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General information

Name: nl.zorg.HeartRate NL.png
Version: 3.4.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022

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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 10-06-2022
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 17-11-2021
DCM::Supersedes nl.zorg.Hartfrequentie-v3.4
DCM::Version 3.4.1
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)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

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?

Publicatieversie 3.3 (06-07-2019)

ZIB-732 Een aantal Snomed codes blijken bij nadere controle invalide. Een aantal andere codes zijn inmiddels Inactive verklaard in SNOMED

Publicatieversie 3.4 (01-09-2020)

ZIB-881 HartslagSnelheid/hartslagFrequentie toevoegen met waardelijst

Publicatieversie 3.4.1 (01-12-2021)

ZIB-1575 Deprecated termen en waardelijsten uit de prepublicatie halen


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.
106066004 Cardiac rhythm AND/OR rate finding
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
364075005 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.
315306007 Examination by method
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.
48767-8 Annotation comment [Interpretation] Narrative
CD.png NL-CM:12.3.5 Arrowright.pngHeartbeatRegularity 0..1 Regularity of the heartbeat.
301112006 Finding of heart rhythm
List2.png HeartbeatRegularityCodelist
CD.png NL-CM:12.3.7 Arrowright.pngInterpretationHeartRate 0..1 Interpretation heart rate
301113001 Finding of heart rate
List2.png InterpretationHeartRateCodelist

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: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pulse regular 271636001 SNOMED CT 2.16.840.1.113883.6.96 Hartslag regelmatig
Irregular heart beat 361137007 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
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


Valueset OID: 2.16.840.1.113883. Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Bradycardia 48867003 SNOMED CT 2.16.840.1.113883.6.96 Bradycardie
Normal heart rate 76863003 SNOMED CT 2.16.840.1.113883.6.96 Normale hartfrequentie
Tachycardia 3424008 SNOMED CT 2.16.840.1.113883.6.96 Tachycardie

This information model in other releases

Information model references

This information model refers to


This information model is used in


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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 10/06/2022 12:41:00 with ZibExtraction v. 8.0.8196.20371

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