1 | archetype (adl_version=1.4)
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2 | openEHR-EHR-CLUSTER.auscultation.v1
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3 |
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4 | concept
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5 | [at0000] -- Auscultation
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6 | language
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7 | original_language = <[ISO_639-1::en]>
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8 | description
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9 | original_author = <
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10 | ["name"] = <"Sam Heard">
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11 | ["organisation"] = <"Ocean Informatics">
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12 | ["date"] = <"7/04/2007">
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13 | ["email"] = <"sam.heard@oceaninformatics.biz">
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14 | >
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15 | details = <
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16 | ["en"] = <
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17 | language = <[ISO_639-1::en]>
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18 | purpose = <"To record data found on examination by auscultation/listening">
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19 | use = <"To be embedded in an openEHR-EHR-OBSERVATION.exam cluster to express findings determined by auscultation">
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20 | keywords = <"auscultate", "listen", "auscultation", "listening", "bruit", "bowel sounds", "sounds">
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21 | misuse = <"Not for use in any other context at present">
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22 | >
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23 | >
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24 | lifecycle_state = <"OrganisationDraft">
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25 | other_contributors = <"Heather Leslie", ...>
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26 |
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27 | definition
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28 | CLUSTER[at0000] matches { -- Auscultation
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29 | items cardinality matches {0..*; unordered} matches {
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30 | CLUSTER[at0001] occurrences matches {0..1} matches { -- Normal Statements
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31 | items cardinality matches {0..*; unordered} matches {
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32 | ELEMENT[at0003] occurrences matches {0..*} matches { -- Normal Statement
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33 | value matches {
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34 | DV_CODED_TEXT matches {
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35 | defining_code matches {
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36 | [local::
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37 | at0056, -- No murmur
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38 | at0057, -- No bruit
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39 | at0073, -- Normal bowel sounds
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40 | at0085] -- No abnormality detected
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41 | }
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42 | }
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43 | }
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44 | }
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45 | }
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46 | }
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47 | ELEMENT[at0004] occurrences matches {0..1} matches { -- Clinical Description
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48 | value matches {
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49 | DV_TEXT matches {*}
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50 | }
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51 | }
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52 | CLUSTER[at0002] occurrences matches {0..1} matches { -- Findings
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53 | items cardinality matches {0..*; unordered} matches {
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54 | CLUSTER[at0009] occurrences matches {0..1} matches { -- Bowel sounds
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55 | items cardinality matches {0..*; unordered} matches {
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56 | ELEMENT[at0074] occurrences matches {0..*} matches { -- Specific Findings
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57 | value matches {
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58 | DV_CODED_TEXT matches {
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59 | defining_code matches {
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60 | [local::
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61 | at0078, -- Absent bowel sounds
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62 | at0079, -- Decreased bowel sounds
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63 | at0080, -- Increased bowel sounds
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64 | at0081] -- Tinkling bowel sounds
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65 | }
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66 | }
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67 | }
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68 | }
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69 | use_node ELEMENT /items[at0004]
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70 | }
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71 | }
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72 | CLUSTER[at0010] occurrences matches {0..1} matches { -- Vessel bruit
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73 | items cardinality matches {0..*; unordered} matches {
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74 | ELEMENT[at0088] matches { -- Vessel name
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75 | value matches {
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76 | DV_TEXT matches {*}
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77 | }
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78 | }
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79 | ELEMENT[at0030] occurrences matches {0..1} matches { -- Maximal Location
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80 | value matches {
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81 | DV_TEXT matches {*}
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82 | }
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83 | }
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84 | ELEMENT[at0091] occurrences matches {0..1} matches { -- Description
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85 | value matches {
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86 | DV_TEXT matches {*}
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87 | }
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88 | }
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89 | }
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90 | }
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91 | CLUSTER[at0089] occurrences matches {0..1} matches { -- Other sounds
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92 | items cardinality matches {0..*; unordered} matches {
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93 | ELEMENT[at0090] matches { -- Description
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94 | value matches {
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95 | DV_TEXT matches {*}
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96 | }
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97 | }
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98 | use_node ELEMENT /items[at0002]/items[at0010]/items[at0030]
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99 | }
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100 | }
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101 | CLUSTER[at0086] occurrences matches {0..*} matches { -- Localised auscultation
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102 | items cardinality matches {0..*; unordered} matches {
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103 | ELEMENT[at0087] matches { -- Site or region
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104 | value matches {
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105 | DV_TEXT matches {*}
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106 | }
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107 | }
