VitalSigns
BloodPressure

“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, "blood pressure" usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.? – Wikipedia.

This package represents the measurement (or “clinical observation?) of the patient’s Blood Pressure. Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart. In some situations only one of these two are needed and recorded, and some medical devices record only one (either the diastolic or the systolic). Therefore, this package describes the classic “blood pressure observation? as a set of one systolic and one diastolic observation, each of which can be stand-alone observations in their own right. To avoid duplicating such qualifying information as body site and method when collecting a diastolic and systolic observation into a blood pressure observation, these three observation types are modeled as subtypes of an AbstractBloodPressureObservation, which contains properties common to all three types. Thus from this model, one could instantiate a diastolic observation, a systolic observation, or a blood pressure observation with a systolic and diastolic value.

Blood pressure measurements can be affected by the device used, the patient’s body position, whether the patient was awake or asleep, etc. This package contains four qualifier classes to carry this information.

VitalSignsBloodPressure
subjectOfRecord Property subjectOfRecord Property subjectOfRecord subjectOfRecord Property Property clinicalStatement_subjectOfRecord Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image diastolicBloodPressureObservation Property diastolicBloodPressureObservation Property diastolicBloodPressureObservation diastolicBloodPressureObservation Property Property Association Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image systolicBloodPressureObservation Property systolicBloodPressureObservation Property systolicBloodPressureObservation systolicBloodPressureObservation Property Property Association Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image observation Property observation Property observation observation Property Property vitalSignsObservationList_observation Polyline coordinates describing hotspot on the image status patientId mothersIdentifier endDate beginDate Patient ClinicalStatement ValueIsSystolic ValueIsDiastolic value DiastolicBloodPressureObservation value SystolicBloodPressureObservation BloodPressureObservation TopicIsSystolicBloodPressure TopicIsDiastolicBloodPressure TopicIsBloodPressure sleepStatusQualifier patientStateExertionQualifier bodyPositionQualifier diastolicEndpointQualifier cuffSizeQualifier method bodySite AbstractBloodPressureObservation VitalSignsObservationList InformationEntry partOf hasMember derivedFrom value resultStatus reliability observedCharacteristic observed multimedia method exceptionValue description deltaFlag dateTimeIssued dateTime dataAbsentReason category bodySite ObservationStatement 309604004 (During Exercise) 263678003 (At Rest) 255214003 (After Exercise) PatientStateExertionStatus -newCode- Phase V -newCode- Phase IV BloodPressureMeasurementDiastolicEndpoint 113011001 (Palpation) -newCode- (Doppler) -newCode- (Automatic Cuff) 37931006 (Auscultation) 779380092 (Arterial Pressure Monitoring, Invasive Method) BloodPressureMeasurementMethod 29707007 (Toe Structure) 368505008 (Right Ulnar Artery) 368503001 (Right Radial Artery) 69833005 (Right Femoral Artery) -newCode- (Right Brachial Artery) 368506009 (Left Ulnar Artery) 368504007 (Left Radial Artery) 113270003 (Left Femoral Artery) -newCode- (Left Brachial Artery) 7569003 (Finger Structure) BloodPressureMeasurementSite -newCode- (Small Adult) -newCode- (Paediatric/Child) -newCode- (Neonatal) -newCode- (Large Adult) -newCode- (Infant) -newCode- (Adult Thigh) -newCode- (Adult) BloodPressureCuffSize 248220008 (Asleep) 248218005 (Awake) PatientMeasurementSleepStatus 34106002 (Trendelenburg) 30212006 (Supine, head raised) 414585002 (Supine with left lateral tilt) 40199007 (Supine) 10904000 (Standing) 33586001 (Seated) 1240000 (Prone) 102535000 (Lying on right side) 102536004 (Lying on left side) 102538003 (Lying) 26527006 (Inverse Trendelenburg) PatientMeasurementBodyPosition

Classifiers

Diagrams

Properties:

Alias
Keywords
NameBloodPressure
Name Expression
NamespaceVitalSigns
Nesting PackageVitalSigns
Owned Template Signature
OwnerVitalSigns
Owning Template Parameter
Qualified NameFHIM::VitalSigns::BloodPressure
Stereotype
Template Parameter
VisibilityPublic