archetype (adl_version=1.4; uid=566c355d-9e8f-473d-a80d-90fcd8d61414)
	openEHR-EHR-OBSERVATION.pulse.v2

concept
	[at0000]	-- Pulse/Heart beat
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Jasmin Buck, Sebastian Garde, Ramona Wellmann">
				["organisation"] = <"University of Heidelberg, Central Queensland University, Hannover Medical School">
			>
		>
		["ru"] = <
			language = <[ISO_639-1::ru]>
			author = <
				["name"] = <"Vyacheslav Mavrin">
				["organisation"] = <"JSC Comsoft">
			>
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Erik Sundvall; Åsa Skagerhult, Kirsi Poikela">
				["organisation"] = <"Region Östergötland, Tieto Sweden AB">
				["email"] = <"asa.skagerhult@regionostergotland.se, ext.kirsi.poikela@tieto.com">
			>
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			author = <
				["name"] = <"Vesa Peltola">
				["organisation"] = <"Tieto Finland">
				["email"] = <"vesa.peltola@tieto.com">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Silje Ljosland Bakke">
				["organisation"] = <"Helse Bergen HF">
				["email"] = <".">
			>
			accreditation = <"RN">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Osmeire Chamelette Sanzovo">
				["organisation"] = <"Hospital Sírio Libanês - SP">
				["email"] = <"osmeire.acsanzovo@hsl.org.br">
			>
		>
		["el"] = <
			language = <[ISO_639-1::el]>
			author = <
				["name"] = <"Erasmia Partafylla">
				["organisation"] = <"Sigmasoft">
				["email"] = <"c.partafylla@sigmasoft.gr">
			>
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			author = <
				["name"] = <"Mona Saleh">
			>
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			author = <
				["name"] = <"Pablo Pazos">
				["organisation"] = <"CaboLabs - Health Informatics">
				["email"] = <"pablo.pazos@cabolabs.com">
			>
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			author = <
				["name"] = <"Joost Holslag">
				["organisation"] = <"Nedap">
				["email"] = <"joost.holslag@nedap.com">
			>
			accreditation = <"MD">
		>
		["es-co"] = <
			language = <[ISO_639-1::es-co]>
			author = <
				["name"] = <"Jose Florez-Arango">
			>
			accreditation = <"MD MS PhD">
		>
	>
description
	original_author = <
		["name"] = <"Sam Heard">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"sam.heard@oceaninformatics.com">
		["date"] = <"2006-03-26">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Dokumentation der Frequenz und der zugehörigen Attribute einer Puls- oder Herzfrequenz.">
			use = <"Zur allgemeinen Dokumentation der vorhandenen oder nicht vorhandenen Puls- oder Herzfrequenz.

In der Praxis werden die Begriffe \"Herzfrequenz\" und \"Pulsfrequenz\" oft synonym verwendet, obwohl sie an verschiedenen Körperstellen gemessen werden können. Dieser Archetyp ist für beide Begriffe vorgesehen, wobei das Element \"Körperstelle\" der Unterscheidung dient.

Zur Dokumentation der Puls- oder Herzfrequenz und dessen Eigenschaften, sowie der klinischen Interpretationen der Messergebnisse.

Messungen, wie die maximale Pulsfrequenz oder die maximale Herzfrequenz, die über eine gewisse Zeit gemessen werden, können im Feature \"Event\" mit der Bezeichnung \"Maximum\" dokumentiert werden. Andere zeitpunkt- oder intervallbezogene Ereignisse können innerhalb des Templates oder zur Laufzeit angegeben werden.

Bei der Entwicklung dieses Archetyps gab es einige Unstimmigkeiten zu der Darstellung der Regelmäßigkeit der Puls- oder der Herzfrequenz. Dieser Archetyp stellt die relevanten Datenpunkte separat dar: zunächst wird \"Regelmäßig\" vs. \"Unregelmäßig\" festgelegt und dann, wenn die Messung \"Unregelmäßig\" ist, können weitere Optionen von \"Normal unregelmäßig\" und \"Ungleichmäßig Unregelmäßig\" angegeben werden. In der Praxis könnten klinische Systeme den Nutzern eine Kombination der Werte aus den beiden Datenelementen \"Regelmäßig\" und \"Unregelmäßig\" anbieten - zum Beispiel \"Regelmäßig\", \"Regelmäßig unregelmäßig\" und \"Ungleichmäßig unregelmäßig\", die aus diesen beiden Datenelementen stammen. Die Daten können entgegen einander aufgezeichnet werden, mit der Annahme, dass bei der Angabe einer unregelmäßigen Herzfrequenz auch der Wert \"Unregelmäßig\" im Datenelement \"Regelmäßigkeit\" automatisch ausgewählt wird.

In bestimmten Situationen ist es wichtig, sehr spezifisch zu sein, damit eine an einer peripheren Körperstelle gemessene Frequenz, wie beispielsweise der Arteria radialis, von der Herzfrequenz unterschieden werden kann. Um ein Pulsdefizit aufzuzeichnen, zeichnen Sie die Messung der mechanischen Herzfrequenz und einer peripheren Pulsfrequenz separat in diesem Archetyp auf - der Unterschied zwischen diesen Messungen ist das Pulsdefizit. Das tatsächliche Pulsdefizit wird in einem separaten OBSERVATION-Archetyp aufgezeichnet.">
			keywords = <"Frequenz", "Herzfrequenz", "Rhythmus", "Herzschlag", "Puls", "Pulsfrequenz", "Pulsschlag", "Blutdruck", "Vitalparameter", "Vitalzeichen">
			misuse = <"Nicht zur Dokumentation einer Herzfrequenz, errechnet aus dem RR-Intervall einer EKG-Messung - der Archetyp OBSERVATION.ecg_result soll für diesen Zweck verwendet werden.

Nicht zur Dokumentation von Details einer Kardiovaskulären Untersuchung oder Bewertung verwenden. Andere spezifische CLUSTER-Archetypen werden verwendet, um Merkmale wie den Herzspitzenstoß, Herzspitzengeräusche und allgemeine Herzgeräusche oder auskultatorische Befunde aufzuzeichnen.

Insbesondere ist dieser Archetyp nicht dazu gedacht, die Beurteilung einer peripheren Gefäßerkrankung aufzuzeichnen, die eine Dokumentation des Vorhandenseins und der Stärke jeder peripheren Pulsfrequenz erfordert. Ein spezifischer CLUSTER-Archetyp wird verwendet, um die allgemeinen Ergebnisse der Untersuchung von peripheren Pulsfrequenzen zu erfassen.

Nicht zur Dokumentation des fetalen Blutdrucks verwenden - der Archetyp OBSERVATION.fetal_heart soll für diesen Zweck verwendet werden.

Nicht zur Dokumentation des Pulsdefizits verwenden - für diesen Zweck soll ein spezifischer OBSERVATION-Archetyp verwendet werden.

Konzepte, wie die Zielherzfrequenz, sollen im Zusammenhang mit dessen Zielen und Trainingsbewertungen in separaten EVALUATION-Archetypen erfasst werden.">
			copyright = <"© openEHR Foundation">
		>
		["ru"] = <
			language = <[ISO_639-1::ru]>
			purpose = <"Для записи информации о частоте  и ритме  сердцечных сокращений.">
			use = <"Используется для записи измеренных характеристик, связанных с темпом и ритма сердца, в том числе простая констатация наличия сердечного ритма. Эти характеристики не регистрируются путем прямого наблюдения самого сердца, а подразумевают альтернативные источники, включая прямую аускультацию сердца или электрокардиограф, отражающий электрическую активность сердца.
Частота и ритм сердечных сокращений  (или специализация этого архетипа - Пульс), как правило, регистрируются в качестве одного из компонентов жизненно важных признаков - включая кровяное давление, дыхание, температуру и оксиметрию. Для каждого из этих понятий существуют специальные архетипы. ">
			keywords = <"ЧСС", "ритм", "сердечный ритм", "частотат сердечных сокращений">
			misuse = <"Не следует использовать для записи выводов о измеряемых частоте и ритме сердечных сокращений. Такого рода заявления, как, например, пациент находится в состоянии фибрилляция предсердий или тахикардии, должны быть записаны в других специальных архетипах, относящихся к категории ОЦЕНКА.
Не следует использовать для записи механической частоты сердечных сокращений, ритма и связанные с ними характеристик - это записывается используя специализацию этого архетипа - OBSERVATION.heart_rate-pulse.
Не используется для записи другой информации обширной системы обследования или оценки сердечно-сосудистой системы. Другие специфические архетипы используются для записи таких характеристик, как верхушечный толчок, шумы, результаты аускультаци и т.д.
Такие понятия, как максимальная или целевая частота сердечных сокращений, должны записываться в отдельных архетипах, предназначенных специально для осуществления оценки.">
			copyright = <"© openEHR Foundation">
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att mäta puls eller hjärtfrekvens och beskriva relaterade egenskaper.">
			use = <"Används för att registrera närvaro eller frånvaro av puls eller hjärtslag.

Används för att registrera puls eller hjärtfrekvens samt relaterade observationer avseende deras mönster och karaktär samt för att dokumentera den kliniska tolkningen av fynd.

I praktiken används termerna puls och hjärtfrekvens ofta i samma betydelse. För att tillgodose klinikers skiftande preferenser tillåter den här arketypen användning av båda termerna i de fall mätplatsen är ospecificerad.

Mätningar såsom maxpuls eller hjärtfrekvens i ett tidsintervall kan registreras i en \"Maximum\"-händelse. Andra enstaka händelser eller intervallhändelser kan specificeras i en mall, eller genereras automatiskt av vissa IT-system.

I vissa fall är det dock viktigt att skilja pulsmätning i en perifer artär, exempelvis ett radialt kärl, från mätning av den centrala hjärtfrekvensen. Den här arketypen tillåter ytterst specifika data och gör åtskillnad mellan central hjärtfrekvens och puls som mäts i en specifik artär. För att registrera pulsdeficit, registrera mätningar av den mekaniska hjärtfrekvensen och en perifer pulsfrekvens i två fält i denna arketyp. Skillnaden mellan dessa mätvärden är pulsdeficiten. Den aktuella pulsdeficiten kommer att registreras i en separat OBSERVATION arketyp.

I utvecklingen av denna arketyp har det varit en viss spänning kring presentationen av pulsens eller hjärtslagets regelbundenhet. Denna arketyp presenterar de relevanta datapunkterna separat: Först fastställda \"Regelbunden\" och \"Oregelbunden\" och sedan ytterligare alternativ om \"Oregelbunden\" väljs dvs. \"regelbundet oregelbunden\" och \"oregelbundet oregelbunden\".

I praktiken skulle de kliniska systemen kunna erbjuda användarna en kombination av värdena från den \"regelbundna\" och \"oregelbundna typen\"- exempelvis \"regelbunden\", \"regelbundet oregelbunden\" och \"oregelbundet oregelbunden\" som hämtas från dessa två fält. Data kan registreras mot båda fälten med antagandet att om en av de oregelbundna typerna väljs, så är det \"oregelbundna\" värdet i dataelementet \"regelbunden\" också automatiskt markerat.">
			keywords = <"frekvens", "rytm", "slag", "puls", "hjärta", "vitaltecken">
			misuse = <"Ska inte användas för att registrera andningsfrekvens i samband med EKG-rapporter. Till detta ska arketypen OBSERVATION.ecg användas.

Ska inte användas för att registrera andra delar av en kardiovaskulär undersökning eller värdering. Till det ska speciella CLUSTER-arketyper användas, exempelvis för att registrera egenskaper såsom hjärtspetsstöt, blåsljud och *bruits* samt auskultatoriska fynd.

Ska i synnerhet inte användas för att registrera värdering av perifera vaskulära sjukdomar. Dessa kräver att närvaron av och styrkan hos varje perifer puls dokumenteras. Till detta ska en speciell CLUSTER-arketyp användas.

Ska inte användas för att registrera hjärtfrekvensen hos foster. Till detta ska arketypen OBSERVATION.fetal_heart användas.

Ska inte användas för att registrera pulsdeficit. Till detta ska en särskild OBSERVATION-arketyp användas.

Ska inte användas när hjärtfrekvens är ett behandlingsmål. Till det ändamålet ska EVALUATION-arketyper som är till för mål och värdering av träning användas.
">
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			purpose = <"*To record details about the rate and associated attributes for a pulse or heart beat.(en)">
			use = <"*Use to record the presence or absence of a pulse or heart beat.

In practice, the terms 'heart rate' and 'pulse rate' are often used interchangeably, although they may be measured at different body sites. This archetype allows either term to be used when the measurement site is not specified, to suit clinician preferences.

Use to record the measurement of the pulse rate, or heart rate, observations about the associated pattern and character, and clinical interpretation of the findings.

Measurements such as the maximum pulse or heart rate over an interval of time can be recorded using 'Maximum' event. Others point-in-time or interval events may be specified within a template or at run-time.

In development of this archetype, there has been some tension around representation of the regularity of the pulse or heart beat. This archetype represents the relevant data points separately: firstly establishing 'Regular' vs 'Irregular' and then, if 'Irregular', further options of 'Regularly irregular' and 'Irregularly irregular'. In practice, clinical systems could offer users a combination of the values from the 'Regular?' and 'Irregular type' - for example, 'Regular', 'Regularly irregular' and 'Irregularly irregular' drawn from these two data elements. Data could be recorded against both data elements with the assumption that if one of the irregular types are selected, then the 'Irregular' value in the 'Regular?' data element is also automatically selected.

In certain situations it is important to be very specific so that a rate observed at a peripheral body site, such as the radial artery, can be differentiated from the rate of the heart. To record a pulse deficit, record the measurements of the mechanical heart rate and a peripheral pulse rate in two instances of this archetype - the difference between these measurments is the pulse deficit. The actual pulse deficit will be recorded in a separate OBSERVATION archetype.(en)">
			keywords = <"*rate(en)", "*rhythm(en)", "*beat(en)", "*pulse(en)", "*heart(en)", "*vital(en)", "*sign(en)">
			misuse = <"*Not to be used to record the R-R rate in the context of an Electrocardiograph report - use the OBSERVATION.ecg archetypefor this purpose.

Not to be used to record other details of the full cardiovascular examination or assessment. Other specific CLUSTER archetypes will be used to record characteristics such as apex beat, murmurs and bruits, or auscultatory findings.

In particular, this archetype is not intended to record the assessment of peripheral vascular disease, which requires documentation of the presence and strength of each peripheral pulse.  A specific CLUSTER archetype will be used to record the general findings on examination of peripheral pulses.  

Not to be used to record fetal heart rate - use the OBSERVATION.fetal_heart archetype for this purpose.

Not to be used to record the pulse deficit - use a specific OBSERVATION archetype for this purpose.

Concepts such as Target Heart Rate should be recorded in separate EVALUATION archetypes related to goals and exercise assessment.(en)">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere detaljer om frekvens og tilhørende egenskaper for puls eller hjertefrekvens.">
			use = <"Brukes til å registrere tilstedeværelse eller fravær av puls eller hjerteslag.

Brukes til å registrere en måling av pulsfrekvensen eller hjertefrekvensen, med tilhørende observasjoner rundt rytmen.

Målinger som makspuls over et tidsintervall kan registreres ved å bruke en intervallhendelse med en \"maksimum\"-funksjon. Andre tidspunkts- eller intervallhendelser kan spesifiseres i en template eller i applikasjonen.

I praksis brukes begrepene hjertefrekvens og pulsfrekvens mye om hverandre. Denne arketypen tillater uspesifikke registreringer når målestedet ikke er oppgitt, for å best mulig kunne tilpasses klinikernes preferanser.

I noen situasjoner er det imidlertid viktig å skille mellom en pulsfrekvens målt ved en perifer arterie som f.eks. arteria radialis, og den sentralt målte hjertefrekvensen. Denne arketypen tillater svært spesifikke data, inkludert en strukturert differensiering mellom sentral hjertefrekvens og perifer pulsfrekvens.

