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

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

ARCHETYPE ID	openEHR-EHR-OBSERVATION.heartbeat.v0
Concept	Heartbeat
Description	A series of cardiac cycles of contraction and relaxation.
Use	Use 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.
Misuse	Not 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.
Purpose	To record findings about a series of heartbeats.
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=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}
Keywords	rate, rhythm, beat, heart, vital, sign
Lifecycle	in_development
UID	7d8d244c-eb23-4619-935a-43bf338f1ab8
Language used	en
Citeable Identifier	1013.1.7154
Revision Number	0.0.1-alpha
All	Archetype [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 , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1019], code=at1019, itemType=ELEMENT, level=2, text=Method, description=The method used to observe the heartbeat., comment=For example, auscultation or electric monitoring. , 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.] at1033::Auscultation [The findings are observed using a manual amplifying device, such as a stethoscope.] at1060::Electric [The findings are observed using a device which measures the electrical activity of the heart, such as a chest strap monitor.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at1013], code=at1013, itemType=SLOT, level=2, text=Device, description=Details about the device used to observe the heartbeat., 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; 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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]], 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], code=at1036, itemType=INTERVAL_EVENT, level=2, text=Maximum heart rate, description=Maximum heart 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]], source=[], items=[], identities=[], target=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1005], code=at1005, itemType=ELEMENT, level=4, text=Presence, description=Observation about detection of a heartbeat., comment=It can be implied that the heartbeat is present if 'Heart 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= at1024::Present [A heartbeat can be detected.] at1025::Not detected [A heartbeat cannot be detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Heart rate, description=The measured rate of the heartbeat., comment=For example: 72/min., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=[SNOMED-CT::364075005 \| Heart rate], 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], code=at0005, itemType=ELEMENT, level=4, text=Regularity, description=The regularity of the heartbeat., 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::364074009 \| Regularity of heart rhythm], values=Choice of: Coded Text at0006::Regular [The pattern is regular.] at1028::Irregular [The pattern is irregular.] [SNOMED-CT::361137007 \| Irregular heart beat] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0002]/events[at0003]/data[at0001]/items[at1022], code=at1022, itemType=ELEMENT, level=4, text=Clinical description, description=Narrative description about the heartbeat., 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], code=at1023, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the findings, including the rhythm., comment=For example: 'bradycardia'; or 'ectopic beats'. Coding with a terminology is preferred, where possible. 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