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108 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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109 | include
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110 | archetype_id/value matches {/auscultation\.v1/}
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111 | }
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112 | }
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113 | }
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114 | }
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115 | }
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116 | }
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117 | }
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118 |
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119 | ontology
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120 | term_definitions = <
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121 | ["en"] = <
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122 | items = <
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123 | ["at0000"] = <
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124 | description = <"Findings on Auscultation">
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125 | text = <"Auscultation">
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126 | >
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127 | ["at0001"] = <
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128 | description = <"A group of statements about the normality of auscultation">
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129 | text = <"Normal Statements">
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130 | >
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131 | ["at0002"] = <
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132 | description = <"Findings on auscultation">
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133 | text = <"Findings">
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134 | >
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135 | ["at0003"] = <
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136 | description = <"Statements about the normality of the auscultation">
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137 | text = <"Normal Statement">
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138 | >
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139 | ["at0004"] = <
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140 | description = <"Detailed clinical description of the findings on auscultation">
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141 | text = <"Clinical Description">
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142 | >
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143 | ["at0009"] = <
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144 | description = <"Group of findings about auscultation of the bowel">
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145 | text = <"Bowel sounds">
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146 | >
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147 | ["at0010"] = <
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148 | description = <"Group of findings about auscultation of a major blood vessel">
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149 | text = <"Vessel bruit">
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150 | >
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151 | ["at0030"] = <
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152 | description = <"Site where finding is heard maximally">
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153 | text = <"Maximal Location">
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154 | >
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155 | ["at0056"] = <
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156 | description = <"No murmur is heard">
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157 | text = <"No murmur">
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158 | >
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159 | ["at0057"] = <
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160 | description = <"No bruit is heard">
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161 | text = <"No bruit">
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162 | >
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163 | ["at0073"] = <
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164 | description = <"Bowel sounds are normal in intensity and character">
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165 | text = <"Normal bowel sounds">
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166 | >
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167 | ["at0074"] = <
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168 | description = <"Specific auscultatory findings related to examination of the bowels">
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169 | text = <"Specific Findings">
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170 | >
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171 | ["at0078"] = <
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172 | description = <"No bowel sounds can be heard">
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173 | text = <"Absent bowel sounds">
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174 | >
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175 | ["at0079"] = <
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176 | description = <"Bowel sounds are less than normal">
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177 | text = <"Decreased bowel sounds">
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178 | >
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179 | ["at0080"] = <
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180 | description = <"Bowel sounds are more intense than normal">
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181 | text = <"Increased bowel sounds">
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182 | >
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183 | ["at0081"] = <
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184 | description = <"High pitched and very frequent bowel sounds can be heard">
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185 | text = <"Tinkling bowel sounds">
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186 | >
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187 | ["at0085"] = <
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188 | description = <"Nothing abnormal on auscultation">
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189 | text = <"No abnormality detected">
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190 | >
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191 | ["at0086"] = <
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192 | description = <"Auscultation in a particular site">
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193 | text = <"Localised auscultation">
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194 | >
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195 | ["at0087"] = <
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196 | description = <"The site of the localised findings">
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197 | text = <"Site or region">
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198 | >
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199 | ["at0088"] = <
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200 | description = <"The name of the vessel to which is being listened">
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201 | text = <"Vessel name">
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202 | >
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203 | ["at0089"] = <
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204 | description = <"Recording of sounds of a different nature">
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205 | text = <"Other sounds">
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206 | >
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207 | ["at0090"] = <
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208 | description = <"Description of other sounds">
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209 | text = <"Description">
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210 | >
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211 | ["at0091"] = <
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212 | description = <"Description of the bruit">
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213 | text = <"Description">
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214 | >
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215 | >
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216 | >
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217 | >
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