Under utviklingen av denne arketypen har det vært diskusjon rundt representasjon av regelmessighet av puls og hjerteslag. Denne arketypen representerer de relevante informasjonselementer separat; Først ved å etablere regelmessig kontra uregelmessig, og hvis uregelmessig så kan det videre beskrives hvilken form for uregelmessighet, hhv. 'Regelmessig uregelmessig' og 'Uregelmessig uregelmessig'. I praksis kan kliniske systemer tilby en kombinasjon av verdiene fra 'Regelmessig' og 'Type uregelmessighet' - for eksempel, 'Regelmessig, 'Regelmessig uregelmessig' og 'Uregelmessig uregelmessig' bli utledet fra disse to dataelementene. Data kan lagres i begge dataelementene med antakelsen om at hvis en av verdiene i 'Type uregelmessighet' er registrert, vil verdien for 'Uregelmessig' i dataelementet 'Rytme' automatisk bli valgt.

Ved å bruke to separate instanser kan arketypen benyttes til å registrere målingene av hjertefrekvens og pulsfrekvens som ligger til grunn for en registrering av pulsdeficit. Selve registreringen av pulsdeficitt gjøres imidlertid i en egen OBSERVATION-arketype.">
			keywords = <"frekvens", "rytme", "slag", "puls", "hjerte", "pulsslag", "hjerteslag", "hjertefrekvens">
			misuse = <"Brukes ikke til å registrere R-R-frekvens i sammenheng med en EKG-rapport, til dette brukes \"OBSERVATION.ecg\"-arketypen.

Skal ikke brukes til å registrere andre deler av en full kardiovaskulær undersøkelse eller vurdering. Til dette brukes spesifikke CLUSTER-arketyper for å registrere andre egenskaper som hjertespisstøt, bilyder og auskultatoriske funn.

Arketypen er ikke ment til å registrere vurderingen av perifer karsykdom der det er nødvendig å dokumentere tilstedeværelsen og styrken av hver enkelt perifere puls. Til dette brukes en spesifikk CLUSTER-arketype.

Skal ikke brukes til å registrere hjertefrekvensen til et foster, dette gjøres ved hjelp av arketypen \"OBSERVATION.fetal_heart\".

Skal ikke brukes til å registrere pulsdeficit - bruk en spesifik OBSERVATION arketype til dette formålet.

Hjertefrekvens som et mål for behandling registreres i egne EVALUATION-arketyper relatert til mål og vurdering av trening.">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"Para gravar detalhes sobre a frequência e os atributos associados ao pulso ou batimento cardíaco.">
			use = <"Use para registrar a presença ou ausência de pulso ou batimento cardíaco.

Na prática, os termos \"frequência cardíaca\" e \"frequência do pulso\" são frequentemente utilizados indistintamente, embora possam ser medidos em diferentes locais do corpo. Este arquétipo permite que qualquer termo seja usado quando o local da medição não é especificado, de acordo com as preferências clínicas.

Use para registrar a medida da freqüência do pulso, ou freqüência cardíaca, observações sobre o padrão e caráter associados e interpretação clínica dos achados.

Medições como o pulso máximo ou freqüência cardíaca durante um intervalo de tempo podem ser gravadas usando o evento \"Máximo\". Outros eventos pontuais ou intervalados podem ser especificados dentro de um modelo ou em tempo de execução.

No desenvolvimento deste arquétipo, houve alguma tensão em torno da representação da regularidade do pulso ou batimento cardíaco. Este arquétipo representa os pontos de dados relevantes separadamente: primeiro estabelecendo 'Regular' vs 'Irregular' e, em seguida, 'Irregular', outras opções de 'Regularmente irregular' e 'Irregularmente irregular'. Na prática, os sistemas clínicos poderiam oferecer aos usuários uma combinação dos valores do \"Regular?\" E 'Tipo irregular' - por exemplo, 'Regular', 'Regularmente irregular' e 'Irregularmente irregular' extraídos destes dois elementos de dados. Os dados poderiam ser registrados contra os dois elementos de dados com a suposição de que, se um dos tipos irregulares for selecionado, então o valor 'Irregular' no elemento de dados 'Regular?' também é automaticamente selecionado.

Use para registrar a presença ou ausência de pulso ou batimento cardíaco.

Na prática, os termos \"frequência cardíaca\" e \"frequência de pulso\" são frequentemente utilizados indistintamente, embora possam ser medidos em diferentes locais do corpo. Este arquétipo permite que qualquer termo seja usado quando o local da medição não é especificado, de acordo com as preferências clínicas.

Use para registrar a medida da freqüência do pulso, ou freqüência cardíaca, observações sobre o padrão e caráter associados e interpretação clínica dos achados.

Medições como o pulso máximo ou freqüência cardíaca durante um intervalo de tempo podem ser gravadas usando o evento \"Máximo\". Outros eventos pontuais ou intervalados podem ser especificados dentro de um modelo ou em tempo de execução.

No desenvolvimento deste arquétipo, houve alguma tensão em torno da representação da regularidade do pulso ou batimento cardíaco. Este arquétipo representa os pontos de dados relevantes separadamente: primeiro estabelecendo 'Regular' vs 'Irregular' e, em seguida, 'Irregular', outras opções de 'Regularmente irregular' e 'Irregularmente irregular'. Na prática, os sistemas clínicos poderiam oferecer aos usuários uma combinação dos valores do \"Regular?\" E 'Tipo irregular' - por exemplo, 'Regular', 'Regularmente irregular' e 'Irregularmente irregular' extraídos destes dois elementos de dados. Os dados poderiam ser registrados contra os dois elementos de dados com a suposição de que, se um dos tipos irregulares for selecionado, então o valor 'Irregular' no elemento de dados 'Regular?' também é automaticamente selecionado.

Em certas situações, é importante ser muito específico para que uma frequência observada num local do corpo periférico, tal como a artéria radial, possa ser diferenciada da frequência do coração. Para registrar um déficit de pulso, registre as medidas da freqüência cardíaca mecânica e uma frequência de pulso periférico em duas instâncias deste arquétipo - a diferença entre essas medições é o déficit de pulso. O déficit de pulso real será registrado em um arquétipo OBSERVATION separado.">
			keywords = <"frequência", "ritmo", "batimento", "pulso", "coração", "vital", "sinal">
			misuse = <"Não deve ser utilizado para registrar a taxa R-R no contexto de um relatório de eletrocardiografia - use o arquétipo OBSERVATION.ecg para este fim.

Não deve ser utilizado para registrar outros detalhes do exame ou avaliação cardiovascular completa. Outros arquétipos CLUSTER específicos serão usados para registrar características como a batida do ápice, murmúrios e sopros, ou achados na ausculta.

Em particular, este arquétipo não pretende registar a avaliação da doença vascular periférica, que requer documentação da presença e da força de cada pulso periférico. Um arquétipo CLUSTER específico será usado para registrar os achados gerais no exame de pulsos periféricos.

Não deve ser usado para registrar a freqüência cardíaca fetal - use o arquétipo OBSERVATION.fetal_heart para esta finalidade.

Não deve ser usado para registrar o déficit de pulso - use um arquétipo OBSERVATION específico para este fim.

Conceitos como a Frequência Cardíaca-alvo devem ser registrados em arquétipos de EVALUATION separados relacionados com as metas e a avaliação do exercício.

">
		>
		["el"] = <
			language = <[ISO_639-1::el]>
			purpose = <"*To record details about the rate and associated attributes for a pulse or heart beat.(en)">
			use = <"*Use to record the presence or absence of a pulse or heart beat.

In practice, the terms 'heart rate' and 'pulse rate' are often used interchangeably, although they may be measured at different body sites. This archetype is intended to be used for either term and the measurement site element is used to differentiate them.

Use to record the measurement of the pulse rate, or heart rate, observations about the associated pattern and character, and clinical interpretation of the findings.

Measurements such as the maximum pulse or heart rate over an interval of time can be recorded using 'Maximum' event. Others point-in-time or interval events may be specified within a template or at run-time.

In development of this archetype, there has been some tension around representation of the regularity of the pulse or heart beat. This archetype represents the relevant data points separately: firstly establishing 'Regular' vs 'Irregular' and then, if 'Irregular', further options of 'Regularly irregular' and 'Irregularly irregular'. In practice, clinical systems could offer users a combination of the values from the 'Regularity' and 'Irregular type' - for example, 'Regular', 'Regularly irregular' and 'Irregularly irregular' drawn from these two data elements. Data could be recorded against both data elements with the assumption that if one of the irregular types are selected, then the 'Irregular' value in the 'Regularity' data element is also automatically selected.

In certain situations it is important to be very specific so that a rate observed at a peripheral body site, such as the radial artery, can be differentiated from the rate of the heart. To record a pulse deficit, record the measurements of the mechanical heart rate and a peripheral pulse rate in two instances of this archetype - the difference between these measurments is the pulse deficit. The actual pulse deficit will be recorded in a separate OBSERVATION archetype.(en)">
			keywords = <"τιμή", "ρυθμός", "νικώ", "σφυγμός", "καρδιά", "ζωτικός", "σύμπτωμα">
			misuse = <"*Not to be used to record the R-R rate in the context of an Electrocardiograph report - use the OBSERVATION.ecg archetype for this purpose.

Not to be used to record other details of the full cardiovascular examination or assessment. Other specific CLUSTER archetypes will be used to record characteristics such as apex beat, murmurs and bruits, or auscultatory findings.

In particular, this archetype is not intended to record the assessment of peripheral vascular disease, which requires documentation of the presence and strength of each peripheral pulse. A specific CLUSTER archetype will be used to record the general findings on examination of peripheral pulses. 

Not to be used to record fetal heart rate - use the OBSERVATION.fetal_heart archetype for this purpose.

Not to be used to record the pulse deficit - use a specific OBSERVATION archetype for this purpose.

Concepts such as Target Heart Rate should be recorded in separate EVALUATION archetypes related to goals and exercise assessment.(en)">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about the rate and associated attributes for a pulse or heart beat.">
			use = <"Use to record the presence or absence of a pulse or heart beat.

In practice, the terms 'heart rate' and 'pulse rate' are often used interchangeably, although they may be measured at different body sites. This archetype is intended to be used for either term and the measurement site element is used to differentiate them.

Use to record the measurement of the pulse rate, or heart rate, observations about the associated pattern and character, and clinical interpretation of the findings.

Measurements such as the maximum pulse or heart rate over an interval of time can be recorded using 'Maximum' event. Others point-in-time or interval events may be specified within a template or at run-time.

In development of this archetype, there has been some tension around representation of the regularity of the pulse or heart beat. This archetype represents the relevant data points separately: firstly establishing 'Regular' vs 'Irregular' and then, if 'Irregular', further options of 'Regularly irregular' and 'Irregularly irregular'. In practice, clinical systems could offer users a combination of the values from the 'Regularity' and 'Irregular type' - for example, 'Regular', 'Regularly irregular' and 'Irregularly irregular' drawn from these two data elements. Data could be recorded against both data elements with the assumption that if one of the irregular types are selected, then the 'Irregular' value in the 'Regularity' data element is also automatically selected.

In certain situations it is important to be very specific so that a rate observed at a peripheral body site, such as the radial artery, can be differentiated from the rate of the heart. To record a pulse deficit, record the measurements of the mechanical heart rate and a peripheral pulse rate in two instances of this archetype - the difference between these measurments is the pulse deficit. The actual pulse deficit will be recorded in a separate OBSERVATION archetype.">
			keywords = <"rate", "rhythm", "beat", "pulse", "heart", "vital", "sign">
			misuse = <"Not to be used to record the R-R rate in the context of an Electrocardiograph report - use the OBSERVATION.ecg archetype for this purpose.

Not to be used to record other details of the full cardiovascular examination or assessment. Other specific CLUSTER archetypes will be used to record characteristics such as apex beat, murmurs and bruits, or auscultatory findings.

In particular, this archetype is not intended to record the assessment of peripheral vascular disease, which requires documentation of the presence and strength of each peripheral pulse. A specific CLUSTER archetype will be used to record the general findings on examination of peripheral pulses. 

Not to be used to record fetal heart rate - use the OBSERVATION.fetal_heart archetype for this purpose.

Not to be used to record the pulse deficit - use a specific OBSERVATION archetype for this purpose.

Concepts such as Target Heart Rate should be recorded in separate EVALUATION archetypes related to goals and exercise assessment.">
			copyright = <"© openEHR Foundation">
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			purpose = <"لتسجيل تفاصيل حول معدل و نظم القلب.">
			use = <"يستخدم لتسجيل الخصائص التي تم قياسها فيما يتعلق بمعدل و نظم القلب, بما في ذلك بيان بسيط حول وجود نبض و معدل ضربات القلب. و لا يتم استخدام هذه القراءات بالملاحظة المباشرة للقلب ذاته, و إنما يتنم استنباطها من مصادر بديلة تتضمن التسمع المباشر للقلب أو تخطيط كهربية القلب بما يعكس النشاط الكهربي للقلب.
معدل و نظم القلب ( أو تخصيصهما إلى النبض) عادة ما يتم تسجيلهم على أنهم يمثلون واحدا من العلامات الحياتية – و التي تتكون من ضغط الدم, التنفس, درجة الحرارة, و قياس التأكسج. و يوجد نماذج إضافية مخصصة لكل نوع من هذه المفاهيم.">
			keywords = <"المعدل", "معدل القلب", "النظم">
			misuse = <"لا يستخدم لتسجيل استنتاجات حول معدل و نظم القلب الذي تم قياسهما. و ينبغي تسجيل بيانات مثل (المريض يعاني من الرجفان الأذيني) أو (يعاني من تسرع ضربات القلب) في نماذج أخرى مخصصة و متعلقة بتقييم حالة المريض.
لا تستخدم لتسجيل معدل القلب الميكانيكي, أو النظم أو الخصائص الأخرى – و يتم تسجيل ذلك باستخدام تخصيص لهذا النموذج يسمى ملاحظة. معدل القلب – النبض.
لا يستخدم لتسجيل تفاصيل فحص أو تقييم أكثر شمولا للجهاز القلبي الوريدي. و يمكن أن تستخدم نماذج معينة أخرى لتسجيل خصائص مثل نبض قمة القلب, النفخات, و الموجودات عند التسمع, إلى آخره.
المفاهيم الأخرى مثل أقصى معدل للقلب, أو معدل القلب المستهدف ينبغي أن يتم تسجيلها في نماذج أخرى متعلقة بتقييم المجهود.">
			copyright = <"© openEHR Foundation">
		>
		["es"] = <
			language = <[ISO_639-1::es]>
			purpose = <"Para registrar la frecuencia del pulso o latidos del corazón, y la descripción asociada a sus características como componente de los signos vitales">
			use = <"Utilizar para registrar la presencia o ausencia de pulso o latidos del corazón.

Utilizar para registrar la frecuencia del pulso o latidos del corazón, y observaciones sobre el ritmo.

Utilizar para registrar la descripción de las características asociadas al pulso o latidos del corazón, comunmente registradas por parte de los signos vitales.

Medidas como el pulso o latidos máximos en un intervalo de tiempo puede ser registrado en un evento de intervalo asociado a la función 'máximo'.
Otros eventos puntuales o intervaloes pueden ser especificados dentro de una plantilla o en tiempo de ejecución.

En la práctica los términos pulso y latidos del corazón son intercambiables. Este arquetipo permite especificar el término que se desea utilizar para nombrar a la medida cuando no se especifica la localización corporal donde se realiza la medida.

En algunas situaciones, es importante diferenciar la frecuencia del pulso en una arteria periférica, como la arteria radial, en contraste con los latidos del corazón medidos centralmente. Este arquetipo permite registrar datos específicos y diferenciar entre frecuencia cardiaca central, y pulso medido sobre una arteria específica.">
			keywords = <"frecuencia, ritmo, latido, pulso, corazón, signo, signos vitales", ...>
			misuse = <"No debe ser utilizado para el cálculo de intervalos RR para l frecuencia cardiaca en el contexto de un estudio electrocardiográfico, para eso utilizar el arquetipo OBSERVATION.ecg.
         
No debe ser utilizado para registrar otros detalles de la examiniación o evaluación cardiovascular.
Para registrar características como latido apexiano, solplos, murmullos y hallazgos específicos, pueden utilizarse otros arquetipos CLUSTER.

Este arquetipo no fue diseñado para el registro de la evaluación de enfermedad vascular periférica, la cual requiere documentación sobre la presencia e intensidad de cada pulso periférico. Un CLUSTER específico debe utilizarse para registrar hallazgos generales en la examinación de pulsos periféricos.

No debe ser utilizado para registrar la frecuencia cardiaca fetal, esto se registra en el arquetipo OBSERVATION.fetal_heart.

