1 | archetype (adl_version=1.4)
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2 | openEHR-EHR-CLUSTER.auscultation-chest.v1
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3 | specialize
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4 | openEHR-EHR-CLUSTER.auscultation.v1
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5 |
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6 | concept
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7 | [at0000.1] -- Auscultation of the chest
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8 | language
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9 | original_language = <[ISO_639-1::en]>
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10 | description
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11 | original_author = <
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12 | ["name"] = <"Sam Heard">
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13 | ["organisation"] = <"Ocean Informatics">
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14 | ["date"] = <"7/04/2007">
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15 | ["email"] = <"sam.heard@oceaninformatics.biz">
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16 | >
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17 | details = <
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18 | ["en"] = <
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19 | language = <[ISO_639-1::en]>
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20 | purpose = <"To record data found on examination of the chest by auscultation/listening">
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21 | use = <"To be embedded in an openEHR-EHR-OBSERVATION.exam cluster to express findings determined by auscultation of the chest">
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22 | keywords = <"auscultate", "listen", "auscultation", "listening", "lungs", "chest", "bruit", "heart", "bowel sounds", "breath sounds", "heart sounds">
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23 | misuse = <"Not for use in any other context at present">
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24 | >
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25 | >
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26 | lifecycle_state = <"Initial">
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27 | other_contributors = <"Heather Leslie", ...>
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28 |
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29 | definition
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30 | CLUSTER[at0000.1] matches { -- Auscultation of the chest
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31 | items cardinality matches {0..*; unordered} matches {
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32 | CLUSTER[at0001] occurrences matches {0..1} matches { -- Normal Statements
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33 | items cardinality matches {0..*; unordered} matches {
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34 | ELEMENT[at0003] occurrences matches {0..*} matches { -- Normal Statement
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35 | value matches {
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36 | DV_CODED_TEXT matches {
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37 | defining_code matches {
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38 | [local::
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39 | at0.1, -- Clear
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40 | at0.2, -- No rhonchi
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41 | at0.3, -- No wheeze
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42 | at0.4, -- No crepitations
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43 | at0.5, -- No crackles
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44 | at0.6, -- Two heart sounds, no bruits
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45 | at0.7, -- Two heart sounds, no murmurs
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46 | at0.8, -- Two normal heart sounds
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47 | at0056, -- No murmur
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48 | at0057, -- No bruit
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49 | at0.9, -- Normal first heart sound
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50 | at0.10, -- Normal second heart sound
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51 | at0.11, -- No Bronchial breathing
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52 | at0.12, -- No Amphoric breathing
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53 | at0.13, -- Normal Vocal Resonance
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54 | at0.14, -- No abnormal added sounds
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55 | at0073, -- Normal bowel sounds
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56 | at0085] -- No abnormality detected
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57 | }
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58 | }
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59 | }
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60 | }
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61 | }
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62 | }
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63 | ELEMENT[at0004] occurrences matches {0..1} matches { -- Clinical Description
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64 | value matches {
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65 | DV_TEXT matches {*}
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66 | }
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67 | }
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68 | CLUSTER[at0002] occurrences matches {0..1} matches { -- Findings
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69 | items cardinality matches {0..*; unordered} matches {
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70 | CLUSTER[at0.15] occurrences matches {0..1} matches { -- Heart sounds and bruits
