官方完整HL7 ECG-XML例子及註釋翻譯(4)

編者:李國帥

qq:9611153 微信lgs9611153

時間:2019-7-4

背景:

存儲心電圖數據的格式有很多種,比如HL7,Dicom,EDF,GDF等,其中HL7最是簡單,直觀,使用Xml的方式保存數據。

以前爲了顯示HL7數據從官網下載了一個很全的aecg例子,裏面包含各個字段的註釋,包含幾乎所有HL7協議中定義的字段。不過其中註釋是英文的,本人通過翻譯軟件大致把註釋翻譯了一下,提供給有需要的人。

 

段(4):

            <!--給定系列的批註從這裏開始 Annotations for the given series start here -->
            <!--對於給定的系列, 可以有一個或多個批註集 There can be one or more annotation sets for a given series -->
            <!--每個批註集包含在單個測量"會話"中執行的所有批註 Each annotation set includes all the annotations performed in a single measurement "session" -->
            <!--在本例中,我們提供了兩個批註集,一個由機器生成,一個由人類讀取器生成 In this example we provide two annotation sets, one generated by a machine and one by a human reader -->
            <subjectOf>
                <!--我們現在進入第一個註釋集 we are now into first annotation set -->
                <annotationSet>
                    <!--活動時間: 這指定生成批註集的時間 Activity time: this specifies WHEN the annotation set was generated -->
                    <activityTime value="20021122091000.000"/>
                    <!--註釋集作者:這是世衛組織執行的註釋(設備或人員) Annotation set author: this is WHO performed the annotations (device or person) -->
                    <!--此註釋集是由一個設備生成的:摩托羅拉ELI250-5.3軟件 This annotation set was produced by a device: the Mortara ELI250 5.3 software -->
                    <author>
						<!--指派實體-->
                        <assignedEntity>
                            <id extension="0"/>
							<!--製造商類型---->
                            <assignedAuthorType>
                                <assignedDevice>
									<!--設備編碼---->
                                    <code code="RESTING_ECG" codeSystem="1.2.3.4.5" codeSystemName="???"/>
									<!--製造商設備型號-->
                                    <manufacturerModelName>ELI250</manufacturerModelName>
									<!--軟件版本---->
                                    <softwareName>5.3</softwareName>
									<!--播放的製造設備-->
                                    <playedManufacturedDevice>
										<!--製造商組織-->
                                        <manufacturerOrganization>
                                            <name>Mortara Instrument, Inc.</name>
                                        </manufacturerOrganization>
                                    </playedManufacturedDevice>
                                </assignedDevice>
                            </assignedAuthorType>
							<!--代表創作組織-->
                            <representedAuthoringOrganization>
                                <name>River City Clinic for the Cardiac Challenged</name>
								<!--組織標識-->
                                <identification>
                                    <id root="2.16.840.1.113883.3.400" extension="TS-035"/>
                                </identification>
                            </representedAuthoringOrganization>
                        </assignedEntity>
                    </author>
                    <component>
                        <!--下面是一個心電類型批註的示例 The following is an example of a RHYTHM type annotation -->
                        <annotation>
							<!--註解編碼-->
                            <code code="MDC_ECG_RHY" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
							<!--竇性心律-->
                            <value xsi:type="CE" code="MDC_ECG_RHY_SINUS_RHY"
                                codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Sinus Rhythm"/>
							<!--支持項-->
                            <support>
								<!--支持感興趣的心電圖形區域-->
                                <supportingROI classCode="ROIBND">
                                    <code code="ROIPS" codeSystem="2.16.840.1.113883.5.4"/>
                                    <component>
										<!--邊界-->
                                        <boundary>
											<!--批註對應的時間段-->
                                            <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>
                        <!--下面是節拍類型批註的示例 The following is an example of a BEAT type annotation -->
                        <!--對於屬於同一節拍的所有波型批註,此節拍批註將使用"容器" This BEAT-tpe annotation will be used a "container" for all the WAVE-type annotations that belong to the same beat  -->
                        <!--雖然我們可以, 但我們沒有爲節拍指定區域;我們只是把它當作一個容器 Although we could, we don't specify an ROI for the beat; we just use it as a container -->
                        <annotation>
							<!--批註編碼-->
                            <code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
                            <!--我們使用MDC_ECG_BEAT_NORMAL來識別正常節拍 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>
                                <!--在節拍註釋中存儲波形註釋 Within the BEAT annotation we now store WAVE type annotations -->
                                <!--首先是個P波 The first is a P Wave -->
                                <annotation>
									<!--波型編碼-->
                                    <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>
                                        <!--支持區間不包括潛在顧客組件:=>因此這是一個全球化註釋 the supportting ROI DOES NOT INCLUDE a lead component: => this is thus a GLOBAL annotation-->
                                        <supportingROI classCode="ROIBND">
											<!--區間編碼 PS-->
                                            <code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
                                            <component>
												<!--邊界-->
                                                <boundary>
													<!--批註對應的時間段-->
													<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>
                                <!--這是個qrs波(對於相同的節拍) Now comes the QRS Wave (for the same BEAT) -->
                                <annotation>
									<!--批註編碼-->
                                    <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>
										 <!--支持區間-->
                                        <supportingROI classCode="ROIBND">
                                            <code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
                                            <component>
												<!--邊界-->
                                                <boundary>
													<!--批註對應的時間段-->
                                                  <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>
                                <!--現在來個T波 Now comes the T Wave -->
                                <annotation>
									<!--批註編碼-->
                                    <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>
													<!--批註對應的時間段-->
                                                  <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>
                                <!--對於相同節拍, 我們現在提供數字類型註釋 Still for the same BEAT we now provide NUMERICS type annotations -->
                                <!--這是可選的批註, 因爲它們可以完全通過上面的 wave 類型批註派生 This are optional annotations (as they could be fully derived by the WAVE type annotations above -->
                                <!--aecg 文件的 "生成器" 負責保持 nummerics 和 wave 類型附件之間的一致性 The "generator" of the aECG file is responsible to maintain consistency between NUMERICS and WAVE type anntoations -->
                                <!--p 波持續時間 P wave duration -->
                                <annotation>
                                    <code code="MDC_ECG_TIME_PD_P"
                                        codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
									<!--P波持續時間 -->
                                    <value xsi:type="PQ" value="102" unit="ms"/>
                                </annotation>
                            </component>
                            <component>
                                <!--PR區間 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區間 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區間 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區間 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>
                    <!--我們已經完成了第一個節拍! We are done with the first beat!!! -->
                    <component>
                        <!--這是第二個節拍......一切都像上面一樣重複着  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>
						<!--這是第3個節拍-->
                        <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"/>
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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"/>
                                </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>
						<!--這是第4個節拍-->
                        <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"/>
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                                <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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                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
