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<node ID="root" TEXT="Blood pressure">
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<edge STYLE="sharp_bezier" WIDTH="2"/><richcontent TYPE="NODE"><html><body><p style="text-align: center;">Blood pressure</p>
</body></html>
</richcontent>
<node ID="e9dee4a4-2caf-4cef-ac44-8d8aa2350582" POSITION="right"  Style="bubble" TEXT="Data" >
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<node ID="cca095af-9bc3-4790-8ee1-e14eae0a60f2" STYLE="fork" TEXT="[Quantity] Systolic" ><richcontent TYPE="NODE"><html><body><p>
[Quantity] Systolic</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Quantity </b></p><p>Optional</p></div><div><font color="#8d8d8d"><span class="oi-unobtrusive">[</span><div class="oi-tooltip"><img src="pics/states/draft.svg" style="vertical-align:text-bottom; height:12px; padding-right: 2px;"/></div><a target="_blank" class="oi-link oi-link-unobtrusive" href="http://snomed.info/id/271649006"><b>SNOMED-CT(2003)</b>::271649006 | Systolic blood pressure]</a></font> 
</div><p> 
Peak systemic arterial blood pressure  - measured in systolic or contraction phase of the heart cycle. 
</p><p> 
Property: Pressure 
Units: 0.0..&#60;1000.0 <span title="millimeters of mercury&#010;UCUM: mm[Hg]">mmHg<span class="technical" style="display:none;"> (UCUM: mm[Hg])</span></span> 
Limit decimal places: 0 
</p></body></html>
</richcontent>
</node>
<node ID="79bbd9e5-c1b7-4411-bb0c-c34365541222" STYLE="fork" TEXT="[Quantity] Diastolic" ><richcontent TYPE="NODE"><html><body><p>
[Quantity] Diastolic</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Quantity </b></p><p>Optional</p></div><div><font color="#8d8d8d"><span class="oi-unobtrusive">[</span><div class="oi-tooltip"><img src="pics/states/draft.svg" style="vertical-align:text-bottom; height:12px; padding-right: 2px;"/></div><a target="_blank" class="oi-link oi-link-unobtrusive" href="http://snomed.info/id/271650006"><b>SNOMED-CT(2003)</b>::271650006 | Diastolic blood pressure]</a></font> 
</div><p> 
Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle. 
</p><p> 
Property: Pressure 
Units: 0.0..&#60;1000.0 <span title="millimeters of mercury&#010;UCUM: mm[Hg]">mmHg<span class="technical" style="display:none;"> (UCUM: mm[Hg])</span></span> 
Limit decimal places: 0 
</p></body></html>
</richcontent>
</node>
<node ID="759c124f-0ac3-48be-8161-c2ce824474f4" STYLE="fork" TEXT="[Quantity] Mean arterial pressure" ><richcontent TYPE="NODE"><html><body><p>
[Quantity] Mean arterial pressure</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Quantity </b></p><p>Optional</p></div><p> 
The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle. 
</p><p> 
Property: Pressure 
Units: 0.0..&#60;1000.0 <span title="millimeters of mercury&#010;UCUM: mm[Hg]">mmHg<span class="technical" style="display:none;"> (UCUM: mm[Hg])</span></span> 
Limit decimal places: 0 
</p></body></html>
</richcontent>
</node>
<node ID="82162fea-fb4d-405d-8ca8-264ccb2d0c02" STYLE="fork" TEXT="[Quantity] Pulse pressure" ><richcontent TYPE="NODE"><html><body><p>
[Quantity] Pulse pressure</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Quantity </b></p><p>Optional</p></div><p> 
The difference between the systolic and diastolic pressure. 
</p><p> 
Property: Pressure 
Units: 0.0..&#60;1000.0 <span title="millimeters of mercury&#010;UCUM: mm[Hg]">mmHg<span class="technical" style="display:none;"> (UCUM: mm[Hg])</span></span> 
Limit decimal places: 0 
</p></body></html>
</richcontent>
</node>
<node ID="18e41ff1-0f69-4421-a60b-1d1158c5be1f" STYLE="fork" TEXT="[Text] Clinical interpretation" ><richcontent TYPE="NODE"><html><body><p>
[Text] Clinical interpretation</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
Single word, phrase or brief description that represents the clinical meaning and significance of the blood pressure measurement. 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
<node ID="3f6debbe-3f9f-4a74-92d7-fa4885dd8702" STYLE="fork" TEXT="[Text] Comment" ><richcontent TYPE="NODE"><html><body><p>
[Text] Comment</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
Additional narrative about the measurement, not captured in other fields. 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
</node>
<node ID="b8aef307-c5a9-4676-a2fb-3d90efa54f41" POSITION="left"  Style="bubble" TEXT="State" >
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<node ID="c1fd1ada-8cff-4769-8e35-33c0e26773d1" STYLE="fork" TEXT="[Coded Text] Position" ><richcontent TYPE="NODE"><html><body><p>
[Coded Text] Position</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Coded Text </b></p><p>Optional</p></div><p> 
The position of the individual at the time of measurement. 
