编者:李国帅
qq:9611153 微信lgs9611153
时间:2019-7-4
背景:
存储心电图数据的格式有很多种,比如HL7,Dicom,EDF,GDF等,其中HL7最是简单,直观,使用Xml的方式保存数据。
以前为了显示HL7数据从官网下载了一个很全的aecg例子,里面包含各个字段的注释,包含几乎所有HL7协议中定义的字段。不过其中注释是英文的,本人通过翻译软件大致把注释翻译了一下,提供给有需要的人。
段(4):
<!--给定系列的批注从这里开始 Annotations for the given series start here -->
<!--对于给定的系列, 可以有一个或多个批注集 There can be one or more annotation sets for a given series -->
<!--每个批注集包含在单个测量"会话"中执行的所有批注 Each annotation set includes all the annotations performed in a single measurement "session" -->
<!--在本例中,我们提供了两个批注集,一个由机器生成,一个由人类读取器生成 In this example we provide two annotation sets, one generated by a machine and one by a human reader -->
<subjectOf>
<!--我们现在进入第一个注释集 we are now into first annotation set -->
<annotationSet>
<!--活动时间: 这指定生成批注集的时间 Activity time: this specifies WHEN the annotation set was generated -->
<activityTime value="20021122091000.000"/>
<!--注释集作者:这是世卫组织执行的注释(设备或人员) Annotation set author: this is WHO performed the annotations (device or person) -->
<!--此注释集是由一个设备生成的:摩托罗拉ELI250-5.3软件 This annotation set was produced by a device: the Mortara ELI250 5.3 software -->
<author>
<!--指派实体-->
<assignedEntity>
<id extension="0"/>
<!--制造商类型---->
<assignedAuthorType>
<assignedDevice>
<!--设备编码---->
<code code="RESTING_ECG" codeSystem="1.2.3.4.5" codeSystemName="???"/>
<!--制造商设备型号-->
<manufacturerModelName>ELI250</manufacturerModelName>
<!--软件版本---->
<softwareName>5.3</softwareName>
<!--播放的制造设备-->
<playedManufacturedDevice>
<!--制造商组织-->
<manufacturerOrganization>
<name>Mortara Instrument, Inc.</name>
</manufacturerOrganization>
</playedManufacturedDevice>
</assignedDevice>
</assignedAuthorType>
<!--代表创作组织-->
<representedAuthoringOrganization>
<name>River City Clinic for the Cardiac Challenged</name>
<!--组织标识-->
<identification>
<id root="2.16.840.1.113883.3.400" extension="TS-035"/>
</identification>
</representedAuthoringOrganization>
</assignedEntity>
</author>
<component>
<!--下面是一个心电类型批注的示例 The following is an example of a RHYTHM type annotation -->
<annotation>
<!--注解编码-->
<code code="MDC_ECG_RHY" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--窦性心律-->
<value xsi:type="CE" code="MDC_ECG_RHY_SINUS_RHY"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Sinus Rhythm"/>
<!--支持项-->
<support>
<!--支持感兴趣的心电图形区域-->
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4"/>
<component>
<!--边界-->
<boundary>
<!--批注对应的时间段-->
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.000"/>
<high value="20021122091010.000"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!--下面是节拍类型批注的示例 The following is an example of a BEAT type annotation -->
<!--对于属于同一节拍的所有波型批注,此节拍批注将使用"容器" This BEAT-tpe annotation will be used a "container" for all the WAVE-type annotations that belong to the same beat -->
<!--虽然我们可以, 但我们没有为节拍指定区域;我们只是把它当作一个容器 Although we could, we don't specify an ROI for the beat; we just use it as a container -->
<annotation>
<!--批注编码-->
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--我们使用MDC_ECG_BEAT_NORMAL来识别正常节拍 We use the MDC_ECG_BEAT_NORMAL code to identify a normal beat -->
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<!--在节拍注释中存储波形注释 Within the BEAT annotation we now store WAVE type annotations -->
<!--首先是个P波 The first is a P Wave -->
<annotation>
<!--波型编码-->
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--支持-->
<support>
<!--支持区间不包括潜在顾客组件:=>因此这是一个全球化注释 the supportting ROI DOES NOT INCLUDE a lead component: => this is thus a GLOBAL annotation-->
<supportingROI classCode="ROIBND">
<!--区间编码 PS-->
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<!--边界-->
<boundary>
<!--批注对应的时间段-->
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.122"/>
<high value="20021122091000.224"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!--这是个qrs波(对于相同的节拍) Now comes the QRS Wave (for the same BEAT) -->
<annotation>
<!--批注编码-->
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--QRS波-->
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--支持-->
<support>
<!--支持区间-->
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<!--边界-->
<boundary>
<!--批注对应的时间段-->
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.270"/>
<high value="20021122091000.390"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!--现在来个T波 Now comes the T Wave -->
<annotation>
<!--批注编码-->
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--T波-->
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<!--批注对应的时间段-->
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<!-- We only give the high value of this wave (the offset) -->
<value xsi:type="IVL_TS">
<high value="20021122091000.690"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!--对于相同节拍, 我们现在提供数字类型注释 Still for the same BEAT we now provide NUMERICS type annotations -->
<!--这是可选的批注, 因为它们可以完全通过上面的 wave 类型批注派生 This are optional annotations (as they could be fully derived by the WAVE type annotations above -->
<!--aecg 文件的 "生成器" 负责保持 nummerics 和 wave 类型附件之间的一致性 The "generator" of the aECG file is responsible to maintain consistency between NUMERICS and WAVE type anntoations -->
<!--p 波持续时间 P wave duration -->
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!--P波持续时间 -->
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<!--PR区间 PR interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<!--QRS区间 QRS interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<!--QT区间 QT interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<!--QTc区间 QTc interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<!--P波前角 P wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<!--QRS波前角 QRS wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<!--T波前角 T wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<!--我们已经完成了第一个节拍! We are done with the first beat!!! -->
<component>
<!--这是第二个节拍......一切都像上面一样重复着 This is the second beat.... everything is repeated as above -->
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.912"/>
<high value="20021122091001.014"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.060"/>
<high value="20021122091001.180"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091001.480"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<!--这是第3个节拍-->
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.720"/>
<high value="20021122091001.822"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.868"/>
<high value="20021122091001.988"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091002.288"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<!--这是第4个节拍-->
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091002.566"/>
<high value="20021122091002.668"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091002.714"/>
<high value="20021122091002.834"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
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<value xsi:type="PQ" value="120" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
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<value xsi:type="PQ" value="420" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
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<value xsi:type="PQ" value="443" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
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<value xsi:type="PQ" value="-61" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
