ARCHETYPE Respiration (openEHR-EHR-OBSERVATION.respiration.v2)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.respiration.v2
ConceptRespiration
DescriptionThe characteristics of spontaneous breathing by an individual.
UseUse 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.
MisuseNot 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.
PurposeTo record the characteristics of spontaneous breathing by an individual.
ReferencesBraun SR. Respiratory Rate and Pattern. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990, Chapter 43 [cited 2019 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK365/.
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics, United Kingdom
Email: ian.mcnicoll@freshEHR.com
Date originally authored: 2009-07-17
Other Details LanguageAuthor 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 SR. Respiratory Rate and Pattern. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990, Chapter 43 [cited 2019 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK365/., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=BF4247CFAF9AC4CBE467A16CB947A8A1, build_uid=157ff281-46fd-4cf0-a5c6-07a528e8e2ec, revision=2.0.0}
Keywordsrespirations, breathing, breath, resps, respiration
Lifecyclepublished
UID418f1d0c-1e4b-4874-8b83-af84b4e7a8f1
Language useden
Citeable Identifier1013.1.4218
Revision Number2.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The characteristics of spontaneous breathing by an individual., archetypeConceptComment=null, otherContributors=Marja Buur, Medisch Centrum Alkmaar/ Code24, Netherlands
Gregory Caulton, PatientOS Inc., United States
Stephen Chu, NeHTA, Australia
Sebastian Garde, Ocean Informatics, Germany
Anne Harbison, CPCER, Australia
Sam Heard, Ocean Informatics, Australia
Omer Hotomaroglu, Turkey
Sundaresan Jagannathan, Scottish NHS, United Kingdom
Andrew James, University of Toronto, Canada
Heather Leslie, Atomica Informatics, Australia (Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor)
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore
Hildegard McNicoll, freshEHR Clinical Informatics Ltd., UK, originalLanguage=en, translators=German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University
Swedish: Kirsi Poikela, Tieto Sweden Healthcare & Welfare AB, ext.kirsi.poikela@tieto.com
Finnish: Vesa Peltola, Tieto Finland, vesa.peltola@tieto.com
Spanish (Argentina): Dr. Leonardo Der Jachadurian, Bitios.com, Medical Doctor (Internal Medicine Specialist)
Norwegian Bokmål: Lars Bitsch-Larsen / Vebjørn Arntzen, Haukeland University Hospital, Bergen, Norway / Oslo universitetssykehus, Norway, varntzen@ous-hf.no
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={identities=[], other_participations=[], credentials=[], description=[], relationships=[], ism_transition=[], activities=[], items=[], 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. Presence of respiration can be implied if the 'Rate' >0 breaths/min., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Respiratory movements are observed.]
  • Not detected [Respiratory movements are not detected on observation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Rate, description=The frequency of spontaneous breathing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units:
  • 0.0..200.0 /min
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Regularity, description=The regularity of spontaneous breathing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Regular [The breathing pattern is regular.]
  • Irregular [The breathing pattern is not regular.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Depth, description=The depth of spontaneous breathing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Normal [Normal depth of breathing.]
  • Shallow [Shallow depth of breathing.]
  • Deep [Deep breathing.]
  • Variable [Variable depth of breathing.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Clinical description, description=A narrative description about the spontaneous breathing of the individual., comment=For example: noting respiratory distress, use of accessory muscles or intermittent apnoea; noting characteristics such as stridor, sighing, grunting, groaning, gasping. Conducting a full respiratory examination, then some of these findings might be more appropriately recorded as part of examination findings., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description which represents the clinical meaning and significance of the respiration findings., comment=Coding with a terminology is preferred, where possible. For example: Normal breathing; Evidence of respiratory distress; Kussmaul's respiration; Cheyne-Stokes respiration; or Apnoeic episodes. Multiple statements are allowed. , 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]/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]], capabilities=[], state=[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=
  • Standing/upright [The individual was standing, walking or running.]
  • Sitting [The individual was sitting (for example, on a bed or chair).]
  • Reclining [The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.]
  • Lying [The individual was lying on their back.]
  • Prone [The individual was lying on their front.]
, 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 observation., 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[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[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 during, or just prior to, the observation., 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]], context=[], 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]], source=[], content=[], target=[], details=[], 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]], contacts=[]}, topLevelItems={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=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, 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=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], 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=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, 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]