| 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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