openehr 1.1.0

data/spec/lib/openehr/parser/adl14/openEHR-EHR-ACTION.referral.v1.adl

@@ -0,0 +1,351 @@
+archetype (adl_version=1.4)
+	openEHR-EHR-ACTION.referral.v1
+
+concept
+	[at0000]	-- Referral actions
+language
+	original_language = <[ISO_639-1::en]>
+	translations = <
+		["de"] = <
+			language = <[ISO_639-1::de]>
+			author = <
+				["name"] = <"Jasmin Buck, Sebastian Garde">
+				["organisation"] = <"University of Heidelberg, Central Queensland University">
+			>
+		>
+	>
+description
+	original_author = <
+		["name"] = <"Sam Heard">
+		["email"] = <"sam.heard@oceaninformatics.biz">
+	>
+	details = <
+		["de"] = <
+			language = <[ISO_639-1::de]>
+			purpose = <"Zur Dokumentation von Handlungen, die auf eine Behandlungsanfrage an einen zweiten Gesundheitsdienstleister basieren">
+			use = <"">
+			misuse = <"">
+		>
+		["en"] = <
+			language = <[ISO_639-1::en]>
+			purpose = <"For recording actions based on a request for a second provider to provide care">
+			use = <"">
+			misuse = <"">
+		>
+	>
+	lifecycle_state = <"NotSet">
+	other_contributors = <>
+
+definition
+	ACTION[at0000] matches {	-- Referral actions
+		ism_transition matches {
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::524]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0001]}		-- Planned
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::524]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0002]}		-- Communicated
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::524]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0003]}		-- Acknowledged
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::527]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0005]}		-- Postponed
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::528]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0006]}		-- Cancelled
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::529]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0004]}		-- Appointment
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::245]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0008]}		-- Attended
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::245]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0009]}		-- Secondary referral
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::245]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0010]}		-- Secondary referral completed
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::245]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0011]}		-- Return of care
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::530]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0007]}		-- Did not attend
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::531]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0013]}		-- No further contact
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::531]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0014]}		-- Multiple 'did not attend'
+					}
+				}
+			}
+			ISM_TRANSITION matches {
+				current_state matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[openehr::532]}
+					}
+				}
+				careflow_step matches {
+					DV_CODED_TEXT matches {
+						defining_code matches {[local::at0012]}		-- Completed
+					}
+				}
+			}
+		}
+		description matches {
+			allow_archetype ITEM_TREE occurrences matches {0..1} matches {
+				include
+					domain_concept matches {/referral\.v1/}
+				exclude
+					domain_concept matches {/.*/}
+			}
+		}
+	}
+
+ontology
+	term_definitions = <
+		["de"] = <
+			items = <
+				["at0000"] = <
+					description = <"Zur Dokumentation von Handlungen, die auf eine Behandlungsanfrage an einen zweiten Gesundheitsdienstleister basieren">
+					text = <"�berweisungshandlungen">
+				>
+				["at0001"] = <
+					description = <"�berweisung wurde geplant, aber keine weiter Handlung hat stattgefunden">
+					text = <"Geplant">
+				>
+				["at0002"] = <
