archetype (adl_version=1.4)
	CEN-EHR-ENTRY.blood_pressure.v1

concept
	[at0000]	-- Blood pressure measurement
language
	original_language = <[ISO_639-1::de]>
	translations = <
		["en"] = <
			language = <[ISO_639-1::en]>
			author = <
				["name"] = <"Dana Prochazkova">
				["organisation"] = <"Medical University of Vienna">
			>
		>
	>

description
	original_author = <
		["name"] = <"Dana Prochazkova">
		["organisation"] = <"Vienna University of Technology">
		["date"] = <"18/04/2008">
		["email"] = <"e0125766@student.tuwien.ac.at">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the systemic blood pressure of a person. The measurement records the systolic and the diastolic pressure by some means suitable for the result to be seen as a surrogate for the general and systemic blood pressure.">
			use = <"All blood pressure measurements are recorded using this archetype. There is a rich state model for use with exercise ECGs and Tilt Table measurements.">
			keywords = <"observations", "blood pressure", "measurement">
			misuse = <"Not to be used for intravascular pressure.">
		>
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Dient der Dokumentation des systemischen Blutdrucks einer Person. Die Messung zeichnet den systolischen und diastolischen Blutdruck auf geeignete Art und Weise auf, sodass das Resultat der Messung als charakteristisch für den tatsächlichen systemischen Blutdruck angesehen werden kann.">
			use = <"Alle Blutdruckmessungen werden unter Zuhilfenahme dieses Archetypen dokumentiert. Der Archetyp beeinhaltet ein umfassendes Status-Modell z.B. bei Durchführung von Belastungs-EKGs und Untersuchungen am Neigungstisch.">
			keywords = <"Beobachtung", "Blutdruck", "Messung">
			misuse = <"Nicht zu Benutzen zur Dokumentation des intravaskulären Drucks.">
		>
	>
	lifecycle_state = <"AuthorDraft">
	other_contributors = <>

definition
	ENTRY[at0000] matches {	-- Blood pressure measurement
		meaning matches {
			CS matches {	-- Coded Simple value
				codedValue matches {"OE-01"}	-- Observation
			}
		}
		items matches {
			CLUSTER[at0001] matches {	-- history
				meaning matches {
					CS matches {	-- Coded Simple value
						codedValue matches {"OE-04"}	-- Data
					}
				}
				item_category matches {
					CS matches {	-- Coded Simple value
						codedValue matches {"IC02"}	-- complementary details about the value
					}
				}
				structure_type matches {
					CS matches {  -- Coded Simple value
						codedValue matches {"STRC01"}  -- List
					}
				}
				--obs_time occurences matches {1} matches {TS}
				parts cardinality matches {1..*; unordered} matches {
					CLUSTER[at0006] occurrences matches {0..*} matches {  -- any event
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}
						structure_type matches {
							CS matches {  -- Coded Simple value
								codedValue matches {"STRC01"}  -- List
							}
						}
						--obs_time occurrences matches {1} matches {TS}
						parts matches {
							CLUSTER[at0034] matches {	-- data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_Data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									CLUSTER[at0003] matches {	-- blood pressure
										structure_type matches {
											CS matches {  -- Coded Simple value
												codedValue matches {"STRC01"}  -- List
											}
										}
										parts cardinality matches {0..*; ordered} matches {
											ELEMENT[at0004] occurrences matches {0..1} matches {	-- systolic
												value matches {
										C_DV_QUANTITY <
											property = <[openehr::125]>
											list = <
												["1"] = <
													units = <"mm[Hg]">
													value = <0.0> 
													
												>
											>
										>
													
													
												}
											}
											ELEMENT[at0005] occurrences matches {0..1} matches {	-- diastolic
												value matches {
													C_DV_QUANTITY <  -- Physical Quantity
														property = <"pressure">
														units = <"mm[Hg]">
														value = <0.0> --and value <= 1000.0
													>
												}
											}
											ELEMENT[at1006] occurrences matches {0..1} matches {	-- mean arterial pressure
