at most evaluates as true if a statement is true for no more than some specified number of episodes.

For example, given the following case fragment,

                      05 Feb 03    06 Oct 03    07 Nov 03
HDL      [2, 5.5]        7.3*         4.8         6.1*
LDL                      1.1          0.8          pending
Trig                                  2.2          0.5*

at most 2 HDL are high
at most 1 LDL is not numeric
at most 1 Trig is not available
at most 3 Trig are high