+					description = <"Die Anfrage f�r die �berweisung wurde �bermittelt">
+					text = <"�bermittelt">
+				>
+				["at0003"] = <
+					description = <"Die �berweisungsanfrage wurde vom zweiten Gesundheitsdienstleister best�tigt">
+					text = <"Best�tigt">
+				>
+				["at0004"] = <
+					description = <"Ein Termin mit dem zweiten Gesundheitsdienstleister wurde vereinbart">
+					text = <"Termin">
+				>
+				["at0005"] = <
+					description = <"Die �berweisung wurde verschoben, wird aber in der Zukunft durchgef�hrt werden">
+					text = <"Verschoben">
+				>
+				["at0006"] = <
+					description = <"Die �berweisung wurde gestrichen">
+					text = <"Gestrichen">
+				>
+				["at0007"] = <
+					description = <"Die Person ist zu ihrem Termin nicht erschienen">
+					text = <"Nicht erschienen">
+				>
+				["at0008"] = <
+					description = <"Die Person suchte den zweiten Gesundheitsdienstleister auf">
+					text = <"Erschienen">
+				>
+				["at0009"] = <
+					description = <"Eine �berweisung zu einem dritten Gesundheisdienstleister wurde organisiert">
+					text = <"Zweite �berweisung">
+				>
+				["at0010"] = <
+					description = <"Die zweite �berweisung ist abgeschlossen">
+					text = <"Zweite �berweisung abgeschlossen">
+				>
+				["at0011"] = <
+					description = <"Die Behandlung wurde zur�ck zum �berweisenden Gesundheitsdienstleister gegeben">
+					text = <"Behandlung zur�ckgegeben">
+				>
+				["at0012"] = <
+					description = <"Der �berweisungsprozess ist abgeschlossen">
+					text = <"Abgeschlossen">
+				>
+				["at0013"] = <
+					description = <"Der �berweisungsprozess ist nicht abgeschlossen, es besteht aber kein Kontakt zum zweiten Gesundheitsdienstleister mehr">
+					text = <"Kein weiterer Kontakt">
+				>
+				["at0014"] = <
+					description = <"Die Person ist zu wiederholten Gelegenheiten nicht erschienen - es werden keine weiteren Termine vereinbart">
+					text = <"Wiederholtes 'nicht erschienen'">
+				>
+			>
+		>
+		["en"] = <
+			items = <
+				["at0000"] = <
+					description = <"Actions arising based on a request for health care from a second health care provider.">
+					text = <"Referral actions">
+				>
+				["at0001"] = <
+					description = <"Referral has been planned but no further action">
+					text = <"Planned">
+				>
+				["at0002"] = <
+					description = <"The request for referral has been communicated">
+					text = <"Communicated">
+				>
+				["at0003"] = <
+					description = <"The referral request has been acknowledged by second provider">
+					text = <"Acknowledged">
+				>
+				["at0004"] = <
+					description = <"An appointment with the second provider has been arranged">
+					text = <"Appointment">
+				>
+				["at0005"] = <
+					description = <"Referral has been postponed but will be organised in the future">
+					text = <"Postponed">
+				>
+				["at0006"] = <
+					description = <"Referral has been cancelled">
+					text = <"Cancelled">
+				>
+				["at0007"] = <
+					description = <"The person did not attend for their appointment">
+					text = <"Did not attend">
+				>
+				["at0008"] = <
+					description = <"The person attended the second provider">
+					text = <"Attended">
+				>
+				["at0009"] = <
+					description = <"Referral to a third provider has been organised">
+					text = <"Secondary referral">
+				>
+				["at0010"] = <
+					description = <"Secondary referral is complete">
+					text = <"Secondary referral completed">
+				>
+				["at0011"] = <
+					description = <"Care is transferred back to referrer">
+					text = <"Return of care">
+				>
+				["at0012"] = <
+					description = <"Referral process is complete">
+					text = <"Completed">
+				>
+				["at0013"] = <
+					description = <"The referral process was not completed but no further contact with second provider is organised">
+					text = <"No further contact">
+				>
+				["at0014"] = <