</p><p> 
<span class="technical" style="display:none;" >at1000::</span>Standing<span class="oi-unobtrusive">  [Standing at the time of blood pressure measurement.]</span>
<span class="technical" style="display:none;" >at1001::</span>Sitting<span class="oi-unobtrusive">  [Sitting (for example on bed or chair) at the time of blood pressure measurement.]</span>
<span class="technical" style="display:none;" >at1002::</span>Reclining<span class="oi-unobtrusive">  [Reclining at the time of blood pressure measurement.]</span>
<span class="technical" style="display:none;" >at1003::</span>Lying<span class="oi-unobtrusive">  [Lying flat at the time of blood pressure measurement.]</span>
<span class="technical" style="display:none;" >at1014::</span>Lying with tilt to left<span class="oi-unobtrusive">  [Lying flat with some lateral tilt, usually angled towards the left side.   Commonly required in the last trimester of pregnancy to relieve aortocaval compression.]</span>
 
</p></body></html>
</richcontent>
</node>
<node ID="72f964f4-2cce-4f2b-b0ff-f3f65c0fec69" STYLE="fork" TEXT="[Text] Confounding factors" ><richcontent TYPE="NODE"><html><body><p>
[Text] Confounding factors</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
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. 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
<node ID="5f5b2837-4a68-448c-be9f-8abf617d9579" STYLE="fork" TEXT="[Cluster] Exertion" ><richcontent TYPE="NODE"><html><body><p>
[Cluster] Exertion</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Cluster </b></p><p>Optional</p></div><p> 
Details about physical activity undertaken at the time of blood pressure measurement. 
</p><p> 
<b>Include:</b> 
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations 
</p></body></html>
</richcontent>
</node>
<node ID="1b0497cd-1b5a-4d9e-bdcf-d45217eb85c5" STYLE="fork" TEXT="[Coded Text] Sleep status" ><richcontent TYPE="NODE"><html><body><p>
[Coded Text] Sleep status</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Coded Text </b></p><p>Optional</p></div><p> 
Sleep status - supports interpretation of 24 hour ambulatory blood pressure records. 
</p><p> 
<span class="technical" style="display:none;" >at1044::</span>Awake<span class="oi-unobtrusive">  [The individual is fully conscious.]</span>
<span class="technical" style="display:none;" >at1045::</span>Sleeping<span class="oi-unobtrusive">  [The individual is in the natural state of bodily rest.]</span>
 
</p></body></html>
</richcontent>
</node>
<node ID="ae98863f-312a-481f-8980-37bd3b6719d0" STYLE="fork" TEXT="[Quantity] Tilt" ><richcontent TYPE="NODE"><html><body><p>
[Quantity] Tilt</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Quantity </b></p><p>Optional</p></div><p> 
The craniocaudal tilt of the surface on which the person is lying at the time of measurement. 
</p><p> 
Property: Angle, plane 
Units: -90.0..90.0 <span title="degree&#010;UCUM: deg">&#xb0;<span class="technical" style="display:none;"> (UCUM: deg)</span></span> 
Limit decimal places: 0 
</p></body></html>
</richcontent>
</node>
</node>
<node ID="2509c9ec-05cf-4193-94a8-fa9f0aa6a5e7" POSITION="left"  Style="bubble" TEXT="Protocol" >
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<node ID="87c70211-2197-41d5-9df7-e24200203330" STYLE="fork" TEXT="[Coded Text] Cuff size" ><richcontent TYPE="NODE"><html><body><p>
[Coded Text] Cuff size</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Coded Text </b></p><p>Optional</p></div><div><font color="#8d8d8d"><span class="oi-unobtrusive">[</span><div class="oi-tooltip"><img src="pics/states/draft.svg" style="vertical-align:text-bottom; height:12px; padding-right: 2px;"/></div><a target="_blank" class="oi-link oi-link-unobtrusive" href="http://snomed.info/id/246153002"><b>SNOMED-CT(2003)</b>::246153002 | Type of cuff]</a></font> 
</div><p> 
The size of the cuff used for blood pressure measurement. 
</p><p> 
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.  
