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

ARCHETYPE IDopenEHR-EHR-OBSERVATION.heart_rate-pulse.v1
ConceptPulse
DescriptionThe mechanical heart rate - usually measured by palpation
UseFor recording mechanical rate of the heart as determined by palpation or suitable device.
MisuseNot for recording peripheral pulses.
PurposeTo record the mechanical rate, rhythm and character of the pulse as evidence of 'out-put' heart rate.
References
Copyrightcopyright (c) 2010 openEHR foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 26/03/2006
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 26/03/2006
OtherDetails Language Independent{references=, MD5-CAM-1.0.1=555A747F3BEA5BCB86F63A0D5C003BEA}
Keywordsrate, rhythm, character, pulse
LifecycleInitial
Language useden
Citeable Identifier1013.1.171
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, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={events=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003], code=at0003, itemType=EVENT, level=2, text=Any event, description=Default unspecified event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], context=[], capabilities=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1019], code=at1019, itemType=ELEMENT, level=2, text=Method, description=Source of heart rate and rhythm record., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Auscultation [Direct auscultation of the heart.]
  • Device [Derived from the electrical activity of the heart, commonly via an electrocardiograph.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1014], code=at1014, itemType=ELEMENT, level=2, text=Description, description=Details about the method or machine used to record the heart rate and rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1013], code=at1013, itemType=SLOT, level=2, text=Device, description=Details about the device used to measure heart rate and rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
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  • Radial artery [The radial artery]
  • Apex of heart [The apex beat of the heart (left 5th intercostal space, mid-clavicular line)]
  • Carotid artery [The carotid artery in the neck]
  • Femoral artery [The femoral artery]
  • Ulnar artery [The ulnar artery]
  • Brachial artery [The brachial artery]
  • Popliteal [The popliteal artery]
  • Dorsalis Pedis [The dorsalis pedis artery]
  • Tibialis Posterior [The tibialis posterior artery]
  • temporal [*]
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  • Lying [Lying supine.]
  • Sitting [Sitting on bed or chair.]
  • Reclining [Person reclining at 45 degrees with legs raised.]
  • Standing [Standing upright.]

Assumed value: Sitting, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at1018], code=at1018, itemType=ELEMENT, level=4, text=Confounding factors, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at1017], code=at1017, itemType=SLOT, level=4, text=Exertion, description=Details about physical exertion being undertaken at the time of recording heart rate and/or rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations, extendedValues=null]], items=[], contacts=[], target=[], relationships=[], description=[], ism_transition=[], content=[], details=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1005.1], code=at1005.1, itemType=ELEMENT, level=4, text=Pulse present, description=The heart rate is present (implied true if rate >0)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Rate, description=The rate of the heart in beats per minute., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=[SNOMED-CT(2009)::78564009 | Pulse rate (observable entity)], values=Property: Frequency
Units:
  • >=0.0 /min
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0.42], code=at0.42, itemType=ELEMENT, level=4, text=Rate description, description=Description of the pulse rate., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::111972009 | Abnormal pulse rate (finding)], values=
  • Normal pulse rate [The pulse rate is normal.]
  • Tachycardia [*]
    [SNOMED-CT(2009)::86651002] (Pulse fast (finding))
  • Bradycardia [*]
    [SNOMED-CT(2009)::42177007] (Pulse slow (finding))
  • Mixed tachycardia and bradycardia [Tachy-brady syndrome]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Rhythm pattern, description=The observed rhythm of the heartbeat., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::301149000 | Pulse rhythm finding (finding)], values=
  • Regular [Heart rhythm is regular.]
  • Regularly Irregular [Heart rhythm is regularly irregular.]
  • Irregularly irregular [Heart rhythm is irregular in a chaotic manner.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0.11], code=at0.11, itemType=ELEMENT, level=4, text=Missed beats per minute, description=The number of missed beats per minute, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0.36], code=at0.36, itemType=ELEMENT, level=4, text=Volume, description=Volume of pulse, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Large/full [*]
  • Normal [*]
  • Low/small [*]
  • Half [*]
  • Quarter [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0.27], code=at0.27, itemType=ELEMENT, level=4, text=Character, description=Shape of the pulse wave on palpation, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Bounding [*]
    • Thready [*]
    • Normal [*]
    • Slow-rising [*]
    • Water-hammer [*]
    • Collapsing [*]
    • Bisferiens [*]
    • Paradoxical [*]
  •  Text
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  • Ulnar artery [The ulnar artery]
  • Brachial artery [The brachial artery]
  • Dorsalis Pedis [The dorsalis pedis artery]
  • Tibialis Posterior [The tibialis posterior artery]
  • Radial artery [The radial artery]
  • Apex of heart [The apex beat of the heart (left 5th intercostal space, mid-clavicular line)]
  • Carotid artery [The carotid artery in the neck]
  • Femoral artery [The femoral artery]
  • Popliteal [The popliteal artery]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Comment, description=Comment about the heart rate and rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], provider=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0002]/events[at0003]/state[at0012], code=at0012, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0010], code=at0010, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0002]/events[at0003]/data[at0001], code=at0001, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1019], code=at1019, itemType=ELEMENT, level=2, text=Method, description=Source of heart rate and rhythm record., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Auscultation [Direct auscultation of the heart.]
  • Device [Derived from the electrical activity of the heart, commonly via an electrocardiograph.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1014], code=at1014, itemType=ELEMENT, level=2, text=Description, description=Details about the method or machine used to record the heart rate and rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1013], code=at1013, itemType=SLOT, level=2, text=Device, description=Details about the device used to measure heart rate and rhythm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0.2], code=at0.2, itemType=ELEMENT, level=2, text=Location of measurement, description=The body site where the pulse was measured, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Radial artery [The radial artery]
  • Apex of heart [The apex beat of the heart (left 5th intercostal space, mid-clavicular line)]
  • Carotid artery [The carotid artery in the neck]
  • Femoral artery [The femoral artery]
  • Ulnar artery [The ulnar artery]
  • Brachial artery [The brachial artery]
  • Popliteal [The popliteal artery]
  • Dorsalis Pedis [The dorsalis pedis artery]
  • Tibialis Posterior [The tibialis posterior artery]
  • temporal [*]
, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]