ARCHETYPE Blood Pressure (openEHR-EHR-OBSERVATION.blood_pressure.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.blood_pressure.v1
ConceptBlood Pressure
DescriptionThe 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.
UseUse 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).
MisuseNot to be used for intravenous pressure. Not to be used for the measurement of arterial blood pressure which is NOT a surrogate for arterial pressure in the systemic circulation eg specific measurement of right Pulmonary artery pressure. Use OBSERVATION.intravascular_pressure and related specialisations in both of these situations.
PurposeTo record the systemic arterial blood pressure of an individual.
ReferencesO'Brien E, Asmar R, Beilin L, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. Journal of Hypertension [Internet]. 2003 [cited 2009 Jul 30] ; 21(5):821-848. Available from http://www.bhsoc.org/bp_monitors/ESH_BP_rec.pdf

Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation [Internet]. 1993 [cited 2009 Jul 29] 88 (5): 2460. Available from: http://circ.ahajournals.org/cgi/reprint/88/5/2460
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-03-22
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-03-22
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Ocean Informatics, references=O'Brien E, Asmar R, Beilin L, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. Journal of Hypertension [Internet]. 2003 [cited 2009 Jul 30] ; 21(5):821-848. Available from http://www.bhsoc.org/bp_monitors/ESH_BP_rec.pdf Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation [Internet]. 1993 [cited 2009 Jul 29] 88 (5): 2460. Available from: http://circ.ahajournals.org/cgi/reprint/88/5/2460, original_namespace=com.oceaninformatics, original_publisher=Ocean Informatics, custodian_namespace=com.oceaninformatics, MD5-CAM-1.0.1=61ECB97AF407A6CFA224B4ABB0022A55, build_uid=c1ed8b27-d783-48ab-84b5-867f00a3ef99, revision=1.0.1-alpha}
Keywordsobservations, measurement, bp, vital signs, mean arterial pressure, pulse pressure, systolic, diastolic, RR, NIBP
Lifecyclein_development
UID4c7ecb9e-0b3f-4bd0-b42a-364f3a853142
Language useden
Citeable Identifier1013.1.130
Revision Number1.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT(2003)::163020007 | On examination - blood pressure reading (finding)], archetypeConceptDescription=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., archetypeConceptComment=null, otherContributors=Koray Atalag, University of Auckland, New Zealand
Knut Bernstein, MEDIQ, Denmark
Marja Buur, Medisch Centrum Alkmaar, Netherlands
Rong Chen, Cambio Healthcare Systems, Sweden
Beatriz de Faria Leão, Zilics, Brazil
Paul Donaldson, Nursing Informatics Australia, Australia
Jose Florez Arango, Universidad de Antioquia, Colombia
Gerard Freriks, ERC, Netherlands
Sebastian Garde, Ocean Informatics, Germany
Anneke Goossen, Results 4 Care, Netherlands
Sam Heard, Ocean Informatics, Australia
Karsten Heusser, Hannover Medical School, Germany
Omer Hotomaroglu, Turkey
Evelyn Hovenga, EJSH Consulting, Australia
Derek Hoy, United Kingdom
Pieter Hummel, Medisch Centrum Alkmaar, Netherlands
Eugene Igras, IRIS Systems, Inc., Canada
Sundaresan Jagannathan, Scottish NHS, United Kingdom
Andrew James, University of Toronto, Canada
Heather Leslie, Ocean Informatics, Australia (Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Rohan Martin, Ambulance Victoria, Australia
Ian McNicoll, Ocean Informatics, United Kingdom
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Udo Müller-Oest, CompuGROUP Software, Germany
Melvin Reynolds, United Kingdom
Tony Shannon, NHS, United Kingdom
Hwei-Yee Tai, Tan Tock Seng Hospital, Singapore
Stef Verlinden, Vivici, Netherlands
Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore, originalLanguage=en, translators=German: Sebastian Garde, Jasmin Buck, Ocean Informatics, University of Heidelberg
Russian: Igor Lizunov, i.lizunov@infinnity.ru
Spanish (Argentina): Domingo Liotta, Universidad de Morón, domingo_liotta@hotmail.com, Universidad de Morón
Portuguese (Brazil): Jussara Rözsch, OpenEHR Foundation, jussara.macedo@gmail.com, Medical Doctor, Psychiarist, Clinical Modeller, openEHR Diretor, ehealth infostructuture WG ccoordinator- brazilian ehealth program
Japanese: Shinji Kobayashi, Kyoto University, skoba@moss.gr.jp
Arabic (Syria): Mona Saleh
Farsi: Shahla Foozonkhah, Ocean Informatics, shahla.foozonkhah@oceaninformatics.com
Chinese (PRC): Chunlan Ma, Lin Zhang, Ocean Informatics, BIPH, , linforest@163.com, What goes here?