</p><p> 
<span class="technical" style="display:none;" >at0015::</span>Adult Thigh<span class="oi-unobtrusive">  [A cuff used for an adult thigh.]</span>
<span class="technical" style="display:none;" >at0016::</span>Large Adult<span class="oi-unobtrusive">  [A cuff for adults with larger arms.]</span>
<span class="technical" style="display:none;" >at0017::</span>Adult<span class="oi-unobtrusive">  [A cuff that is standard for an adult.]</span>
<span class="technical" style="display:none;" >at1008::</span>Small Adult<span class="oi-unobtrusive">  [A cuff used for a small adult.]</span>
<span class="technical" style="display:none;" >at1009::</span>Paediatric/Child<span class="oi-unobtrusive">  [A cuff that is appropriate for a child or adult with a thin arm.]</span>
<span class="technical" style="display:none;" >at1018::</span>Infant<span class="oi-unobtrusive">  [A cuff used for infants.]</span>
<span class="technical" style="display:none;" >at1019::</span>Neonatal<span class="oi-unobtrusive">  [A cuff used for a neonate, assuming cuff is the appropriate size for maturity and birthweight of the neonate.]</span>
 
</p></body></html>
</richcontent>
</node>
<node ID="aafd059d-8e74-455a-9339-0562b2bfc3fe" STYLE="fork" TEXT="[Choice] Location of measurement" ><richcontent TYPE="NODE"><html><body><p>
[Choice] Location of measurement</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Choice </b></p><p>Optional</p></div><p> 
Simple body site where blood pressure was measured. 
</p><p> 
Choice of: 
<img alt="" src="pics/rm/coded_text.svg" style="vertical-align:text-bottom; height:16px;"/> Coded Text 
<span class="technical" style="display:none;" >at0025::</span>Right arm<span class="oi-unobtrusive">  [The right arm of the person.]</span>
<span class="technical" style="display:none;" >at0026::</span>Left arm<span class="oi-unobtrusive">  [The left arm of the person.]</span>
<span class="technical" style="display:none;" >at0027::</span>Right thigh<span class="oi-unobtrusive">  [The right thigh of the person.]</span>
<span class="technical" style="display:none;" >at0028::</span>Left thigh<span class="oi-unobtrusive">  [The left thigh of the person.]</span>
<span class="technical" style="display:none;" >at1020::</span>Right wrist<span class="oi-unobtrusive">  [The right wrist of the individual.]</span>
<span class="technical" style="display:none;" >at1021::</span>Left wrist<span class="oi-unobtrusive">  [The left wrist of the individual.]</span>
<span class="technical" style="display:none;" >at1026::</span>Right ankle<span class="oi-unobtrusive">  [The right ankle of the individual.]</span>
<span class="technical" style="display:none;" >at1031::</span>Left ankle<span class="oi-unobtrusive">  [The left ankle of the individual.]</span>
<span class="technical" style="display:none;" >at1032::</span>Finger<span class="oi-unobtrusive">  [A finger of the individual.]</span>
<span class="technical" style="display:none;" >at1051::</span>Toe<span class="oi-unobtrusive">  [A toe of the individual.]</span>
<span class="technical" style="display:none;" >at1056::</span>Dorsum of foot<span class="oi-unobtrusive">  [The individual's dorsum of the foot.]</span>
<span class="technical" style="display:none;" >at1053::</span>Intra-arterial<span class="oi-unobtrusive">  [Invasive measurement via transducer access line within an artery.]</span>

<img alt="" src="pics/rm/text.svg" style="vertical-align:text-bottom; height:16px;"/> Text 

 
</p></body></html>
</richcontent>
</node>
<node ID="f350491c-0952-4654-a64f-457aab3a39ae" STYLE="fork" TEXT="[Cluster] Structured measurement location" ><richcontent TYPE="NODE"><html><body><p>
[Cluster] Structured measurement location</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Cluster </b></p><p>Optional, repeating</p></div><p> 
Structured anatomical location of where the measurement was taken. 
</p><p> 
<b>Include:</b> 
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations 
</p></body></html>
</richcontent>
</node>
<node ID="d27585ee-b1ed-437f-ab67-ec18c547aa49" STYLE="fork" TEXT="[Coded Text] Method" ><richcontent TYPE="NODE"><html><body><p>
[Coded Text] Method</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Coded Text </b></p><p>Optional</p></div><p> 
Method of measurement of blood pressure. 
