ARCHETYPE Respirations (openEHR-EHR-OBSERVATION.respiration.v1)

Name: Respirations
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.respiration.v1
Concept	Respirations
Description	The characteristics of spontaneous breathing by an individual.
Use	Use to record the observed and measured characteristics of spontaneous breathing by an individual, including respiratory rate, depth and rhythm. Respirations are commonly recorded as one component of Vital signs.
Misuse	Not to be used to record the physical examination of the respiratory system - use the physical examination family of archetypes for this purpose, such as CLUSTER.exam-chest or CLUSTER.exam-lung. Not to be used to record other measurements related to breathing - use specific archetypes for the purpose, for example OBSERVATION.pulse_oximetry. Not to be used to record functional assessments of breathing - use specific archetypes for the purpose, for example OBSERVATION.pulmonary_function. Not to be used for recording details about individuals who are undergoing assisted ventilation.
Purpose	To record the characteristics of spontaneous breathing by an individual.
References	Braun RB. Respiratory Rate and Pattern. In: Walker HK, Hall WD, Hurst JW. Clinical methods: the history, physical, and laboratory examinations. [Internet] 3rd ed. Stoneham (MA): Butterworth Publishers; c1990 [cited 2009 Jul 21] Available from: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=cm&part=A1308 [Accessed July 22, 2009]. Gaunt AC, Frang T. Examination of the Respiratory System. The Journal of Clinical Examination 2007 (4): 14-22 Available from: http://www.thejce.com/downloads/journals/oct_2007/14-22%20Gaunt%20and%20Frang%20-%20Respiratory%20System.pdf [Accessed July 22, 2009] Cheyne-Stokes respiration - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Cheyne-Stokes_respiration Biot's respiration - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Biot%27s_respiration Apneustic respirations - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Apneustic_respirations
Copyright	© openEHR Foundation
Authors	Author name: Ian McNicoll Organisation: freshEHR Clinical Informatics, United Kingdom Email: ian.mcnicoll@freshEHR.com Date originally authored: 2009-07-17
Other Details Language	Author name: Ian McNicoll Organisation: freshEHR Clinical Informatics, United Kingdom Email: ian.mcnicoll@freshEHR.com Date originally authored: 2009-07-17
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Braun RB. Respiratory Rate and Pattern. In: Walker HK, Hall WD, Hurst JW. Clinical methods: the history, physical, and laboratory examinations. [Internet] 3rd ed. Stoneham (MA): Butterworth Publishers; c1990 [cited 2009 Jul 21] Available from: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=cm&part=A1308 [Accessed July 22, 2009]. Gaunt AC, Frang T. Examination of the Respiratory System. The Journal of Clinical Examination 2007 (4): 14-22 Available from: http://www.thejce.com/downloads/journals/oct_2007/14-22%20Gaunt%20and%20Frang%20-%20Respiratory%20System.pdf [Accessed July 22, 2009] Cheyne-Stokes respiration - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Cheyne-Stokes_respiration Biot's respiration - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Biot%27s_respiration Apneustic respirations - Wikipedia, the free encyclopedia [Internet]. [cited 2009 Jul 25 ] Available from: http://en.wikipedia.org/wiki/Apneustic_respirations, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=B0067DED85A29FF0EAA1174002116CA1, build_uid=499f5a61-219a-45d4-b5ec-eae003c78a1f, revision=1.2.1}
Keywords	respirations, breathing, breath, resps, respiration
Lifecycle	deprecated
UID	87989092-aad1-4fac-9731-9a0220ef2e3f
Language used	en
Citeable Identifier	1013.1.145
Revision Number	1.2.1
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Portuguese (Brazil): Ana Paula de Andrade, Core Consulting, ana.andrade@coreconsulting.com.br Arabic (Syria): ? Farsi: Shahla Foozonkhah, Ocean Informatics Dutch: Marja Buur, Medisch Centrum Alkmaar, m.buur-krom@mca.nl , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0057]/items[at0058], code=at0058, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local context or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], description=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0022]/items[at0055], code=at0055, itemType=SLOT, level=4, text=Inspired oxygen, description=Details of the amount of oxygen being delivered to the individual at the time of observation., comment=Assumed values of 21% oxygen concentration, Fi02 of 0.21 and oxygen flow rate of 0 l/min or 0 ml/min., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.inspired_oxygen.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0022]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Confounding factors, description=Identification of any issues or incidental factors that may impact on interpretation of the physical findings., comment=For example: level of anxiety, pain, feeding in infants, tracheostomy., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0022]/items[at0037], code=at0037, itemType=SLOT, level=4, text=Exertion, description=Details about physical exertion being undertaken during the examination., comment=The individual's level of exertion at or just prior to the observation being made., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.level_of_exertion.v0 and specialisations or openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0022]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Body position, description=The body position of the individual during the observation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0066::Standing/upright [The individual was standing, walking or running.] at0067::Sitting [The individual was sitting (for example, on a bed or chair).] at0068::Reclining [The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.] at0069::Lying [The individual was lying flat.] , extendedValues=null]], activities=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0062], code=at0062, itemType=ELEMENT, level=4, text=Presence, description=Observation of spontaneous respiration., comment=This data element may be useful in extreme situations where a formal measurement of respiration rate is not possible. For example: a subject is unconscious and distant to the observer, such as trapped in a car or has fallen down a cliff. 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Also termed Biot's breathing.] at0044::Apnoea [Breathing has ceased.] at0054::Prolonged expiratory phase [The respiratory expiratory phase is longer than normal/usual. Associated with obstructive airways disease such as asthma.] at0059::Tachypnoea [Abnormally rapid breathing.] at0060::Bradypnoea [Abnormally slow breathing.] at0061::Normal [Normal breathing pattern.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the respirations, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], relationships=[], credentials=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0057], code=at0057, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0022], code=at0022, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0057]/items[at0058], code=at0058, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local context or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]