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Data Element Name:  Diastolic Blood Pressure on Arrival
Format-Length:  A/N - 3 Required For:  ED, IP
Effective Date:  7/1/07 Revision Date:  January 2008

NOTE: This data element is a SPARCS extension, for mapping guidelines refer to the Inpatient and Outpatient 837 Addenda.

New York State Specific Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element


Version 4050R 2300 NTE01 363 UPI Updated Information
NTE02 352 Diastolic Blood Pressure on Arrival

Paper Form Locator Code Qualifier Description State Reporting Purposes
Institutional - UB-04 N/A N/A SPARCS Specific Data Element SPARCS Requires


The patient diastolic blood pressure in mmHg taken at first patient contact after arrival at this hospital for patients with a Principal/Primary Diagnosis of Acute Myocardial Infarction (AMI) 410.0x - 410.9x.

Codes and Values:

  1. Must be greater than or equal to zero.

  2. Undocumented in Medical Chart = 888

  3. Unknown = 999 (To be used only in circumstances where patient cannot have reading taken at time of arrival.)

  4. If this field is not applicable, (i.e, not in the Principal/Primary Diagnosis range of 410.0x - 410.9x) it must be blank.

Inpatient Example:  NTE*UPI*06100120ALR012072125080~

Outpatient Example:  NTE*UPI*0620012072125080230~

Edit Applications:

  1. Must be a valid entry.

  2. Must be reported when Principal/Primary Diagnosis Code equals 410.0x - 410.9x.
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