</p><p> 
<span class="technical" style="display:none;" >at1036::</span>Auscultation<span class="oi-unobtrusive">  [Method of measuring blood pressure externally, using a stethoscope and Korotkoff sounds.]</span>
<span class="technical" style="display:none;" >at1037::</span>Palpation<span class="oi-unobtrusive">  [Method of measuring blood pressure externally, using palpation (usually of the brachial or radial arteries).]</span>
<span class="technical" style="display:none;" >at1039::</span>Machine<span class="oi-unobtrusive">  [Method of measuring blood pressure externally, using a blood pressure machine.]</span>
<span class="technical" style="display:none;" >at1040::</span>Invasive<span class="oi-unobtrusive">  [Method of measuring blood pressure internally ie involving penetration of the skin and measuring inside blood vessels.]</span>
 
</p></body></html>
</richcontent>
</node>
<node ID="5728d488-6633-4ae3-837c-3f144df445ad" STYLE="fork" TEXT="[Text] Mean arterial pressure formula" ><richcontent TYPE="NODE"><html><body><p>
[Text] Mean arterial pressure formula</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
Formula used to calculate the Mean Arterial Pressure (if recorded in data). 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
<node ID="7166f9ea-6798-4af8-91b3-ce220744da2d" STYLE="fork" TEXT="[Text] Systolic pressure formula" ><richcontent TYPE="NODE"><html><body><p>
[Text] Systolic pressure formula</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
Formula used to calculate the systolic pressure from from mean arterial pressure (if recorded in data). 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
<node ID="3d693c40-d32c-4398-b38a-af9a0f9d5421" STYLE="fork" TEXT="[Text] Diastolic pressure formula" ><richcontent TYPE="NODE"><html><body><p>
[Text] Diastolic pressure formula</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Text </b></p><p>Optional</p></div><p> 
Formula used to calculate the diastolic pressure from mean arterial pressure (if recorded in data). 
</p><p> 
 
</p></body></html>
</richcontent>
</node>
<node ID="8da6711e-32bd-4b2d-a51a-8b08fbd58b95" STYLE="fork" TEXT="[Coded Text] Diastolic endpoint" ><richcontent TYPE="NODE"><html><body><p>
[Coded Text] Diastolic endpoint</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Coded Text </b></p><p>Optional</p></div><p> 
Record which Korotkoff sound is used for determining diastolic pressure using auscultative method. 
</p><p> 
<span class="technical" style="display:none;" >at1011::</span>Phase IV<span class="oi-unobtrusive">  [The fourth Korotkoff sound is identified as an abrupt muffling of sounds.]</span>
<span class="technical" style="display:none;" >at1012::</span>Phase V<span class="oi-unobtrusive">  [The fifth Korotkoff sound is identified by absence of sounds as the cuff pressure drops below the diastolic blood pressure.]</span>
 
</p></body></html>
</richcontent>
</node>
<node ID="4628d949-57ac-44a2-92de-1bee0d676d21" STYLE="fork" TEXT="[Cluster] Device" ><richcontent TYPE="NODE"><html><body><p>
[Cluster] Device</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Cluster </b></p><p>Optional</p></div><p> 
Details about sphygmomanometer or other device used to measure the blood pressure. 
</p><p> 
<b>Include:</b> 
openEHR-EHR-CLUSTER.device.v1 and specialisations 
</p></body></html>
</richcontent>
</node>
<node ID="debb3a41-64ea-4eeb-88fe-11bf546c4d88" STYLE="fork" TEXT="[Cluster] Extension" ><richcontent TYPE="NODE"><html><body><p>
[Cluster] Extension</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Cluster </b></p><p>Optional, repeating</p></div><p> 
Additional information required to capture local context or to align with other reference models/formalisms. 
</p><p> 
For example: Local hospital departmental infomation or additional metadata to align with FHIR or CIMI equivalents. 
</p><p> 
<b>Include:</b> 
All not explicitly excluded archetypes 
</p></body></html>
</richcontent>
</node>
</node>
<node ID="610c20d9-f37f-4905-82fb-0bf2c45fe364" POSITION="left"  Style="bubble" TEXT="Events" >
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<node ID="644b01fd-0857-4857-86f1-1a1d2d30a60a" STYLE="fork" TEXT="[Event] Any event" ><richcontent TYPE="NODE"><html><body><p>
[Event] Any event</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Event </b></p><p>Optional, repeating</p></div><p> 
Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. 
</p></body></html>
</richcontent>
</node>
<node ID="aa2ce260-db7f-4a6f-9d42-a8710cf46bcf" STYLE="fork" TEXT="[Interval] 24 hour average" ><richcontent TYPE="NODE"><html><body><p>
[Interval] 24 hour average</p></body></html>
</richcontent>
<richcontent TYPE="NOTE"><html><body><div style="color:#8d8d8d;"><p style="margin:0px;"><b>Interval </b></p><p>Optional</p></div><p> 
Estimate of the average blood pressure over a 24 hour period. 
