ARCHETYPE Pulse (openEHR-EHR-OBSERVATION.heartbeat-pulse.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.heartbeat-pulse.v0
ConceptPulse
DescriptionFindings about consecutive pressure waves observed as blood is pumped through an artery by the heart.
UseUse to record findings about a series of arterial pulses, including rate and regularity. Measurements such as the maximum pulse rate during an interval can be recorded using 'Maximum' event.
MisuseNot to be used to record findings about a series of heartbeats, observed at the heart - use the parent OBSERVATION.heartbeat archetype for this purpose. Not to be used to record the heart rate measured as R-R rate in the context of an Electrocardiograph report - use the OBSERVATION.ecg archetype for this purpose. Not to be used to record other details of a cardiovascular examination or assessment. Use the CLUSTER.exam-heart archetype or other archetypes from the CLUSTER.exam family to record physical examination findings. Not to be used to record fetal heart rate - use the OBSERVATION.fetal_heart archetype for this purpose. Not to be used to record a pulse deficit - use the OBSERVATION.pulse_deficit archetype for this purpose. Concepts such as Target Heart Rate should be recorded in specific archetypes such as EVALUATION.goal.
PurposeTo record findings about a series of arterial pulses, observed at a single arterial site.
ReferencesPulse/Heart beat, Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2024-02-15]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.4295.
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-03-26
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-03-26
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Pulse/Heart beat, Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2024-02-15]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.4295., current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=31CC4A62D3C6BBB2EFCC641310353100, build_uid=479b1ad5-a73a-4609-8ac2-921f76c9c142, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=0.0.1-alpha}
Keywordsrate, rhythm, beat, heart, vital, sign
Lifecyclein_development
UIDbbed944c-2c66-463b-a36f-90d437f5ab8a
Language useden
Citeable Identifier1013.1.7153
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::8499008 | Pulse], archetypeConceptDescription=Findings about consecutive pressure waves observed as blood is pumped through an artery by the heart., archetypeConceptComment=null, otherContributors=Morten Aas, Diakonhjemmet Sykehus, Norway
Tomas Alme, Norway
Magnus Alvestad, Helse Bergen HF, Norway
Nadim Anani, Karolinska Institutet, Sweden
Anne Pauline Anderssen, Helse Nord RHF, Norway
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Koray Atalag, University of Auckland, New Zealand
Gustavo Bacelar-Silva, Healthcare Designs, Brazil (openEHR Editor)
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway
Diego Bosca, IBIME group, Spain
Pål Brekke, OUS Rikshospitalet, Norway
Einar Bugge, UNN HF, Fag- og forskningssenteret, Norway
Rong Chen, Cambio Healthcare Systems, Sweden
Stephen Chu, Queensland Health, Australia
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Angela de Zwart, Orion Health, New Zealand
Graham Denyer, Australian Antarctic Division, Australia
Paul Donaldson, Nursing Informatics Australia, Australia
Shahla Foozonkhah, Ocean Informatics, Australia
Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway
Sebastian Garde, Ocean Informatics, Germany
John George, HSCIC, United Kingdom
Soon Ghee Yap, Singapore General Hospital, Singapore
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør)
Bjørn Grøva, Diretoratet for e-helse, Norway
Atle Hansen, Universitetssykehuset Nord-Norge, Norway
Sam Heard, Ocean Informatics, Australia
Kristian Heldal, Telemark Hospital Trust, Norway
Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway
Erling Are Hole, Helse Bergen, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Eugene Igras, IRIS Systems, Inc., Canada