Conceptos como la frecuencia cardiaca objetivo deben ser registrados en arquetipos EVALUATION relacionados a objetivos sobre signos vitales y ejercicio.">
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			purpose = <"Voor het vastleggen van de frequentie en andere eigenschappen van de pols of de hartslag.">
			use = <"Gebruik voor het vastleggen van de aanwezigheid of afwezigheid van een pols of hartslag.

In de praktijk worden de termen hart frequentie and polsfrequentie vaak door elkaar gebruikt, hoewel ze op andere locaties op het lichaam gemeten kunnen worden. Dit archetype is bedoeld om gebruikt te worden voor beide termen en het element meetlocatie wordt gebruikt om ze te onderscheiden.

Gebruik voor het vastleggen van een meting van de polsfrequentie of de hartfrequentie, observaties over het bijbehorende patroon, karakter en de klinische interpretatie van de bevindingen.

Metingen zoals de maximale pols- of hartfrequentie gedurende een interval kunnen worden vastgelegd met behulp van 'maximum' gebeurtenis. Andere momenten of interval gebeurtenissen kunnen gespecificieerd worden in een template of terwijl de applicatie loopt.

Tijdens de ontwikkeling van dit archetype is er spanning geweest rond het vastleggen van de regulariteit van de pols- of hartfreqeuntie. Dit archetype legt de relevante data apart vast: ten eerste door het vastleggen van 'regulair' of 'irregulair' en vervolgens, indien 'irregulair', de extra opties 'regelmatig irregulair' en 'onregelmatig irregulair'. In d praktijk kunnen klinische systemen een combinatie tonen aan de gebruiker van de waardes van de 'regulariteit' en 'irregulair type' - bijvoorbeeld, 'regulair', 'regemlatig irregulair' en 'onregelmatig irregulair' gekozen uit deze twee data elementen. Data kan vastgelegd worden in beide elementen onder de aanname dat wanneer een van de irregulaire types gekozen wordt, dat automatisch de waarde 'irregulair' wordt gekozen in het data element 'regulariteit'.

In bepaalde situaties is het belangrijk om heel specifiek te zijn zodat de frequentie, geobserveerd aan een perifeer lichaamslocatie, zoals de arteria radialis, onderscheiden kan worden van de hartfrequentie. Om een polsdeficit vast te leggen, dient de meting van de mechanische hartfrequentie en een perifere hartfrequentie in twee aparte versies van dit archetype vastgelegd te worden - het verschil tussen deze metingen is het polsdeficit. Het daadwerkelijke polsdeficit wordt in een apart OBSERVATION archetype vastgelegd.">
			keywords = <"frequentie", "ritme", "slag", "pols", "hart", "vitaal", "teken">
			misuse = <"Niet te gebruiken voor het vastleggen van de R-R frequentie in de context van een electrocardiogram verslag - gebruik voor dat doel het OBSERVATION.ecg archetype.

Niet te gebruiken voor het vastleggen van andere details van een volledig cardiovasculair onderzoek of beoordeling. Andere specifieke CLUSTER archetypes worden gebruikt voor het vastleggen van eigenschappen als apexhartslag, geruizen en bevindingen bij auscultatie. 

In het bijzonder, is dit archetype niet bedoeld voor het vastleggen van een beoordeling van perifere vaculaire ziekte, die verslaglegging vereisen van de aanwezigheid of kracht van elke individuele perifere pols. Een specifiek CLUSTER archetype wordt gebruikt voor het vastleggen van bevindingen bij onderzoek van de perifere hartslag.

Niet te gebruiken voor het vastleggen van foetale hartfrequentie - gebruik voor dat doel het OBSERVATION.fetal_heart archetype.

Niet te gebruiken voor het vastleggen van het polsdeficit - gebruik voor dat doel een specifiek OBSERVATION archetype.

Concepten zoals streef hart frequentie dienen vastgelegd te worden in een apart EVALUATION archetype gerelateerd aan doelen en inspannings beoordeling.">
		>
		["es-co"] = <
			language = <[ISO_639-1::es-co]>
			purpose = <"Registrar la medida de la frecuencia de pulso, la frecuencia cardiaca, y la descripción de las características asociadas como uno de los componentes de las observación de signos vitales">
			use = <"*Use to record the presence or absence of a pulse rate or heart rate. 

Use to record the measurement of the pulse rate, or heart rate, and observation about the associated rhythm.

Use to record a simple description of characteristics that are associated with the pulse or heart beat, that might be commonly recorded as part of a vital signs obervation.

Measurements such as the maximum pulse or heart rate over an interval of time can be recorded using \"Maximum' event. Others point-in-time or interval events may be specified within a template or at run-time.

In practice, the terms heart rate and pulse rate are often used interchangeably. This archetype allows either term to be used when the measurement site is not specified, to suit clincian preferences.

In certain situations, however, it is important to differentiate between a pulse rate observed at a peripheral artery, such as the radial artery, in contrast to the centrally observed heart rate. This archetype allows the data to be very specific and differentiate between central heart rate and the pulse rate recorded at a specified artery.(en)">
			misuse = <"*Not to be used to record the R-R rate in the context of an Electrocardiograph report - this is to be recorded using the OBSERVATION.ecg archetype.

Not to be used to record other details of the full cardiovascular examination or assessment. Other specific CLUSTER archetypes will be used to record characteristics such as apex beat, murmurs and bruits, auscultatory findings,

In particular, this archetype is not intended to record the assessment of peripheral vascular disease, which requires documentation of the presence and strength of each peripheral pulse.  A specific CLUSTER archetype will be used to record the general findings on examiantion of peripheral pulses.  

Not to be used to record fetal heart rate - this is recorded using the OBSERVATION.fetal_heart archetype.

Concepts such as Target Heart Rate should be recorded in separate EVALUATION archetypes related to goals and exercise assessment.(en)">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Morten Aas, Diakonhjemmet Sykehus, Norway", "Tomas Alme, Norway", "Magnus Alvestad, Helse Bergen HF, Norway", "Nadim Anani, Karolinska Institutet, Sweden", "Anne Pauline Anderssen, Helse Nord RHF, Norway", "Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)", "Koray Atalag, University of Auckland, New Zealand", "Gustavo Bacelar-Silva, Healthcare Designs, Brazil (openEHR Editor)", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)", "Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway", "Diego Bosca, IBIME group, Spain", "Pål Brekke, OUS Rikshospitalet, Norway", "Einar Bugge, UNN HF, Fag- og forskningssenteret, Norway", "Rong Chen, Cambio Healthcare Systems, Sweden", "Stephen Chu, Queensland Health, Australia", "Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway", "Angela de Zwart, Orion Health, New Zealand", "Graham Denyer, Australian Antarctic Division, Australia", "Paul Donaldson, Nursing Informatics Australia, Australia", "Shahla Foozonkhah, Ocean Informatics, Australia", "Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway", "Sebastian Garde, Ocean Informatics, Germany", "John George, HSCIC, United Kingdom", "Soon Ghee Yap, Singapore General Hospital, Singapore", "Heather Grain, Llewelyn Grain Informatics, Australia", "Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør)", "Bjørn Grøva, Diretoratet for e-helse, Norway", "Atle Hansen, Universitetssykehuset Nord-Norge, Norway", "Sam Heard, Ocean Informatics, Australia", "Kristian Heldal, Telemark Hospital Trust, Norway", "Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway", "Erling Are Hole, Helse Bergen, Norway", "Evelyn Hovenga, EJSH Consulting, Australia", "Eugene Igras, IRIS Systems, Inc., Canada", "Tom Jarl Jakobsen, Helse Bergen, Norway", "Lars Karlsen, DIPS ASA, Norway", "Athanasios Kleontas, Ergobyte Informatics, Greece", "Shinji Kobayashi, Kyoto University, Japan", "Robert Legan, NEHTA, Australia", "Heather Leslie, Ocean Informatics, Australia (openEHR Editor)", "Hallvard Lærum, Direktoratet for e-helse, Norway", "Rohan Martin, Ambulance Victoria, Australia", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Lars Ivar Mehlum, Nasjonal IKT HF, Norway", "Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands", "Monica Merchat, Hospital Cardiac Electrophysiology, MS Health Informatics Student, former ICU nurse, former Anesthesia Technician, United States", "Bjoern Naess, DIPS ASA, Norway", "Andrej Orel, Marand d.o.o., Slovenia", "Arturo Romero, SESCAM, Spain", "Jussara Rotzsch, UNB, Brazil", "Thomas Schopf, University Hospital of North-Norway, Norway", "Nils Thomas Songstad, UNN HF, BUK, Barneavdelingen., Norway", "Thor-Einar Stemland, Helse Bergen, FOU Seksjon for e-helse, Norway", "Arne Løberg Sæter, DIPS ASA, Norway", "Jan Inge Sørheim, Helse Bergen, Haukeland uniersitetssjukehus, Norway", "Micaela Thierley, Helse Bergen/Haraldsplass sykehus, Norway", "Kevin Thon, SKDE, Norway", "John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Direct communication with clinicians.">
		["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"FA62ACCECB4A643E142B1092B1128204">
		["build_uid"] = <"64b97a61-b8f8-489d-9bd6-8ca03147e9be">
		["revision"] = <"2.0.5">
	>