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71 | items cardinality matches {0..*; unordered} matches {
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72 | CLUSTER[at0.16] occurrences matches {0..1} matches { -- First heart sound
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73 | items cardinality matches {0..*; unordered} matches {
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74 | ELEMENT[at0.17] occurrences matches {0..1} matches { -- Volume
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75 | value matches {
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76 | 0|[local::at0.18], -- Not heard
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77 | 1|[local::at0.19], -- Variable
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78 | 2|[local::at0.20], -- Soft
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79 | 3|[local::at0.21], -- Normal
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80 | 4|[local::at0.22]; -- Loud
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81 | 0 -- assumed value
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82 | }
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83 | }
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84 | ELEMENT[at0.23] occurrences matches {0..1} matches { -- Splitting
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85 | value matches {
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86 | DV_CODED_TEXT matches {
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87 | defining_code matches {
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88 | [local::
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89 | at0.24, -- No splitting
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90 | at0.25, -- Physiological splitting
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91 | at0.26, -- Fixed splitting
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92 | at0.27, -- Paradoxical splitting
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93 | at0.28] -- Exaggerated splitting
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94 | }
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95 | }
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96 | }
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97 | }
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98 | use_node ELEMENT /items[at0004]
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99 | }
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100 | }
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101 | CLUSTER[at0.29] occurrences matches {0..1} matches { -- Second heart sound
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102 | items cardinality matches {0..*; unordered} matches {
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103 | use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.16]/items[at0.17]
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104 | use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.16]/items[at0.23]
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105 | use_node ELEMENT /items[at0004]
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106 | }
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107 | }
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108 | CLUSTER[at0.75] occurrences matches {0..*} matches { -- Added heart sound
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109 | items cardinality matches {0..*; unordered} matches {
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110 | ELEMENT[at0.76] occurrences matches {0..*} matches { -- Specific sound
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111 | value matches {
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112 | DV_CODED_TEXT matches {
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113 | defining_code matches {
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114 | [local::
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115 | at0.30, -- Opening snap
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116 | at0.32, -- Ejection click
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117 | at0.33, -- Pericardial rub
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118 | at0.57, -- Third heart sound
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119 | at0.58, -- Fourth heart sound
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120 | at0.65, -- Prosthetic valve sound
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121 | at0.66] -- Gallop rythm
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122 | }
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123 | }
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124 | }
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125 | }
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126 | ELEMENT[at0.43] occurrences matches {0..*} matches { -- Phase of heart cycle
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127 | value matches {
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128 | DV_CODED_TEXT matches {
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129 | defining_code matches {
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130 | [local::
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131 | at0.44, -- Continuous
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132 | at0.45, -- Systolic
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133 | at0.46, -- Diastolic
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134 | at0.47, -- Pan-systolic
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135 | at0.48, -- Pan-diastolic
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136 | at0.49, -- Early systolic
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137 | at0.50, -- Mid-Systolic
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138 | at0.51, -- Late Systolic
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139 | at0.52, -- Early Diastolic
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140 | at0.53, -- Mid-diastolic
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141 | at0.54] -- Late Diastolic