Tom Jarl Jakobsen, Helse Bergen, Norway
Lars Karlsen, DIPS ASA, Norway
Athanasios Kleontas, Ergobyte Informatics, Greece
Shinji Kobayashi, Kyoto University, Japan
Robert Legan, NEHTA, Australia
Heather Leslie, Ocean Informatics, Australia (openEHR Editor)
Hallvard Lærum, Direktoratet for e-helse, Norway
Rohan Martin, Ambulance Victoria, Australia
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Lars Ivar Mehlum, Nasjonal IKT HF, Norway
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Monica Merchat, Hospital Cardiac Electrophysiology, MS Health Informatics Student, former ICU nurse, former Anesthesia Technician, United States
Bjoern Naess, DIPS ASA, Norway
Andrej Orel, Marand d.o.o., Slovenia
Arturo Romero, SESCAM, Spain
Jussara Rotzsch, UNB, Brazil
Thomas Schopf, University Hospital of North-Norway, Norway
Nils Thomas Songstad, UNN HF, BUK, Barneavdelingen., Norway
Thor-Einar Stemland, Helse Bergen, FOU Seksjon for e-helse, Norway
Arne Løberg Sæter, DIPS ASA, Norway
Jan Inge Sørheim, Helse Bergen, Haukeland uniersitetssjukehus, Norway
Micaela Thierley, Helse Bergen/Haraldsplass sykehus, Norway
Kevin Thon, SKDE, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=
  • German: Jasmin Buck, Sebastian Garde, Ramona Wellmann, University of Heidelberg, Central Queensland University, Hannover Medical School
  • Russian: Vyacheslav Mavrin, JSC Comsoft
  • Swedish: Erik Sundvall; Åsa Skagerhult, Kirsi Poikela, Region Östergötland, Tieto Sweden AB, asa.skagerhult@regionostergotland.se, ext.kirsi.poikela@tieto.com
  • Finnish: Vesa Peltola, Tieto Finland, vesa.peltola@tieto.com
  • Norwegian Bokmål: Silje Ljosland Bakke, Helse Bergen HF, ., RN
  • Portuguese (Brazil): Osmeire Chamelette Sanzovo, Hospital Sírio Libanês - SP, osmeire.acsanzovo@hsl.org.br
  • Arabic (Syria): Mona Saleh
  • Spanish (Spain): Pablo Pazos, CaboLabs - Health Informatics, pablo.pazos@cabolabs.com
  • Spanish (Colombia): Jose Florez-Arango, MD MS PhD
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1019.1], code=at1019.1, itemType=ELEMENT, level=2, text=Method, description=Method used to observe the pulse., comment=For example, palpation or pulse oximetry., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Palpation [The findings are observed by physical touch of the observer on the subject.]
  • Pulse oximetry [The findings are observed using a pulse oximetry device.]
  • Doppler [The findings are observed using a doppler ultrasound device.]
  • Oscillometry [The findings are observed using an oscillometric device, such as an automatic blood pressure device.]
  • Intra-arterial probe [The findings are observed using an intra-arterial probe, directly measuring the pressure wave in the artery.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1013.1], code=at1013.1, itemType=SLOT, level=2, text=Device, description=Details about the device used to measure the pulse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1056], code=at1056, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0.6], code=at0.6, itemType=ELEMENT, level=2, text=Artery site, description=Identification of the arterial site where the pulse was observed., comment=This data element allows a choice of datatypes. Use the DV_TEXT data type to support inclusion of alternative or extended value sets., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=[SNOMED-CT::246280004 | Arterial site], values=Choice of:
  •  Coded Text
    • Radial Artery - Left [The left radial artery.]
    • Radial Artery - Right [The right radial artery.]
    • Carotid Artery - Left [The left carotid artery.]
    • Carotid Artery - Right [The right carotid artery.]
    • Femoral Artery - Left [The left femoral artery.]
    • Femoral Artery - Right [The right femoral artery.]
    • Brachial artery - Right [The right brachial artery.]
    • Brachial artery - Left [The left brachial artery.]
    • Finger [An unspecified finger.]
    • Toe [An unspecified toe.]
    • Ear lobe [The lobe of an unspecified ear.]