Dutch: Marja Buur, M.C.A., m.buur-krom@mca.nl
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/state[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Position, description=The position of the subject at the time of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Standing [Standing at the time of blood pressure measurement.]
  • Sitting [Sitting (for example on bed or chair) at the time of blood pressure measurement.]
  • Reclining [Reclining at the time of blood pressure measurement.]
  • Lying [Lying flat at the time of blood pressure measurement.]
  • Lying with tilt to left [Lying flat with some lateral tilt, usually angled towards the left side. Commonly required in the last trimester of pregnancy to relieve aortocaval compression.]

Assumed value: Sitting, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/state[at0007]/items[at1052], code=at1052, itemType=ELEMENT, level=4, 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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/state[at0007]/items[at1030], code=at1030, itemType=SLOT, level=4, text=Exertion , description=Details about physical activity undertaken at the time of blood pressure.measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/state[at0007]/items[at1043], code=at1043, itemType=ELEMENT, level=4, text=Sleep status, description=Sleep status - supports interpretation of 24 hour ambulatory blood pressure records., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Alert & awake [Subject is fully conscious.]
  • Sleeping [Subject is in the natural state of bodily rest.]

Assumed value: Alert & awake, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/state[at0007]/items[at1005], code=at1005, itemType=ELEMENT, level=4, text=Tilt, description=The craniocaudal tilt of the surface on which the person is lying at the time of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Angle, plane
Units:
  • -90.0..90.0 °
    Limit decimal places: 0

Assumed value: 0.0°
Limit decimal places: 0, extendedValues=null]], capabilities=[], items=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006], code=at0006, itemType=EVENT, level=2, text=any event, description=Default event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at1042], code=at1042, itemType=INTERVAL_EVENT, level=2, text=24 hour average , description=Estimate of the average blood pressure over a 24 hour period., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INTERVAL_EVENT, bindings=null, values=Math. function: Mean
Interval width: 24 hours
, extendedValues=null]], provider=[], content=[], target=[], contacts=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Cuff size, description=The size of the cuff used for blood pressure measurement., comment=Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993;88;2460-2470. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT(2003)::246153002 | Type of cuff (attribute)], values=
  • Adult Thigh [A cuff used for an adult thigh - bladder approx 20cm x 42cm.]
  • Large Adult [A cuff for adults with larger arms - bladder approx 16cm x 38cm.]
  • Adult [A cuff that is standard for an adult - bladder approx 13cm x 30cm.]
  • Small Adult [A cuff used for a small adult - bladder approx 10cm x 24cm.]
  • Paediatric/Child [A cuff that is appropriate for a child or adult with a thin arm - bladder approx 8cm x 21cm.]
  • Infant [A cuff used for infants - bladder approx 5cm x 15cm.]
  • Neonatal [A cuff used for a neonate, assuming cuff is the appropriate size for maturity and birthweight of the neonate.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033], code=at1033, itemType=CLUSTER, level=2, text=Location, description=Body location where blood pressure is measured. Use 'Location of measurement' to select from common sites. Use 'Specific location' to record more specific details or a site that is not in the common set or to refer to an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Location of measurement, description=Common body sites where blood pressure is recorded., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right arm [The right arm of the person.]
  • Left arm [The left arm of the person.]
  • Right thigh [The right thigh of the person.]
  • Left thigh [The left thigh of the person.]
  • Right wrist [The right wrist of the subject.]
  • Left wrist [The left wrist of the subject.]
  • Right ankle [The right ankle of the subject.]
  • Left ankle [The left ankle of the subject.]
  • Finger [A finger of the subject. Identification of the finger can be recorded in 'Specific Location' data element, if required.]
  • Toe [A toe of the subject. Identification of the toe can be recorded in 'Specific Location' data element, if required.]
  • Intra-arterial [Invasive measurement via transducer access line within an artery. Location of the transducer can be recorded in 'Specific Location' data element, if required.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033]/items[at1034], code=at1034, itemType=ELEMENT, level=3, text=Specific location, description=Specific details about the body site where blood pressure is recorded., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1035], code=at1035, itemType=ELEMENT, level=2, text=Method, description=Method of measurement of blood pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Auscultation [Method of measuring blood pressure externally, using a stethoscope and Korotkoff sounds.]
  • Palpation [Method of measuring blood pressure externally, using palpation (usually of the brachial or radial arteries).]
  • Machine [Method of measuring blood pressure externally, using a blood pressure machine.]
  • Invasive [Method of measuring blood pressure internally ie involving penetration of the skin and measuring inside blood vessels.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1038], code=at1038, itemType=ELEMENT, level=2, text=Mean Arterial Pressure Formula, description=Formula used to calculate the MAP (if recorded in data)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1010], code=at1010, itemType=ELEMENT, level=2, text=Diastolic endpoint, description=Record which Korotkoff sound is used for determining diastolic pressure using auscultative method., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Phase IV [The fourth Korotkoff sound is identified as an abrupt muffling of sounds.]