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142 | }
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143 | }
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144 | }
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145 | }
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146 | ELEMENT[at0.59] occurrences matches {0..1} matches { -- Volume
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147 | value matches {
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148 | 0|[local::at0.60], -- Not audible
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149 | 1|[local::at0.61], -- Variable
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150 | 2|[local::at0.62], -- Soft
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151 | 3|[local::at0.63], -- Moderate
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152 | 4|[local::at0.64]; -- Loud
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153 | 0 -- assumed value
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154 | }
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155 | }
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156 | use_node ELEMENT /items[at0004]
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157 | }
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158 | }
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159 | CLUSTER[at0.31] occurrences matches {0..*} matches { -- Bruits
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160 | items cardinality matches {0..*; unordered} matches {
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161 | ELEMENT[at0.35] occurrences matches {0..1} matches { -- Maximal Location
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162 | value matches {
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163 | DV_TEXT matches {*}
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164 | }
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165 | }
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166 | ELEMENT[at0.36] occurrences matches {0..*} matches { -- Radiation
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167 | value matches {
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168 | DV_TEXT matches {*}
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169 | }
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170 | }
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171 | ELEMENT[at0.34] occurrences matches {0..1} matches { -- Grading
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172 | value matches {
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173 | 1|[local::at0.37], -- Grade 1
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174 | 2|[local::at0.38], -- Grade 2
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175 | 3|[local::at0.39], -- Grade 3
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176 | 4|[local::at0.40], -- Grade 4
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177 | 5|[local::at0.41], -- Grade 5
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178 | 6|[local::at0.42] -- Grade 6
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179 | }
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180 | }
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181 | ELEMENT[at0.55] occurrences matches {0..1} matches { -- Character
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182 | value matches {
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183 | DV_TEXT matches {*}
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184 | }
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185 | }
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186 | ELEMENT[at0.56] occurrences matches {0..1} matches { -- Pitch
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187 | value matches {
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188 | DV_TEXT matches {*}
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189 | }
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190 | }
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191 | use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.75]/items[at0.43]
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192 | use_node ELEMENT /items[at0004]
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193 | }
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194 | }
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195 | ELEMENT[at0.67] occurrences matches {0..1} matches { -- Drawing
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196 | value matches {
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197 | DV_MULTIMEDIA matches {
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198 | media_type matches {
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199 | [openEHR::
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200 | 425,
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201 | 426,
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202 | 427,
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203 | 428,
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204 | 429]
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205 | }
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206 | }
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207 | }
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208 | }
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209 | ELEMENT[at0.68] occurrences matches {0..1} matches { -- Phonogram
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210 | value matches {
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211 | DV_MULTIMEDIA matches {
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212 | media_type matches {
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213 | [openEHR::
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214 | 409,
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215 | 410]
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216 | }
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217 | }
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218 | }
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219 | }
