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

Name: Pulse
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.heartbeat-pulse.v0
Concept	Pulse
Description	A series of pressure waves observed in an artery, generated as the heart pumps blood through the circulatory system.
Use	Use to record findings about a series of pulses, including rate and regularity, observed at a single, specified arterial site. In clinical practice and daily use, the terms 'heart beat' and 'pulse' may be used interchangeably, depending on the context and method of measurement. 'Heart beat' is the broader term that covers any method of measuring the heart action, whereas 'pulse' specifically describes measuring the heart action through the palpation of a pulse. When designing templates for scenarios where it can't be anticipated whether specifically 'heart beat' or specifically 'pulse' will be measured, and it's not important to the clinical scenario to tell them apart, the 'Heart beat' archetype should be used. Measurements such as the maximum pulse rate during an interval can be recorded using 'Maximum' event.
Misuse	Not 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 findings about 'pulse'/'heart beat' in scenarios where it can't be anticipated whether specifically 'heart beat' or specifically 'pulse' will be measured. 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 (ECG) 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. Not to be used to record concepts such as "Target pulse". Use specific archetypes such as EVALUATION.goal for these purposes.
Purpose	To record findings about a series of pulses, observed at a single, specified arterial site.
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.
Copyright	© openEHR Foundation
Authors	Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 2006-03-26
Other Details Language	Author 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=F9037859D3DA8DB4F5B4A60E3D84032F, build_uid=6f77bb46-d87a-4f57-8437-813f770279ef, 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}
Keywords	rate, rhythm, beat, heart, vital, sign
Lifecycle	in_development
UID	bbed944c-2c66-463b-a36f-90d437f5ab8a
Language used	en
Citeable Identifier	1013.1.7153
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::8499008 \| Pulse], archetypeConceptDescription=A series of pressure waves observed in an artery, generated as the heart pumps blood through the circulatory system., 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={source=[], identities=[], contacts=[], ism_transition=[], 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= at1032::Palpation [The findings are observed by physical touch of the observer on the subject.] at0.1::Pulse oximetry [The findings are observed using a pulse oximetry device.] at0.2::Doppler [The findings are observed using a doppler ultrasound device.] at0.3::Oscillometry [The findings are observed using an oscillometric device, such as an automatic blood pressure device.] at0.4::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[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 at0.7::Radial artery - Left [The left radial artery.] at0.8::Radial artery - Right [The right radial artery.] at0.9::Carotid artery - Left [The left carotid artery.] at0.10::Carotid artery - Right [The right carotid artery.] at0.11::Femoral artery - Left [The left femoral artery.] at0.12::Femoral artery - Right [The right femoral artery.] at0.13::Brachial artery - Right [The right brachial artery.] at0.14::Brachial artery - Left [The left brachial artery.] at0.15::Finger [An unspecified finger.] at0.16::Toe [An unspecified toe.] at0.17::Ear lobe [The lobe of an unspecified ear.] Text , 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, 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]], description=[], 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 pulse rate, description=Maximum pulse rate observed during a specified time interval., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INTERVAL_EVENT, bindings=null, values=Math. function: Maximum , extendedValues=null]], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], 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= at1003::Standing/upright [The subject was standing, walking or running.] [SNOMED-CT::10904000 \| Orthostatic body position] at1001::Sitting [The subject was sitting (for example on bed or chair).] [SNOMED-CT::33586001 \| Sitting position] at1002::Reclining [The subject was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.] [SNOMED-CT::272580008 \| Semi-recumbent position] at1000::Lying [The subject was lying flat.] [SNOMED-CT::40199007 \| Supine body position] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/state[at0012]/items[at1018], code=at1018, 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], code=at1017, 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]], activities=[], 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= at0.18::Present [A pulse can be detected.] at0.19::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: Coded Text at0006::Regular [The pattern is regular.] [SNOMED-CT::271636001 \| Pulse regular] at1028::Irregular [The pattern is irregular.] [SNOMED-CT::61086009 \| Pulse irregular] Text , 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], 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]], relationships=[], credentials=[]}, 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 (Cardinality: 0.., unordered), 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 (Cardinality: 0.., unordered), 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 (Cardinality: 0.., unordered), 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= at1032::Palpation [The findings are observed by physical touch of the observer on the subject.] at0.1::Pulse oximetry [The findings are observed using a pulse oximetry device.] at0.2::Doppler [The findings are observed using a doppler ultrasound device.] at0.3::Oscillometry [The findings are observed using an oscillometric device, such as an automatic blood pressure device.] at0.4::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[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 at0.7::Radial artery - Left [The left radial artery.] at0.8::Radial artery - Right [The right radial artery.] at0.9::Carotid artery - Left [The left carotid artery.] at0.10::Carotid artery - Right [The right carotid artery.] at0.11::Femoral artery - Left [The left femoral artery.] at0.12::Femoral artery - Right [The right femoral artery.] at0.13::Brachial artery - Right [The right brachial artery.] at0.14::Brachial artery - Left [The left brachial artery.] at0.15::Finger [An unspecified finger.] at0.16::Toe [An unspecified toe.] at0.17::Ear lobe [The lobe of an unspecified ear.] Text , 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, 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]], minIndents={}, termBindingRetrievalErrorMessage=null]