</p><p> 
<b>Math. function</b>: Mean 
<b>Interval width</b>: 24 hours 
 
</p></body></html>
</richcontent>
</node>
</node>
<node ID="5d72d7ea-df11-4481-bf4e-c9bdaf2ca078" POSITION="RIGHT" BACKGROUND_COLOR="#999999" COLOR="#efefef" STYLE="bubble" FOLDED="true" TEXT="Header" >
<font NAME="SansSerif" SIZE="14" BOLD="true"/>
<node ID="cf716b67-e752-49cf-81ff-d93d972caf47" STYLE="bubble" TEXT="Concept description" >
<node ID="f06cb223-1e05-4c49-9fca-4251dba73046" STYLE="fork"  TEXT="The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation."   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation.</div></body></html></richcontent>
</node>
</node>
<node ID="d7933894-bfa0-4b3e-921a-487d12161ca5" STYLE="bubble" TEXT="Purpose" >
<node ID="f8416493-6258-4459-8de7-7146086b3a16" STYLE="fork"  TEXT="To record the systemic arterial blood pressure of an individual."   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">To record the systemic arterial blood pressure of an individual.</div></body></html></richcontent>
</node>
</node>
<node ID="4c0aff44-42d6-44b8-8f41-d0dcf1175c9f" STYLE="bubble" TEXT="Use" >
<node ID="b72073c6-72ab-4e14-aad2-8f66c0f2a609" STYLE="fork"  TEXT="<p>Use to record all representations of systemic arterial blood pressure measurement, no matter which method or body location is used to record it.</p><p>The archetype is intended to capture blood pressure measurements in all clinical scenarios - for example:</p>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.
<p>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.</p><p>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).</p>"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;"><p>Use to record all representations of systemic arterial blood pressure measurement, no matter which method or body location is used to record it.</p><p>The archetype is intended to capture blood pressure measurements in all clinical scenarios - for example:</p>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.
<p>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.</p><p>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).</p></div></body></html></richcontent>
</node>
</node>
<node ID="d917afa5-c512-45bc-8380-10f95c639951" STYLE="bubble" TEXT="Misuse" >
<node ID="59e5d8ac-39f5-4c35-b443-8d41da2bf99f" STYLE="fork"  TEXT="Not to be used to record 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 in this situation.   
 
Not to be used to record measurements of intravenous pressure. Use the appropriate specialisations of OBSERVATION.intravascular_pressure in this situation."   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Not to be used to record 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 in this situation.   
 
Not to be used to record measurements of intravenous pressure. Use the appropriate specialisations of OBSERVATION.intravascular_pressure in this situation.</div></body></html></richcontent>
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<node ID="9b2ad83e-e14a-4109-b2c7-f21a4ad514ab" STYLE="bubble" TEXT="Keywords" >
<node ID="14a2dcfe-1600-4ee6-acc3-cc829f5f859d" STYLE="fork"  TEXT="observations, measurement, bp, vital signs, mean arterial pressure, pulse pressure, systolic, diastolic, RR, NIBP"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">observations, measurement, bp, vital signs, mean arterial pressure, pulse pressure, systolic, diastolic, RR, NIBP</div></body></html></richcontent>
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<node ID="2ab12200-8e8b-44bd-8dd0-e8e79f7e2a79" STYLE="bubble" TEXT="References" >
<node ID="21da1fb5-06ee-4bdc-8ef6-7c9ab6d592ce" STYLE="fork"  TEXT="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"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">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</div></body></html></richcontent>
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<node ID="b72b53c0-ed65-49cb-b813-3a65904a934d" POSITION="RIGHT" BACKGROUND_COLOR="#999999" COLOR="#efefef" STYLE="bubble" FOLDED="true" TEXT="Attribution" >
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Original namespace: org.openehr  
Original publisher: openEHR Foundation  
Revision: 2.0.16 (published)"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">openEHR-EHR-OBSERVATION.blood_pressure.v2  
Original namespace: org.openehr  
Original publisher: openEHR Foundation  
Revision: 2.0.16 (published)</div></body></html></richcontent>