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220 | }
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221 | }
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222 | CLUSTER[at0.69] occurrences matches {0..1} matches { -- Lung
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223 | items cardinality matches {0..*; unordered} matches {
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224 | CLUSTER[at0.70] occurrences matches {0..1} matches { -- Area
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225 | items cardinality matches {0..*; unordered} matches {
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226 | ELEMENT[at0.83] occurrences matches {0..1} matches { -- Region
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227 | value matches {
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228 | DV_TEXT matches {*}
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229 | }
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230 | }
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231 | ELEMENT[at0.72] occurrences matches {0..1} matches { -- Phase of respiratory cycle
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232 | value matches {
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233 | DV_CODED_TEXT matches {
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234 | defining_code matches {
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235 | [local::
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236 | at0.73, -- Inspiratory
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237 | at0.74, -- Expiratory
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238 | at0.77, -- Early Inspiratory
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239 | at0.78, -- Late inspiratory
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240 | at0.79, -- Early expiratory
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241 | at0.80] -- Late expiratory
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242 | }
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243 | }
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244 | }
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245 | }
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246 | ELEMENT[at0.81] occurrences matches {0..1} matches { -- Findings
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247 | value matches {
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248 | DV_TEXT matches {*}
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249 | }
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250 | }
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251 | }
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252 | }
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253 | ELEMENT[at0.82] occurrences matches {0..1} matches { -- Drawing
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254 | value matches {
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255 | DV_MULTIMEDIA matches {
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256 | media_type matches {
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257 | [openEHR::
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258 | 425,
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259 | 426,
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260 | 427,
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261 | 428,
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262 | 429]
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263 | }
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264 | }
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265 | }
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266 | }
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267 | use_node ELEMENT /items[at0004]
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268 | }
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269 | }
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270 | CLUSTER[at0009] occurrences matches {0..1} matches { -- Bowel sounds
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271 | items cardinality matches {0..*; unordered} matches {
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272 | ELEMENT[at0074] occurrences matches {0..*} matches { -- Specific Findings
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273 | value matches {
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274 | DV_CODED_TEXT matches {
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275 | defining_code matches {
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276 | [local::
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277 | at0078, -- Absent bowel sounds
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278 | at0079, -- Decreased bowel sounds
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279 | at0080, -- Increased bowel sounds
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280 | at0081] -- Tinkling bowel sounds
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281 | }
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282 | }
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283 | }
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284 | }
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285 | use_node ELEMENT /items[at0004]
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286 | }
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287 | }
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288 | CLUSTER[at0010] occurrences matches {0..1} matches { -- Vessel bruit
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289 | items cardinality matches {0..*; unordered} matches {
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290 | ELEMENT[at0088] matches { -- Vessel name
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291 | value matches {
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292 | DV_TEXT matches {*}
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293 | }
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294 | }
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295 | ELEMENT[at0030] occurrences matches {0..1} matches { -- Maximal Location