definition
	OBSERVATION[at0000] matches {    -- Pulse/Heart beat
		data matches {
			HISTORY[at0002] matches {    -- history
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0003] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0001] matches {    -- structure
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at1005] occurrences matches {0..1} matches {    -- Presence
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at1024,    -- Present
													at1025]    -- Not detected
												}
											}
										}
									}
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Rate
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::382]>
												list = <
													["1"] = <
														units = <"/min">
														magnitude = <|0.0..<1000.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Regularity
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0006,    -- Regular
													at1028]    -- Irregular
												}
											}
										}
									}
									ELEMENT[at1055] occurrences matches {0..1} matches {    -- Irregular type
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0007,    -- Regularly Irregular
													at0008]    -- Irregularly Irregular
												}
											}
										}
									}
									ELEMENT[at1030] occurrences matches {0..*} matches {    -- Character
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at1022] occurrences matches {0..1} matches {    -- Clinical description
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at1023] occurrences matches {0..*} matches {    -- Clinical interpretation
										name matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at1057,    -- Clinical interpretation
													at1058]    -- Rhythm
												}
											}
										}
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at1059] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0012] matches {    -- List
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0013] occurrences matches {0..1} matches {    -- Position
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at1003,    -- Standing/upright
													at1001,    -- Sitting
													at1002,    -- Reclining
													at1000]    -- Lying
												}
											}
										}
									}
									ELEMENT[at1018] occurrences matches {0..*} matches {    -- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
									allow_archetype CLUSTER[at1017] occurrences matches {0..*} matches {    -- Exertion
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v0/}
									}
								}
							}
						}
					}
					INTERVAL_EVENT[at1036] occurrences matches {0..1} matches {    -- Maximum
						math_function matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[openehr::144]
								}
							}
						}
						data matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/data[at0001]
						}
						state matches {
							use_node ITEM_TREE /data[at0002]/events[at0003]/state[at0012]
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0010] matches {    -- List
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at1019] occurrences matches {0..1} matches {    -- Method
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at1032,    -- Palpation
									at1033,    -- Auscultation
									at1034,    -- Automatic, non-invasive
									at1050]    -- Automatic, invasive
								}
							}
						}
					}
					ELEMENT[at1037] occurrences matches {0..1} matches {    -- Body site
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at1038,    -- Radial Artery - Left
									at1039,    -- Radial Artery - Right
									at1040,    -- Heart
									at1041,    -- Carotid Artery - Left
									at1042,    -- Carotid Artery - Right
									at1043,    -- Femoral Artery - Left
									at1044,    -- Femoral Artery - Right
									at1049,    -- Brachial artery - Right
									at1048,    -- Brachial artery - Left
									at1047,    -- Finger
									at1054,    -- Toe
									at1051]    -- Ear lobe
								}
							}
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at1013] occurrences matches {0..1} matches {    -- Device
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
						exclude
							archetype_id/value matches {/.*/}
					}
					allow_archetype CLUSTER[at1056] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	term_definitions = <
		["ar-sy"] = <
			items = <
				["at0000"] = <
					text = <"*Pulse/Heart beat(en)">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0004"] = <
					text = <"*Rate(en)">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"*Regular?(en)">
					description = <"*Is the pulse or heart beat regular?(en)">
				>
				["at0006"] = <
					text = <"*Regular(en)">
					description = <"*The pattern is regular.(en)">
				>
				["at0007"] = <
					text = <"*Regularly Irregular(en)">
					description = <"*The pattern is irregular in a regular pattern,. For example, a dropped beat once every 'n' beats.(en)">
				>
				["at0008"] = <
					text = <"*Irregularly Irregular(en)">
					description = <"*The pattern is irregular in a chaotic and unpredictable manner. For example, atrial fibrillation.(en)">
				>
				["at0010"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0012"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0013"] = <
					text = <"*Position(en)">
					description = <"*The body position of the subject during the observation.(en)">
				>
				["at1000"] = <
					text = <"*Lying(en)">
					description = <"*The subject was lying flat.(en)">
				>
				["at1001"] = <
					text = <"*Sitting(en)">
					description = <"*The subject was sitting (for example on bed or chair).(en)">
				>
				["at1002"] = <
					text = <"*Reclining(en)">
					description = <"*The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.(en)">
				>
				["at1003"] = <
					text = <"*Standing/upright(en)">
					description = <"*The subject was standing, walking or running.(en)">
				>
				["at1005"] = <
					text = <"*Presence(en)">
					description = <"*Presence of a pulse or heart beat.(en)">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"*Device(en)">
					description = <"*Details about the device used to measure the pulse rate or heart rate.(en)">
				>
				["at1017"] = <
					text = <"*Exertion(en)">
					description = <"*Details about physical exertion being undertaken during the examination.(en)">
				>
				["at1018"] = <
					text = <"*Confounding factors(en)">
					description = <"*Narrative description about any incidental factors that may affect interpretation of the physical findings.(en)">
					comment = <"*For example, presence of a pacemaker, level of anxiety; pain or fever etc.(en)">
				>
				["at1019"] = <
					text = <"*Method(en)">
					description = <"*Method used to observe the pulse or heart beat.(en)">
					comment = <"*For example, auscultation or electronic monitoring. (en)">
				>
				["at1022"] = <
					text = <"*Clinical description(en)">
					description = <"*Narrative description about the pulse or heart beat.(en)">
				>
				["at1023"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.(en)">
					comment = <"*Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed. (en)">
				>
				["at1024"] = <
					text = <"*Present(en)">
					description = <"*A pulse or heart beat can be detected.(en)">
				>
				["at1025"] = <
					text = <"*Not detected(en)">
					description = <"*A pulse or heart beat cannot be detected.(en)">
				>
				["at1028"] = <
					text = <"*Irregular(en)">
					description = <"*The pattern is irregular.(en)">
				>
				["at1030"] = <
					text = <"*Character(en)">
					description = <"*Description of the character of the pulse or heart beat.(en)">
					comment = <"*Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.(en)">
				>
				["at1032"] = <
					text = <"*Palpation(en)">
					description = <"*The findings are observed by physical touch of the observer on the subject.(en)">
				>
				["at1033"] = <
					text = <"*Auscultation(en)">
					description = <"*The findings are observed with the assistance of a device, such as a stethoscope.(en)">
				>
				["at1034"] = <
					text = <"*Automatic, non-invasive(en)">
					description = <"*The findings are observed non-invasively using a device such as a pulse oximeter or a stethoscope.(en)">
				>
				["at1036"] = <
					text = <"*Maximum(en)">
					description = <"*Maximum pulse rate or heart rate observed during a period of exertion.(en)">
				>
				["at1037"] = <
					text = <"*Body site(en)">
					description = <"*Body site where the pulse or heart beat were observed.(en)">
				>
				["at1038"] = <
					text = <"*Radial Artery - Left(en)">
					description = <"*The left radial artery.(en)">
				>
				["at1039"] = <
					text = <"*Radial Artery - Right(en)">
					description = <"*The right radial artery.(en)">
				>
				["at1040"] = <
					text = <"*Heart(en)">
					description = <"*The region of the heart.(en)">
				>
				["at1041"] = <
					text = <"*Carotid Artery - Left(en)">
					description = <"*The left carotid artery.(en)">
				>
				["at1042"] = <
					text = <"*Carotid Artery - Right(en)">
					description = <"*The right carotid artery.(en)">
				>
				["at1043"] = <
					text = <"*Femoral Artery - Left(en)">
					description = <"*The left femoral artery.(en)">
				>
				["at1044"] = <
					text = <"*Femoral Artery - Right(en)">
					description = <"*The right femoral artery.(en)">
				>
				["at1047"] = <
					text = <"*Finger(en)">
					description = <"*An unspecified finger.(en)">
				>
				["at1048"] = <
					text = <"*Brachial artery - Left(en)">
					description = <"*The left brachial artery.(en)">
				>
				["at1049"] = <
					text = <"*Brachial artery - Right(en)">
					description = <"*The right brachial artery.(en)">
				>
				["at1050"] = <
					text = <"*Automatic, invasive(en)">
					description = <"*The findings are observed invasively using a device such as an arterial catheter.(en)">
				>
				["at1051"] = <
					text = <"*Ear lobe(en)">
					description = <"*The lobe of an unspecified ear.(en)">
				>
				["at1054"] = <
					text = <"*Toe(en)">
					description = <"*An unspecified toe.(en)">
				>
				["at1055"] = <
					text = <"*Irregular type(en)">
					description = <"*More specific pattern of an irregular pulse or heart beat.(en)">
					comment = <"*Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.(en)">
				>
				["at1056"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)">
					comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)">
				>
				["at1057"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Generic label to allow for any or all statements about the pulse or heart beat.(en)">
				>
				["at1058"] = <
					text = <"*Rhythm(en)">
					description = <"*Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.(en)">
				>
				["at1059"] = <
					text = <"*Comment(en)">
					description = <"*Additional narrative about the pulse or heart beat findings not captured in other fields.(en)">
				>
			>
		>
		["es-co"] = <
			items = <
				["at0000"] = <
					text = <"*Pulse/Heart beat(en)">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"*structure(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*history(en)">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0004"] = <
					text = <"*Rate(en)">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"*Regular?(en)">
					description = <"*Is the pulse or heart beat regular?(en)">
				>
				["at0006"] = <
					text = <"*Regular(en)">
					description = <"*The pattern is regular.(en)">
				>
				["at0007"] = <
					text = <"*Regularly Irregular(en)">
					description = <"*The pattern is irregular in a regular pattern,. For example, a dropped beat once every 'n' beats.(en)">
				>
				["at0008"] = <
					text = <"*Irregularly Irregular(en)">
					description = <"*The pattern is irregular in a chaotic and unpredictable manner. For example, atrial fibrillation.(en)">
				>
				["at0010"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0012"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0013"] = <
					text = <"*Position(en)">
					description = <"*The body position of the subject during the observation.(en)">
				>
				["at1000"] = <
					text = <"*Lying(en)">
					description = <"*The subject was lying flat.(en)">
				>
				["at1001"] = <
					text = <"*Sitting(en)">
					description = <"*The subject was sitting (for example on bed or chair).(en)">
				>
				["at1002"] = <
					text = <"*Reclining(en)">
					description = <"*The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.(en)">
				>
				["at1003"] = <
					text = <"*Standing/upright(en)">
					description = <"*The subject was standing, walking or running.(en)">
				>
				["at1005"] = <
					text = <"*Presence(en)">
					description = <"*Presence of a pulse or heart beat.(en)">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"*Device(en)">
					description = <"*Details about the device used to measure the pulse rate or heart rate.(en)">
				>
				["at1017"] = <
					text = <"*Exertion(en)">
					description = <"*Details about physical exertion being undertaken during the examination.(en)">
				>
				["at1018"] = <
					text = <"*Confounding factors(en)">
					description = <"*Narrative description about any incidental factors that may affect interpretation of the physical findings.(en)">
					comment = <"*For example, presence of a pacemaker, level of anxiety; pain or fever etc.(en)">
				>
				["at1019"] = <
					text = <"*Method(en)">
					description = <"*Method used to observe the pulse or heart beat.(en)">
					comment = <"*For example, auscultation or electronic monitoring. (en)">
				>
				["at1022"] = <
					text = <"*Clinical description(en)">
					description = <"*Narrative description about the pulse or heart beat.(en)">
				>
				["at1023"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.(en)">
					comment = <"*Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed. (en)">
				>
				["at1024"] = <
					text = <"*Present(en)">
					description = <"*A pulse or heart beat can be detected.(en)">
				>
				["at1025"] = <
					text = <"*Not detected(en)">
					description = <"*A pulse or heart beat cannot be detected.(en)">
				>
				["at1028"] = <
					text = <"*Irregular(en)">
					description = <"*The pattern is irregular.(en)">
				>
				["at1030"] = <
					text = <"*Character(en)">
					description = <"*Description of the character of the pulse or heart beat.(en)">
				>
				["at1032"] = <
					text = <"*Palpation(en)">
					description = <"*The findings are observed by physical touch of the observer on the subject.(en)">
				>
				["at1033"] = <
					text = <"*Auscultation(en)">
					description = <"*The findings are observed with the assistance of a device, such as a stethoscope.(en)">
				>
				["at1034"] = <
					text = <"*Automatic, non-invasive(en)">
					description = <"*The findings are observed non-invasively using a device such as a pulse oximeter or a stethoscope.(en)">
				>
				["at1036"] = <
					text = <"*Maximum(en)">
					description = <"*Maximum pulse rate or heart rate observed during a period of exertion.(en)">
				>
				["at1037"] = <
					text = <"*Body site(en)">
					description = <"*Body site where the pulse or heart beat were observed.(en)">
				>
				["at1038"] = <
					text = <"*Radial Artery - Left(en)">
					description = <"*The left radial artery.(en)">
				>
				["at1039"] = <
					text = <"*Radial Artery - Right(en)">
					description = <"*The right radial artery.(en)">
				>
				["at1040"] = <
					text = <"*Heart(en)">
					description = <"*The region of the heart.(en)">
				>
				["at1041"] = <
					text = <"*Carotid Artery - Left(en)">
					description = <"*The left carotid artery.(en)">
				>
				["at1042"] = <
					text = <"*Carotid Artery - Right(en)">
					description = <"*The right carotid artery.(en)">
				>
				["at1043"] = <
					text = <"*Femoral Artery - Left(en)">
					description = <"*The left femoral artery.(en)">
				>
				["at1044"] = <
					text = <"*Femoral Artery - Right(en)">
					description = <"*The right femoral artery.(en)">
				>
				["at1047"] = <
					text = <"*Finger(en)">
					description = <"*An unspecified finger.(en)">
				>
				["at1048"] = <
					text = <"*Brachial artery - Left(en)">
					description = <"*The left brachial artery.(en)">
				>
				["at1049"] = <
					text = <"*Brachial artery - Right(en)">
					description = <"*The right brachial artery.(en)">
				>
				["at1050"] = <
					text = <"*Automatic, invasive(en)">
					description = <"*The findings are observed invasively using a device such as an arterial catheter.(en)">
				>
				["at1051"] = <
					text = <"*Ear lobe(en)">
					description = <"*The lobe of an unspecified ear.(en)">
				>
				["at1054"] = <
					text = <"*Toe(en)">
					description = <"*An unspecified toe.(en)">
				>
				["at1055"] = <
					text = <"*Irregular type(en)">
					description = <"*More specific pattern of an irregular pulse or heart beat.(en)">
					comment = <"*Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.(en)">
				>
				["at1056"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)">
					comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)">
				>
				["at1057"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Generic label to allow for any or all statements about the pulse or heart beat.(en)">
				>
				["at1058"] = <
					text = <"*Rhythm(en)">
					description = <"*Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.(en)">
				>
				["at1059"] = <
					text = <"*Comment(en)">
					description = <"*Additional narrative about the pulse or heart beat findings not captured in other fields.(en)">
				>
			>
		>
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Pulse/Heart beat">
					description = <"The rate and associated attributes for a pulse or heart beat.">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0004"] = <
					text = <"Rate">
					description = <"The rate of the pulse or heart beat, measured in beats per minute.">
