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General information

Name: nl.zorg.HeartRate NL.png
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 29-11-2012
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList hartfrequentie, vitale parameters, hartslag
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Hartfrequentie
DCM::PublicationDate 26-02-2019
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Hartfrequentie-v3.1
DCM::Version 3.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (01-04-2015)

ZIB-141 Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst HartslagMethodeCodelijst n.a.v. review terminologie expert.
ZIB-234 HartMethodeCodelijst bevat een typefout, namelijk aplation i.p.v. Palpation.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-360 Palpatie als hartslagmethode in hartfrequentie

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-431 Gebruik van LOINC en SNOMED CT in vitale functies gerelateerde zorginformatiebouwstenen
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen

Publicatieversie 3.2 (01-10-2018)

ZIB-509 Wat is de toegevoegde waarde van zib Polsfrequentie naast Hartfrequentie?


The heart rate is the number of heartbeats per minute.


Obtaining information on circulation and heart function by measuring the heartrate.

Evidence Base

Heart rate (electric or auscultatory rhythm of the ventricles) and pulse rate (tangible output in the peripheral arteries) are physiologically different things, but produce the same values in normal circulation (beats per minute) and are therefore used interchangeably by many healthcare providers (and laymen). This is however incorrect, as a patient’s pulse rate can be lower than their heart rate. Nevertheless, in daily practice, the pulse is usually palpated to measure heart rate and also written down as the heart rate. For this reason, the HeartRate information model, in addition to the PulseRate information model, offers the option to enter palpation as the HeartRateMeasurementMethod.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.3.1 Arrowdown.pngHeartRate Root concept of the HeartRate information model. This root concept contains all data elements of the HeartRate information model.
PQ.png NL-CM:12.3.2 Arrowright.pngHeartRateValue 1 The heart rate measured as the number of heartbeats per minute.
8867-4 Heart rate
TS.png NL-CM:12.3.4 Arrowright.pngHeartRateDateTime 1 Date and time of the heart rate measurement.
CD.png NL-CM:12.3.6 Arrowright.pngHeartRateMeasurementMethod 0..1 The method used to count and observe the heart rate.
List2.png HeartRateMeasurementMethodCodelist
ST.png NL-CM:12.3.3 Arrowright.pngComment 0..1 Comment on any problems or factors that may influence the measurement. Further explanation can be provided here as well.
48767-8 Annotation comment [Interpretation] Narrative
CD.png NL-CM:12.3.5 Arrowright.pngHeartbeatRegularity 0..1 Regularity of the heartbeat.
List2.png HeartbeatRegularityCodelist

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

HartfrequentieDatumTijd HartfrequentieWaarde HartslagMeet
08-02-2013 6:43 126/min Auscultatie Hartslag onregelmatig Misschien bigeminie?


A Holter registration is a 24-hour ECG: an ECG with a very long measuring period.


1. Parelsnoer DCM Hartslag v0.98. [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/parelsnoer/Hartslag%20v0.64.pdf [Geraadpleegd: 19 februari 2015]. 2. openEHR-EHR-OBSERVATION.heart_rate.v1 [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 19 februari 2015].



Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pulse regular 271636001 SNOMED CT 2.16.840.1.113883.6.96 Hartslag regelmatig
Heart irregular [DEPRECATED] 248650006 SNOMED CT 2.16.840.1.113883.6.96 Hartslag onregelmatig


Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Palpation 113011001 SNOMED CT 2.16.840.1.113883.6.96 Palpatie (DEPRECATED)
Auscultation 37931006 SNOMED CT 2.16.840.1.113883.6.96 Auscultatie
Cardiac monitor surveillance 88140007 SNOMED CT 2.16.840.1.113883.6.96 Cardiale monitoring
Electrocardiographic monitoring 46825001 SNOMED CT 2.16.840.1.113883.6.96 Electrocardiografie

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 12/03/2019 17:29:23 with ZibExtraction v. 3.0.7010.25883

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