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296 | value matches {
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297 | DV_TEXT matches {*}
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298 | }
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299 | }
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300 | ELEMENT[at0091] occurrences matches {0..1} matches { -- Description
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301 | value matches {
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302 | DV_TEXT matches {*}
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303 | }
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304 | }
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305 | }
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306 | }
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307 | CLUSTER[at0089] occurrences matches {0..1} matches { -- Other sounds
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308 | items cardinality matches {0..*; unordered} matches {
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309 | ELEMENT[at0090] matches { -- Description
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310 | value matches {
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311 | DV_TEXT matches {*}
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312 | }
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313 | }
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314 | use_node ELEMENT /items[at0002]/items[at0010]/items[at0030]
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315 | }
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316 | }
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317 | CLUSTER[at0086] occurrences matches {0..*} matches { -- Localised auscultation
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318 | items cardinality matches {0..*; unordered} matches {
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319 | ELEMENT[at0087] matches { -- Site or region
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320 | value matches {
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321 | DV_TEXT matches {*}
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322 | }
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323 | }
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324 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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325 | include
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326 | archetype_id/value matches {/auscultation\.v1/}
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327 | }
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328 | }
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329 | }
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330 | }
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331 | }
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332 | }
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333 | }
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334 |
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335 | ontology
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336 | term_definitions = <
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337 | ["en"] = <
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338 | items = <
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339 | ["at0.1"] = <
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340 | description = <"No abnormal breath sounds">
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341 | text = <"Clear">
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342 | >
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343 | ["at0.10"] = <
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344 | description = <"*">
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345 | text = <"Normal second heart sound">
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346 | >
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347 | ["at0.11"] = <
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348 | description = <"*">
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349 | text = <"No Bronchial breathing">
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350 | >
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351 | ["at0.12"] = <
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352 | description = <"*">
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353 | text = <"No Amphoric breathing">
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354 | >
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355 | ["at0.13"] = <
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356 | description = <"*">
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357 | text = <"Normal Vocal Resonance">
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358 | >
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359 | ["at0.14"] = <
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360 | description = <"*">
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361 | text = <"No abnormal added sounds">
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362 | >
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363 | ["at0.15"] = <
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364 | description = <"*">
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365 | text = <"Heart sounds and bruits">
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366 | >
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367 | ["at0.16"] = <
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368 | description = <"Findings about the first heart sound">
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369 | text = <"First heart sound">
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370 | >
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371 | ["at0.17"] = <
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372 | description = <"The volume of the first heart sound">
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373 | text = <"Volume">
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374 | >