												value matches {
													C_DV_QUANTITY<  -- Physical Quantity
														value = <0.0>
													>
												}
											}
											ELEMENT[at1007] occurrences matches {0..1} matches {	-- pulse pressure
												value matches {
													C_DV_QUANTITY <  -- Physical Quantity
														value = <0.0>
													>
												}
											}
											ELEMENT[at0033] occurrences matches {0..1} matches {	-- Comment
												value matches {
													SIMPLE_TEXT matches {*}
												}
											}
										}
									}
								}
							}
							CLUSTER[at0007] matches {	-- state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_State
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts cardinality matches {0..*; ordered} matches {
									ELEMENT[at0008] occurrences matches {0..1} matches {	-- Position
										value matches {
											CODED_TEXT matches {
												codedValue matches {
													[local::
													at1000, 	-- Standing
													at1001, 	-- Sitting
													at1002, 	-- Reclining
													at1003; 	-- Lying
													at1001]	-- assumed value
												}
											}
										}
									}
									ELEMENT[at0009] occurrences matches {0..1} matches {	-- Exertion level
										value matches {
											C_DV_QUANTITY <  -- Physical Quantity
												property = <"work">
												units = <"J/min">
												value = <0.0>-- and value <= 1000.0
											>
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {	-- Exercise
										value matches {
											CODED_TEXT matches {
												codedValue matches {
													[local::
													at0022, 	-- At rest
													at0023, 	-- Post-exercise
													at0024; 	-- During exercise
													at0022]	-- assumed value
												}
											}
										}
									}
									ELEMENT[at1005] occurrences matches {0..1} matches {	-- Tilt
										value matches {
											C_DV_QUANTITY <  -- Physical Quantity
												property = <"plane_angle">
												units = <"°">
												value = <-90.0> --and value <= 90.0
											>
										}
									}
								}
							}
						}
					}
					CLUSTER[at0002] occurrences matches {0..1} matches {	-- baseline reading
						meaning matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"OE-07"}	-- Point_event
							}
						}
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}

						obs_time occurences matches {1} matches {TS}
						parts matches {
							CLUSTER[at0035] matches {	--data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0034]
								}
							}
							CLUSTER[at0036] matches {	--state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-09"}	-- Event_state
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0007]
								}
							}
						}
					}
					CLUSTER[at0029] occurrences matches {0..1} matches {	-- 5 minute reading
						meaning matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"OE-10"}	-- Interval_event
							}
						}
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}
						structure_type matches {
							CS matches {  -- Coded Simple value
								codedValue matches {"STRC01"}  -- List
							}
						}
						obs_time occurences matches {1} matches {TS}
							and obs_time > {  
								exists obs_time matches {use_node CLUSTER /items[at0001]/parts[at0002]} plus {P0d0h5m0s}
							}
							and obs_time < {  
								exists obs_time matches {use_node CLUSTER /items[at0001]/parts[at0002]} plus {P0d0h10m0s}
							}
						parts matches {
							CLUSTER[at0037] matches {	--data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0034]
								}
							}
							CLUSTER[at0038] matches {	--state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-09"}	-- Event_state
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0007]
								}
							}
						}
					}
					CLUSTER[at0030] occurrences matches {0..1} matches {	-- 10 minute reading
						meaning matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"OE-10"}	-- Interval_event
							}
						}
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}
