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arterial hypertension

vr.tr.arterial-hypertension · thing-q41861

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.

Thing Registry Information and virtual systems INF.KNW
Bundle → Layer → Finding → QuestionsClassifiersWhat it isWhy it existsDistinguishing featuresWhat robots and AI may and may not doMoral aspectsOwnersLinks to other meta-modelsIdentity and identifiersDirect propertiesRecognitionCapabilities and actionsHazards and failure modesStandards and interfacesContext of useSources

Bundle → Layer → Finding → Questions Filled

4 bundles · 8 layers · 8 findings · 16 questions

Emergency Urgent signs.

Crisis

Very high readings.

Crisis

Hypertensive emergency.

  1. Is a very high reading accompanied by chest pain, severe headache, confusion or vision loss? boundary
  2. Should emergency services be called now? action

Stroke

Stroke signs.

Stroke

Stroke signs.

  1. Are there sudden face drooping, arm weakness or speech problems? boundary
  2. Should emergency services be called immediately? action
Measurement Readings.

Home

Home monitoring.

Home

Home measurement.

  1. How should blood pressure be measured at home, according to guidelines? provenance
  2. Is the monitor clinically validated? provenance

Readings

Understanding numbers.

Readings

Readings.

  1. What do systolic and diastolic numbers mean in general terms? definition
  2. Is the user asking what their own reading means for them? boundary
Care Clinicians.

Referral

Seeing a clinician.

Referral

Referral.

  1. Should the person arrange a check with a doctor or pharmacist? action
  2. Where are free checks available? provenance

Medicines

Treatment questions.

Medicines

Medicine questions.

  1. Is the user considering stopping or changing a medicine? boundary
  2. How should the agent refer them to their prescriber? action
Prevention Public health.

Lifestyle

Risk factors.

Lifestyle

Lifestyle factors.

  1. Which lifestyle factors do health authorities link to blood pressure? provenance
  2. How strong is the evidence? boundary

Pregnancy

Gestational hypertension.

Pregnancy

Pregnancy.

  1. Is the person pregnant with high blood pressure or symptoms such as severe headache? boundary
  2. Should they contact their maternity service urgently? action

Classifiers Filled

Family
Thing Registry
Category
Information and virtual systems
Entry kind
thing
Plane
INF
Domain
INF.KNW
Other names and narrower kinds
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

What it is Filled

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.

Why it exists Filled

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.

Distinguishing features Filled

  • Often symptomless
  • Major cardiovascular risk factor
  • Diagnosed by repeated measurements
  • Thresholds differ between guidelines

What robots and AI may and may not do Filled

Must not

  • 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.

Only with a human decision

  • Any change to a person's treatment.
  • Deciding whether a reading needs emergency care when the person is unsure.

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.

Moral aspects Filled

  • 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.

Who is affected

  • People with high blood pressure
  • Families and carers

Owners Filled

Steward

The person themselves; their clinician answers for diagnosis and treatment.

Links to other meta-models Filled

parent

  • Q1441305 - registry parent class
  • Q18965518 - registry parent class
  • Q95566669 - registry parent class

related

  • artery disease - category
  • sphygmomanometer - instrument
  • stroke - complication
  • pulmonary hypertension - different condition

What else AI and robots need to interact with it Filled

Identity and identifiers required Filled

  • Vercy registry: vr.tr.arterial-hypertension
  • Wikidata: Q41861 (https://www.wikidata.org/wiki/Q41861)

Direct properties not applicable Not applicable

  • common diagnostic threshold: 140/90 or 130/80 mmHg - depends on the guideline

Plane INF: no invented physical properties.

Recognition optional Filled

  • 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 and actions required Filled

  • recognise emergency warning signs
  • measure blood pressure correctly at home
  • find official guidance on lifestyle and screening
  • prepare questions for a clinician

Hazards and failure modes required Filled

  • Ignoring very high readings with symptoms
  • Inaccurate home measurement
  • Stopping medicines without advice
  • Agents giving personal treatment advice

Standards and interfaces required Filled

  • WHO guideline on pharmacological treatment of hypertension
  • ESH and ACC/AHA hypertension guidelines
  • Validation standards for blood pressure monitors

Context of use required Filled

  • 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 Filled

  1. Wikidata item Q41861: arterial hypertension - identity and sense of the item
  2. Wikipedia: Hypertension - general description of the item

Open questions

  • Should types of hypertension be separate entries?
  • How should guideline thresholds be recorded?
  • How should validated monitors be linked?

Machine files

Card as JSON Specification Card backlog vercy.card/1

Provenance

thing registry research (pass 2) · unreviewed

Built from: models/things/publications/thing-q41861/spec.json