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><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="20021122091003.134"/></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5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 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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><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="20021122091004.314"/><high value="20021122091004.416"/></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" 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value="20021122091004.882"/></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6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" 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xsi:type="IVL_TS"><low value="20021122091005.304"/><high value="20021122091005.424"/></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="20021122091005.724"/></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7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="20021122091006.040"/><high value="20021122091006.142"/></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="20021122091006.188"/><high value="20021122091006.308"/></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" 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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8个节拍--><annotation><code code="MDC_ECG_BEAT" 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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9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" 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xsi:type="IVL_TS"><low value="20021122091007.888"/><high value="20021122091008.008"/></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="20021122091008.308"/></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10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="20021122091008.558"/><high value="20021122091008.660"/></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="20021122091008.706"/><high value="20021122091008.826"/></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="20021122091009.126"/></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" 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