						structure_type matches {
							CS matches {  -- Coded Simple value
								codedValue matches {"STRC01"}  -- List
							}
						}
						obs_time occurences matches {1} matches {TS}
							and obs_time > {  
								exists obs_time matches {use_node CLUSTER /items[at0001]/parts[at0002]} plus {P0d0h10m0s}
							}
							and obs_time < {  -- obs_time <=
								exists obs_time matches {use_node CLUSTER /items[at0001]/parts[at0002]} plus {P0d0h15m0s}
							}
						parts matches {
							CLUSTER[at0039] matches {	--data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0034]
								}
							}
							CLUSTER[at0040] matches {	--state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-09"}	-- Event_state
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0007]
								}
							}
						}
					}
					CLUSTER[at0031] occurrences matches {0..*} matches {	-- Postural change
						meaning matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"OE-10"}	-- Interval_event
							}
						}
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}
						structure_type matches {
							CS matches {  -- Coded Simple value
								codedValue matches {"STRC01"}  -- List
							}
						}
						obs_time occurences matches {1} matches {TS}
						parts matches {
							ELEMENT[at1008] occurrences matches {1} matches {	-- change
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-13"}	-- Math_function
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								value matches {
									SIMPLE_TEXT < 
										originalText = <"value of the interval-event is the net change over the period which the interval-event summarises">
									>
								}
							}
							CLUSTER[at0041] matches {	--data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0034]
								}
							}
							CLUSTER[at0042] matches {	--state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-09"}	-- Event_state
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0007]
								}
							}
						}
					}
					CLUSTER[at1004] occurrences matches {0..*} matches {	-- Paradox
						meaning matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"OE-10"}	-- Interval_event
							}
						}
						item_category matches {
							CS matches {	-- Coded Simple value
								codedValue matches {"IC02"}	-- complementary details about the value
							}
						}
						structure_type matches {
							CS matches {  -- Coded Simple value
								codedValue matches {"STRC01"}  -- List
							}
						}
						obs_time occurences matches {1} matches {TS}
						parts matches {
							ELEMENT[at1009] occurrences matches {1} matches {	-- variation
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-13"}	-- Math_function
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								value matches {
									SIMPLE_TEXT <
										originalText = <"value of the interval-event is difference between the point maximum and point minimum over the period, e.g. the value band into which all sample during a period fit">
									>
								}
							}
							CLUSTER[at0043] matches {	--data
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-08"}	-- Event_data
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC02"}	-- complementary details about the value
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0034]
								}
							}
							CLUSTER[at0044] matches {	--state
								meaning matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"OE-09"}	-- Event_state
									}
								}
								item_category matches {
									CS matches {	-- Coded Simple value
										codedValue matches {"IC03"}	-- Patient state/Circumstances
									}
								}
								structure_type matches {
									CS matches {  -- Coded Simple value
										codedValue matches {"STRC01"}  -- List
									}
								}
								parts matches {
									use_node CLUSTER /items[at0001]/parts[at0006]/parts[at0007]
								}
							}
						}
					}
				}
			}
			CLUSTER[at0011] matches {	-- protocol
				meaning matches {
					CS matches {	-- Coded Simple value
						codedValue matches {"OE-02"}	-- Protocol
					}
				}
				item_category matches {
					CS matches {	-- Coded Simple value