+					description = <"The person did not attend on multiple occasions - no further appointments will been sent">
+					text = <"Multiple 'did not attend'">
+				>
+			>
+		>
+	>

data/spec/lib/openehr/parser/adl14/openEHR-EHR-CLUSTER.auscultation-chest.v1.adl

@@ -0,0 +1,765 @@
+archetype (adl_version=1.4)
+	openEHR-EHR-CLUSTER.auscultation-chest.v1
+specialize
+	openEHR-EHR-CLUSTER.auscultation.v1
+
+concept
+	[at0000.1]	-- Auscultation of the chest
+language
+	original_language = <[ISO_639-1::en]>
+description
+	original_author = <
+		["name"] = <"Sam Heard">
+		["organisation"] = <"Ocean Informatics">
+		["date"] = <"7/04/2007">
+		["email"] = <"sam.heard@oceaninformatics.biz">
+	>
+	details = <
+		["en"] = <
+			language = <[ISO_639-1::en]>
+			purpose = <"To record data found on examination of the chest by auscultation/listening">
+			use = <"To be embedded in an openEHR-EHR-OBSERVATION.exam cluster to express findings determined by auscultation of the chest">
+			keywords = <"auscultate", "listen", "auscultation", "listening", "lungs", "chest", "bruit", "heart", "bowel sounds", "breath sounds", "heart sounds">
+			misuse = <"Not for use in any other context at present">
+		>
+	>
+	lifecycle_state = <"Initial">
+	other_contributors = <"Heather Leslie", ...>
+
+definition
+	CLUSTER[at0000.1] matches {	-- Auscultation of the chest
+		items cardinality matches {0..*; unordered} matches {
+			CLUSTER[at0001] occurrences matches {0..1} matches {	-- Normal Statements
+				items cardinality matches {0..*; unordered} matches {
+					ELEMENT[at0003] occurrences matches {0..*} matches {	-- Normal Statement
+						value matches {
+							DV_CODED_TEXT matches {
+								defining_code matches {
+									[local::
+									at0.1, 	-- Clear
+									at0.2, 	-- No rhonchi
+									at0.3, 	-- No wheeze
+									at0.4, 	-- No crepitations
+									at0.5, 	-- No crackles
+									at0.6, 	-- Two heart sounds, no bruits
+									at0.7, 	-- Two heart sounds, no murmurs
+									at0.8, 	-- Two normal heart sounds
+									at0056, 	-- No murmur
+									at0057, 	-- No bruit
+									at0.9, 	-- Normal first heart sound
+									at0.10, 	-- Normal second heart sound
+									at0.11, 	-- No Bronchial breathing
+									at0.12, 	-- No Amphoric breathing
+									at0.13, 	-- Normal Vocal Resonance
+									at0.14, 	-- No abnormal added sounds
+									at0073, 	-- Normal bowel sounds
+									at0085]	-- No abnormality detected
+								}
+							}
+						}
+					}
+				}
+			}
+			ELEMENT[at0004] occurrences matches {0..1} matches {	-- Clinical Description
+				value matches {
+					DV_TEXT matches {*}
+				}
+			}
+			CLUSTER[at0002] occurrences matches {0..1} matches {	-- Findings
+				items cardinality matches {0..*; unordered} matches {
+					CLUSTER[at0.15] occurrences matches {0..1} matches {	-- Heart sounds and bruits
+						items cardinality matches {0..*; unordered} matches {
+							CLUSTER[at0.16] occurrences matches {0..1} matches {	-- First heart sound
+								items cardinality matches {0..*; unordered} matches {
+									ELEMENT[at0.17] occurrences matches {0..1} matches {	-- Volume
+										value matches {
+											0|[local::at0.18], 	-- Not heard
+											1|[local::at0.19], 	-- Variable
+											2|[local::at0.20], 	-- Soft
+											3|[local::at0.21], 	-- Normal
+											4|[local::at0.22]; 	-- Loud
+											0  	-- assumed value
+										}
+									}
+									ELEMENT[at0.23] occurrences matches {0..1} matches {	-- Splitting
+										value matches {
+											DV_CODED_TEXT matches {
+												defining_code matches {
+													[local::
+													at0.24, 	-- No splitting
+													at0.25, 	-- Physiological splitting
+													at0.26, 	-- Fixed splitting
+													at0.27, 	-- Paradoxical splitting
+													at0.28]	-- Exaggerated splitting
+												}
+											}
+										}
+									}
+									use_node ELEMENT /items[at0004]
+								}
+							}
