterial (11)
C0694634 (UMLS CUI-1)
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Tilt
Item
Tilt
float
C1711426 (UMLS CUI [1])
Mean arterial pressure
Item
Mean arterial pressure
float
C0513528 (UMLS CUI [1])
Pulse pressure
Item
Pulse pressure
float
C0949236 (UMLS CUI [1])
Item
Diastolic endpoint
text
Code List
Diastolic endpoint
CL Item
Phase IV (1)
CL Item
Phase V (2)
Device
Item
Device
text
Exertion
Item
Exertion
text
Location
Item
Location
text
X - Specific location
Item
X - Specific location
text
Item
Method
text
C0489446 (UMLS CUI [1])
Code List
Method
CL Item
Auscultation (1)
C0004339 (UMLS CUI-1)
CL Item
Palpation (2)
C0030247 (UMLS CUI-1)
CL Item
Machine (3)
C0336779 (UMLS CUI-1)
CL Item
Invasive (4)
C0205281 (UMLS CUI-1)
Mean arterial pressure formula
Item
Mean arterial pressure formula
text
24 hour average
Item
24 hour average
text
Item
Sleep status
text
Code List
Sleep status
CL Item
Alert and awake (1)
CL Item
Alert and awake (2)
CL Item
Sleeping (3)
Confounding factors
Item
Confounding factors
text
Systolic pressure formula
Item
Systolic pressure formula
text
Diastolic pressure formula
Item
Diastolic pressure formula
text
Structured measurement location
Item
Structured measurement location
text
Extension
Item
Extension
text

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