				>
				["at0005"] = <
					text = <"Regularity">
					description = <"Regularity of the pulse or heart beat.">
				>
				["at0006"] = <
					text = <"Regular">
					description = <"The pattern is regular.">
				>
				["at0007"] = <
					text = <"Regularly Irregular">
					description = <"The pattern is irregular in a regular pattern,. For example, a dropped beat once every 'n' beats.">
				>
				["at0008"] = <
					text = <"Irregularly Irregular">
					description = <"The pattern is irregular in a chaotic and unpredictable manner. For example, atrial fibrillation.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Position">
					description = <"The body position of the subject during the observation.">
				>
				["at1000"] = <
					text = <"Lying">
					description = <"The subject was lying flat.">
				>
				["at1001"] = <
					text = <"Sitting">
					description = <"The subject was sitting (for example on bed or chair).">
				>
				["at1002"] = <
					text = <"Reclining">
					description = <"The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.">
				>
				["at1003"] = <
					text = <"Standing/upright">
					description = <"The subject was standing, walking or running.">
				>
				["at1005"] = <
					text = <"Presence">
					description = <"Presence of a pulse or heart beat.">
					comment = <"It can be implied that the pulse or heart beat is present if Rate >0 /min.">
				>
				["at1013"] = <
					text = <"Device">
					description = <"Details about the device used to measure the pulse rate or heart rate.">
				>
				["at1017"] = <
					text = <"Exertion">
					description = <"Details about physical exertion being undertaken during the examination.">
				>
				["at1018"] = <
					text = <"Confounding factors">
					description = <"Narrative description about any incidental factors that may affect interpretation of the physical findings.">
					comment = <"For example, presence of a pacemaker, level of anxiety; pain or fever etc.">
				>
				["at1019"] = <
					text = <"Method">
					description = <"Method used to observe the pulse or heart beat.">
					comment = <"For example, auscultation or electronic monitoring.">
				>
				["at1022"] = <
					text = <"Clinical description">
					description = <"Narrative description about the pulse or heart beat.">
				>
				["at1023"] = <
					text = <"Clinical interpretation">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.">
					comment = <"Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed.">
				>
				["at1024"] = <
					text = <"Present">
					description = <"A pulse or heart beat can be detected.">
				>
				["at1025"] = <
					text = <"Not detected">
					description = <"A pulse or heart beat cannot be detected.">
				>
				["at1028"] = <
					text = <"Irregular">
					description = <"The pattern is irregular.">
				>
				["at1030"] = <
					text = <"Character">
					description = <"Description of the character of the pulse or heart beat.">
					comment = <"Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.">
				>
				["at1032"] = <
					text = <"Palpation">
					description = <"The findings are observed by physical touch of the observer on the subject.">
				>
				["at1033"] = <
					text = <"Auscultation">
					description = <"The findings are observed with the assistance of a device, such as a stethoscope.">
				>
				["at1034"] = <
					text = <"Automatic, non-invasive">
					description = <"The findings are observed non-invasively using a device such as a pulse oximeter or a stethoscope.">
				>
				["at1036"] = <
					text = <"Maximum">
					description = <"Maximum pulse rate or heart rate observed during a period of exertion.">
				>
				["at1037"] = <
					text = <"Body site">
					description = <"Body site where the pulse or heart beat were observed.">
				>
				["at1038"] = <
					text = <"Radial Artery - Left">
					description = <"The left radial artery.">
				>
				["at1039"] = <
					text = <"Radial Artery - Right">
					description = <"The right radial artery.">
				>
				["at1040"] = <
					text = <"Heart">
					description = <"The region of the heart.">
				>
				["at1041"] = <
					text = <"Carotid Artery - Left">
					description = <"The left carotid artery.">
				>
				["at1042"] = <
					text = <"Carotid Artery - Right">
					description = <"The right carotid artery.">
				>
				["at1043"] = <
					text = <"Femoral Artery - Left">
					description = <"The left femoral artery.">
				>
				["at1044"] = <
					text = <"Femoral Artery - Right">
					description = <"The right femoral artery.">
				>
				["at1047"] = <
					text = <"Finger">
					description = <"An unspecified finger.">
				>
				["at1048"] = <
					text = <"Brachial artery - Left">
					description = <"The left brachial artery.">
				>
				["at1049"] = <
					text = <"Brachial artery - Right">
					description = <"The right brachial artery.">
				>
				["at1050"] = <
					text = <"Automatic, invasive">
					description = <"The findings are observed invasively using a device such as an arterial catheter.">
				>
				["at1051"] = <
					text = <"Ear lobe">
					description = <"The lobe of an unspecified ear.">
				>
				["at1054"] = <
					text = <"Toe">
					description = <"An unspecified toe.">
				>
				["at1055"] = <
					text = <"Irregular type">
					description = <"More specific pattern of an irregular pulse or heart beat.">
					comment = <"Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.">
				>
				["at1056"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at1057"] = <
					text = <"Clinical interpretation">
					description = <"Generic label to allow for any or all statements about the pulse or heart beat.">
				>
				["at1058"] = <
					text = <"Rhythm">
					description = <"Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.">
				>
				["at1059"] = <
					text = <"Comment">
					description = <"Additional narrative about the pulse or heart beat findings not captured in other fields.">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Pulsfrequenz/Herzfrequenz">
					description = <"Die Frequenz und zugehörige Attribute für die Puls- oder Herzfrequenz.">
				>
				["at0001"] = <
					text = <"Structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Jedes Ereignis">
					description = <"Ein Standardwert, ein spezifizierter Zeitpunkt oder ein Intervallereignis, welches explizit in einem Template oder während der Laufzeit definiert werden kann.">
				>
				["at0004"] = <
					text = <"Frequenz">
					description = <"Die Frequenz, gemessen in Schlägen pro Minute.">
				>
				["at0005"] = <
					text = <"Regelmäßigkeit">
					description = <"Regelmäßigkeit der Puls-/Herzfrequenz.">
				>
				["at0006"] = <
					text = <"Regelmäßig">
					description = <"Der Verlauf ist regelmäßig.">
				>
				["at0007"] = <
					text = <"Normal unregelmäßig">
					description = <"Der Verlauf ist unregelmäßig, aber in einem regelmäßigen Muster. Zum Beispiel das Ausfallen eines Schlages alle \"n\" Schläge.">
				>
				["at0008"] = <
					text = <"Ungleichmäßig unregelmäßig">
					description = <"Der Verlauf ist auf chaotische und unvorhersehbare Weise unregelmäßig. Zum Beispiel: Vorhofflimmern.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Körperhaltung">
					description = <"Die Körperhaltung des Patienten während der Untersuchung.">
				>
				["at1000"] = <
					text = <"Liegend">
					description = <"Der Patient lag flach.">
				>
				["at1001"] = <
					text = <"Sitzend">
					description = <"Der Patient saß (zum Beispiel auf einem Bett oder einem Stuhl).">
				>
				["at1002"] = <
					text = <"Zurücklehnend">
					description = <"Der Patient saß zurück gelehnt in einem Winkel von 45 Grad und seine Beine waren bis zur Höhe des Beckens angehoben.">
				>
				["at1003"] = <
					text = <"Stehend/Aufrecht">
					description = <"Der Patient stand, ging oder rannte.">
				>
				["at1005"] = <
					text = <"Vorhandensein">
					description = <"Vorhandensein einer Puls- oder Herzfrequenz.">
					comment = <"Eine Puls-/Herzfrequenz ist vorhanden, wenn die Frequenz > 0 Schläge pro Minute ist.">
				>
				["at1013"] = <
					text = <"Gerät">
					description = <"Informationen zu dem Gerät, welches zur Messung der Puls- oder der Herzfrequenz verwendet wurde.">
				>
				["at1017"] = <
					text = <"Anstrengung">
					description = <"Details über die körperliche Anstrengung, die der Patient während der Untersuchung ausgesetzt war.">
				>
				["at1018"] = <
					text = <"Störfaktoren">
					description = <"Die Beschreibung aller zufälligen Faktoren, die die Interpretation der physikalischen Ergebnisse beeinflussen können.">
					comment = <"Zum Beispiel das Vorhandensein eines Herzschrittmacher; das Angstniveau; Schmerzen oder Fieber etc.">
				>
				["at1019"] = <
					text = <"Methode">
					description = <"Die Methode, mit der die Puls- oder Herzfrequenz gemessen wurde.">
					comment = <"Zum Beispiel auskultatorisch oder über elektronisches Monitoring, z.B. mit einem Blutdruckmessgerät.">
				>
				["at1022"] = <
					text = <"Klinische Beschreibung">
					description = <"Beschreibung der Puls- oder Herzfrequenz.">
				>
				["at1023"] = <
					text = <"Klinische Interpretation">
					description = <"Ein einzelnes Wort, ein Satz oder eine kurze Beschreibung, welches die klinische Bedeutung und die Signifikanz der Puls- oder der Herzfrequenz, einschließlich des Rhythmus, darstellt.">
					comment = <"Die Kodierung mit einer Terminologie wird, wenn möglich, bevorzugt. Zum Beispiel: Bradykardie, Extrasystolen oder Sinusrhythmus. Mehrere Aussagen sind erlaubt.">
				>
				["at1024"] = <
					text = <"Vorhanden">
					description = <"Eine Puls- oder eine Herzfrequenz kann ermittelt werden.">
				>
				["at1025"] = <
					text = <"Nicht ermittelbar">
					description = <"Eine Puls- oder eine Herzfrequenz kann nicht ermittelt werden.">
				>
				["at1028"] = <
					text = <"Unregelmäßig">
					description = <"Der Verlauf ist unregelmäßig.">
				>
				["at1030"] = <
					text = <"Merkmal">
					description = <"Beschreibung des Merkmals der Puls- oder Herzfrequenz.">
					comment = <"Die Kodierung mit einer Terminologie ist, wenn möglich, erwünscht. Zum Beispiel: kräftig, schwach, hämmernd, langsam ansteigend oder kollabierend. Mehrere Begriffe können dokumentiert werden.">
				>
				["at1032"] = <
					text = <"Palpation">
					description = <"Der Befund wurde durch physisches Tasten des Beobachters am Patienten erlangt.">
				>
				["at1033"] = <
					text = <"Auskultation">
					description = <"Die Untersuchungsergebnisse werden mit Hilfe eines Gerätes, wie zum Beispiel einem Stethoskop, gemessen.">
				>
				["at1034"] = <
					text = <"Automatisch, nicht-invasiv">
					description = <"Die Untersuchungsergebnisse werden nicht-invasiv unter Anwendung eines Gerätes, wie zum Beispiel mit Hilfe eines Pulsoximeters oder eines Stethoskops, gemessen.">
				>
				["at1036"] = <
					text = <"Maximum">
					description = <"Die maximale Puls- oder Herzfrequenz, die während einer Belastungsperiode gemessen wurde.">
				>
				["at1037"] = <
					text = <"Körperstelle">
					description = <"Die Körperstelle an der die Puls- oder die Herzfrequenz gemessen wird.">
				>
				["at1038"] = <
					text = <"Arteria radialis - links">
					description = <"Die linke Arteria radialis.">
				>
				["at1039"] = <
					text = <"Arteria radialis - rechts">
					description = <"Die rechte Arteria radialis.">
				>
				["at1040"] = <
					text = <"Herz">
					description = <"Die Region des Herzens.">
				>
				["at1041"] = <
					text = <"Arteria carotis - links">
					description = <"Die linke Arteria carotis.">
				>
				["at1042"] = <
					text = <"Arteria carotis - rechts">
					description = <"Die rechte Arteria carotis.">
				>
				["at1043"] = <
					text = <"Arteria femoralis - links">
					description = <"Die linke Arteria femoralis.">
				>
				["at1044"] = <
					text = <"Arteria femoralis - rechts">
					description = <"Die rechts Arteria femoralis.">
				>
				["at1047"] = <
					text = <"Finger">
					description = <"Ein nicht näher beschriebener Finger.">
				>
				["at1048"] = <
					text = <"Arteria brachialis - links">
					description = <"Die linke Arteria brachialis.">
				>
				["at1049"] = <
					text = <"Arteria brachialis - rechts">
					description = <"Die rechte Arteria brachialis.">
				>
				["at1050"] = <
					text = <"Automatisch, invasiv">
					description = <"Die Untersuchungsergebnisse werden invasiv durch die Verwendung eines Gerätes, wie zum Beispiel eines arteriellen Katheters, gemessen.">
				>
				["at1051"] = <
					text = <"Ohrläppchen">
					description = <"Das Ohrläppchen eines unbestimmten Ohres.">
				>
				["at1054"] = <
					text = <"Zeh">
					description = <"Ein nicht näher beschriebener Zeh.">
				>
				["at1055"] = <
					text = <"Unregelmäßiger Typ">
					description = <"Ein spezifischeres Verlaufsmuster einer unregelmäßigen Puls- oder Herzfrequenz.">
					comment = <"Die Auswahl eines Wertes dieser Wertemenge ist nur valide, wenn \"Unregelmäßig\" vom Datenelement \"Regelmäßigkeit\" angegeben wurde.">
				>
				["at1056"] = <
					text = <"Erweiterung">
					description = <"Zusätzliche Informationen zur Erfassung lokaler Inhalte oder Anpassung an andere Referenzmodelle/Formalismen.">
					comment = <"Zum Beispiel: Lokaler Informationsbedarf oder zusätzliche Metadaten zur Anpassung an FHIR-Ressourcen oder CIMI-Modelle.">
				>
				["at1057"] = <
					text = <"Klinische Interpretation">
					description = <"Eine allgemeine Bezeichnung, um alle oder einen Teil der Aussagen über die Puls- oder die Herzfrequenz zu ermöglichen.">
				>
				["at1058"] = <
					text = <"Rhythmus">
					description = <"Spezifische Schlussfolgerung über den Rhythmus der Puls- oder der Herzfrequenz, die sich aus einer Kombination von Herzfrequenz, dem Verlaufsmuster und anderen bei der Untersuchung beobachteten Merkmalen ergibt.">
				>
				["at1059"] = <
					text = <"Kommentar">
					description = <"Zusätzliche Informationen über die Puls- oder die Herzfrequenz, die in anderen Bereichen nicht erfasst wurden.">
				>
			>
		>
		["ru"] = <
			items = <
				["at0000"] = <
					text = <"*Pulse/Heart beat(en)">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"Дерево">
					description = <"@ внутреннийl @">
				>
				["at0002"] = <
					text = <"История">
					description = <"@ внутреннийl @">
				>
				["at0003"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0004"] = <
					text = <"*Rate(en)">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"*Regular?(en)">
					description = <"*Is the pulse or heart beat regular?(en)">
				>
				["at0006"] = <
					text = <"*Regular(en)">
					description = <"*The pattern is regular.(en)">
				>
				["at0007"] = <
					text = <"*Regularly Irregular(en)">
					description = <"*The pattern is irregular in a regular pattern,. For example, a dropped beat once every 'n' beats.(en)">
				>
				["at0008"] = <
					text = <"*Irregularly Irregular(en)">
					description = <"*The pattern is irregular in a chaotic and unpredictable manner. For example, atrial fibrillation.(en)">
				>
				["at0010"] = <
					text = <"Дерево">
					description = <"@ внутреннийl @">
				>
				["at0012"] = <
					text = <"Дерево">
					description = <"@ внутреннийl @">
				>
				["at0013"] = <
					text = <"*Position(en)">
					description = <"*The body position of the subject during the observation.(en)">
				>
				["at1000"] = <
					text = <"*Lying(en)">
					description = <"*The subject was lying flat.(en)">
				>
				["at1001"] = <
					text = <"*Sitting(en)">
					description = <"*The subject was sitting (for example on bed or chair).(en)">
				>
				["at1002"] = <
					text = <"*Reclining(en)">
					description = <"*The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.(en)">
				>
				["at1003"] = <
					text = <"*Standing/upright(en)">
					description = <"*The subject was standing, walking or running.(en)">
				>
				["at1005"] = <
					text = <"*Presence(en)">
					description = <"*Presence of a pulse or heart beat.(en)">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"*Device(en)">
					description = <"*Details about the device used to measure the pulse rate or heart rate.(en)">
				>
				["at1017"] = <
					text = <"*Exertion(en)">
					description = <"*Details about physical exertion being undertaken during the examination.(en)">
				>
				["at1018"] = <
					text = <"*Confounding factors(en)">
					description = <"*Narrative description about any incidental factors that may affect interpretation of the physical findings.(en)">
					comment = <"*For example, presence of a pacemaker, level of anxiety; pain or fever etc.(en)">
				>
				["at1019"] = <
					text = <"*Method(en)">
					description = <"*Method used to observe the pulse or heart beat.(en)">
					comment = <"*For example, auscultation or electronic monitoring. (en)">
				>
				["at1022"] = <
					text = <"*Clinical description(en)">
					description = <"*Narrative description about the pulse or heart beat.(en)">
				>
				["at1023"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.(en)">
					comment = <"*Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed. (en)">
				>
				["at1024"] = <
					text = <"*Present(en)">
					description = <"*A pulse or heart beat can be detected.(en)">
				>
				["at1025"] = <
					text = <"*Not detected(en)">
					description = <"*A pulse or heart beat cannot be detected.(en)">
				>
				["at1028"] = <
					text = <"*Irregular(en)">
					description = <"*The pattern is irregular.(en)">
				>
				["at1030"] = <
					text = <"*Character(en)">
					description = <"*Description of the character of the pulse or heart beat.(en)">
					comment = <"*Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.(en)">
				>
				["at1032"] = <
					text = <"*Palpation(en)">
					description = <"*The findings are observed by physical touch of the observer on the subject.(en)">
				>
				["at1033"] = <
