All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Findings observed during the auscultation of breath sounds., archetypeConceptComment=null, otherContributors=Heather Leslie CCIO openEHR Foundation heather.leslie@openehr.org, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={other_participations=[], details=[], description=[], capabilities=[], protocol=[], relationships=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Body site, description=Identification of the area of the body under examination., comment=For example examination of a specific area of the lung. If the body site has been fully identified in the parent archetype in which this archetype is nested, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=SLOT, level=1, text=Structured body site, description=A structured description of the area of the body under examination., comment=If the body site has been fully identified in the parent archetype in which this archetype is nested or in the 'Body site' data element, this SLOT becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.anatomical_location.v1 or openEHR-EHR-CLUSTER.anatomical_location_circle.v1 or openEHR-EHR-CLUSTER.anatomical_location_relative.v2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Clinical description, description=Narrative description of the auscultation findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Presence, description=The presence or absence of any breath sounds heard on auscultation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0005::Present
- at0006::Absent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Intensity, description=The relative volume or loudness of all breath sounds compared to what is expected., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0088::Increased [The breath sound is louder than expected over the area of lung being auscultated.]
- at0087::Normal [The breath sound is heard at the expected intensity over the area of lung being auscultated.]
- at0086::Decreased [The breath sound is less intense than expected over the area of lung being auscultated.]
- at0085::Absent [The breath sound is not heard over the area of lung being auscultated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Type, description=The type or character of the breath sounds heard on auscultation., comment=For example: Vesicular; Bronchial; Bronchovesicular;
Tracheal.
, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016], code=at0016, itemType=CLUSTER, level=1, text=Adventitious breath sound, description=Details about an abnormal breath sound heard over the area of lung being auscultated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Breath sound, description=Name of the abnormal breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
Coded Text
- at0080::Wheeze [A continuous, high-pitched sound resulting from airflow through narrowed or compressed airways.]
- at0076::Rhonchi [A low-pitched sound caused by airflow through large airways with secretions or obstruction.]
- at0075::Stridor [A high-pitched sound resulting from turbulent airflow due to upper airway obstruction.]
- at0077::Fine crackles [A discontinuous, high-pitched sound produced by sudden opening of small airways.]
- at0078::Coarse crackles [A discontinuous, low-pitched sound produced by air passing through larger airways with fluid or secretions.]
- at0079::Pleural rub [A grating sound generated by inflamed pleural surfaces rubbing against each other.]
Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0066], code=at0066, itemType=ELEMENT, level=2, text=Presence, description=The presence or absence of an identified abnormal sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0067::Present
- at0068::Absent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Intensity, description=The volume or loudness of the identified breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0059::Soft [The abnormal sound is faint and hard to hear.]
- at0060::Moderate [The abnormal sound is clearly heard but not dominant.]
- at0061::Loud [The abnormal sound is easily heard and prominent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0029], code=at0029, itemType=ELEMENT, level=2, text=Phase, description=The timing of the sound within the whole breathing cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0063::Inspiratory [The abnormal sound is heard during inhalation.]
- at0064::Expiratory [The abnormal sound is heard during exhalation.]
- at0065::Biphasic [The abnormal sound is heard during both inhalation and exhalation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0033], code=at0033, itemType=ELEMENT, level=2, text=Timing, description=The timing of the sound within the specified 'Phase' of the breathing cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0034::Early [The added breath sound occurs at the beginning of either the inspiratory or expiratory phase.]
- at0035::Mid [The added breath sound is heard during the middle portion of either the inspiratory or expiratory phase.]
- at0036::Late [The added breath sound occurs near the end of the inspiratory or expiratory phase.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Clinical description, description=Narrative description about the identified breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039], code=at0039, itemType=CLUSTER, level=1, text=Vocal resonance, description=Details about vocal resonance heard over the area of lung being auscultated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=Intensity, description=The relative volume or loudness of the transmitted sounds compared to what is expected., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0081::Increased [The transmitted vocal sound is louder than expected in the area of the lung being auscultated.]
- at0082::Normal [The transmitted vocal sound is heard at the expected intensity in the area of the lung being auscultated.]
- at0083::Decreased [The transmitted vocal sound is quieter than expected in the area of the lung being auscultated.]
- at0084::Absent [No transmitted vocal sound is heard in the area of the lung being auscultated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Type, description=The type or character of transmitted sound heard., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0046::Aegophony [A change in the quality of the spoken voice over the chest wall, in which the sound "ee" is heard as a nasal "ay".]
- at0047::Whispered pectoriloquy [Increased clarity and loudness of whispered speech heard over the chest wall.]