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<value xsi:type="PQ" value="86" unit="deg"/>
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</annotation>
</component>
<component>
<!--这是第5个节拍-->
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<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
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<value xsi:type="IVL_TS">
<low value="20021122091003.590"/>
<high value="20021122091003.710"/>
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</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
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codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091004.010"/>
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</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
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<value xsi:type="PQ" value="102" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
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<value xsi:type="PQ" value="120" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
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<value xsi:type="PQ" value="420" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
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<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
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<value xsi:type="PQ" value="-61" unit="deg"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
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<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
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<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
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<boundary>
<code code="TIME_ABSOLUTE"
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<low value="20021122091004.314"/>
<high value="20021122091004.416"/>
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</supportingROI>
</support>
</annotation>
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<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
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<boundary>
<code code="TIME_ABSOLUTE"
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<low value="20021122091004.462"/>
<high value="20021122091004.582"/>
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</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
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<high value="20021122091004.882"/>
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</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
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<value xsi:type="PQ" value="102" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
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<value xsi:type="PQ" value="148" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
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<value xsi:type="PQ" value="120" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
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<value xsi:type="PQ" value="420" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
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<value xsi:type="PQ" value="44" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
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<value xsi:type="PQ" value="-61" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
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<value xsi:type="PQ" value="86" unit="deg"/>
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</component>
</annotation>
</component>
<component>
<!--这是第6个节拍-->
<annotation>
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<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
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<boundary>
<code code="TIME_ABSOLUTE"
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<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<supportingROI classCode="ROIBND">
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<code code="TIME_ABSOLUTE"
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</supportingROI>
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</annotation>
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<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
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<code code="TIME_ABSOLUTE"
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<high value="20021122091005.724"/>
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</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
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<value xsi:type="PQ" value="102" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
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<value xsi:type="PQ" value="148" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
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<value xsi:type="PQ" value="120" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
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<value xsi:type="PQ" value="443" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
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<value xsi:type="PQ" value="-61" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
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<value xsi:type="PQ" value="86" unit="deg"/>
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</component>
</annotation>
</component>
<component>
<!--这是第7个节拍-->
<annotation>
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<component>
<annotation>
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<component>
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<supportingROI classCode="ROIBND">
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
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<value xsi:type="PQ" value="148" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
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<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
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<value xsi:type="PQ" value="420" unit="ms"/>
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</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
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<value xsi:type="PQ" value="443" unit="ms"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
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<value xsi:type="PQ" value="44" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
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<value xsi:type="PQ" value="-61" unit="deg"/>
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<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
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<value xsi:type="PQ" value="86" unit="deg"/>
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</annotation>
</component>
<component>
<!--这是第8个节拍-->
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<supportingROI classCode="ROIBND">
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<!--这是第9个节拍-->
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<!--这是第10个节拍-->
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<!--这是第11个节拍-->
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