					text = <"*Auscultation(en)">
					description = <"*The findings are observed with the assistance of a device, such as a stethoscope.(en)">
				>
				["at1034"] = <
					text = <"*Automatic, non-invasive(en)">
					description = <"*The findings are observed non-invasively using a device such as a pulse oximeter or a stethoscope.(en)">
				>
				["at1036"] = <
					text = <"*Maximum(en)">
					description = <"*Maximum pulse rate or heart rate observed during a period of exertion.(en)">
				>
				["at1037"] = <
					text = <"*Body site(en)">
					description = <"*Body site where the pulse or heart beat were observed.(en)">
				>
				["at1038"] = <
					text = <"*Radial Artery - Left(en)">
					description = <"*The left radial artery.(en)">
				>
				["at1039"] = <
					text = <"*Radial Artery - Right(en)">
					description = <"*The right radial artery.(en)">
				>
				["at1040"] = <
					text = <"*Heart(en)">
					description = <"*The region of the heart.(en)">
				>
				["at1041"] = <
					text = <"*Carotid Artery - Left(en)">
					description = <"*The left carotid artery.(en)">
				>
				["at1042"] = <
					text = <"*Carotid Artery - Right(en)">
					description = <"*The right carotid artery.(en)">
				>
				["at1043"] = <
					text = <"*Femoral Artery - Left(en)">
					description = <"*The left femoral artery.(en)">
				>
				["at1044"] = <
					text = <"*Femoral Artery - Right(en)">
					description = <"*The right femoral artery.(en)">
				>
				["at1047"] = <
					text = <"*Finger(en)">
					description = <"*An unspecified finger.(en)">
				>
				["at1048"] = <
					text = <"*Brachial artery - Left(en)">
					description = <"*The left brachial artery.(en)">
				>
				["at1049"] = <
					text = <"*Brachial artery - Right(en)">
					description = <"*The right brachial artery.(en)">
				>
				["at1050"] = <
					text = <"*Automatic, invasive(en)">
					description = <"*The findings are observed invasively using a device such as an arterial catheter.(en)">
				>
				["at1051"] = <
					text = <"*Ear lobe(en)">
					description = <"*The lobe of an unspecified ear.(en)">
				>
				["at1054"] = <
					text = <"*Toe(en)">
					description = <"*An unspecified toe.(en)">
				>
				["at1055"] = <
					text = <"*Irregular type(en)">
					description = <"*More specific pattern of an irregular pulse or heart beat.(en)">
					comment = <"*Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.(en)">
				>
				["at1056"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)">
					comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)">
				>
				["at1057"] = <
					text = <"*Clinical interpretation(en)">
					description = <"*Generic label to allow for any or all statements about the pulse or heart beat.(en)">
				>
				["at1058"] = <
					text = <"*Rhythm(en)">
					description = <"*Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination.(en)">
				>
				["at1059"] = <
					text = <"*Comment(en)">
					description = <"*Additional narrative about the pulse or heart beat findings not captured in other fields.(en)">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000"] = <
					text = <"Pulso/Batimento Cardíaco">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Algum evento">
					description = <"Predefinido, ponto não especificado ou evento de intervalo que pode ser explicitamente definido em um modelo ou em tempo de execução.">
				>
				["at0004"] = <
					text = <"Frequência">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"Regular?">
					description = <"O pulso ou frequência cardíaca é regular?">
				>
				["at0006"] = <
					text = <"Regular">
					description = <"O padrão é regular.">
				>
				["at0007"] = <
					text = <"Irregular regularmente">
					description = <"O padrão é irregular em um padrão regular. Por exemplo: a cada \"n\" batimentos existe uma irregularidade.">
				>
				["at0008"] = <
					text = <"Irregular irregularmente">
					description = <"O padrão é irregular de forma caótica e imprevisível. Por exemplo, fibrilação atrial.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Posição">
					description = <"A posição do corpo do sujeito da atenção durante a observação.">
				>
				["at1000"] = <
					text = <"Deitado">
					description = <"O sujeito estava deitado.">
				>
				["at1001"] = <
					text = <"Sentado">
					description = <"O sujeito estava sentado (por exemplo, na cama ou cadeira)">
				>
				["at1002"] = <
					text = <"Reclinado">
					description = <"O sujeito estava reclinado em um ângulo aproximado de 45°, com as pernas elevadas ao nível da pelve.">
				>
				["at1003"] = <
					text = <"Em pé">
					description = <"O sujeito estava em pé, andando ou correndo.">
				>
				["at1005"] = <
					text = <"Presença">
					description = <"Presença de pulso ou batimento cardíaco.">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"Dispositivo">
					description = <"Detalhes sobre o dispositivo usado para mensurar a frequência do pulso ou frequência cardíaca.">
				>
				["at1017"] = <
					text = <"Esforço">
					description = <"Detalhes sobre o esforço físico que está sendo realizado durante o exame.">
				>
				["at1018"] = <
					text = <"Fatores de confusão">
					description = <"Descrição narrativa sobre quaisquer fatores incidentais que possam afetar a interpretação dos achados físicos.">
					comment = <"Por exemplo, presença de marcapasso, nível de ansiedade, dor ou febre, etc.">
				>
				["at1019"] = <
					text = <"Método">
					description = <"Método utilizado para observar o pulso ou frequência cardíaca.">
					comment = <"Por exemplo, ausculta ou monitorização eletrônica.">
				>
				["at1022"] = <
					text = <"Descrição clínica">
					description = <"Narrativa da descrição sobre o pulso ou batimento cardíaco.">
				>
				["at1023"] = <
					text = <"Interpretação clínica">
					description = <"Palavra única, frase ou breve descrição que representa o significado clínico e significância do pulso ou batimento cardíaco, incluindo o ritmo.">
					comment = <"A codificação com uma terminologia é preferida, quando possível. Por exemplo: bradicardia, extrassístoles ou ritmo sinusal. São permitidas várias afirmações.">
				>
				["at1024"] = <
					text = <"Presente">
					description = <"Um pulso ou batimento cardíaco podem ser detectados.">
				>
				["at1025"] = <
					text = <"Não detectado">
					description = <"Um pulso ou batimento cardíaco não podem ser detectados.">
				>
				["at1028"] = <
					text = <"Irregular">
					description = <"O padrão é irregular.">
				>
				["at1030"] = <
					text = <"Característica">
					description = <"Descrição da característica do pulso ou batimento cardíaco.">
					comment = <"A codificação com uma terminologia é desejada, quando possível. Por exemplo: cheio, filiforme, delimitado, aumento lento ou em colapso. Múltiplos termos podem ser registrados.">
				>
				["at1032"] = <
					text = <"Palpação">
					description = <"Os resultados são observados pelo toque físico no sujeito do cuidado pelo observador.">
				>
				["at1033"] = <
					text = <"Ausculta">
					description = <"Os resultados são observados com a ajuda de um dispositivo, como um estetoscópio.">
				>
				["at1034"] = <
					text = <"Automática, não invasiva">
					description = <"Os resultados são observados de forma não invasiva utilizando um dispositivo como um oxímetro de pulso ou um estetoscópio.">
				>
				["at1036"] = <
					text = <"Máximo">
					description = <"Frequência de pulso ou frequência cardíaca máximos observados durante o período de esforço.">
				>
				["at1037"] = <
					text = <"Local do corpo">
					description = <"Local do corpo onde o pulso ou batimento cardíaco foram observados.">
				>
				["at1038"] = <
					text = <"Artéria Radial - Esquerda">
					description = <"A artéria radial esquerda.">
				>
				["at1039"] = <
					text = <"Artéria Radial Direita">
					description = <"A artéria radial direita.">
				>
				["at1040"] = <
					text = <"Coração">
					description = <"A região do coração.">
				>
				["at1041"] = <
					text = <"Artéria Carótida Esquerda">
					description = <"A artéria carótida esquerda.">
				>
				["at1042"] = <
					text = <"Artéria Carótida Direita">
					description = <"A artéria carótida direita.">
				>
				["at1043"] = <
					text = <"Artéria Femural Esquerda">
					description = <"A artéria femural esquerda.">
				>
				["at1044"] = <
					text = <"Artéria femural Direita">
					description = <"A artéria femural direita.">
				>
				["at1047"] = <
					text = <"Dedo">
					description = <"Um dedo inespecífico.">
				>
				["at1048"] = <
					text = <"Artéria Braquial Esquerda">
					description = <"A artéria braquial esquerda.">
				>
				["at1049"] = <
					text = <"Artéria Braquial Direita">
					description = <"A artéria braquial direita.">
				>
				["at1050"] = <
					text = <"Automática, invasiva">
					description = <"Os achados são observados de forma invasiva utilizando um dispositivo como um catéter arterial.">
				>
				["at1051"] = <
					text = <"Lobo da orelha">
					description = <"Um lobo da orelha inespecífico.">
				>
				["at1054"] = <
					text = <"Dedo do pé">
					description = <"Um dedo do pé inespecífico.">
				>
				["at1055"] = <
					text = <"Tipo irregular">
					description = <"Padrão mais específico de um pulso ou batimento cardíaco irregular.">
					comment = <"A seleção de um valor a partir deste conjunto de valores só é válida se 'Irregular' for selecionado a partir do elemento de dados 'Regularidade'.">
				>
				["at1056"] = <
					text = <"Extensão">
					description = <"Informações adicionais necessárias para capturar conteúdo local ou alinhar com outros modelos/formalismos de referência.">
					comment = <"Por exemplo: requisitos de informação local ou metadados adicionais para alinhar com equivalentes FHIR ou CIMI.">
				>
				["at1057"] = <
					text = <"Interpretação clínica">
					description = <"Etiqueta genérica para permitir qualquer ou todas as declarações sobre o pulso ou batimento cardíaco.">
				>
				["at1058"] = <
					text = <"Ritmo">
					description = <"Conclusão específica sobre o ritmo do pulso ou batimento cardíaco, extraído de uma combinação da freqüência cardíaca, padrão e outras características observadas no exame.">
				>
				["at1059"] = <
					text = <"Comentários">
					description = <"Narrativa adicional sobre o pulso ou batimento cardíaco achados não capturados em outros campos.">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"Puls/Hjärtfrekvens">
					description = <"Hjärtslagens eller pulsens frekvens och tillhörande attribut.">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Ospecificerad händelse">
					description = <"Standardmässig ospecificerad tidpunkt eller tidsintervall som kan anges explicit i en mall, eller genereras automatiskt av vissa IT-system.">
				>
				["at0004"] = <
					text = <"Frekvens">
					description = <"Puls eller hjärtfrekvens, mätt i slag per minut.">
				>
				["at0005"] = <
					text = <"Regelbunden">
					description = <"Regelbunden puls eller regelbundna hjärtslag">
				>
				["at0006"] = <
					text = <"Regelbunden">
					description = <"Mönstret är regelbundet.">
				>
				["at0007"] = <
					text = <"Regelbundet oregelbunden">
					description = <"Mönstret är oregelbundet i ett regelbundet mönster, exempelvis ett överhoppat hjärtslag var N:te slag.">
				>
				["at0008"] = <
					text = <"Oregelbundet oregelbunden">
					description = <"Mönstret är oregelbundet på ett kaotiskt och oförutsägbart sätt, exempelvis förmaksflimmer.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Kroppsställning">
					description = <"Patientens kroppsställning under observationen.">
				>
				["at1000"] = <
					text = <"Liggande">
					description = <"Patienten låg plant.">
				>
				["at1001"] = <
					text = <"Sittande">
					description = <"Patienten satt, exempelvis på en säng eller en stol.">
				>
				["at1002"] = <
					text = <"Halvliggande">
					description = <"Patienten låg i ungefär 45 graders vinkel, med benen upphöjda till bäckennivå.">
				>
				["at1003"] = <
					text = <"Stående eller upprätt">
					description = <"Patienten stod, gick eller sprang.">
				>
				["at1005"] = <
					text = <"Närvaro">
					description = <"Närvaro av puls eller hjärtslag.">
					comment = <"Puls eller hjärt">
				>
				["at1013"] = <
					text = <"Utrustning">
					description = <"Information om den utrustning som använts för att mäta puls eller hjärtfrekvens.">
				>
				["at1017"] = <
					text = <"Ansträngning">
					description = <"Uppgifter om fysisk ansträngning under undersökningen.">
				>
				["at1018"] = <
					text = <"Möjliga felkällor">
					description = <"Beskrivning av faktorer som kan påverka tolkningen av de fysiska fynden.">
					comment = <"Exempelvis pacemaker, ångestnivå, smärta eller feber.">
				>
				["at1019"] = <
					text = <"Metod">
					description = <"Metod som används för att observera pulsen eller hjärtslagen.">
					comment = <"Exempelvis stetoskop eller elektronisk övervakning.">
				>
				["at1022"] = <
					text = <"Klinisk beskrivning">
					description = <"Beskrivning av pulsen eller hjärtslagen.">
				>
				["at1023"] = <
					text = <"Klinisk tolkning">
					description = <"Enstaka ord, fras eller kort beskrivning om den kliniska innebörden och betydelsen av fynd från puls eller hjärtslag, inklusive rytm.">
					comment = <"Kodning med en terminologi är att föredra, om det är tillämpligt. Exempelvis bradykardi, prematura slag eller sinusrytm. Flera utlåtanden är tillåtna.">
				>
				["at1024"] = <
					text = <"Närvaro">
					description = <"Puls eller hjärtslag är identifierade.">
				>
				["at1025"] = <
					text = <"Frånvaro">
					description = <"Puls eller hjärtslag kan inte identifieras.">
				>
				["at1028"] = <
					text = <"Oregelbunden">
					description = <"Mönstret är oregelbundet.">
				>
				["at1030"] = <
					text = <"Karaktär">
					description = <"Beskrivning av pulsens eller hjärtslagets karaktär.">
					comment = <"Kodning med en terminologi är önskvärd, om det är tillämpligt. Exempelvis *full, trådfin, kraftig, långsamt stigande eller Corrigans puls.">
				>
				["at1032"] = <
					text = <"Palpation">
					description = <"Läkare eller sjuksköterska observerar fynden genom fysisk beröring av patienten.">
				>
				["at1033"] = <
					text = <"Auskultation">
					description = <"Fynden observeras med ett hjälpmedel, exempelvis ett stetoskop.">
				>
				["at1034"] = <
					text = <"Automatisk, icke-invasiv">
					description = <"Fynden observeras icke-invasivt med hjälp av utrustning såsom en pulsoximeter eller ett stetoskop.">
				>
				["at1036"] = <
					text = <"Maximum">
					description = <"Maxpuls eller maxfrekvens observerad under ansträngning.">
				>
				["at1037"] = <
					text = <"Lokalisation">
					description = <"Lokalisation där pulsen eller hjärtslagen observerades.">
				>
				["at1038"] = <
					text = <"Strålbensartär - Vänster">
					description = <"Vänster strålbensartär.">
				>
				["at1039"] = <
					text = <"Strålbensartär - Höger">
					description = <"Höger strålbensartär.">
				>
				["at1040"] = <
					text = <"Hjärt">
					description = <"Hjärttrakten.">
				>
				["at1041"] = <
					text = <"Halsartär - Vänster">
					description = <"Vänster halsartär.">
				>
				["at1042"] = <
					text = <"Halsartär - Höger">
					description = <"Höger halsartär.">
				>
				["at1043"] = <
					text = <"Lårbensartär - Vänster">
					description = <"Vänster lårbensartär.">
				>
				["at1044"] = <
					text = <"Lårbensartär- Höger">
					description = <"Höger lårbensartär.">
				>
				["at1047"] = <
					text = <"Finger">
					description = <"Ett ospecificerat finger.">
				>
				["at1048"] = <
					text = <"Armartär - Vänster">
					description = <"Vänster armartär.">
				>
				["at1049"] = <
					text = <"Armartär - Höger">
					description = <"Höger armartär.">
				>
				["at1050"] = <
					text = <"Automatisk, invasiv">
					description = <"Fynden observeras invasivt med hjälp av utrustning såsom en arteriell kateter.">
				>
				["at1051"] = <
					text = <"Örsnibb">
					description = <"En ospecificerad örsnibb.">
				>
				["at1054"] = <
					text = <"Tå">
					description = <"En ospecificerad tå.">
				>
				["at1055"] = <
					text = <"Oregelbunden typ">
					description = <"Ett mer specifikt mönster av oregelbunden puls eller oregelbundna hjärtslag.">
					comment = <"Ett val från den här värdemängden är endast giltigt om \"oregelbunden\" väljs från komponenten \"regelbunden\".">
				>
				["at1056"] = <
					text = <"Tilläggsinformation">
					description = <"Plats för att infoga tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav.">
					comment = <"Exempelvis lokala informationskrav eller metadata för anpassning till FHIR- eller CIMI-motsvarigheter.">
				>
				["at1057"] = <
					text = <"Klinisk tolkning">
					description = <"Allmänt fält för ett enskilt eller samtliga utlåtanden om pulsen eller hjärtrytmen.">
				>
				["at1058"] = <
					text = <"Rytm">
					description = <"Specifik slutsats om pulsens eller hjärtslagens rytm, härledd från en kombination av hjärtfrekvens, mönster och andra egenskaper som observerats vid undersökningen.">
				>
				["at1059"] = <
					text = <"Kommentar">
					description = <"Ytterligare beskrivning av fynden från puls eller hjärtslag som inte beskrivits i andra fält.">
				>
			>
		>
		["es"] = <
			items = <
				["at0000"] = <
					text = <"Pulso/Frecuencia cardiaca">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"estructura">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"historia">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"evento">
					description = <"Evento de punto o intervalo de tiempo que puede ser definido explícitamente por una plantilla o en tiempo de ejecución.">
				>
				["at0004"] = <
					text = <"Frecuencia">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"Regularidad">