+							CLUSTER[at0.29] occurrences matches {0..1} matches {	-- Second heart sound
+								items cardinality matches {0..*; unordered} matches {
+									use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.16]/items[at0.17]
+									use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.16]/items[at0.23]
+									use_node ELEMENT /items[at0004]
+								}
+							}
+							CLUSTER[at0.75] occurrences matches {0..*} matches {	-- Added heart sound
+								items cardinality matches {0..*; unordered} matches {
+									ELEMENT[at0.76] occurrences matches {0..*} matches {	-- Specific sound
+										value matches {
+											DV_CODED_TEXT matches {
+												defining_code matches {
+													[local::
+													at0.30, 	-- Opening snap
+													at0.32, 	-- Ejection click
+													at0.33, 	-- Pericardial rub
+													at0.57, 	-- Third heart sound
+													at0.58, 	-- Fourth heart sound
+													at0.65, 	-- Prosthetic valve sound
+													at0.66]	-- Gallop rythm
+												}
+											}
+										}
+									}
+									ELEMENT[at0.43] occurrences matches {0..*} matches {	-- Phase of heart cycle
+										value matches {
+											DV_CODED_TEXT matches {
+												defining_code matches {
+													[local::
+													at0.44, 	-- Continuous
+													at0.45, 	-- Systolic
+													at0.46, 	-- Diastolic
+													at0.47, 	-- Pan-systolic
+													at0.48, 	-- Pan-diastolic
+													at0.49, 	-- Early systolic
+													at0.50, 	-- Mid-Systolic
+													at0.51, 	-- Late Systolic
+													at0.52, 	-- Early Diastolic
+													at0.53, 	-- Mid-diastolic
+													at0.54]	-- Late Diastolic
+												}
+											}
+										}
+									}
+									ELEMENT[at0.59] occurrences matches {0..1} matches {	-- Volume
+										value matches {
+											0|[local::at0.60], 	-- Not audible
+											1|[local::at0.61], 	-- Variable
+											2|[local::at0.62], 	-- Soft
+											3|[local::at0.63], 	-- Moderate
+											4|[local::at0.64]; 	-- Loud
+											0  	-- assumed value
+										}
+									}
+									use_node ELEMENT /items[at0004]
+								}
+							}
+							CLUSTER[at0.31] occurrences matches {0..*} matches {	-- Bruits
+								items cardinality matches {0..*; unordered} matches {
+									ELEMENT[at0.35] occurrences matches {0..1} matches {	-- Maximal Location
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+									ELEMENT[at0.36] occurrences matches {0..*} matches {	-- Radiation
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+									ELEMENT[at0.34] occurrences matches {0..1} matches {	-- Grading
+										value matches {
+											1|[local::at0.37], 	-- Grade 1
+											2|[local::at0.38], 	-- Grade 2
+											3|[local::at0.39], 	-- Grade 3
+											4|[local::at0.40], 	-- Grade 4
+											5|[local::at0.41], 	-- Grade 5
+											6|[local::at0.42]  	-- Grade 6
+										}
+									}
+									ELEMENT[at0.55] occurrences matches {0..1} matches {	-- Character
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+									ELEMENT[at0.56] occurrences matches {0..1} matches {	-- Pitch
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+									use_node ELEMENT /items[at0002]/items[at0.15]/items[at0.75]/items[at0.43]
+									use_node ELEMENT /items[at0004]
+								}
+							}
+							ELEMENT[at0.67] occurrences matches {0..1} matches {	-- Drawing
+								value matches {
+									DV_MULTIMEDIA matches {
+										media_type matches {
+											[openEHR::
+											425, 
+											426, 
+											427, 
+											428, 
+											429]
+										}
+									}
+								}
+							}
+							ELEMENT[at0.68] occurrences matches {0..1} matches {	-- Phonogram
+								value matches {
+									DV_MULTIMEDIA matches {
+										media_type matches {
+											[openEHR::
+											409, 
+											410]