						codedValue matches {"IC04"}
					}
				}
				structure_type matches {
					CS matches {  -- Coded Simple value
						codedValue matches {"STRC01"}  -- List
					}
				}
				parts cardinality matches {0..*; ordered} matches {
					ELEMENT[at0012] occurrences matches {0..1} matches {	-- Instrument
						value matches {
							SIMPLE_TEXT matches {*}
						}
					}
					ELEMENT[at0013] occurrences matches {0..1} matches {	-- Cuff size
						value matches {
							CODED_TEXT matches {
								codedValue matches {
									[local::
									at0015, 	-- Appropriate for age
									at0016, 	-- Wide for age
									at0017,	-- Small for age
									at1010,	-- Thigh
									at1011]	-- Neonatal
								}
							}
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {	-- Location of measurement
						value matches {
							CODED_TEXT matches {
								codedValue matches {
									[local::
									at0025, 	-- Right arm
									at0026, 	-- Left arm
									at0027, 	-- Right leg
									at0028, 	-- Left leg
									at0032]	-- Intra-arterial
								}
							}
						}
					}
				}
			}
		}
	}

ontology
	primary_language = <"en">
	languages_available = <"en", "pt-br", "de">
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					description = <"the measurement of systemic arterial blood pressure which is deemed to represent the actual systemic blood pressure">
					text = <"Blood pressure measurement">
				>
				["at0001"] = <
					description = <"history Structural node">
					text = <"history">
				>
				["at0002"] = <
					description = <"baseline event in event history">
					text = <"baseline reading">
				>
				["at0003"] = <
					description = <"systemic arterial blood pressure">
					text = <"blood pressure">
				>
				["at0004"] = <
					description = <"the peak systemic arterial blood pressure over one cycle - measured in systolic or contraction phase of the heart cycle">
					text = <"systolic">
				>
				["at0005"] = <
					description = <"the minimum systemic arterial blood pressure over one cycle - measured in the diastolic or relaxation phase">
					text = <"diastolic">
				>
				["at0006"] = <
					description = <"other event in event history">
					text = <"any event">
				>
				["at0007"] = <
					description = <"@ internal @">
					text = <"state structure">
				>
				["at0008"] = <
					description = <"The position of the patient at the time of measuring blood pressure">
					text = <"Position">
				>
				["at0009"] = <
					description = <"The level of exertion at the time of taking the measurement">
					text = <"Exertion level">
				>
				["at0010"] = <
					description = <"The classification of the exercise level">
					text = <"Exercise">
				>
				["at0011"] = <
					description = <"protocol">
					text = <"protocol">
				>
				["at0012"] = <
					description = <"the instrument used to measure the blood pressure">
					text = <"Instrument">
				>
				["at0013"] = <
					description = <"the size of the cuff if a sphygmomanometer is used">
					text = <"Cuff size">
				>
				["at0014"] = <
					description = <"The site of the measurement of the blood pressure">
					text = <"Location of measurement">
				>
				["at0015"] = <
					description = <"A cuff that is standard for this person's age">
					text = <"Appropriate for age">
				>
				["at0016"] = <
					description = <"A cuff that is wider than usual for this age">
					text = <"Wide for age">
				>
				["at0017"] = <
					description = <"A cuff that is small for age">
					text = <"Small for age">
				>
				["at0022"] = <
					description = <"The person is at rest and not in the recovery phase from exersion">
					text = <"At rest">
				>
				["at0023"] = <
					description = <"Measurement is taken immediately after exercise">
					text = <"Post-exercise">
				>
				["at0024"] = <
					description = <"The measurement is taken during exercise">
					text = <"During exercise">
				>
				["at0025"] = <
					description = <"The right arm of the person">
					text = <"Right arm">
				>
				["at0026"] = <
					description = <"The left arm of the person">
					text = <"Left arm">
				>
				["at0027"] = <
