ARCHETYPE Heartbeat (openEHR-EHR-OBSERVATION.heartbeat.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.heartbeat.v0
ConceptHeartbeat
DescriptionA series of cardiac cycles of contraction and relaxation.
UseUse to record findings about a series of heartbeats, including rate and regularity. 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, this archetype should be used. When 'heartbeat' and 'pulse ' are both being recorded, use this archetype to record only the heartbeat measured at or near the heart. A companion archetype has been created as a specialisation of this archetype - OBSERVATION.heartbeat-pulse - to specifically record the 'Pulse' as pressure waves in the arteries. The measured heart rate can be recorded using a device, although the R-R rate recorded as part of an ECG should be recorded separately. Measurements such as the maximum heart rate during an interval can be recorded using 'Maximum' event.
MisuseNot to be used to record findings specifically about a series of arterial pulses, observed directly from a single arterial site. Use the specialised OBSERVATION.heartbeat-pulse 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 for the purpose of recording physical examination findings, such as the position of the apex beat, murmurs and bruits. 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 heart rate". Use specific archetypes such as EVALUATION.goal for these purposes.
PurposeTo record findings about a series of heartbeats.
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=089AFE707DBFD8F934EB03311CCF13A2, build_uid=e5809cd3-ba27-4db6-85b7-63555341b8d2, 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
UID7d8d244c-eb23-4619-935a-43bf338f1ab8
Language useden
Citeable Identifier1013.1.7154
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::248646004 | Heart beat], archetypeConceptDescription=A series of cardiac cycles of contraction and relaxation., 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
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  • Palpation [The findings are observed by physical touch of the observer on the subject.]
  • Auscultation [The findings are observed using a manual amplifying device, such as a stethoscope.]
  • Electric [The findings are observed using a device which measures the electrical activity of the heart, such as a chest strap monitor.]
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  • Present [A heartbeat can be detected.]
  • Not detected [A heartbeat cannot be detected.]
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Units: 0.0..<1000.0 /min
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  • Palpation [The findings are observed by physical touch of the observer on the subject.]
  • Auscultation [The findings are observed using a manual amplifying device, such as a stethoscope.]
  • Electric [The findings are observed using a device which measures the electrical activity of the heart, such as a chest strap monitor.]
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