					description = <"¿Es el puso o latido regular?">
				>
				["at0006"] = <
					text = <"Regular">
					description = <"El patrón es regular">
				>
				["at0007"] = <
					text = <"Regularmente irregular">
					description = <"El patrón es irregular en un patrón regular. Por ejemplo baja de un latido cada N latidos.">
				>
				["at0008"] = <
					text = <"Irregularmente irregular">
					description = <"El patrón es irregular de forma aleatoria. Por ejemplo fibrilación atrial.">
				>
				["at0010"] = <
					text = <"lista">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"lista">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Posición">
					description = <"Posición del cuerpo del sujeto durante la observación.">
				>
				["at1000"] = <
					text = <"Acostado">
					description = <"El sujeto está acostado de forma horizontal">
				>
				["at1001"] = <
					text = <"Sentado">
					description = <"El sujeto está sentado en una silla o cama">
				>
				["at1002"] = <
					text = <"Reclinado">
					description = <"El sujeto está reclinado en un ángulo aproximado a los 45 grados, con las piernas elevadas al nivel de la pelvis.">
				>
				["at1003"] = <
					text = <"Parado">
					description = <"El sujeto está parado, caminando o corriendo.">
				>
				["at1005"] = <
					text = <"Presencia del pulso">
					description = <"Presencia del pulso o latidos del corazón.">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"Dispositivo">
					description = <"Detalles sobre el dispositivo utilizado para la medida del pulso o latidos del corazón">
				>
				["at1017"] = <
					text = <"Ejercicio">
					description = <"Detalles sobre el ejercicio físico durante la medida del pulso o latidos del corazón.">
				>
				["at1018"] = <
					text = <"Factores de confusión">
					description = <"Descripción narrativa sobre factores que pueden afectar a los valores medidos.">
					comment = <"Por ejemplo, presencia de marcapasos, nivel de anciedad, dolor o fiebre.">
				>
				["at1019"] = <
					text = <"Método">
					description = <"Método utilzado para realizar la observación del pulso o latidos del corazón">
					comment = <"Por ejemplo, auscultación o monitoreo electrónico.">
				>
				["at1022"] = <
					text = <"Descripción clínica">
					description = <"Descripción narrativa sobre el pulso o latidos del corazón.">
				>
				["at1023"] = <
					text = <"Interpretación clínica">
					description = <"Descripción breve que representa el significado clínico y significado de los hallazgos sobre el pulso o latidos del corazón, incluyendo el ritmo.">
					comment = <"Codificación con una terminología es recomendado. Por ejemplo: Bradicardia, Estrasístoles o ritmo sinusal. Múltiples declaraciones están permidas.">
				>
				["at1024"] = <
					text = <"Presente">
					description = <"Pulso o latidos son detectados.">
				>
				["at1025"] = <
					text = <"Ausente">
					description = <"Pulso o latidos no son detectados.">
				>
				["at1028"] = <
					text = <"Irregular">
					description = <"El patrón es irregular">
				>
				["at1030"] = <
					text = <"Carácter del pulso">
					description = <"Descripción del carácter del pulso o latidos del corazón.">
					comment = <"*Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.(en)">
				>
				["at1032"] = <
					text = <"Palpación">
					description = <"Los hallazgos se realizam mediante contacto físico sobre el sujeto.">
				>
				["at1033"] = <
					text = <"Auscultación">
					description = <"Los hallazgos fueron obserbados mediante la asistencia de un dispositivo, como un estetoscopio.">
				>
				["at1034"] = <
					text = <"Automático, no invasivo">
					description = <"Los hallazgos gueron observados mediante un dispositivo como un oxímetro de pulso.">
				>
				["at1036"] = <
					text = <"Máximo">
					description = <"Frecuencia máxima de pulso o latidos fue observada durante el período del ejecricio.">
				>
				["at1037"] = <
					text = <"Localización corporal">
					description = <"Localización corporal donde el pulso o latidos fueron observados.">
				>
				["at1038"] = <
					text = <"Arteria radial - Izquierda">
					description = <"Arteria radial izquierda">
				>
				["at1039"] = <
					text = <"Arteria radial - Derecha">
					description = <"Arteria radial derecha">
				>
				["at1040"] = <
					text = <"Corazón">
					description = <"Región del corazón">
				>
				["at1041"] = <
					text = <"Arteria carótida - Izquierda">
					description = <"Arteria carótida izquierda">
				>
				["at1042"] = <
					text = <"Arteria carótida - Derecha">
					description = <"Arteria carótida derecha">
				>
				["at1043"] = <
					text = <"Arteria femoral - Izquierda">
					description = <"Arteria femoral izquierda">
				>
				["at1044"] = <
					text = <"Arteria femoral - Derecha">
					description = <"Arteria femoral derecha">
				>
				["at1047"] = <
					text = <"Dedo">
					description = <"Cualquier dedo.">
				>
				["at1048"] = <
					text = <"Arteria braquial izquierda">
					description = <"Arteria braquial izquierda.">
				>
				["at1049"] = <
					text = <"Arteria braquial derecha">
					description = <"Arteria braquial derecha.">
				>
				["at1050"] = <
					text = <"Automatico, invasivo">
					description = <"Los hallazgos fueron observados de forma invasiva, utilizando un dispositivo como un cateter arterial.">
				>
				["at1051"] = <
					text = <"Lóbulo de la oreja">
					description = <"Lóbulo de cualquier oreja">
				>
				["at1054"] = <
					text = <"Dedo del pie">
					description = <"Cualquier dedo del pie">
				>
				["at1055"] = <
					text = <"Tipo irregular">
					description = <"Patrón más específico de un pulso o latido irregular.">
					comment = <"La selección de un valor de este conjunto de valores es válida solo si 'irregular' es seleccionado para el elemento 'regularidad'">
				>
				["at1056"] = <
					text = <"Extensión">
					description = <"Información adicional requerida para capturar contenido local o alinear on otros modelos de referencia.">
					comment = <"Por ejemplo: requerimientos sobre información local, o metadatos para alinearse con FHIR o CIMI.">
				>
				["at1057"] = <
					text = <"Interpretación clínica">
					description = <"Etiqueta genérica que permite registrar cualquier declaración sobre el pulso o latidos.">
				>
				["at1058"] = <
					text = <"Ritmo">
					description = <"Conclusión específica sobre el ritmo del pulso o latidos, derivado de la combinación de la frecuencia, el patrón, y otras características observadas durante la examinación.">
				>
				["at1059"] = <
					text = <"Comentarios">
					description = <"Información narrativa adicional sobre hallazgos del pulso o latidos que no fueron registrados en otros campos.">
				>
			>
		>
		["fi"] = <
			items = <
				["at0000"] = <
					text = <"Pulssi/syke">
					description = <"*The rate and associated attributes for a pulse or heart beat. (en)">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Mikä tahansa tapahtuma">
					description = <"Oletusarvoinen, määrittämättömänä ajanhetkenä tai ajanjaksolla ilmenevä tapahtuma, joka voi olla määritetty tarkasti jossakin mallissa tai suorituksen aikana.">
				>
				["at0004"] = <
					text = <"Taajuus">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute. (en)">
				>
				["at0005"] = <
					text = <"Säännöllinen?">
					description = <"Onko pulssi tai syke säännöllinen?">
				>
				["at0006"] = <
					text = <"Säännöllinen">
					description = <"Syke on säännöllinen.">
				>
				["at0007"] = <
					text = <"Säännöllisesti epäsäännöllinen">
					description = <"Syke on epäsäännöllinen, mutta säännöllisellä tavalla. Esimerkiksi yksittäinen puuttuva lyönti joka n:nnen lyönnin välein.">
				>
				["at0008"] = <
					text = <"Epäsäännöllisesti epäsäännöllinen">
					description = <"Syke on epäsäännöllinen kaoottisella ja ennustamattomalla tavalla. Esimerkiksi eteisvärinä.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Asento">
					description = <"Tutkittavan kehon asento havainnoinnin aikana.">
				>
				["at1000"] = <
					text = <"Makuulla">
					description = <"Tutkittava oli makuulla.">
				>
				["at1001"] = <
					text = <"Istuen">
					description = <"Tutkittava istui (esimerkiksi vuoteella tai tuolissa).">
				>
				["at1002"] = <
					text = <"Taaksepäin nojaten">
					description = <"Tutkittava nojasi taaksepäin noin 45 asteen kulmassa jalat nostettuina lantion tasalle.">
				>
				["at1003"] = <
					text = <"Seisten/pystyssä">
					description = <"Tutkittava istui, käveli tai juoksi.">
				>
				["at1005"] = <
					text = <"Läsnäolo">
					description = <"Pulssin tai sykkeen läsnäolo.">
					comment = <"*It can be implied that the pulse or heart beat is present if Rate >0 /min. (en)">
				>
				["at1013"] = <
					text = <"Laite">
					description = <"Tietoja pulssin tai sykkeen mittaamiseen käytetystä laitteesta.">
				>
				["at1017"] = <
					text = <"Rasitus">
					description = <"Tietoja ruumiillisesta rasituksesta tutkimuksen aikana.">
				>
				["at1018"] = <
					text = <"Sekoittavat tekijät">
					description = <"Kertomusmuodossa oleva kuvaus satunnaistekijöistä, jotka saattavat vaikuttaa fysikaalisten löydösten tulkintaan.">
					comment = <"For example, presence of a pacemaker, level of anxiety; pain or fever etc.">
				>
				["at1019"] = <
					text = <"Menetelmä">
					description = <"Pulssin tai sykkeen havainnointiin käytettävä menetelmä.">
					comment = <"For example, auscultation or electronic monitoring. ">
				>
				["at1022"] = <
					text = <"Kliininen kuvaus">
					description = <"Kertomusmuodossa oleva kuvaus pulssista tai sykkeestä.">
				>
				["at1023"] = <
					text = <"Kliininen tulkinta">
					description = <"Yksittäinen sana, fraasi tai lyhyt kuvaus joka edustaa pulssi- tai sykelöydöksen (ml. rytmi) kliinistä merkitystä.">
					comment = <"Coding with a terminology is preferred, where possible. For example: Bradycardia, Extrasystoles or Sinus rhythm. Multiple statements are allowed. ">
				>
				["at1024"] = <
					text = <"Havaittu">
					description = <"Pulssi tai syke on havaittavissa.">
				>
				["at1025"] = <
					text = <"Ei havaittu">
					description = <"Pulssi tai syke ei ole havaittavissa.">
				>
				["at1028"] = <
					text = <"Epäsäännöllinen">
					description = <"Syke on epäsäännöllinen.">
				>
				["at1030"] = <
					text = <"Luonne">
					description = <"Kuvaus pulssin tai sykkeen luonteesta.">
					comment = <"Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded.">
				>
				["at1032"] = <
					text = <"Palpaatio">
					description = <"Löydökset havaitaan havaitsijan koskettaessa tutkittavaa fyysisesti.">
				>
				["at1033"] = <
					text = <"Auskultaatio">
					description = <"Löydökset havaitaan jonkin laitteen avulla, esimerkiksi stetoskoopilla.">
				>
				["at1034"] = <
					text = <"Automaattinen, kajoamaton">
					description = <"Löydökset havaitaan kajoamattomasti jonkin laitteen avulla, esimerkiksi pulssioksimetrilla tai stetoskoopilla.">
				>
				["at1036"] = <
					text = <"Korkein">
					description = <"Korkein rasituksen aikana havaittu syke.">
				>
				["at1037"] = <
					text = <"Kehon kohta">
					description = <"Kehon kohta, josta pulssi tai syke havaittiin.">
				>
				["at1038"] = <
					text = <"Värttinävaltimo – vasen">
					description = <"Vasen värttinävaltimo.">
				>
				["at1039"] = <
					text = <"Värttinävaltimo – oikea">
					description = <"Oikea värttinävaltimo.">
				>
				["at1040"] = <
					text = <"Sydän">
					description = <"Sydämen alue.">
				>
				["at1041"] = <
					text = <"Kaulavaltimo – vasen">
					description = <"Vasen kaulavaltimo.">
				>
				["at1042"] = <
					text = <"Kaulavaltimo – oikea">
					description = <"Oikea kaulavaltimo.">
				>
				["at1043"] = <
					text = <"Reisivaltimo – vasen">
					description = <"Vasen reisivaltimo.">
				>
				["at1044"] = <
					text = <"Reisivaltimo – oikea">
					description = <"Oikea reisivaltimo.">
				>
				["at1047"] = <
					text = <"Sormi">
					description = <"Tarkemmin määrittämätön sormi.">
				>
				["at1048"] = <
					text = <"Olkavarsivaltimo - vasen">
					description = <"Vasen olkavarsivaltimo.">
				>
				["at1049"] = <
					text = <"Olkavarsivaltimo - oikea">
					description = <"Oikea olkavarsivaltimo.">
				>
				["at1050"] = <
					text = <"Automaattinen, kajoava">
					description = <"Löydökset havaitaan kajoavasti jonkin laitteen avulla, kuten valtimokatetrilla.">
				>
				["at1051"] = <
					text = <"Korvalehti">
					description = <"Tarkemmin määrittämätön korvalehti.">
				>
				["at1054"] = <
					text = <"Varvas">
					description = <"Tarkemmin määrittämätön varvas.">
				>
				["at1055"] = <
					text = <"Tyypiltään epäsäännöllinen">
					description = <"Epäsäännöllisen pulssin tai sykkeen tarkempi luonnehdinta.">
					comment = <"Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element.">
				>
				["at1056"] = <
					text = <"Laajennus">
					description = <"Lisätiedot, joita tarvitaan paikallisen sisällön kirjaamiseksi tai yhtenäistämiseksi muiden viitemallien tai formalismien kanssa.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at1057"] = <
					text = <"Kliininen tulkinta">
					description = <"Yleinen otsikko, jonka alle voidaan kirjata jokin tai kaikki lausunnot pulssista tai sykkeestä.">
				>
				["at1058"] = <
					text = <"Rytmi">
					description = <"Nimenomainen johtopäätös pulssin tai sykkeen rytmistä, perustuu sykkeeseen, sykkeen ominaisuuksiin ja muihin tutkimuksessa havaittuihin ominaispiirteisiin.">
				>
				["at1059"] = <
					text = <"Kommentti">
					description = <"Pulssi- tai sykelöydösten kertomusmuodossa olevat lisätiedot, joita ei voida ilmoittaa muissa kentissä.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Puls/Hjertefrekvens">
					description = <"Måling av puls/hjertefrekvens, eller eksplisitt puls eller hjertefrekvens, og beskrivelse av tilhørende egenskaper.">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon.">
				>
				["at0004"] = <
					text = <"Frekvens">
					description = <"Puls- eller hjertefrekvens, målt i støt/slag per minutt.">
					comment = <"Det er spesifisert begrensninger i navn for å gjøre det lettere å eksplisitt merke dette elementet som Pulsfrekvens eller Hjertefrekvens ved behov.">
				>
				["at0005"] = <
					text = <"Rytme">
					description = <"Observert regularitet av puls- eller hjerteslag.">
				>
				["at0006"] = <
					text = <"Regelmessig">
					description = <"Rytmen er regelmessig.">
				>
				["at0007"] = <
					text = <"Regelmessig uregelmessig">
					description = <"Rytmen er uregelmessig på en regelmessig måte.">
				>
				["at0008"] = <
					text = <"Uregelemessig uregelmessig">
					description = <"Mønsteret er uregelmessig på en kaotisk og ikkeforutsigbar måte. For eksempel, atrieflimmer.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Stilling">
					description = <"Individets stilling ved tidspunktet for målingen.">
				>
				["at1000"] = <
					text = <"Liggende">
					description = <"Liggende flatt ved tidspunkt for målingen.">
				>
				["at1001"] = <
					text = <"Sittende">
					description = <"Sittende (for eksempel på en stol eller på en seng med føttene på gulvet) ved tidspunktet for målingen.">
				>
				["at1002"] = <
					text = <"Tilbakelent">
					description = <"Sittende tilbakelent ca 45º og med beina hevet til hoftehøyde ved tidspunkt for målingen.">
				>
				["at1003"] = <
					text = <"Stående">
					description = <"Stående, gående eller løpende ved tidspunktet for målingen.">
				>
				["at1005"] = <
					text = <"Tilstedeværelse">
					description = <"Tilstedeværelse av puls eller hjerteslag.">
					comment = <"Det er spesifisert begrensninger i navn for å gjøre det lettere å eksplisitt merke dette elementet som tilstedeværelse av Puls eller Hjertefrekvens ved behov.">
				>
				["at1013"] = <
					text = <"Måleapparat">
					description = <"Detaljer om måleapparatet brukt for å observere pulsen eller hjerteslagene.">
				>
				["at1017"] = <
					text = <"Fysisk anstrengelse">
					description = <"Detaljer om fysisk aktivitet på tidspunkt for målingen.">
				>
				["at1018"] = <
					text = <"Konfunderende faktorer">
					description = <"Tekstlig beskrivelse av eventuelle andre faktorer som kan påvirke tolkningen av funnene.">
					comment = <"Eksempel: pacemaker, nervøsitet, smerte, feber, gråt og annen uro, sedativa eller andre medikamenter.">
				>
				["at1019"] = <
					text = <"Målemetode">
					description = <"Metode brukt for å observere pulsen eller hjerteslagene.">
					comment = <"For eksempel palpasjon, auskultasjon eller elektronisk monitorering.">
				>
				["at1022"] = <
					text = <"Klinisk beskrivelse">
					description = <"Tekstlig beskrivelse av puls- eller hjerteslag.">
				>
				["at1023"] = <
					text = <"Klinisk tolkning">
					description = <"Kort beskrivelse av den kliniske betydningen av funnene.">
					comment = <"Koding med en terminologi er en fordel, hvis mulig. Eksempel: Bradykardi, ekstrasystoler, sinusrytme. Flere registreringer er tillatt.">
				>
				["at1024"] = <
					text = <"Tilstede">
					description = <"Puls eller hjerteslag finnes.">
				>
				["at1025"] = <
					text = <"Fraværende">
					description = <"Puls eller hjerteslag kan ikke finnes.">
				>
				["at1028"] = <
					text = <"Uregelmessig">
					description = <"Rytmen er uregelmessig.">
				>
				["at1030"] = <
					text = <"Karakter">
					description = <"Tekstlig beskrivelse av pulsens eller hjerteslag karakter.">
					comment = <"Koding med en terminologi er en fordel der det er mulig. Flere svar skal kunne registreres. Eksempler: Tydelig, svak, overfladisk.">
				>
				["at1032"] = <
					text = <"Palpasjon">
					description = <"Funnene observeres ved at observatøren med fingertuppene kjenner på pulsen eller hjerteslagene til individet.">
				>
				["at1033"] = <
					text = <"Auskultasjon">
					description = <"Funnene er observert ved hjelp av et hjelpemiddel som f.eks. et stetoskop.">