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375 | ["at0.18"] = <
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376 | description = <"The first heart sound is not heard">
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377 | text = <"Not heard">
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378 | >
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379 | ["at0.19"] = <
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380 | description = <"The sound is variable in volume">
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381 | text = <"Variable">
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382 | >
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383 | ["at0.2"] = <
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384 | description = <"No high or low pitched wheezes">
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385 | text = <"No rhonchi">
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386 | >
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387 | ["at0.20"] = <
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388 | description = <"The sound is softer than normal">
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389 | text = <"Soft">
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390 | >
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391 | ["at0.21"] = <
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392 | description = <"The sound is of normal volume">
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393 | text = <"Normal">
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394 | >
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395 | ["at0.22"] = <
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396 | description = <"The volume is increased">
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397 | text = <"Loud">
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398 | >
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399 | ["at0.23"] = <
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400 | description = <"Splitting of the heart sound">
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401 | text = <"Splitting">
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402 | >
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403 | ["at0.24"] = <
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404 | description = <"The heart sound is not split">
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405 | text = <"No splitting">
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406 | >
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407 | ["at0.25"] = <
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408 | description = <"The heart sound is split due to physiological changes">
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409 | text = <"Physiological splitting">
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410 | >
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411 | ["at0.26"] = <
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412 | description = <"The heart sound is always split">
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413 | text = <"Fixed splitting">
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414 | >
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415 | ["at0.27"] = <
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416 | description = <"The variable splitting is not physiological">
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417 | text = <"Paradoxical splitting">
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418 | >
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419 | ["at0.28"] = <
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420 | description = <"The timing of the splitting is physiological but it is more obvious than normal">
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421 | text = <"Exaggerated splitting">
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422 | >
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423 | ["at0.29"] = <
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424 | description = <"Findings about the second heart sound">
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425 | text = <"Second heart sound">
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426 | >
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427 | ["at0.3"] = <
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428 | description = <"No wheezing noises">
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429 | text = <"No wheeze">
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430 | >
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431 | ["at0.30"] = <
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432 | description = <"Opening sound of the mitral valve">
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433 | text = <"Opening snap">
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434 | >
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435 | ["at0.31"] = <
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436 | description = <"Group of findings about auscultation of the heart">
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437 | text = <"Bruits">
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438 | >
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439 | ["at0.32"] = <
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440 | description = <"Systolic click when the heart contracts">
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441 | text = <"Ejection click">
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442 | >
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443 | ["at0.33"] = <
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444 | description = <"Rubbing noise during contractions on the pericardium">
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445 | text = <"Pericardial rub">
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446 | >
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447 | ["at0.34"] = <
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448 | description = <"Grading of the loudness of a heart murmur">