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<node ID="2ccfb652-79ec-4615-9486-8a97789ff08e" STYLE="fork"  TEXT="Major Version UID: 1811b084-29c0-4bec-bde3-c70b7a5bc28e  
Canonical MD5 Hash: 17D4965B19A8339F74AF049209818DF1  
Build UID: d5acda15-3468-4043-8e68-55b4507881b7 "   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Major Version UID: 1811b084-29c0-4bec-bde3-c70b7a5bc28e  
Canonical MD5 Hash: 17D4965B19A8339F74AF049209818DF1  
Build UID: d5acda15-3468-4043-8e68-55b4507881b7 </div></body></html></richcontent>
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</node><node ID="192ecd77-b4d0-4ff9-9fc5-b154426f21ce" STYLE="bubble" TEXT="Original Author" >
<node ID="3a087ea3-9e0f-4388-81cc-fa42820056d5" STYLE="fork"  TEXT="Author name: Sam Heard 
Organisation: Ocean Informatics 
Email: sam.heard@oceaninformatics.com 
Date originally authored: 2006-03-22"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Author name: Sam Heard 
Organisation: Ocean Informatics 
Email: sam.heard@oceaninformatics.com 
Date originally authored: 2006-03-22</div></body></html></richcontent>
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<node ID="059755d0-f1ef-4397-a6b1-a3575885d32b" STYLE="fork"  TEXT="Custodian Organisation: openEHR Foundation  
Custodian Namespace: org.openehr  
Current contact: Heather Leslie, Atomica Informatics&#60;heather.leslie@atomicainformatics.com&#62; "   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Custodian Organisation: openEHR Foundation  
Custodian Namespace: org.openehr  
Current contact: Heather Leslie, Atomica Informatics&#60;heather.leslie@atomicainformatics.com&#62; </div></body></html></richcontent>
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<node ID="48b93f71-b7a7-4ebc-9c6a-c8616993513c" STYLE="fork"  TEXT="Karin Aarsheim, Helse F&#xf8;rde, Norway 
Tomas Alme, DIPS ASA, Norway 
Anne Pauline Anderssen, Helse Nord RHF, Norway 
Koray Atalag, University of Auckland, New Zealand 
Silje Ljosland Bakke, Helse Bergen HF, Norway (Editor) 
Johan Gustav Bellika, Norwegian Centre for Integrated Care and Telemedicine, Norway 
Knut Bernstein, MEDIQ, Denmark 
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway 
Fredrik Borchsenius, Oslo universitetssykehus, Norway 
P&#xe5;l Brekke, OUS Rikshospitalet, Norway 
Marja Buur, Medisch Centrum Alkmaar, Netherlands 
Rong Chen, Cambio Healthcare Systems, Sweden 
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway 
Beatriz de Faria Le&#xe3;o, Zilics, Brazil 
Paul Donaldson, Nursing Informatics Australia, Australia 
Torsten Eken, Oslo universitetssykehus HF, Ullev&#xe5;l, Norway 
Jose Florez Arango, Universidad de Antioquia, Colombia 
Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway 
Gerard Freriks, ERC, Netherlands 
Sebastian Garde, Ocean Informatics, Germany 
Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore 
Anneke Goossen, Results 4 Care, Netherlands 
Bj&#xf8;rn Gr&#xf8;va, Helsedirektoratet, Norway 
Atle Hansen, Universitetssykehuset Nord-Norge, Norway 
Sam Heard, Ocean Informatics, Australia 
Kristian Heldal, Telemark Hospital Trust, Norway 
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 
Tom Jarl Jakobsen, Helse Bergen, Norway 
Andrew James, University of Toronto, Canada 
Karl Trygve Kalleberg, Oslo Universitetssykehus, Norway 
Sabine Leh, Helse-Bergen, Norway 
Heather Leslie, Atomica Informatics, Australia (Editor) 
Rikard Lovstrom, Swedish Medical Association, Sweden 
Hallvard L&#xe6;rum, Oslo Universitetssykehus HF, Norway 
Luis Marco Ruiz, NST, Spain 
Rohan Martin, Ambulance Victoria, Australia 
Ian McNicoll, Ocean Informatics, United Kingdom 
Lars Ivar Mehlum, Helse Bergen HF, Norway 
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands 
Udo M&#xfc;ller-Oest, CompuGROUP Software, Germany 
Bj&#xf8;rn N&#xe6;ss, DIPS ASA, Norway 
Rune Pedersen, Universitetssykehuset i Nord Norge, Norway 
Melvin Reynolds, United Kingdom 
Steinar Sandvik, Helse Vest IKT, Norway 
Thomas Schopf, University Hospital of North-Norway, Norway 
Tony Shannon, NHS, United Kingdom 
Thor-Einar Stemland, Helse Bergen, FOU Seksjon for e-helse, Norway 
Line S&#xe6;le, Helse Vest IKT, Norway 
Hwei-Yee Tai, Tan Tock Seng Hospital, Singapore 
Micaela Thierley, Helse Bergen, Norway 
Kevin Thon, SKDE, Norway 
Camilla T&#xf8;ndel, Haukeland University Hospital, Norway 
John Tore Valand, Haukeland Universitetssjukehus, Norway (Editor) 
Stef Verlinden, Vivici, Netherlands 
Ole &#xd8;yen, Oslo University Hospital, Norway"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Karin Aarsheim, Helse F&#xf8;rde, Norway 