+										}
+									}
+								}
+							}
+						}
+					}
+					CLUSTER[at0.69] occurrences matches {0..1} matches {	-- Lung
+						items cardinality matches {0..*; unordered} matches {
+							CLUSTER[at0.70] occurrences matches {0..1} matches {	-- Area
+								items cardinality matches {0..*; unordered} matches {
+									ELEMENT[at0.83] occurrences matches {0..1} matches {	-- Region
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+									ELEMENT[at0.72] occurrences matches {0..1} matches {	-- Phase of respiratory cycle
+										value matches {
+											DV_CODED_TEXT matches {
+												defining_code matches {
+													[local::
+													at0.73, 	-- Inspiratory
+													at0.74, 	-- Expiratory
+													at0.77, 	-- Early Inspiratory
+													at0.78, 	-- Late inspiratory
+													at0.79, 	-- Early expiratory
+													at0.80]	-- Late expiratory
+												}
+											}
+										}
+									}
+									ELEMENT[at0.81] occurrences matches {0..1} matches {	-- Findings
+										value matches {
+											DV_TEXT matches {*}
+										}
+									}
+								}
+							}
+							ELEMENT[at0.82] occurrences matches {0..1} matches {	-- Drawing
+								value matches {
+									DV_MULTIMEDIA matches {
+										media_type matches {
+											[openEHR::
+											425, 
+											426, 
+											427, 
+											428, 
+											429]
+										}
+									}
+								}
+							}
+							use_node ELEMENT /items[at0004]
+						}
+					}
+					CLUSTER[at0009] occurrences matches {0..1} matches {	-- Bowel sounds
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0074] occurrences matches {0..*} matches {	-- Specific Findings
+								value matches {
+									DV_CODED_TEXT matches {
+										defining_code matches {
+											[local::
+											at0078, 	-- Absent bowel sounds
+											at0079, 	-- Decreased bowel sounds
+											at0080, 	-- Increased bowel sounds
+											at0081]	-- Tinkling bowel sounds
+										}
+									}
+								}
+							}
+							use_node ELEMENT /items[at0004]
+						}
+					}
+					CLUSTER[at0010] occurrences matches {0..1} matches {	-- Vessel bruit
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0088] matches {	-- Vessel name
+								value matches {
+									DV_TEXT matches {*}
+								}
+							}
+							ELEMENT[at0030] occurrences matches {0..1} matches {	-- Maximal Location
+								value matches {
+									DV_TEXT matches {*}
+								}
+							}
+							ELEMENT[at0091] occurrences matches {0..1} matches {	-- Description
+								value matches {
+									DV_TEXT matches {*}
+								}
+							}
+						}
+					}
+					CLUSTER[at0089] occurrences matches {0..1} matches {	-- Other sounds
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0090] matches {	-- Description
+								value matches {
+									DV_TEXT matches {*}
+								}
+							}
+							use_node ELEMENT /items[at0002]/items[at0010]/items[at0030]
+						}
+					}
+					CLUSTER[at0086] occurrences matches {0..*} matches {	-- Localised auscultation
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0087] matches {	-- Site or region
+								value matches {
+									DV_TEXT matches {*}
+								}
+							}
+							allow_archetype CLUSTER occurrences matches {0..1} matches {
+								include
+									archetype_id/value matches {/auscultation\.v1/}
+							}
+						}
+					}
+				}
+			}
+		}
+	}
+
+ontology
+	term_definitions = <
+		["en"] = <
+			items = <
+				["at0.1"] = <
+					description = <"No abnormal breath sounds">
+					text = <"Clear">
+				>
+				["at0.10"] = <
+					description = <"*">
+					text = <"Normal second heart sound">
+				>
+				["at0.11"] = <
+					description = <"*">
+					text = <"No Bronchial breathing">
+				>
+				["at0.12"] = <
+					description = <"*">
+					text = <"No Amphoric breathing">
+				>
+				["at0.13"] = <
+					description = <"*">
