[4] | 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"] = <
|
---|
| 444 | description = <"Rubbing noise during contractions on the pericardium">
|
---|
| 445 | text = <"Pericardial rub">
|
---|
| 446 | >
|
---|
| 447 | ["at0.34"] = <
|
---|
| 448 | description = <"Grading of the loudness of a heart murmur">
|
---|
| 449 | text = <"Grading">
|
---|
| 450 | >
|
---|
| 451 | ["at0.35"] = <
|
---|
| 452 | description = <"Site where finding is heard maximally">
|
---|
| 453 | text = <"Maximal Location">
|
---|
| 454 | >
|
---|
| 455 | ["at0.36"] = <
|
---|
| 456 | description = <"Sites where finding is heard in addition to maximal site">
|
---|
| 457 | text = <"Radiation">
|
---|
| 458 | >
|
---|
| 459 | ["at0.37"] = <
|
---|
| 460 | description = <"very faint to recognize the murmur even after listening for a while">
|
---|
| 461 | text = <"Grade 1">
|
---|
| 462 | >
|
---|
| 463 | ["at0.38"] = <
|
---|
| 464 | description = <"faint, but easy to recognize the murmur right after the stethoscope is placed on the chest">
|
---|
| 465 | text = <"Grade 2">
|
---|
| 466 | >
|
---|
| 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 | >
|
---|