Tomas Alme, DIPS ASA, Norway 
Anne Pauline Anderssen, Helse Nord RHF, Norway 
Koray Atalag, University of Auckland, New Zealand 
Silje Ljosland Bakke, Helse Bergen HF, Norway (Editor) 
Johan Gustav Bellika, Norwegian Centre for Integrated Care and Telemedicine, Norway 
Knut Bernstein, MEDIQ, Denmark 
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway 
Fredrik Borchsenius, Oslo universitetssykehus, Norway 
P&#xe5;l Brekke, OUS Rikshospitalet, Norway 
Marja Buur, Medisch Centrum Alkmaar, Netherlands 
Rong Chen, Cambio Healthcare Systems, Sweden 
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway 
Beatriz de Faria Le&#xe3;o, Zilics, Brazil 
Paul Donaldson, Nursing Informatics Australia, Australia 
Torsten Eken, Oslo universitetssykehus HF, Ullev&#xe5;l, Norway 
Jose Florez Arango, Universidad de Antioquia, Colombia 
Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway 
Gerard Freriks, ERC, Netherlands 
Sebastian Garde, Ocean Informatics, Germany 
Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore 
Anneke Goossen, Results 4 Care, Netherlands 
Bj&#xf8;rn Gr&#xf8;va, Helsedirektoratet, Norway 
Atle Hansen, Universitetssykehuset Nord-Norge, Norway 
Sam Heard, Ocean Informatics, Australia 
Kristian Heldal, Telemark Hospital Trust, Norway 
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 
Tom Jarl Jakobsen, Helse Bergen, Norway 
Andrew James, University of Toronto, Canada 
Karl Trygve Kalleberg, Oslo Universitetssykehus, Norway 
Sabine Leh, Helse-Bergen, Norway 
Heather Leslie, Atomica Informatics, Australia (Editor) 
Rikard Lovstrom, Swedish Medical Association, Sweden 
Hallvard L&#xe6;rum, Oslo Universitetssykehus HF, Norway 
Luis Marco Ruiz, NST, Spain 
Rohan Martin, Ambulance Victoria, Australia 
Ian McNicoll, Ocean Informatics, United Kingdom 
Lars Ivar Mehlum, Helse Bergen HF, Norway 
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands 
Udo M&#xfc;ller-Oest, CompuGROUP Software, Germany 
Bj&#xf8;rn N&#xe6;ss, DIPS ASA, Norway 
Rune Pedersen, Universitetssykehuset i Nord Norge, Norway 
Melvin Reynolds, United Kingdom 
Steinar Sandvik, Helse Vest IKT, Norway 
Thomas Schopf, University Hospital of North-Norway, Norway 
Tony Shannon, NHS, United Kingdom 
Thor-Einar Stemland, Helse Bergen, FOU Seksjon for e-helse, Norway 
Line S&#xe6;le, Helse Vest IKT, Norway 
Hwei-Yee Tai, Tan Tock Seng Hospital, Singapore 
Micaela Thierley, Helse Bergen, Norway 
Kevin Thon, SKDE, Norway 
Camilla T&#xf8;ndel, Haukeland University Hospital, Norway 
John Tore Valand, Haukeland Universitetssjukehus, Norway (Editor) 
Stef Verlinden, Vivici, Netherlands 
Ole &#xd8;yen, Oslo University Hospital, Norway</div></body></html></richcontent>
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<node ID="99f541c0-3a28-494d-82b6-65f6560cd30b" STYLE="fork"  TEXT="German: Sebastian Garde, Jasmin Buck, Ocean Informatics, University of Heidelberg
Russian: Igor Lizunov, i.lizunov@infinnity.ru
Swedish: Kirsi Poikela, Sofia Janstad, Manna Vosta, &#xc5;sa Skagerhult, Tieto Sweden AB, SLL, Karolinska University Hospital, V&#xe4;stra G&#xf6;talandsregionen, ext.kirsi.poikela@tieto.com, sofia.lang-janstad@sll.se, manna.vosta@regionstockholm.se, asa.skagerhult@vgregion.se
Finnish: Vesa Peltola, Heidi Koikkalainen, Tietoevry, Finland, vesa.peltola@tieto.com, heidi.koikkalainen@freshehr.com 
Other Contributors: Riikka Lahtela, Istekki, Finland; Henri Huttunen, Una Oy, Finland; Anna-Leena Karvonen, Tietoevry, Finland
Korean: Seung-Jong Yu, NOUSCO Co.,Ltd., seungjong.yu@gmail.com, Certified Board of Family Medicine in South Korea
Portuguese (Brazil): Jussara R&#xf6;zsch, OpenEHR Foundation, jussara.macedo@gmail.com, Medical Doctor, Psychiarist, Clinical Modeller, openEHR Diretor, ehealth infostructuture WG ccoordinator- brazilian ehealth program
Greek: Erasmia Partafylla, Sigmasoft, c.partafylla@sigmasoft.gr
Arabic (Syria): Mona Saleh
Chinese (PRC): Chunlan Ma; Lin Zhang, Ocean Informatics; Taikang Insurance Group, chunlan.ma@oceaninformatics.com; linforest@163.com
Spanish (Spain): Pablo Pazos, Clara Calleja Vega, CaboLabs, CatSalut. Servei Catal&#xe0; de la Salut., ccalleja@catsalut.cat
Spanish (Argentina): Domingo Liotta, Universidad de Mor&#xf3;n, domingo_liotta@hotmail.com, Universidad de Mor&#xf3;n
Norwegian Bokm&#xe5;l: Lars Bitsch-Larsen, Haukeland Uinversity Hospital, Bergen, Norway, lbla@helse-bergen.no, MD, DEAA. specialist in anaesthesia and tropical medicine.