|
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449 | text = <"Grading">
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450 | >
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451 | ["at0.35"] = <
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452 | description = <"Site where finding is heard maximally">
|
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453 | text = <"Maximal Location">
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454 | >
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455 | ["at0.36"] = <
|
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456 | description = <"Sites where finding is heard in addition to maximal site">
|
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457 | text = <"Radiation">
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458 | >
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459 | ["at0.37"] = <
|
---|
460 | description = <"very faint to recognize the murmur even after listening for a while">
|
---|
461 | text = <"Grade 1">
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462 | >
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463 | ["at0.38"] = <
|
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464 | description = <"faint, but easy to recognize the murmur right after the stethoscope is placed on the chest">
|
---|
465 | text = <"Grade 2">
|
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466 | >
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467 | ["at0.39"] = <
|
---|
468 | description = <"intermediate loudness between II/VI -IV/VI">
|
---|
469 | text = <"Grade 3">
|
---|
470 | >
|
---|
471 | ["at0.4"] = <
|
---|
472 | description = <"No high pitched crackling sounds">
|
---|
473 | text = <"No crepitations">
|
---|
474 | >
|
---|
475 | ["at0.40"] = <
|
---|
476 | description = <"with loud murmur (palpable thrill)">
|
---|
477 | text = <"Grade 4">
|
---|
478 | >
|
---|
479 | ["at0.41"] = <
|
---|
480 | description = <"very loud, but you can not hear the murmur, if the stethoscope is away from the chest wall">
|
---|
481 | text = <"Grade 5">
|
---|
482 | >
|
---|
483 | ["at0.42"] = <
|
---|
484 | description = <"the loudest murmur you can hear, even if the stethoscope is off the chest wall">
|
---|
485 | text = <"Grade 6">
|
---|
486 | >
|
---|
487 | ["at0.43"] = <
|
---|
488 | description = <"The timing in relation to the contraction of the heart">
|
---|
489 | text = <"Phase of heart cycle">
|
---|
490 | >
|
---|
491 | ["at0.44"] = <
|
---|
492 | description = <"*">
|
---|
493 | text = <"Continuous">
|
---|
494 | >
|
---|
495 | ["at0.45"] = <
|
---|
496 | description = <"*">
|
---|
497 | text = <"Systolic">
|
---|
498 | >
|
---|
499 | ["at0.46"] = <
|
---|
500 | description = <"*">
|
---|
501 | text = <"Diastolic">
|
---|
502 | >
|
---|
503 | ["at0.47"] = <
|
---|
504 | description = <"*">
|
---|
505 | text = <"Pan-systolic">
|
---|
506 | >
|
---|
507 | ["at0.48"] = <
|
---|
508 | description = <"*">
|
---|
509 | text = <"Pan-diastolic">
|
---|
510 | >
|
---|
511 | ["at0.49"] = <
|
---|
512 | description = <"*">
|
---|
513 | text = <"Early systolic">
|
---|
514 | >
|
---|
515 | ["at0.5"] = <
|
---|
516 | description = <"No high pitched crackling sounds">
|
---|
517 | text = <"No crackles">
|
---|
518 | >
|
---|
519 | ["at0.50"] = <
|
---|
520 | description = <"*">
|
---|
521 | text = <"Mid-Systolic">
|
---|
522 | >
|
---|
523 | ["at0.51"] = <
|
---|
524 | description = <"*">
|
---|
525 | text = <"Late Systolic">
|
---|
526 | >
|
---|
527 | ["at0.52"] = <
|
---|
528 | description = <"*">
|
---|
529 | text = <"Early Diastolic">
|
---|
530 | >
|
---|
531 | ["at0.53"] = <
|
---|
532 | description = <"*">
|
---|
533 | text = <"Mid-diastolic">
|
---|
534 | >
|
---|
535 | ["at0.54"] = <
|
---|
536 | description = <"*">
|
---|
537 | text = <"Late Diastolic">
|
---|
538 | >
|
---|
539 | ["at0.55"] = <
|
---|
540 | description = <"The character of the sound">
|
---|
541 | text = <"Character">
|
---|
542 | >
|
---|
543 | ["at0.56"] = <
|
---|
544 | description = <"The pitch of the sound">
|
---|
545 | text = <"Pitch">
|
---|
546 | >
|
---|
547 | ["at0.57"] = <
|
---|
548 | description = <"A heart sound in early diastole">
|
---|
549 | text = <"Third heart sound">
|
---|
550 | >
|
---|
551 | ["at0.58"] = <
|
---|
552 | description = <"A heart sound in late diastole">
|
---|
553 | text = <"Fourth heart sound">
|
---|
554 | >
|
---|
555 | ["at0.59"] = <
|
---|
556 | description = <"The volume of the sound">
|
---|
557 | text = <"Volume">
|
---|
558 | >
|
---|
559 | ["at0.6"] = <
|
---|
560 | description = <"Normal heart sounds">
|
---|
561 | text = <"Two heart sounds, no bruits">
|
---|
562 | >
|
---|
563 | ["at0.60"] = <
|
---|
564 | description = <"The sound is not audible">
|
---|
565 | text = <"Not audible">
|
---|
566 | >
|
---|
567 | ["at0.61"] = <
|
---|
568 | description = <"The sound is variable">
|
---|
569 | text = <"Variable">
|
---|
570 | >
|
---|
571 | ["at0.62"] = <
|
---|
572 | description = <"The sound is soft">
|
---|
573 | text = <"Soft">
|
---|
574 | >
|
---|
575 | ["at0.63"] = <
|
---|
576 | description = <"The sound is at about the expected level the first heart sound">
|
---|
577 | text = <"Moderate">
|
---|
578 | >
|
---|
579 | ["at0.64"] = <
|
---|
580 | description = <"The sound is louder than the first heart sound">
|
---|
581 | text = <"Loud">
|
---|
582 | >
|
---|
583 | ["at0.65"] = <
|
---|
584 | description = <"Sound due to a prosthetic heart valve">
|
---|
585 | text = <"Prosthetic valve sound">
|
---|
586 | >
|
---|
587 | ["at0.66"] = <
|
---|
588 | description = <"Audible rythm similar to a horse galloping due to added heart sounds">
|
---|
589 | text = <"Gallop rythm">
|
---|
590 | >
|
---|
591 | ["at0.67"] = <
|
---|
592 | description = <"Drawing of the sounds of the heart">
|
---|
593 | text = <"Drawing">
|
---|
594 | >
|
---|
595 | ["at0.68"] = <
|
---|
596 | description = <"Recording of the heart sounds">
|
---|
597 | text = <"Phonogram">
|
---|
598 | >
|
---|
599 | ["at0.69"] = <
|
---|
600 | description = <"Group of findings about auscultation of the lung">