+					text = <"Normal Vocal Resonance">
+				>
+				["at0.14"] = <
+					description = <"*">
+					text = <"No abnormal added sounds">
+				>
+				["at0.15"] = <
+					description = <"*">
+					text = <"Heart sounds and bruits">
+				>
+				["at0.16"] = <
+					description = <"Findings about the first heart sound">
+					text = <"First heart sound">
+				>
+				["at0.17"] = <
+					description = <"The volume of the first heart sound">
+					text = <"Volume">
+				>
+				["at0.18"] = <
+					description = <"The first heart sound is not heard">
+					text = <"Not heard">
+				>
+				["at0.19"] = <
+					description = <"The sound is variable in volume">
+					text = <"Variable">
+				>
+				["at0.2"] = <
+					description = <"No high or low pitched wheezes">
+					text = <"No rhonchi">
+				>
+				["at0.20"] = <
+					description = <"The sound is softer than normal">
+					text = <"Soft">
+				>
+				["at0.21"] = <
+					description = <"The sound is of normal volume">
+					text = <"Normal">
+				>
+				["at0.22"] = <
+					description = <"The volume is increased">
+					text = <"Loud">
+				>
+				["at0.23"] = <
+					description = <"Splitting of the heart sound">
+					text = <"Splitting">
+				>
+				["at0.24"] = <
+					description = <"The heart sound is not split">
+					text = <"No splitting">
+				>
+				["at0.25"] = <
+					description = <"The heart sound is split due to physiological changes">
+					text = <"Physiological splitting">
+				>
+				["at0.26"] = <
+					description = <"The heart sound is always split">
+					text = <"Fixed splitting">
+				>
+				["at0.27"] = <
+					description = <"The variable splitting is not physiological">
+					text = <"Paradoxical splitting">
+				>
+				["at0.28"] = <
+					description = <"The timing of the splitting is physiological but it is more obvious than normal">
+					text = <"Exaggerated splitting">
+				>
+				["at0.29"] = <
+					description = <"Findings about the second heart sound">
+					text = <"Second heart sound">
+				>
+				["at0.3"] = <
+					description = <"No wheezing noises">
+					text = <"No wheeze">
+				>
+				["at0.30"] = <
+					description = <"Opening sound of the mitral valve">
+					text = <"Opening snap">
+				>
+				["at0.31"] = <
+					description = <"Group of findings about auscultation of the heart">
+					text = <"Bruits">
+				>
+				["at0.32"] = <
+					description = <"Systolic click when the heart contracts">
+					text = <"Ejection click">
+				>
+				["at0.33"] = <
+					description = <"Rubbing noise during contractions on the pericardium">
+					text = <"Pericardial rub">
+				>
+				["at0.34"] = <
+					description = <"Grading of the loudness of a heart murmur">
+					text = <"Grading">
+				>
+				["at0.35"] = <
+					description = <"Site where finding is heard maximally">
+					text = <"Maximal Location">
+				>
+				["at0.36"] = <
+					description = <"Sites where finding is heard in addition to maximal site">
+					text = <"Radiation">
+				>
+				["at0.37"] = <
+					description = <"very faint to recognize the murmur even after listening for a while">
+					text = <"Grade 1">
+				>
+				["at0.38"] = <
+					description = <"faint, but easy to recognize the murmur right after the stethoscope is placed on the chest">
+					text = <"Grade 2">
+				>
+				["at0.39"] = <
+					description = <"intermediate loudness between II/VI -IV/VI">
+					text = <"Grade 3">
+				>
+				["at0.4"] = <
+					description = <"No high pitched crackling sounds">
+					text = <"No crepitations">
+				>
+				["at0.40"] = <
+					description = <"with loud murmur (palpable thrill)">
+					text = <"Grade 4">
+				>
+				["at0.41"] = <
+					description = <"very loud, but you can not hear the murmur, if the stethoscope is away from the chest wall">
+					text = <"Grade 5">
+				>
+				["at0.42"] = <
+					description = <"the loudest murmur you can hear, even if the stethoscope is off the chest wall">
+					text = <"Grade 6">