					description = <"The right leg of the patient">
					text = <"Right leg">
				>
				["at0028"] = <
					description = <"The left leg of the person">
					text = <"Left leg">
				>
				["at0029"] = <
					description = <"Blood pressure reading after 5 minutes rest">
					text = <"5 minute reading">
				>
				["at0030"] = <
					description = <"Blood pressure reading after 10 minutes rest">
					text = <"10 minute reading">
				>
				["at0031"] = <
					description = <"The difference between standing and sitting/lying blood pressure">
					text = <"Postural change">
				>
				["at0032"] = <
					description = <"Blood pressure monitored via an intra-arterial line">
					text = <"Intra-arterial">
				>
				["at0033"] = <
					description = <"Comment on blood pressure reading">
					text = <"Comment">
				>
				["at0034"] = <
					description = <"data">
					text = <"data">
				>
				["at0035"] = <
					description = <"data">
					text = <"data">
				>
				["at0036"] = <
					description = <"state">
					text = <"state">
				>
				["at0037"] = <
					description = <"data">
					text = <"data">
				>
				["at0038"] = <
					description = <"state">
					text = <"state">
				>
				["at0039"] = <
					description = <"data">
					text = <"data">
				>
				["at0040"] = <
					description = <"state">
					text = <"state">
				>
				["at0041"] = <
					description = <"data">
					text = <"data">
				>
				["at0042"] = <
					description = <"state">
					text = <"state">
				>
				["at0043"] = <
					description = <"data">
					text = <"data">
				>
				["at0044"] = <
					description = <"state">
					text = <"state">
				>
				["at1000"] = <
					description = <"Standing at the time of blood pressure measurement">
					text = <"Standing">
				>
				["at1001"] = <
					description = <"Sitting on bed or chair at the time of blood pressure measurement">
					text = <"Sitting">
				>
				["at1002"] = <
					description = <"Person reclining at 45 degrees at the time of blood pressure measurement">
					text = <"Reclining">
				>
				["at1003"] = <
					description = <"Patient lying flat at the time of blood pressure measurement">
					text = <"Lying">
				>
				["at1004"] = <
					description = <"Variation in blood pressure with respiration">
					text = <"Paradox">
				>
				["at1005"] = <
					description = <"The tilt of the surface on which the person is lying">
					text = <"Tilt">
				>
				["at1006"] = <
					description = <"(MAP) The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle - calculated by (2XSBP + DBP) divided by 3.">
					text = <"mean arterial pressure">
				>
				["at1007"] = <
					description = <"The variation in pressure over one contraction cycle">
					text = <"pulse pressure">
				>
				["at1008"] = <
					description = <"value of the interval-event is the net change over the period which the interval-event summarises">
					text = <"change">
				>
				["at1009"] = <
					description = <"value of the interval-event is difference between the point maximum and point minimum over the period, e.g. the value band into which all sample during a period fit">
					text = <"variation">
				>
				["at1010"] = <
					description = <"A cuff used for an adult thigh">
					text = <"Thigh">
				>
				["at1011"] = <
					description = <"A cuff used for a new born">
					text = <"Neonatal">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000"] = <
					description = <"*the measurement of systemic arterial blood pressure which is deemed to represent the actual systemic blood pressure(en)">
					text = <"*blood pressure measurement(en)">
				>
				["at0001"] = <
					description = <"nodo estrutural do histórico">
					text = <"histórico">
				>
				["at0002"] = <
					description = <"leitura basal no evento histórico">
					text = <"leitura basal">
				>
				["at0003"] = <
					description = <"pressão arterial sistêmica">
					text = <"pressão arterial">
				>
				["at0004"] = <
					description = <"*the peak systemic arterial blood pressure over one cycle - measured in systolic or contraction phase of the heart cycle(en)">
					text = <"*systolic(en)">
				>
				["at0005"] = <
