{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.arterial-hypertension","code":"thing-q41861","url":"https://ver.cy/models/thing/q41861/","name":"arterial hypertension","alternateNames":["pulmonary hypertension","Salt-Sensitive Hypertension","refractory hypertension","procedural hypertension","withdrawal hypertension","gestational hypertension","hypertensive disease of pregnancy","Paroxysmal hypertension","venous hypertension","hypertensive crisis","Alfidi's syndrome","pseudohyperaldosteronism"],"kind":"thing","status":"published","version":"0.2.0-wave.1","language":"en","classifiers":{"family":"Thing Registry","category":"Information and virtual systems","entryKind":"thing","plane":"INF","domain":["INF.KNW"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A long-term condition in which blood pressure in the arteries is persistently raised, commonly defined as 140/90 mmHg or higher in many guidelines and 130/80 mmHg or higher in some, and a major risk factor for stroke, heart disease and kidney disease; it often has no symptoms. Pulmonary hypertension is a different condition.","purpose":"Let an agent route possible hypertensive emergencies to urgent care, give general sourced information on blood pressure, measurement and prevention, and refer individual questions to clinicians.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Often symptomless","Major cardiovascular risk factor","Diagnosed by repeated measurements","Thresholds differ between guidelines"],"structure":{"bundles":[{"id":"emergency","name":"Emergency","description":"Urgent signs.","layers":[{"id":"crisis","name":"Crisis","description":"Very high readings.","findings":[{"id":"crisis-finding","name":"Crisis","description":"Hypertensive emergency.","questions":[{"text":"Is a very high reading accompanied by chest pain, severe headache, confusion or vision loss?","kind":"boundary"},{"text":"Should emergency services be called now?","kind":"action"}]}]},{"id":"stroke","name":"Stroke","description":"Stroke signs.","findings":[{"id":"stroke-finding","name":"Stroke","description":"Stroke signs.","questions":[{"text":"Are there sudden face drooping, arm weakness or speech problems?","kind":"boundary"},{"text":"Should emergency services be called immediately?","kind":"action"}]}]}]},{"id":"measurement","name":"Measurement","description":"Readings.","layers":[{"id":"home","name":"Home","description":"Home monitoring.","findings":[{"id":"home-finding","name":"Home","description":"Home measurement.","questions":[{"text":"How should blood pressure be measured at home, according to guidelines?","kind":"provenance"},{"text":"Is the monitor clinically validated?","kind":"provenance"}]}]},{"id":"readings","name":"Readings","description":"Understanding numbers.","findings":[{"id":"readings-finding","name":"Readings","description":"Readings.","questions":[{"text":"What do systolic and diastolic numbers mean in general terms?","kind":"definition"},{"text":"Is the user asking what their own reading means for them?","kind":"boundary"}]}]}]},{"id":"care","name":"Care","description":"Clinicians.","layers":[{"id":"referral","name":"Referral","description":"Seeing a clinician.","findings":[{"id":"referral-finding","name":"Referral","description":"Referral.","questions":[{"text":"Should the person arrange a check with a doctor or pharmacist?","kind":"action"},{"text":"Where are free checks available?","kind":"provenance"}]}]},{"id":"medicines","name":"Medicines","description":"Treatment questions.","findings":[{"id":"medicines-finding","name":"Medicines","description":"Medicine questions.","questions":[{"text":"Is the user considering stopping or changing a medicine?","kind":"boundary"},{"text":"How should the agent refer them to their prescriber?","kind":"action"}]}]}]},{"id":"prevention","name":"Prevention","description":"Public health.","layers":[{"id":"lifestyle","name":"Lifestyle","description":"Risk factors.","findings":[{"id":"lifestyle-finding","name":"Lifestyle","description":"Lifestyle factors.","questions":[{"text":"Which lifestyle factors do health authorities link to blood pressure?","kind":"provenance"},{"text":"How strong is the evidence?","kind":"boundary"}]}]},{"id":"pregnancy","name":"Pregnancy","description":"Gestational hypertension.","findings":[{"id":"pregnancy-finding","name":"Pregnancy","description":"Pregnancy.","questions":[{"text":"Is the person pregnant with high blood pressure or symptoms such as severe headache?","kind":"boundary"},{"text":"Should they contact their maternity service urgently?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Explain hypertension, its risks and the thresholds used by named guidelines.","Explain how to measure blood pressure accurately at home and when readings need urgent care."],"mustNot":["Give personal treatment advice or adjust a person's medicines.","Tell a person to stop or change blood pressure medicines without their clinician.","Dismiss very high readings with symptoms such as chest pain or confusion.","Share a person's readings without consent."],"requiresHuman":["Any change to a person's treatment.","Deciding whether a reading needs emergency care when the person is unsure."]},"ethics":{"considerations":["Hypertension is silent and common; missed or ignored readings lead to strokes and heart attacks.","Access to diagnosis and treatment is unequal across income and ethnicity."],"affectedParties":["People with high blood pressure","Families and carers"]},"owners":{"steward":"The person themselves; their clinician answers for diagnosis and treatment.","roles":[],"masterSystems":[]},"relations":[{"target":"Q1441305","type":"parent","note":"registry parent class"},{"target":"Q18965518","type":"parent","note":"registry parent class"},{"target":"Q95566669","type":"parent","note":"registry parent class"},{"target":"artery disease","type":"related","note":"category"},{"target":"sphygmomanometer","type":"related","note":"instrument"},{"target":"stroke","type":"related","note":"complication"},{"target":"pulmonary hypertension","type":"related","note":"different condition"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.arterial-hypertension","Wikidata: Q41861 (https://www.wikidata.org/wiki/Q41861)"]},"properties":{"applicability":"not-applicable","items":["common diagnostic threshold: 140/90 or 130/80 mmHg - depends on the guideline"]},"recognition":{"applicability":"optional","items":["Readings shown as systolic over diastolic in mmHg","Home and clinic monitors","Low blood pressure is hypotension","Usually invisible; detected by blood pressure measurement."]},"capabilities":{"applicability":"required","items":["recognise emergency warning signs","measure blood pressure correctly at home","find official guidance on lifestyle and screening","prepare questions for a clinician"]},"hazards":{"applicability":"required","items":["Ignoring very high readings with symptoms","Inaccurate home measurement","Stopping medicines without advice","Agents giving personal treatment advice"]},"interfaces":{"applicability":"required","items":["WHO guideline on pharmacological treatment of hypertension","ESH and ACC/AHA hypertension guidelines","Validation standards for blood pressure monitors"]},"context":{"applicability":"required","items":["A common health condition relevant to prevention and public health.","primary (essential) hypertension","secondary hypertension","gestational hypertension and pre-eclampsia","resistant hypertension","white coat hypertension"]}},"sources":[{"title":"Wikidata item Q41861: arterial hypertension","url":"https://www.wikidata.org/wiki/Q41861","note":"identity and sense of the item"},{"title":"Wikipedia: Hypertension","url":"https://en.wikipedia.org/wiki/Hypertension","note":"general description of the item"}],"openQuestions":["Should types of hypertension be separate entries?","How should guideline thresholds be recorded?","How should validated monitors be linked?"],"resources":{"spec":"/models/things/publications/thing-q41861/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q41861/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-11T12:34:41Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-06T19:51:59+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane INF: no invented physical properties."},"score":1.0}}