{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Pulse_heartbeat-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-pulse_heartbeat-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.pulse.v2"
    }
  ],
  "version": "0",
  "name": "Pulse_heartbeat",
  "title": "Pulse/Heart beat",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "The rate and associated attributes for a pulse or heart beat.",
  "purpose": "To record details about the rate and associated attributes for a pulse or heart beat.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Pulse_Heart_beat",
        "path": "Pulse_Heart_beat",
        "short": "Pulse/Heart beat",
        "definition": "The rate and associated attributes for a pulse or heart beat.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List",
        "path": "Pulse_Heart_beat.List",
        "short": "List",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List.Method",
        "path": "Pulse_Heart_beat.List.Method",
        "short": "Method",
        "definition": "Method used to observe the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Method",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.List.Method.value",
        "path": "Pulse_Heart_beat.List.Method.value",
        "short": "Method",
        "definition": "Method used to observe the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Method.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List.Body_site",
        "path": "Pulse_Heart_beat.List.Body_site",
        "short": "Body site",
        "definition": "Body site where the pulse or heart beat were observed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Body_site",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.List.Body_site.value_DV_CODED_TEXT",
        "path": "Pulse_Heart_beat.List.Body_site.value_DV_CODED_TEXT",
        "short": "Body site",
        "definition": "Body site where the pulse or heart beat were observed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Body_site.value_DV_CODED_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List.Body_site.value_DV_TEXT",
        "path": "Pulse_Heart_beat.List.Body_site.value_DV_TEXT",
        "short": "Body site",
        "definition": "Body site where the pulse or heart beat were observed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Body_site.value_DV_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List.Device",
        "path": "Pulse_Heart_beat.List.Device",
        "short": "Device",
        "definition": "Details about the device used to measure the pulse rate or heart rate.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.List.Device",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.List.Extension",
        "path": "Pulse_Heart_beat.List.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.List.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history",
        "path": "Pulse_Heart_beat.history",
        "short": "history",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event",
        "path": "Pulse_Heart_beat.history.Any_event",
        "short": "Any event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure",
        "path": "Pulse_Heart_beat.history.Any_event.structure",
        "short": "structure",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Presence",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Presence",
        "short": "Presence",
        "definition": "Presence of a pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Presence.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Presence.value",
        "short": "Presence",
        "definition": "Presence of a pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Rate",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Rate",
        "short": "Rate",
        "definition": "The rate of the pulse or heart beat, measured in beats per minute.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Rate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Rate.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Rate.value",
        "short": "Rate",
        "definition": "The rate of the pulse or heart beat, measured in beats per minute.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Rate.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Regularity",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Regularity",
        "short": "Regularity",
        "definition": "Regularity of the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Regularity",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Regularity.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Regularity.value",
        "short": "Regularity",
        "definition": "Regularity of the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Regularity.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type",
        "short": "Irregular type",
        "definition": "More specific pattern of an irregular pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type.value",
        "short": "Irregular type",
        "definition": "More specific pattern of an irregular pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Irregular_type.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Character",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Character",
        "short": "Character",
        "definition": "Description of the character of the pulse or heart beat.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Character",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Character.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Character.value",
        "short": "Character",
        "definition": "Description of the character of the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Character.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description about the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description about the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.name",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.name",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.name",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.value",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Clinical_interpretation.value",
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          "max": "1"
        },
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Comment",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the pulse or heart beat findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Comment",
          "min": 0,
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        }
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.structure.Comment.value",
        "path": "Pulse_Heart_beat.history.Any_event.structure.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the pulse or heart beat findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.structure.Comment.value",
          "min": 0,
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        },
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.List",
        "path": "Pulse_Heart_beat.history.Any_event.List",
        "short": "List",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List",
          "min": 0,
          "max": "1"
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        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.List.Position",
        "path": "Pulse_Heart_beat.history.Any_event.List.Position",
        "short": "Position",
        "definition": "The body position of the subject during the observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List.Position",
          "min": 0,
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      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.List.Position.value",
        "path": "Pulse_Heart_beat.history.Any_event.List.Position.value",
        "short": "Position",
        "definition": "The body position of the subject during the observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List.Position.value",
          "min": 0,
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors",
        "path": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Narrative description about any incidental factors that may affect interpretation of the physical findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors",
          "min": 0,
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        }
      },
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        "id": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors.value",
        "path": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Narrative description about any incidental factors that may affect interpretation of the physical findings.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List.Confounding_factors.value",
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        },
        "type": [
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            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Any_event.List.Exertion",
        "path": "Pulse_Heart_beat.history.Any_event.List.Exertion",
        "short": "Exertion",
        "definition": "Details about physical exertion being undertaken during the examination.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Any_event.List.Exertion",
          "min": 0,
          "max": "*"
        },
        "type": [
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            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum",
        "path": "Pulse_Heart_beat.history.Maximum",
        "short": "Maximum",
        "definition": "Maximum pulse rate or heart rate observed during a period of exertion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum",
          "min": 0,
          "max": "1"
        },
        "type": [
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data",
        "path": "Pulse_Heart_beat.history.Maximum.data",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data",
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          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Presence",
