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    <original_author id="name">Rony Ventura</original_author>
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                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0013</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>0</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0032</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>5</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0033</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0034</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_COUNT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>magnitude</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_PRIMITIVE_OBJECT">
                            <rm_type_name>INTEGER</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <item xsi:type="C_INTEGER">
                              <range>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>47</upper>
                              </range>
                            </item>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <cardinality>
                    <is_ordered>false</is_ordered>
                    <is_unique>false</is_unique>
                    <interval>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </interval>
                  </cardinality>
                </attributes>
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>1</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
      <rm_attribute_name>protocol</rm_attribute_name>
      <existence>
        <lower_included>true</lower_included>
        <upper_included>true</upper_included>
        <lower_unbounded>false</lower_unbounded>
        <upper_unbounded>false</upper_unbounded>
        <lower>0</lower>
        <upper>1</upper>
      </existence>
      <children xsi:type="C_COMPLEX_OBJECT">
        <rm_type_name>ITEM_TREE</rm_type_name>
        <occurrences>
          <lower_included>true</lower_included>
          <upper_included>true</upper_included>
          <lower_unbounded>false</lower_unbounded>
          <upper_unbounded>false</upper_unbounded>
          <lower>1</lower>
          <upper>1</upper>
        </occurrences>
        <node_id>at0035</node_id>
      </children>
    </attributes>
  </definition>
  <ontology>
    <term_definitions language="en">
      <items code="at0000">
        <items id="text">TISS10</items>
        <items id="description">assigns points based on specific therapeutic interventions performed on a patient, with higher scores indicating a greater nursing workload.</items>
      </items>
      <items code="at0001">
        <items id="text">History</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Any event</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0004">
        <items id="text">Mechanical ventilation</items>
        <items id="description" />
      </items>
      <items code="at0005">
        <items id="text">Infusion of multiple catecholamines (&gt;1)</items>
        <items id="description" />
      </items>
      <items code="at0006">
        <items id="text">Fluid replacement in large quantities (&gt;5 l/24 h)</items>
        <items id="description" />
      </items>
      <items code="at0007">
        <items id="text">Peripheral arterial catheter</items>
        <items id="description" />
      </items>
      <items code="at0008">
        <items id="text">Left atrial catheter / pulmonary catheter</items>
        <items id="description" />
      </items>
      <items code="at0009">
        <items id="text">Hemofiltration / Dialysis</items>
        <items id="description" />
      </items>
      <items code="at0010">
        <items id="text">Intracranial pressure measurement</items>
        <items id="description" />
      </items>
      <items code="at0011">
        <items id="text">Treatment of metabolic acidosis / alkalosis</items>
        <items id="description" />
      </items>
      <items code="at0012">
        <items id="text">Special interventions in the ICU</items>
        <items id="description" />
        <items id="comment">e.g. tracheotomy, cardioversion</items>
      </items>
      <items code="at0013">
        <items id="text">Actions outside the ward</items>
        <items id="description" />
        <items id="comment">diagnosis / surgery</items>
      </items>
      <items code="at0014">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0015">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0016">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0017">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0018">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0019">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0020">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0021">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0022">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0023">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0024">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0025">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0026">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0027">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0028">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0029">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0030">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0031">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0032">
        <items id="text">No</items>
        <items id="description" />
      </items>
      <items code="at0033">
        <items id="text">Yes</items>
        <items id="description" />
      </items>
      <items code="at0034">
        <items id="text">Score</items>
        <items id="description" />
      </items>
      <items code="at0035">
        <items id="text">Item tree</items>
        <items id="description">@ internal @</items>
      </items>
    </term_definitions>
    <term_definitions language="de">
      <items code="at0000">
        <items id="text">TISS10</items>
        <items id="description">Vergibt Punkte basierend auf spezifischen therapeutischen Maßnahmen, die an einem Patienten durchgeführt wurden, wobei höhere Punktzahlen auf eine größere Pflegebelastung hinweisen.</items>
      </items>
      <items code="at0001">
        <items id="text">History</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Any event</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0004">
        <items id="text">Apparative Beatmung</items>
        <items id="description" />
      </items>
      <items code="at0005">
        <items id="text">Infusion multipler Katecholamine (&gt;1)</items>
        <items id="description" />
      </items>
      <items code="at0006">
        <items id="text">Flüssigkeitsersatz in hohen Mengen (&gt;5 l/24 Std.)</items>
        <items id="description" />
      </items>
      <items code="at0007">
        <items id="text">Peripherer arterieller Katheter</items>
        <items id="description" />
      </items>
      <items code="at0008">
        <items id="text">Linksvorhof-Katheter / Pulmonalis-Katheter</items>
        <items id="description" />
      </items>
      <items code="at0009">
        <items id="text">Hämofiltration / Dialyse</items>
        <items id="description" />
      </items>
      <items code="at0010">
        <items id="text">Intrakranielle Druckmessung</items>
        <items id="description" />
      </items>
      <items code="at0011">
        <items id="text">Behandlung einer metabolischen Azidose / Alkalose</items>
        <items id="description" />
      </items>
      <items code="at0012">
        <items id="text">Spezielle Interventionen auf der ITS</items>
        <items id="description" />
        <items id="comment">z.B. Tracheotomie, Kardioversion</items>
      </items>
      <items code="at0013">
        <items id="text">Aktionen außerhalb der Station</items>
        <items id="description" />
        <items id="comment">Diagnostik / Operation</items>
      </items>
      <items code="at0014">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0015">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0016">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0017">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0018">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0019">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0020">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0021">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0022">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0023">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0024">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0025">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0026">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0027">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0028">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0029">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0030">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0031">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0032">
        <items id="text">Nein</items>
        <items id="description" />
      </items>
      <items code="at0033">
        <items id="text">Ja</items>
        <items id="description" />
      </items>
      <items code="at0034">
        <items id="text">Score</items>
        <items id="description" />
      </items>
      <items code="at0035">
        <items id="text">*Item tree (en)</items>
        <items id="description">@ internal @</items>
      </items>
    </term_definitions>
  </ontology>
</archetype>
