BP codes
BP Exception code (added inthe last 15 months)
- 8I3Y. Blood pressure procedure refused
Maximum BP therapy (In last 15 months)
8BL0. Patient on maximal tolerated antihypertensive therapy
BP Codes (In last 15 months)
The latest Systolic <=150 and Diastolic <=90
246% O/E - blood pressure reading,
Excluding:
- 2460 O/E - BP unrecordable (v7)
- 2468. O/E - BP reading:postural drop
- 246H. O/E - Arterial pressure index normal
- 246I. O/E - Arterial pressure index abnormal
- 246K. Target systolic blood pressure
- 246L. Target diastolic blood pressure
- 246M. White coat hypertension
In detail:
- 246. O/E - blood pressure reading
- 2461. O/E - BP reading very low
- 2462. O/E - BP reading low
- 2463. O/E - BP borderline low
- 2464. O/E - BP reading normal
- 2465. O/E - BP borderline raised
- 2466. O/E - BP reading raised
- 2467. O/E - BP reading very high
-
- 2469. O/E - Systolic BP reading
- 246A. O/E - Diastolic BP reading
- 246B. O/E - BP stable
- 246C. Lying blood pressure reading
- 246D. Standing blood pressure reading
- 246E. Sitting blood pressure reading
- 246F. O/E - blood pressure decreased
- 246G. O/E - BP labile
- 246J. O/E - BP reading: no postural drop
- 246N. Standing systolic blood pressure
- 246P. Standing diastolic blood pressure
- 246Q. Sitting systolic blood pressure
- 246R. Sitting diastolic blood pressure
- 246S. Lying systolic blood pressure
- 246T. Lying diastolic blood pressure
- 246Z. O/E-blood pressure reading NOS
Stroke 6.1 Rationale
All patients should have their blood pressure checked and hypertension
persisting for over two weeks should be treated. The BHSOC guidelines state
that optimal blood pressure treatment targets are systolic pressure less than
or equal to 140mmHg and diastolic blood pressure (DBP) less than or equal to
85mmHg. The proposed audit standard is less than or equal to 150/90.
In one major overview, a long term difference of 5 - 6 mmHg in
usual diastolic blood pressure (DBP) is associated with approximately 35 - 40
per cent less stroke over five years22. The PROGRESS trial demonstrated that
blood pressure lowering reduces stroke risk in people with prior stroke or TIA.
Further information
RCP Stroke Guideline 2004. Grade A Recommendation. http://www.rcplondon.ac.uk/pubs/books/stroke/stroke_guidelines_2ed.pdf
Stroke 6.2 Reporting and verification
The practice reports the percentage of patients on the stroke/TIA
register in whom the last recorded blood pressure was 150/90 or less. This blood
pressure reading should have been taken in the preceding 15 months.
Prepared By Jean Keenan