        "path": "Pulse_Heart_beat.history.Maximum.data.Presence",
        "short": "Presence",
        "definition": "Presence of a pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Presence.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Presence.value",
        "short": "Presence",
        "definition": "Presence of a pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Rate",
        "path": "Pulse_Heart_beat.history.Maximum.data.Rate",
        "short": "Rate",
        "definition": "The rate of the pulse or heart beat, measured in beats per minute.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Rate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Rate.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Rate.value",
        "short": "Rate",
        "definition": "The rate of the pulse or heart beat, measured in beats per minute.",
        "min": 1,
        "max": "1",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Rate.value",
          "min": 1,
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        },
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            "code": "Quantity"
          }
        ],
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      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Regularity",
        "path": "Pulse_Heart_beat.history.Maximum.data.Regularity",
        "short": "Regularity",
        "definition": "Regularity of the pulse or heart beat.",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Regularity",
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        "id": "Pulse_Heart_beat.history.Maximum.data.Regularity.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Regularity.value",
        "short": "Regularity",
        "definition": "Regularity of the pulse or heart beat.",
        "min": 0,
        "max": "1",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Regularity.value",
          "min": 0,
          "max": "1"
        },
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            "code": "CodeableConcept"
          }
        ],
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      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Irregular_type",
        "path": "Pulse_Heart_beat.history.Maximum.data.Irregular_type",
        "short": "Irregular type",
        "definition": "More specific pattern of an irregular pulse or heart beat.",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Irregular_type",
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        "id": "Pulse_Heart_beat.history.Maximum.data.Irregular_type.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Irregular_type.value",
        "short": "Irregular type",
        "definition": "More specific pattern of an irregular pulse or heart beat.",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Irregular_type.value",
          "min": 0,
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          }
        ],
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      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Character",
        "path": "Pulse_Heart_beat.history.Maximum.data.Character",
        "short": "Character",
        "definition": "Description of the character of the pulse or heart beat.",
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        "max": "*",
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        }
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Character.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Character.value",
        "short": "Character",
        "definition": "Description of the character of the pulse or heart beat.",
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        "max": "1",
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          "path": "Pulse_Heart_beat.history.Maximum.data.Character.value",
          "min": 0,
          "max": "1"
        },
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            "code": "CodeableConcept"
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        ],
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        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Clinical_description",
        "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description about the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_description",
          "min": 0,
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      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Clinical_description.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description about the pulse or heart beat.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
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            "code": "CodeableConcept"
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        ],
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation",
        "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation",
          "min": 0,
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        "id": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.name",
        "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.name",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.name",
          "min": 0,
          "max": "1"
        },
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          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.value",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the pulse or heart beat findings, including the rhythm.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Clinical_interpretation.value",
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          "max": "1"
        },
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            "code": "CodeableConcept"
          }
        ],
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        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Comment",
        "path": "Pulse_Heart_beat.history.Maximum.data.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the pulse or heart beat findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.data.Comment.value",
        "path": "Pulse_Heart_beat.history.Maximum.data.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the pulse or heart beat findings not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.data.Comment.value",
          "min": 0,
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        },
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          }
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        "isSummary": true
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      {
        "id": "Pulse_Heart_beat.history.Maximum.state",
        "path": "Pulse_Heart_beat.history.Maximum.state",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
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          "min": 0,
          "max": "1"
        },
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          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.state.Position",
        "path": "Pulse_Heart_beat.history.Maximum.state.Position",
        "short": "Position",
        "definition": "The body position of the subject during the observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.state.Position",
          "min": 0,
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      },
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        "id": "Pulse_Heart_beat.history.Maximum.state.Position.value",
        "path": "Pulse_Heart_beat.history.Maximum.state.Position.value",
        "short": "Position",
        "definition": "The body position of the subject during the observation.",
        "min": 0,
        "max": "1",
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          "path": "Pulse_Heart_beat.history.Maximum.state.Position.value",
          "min": 0,
          "max": "1"
        },
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        ],
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        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.state.Confounding_factors",
        "path": "Pulse_Heart_beat.history.Maximum.state.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Narrative description about any incidental factors that may affect interpretation of the physical findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.state.Confounding_factors",
          "min": 0,
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        }
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.state.Confounding_factors.value",
        "path": "Pulse_Heart_beat.history.Maximum.state.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Narrative description about any incidental factors that may affect interpretation of the physical findings.",
        "min": 0,
        "max": "1",
        "base": {
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          "min": 0,
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.Maximum.state.Exertion",
        "path": "Pulse_Heart_beat.history.Maximum.state.Exertion",
        "short": "Exertion",
        "definition": "Details about physical exertion being undertaken during the examination.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Pulse_Heart_beat.history.Maximum.state.Exertion",
          "min": 0,
          "max": "*"
        },
        "type": [
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Pulse_Heart_beat.history.events_Maximum.math_function",
        "path": "Pulse_Heart_beat.history.events_Maximum.math_function",
        "short": "Maximum",
        "definition": "Maximum pulse rate or heart rate observed during a period of exertion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Pulse_Heart_beat.history.events_Maximum.math_function",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
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        "isModifier": false,
        "isSummary": true
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    ]
  }
}