  • Phase V [The fifth Korotkoff sound is identified by absence of sounds as the cuff pressure drops below the diastolic blood pressure.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1025], code=at1025, itemType=SLOT, level=2, text=Device, description=Details about sphygmomanometer or other device used to measure the blood pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null]], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Systolic, description=Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=[SNOMED-CT(2003)::163030003 | On examination - Systolic BP reading (finding)], values=Property: Pressure
Units:
  • 0.0..<1000.0 mm[Hg]
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Diastolic, description=Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=[SNOMED-CT(2003)::163031004 | On examination - Diastolic blood pressure reading (finding)], values=Property: Pressure
Units:
  • 0.0..<1000.0 mm[Hg]
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/data[at0003]/items[at1006], code=at1006, itemType=ELEMENT, level=4, text=Mean Arterial Pressure, description=The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Pressure
Units:
  • 0.0..<1000.0 mm[Hg]
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/data[at0003]/items[at1007], code=at1007, itemType=ELEMENT, level=4, text=Pulse Pressure, description=The difference between the systolic and diastolic pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Pressure
Units:
  • 0.0..<1000.0 mm[Hg]
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0006]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=4, text=Comment, description=Comment on blood pressure measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], context=[], details=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0011], code=at0011, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0006]/state[at0007], code=at0007, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0006]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Cuff size, description=The size of the cuff used for blood pressure measurement., comment=Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993;88;2460-2470. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT(2003)::246153002 | Type of cuff (attribute)], values=
  • Adult Thigh [A cuff used for an adult thigh - bladder approx 20cm x 42cm.]
  • Large Adult [A cuff for adults with larger arms - bladder approx 16cm x 38cm.]
  • Adult [A cuff that is standard for an adult - bladder approx 13cm x 30cm.]
  • Small Adult [A cuff used for a small adult - bladder approx 10cm x 24cm.]
  • Paediatric/Child [A cuff that is appropriate for a child or adult with a thin arm - bladder approx 8cm x 21cm.]
  • Infant [A cuff used for infants - bladder approx 5cm x 15cm.]
  • Neonatal [A cuff used for a neonate, assuming cuff is the appropriate size for maturity and birthweight of the neonate.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033], code=at1033, itemType=CLUSTER, level=2, text=Location, description=Body location where blood pressure is measured. Use 'Location of measurement' to select from common sites. Use 'Specific location' to record more specific details or a site that is not in the common set or to refer to an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Location of measurement, description=Common body sites where blood pressure is recorded., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Right arm [The right arm of the person.]
  • Left arm [The left arm of the person.]
  • Right thigh [The right thigh of the person.]
  • Left thigh [The left thigh of the person.]
  • Right wrist [The right wrist of the subject.]
  • Left wrist [The left wrist of the subject.]
  • Right ankle [The right ankle of the subject.]
  • Left ankle [The left ankle of the subject.]
  • Finger [A finger of the subject. Identification of the finger can be recorded in 'Specific Location' data element, if required.]
  • Toe [A toe of the subject. Identification of the toe can be recorded in 'Specific Location' data element, if required.]
  • Intra-arterial [Invasive measurement via transducer access line within an artery. Location of the transducer can be recorded in 'Specific Location' data element, if required.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1033]/items[at1034], code=at1034, itemType=ELEMENT, level=3, text=Specific location, description=Specific details about the body site where blood pressure is recorded., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1035], code=at1035, itemType=ELEMENT, level=2, text=Method, description=Method of measurement of blood pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Auscultation [Method of measuring blood pressure externally, using a stethoscope and Korotkoff sounds.]
  • Palpation [Method of measuring blood pressure externally, using palpation (usually of the brachial or radial arteries).]
  • Machine [Method of measuring blood pressure externally, using a blood pressure machine.]
  • Invasive [Method of measuring blood pressure internally ie involving penetration of the skin and measuring inside blood vessels.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1038], code=at1038, itemType=ELEMENT, level=2, text=Mean Arterial Pressure Formula, description=Formula used to calculate the MAP (if recorded in data)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1010], code=at1010, itemType=ELEMENT, level=2, text=Diastolic endpoint, description=Record which Korotkoff sound is used for determining diastolic pressure using auscultative method., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Phase IV [The fourth Korotkoff sound is identified as an abrupt muffling of sounds.]
  • Phase V [The fifth Korotkoff sound is identified by absence of sounds as the cuff pressure drops below the diastolic blood pressure.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at1025], code=at1025, itemType=SLOT, level=2, text=Device, description=Details about sphygmomanometer or other device used to measure the blood pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]