|
---|
601 | text = <"Lung">
|
---|
602 | >
|
---|
603 | ["at0.7"] = <
|
---|
604 | description = <"Normal heart sounds">
|
---|
605 | text = <"Two heart sounds, no murmurs">
|
---|
606 | >
|
---|
607 | ["at0.70"] = <
|
---|
608 | description = <"*">
|
---|
609 | text = <"Area">
|
---|
610 | >
|
---|
611 | ["at0.72"] = <
|
---|
612 | description = <"The timing of the sounds in relation to breathing">
|
---|
613 | text = <"Phase of respiratory cycle">
|
---|
614 | >
|
---|
615 | ["at0.73"] = <
|
---|
616 | description = <"During inspiration">
|
---|
617 | text = <"Inspiratory">
|
---|
618 | >
|
---|
619 | ["at0.74"] = <
|
---|
620 | description = <"During expiration">
|
---|
621 | text = <"Expiratory">
|
---|
622 | >
|
---|
623 | ["at0.75"] = <
|
---|
624 | description = <"A grouping of discription of one or more added heart sounds">
|
---|
625 | text = <"Added heart sound">
|
---|
626 | >
|
---|
627 | ["at0.76"] = <
|
---|
628 | description = <"Specific auscultatory findings related to examination of the heart">
|
---|
629 | text = <"Specific sound">
|
---|
630 | >
|
---|
631 | ["at0.77"] = <
|
---|
632 | description = <"Soon after inspiration begins">
|
---|
633 | text = <"Early Inspiratory">
|
---|
634 | >
|
---|
635 | ["at0.78"] = <
|
---|
636 | description = <"At the final stages of inspiration">
|
---|
637 | text = <"Late inspiratory">
|
---|
638 | >
|
---|
639 | ["at0.79"] = <
|
---|
640 | description = <"Soon after expiration begins">
|
---|
641 | text = <"Early expiratory">
|
---|
642 | >
|
---|
643 | ["at0.8"] = <
|
---|
644 | description = <"*">
|
---|
645 | text = <"Two normal heart sounds">
|
---|
646 | >
|
---|
647 | ["at0.80"] = <
|
---|
648 | description = <"At the late stages of expiration">
|
---|
649 | text = <"Late expiratory">
|
---|
650 | >
|
---|
651 | ["at0.81"] = <
|
---|
652 | description = <"Specific auscultatory findings related to examination of the lungs">
|
---|
653 | text = <"Findings">
|
---|
654 | >
|
---|
655 | ["at0.82"] = <
|
---|
656 | description = <"Drawing of the breath sounds">
|
---|
657 | text = <"Drawing">
|
---|
658 | >
|
---|
659 | ["at0.83"] = <
|
---|
660 | description = <"The region to which the findings relate">
|
---|
661 | text = <"Region">
|
---|
662 | >
|
---|
663 | ["at0.9"] = <
|
---|
664 | description = <"*">
|
---|
665 | text = <"Normal first heart sound">
|
---|
666 | >
|
---|
667 | ["at0000"] = <
|
---|
668 | description = <"Findings on Auscultation">
|
---|
669 | text = <"Auscultation">
|
---|
670 | >
|
---|
671 | ["at0000.1"] = <
|
---|
672 | description = <"Findings on auscultation of the chest">
|
---|
673 | text = <"Auscultation of the chest">
|
---|
674 | >
|
---|
675 | ["at0001"] = <
|
---|
676 | description = <"A group of statements about the normality of auscultation">
|
---|
677 | text = <"Normal Statements">
|
---|
678 | >
|
---|
679 | ["at0002"] = <
|
---|
680 | description = <"Findings on auscultation">
|
---|
681 | text = <"Findings">
|
---|
682 | >
|
---|
683 | ["at0003"] = <
|
---|
684 | description = <"Statements about the normality of the auscultation">
|
---|
685 | text = <"Normal Statement">
|
---|
686 | >
|
---|
687 | ["at0004"] = <
|
---|
688 | description = <"Detailed clinical description of the findings on auscultation">
|
---|
689 | text = <"Clinical Description">
|
---|
690 | >
|
---|
691 | ["at0009"] = <
|
---|
692 | description = <"Group of findings about auscultation of the bowel">
|
---|
693 | text = <"Bowel sounds">
|
---|
694 | >
|
---|
695 | ["at0010"] = <
|
---|
696 | description = <"Group of findings about auscultation of a major blood vessel">
|
---|
697 | text = <"Vessel bruit">
|
---|
698 | >
|
---|
699 | ["at0030"] = <
|
---|
700 | description = <"Site where finding is heard maximally">
|
---|
701 | text = <"Maximal Location">
|
---|
702 | >
|
---|
703 | ["at0056"] = <
|
---|
704 | description = <"No murmur is heard">
|
---|
705 | text = <"No murmur">
|
---|
706 | >
|
---|
707 | ["at0057"] = <
|
---|
708 | description = <"No bruit is heard">
|
---|
709 | text = <"No bruit">
|
---|
710 | >
|
---|
711 | ["at0073"] = <
|
---|
712 | description = <"Bowel sounds are normal in intensity and character">
|
---|
713 | text = <"Normal bowel sounds">
|
---|
714 | >
|
---|
715 | ["at0074"] = <
|
---|
716 | description = <"Specific auscultatory findings related to examination of the bowels">
|
---|
717 | text = <"Specific Findings">
|
---|
718 | >
|
---|
719 | ["at0078"] = <
|
---|
720 | description = <"No bowel sounds can be heard">
|
---|
721 | text = <"Absent bowel sounds">
|
---|
722 | >
|
---|
723 | ["at0079"] = <
|
---|
724 | description = <"Bowel sounds are less than normal">
|
---|
725 | text = <"Decreased bowel sounds">
|
---|
726 | >
|
---|
727 | ["at0080"] = <
|
---|
728 | description = <"Bowel sounds are more intense than normal">
|
---|
729 | text = <"Increased bowel sounds">
|
---|
730 | >
|
---|
731 | ["at0081"] = <
|
---|
732 | description = <"High pitched and very frequent bowel sounds can be heard">
|
---|
733 | text = <"Tinkling bowel sounds">
|
---|
734 | >
|
---|
735 | ["at0085"] = <
|
---|
736 | description = <"Nothing abnormal on auscultation">
|
---|
737 | text = <"No abnormality detected">
|
---|
738 | >
|
---|
739 | ["at0086"] = <
|
---|
740 | description = <"Auscultation in a particular site">
|
---|
741 | text = <"Localised auscultation">
|
---|
742 | >
|
---|
743 | ["at0087"] = <
|
---|
744 | description = <"The site of the localised findings">
|
---|
745 | text = <"Site or region">
|
---|
746 | >
|
---|
747 | ["at0088"] = <
|
---|
748 | description = <"The name of the vessel to which is being listened">
|
---|
749 | text = <"Vessel name">
|
---|
750 | >
|
---|
751 | ["at0089"] = <
|
---|
752 | description = <"Recording of sounds of a different nature">
|
---|
753 | text = <"Other sounds">
|
---|
754 | >
|
---|
755 | ["at0090"] = <
|
---|
756 | description = <"Description of other sounds">
|
---|
757 | text = <"Description">
|
---|
758 | >
|
---|
759 | ["at0091"] = <
|
---|
760 | description = <"Description of the bruit">
|
---|
761 | text = <"Description">
|
---|
762 | >
|
---|
763 | >
|
---|
764 | >
|
---|
765 | >
|
---|