  •  Text
, extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003], code=at0003, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at1036.1], code=at1036.1, itemType=INTERVAL_EVENT, level=2, text=Maximum, description=Maximum pulse rate observed during a specified time interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INTERVAL_EVENT, bindings=null, values=Math. function: Maximum
, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1005.1], code=at1005.1, itemType=ELEMENT, level=4, text=Presence, description=Observation about the detection of an arterial pulse., comment=It can be implied that the pulse is present if Rate >0 /min., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [A pulse can be detected.]
  • Not detected [A pulse cannot be detected.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0004.1], code=at0004.1, itemType=ELEMENT, level=4, text=Pulse rate, description=The measured rate of the pulse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency
Units: 0.0..<1000.0 /min
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0005.1], code=at0005.1, itemType=ELEMENT, level=4, text=Regularity, description=The regularity of the pulse., comment=This data element allows a choice of datatypes. Use the DV_TEXT data type to support inclusion of alternative or extended value sets., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1022.1], code=at1022.1, itemType=ELEMENT, level=4, text=Clinical description, description=Narrative description about the pulse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::703852005 | Narrative comment section], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1023.1], code=at1023.1, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the pulse findings, including the rhythm., comment=For example: 'bradycardia'; or 'ectopic beats'. Coding with a terminology is preferred, where possible. This data element has multiple occurrences to allow the recording of more than one 'Clinical interpretation'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::243814003 | Interpretation of findings], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1059.1], code=at1059.1, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the pulse findings not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::703852005 | Narrative comment section], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0.5], code=at0.5, itemType=ELEMENT, level=4, text=Character, description=The character of the pulse., comment=Coding with a terminology is desired, where possible. For example: full, thready, bounding, slow rising, or collapsing. Multiple terms may be recorded., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::271639008 | Character of pulse], values=, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Position, description=The body position of the individual during the observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::9851009 | Body position finding], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at1018.1], code=at1018.1, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative description about any incidental factors that may affect interpretation of the physical findings., comment=For example, presence of a pacemaker; level of anxiety; and the presence of pain or fever., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at1017.1], code=at1017.1, itemType=SLOT, level=4, text=Exertion, description=Details about the level of physical activity performed during the observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations or
openEHR-EHR-CLUSTER.level_of_exertion.v0 and specialisations, extendedValues=null]], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0010], code=at0010, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0002]/events[at0003]/data[at0001], code=at0001, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0002]/events[at0003]/state[at0012], code=at0012, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1019.1], code=at1019.1, itemType=ELEMENT, level=2, text=Method, description=Method used to observe the pulse., comment=For example, palpation or pulse oximetry., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Palpation [The findings are observed by physical touch of the observer on the subject.]
  • Pulse oximetry [The findings are observed using a pulse oximetry device.]
  • Doppler [The findings are observed using a doppler ultrasound device.]
  • Oscillometry [The findings are observed using an oscillometric device, such as an automatic blood pressure device.]
  • Intra-arterial probe [The findings are observed using an intra-arterial probe, directly measuring the pressure wave in the artery.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1013.1], code=at1013.1, itemType=SLOT, level=2, text=Device, description=Details about the device used to measure the pulse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1056], code=at1056, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0.6], code=at0.6, itemType=ELEMENT, level=2, text=Artery site, description=Identification of the arterial site where the pulse was observed., comment=This data element allows a choice of datatypes. Use the DV_TEXT data type to support inclusion of alternative or extended value sets., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=[SNOMED-CT::246280004 | Arterial site], values=Choice of:
  •  Coded Text
    • Radial Artery - Left [The left radial artery.]
    • Radial Artery - Right [The right radial artery.]
    • Carotid Artery - Left [The left carotid artery.]
    • Carotid Artery - Right [The right carotid artery.]
    • Femoral Artery - Left [The left femoral artery.]
    • Femoral Artery - Right [The right femoral artery.]
    • Brachial artery - Right [The right brachial artery.]
    • Brachial artery - Left [The left brachial artery.]
    • Finger [An unspecified finger.]
    • Toe [An unspecified toe.]
    • Ear lobe [The lobe of an unspecified ear.]
  •  Text
, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]