Japanese: Shinji Kobayashi, NPO openEHR Japan, skoba@moss.gr.jp
Farsi: Shahla Foozonkhah, Ocean Informatics, shahla.foozonkhah@oceaninformatics.com
Dutch: Marja Buur, Sebastian Iancu, M.C.A., Code24 BV, m.buur-krom@mca.nl, sebastian@code24.nl
Catalan: Manuel Jos&#xe9; Zafra Dom&#xe9;nech, TRADCREA, S.L., mzafra@tradcrea.com 
Other Contributors: Servei Catal&#xe0; de la Salut
"   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">German: Sebastian Garde, Jasmin Buck, Ocean Informatics, University of Heidelberg
Russian: Igor Lizunov, i.lizunov@infinnity.ru
Swedish: Kirsi Poikela, Sofia Janstad, Manna Vosta, &#xc5;sa Skagerhult, Tieto Sweden AB, SLL, Karolinska University Hospital, V&#xe4;stra G&#xf6;talandsregionen, ext.kirsi.poikela@tieto.com, sofia.lang-janstad@sll.se, manna.vosta@regionstockholm.se, asa.skagerhult@vgregion.se
Finnish: Vesa Peltola, Heidi Koikkalainen, Tietoevry, Finland, vesa.peltola@tieto.com, heidi.koikkalainen@freshehr.com 
Other Contributors: Riikka Lahtela, Istekki, Finland; Henri Huttunen, Una Oy, Finland; Anna-Leena Karvonen, Tietoevry, Finland
Korean: Seung-Jong Yu, NOUSCO Co.,Ltd., seungjong.yu@gmail.com, Certified Board of Family Medicine in South Korea
Portuguese (Brazil): Jussara R&#xf6;zsch, OpenEHR Foundation, jussara.macedo@gmail.com, Medical Doctor, Psychiarist, Clinical Modeller, openEHR Diretor, ehealth infostructuture WG ccoordinator- brazilian ehealth program
Greek: Erasmia Partafylla, Sigmasoft, c.partafylla@sigmasoft.gr
Arabic (Syria): Mona Saleh
Chinese (PRC): Chunlan Ma; Lin Zhang, Ocean Informatics; Taikang Insurance Group, chunlan.ma@oceaninformatics.com; linforest@163.com
Spanish (Spain): Pablo Pazos, Clara Calleja Vega, CaboLabs, CatSalut. Servei Catal&#xe0; de la Salut., ccalleja@catsalut.cat
Spanish (Argentina): Domingo Liotta, Universidad de Mor&#xf3;n, domingo_liotta@hotmail.com, Universidad de Mor&#xf3;n
Norwegian Bokm&#xe5;l: Lars Bitsch-Larsen, Haukeland Uinversity Hospital, Bergen, Norway, lbla@helse-bergen.no, MD, DEAA. specialist in anaesthesia and tropical medicine.
Japanese: Shinji Kobayashi, NPO openEHR Japan, skoba@moss.gr.jp
Farsi: Shahla Foozonkhah, Ocean Informatics, shahla.foozonkhah@oceaninformatics.com
Dutch: Marja Buur, Sebastian Iancu, M.C.A., Code24 BV, m.buur-krom@mca.nl, sebastian@code24.nl
Catalan: Manuel Jos&#xe9; Zafra Dom&#xe9;nech, TRADCREA, S.L., mzafra@tradcrea.com 
Other Contributors: Servei Catal&#xe0; de la Salut
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<node ID="7ee20790-da45-4102-8494-87b903412a20" STYLE="fork"  TEXT="Copyright: &#xa9; openEHR Foundation  
Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.  
IP acknowledgements: This artefact includes content from SNOMED Clinical Terms&#xae; (SNOMED CT&#xae;) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org. "   ><richcontent TYPE="NODE"><html><body><div style="font-weight:normal;">Copyright: &#xa9; openEHR Foundation  
Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.  
IP acknowledgements: This artefact includes content from SNOMED Clinical Terms&#xae; (SNOMED CT&#xae;) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org. </div></body></html></richcontent>
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