					description = <"*the minimum systemic arterial blood pressure over one cycle - measured in the diastolic or relaxation phase(en)">
					text = <"*diastolic(en)">
				>
				["at0006"] = <
					description = <"*">
					text = <"qualquer evento">
				>
				["at0007"] = <
					description = <"*@ internal @(en)">
					text = <"*state structure(en)">
				>
				["at0008"] = <
					description = <"posição do paciente durante a medida">
					text = <"posição">
				>
				["at0009"] = <
					description = <"grau de exercício durante a medida">
					text = <"grau de exercício">
				>
				["at0010"] = <
					description = <"classificação do nível de exercício">
					text = <"exercício">
				>
				["at0011"] = <
					description = <"*protocol(en)">
					text = <"*protocol(en)">
				>
				["at0012"] = <
					description = <"tipo do instrumento utilizado para medir a pressão">
					text = <"instrumental">
				>
				["at0013"] = <
					description = <"dimensão do manguito se o esfignomanometro foi utilizado">
					text = <"dimensão do manguito">
				>
				["at0014"] = <
					description = <"*The site of the measurement of the blood pressure(en)">
					text = <"*Location of measurement(en)">
				>
				["at0015"] = <
					description = <"manguito apropriado para a idade">
					text = <"padrão para a idade">
				>
				["at0016"] = <
					description = <"manguito muito longo para a idade">
					text = <"longo para a idade">
				>
				["at0017"] = <
					description = <"manguito muito curto para a idade">
					text = <"curto para a idade">
				>
				["at0022"] = <
					description = <"o paciente está em repouso e não em fase de recuperação">
					text = <"em repouso">
				>
				["at0023"] = <
					description = <"medida tomada imediatamente após o exercício">
					text = <"pós-exercício">
				>
				["at0024"] = <
					description = <"medida tomada durante exercício">
					text = <"durante o exercício">
				>
				["at0025"] = <
					description = <"*The right arm of the person(en)">
					text = <"*Right arm(en)">
				>
				["at0026"] = <
					description = <"*The left arm of the person(en)">
					text = <"*Left arm(en)">
				>
				["at0027"] = <
					description = <"*The right leg of the patient(en)">
					text = <"*Right leg(en)">
				>
				["at0028"] = <
					description = <"*The left leg of the person(en)">
					text = <"*Left leg(en)">
				>
				["at0029"] = <
					description = <"*Blood pressure reading after 5 minutes rest(en)">
					text = <"*5 minute reading(en)">
				>
				["at0030"] = <
					description = <"*Blood pressure reading after 10 minutes rest(en)">
					text = <"*10 minute reading(en)">
				>
				["at0031"] = <
					description = <"*The difference between standing and sitting/lying blood pressure(en)">
					text = <"*Postural change(en)">
				>
				["at0032"] = <
					description = <"*Blood pressure monitored via an intra-arterial line(en)">
					text = <"*Intra-arterial(en)">
				>
				["at0033"] = <
					description = <"*Comment on blood pressure reading(en)">
					text = <"*Comment(en)">
				>
				["at0034"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0035"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0036"] = <
					description = <"*state(en)">
					text = <"*state(en)">
				>
				["at0037"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0038"] = <
					description = <"*state(en)">
					text = <"*state(en)">
				>
				["at0039"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0040"] = <
					description = <"*state(en)">
					text = <"*state(en)">
				>
				["at0041"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0042"] = <
					description = <"*state(en)">
					text = <"*state(en)">
				>
				["at0043"] = <
					description = <"*data(en)">
					text = <"*data(en)">
				>
				["at0044"] = <
					description = <"*state(en)">
					text = <"*state(en)">
				>
				["at1000"] = <
					description = <"paciente de pé durante a medida">
					text = <"de pé">
				>
				["at1001"] = <
					description = <"paciente sentado durante a medida">
					text = <"sentado">
				>
				["at1002"] = <
					description = <"paciente reclinado a 45 graus durante a medida">
