ARCHETYPE Pulse (openEHR-EHR-OBSERVATION.heart_rate-pulse.v1)

ARCHETYPE ID	openEHR-EHR-OBSERVATION.heart_rate-pulse.v1
Concept	Pulse
Description	The mechanical heart rate - usually measured by palpation
Use	For recording mechanical rate of the heart as determined by palpation or suitable device.
Misuse	Not for recording peripheral pulses.
Purpose	To record the mechanical rate, rhythm and character of the pulse as evidence of 'out-put' heart rate.
References
Copyright	copyright (c) 2010 openEHR foundation
Authors	Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 26/03/2006
Other Details Language	Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 26/03/2006
Other Details (Language Independent)	References: MD5-CAM-1.0.1: 555A747F3BEA5BCB86F63A0D5C003BEA
Keywords	rate, rhythm, character, pulse
Lifecycle	Initial
Language used	en
Citeable Identifier	1013.1.171
state
Position	Position: The position of the patient when the heartbeat was recorded. at1000::Lying [Lying supine.] at1001::Sitting [Sitting on bed or chair.] at1002::Reclining [Person reclining at 45 degrees with legs raised.] at1003::Standing [Standing upright.] Assumed value: Sitting
Confounding factors	Confounding factors: Comment on and record other incidental factors that may be contributing to the heart rate and rhythm measurement. For example, level of anxiety; pain or fever etc.
Exertion	Exertion: Details about physical exertion being undertaken at the time of recording heart rate and/or rhythm. Include: openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations
events
Any event	Any event: Default unspecified event.
protocol
Method	Method: Source of heart rate and rhythm record. at1020::Auscultation [Direct auscultation of the heart.] at1021::Device [Derived from the electrical activity of the heart, commonly via an electrocardiograph.]
Description	Description: Details about the method or machine used to record the heart rate and rhythm.
Device	Device: Details about the device used to measure heart rate and rhythm. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations Exclude: All not explicitly included archetypes
Location of measurement	Location of measurement: The body site where the pulse was measured at0.3::Radial artery [The radial artery] at0.4::Apex of heart [The apex beat of the heart (left 5th intercostal space, mid-clavicular line)] at0.5::Carotid artery [The carotid artery in the neck] at0.6::Femoral artery [The femoral artery] at0.15::Ulnar artery [The ulnar artery] at0.17::Brachial artery [The brachial artery] at0.19::Popliteal [The popliteal artery] at0.20::Dorsalis Pedis [The dorsalis pedis artery] at0.21::Tibialis Posterior [The tibialis posterior artery] at0.22::temporal [*]
data
Pulse present	Pulse present: The heart rate is present (implied true if rate >0).
Rate	Rate: The rate of the heart in beats per minute. Property: Frequency Units: >=0.0 /min Limit decimal places: 0
Rate description	Rate description: Description of the pulse rate. at0.43::Normal pulse rate [The pulse rate is normal.] at0.44::Tachycardia [] [SNOMED-CT(2009)::86651002 \| Pulse fast] at0.45::Bradycardia [] [SNOMED-CT(2009)::42177007 \| Pulse slow] at0.46::Mixed tachycardia and bradycardia [Tachy-brady syndrome]
Rhythm pattern	Rhythm pattern: The observed rhythm of the heartbeat. at0006::Regular [Heart rhythm is regular.] at0007::Regularly Irregular [Heart rhythm is regularly irregular.] at0008::Irregularly irregular [Heart rhythm is irregular in a chaotic manner.]
Missed beats per minute	Missed beats per minute: The number of missed beats per minute min: >=0
Volume	Volume: Volume of pulse at0.37::Large/full [] at0.38::Normal [] at0.39::Low/small [] at0.40::Half [] at0.41::Quarter [*]
Character	Character: Shape of the pulse wave on palpation Choice of: Coded Text at0.28::Bounding [] at0.29::Thready [] at0.30::Normal [] at0.31::Slow-rising [] at0.32::Water-hammer [] at0.33::Collapsing [] at0.34::Bisferiens [] at0.35::Paradoxical [] Text
Pulse deficit	Pulse deficit: Difference between the rate at the heart apex and a peripheral pulse.
Deficit	Deficit: Difference between the rates
Sites	Sites: Sites where deficit is measured at0.15::Ulnar artery [The ulnar artery] at0.17::Brachial artery [The brachial artery] at0.20::Dorsalis Pedis [The dorsalis pedis artery] at0.21::Tibialis Posterior [The tibialis posterior artery] at0.3::Radial artery [The radial artery] at0.4::Apex of heart [The apex beat of the heart (left 5th intercostal space, mid-clavicular line)] at0.5::Carotid artery [The carotid artery in the neck] at0.6::Femoral artery [The femoral artery] at0.19::Popliteal [The popliteal artery]
Comment	Comment: Comment about the heart rate and rhythm.
Other contributors
Translators	German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University