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                                                  <low value="20021122091002.566"/>
                                                  <high value="20021122091002.668"/>
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                                        </supportingROI>
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                                </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"
                                                  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"/>
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                                        </supportingROI>
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                                </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"/>
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                                            </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>
 						<!--這是第5個節拍-->
                       <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"
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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"
                                                  codeSystem="2.16.840.1.113883.5.4"
                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
                                                  <value xsi:type="IVL_TS">
                                                  <low value="20021122091003.442"/>
                                                  <high value="20021122091003.544"/>
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                                        </supportingROI>
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                                </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"
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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"
                                                  codeSystem="2.16.840.1.113883.5.4"
                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
                                                  <value xsi:type="IVL_TS">
                                                  <low value="20021122091003.590"/>
                                                  <high value="20021122091003.710"/>
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                                            </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="20021122091004.010"/>
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                                            </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>
                        <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"
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                                    <support>
                                        <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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                                </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"
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                                    <support>
                                        <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"
                                                  codeSystem="2.16.840.1.113883.5.4"
                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
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                                        </supportingROI>
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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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                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
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                                        </supportingROI>
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                                </annotation>
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                            <component>
                                <annotation>
                                    <code code="MDC_ECG_TIME_PD_P"
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                                </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"
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                                </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"/>
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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>
                                <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>
 						<!--這是第6個節拍-->
                       <annotation>
                            <code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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                                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"/>
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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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                                                  codeSystemName="ActCode" displayName="Aboslute Time"/>
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                                        </supportingROI>
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                                </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"/>
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                                                  <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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                                        </supportingROI>
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                                </annotation>
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                            <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"
                                        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"
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                                    <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>
                            <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>
 						<!--這是第7個節拍-->
                       <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" 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="20021122091006.608"/>
                                                  </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>
 						<!--這是第8個節拍-->
                       <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="20021122091006.902"/>
                                                  <high value="20021122091007.004"/>
                                                  </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="20021122091007.050"/>
                                                  <high value="20021122091007.170"/>
                                                  </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="20021122091007.470"/>
                                                  </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>
						<!--這是第9個節拍-->
                        <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="20021122091007.740"/>
                                                  <high value="20021122091007.842"/>
                                                  </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="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>
						<!--這是第10個節拍-->
                        <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" unit="deg"/>
                                </annotation>
                            </component>
                        </annotation>
                    </component>
                    <component>
 						<!--這是第11個節拍-->
                       <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="20021122091009.340"/>
                                                  <high value="20021122091009.442"/>
                                                  </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="20021122091009.488"/>
                                                  <high value="20021122091009.608"/>
                                                  </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="20021122091009.908"/>
                                                  </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>
                </annotationSet>
            </subjectOf>

 

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