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