TEST PREVIEW — Pediatric ABPM Pathway

1. Scope2. Quality gate3. Office bridge4. Means & thresholds5. Review prompt

Step 1 · Scope

Patient context

Age is calculated on the ABPM study date. This page does not transmit or retain entries; do not enter identifiers.

Date of birth ABPM study date

Context ABPM indication Visible in the note; does not alter thresholds.

I confirm this is a stable outpatient context; I am not using the ABPM averages for acute or emergency triage. I confirm there is no current acute or symptomatic concern requiring the local urgent/emergency clinical process. If unsure, stop here—this page is not a triage tool. Antihypertensive treatment during recording Required for a diagnostic phenotype. Active or unknown treatment context withholds that label. Relevant high-risk context is present (for example CKD, diabetes, transplant, repaired coarctation, OSA/severe obesity, sickle-cell disease, or lupus).

Step 2 · Quality gate

Confirm the complete ABPM report

AHA 2022 quality conditions are checked before an automated phenotype. A report-summary entry cannot independently audit raw readings.

Device type Recording duration Attempted readings Successful readings Same-arm application check Report unit

Validated device model and current pediatric use were confirmed. Appropriate cuff, arm selection, and application were confirmed. Sleep was captured in the recording. Patient diary supplied actual wake/sleep periods; the report used those periods rather than a default clock window. At least one BP reading per hour, including sleep, was confirmed. Standard programming cadence was confirmed: every 15–20 minutes awake and 20–30 minutes asleep. A missing confirmation creates a review flag. The source report reviewed post-application test readings, diary-marked vigorous activity, and implausible values before its means were finalized. Raw readings and every exclusion were independently audited in addition to the source report. Optional; leave blank for summary-only entry.

Important: ≥70% successful readings, sleep capture, and ≥1 reading/hour including sleep are required here. A 24-hour study is ideal; 18–20 hours may be acceptable if sleep is captured. BP load is not entered or used.

Step 3 · Office-BP bridge

Confirm the office-BP status

ABPM means alone cannot distinguish normotension, white-coat, masked, and ambulatory hypertension. This is a phenotype screen, not an office-BP calculator—use the separate office-BP test pathway when an AAP office-BP assessment is needed.

I confirm the office-BP assessment is clinically qualifying for phenotype use (method, technique, and follow-up context reviewed).

Enter date of birth and ABPM study date to display the correct office-BP bridge.

Step 4 · Report means and thresholds

Enter the six report means

Enter the unrounded report values in mm Hg where available. Classification checks every period and component; a single value meeting or exceeding its threshold is abnormal.

Diary-based period	Mean SBP (mm Hg)	Mean DBP (mm Hg)
24-hour
Wake
Sleep

Under-13 validated report thresholds

Use the validated report’s Wühl-based 95th-percentile limits for this patient—not office-BP percentiles. This page applies the lower of each entered limit and the AHA fixed adolescent cutoff.

Reference dataset used by the report Selection is for the reference data only; do not infer it from a name or identity. Height used for the ABPM report This v1 blocks values <120 cm rather than extrapolating the reference limits.

Period	Report p95 SBP	Report p95 DBP
24-hour
Wake
Sleep

I confirm these six values were transcribed from this ABPM study report’s validated Wühl-based 95th-percentile reference. This page cannot independently verify the report provenance.

Enter date of birth and ABPM study date before the applicable threshold fields appear.

Synthetic test data

Try a safe example

Loads only synthetic values so you can test the workflow on an iPhone before entering any real report details.

Scenario

Interpretation workspace

ABPM mean comparison

Threshold comparisons are transparent. A phenotype is withheld if the scope or quality gate fails.

Period	Component	Mean	Applicable threshold	Comparison

Algorithm, sources, and release boundary

Version: AHA-2022-pediatric-ABPM-summary-v1.0. This test route is clinician-facing decision support, not an autonomous diagnosis system.

AHA 2022 pediatric ABPM scientific statement: classification, quality conditions, diary-derived periods, and removal of BP load.
AAP 2017 pediatric office-BP guideline: office-BP pathway context.
Before any real clinical release: pediatric hypertension/nephrology review, blinded fixture comparison, privacy/security review, and regulatory review—especially before any raw monitor-file feature.

No data leaves this page. Do not use a public test route for patient identifiers.