+				>
+				["at0.43"] = <
+					description = <"The timing in relation to the contraction of the heart">
+					text = <"Phase of heart cycle">
+				>
+				["at0.44"] = <
+					description = <"*">
+					text = <"Continuous">
+				>
+				["at0.45"] = <
+					description = <"*">
+					text = <"Systolic">
+				>
+				["at0.46"] = <
+					description = <"*">
+					text = <"Diastolic">
+				>
+				["at0.47"] = <
+					description = <"*">
+					text = <"Pan-systolic">
+				>
+				["at0.48"] = <
+					description = <"*">
+					text = <"Pan-diastolic">
+				>
+				["at0.49"] = <
+					description = <"*">
+					text = <"Early systolic">
+				>
+				["at0.5"] = <
+					description = <"No high pitched crackling sounds">
+					text = <"No crackles">
+				>
+				["at0.50"] = <
+					description = <"*">
+					text = <"Mid-Systolic">
+				>
+				["at0.51"] = <
+					description = <"*">
+					text = <"Late Systolic">
+				>
+				["at0.52"] = <
+					description = <"*">
+					text = <"Early Diastolic">
+				>
+				["at0.53"] = <
+					description = <"*">
+					text = <"Mid-diastolic">
+				>
+				["at0.54"] = <
+					description = <"*">
+					text = <"Late Diastolic">
+				>
+				["at0.55"] = <
+					description = <"The character of the sound">
+					text = <"Character">
+				>
+				["at0.56"] = <
+					description = <"The pitch of the sound">
+					text = <"Pitch">
+				>
+				["at0.57"] = <
+					description = <"A heart sound in early diastole">
+					text = <"Third heart sound">
+				>
+				["at0.58"] = <
+					description = <"A heart sound in late diastole">
+					text = <"Fourth heart sound">
+				>
+				["at0.59"] = <
+					description = <"The volume of the sound">
+					text = <"Volume">
+				>
+				["at0.6"] = <
+					description = <"Normal heart sounds">
+					text = <"Two heart sounds, no bruits">
+				>
+				["at0.60"] = <
+					description = <"The sound is not audible">
+					text = <"Not audible">
+				>
+				["at0.61"] = <
+					description = <"The sound is variable">
+					text = <"Variable">
+				>
+				["at0.62"] = <
+					description = <"The sound is soft">
+					text = <"Soft">
+				>
+				["at0.63"] = <
+					description = <"The sound is at about the expected level the first heart sound">
+					text = <"Moderate">
+				>
+				["at0.64"] = <
+					description = <"The sound is louder than the first heart sound">
+					text = <"Loud">
+				>
+				["at0.65"] = <
+					description = <"Sound due to a prosthetic heart valve">
+					text = <"Prosthetic valve sound">
+				>
+				["at0.66"] = <
+					description = <"Audible rythm similar to a horse galloping due to added heart sounds">
+					text = <"Gallop rythm">
+				>
+				["at0.67"] = <
+					description = <"Drawing of the sounds of the heart">
+					text = <"Drawing">
+				>
+				["at0.68"] = <
+					description = <"Recording of the heart sounds">
+					text = <"Phonogram">
+				>
+				["at0.69"] = <
+					description = <"Group of findings about auscultation of the lung">
+					text = <"Lung">
+				>
+				["at0.7"] = <
+					description = <"Normal heart sounds">
+					text = <"Two heart sounds, no murmurs">
+				>
+				["at0.70"] = <
+					description = <"*">
+					text = <"Area">
+				>
+				["at0.72"] = <
+					description = <"The timing of the sounds in relation to breathing">
+					text = <"Phase of respiratory cycle">
+				>
+				["at0.73"] = <
+					description = <"During inspiration">
+					text = <"Inspiratory">
+				>
+				["at0.74"] = <
+					description = <"During expiration">
+					text = <"Expiratory">
+				>
+				["at0.75"] = <
+					description = <"A grouping of discription of one or more added heart sounds">
+					text = <"Added heart sound">
+				>
+				["at0.76"] = <
+					description = <"Specific auscultatory findings related to examination of the heart">
+					text = <"Specific sound">
+				>
+				["at0.77"] = <
+					description = <"Soon after inspiration begins">
+					text = <"Early Inspiratory">