				>
				["at1034"] = <
					text = <"Automatisk, non-invasivt">
					description = <"Funnene er observert non-invasivt ved hjelp av en maskin, som f.eks. et pulsoksimeter eller et skop.">
				>
				["at1036"] = <
					text = <"Maksimum">
					description = <"Maksimumsfrekvens observert i løpet av et intervall med anstrengelse.">
				>
				["at1037"] = <
					text = <"Målested">
					description = <"Anatomisk sted hvor pulsen eller hjerteslagene ble observert.">
				>
				["at1038"] = <
					text = <"Radialisarterien, venstre">
					description = <"Den venstre radialisarterien.">
				>
				["at1039"] = <
					text = <"Radialisarterien, høyre">
					description = <"Den høyre radialisarterien.">
				>
				["at1040"] = <
					text = <"Hjertet">
					description = <"Hjerteregionen.">
				>
				["at1041"] = <
					text = <"Carotisarterien, venstre">
					description = <"Den venstre carotisarterien.">
				>
				["at1042"] = <
					text = <"Carotisarterien, høyre">
					description = <"Den høyre carotisarterien.">
				>
				["at1043"] = <
					text = <"Femoralisarterien, venstre">
					description = <"Den venstre femoralisarterien.">
				>
				["at1044"] = <
					text = <"Femoralisarterien, høyre">
					description = <"Den høyre femoralisarterien.">
				>
				["at1047"] = <
					text = <"Finger">
					description = <"En uspesifisert finger.">
				>
				["at1048"] = <
					text = <"Brachialisarterien, venstre">
					description = <"Den venstre brachialisarterien.">
				>
				["at1049"] = <
					text = <"Brachialisarterien, høyre">
					description = <"Den høyre brachialisarterien.">
				>
				["at1050"] = <
					text = <"Automatisk, invasivt">
					description = <"Funnene er observert invasivt ved hjelp av en maskin, som f.eks. et arteriekateter.">
				>
				["at1051"] = <
					text = <"Øreflipp">
					description = <"Øreflippen.">
				>
				["at1054"] = <
					text = <"Tå">
					description = <"En uspesifisert tå.">
				>
				["at1055"] = <
					text = <"Type uregelmessighet">
					description = <"Mer spesifikt mønster for en uregelmessig puls eller hjerteslag.">
					comment = <"Dette dataelementet er kun relevant dersom \"Uregelmessig\" er valgt fra dataelementet \"Regelmessighet.">
				>
				["at1056"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR eller CIMI.">
				>
				["at1057"] = <
					text = <"Klinisk tolkning">
					description = <"Generisk elementnavn for å tillate øvrige eller alle utsagn om puls og hjerteslag.">
				>
				["at1058"] = <
					text = <"Rytme">
					description = <"Spesifik konklusjon om pulsrytme eller hjerteslag, hentet fra en kombinasjon av hjertefrekvens, mønster og andre karakteristika som observeres.">
				>
				["at1059"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om målingen som ikke er dekket av andre felt.">
				>
			>
		>
		["nl"] = <
			items = <
				["at0000"] = <
					text = <"Pols/Hartfrequentie">
					description = <"De frequentie en bijbehorende eigenschappen van de pols- of hartfrequentie.">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Elke gebeurtenis">
					description = <"Standaard, ongespecificeerd punt in de tijd, of een interval dat gespecifieerd kan worden in een template of tijdens het lopen van de applicatie.">
				>
				["at0004"] = <
					text = <"Frequentie">
					description = <"De frequentie van pols- of hartslag, gemeten in slagen per minuut.">
				>
				["at0005"] = <
					text = <"Regulariteit.">
					description = <"Regulariteit van de pols- of hartslag.">
				>
				["at0006"] = <
					text = <"Regulair.">
					description = <"Het patroon is regulair.">
				>
				["at0007"] = <
					text = <"Regelmatig irregulair">
					description = <"Het patroon is onregelmatig in een regulair patroon. Bijvoorbeeld, een gemiste slag elke 'n' slagen.">
				>
				["at0008"] = <
					text = <"Onregelmatig irregulair.">
					description = <"Het patroon is onregelmatig op een chaotisch en onvoorspelbare manier. Bijvoorbeeld atrium fibrilleren.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Houding">
					description = <"De lichaamshouding van de onderzochte tijdens de observatie.">
				>
				["at1000"] = <
					text = <"Liggend">
					description = <"De onderzochte lag plat.">
				>
				["at1001"] = <
					text = <"Zittend">
					description = <"De onderzochte zat (bijvoorbeeld op bed of in een stoel).">
				>
				["at1002"] = <
					text = <"Achteroverhellend">
					description = <"De onderzochte helde achterover in een hoek van ongeveer 45 graden, met de benen omhoog op het niveau van het bekken. Bijvoorbeeld in een bed of ligstoel.">
				>
				["at1003"] = <
					text = <"Staand/rechtop">
					description = <"De onderzochte stond, liep of was aan het rennen.">
				>
				["at1005"] = <
					text = <"Aanwezigheid">
					description = <"Aanwezigheid van een pols- of hartslag.">
					comment = <"Er mag afgeleid worden dat een pols- of hartslag aanwezig is bij frequentie van >0/min.">
				>
				["at1013"] = <
					text = <"Apparaat">
					description = <"Details over het apparaat dat gebruikt is om de pols- of hartslag te meten.">
				>
				["at1017"] = <
					text = <"Inspanning">
					description = <"Details over de fysieke inspanning ondernomen tijdens het onderzoek.">
				>
				["at1018"] = <
					text = <"Beïnvloedende factoren">
					description = <"Verhalende beschrijving van incidentele factoren die de interpretatie van de bevindingen kan beïnvloeden.">
					comment = <"Bijvoorbeeld: aanwezigheid van een pacemaker, angst, pijn of koorts etc.">
				>
				["at1019"] = <
					text = <"Methode">
					description = <"De gebruikte methode voor het observeren van de pols- of hartslag.">
					comment = <"Bijvoorbeeld: auscultatie of elektronische monitoring.">
				>
				["at1022"] = <
					text = <"Klinische beschrijving">
					description = <"Verhalende beschrijving van de pols- of hartslag.">
				>
				["at1023"] = <
					text = <"Klinische interpretatie.">
					description = <"Een enkel woord, een uitdruking of een korte beschrijving die de klinische betekenis weergeeft van de gevonden pols- of hartslag, inclusief het ritme.">
					comment = <"Coderen met een terminologie verdient de voorkeur, waar mogelijk, Bijvoorbeeld: bradycard, extrasystolen of sinus ritme. Meerdere uitspraken toegestaan.">
				>
				["at1024"] = <
					text = <"Aanwezig">
					description = <"Een pols- of hartslag kan worden waargenomen.">
				>
				["at1025"] = <
					text = <"Niet waargenomen">
					description = <"Een pols- of hartslag kan niet worden waargenomen.">
				>
				["at1028"] = <
					text = <"Irregulair.">
					description = <"Het patroon is irregulair.">
				>
				["at1030"] = <
					text = <"Karakter">
					description = <"Beschrijving van het karakter van een pols- of hartslag.">
					comment = <"Coderen met een terminologie is gewenst, waar mogelijk. Bijvoorbeeld: vol, zwak, collaberend, 	
traag stijgend of instortend. Er kunnen meerdere termen worden vastgelegd.">
				>
				["at1032"] = <
					text = <"Palpatie">
					description = <"De bevindingen werden geobserveerd middels fysieke aanraking door de onderzoeker van de onderzochte.">
				>
				["at1033"] = <
					text = <"Auscultatie">
					description = <"De bevindingen werden geobserveerd via een apparaat zoals een stethoscoop.">
				>
				["at1034"] = <
					text = <"Automatisch, noninvasief">
					description = <"De bevindingen zijn noninvasief geobserveerd met een apparaat zoals een pulsoximeter of een stethoscoop.">
				>
				["at1036"] = <
					text = <"Maximum">
					description = <"Maximum pols- of hartslag geobserveerd tijdens een periode van inspanning">
				>
				["at1037"] = <
					text = <"Lichaamslocatie">
					description = <"De lichaamslocatie waar de pols- of hartslag geobserveerd werden.">
				>
				["at1038"] = <
					text = <"Arteria radialis sinistra">
					description = <"De linker arteria radialis.">
				>
				["at1039"] = <
					text = <"Ateria radialis dextra">
					description = <"De rechter arteria radialis.">
				>
				["at1040"] = <
					text = <"Hart">
					description = <"De regio van het hart.">
				>
				["at1041"] = <
					text = <"Arteria carotis sinistra">
					description = <"De linker arteria carotis.">
				>
				["at1042"] = <
					text = <"Arteria carotis dextra">
					description = <"De rechter arteria carotis.">
				>
				["at1043"] = <
					text = <"Arteria femoralis sinistra">
					description = <"De linker arteria femoralis.">
				>
				["at1044"] = <
					text = <"Arteria femoralis dextra">
					description = <"De rechter arteria femoralis.">
				>
				["at1047"] = <
					text = <"Vinger">
					description = <"Een niet nader omschreven vinger.">
				>
				["at1048"] = <
					text = <"Arteria brachialis sinistra">
					description = <"De linker arteria brachialis.">
				>
				["at1049"] = <
					text = <"Arteria brachialis dextra">
					description = <"De rechter arteria brachialis.">
				>
				["at1050"] = <
					text = <"Automatisch, invasief">
					description = <"De bevindingen zijn invasief geobserveerd met een apparaat zoals een arteriele catheter.">
				>
				["at1051"] = <
					text = <"Oorlel">
					description = <"Het lelletje van een ongespecificeerd oor.">
				>
				["at1054"] = <
					text = <"Teen">
					description = <"Een niet nader omschreven vinger.">
				>
				["at1055"] = <
					text = <"Irregulair type.">
					description = <"Specifieker patroon van een irregulaire pols- of hartslag.">
					comment = <"Selectie van een waarde van deze codelijst is alleen valide indien 'irregulair' gekozen is bij het 'regulariteit' element.">
				>
				["at1056"] = <
					text = <"Uitbreiding">
					description = <"Extra informatie benodigd voor het vastleggen van lokale content of voor het verbinden met andere referentie modellen.">
					comment = <"Bijvoobeeld lokale informatiebehoefte of extra metadata om te verbinden met FHIR of CIMI.">
				>
				["at1057"] = <
					text = <"Klinische interpretatie">
					description = <"Algemeen label om uitspraken over de pols- of hartslag toe te staan.">
				>
				["at1058"] = <
					text = <"Ritme">
					description = <"Specifieke conclusies over het ritme van de pols- of hartslag, getrokken uit een combinatie van hartfrequentie, patroon en andere eigenschappen waargenomen bij onderzoek.">
				>
				["at1059"] = <
					text = <"Opmerking">
					description = <"Extra beschrijving van pols- of hartfrequentie bevindingen die niet passen binnen andere velden.">
				>
			>
		>
		["el"] = <
			items = <
				["at0000"] = <
					text = <"Παλμός/Καρδιακός παλμός">
					description = <"*The rate and associated attributes for a pulse or heart beat.(en)">
				>
				["at0001"] = <
					text = <"structure">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"history">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0004"] = <
					text = <"Ρυθμός">
					description = <"*The rate of the pulse or heart beat, measured in beats per minute.(en)">
				>
				["at0005"] = <
					text = <"Κανονικότητα">
					description = <"*Regularity of the pulse or heart beat.(en)">
				>
				["at0006"] = <
					text = <"Τακτικός">
					description = <"*The pattern is regular.(en)">
				>
				["at0007"] = <
					text = <"Τακτικά ακανόνιστο">
					description = <"Το μοτίβο είναι ακανόνιστο σε κανονικό μοτίβο,. Για παράδειγμα, ένας ρυθμός που πέφτει μία φορά κάθε 'n' χτυπάει.">
				>
				["at0008"] = <
					text = <"Ακανόνιστα">
					description = <"Το μοτίβο είναι ακανόνιστο με χαοτικό και απρόβλεπτο τρόπο. Για παράδειγμα, κολπική μαρμαρυγή.">
				>
				["at0010"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0012"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Τοποθεσία">
					description = <"Η θέση του σώματος του υποκειμένου κατά τη διάρκεια της παρατήρησης.">
				>
				["at1000"] = <
					text = <"Ξαπλωμένη">
					description = <"*The subject was lying flat.(en)">
				>
				["at1001"] = <
					text = <"Καθιστή">
					description = <"*The subject was sitting (for example on bed or chair).(en)">
				>
				["at1002"] = <
					text = <"Σε ανάκλιση">
					description = <"*The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.(en)">
				>
				["at1003"] = <
					text = <"Ορθοστασία">
					description = <"*The subject was standing, walking or running.(en)">
				>
				["at1005"] = <
					text = <"Παρουσία">
					description = <"Παρουσία παλμού ή καρδιακού παλμού.">
					comment = <"Μπορεί να υπονοηθεί ότι ο παλμός ή ο καρδιακός παλμός είναι παρών εάν Ρυθμός >0 / λεπτό.">
				>
				["at1013"] = <
					text = <"Συσκευή">
					description = <"Λεπτομέρειες σχετικά με τη συσκευή που χρησιμοποιείται για τη μέτρηση του παλμού ή του καρδιακού ρυθμού.">
				>
				["at1017"] = <
					text = <"Άσκηση">
					description = <"Λεπτομέρειες σχετικά με τη σωματική άσκηση που πραγματοποιείται κατά τη διάρκεια της εξέτασης.">
				>
				["at1018"] = <
					text = <"Συγχυτικοί παράγοντες">
					description = <"Αφηγηματική περιγραφή τυχόν τυχαίων παραγόντων που μπορεί να επηρεάσουν την ερμηνεία των φυσικών ευρημάτων.">
					comment = <"Για παράδειγμα, παρουσία βηματοδότη, επίπεδο άγχους. πόνος ή πυρετός κ. λπ.">
				>
				["at1019"] = <
					text = <"Μέθοδος">
					description = <"Μέθοδος που χρησιμοποιείται για την παρατήρηση του παλμού ή του καρδιακού παλμού.">
					comment = <"Για παράδειγμα, ακρόαση ή ηλεκτρονική παρακολούθηση.">
				>
				["at1022"] = <
					text = <"Κλινική Περιγραφή">
					description = <"Αφηγηματική περιγραφή σχετικά με τον παλμό ή τον καρδιακό παλμό.">
				>
				["at1023"] = <
					text = <"Κλινική ερμηνεία">
					description = <"Μία λέξη, φράση ή σύντομη περιγραφή που αντιπροσωπεύει την κλινική σημασία και σημασία των ευρημάτων παλμού ή καρδιακού παλμού, συμπεριλαμβανομένου του ρυθμού.">
					comment = <"Προτιμάται η κωδικοποίηση με ορολογία, όπου είναι δυνατόν. Για παράδειγμα: Βραδυκαρδία, Εξωσυστολές ή Φλεβοκομβικός ρυθμός. Επιτρέπονται πολλαπλές δηλώσεις.">
				>
				["at1024"] = <
					text = <"Παρών">
					description = <"Μπορεί να ανιχνευθεί παλμός ή καρδιακός παλμός.">
				>
				["at1025"] = <
					text = <"Δεν εντοπίστηκε">
					description = <"*A pulse or heart beat cannot be detected.(en)">
				>
				["at1028"] = <
					text = <"Ακανόνιστος">
					description = <"*The pattern is irregular.(en)">
				>
				["at1030"] = <
					text = <"Χαρακτηριστικό">
					description = <"Περιγραφή του χαρακτήρα του παλμού ή του καρδιακού παλμού.">
					comment = <"Η κωδικοποίηση με ορολογία είναι επιθυμητή, όπου είναι δυνατόν. Για παράδειγμα: πλήρης, με σπείρωμα, οριοθέτηση, αργή άνοδος ή σύμπτυξη. Μπορούν να καταγραφούν πολλαπλοί όροι.">
				>
				["at1032"] = <
					text = <"Ψηλάφιση">
					description = <"*The findings are observed by physical touch of the observer on the subject.(en)">
				>
				["at1033"] = <
					text = <"Ακρόαση">
					description = <"*The findings are observed with the assistance of a device, such as a stethoscope.(en)">
				>
				["at1034"] = <
					text = <"Αυτόματο , Μη επεμβατικό">
					description = <"*The findings are observed non-invasively using a device such as a pulse oximeter or a stethoscope.(en)">
				>
				["at1036"] = <
					text = <"Μέγιστο">
					description = <"*Maximum pulse rate or heart rate observed during a period of exertion.(en)">
				>
				["at1037"] = <
					text = <"Μέρος σώματος">
					description = <"*Body site where the pulse or heart beat were observed.(en)">
				>
				["at1038"] = <
					text = <"Κερκιδική αρτηρία - αριστερά">
					description = <"*The left radial artery.(en)">
				>
				["at1039"] = <
					text = <"Κερκιδική αρτηρία - Δεξιά">
					description = <"*The right radial artery.(en)">
				>
				["at1040"] = <
					text = <"Καρδιά">
					description = <"*The region of the heart.(en)">
				>
				["at1041"] = <
					text = <"Καρωτιδική αρτηρία - αριστερά">
					description = <"*The left carotid artery.(en)">
				>
				["at1042"] = <
					text = <"Καρωτίδα - Δεξιά">
					description = <"*The right carotid artery.(en)">
				>
				["at1043"] = <
					text = <"Μηριαία αρτηρία - Αριστερά">
					description = <"*The left femoral artery.(en)">
				>
				["at1044"] = <
					text = <"Μηριαία αρτηρία - Δεξιά">
					description = <"*The right femoral artery.(en)">
				>
				["at1047"] = <
					text = <"Δάχτυλο">
					description = <"*An unspecified finger.(en)">
				>
				["at1048"] = <
					text = <"Βραχιονική αρτηρία - Αριστερά">
					description = <"*The left brachial artery.(en)">
				>
				["at1049"] = <
					text = <"Βραχιονική αρτηρία - Δεξιά">
					description = <"*The right brachial artery.(en)">
				>
				["at1050"] = <
					text = <"Αυτόματο, επεμβατικό">
					description = <"*The findings are observed invasively using a device such as an arterial catheter.(en)">
				>
				["at1051"] = <
					text = <"Λοβός αυτιού">
					description = <"*The lobe of an unspecified ear.(en)">
				>
				["at1054"] = <
					text = <"Δάχτυλο ποδιού">
					description = <"*An unspecified toe.(en)">
				>
				["at1055"] = <
					text = <"Ακανόνιστος τύπος">
					description = <"Πιο συγκεκριμένο μοτίβο ακανόνιστου παλμού ή καρδιακού ρυθμού.">
					comment = <"Η επιλογή μιας τιμής από αυτό το σύνολο τιμών είναι έγκυρη μόνο εάν έχει επιλεγεί «Ακανόνιστη» από το στοιχείο δεδομένων «Κανονικότητα».">
				>
				["at1056"] = <
					text = <"*Extension(en)">
					description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)">
				>
				["at1057"] = <
					text = <"Κλινική ερμηνεία">
					description = <"Γενική ετικέτα που επιτρέπει οποιαδήποτε ή όλες τις δηλώσεις σχετικά με τον παλμό ή τον καρδιακό παλμό.">
				>
				["at1058"] = <
					text = <"Ρυθμός">
					description = <"Ειδικό συμπέρασμα σχετικά με το ρυθμό του παλμού ή του καρδιακού παλμού, που αντλείται από ένα συνδυασμό του καρδιακού ρυθμού, του προτύπου και άλλων χαρακτηριστικών που παρατηρήθηκαν κατά την εξέταση.">
				>
				["at1059"] = <
					text = <"Σχόλιο">
					description = <"*Additional narrative about the pulse or heart beat findings not captured in other fields.(en)">
				>
			>
		>
	>