					text = <"reclinado">
				>
				["at1003"] = <
					description = <"paciente em decúbito dorsal durante a medida">
					text = <"deitado">
				>
				["at1004"] = <
					description = <"*Variation in blood pressure with respiration(en)">
					text = <"*Paradox(en)">
				>
				["at1005"] = <
					description = <"*The tilt of the surface on which the person is lying(en)">
					text = <"*Tilt(en)">
				>
				["at1006"] = <
					description = <"*(MAP) The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle - calculated by (2XSBP + DBP) divided by 3.(en)">
					text = <"*mean arterial pressure(en)">
				>
				["at1007"] = <
					description = <"*The variation in pressure over one contraction cycle(en)">
					text = <"*pulse pressure(en)">
				>
				["at1008"] = <
					description = <"*value of the interval-event is the net change over the period which the interval-event summarises(en)">
					text = <"*change(en)">
				>
				["at1009"] = <
					description = <"*value of the interval-event is difference between the point maximum and point minimum over the period, e.g. the value band into which all sample during a period fit(en)">
					text = <"*variation(en)">
				>
				["at1010"] = <
					description = <"*A cuff used for an adult thigh(en)">
					text = <"*Thigh(en)">
				>
				["at1011"] = <
					description = <"*A cuff used for a new born(en)">
					text = <"*Neonatal(en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					description = <"Messung des systematischen arteriellen Blutdrucks, welche den geschätztrn aktuellen systematischen Blutdruck repräsentiert.">
					text = <"Blutdruckmessung">
				>
				["at0001"] = <
					description = <"Strukturknoten der Historie">
					text = <"Historie">
				>
				["at0002"] = <
					description = <"Basisereignis in der Historie der Ereignisse">
					text = <"Basismessung">
				>
				["at0003"] = <
					description = <"systemischer arterieller Blutdruck">
					text = <"Blutdruck">
				>
				["at0004"] = <
					description = <"systemischer arterieller Blutdruck in der systolischen Phase">
					text = <"systolischer Wert">
				>
				["at0005"] = <
					description = <"systemischer arterieller Blutdruck in der diastolischen Phase">
					text = <"diastolischer Wert">
				>
				["at0006"] = <
					description = <"anderer Ereignis in der Historie der Ereignisse">
					text = <"ein Ereignis">
				>
				["at0007"] = <
					description = <"Zustand">
					text = <"Zustand">
				>
				["at0008"] = <
					description = <"Position des Patienten bei der Blutdruckmessung">
					text = <"Position">
				>
				["at0009"] = <
					description = <"Stufe der Anstrengung des Patienten bei der Blutdruckmessung">
					text = <"Anstrengungsniveau">
				>
				["at0010"] = <
					description = <"Klassifikation der Trainingsstufe ">
					text = <"Körperliche Belastung">
				>
				["at0011"] = <
					description = <"Protokoll">
					text = <"Protokoll">
				>
				["at0012"] = <
					description = <"Instrument, der bei der Blutdruckmessung verwendet wurde">
					text = <"Instrument">
				>
				["at0013"] = <
					description = <"Größe der Manschette bei der Verwendung eines Sphygmomanometers">
					text = <"Manschettengröße">
				>
				["at0014"] = <
					description = <"Stelle, auf der der Blutdruck gemessen wurde">
					text = <"Messstelle">
				>
				["at0015"] = <
					description = <"Manschette, die standardmäßig in für Personen des gleichen Alters wie der Patient verwendet wird">
					text = <"Erwachsener">
				>
				["at0016"] = <
					description = <"Manschette, die zu breit für Personen des gleichen Alters wie der Patient ist">
					text = <"Erwachsener (weit)">
				>
				["at0017"] = <
					description = <"Manschette, die zu schmal für Personen des gleichen Alters wie der Patient ist">
					text = <"Pädiatrisch">
				>
				["at0022"] = <
					description = <"die Person ist in Ruhe und nicht in der Erholungsphase nach einer Übung">
					text = <"in Ruhe">
				>
				["at0023"] = <
					description = <"die Messung wurde direkt nach einer Übung durchgeführt">
					text = <"Nach Leibesübung/körperlicher Belastung">
				>
				["at0024"] = <
					description = <"die Messung wurde während einer Übung durchgeführt">
					text = <"Während Leibesübung/körperlicher Belastung">
				>
				["at0025"] = <
					description = <"rechter Arm einer Person">
					text = <"rechter Arm">
				>
				["at0026"] = <
					description = <"linker Arm einer Person">
					text = <"linker Arm">
				>
				["at0027"] = <
					description = <"rechter Fuß einer Person">
					text = <"rechter Fuß">
				>
				["at0028"] = <
					description = <"linker Fuß einer Person">
					text = <"linker Fuß">
				>
				["at0029"] = <
					description = <"Messung, die nach 5 Minuten Ruhe durchgeführt wurde">
					text = <"Messung nach 5 Minuten">
				>
				["at0030"] = <
					description = <"Messung, die nach 10 Minuten Ruhe durchgeführt wurde">
					text = <"Messung nach 10 Minuten">
				>
				["at0031"] = <
					description = <"der Unterschied zwischen dem Blutdruck, der im Stehen und im Sitzen/Liegen gemessen wurde">
					text = <"positionsbedingte Blutdruckänderung">
				>
				["at0032"] = <
					description = <"Blutdruck, der intraarteriell gemessen wurde">
					text = <"intraarterieller Blutdruck">
				>
				["at0033"] = <
					description = <"Kommentar zur Blutdruckmessung">
					text = <"Kommentar">
				>
				["at0034"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0035"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0036"] = <
					description = <"Zustand">
					text = <"Zustand">
				>
				["at0037"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0038"] = <
					description = <"Zustand">
					text = <"Zustand">
				>
				["at0039"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0040"] = <
					description = <"Zustand">
					text = <"Zustand">
				>
				["at0041"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0042"] = <
					description = <"Zustand">
					text = <"Zustand">
				>
				["at0043"] = <
					description = <"Daten">
					text = <"Daten">
				>
				["at0044"] = <
					description = <"Zustand">
					text = <"Zustand>
				>
				["at1000"] = <
					description = <"Stehen während der Blutdruckmessung">
					text = <"Stehen">
				>
				["at1001"] = <
					description = <"Sitzen auf einem Stuhl während der Blutdruckmessung">
					text = <"Sitzen">
				>
				["at1002"] = <
					description = <"während der Blutdruckmessung hat sich die Person unter dem Winkel von 45 Grad zurückgelehnt">
					text = <"Zurücklehnen">
				>
				["at1003"] = <
					description = <"Patient liegt während der Blutdruckmessung flach">
					text = <"Liegen">
				>
				["at1004"] = <
					description = <"Blutdruckvariation beim Atmen">
					text = <"Paradox">
				>
				["at1005"] = <
					description = <"Neigung der Fläche, auf der die Person während der Blutdruckmessung liegt">
					text = <"Neigung">
				>
				["at1006"] = <
					description = <"(MAB) Mittlerer Arterieller Blutdruck, der während des Herzkontraktions- und Relaxationszykluses auftritt. Er wird mit Hilfe der Formel: (2xsBD + dBD)/3 berechnet.">
					text = <"Mittlerer arterieller Blutdruck">
				>
				["at1007"] = <
					description = <"Variation im Druck während eines Kontraktionszykluses">
					text = <"Puls-Druck">
				>
				["at1008"] = <
					description = <"Wert des Interval-Ereignisses ist die netto-Änderung innerhalb einer Periode, die der Intervall zusammenfasst">
					text = <"Änderung">
				>
				["at1009"] = <
					description = <"Wert des Interval-Ereignisses ist die Differenz zwischen Maximum und Minimum einer Periode, also die Bandbreite, in der alle Werte des Intervalls liegen">
					text = <"Variation">
				>
				["at1010"] = <
					description = <"Eine Manschette für den Oberschenkel eines Erwachsenen">
					text = <"Oberschenkel">
				>
				["at1011"] = <
					description = <"Eine Manschette benutzt für Neugeborene">
					text = <"Neonatal">
				>
			>
		>
	>
	term_binding = <
		["SNOMED-CT"] = <
			items = <
				["at0000"] = <[SNOMED-CT(2003)::163020007]>
				["at0003"] = <[SNOMED-CT(2003)::364090009]>
				["at0004"] = <[SNOMED-CT(2003)::163030003]>
				["at0005"] = <[SNOMED-CT(2003)::163031004]>
				["at0012"] = <[SNOMED-CT(2003)::57134006]>
				["at0013"] = <[SNOMED-CT(2003)::246153002]>
			>
		>
	>