+				>
+				["at0.78"] = <
+					description = <"At the final stages of inspiration">
+					text = <"Late inspiratory">
+				>
+				["at0.79"] = <
+					description = <"Soon after expiration begins">
+					text = <"Early expiratory">
+				>
+				["at0.8"] = <
+					description = <"*">
+					text = <"Two normal heart sounds">
+				>
+				["at0.80"] = <
+					description = <"At the late stages of expiration">
+					text = <"Late expiratory">
+				>
+				["at0.81"] = <
+					description = <"Specific auscultatory findings related to examination of the lungs">
+					text = <"Findings">
+				>
+				["at0.82"] = <
+					description = <"Drawing of the breath sounds">
+					text = <"Drawing">
+				>
+				["at0.83"] = <
+					description = <"The region to which the findings relate">
+					text = <"Region">
+				>
+				["at0.9"] = <
+					description = <"*">
+					text = <"Normal first heart sound">
+				>
+				["at0000"] = <
+					description = <"Findings on Auscultation">
+					text = <"Auscultation">
+				>
+				["at0000.1"] = <
+					description = <"Findings on auscultation of the chest">
+					text = <"Auscultation of the chest">
+				>
+				["at0001"] = <
+					description = <"A group of statements about the normality of auscultation">
+					text = <"Normal Statements">
+				>
+				["at0002"] = <
+					description = <"Findings on auscultation">
+					text = <"Findings">
+				>
+				["at0003"] = <
+					description = <"Statements about the normality of the auscultation">
+					text = <"Normal Statement">
+				>
+				["at0004"] = <
+					description = <"Detailed clinical description of the findings on auscultation">
+					text = <"Clinical Description">
+				>
+				["at0009"] = <
+					description = <"Group of findings about auscultation of the bowel">
+					text = <"Bowel sounds">
+				>
+				["at0010"] = <
+					description = <"Group of findings about auscultation of a major blood vessel">
+					text = <"Vessel bruit">
+				>
+				["at0030"] = <
+					description = <"Site where finding is heard maximally">
+					text = <"Maximal Location">
+				>
+				["at0056"] = <
+					description = <"No murmur is heard">
+					text = <"No murmur">
+				>
+				["at0057"] = <
+					description = <"No bruit is heard">
+					text = <"No bruit">
+				>
+				["at0073"] = <
+					description = <"Bowel sounds are normal in intensity and character">
+					text = <"Normal bowel sounds">
+				>
+				["at0074"] = <
+					description = <"Specific auscultatory findings related to examination of the bowels">
+					text = <"Specific Findings">
+				>
+				["at0078"] = <
+					description = <"No bowel sounds can be heard">
+					text = <"Absent bowel sounds">
+				>
+				["at0079"] = <
+					description = <"Bowel sounds are less than normal">
+					text = <"Decreased bowel sounds">
+				>
+				["at0080"] = <
+					description = <"Bowel sounds are more intense than normal">
+					text = <"Increased bowel sounds">
+				>
+				["at0081"] = <
+					description = <"High pitched and very frequent bowel sounds can be heard">
+					text = <"Tinkling bowel sounds">
+				>
+				["at0085"] = <
+					description = <"Nothing abnormal on auscultation">
+					text = <"No abnormality detected">
+				>
+				["at0086"] = <
+					description = <"Auscultation in a particular site">
+					text = <"Localised auscultation">
+				>
+				["at0087"] = <
+					description = <"The site of the localised findings">
+					text = <"Site or region">
+				>
+				["at0088"] = <
+					description = <"The name of the vessel to which is being listened">
+					text = <"Vessel name">
+				>
+				["at0089"] = <
+					description = <"Recording of sounds of a different nature">
+					text = <"Other sounds">
+				>
+				["at0090"] = <
+					description = <"Description of other sounds">
+					text = <"Description">
+				>
+				["at0091"] = <
+					description = <"Description of the bruit">
+					text = <"Description">
+				>
+			>
+		>
+	>