- at0054::Bronchophony [Increased clarity and loudness of spoken voice over the chest wall.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0053], code=at0053, itemType=ELEMENT, level=1, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the auscultation findings at the body site., comment=For example: 'No abnormality detected' or 'Consolidation present'. Coding of the 'Clinical interpretation' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0051], code=at0051, itemType=SLOT, level=1, text=Examination not done, description=Details to explicitly record that this examination was not performed., 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.exclusion_exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0052], code=at0052, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the auscultation findings at the body site, 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=null, values=, extendedValues=null]], activities=[], credentials=[], ism_transition=[], content=[], source=[], identities=[], provider=[], events=[], state=[], contacts=[], data=[], context=[], target=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Body site, description=Identification of the area of the body under examination., comment=For example examination of a specific area of the lung. If the body site has been fully identified in the parent archetype in which this archetype is nested, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=SLOT, level=1, text=Structured body site, description=A structured description of the area of the body under examination., comment=If the body site has been fully identified in the parent archetype in which this archetype is nested or in the 'Body site' data element, this SLOT becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.anatomical_location.v1 or openEHR-EHR-CLUSTER.anatomical_location_circle.v1 or openEHR-EHR-CLUSTER.anatomical_location_relative.v2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Clinical description, description=Narrative description of the auscultation findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Presence, description=The presence or absence of any breath sounds heard on auscultation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0005::Present
- at0006::Absent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Intensity, description=The relative volume or loudness of all breath sounds compared to what is expected., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0088::Increased [The breath sound is louder than expected over the area of lung being auscultated.]
- at0087::Normal [The breath sound is heard at the expected intensity over the area of lung being auscultated.]
- at0086::Decreased [The breath sound is less intense than expected over the area of lung being auscultated.]
- at0085::Absent [The breath sound is not heard over the area of lung being auscultated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Type, description=The type or character of the breath sounds heard on auscultation., comment=For example: Vesicular; Bronchial; Bronchovesicular;
Tracheal.
, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016], code=at0016, itemType=CLUSTER, level=1, text=Adventitious breath sound, description=Details about an abnormal breath sound heard over the area of lung being auscultated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Breath sound, description=Name of the abnormal breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
Coded Text
- at0080::Wheeze [A continuous, high-pitched sound resulting from airflow through narrowed or compressed airways.]
- at0076::Rhonchi [A low-pitched sound caused by airflow through large airways with secretions or obstruction.]
- at0075::Stridor [A high-pitched sound resulting from turbulent airflow due to upper airway obstruction.]
- at0077::Fine crackles [A discontinuous, high-pitched sound produced by sudden opening of small airways.]
- at0078::Coarse crackles [A discontinuous, low-pitched sound produced by air passing through larger airways with fluid or secretions.]
- at0079::Pleural rub [A grating sound generated by inflamed pleural surfaces rubbing against each other.]
Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0066], code=at0066, itemType=ELEMENT, level=2, text=Presence, description=The presence or absence of an identified abnormal sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0067::Present
- at0068::Absent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Intensity, description=The volume or loudness of the identified breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0059::Soft [The abnormal sound is faint and hard to hear.]
- at0060::Moderate [The abnormal sound is clearly heard but not dominant.]
- at0061::Loud [The abnormal sound is easily heard and prominent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0029], code=at0029, itemType=ELEMENT, level=2, text=Phase, description=The timing of the sound within the whole breathing cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0063::Inspiratory [The abnormal sound is heard during inhalation.]
- at0064::Expiratory [The abnormal sound is heard during exhalation.]
- at0065::Biphasic [The abnormal sound is heard during both inhalation and exhalation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0033], code=at0033, itemType=ELEMENT, level=2, text=Timing, description=The timing of the sound within the specified 'Phase' of the breathing cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0034::Early [The added breath sound occurs at the beginning of either the inspiratory or expiratory phase.]
- at0035::Mid [The added breath sound is heard during the middle portion of either the inspiratory or expiratory phase.]
- at0036::Late [The added breath sound occurs near the end of the inspiratory or expiratory phase.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Clinical description, description=Narrative description about the identified breath sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039], code=at0039, itemType=CLUSTER, level=1, text=Vocal resonance, description=Details about vocal resonance heard over the area of lung being auscultated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=Intensity, description=The relative volume or loudness of the transmitted sounds compared to what is expected., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0081::Increased [The transmitted vocal sound is louder than expected in the area of the lung being auscultated.]
- at0082::Normal [The transmitted vocal sound is heard at the expected intensity in the area of the lung being auscultated.]
- at0083::Decreased [The transmitted vocal sound is quieter than expected in the area of the lung being auscultated.]
- at0084::Absent [No transmitted vocal sound is heard in the area of the lung being auscultated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Type, description=The type or character of transmitted sound heard., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0046::Aegophony [A change in the quality of the spoken voice over the chest wall, in which the sound "ee" is heard as a nasal "ay".]
- at0047::Whispered pectoriloquy [Increased clarity and loudness of whispered speech heard over the chest wall.]
- at0054::Bronchophony [Increased clarity and loudness of spoken voice over the chest wall.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0053], code=at0053, itemType=ELEMENT, level=1, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the auscultation findings at the body site., comment=For example: 'No abnormality detected' or 'Consolidation present'. Coding of the 'Clinical interpretation' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0051], code=at0051, itemType=SLOT, level=1, text=Examination not done, description=Details to explicitly record that this examination was not performed., 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.exclusion_exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0052], code=at0052, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the auscultation findings at the body site, 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=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |