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

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

ARCHETYPE ID	openEHR-EHR-OBSERVATION.respiration.v2
Concept	Respiration
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 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
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 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=D30E71F22AB9B3E2CF4E3F7E095BCE24, build_uid=8c2f9dcd-9b39-4d0a-b6c0-696895e84125, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=2.0.10}
Keywords	respirations, breathing, breath, resps, respiration
Lifecycle	published
UID	418f1d0c-1e4b-4874-8b83-af84b4e7a8f1
Language used	en
Citeable Identifier	1013.1.4218
Revision Number	2.0.10
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Farsi: Shahla Foozonkhah, Ocean Informatics Dutch: Marja Buur, Joost Holslag, Medisch Centrum Alkmaar, Nedap, m.buur-krom@mca.nl, joost.holslag@nedap.com, MD , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], 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]], content=[], source=[], credentials=[], 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]], 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= at0063::Present [Respiratory movements are observed.] at0064::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=[SNOMED-CT::271625008 \| Rate of spontaneous respiration], values=Property: Frequency 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=[SNOMED-CT::278907009 \| Respiratory pattern], values= at0006::Regular [The breathing pattern is regular.] [SNOMED-CT::276888009 \| Normal spontaneous respiration] at0007::Irregular [The breathing pattern is not regular.] [SNOMED-CT::248585001 \| Irregular breathing] , 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=[SNOMED-CT::271626009 \| Depth of respiration], values= at0017::Normal [Normal depth of breathing.] [SNOMED-CT::301284009 \| Normal depth of breathing] at0018::Shallow [Shallow depth of breathing.] [SNOMED-CT::386616007 \| Shallow breathing] at0019::Deep [Deep breathing.] [SNOMED-CT::289123006 \| Deep breathing] at0025::Variable [Variable depth of breathing.] [SNOMED-CT::248587009 \| Depth of respiration varies] , 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=[SNOMED-CT::703852005 \| Narrative comment section], 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]], contacts=[], ism_transition=[], details=[], relationships=[], 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= at0066::Standing/upright [The individual was standing, walking or running.] [SNOMED-CT::10904000 \| Orthostatic body position] at0067::Sitting [The individual was sitting (for example, on a bed or chair).] [SNOMED-CT::33586001 \| Sitting position] at0068::Reclining [The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.] [SNOMED-CT::272580008 \| Semi-recumbent position] at0069::Lying [The individual was lying on their back.] [SNOMED-CT::40199007 \| Supine body position] at0071::Prone [The individual was lying on their front.] [SNOMED-CT::1240000 \| Prone body position] , extendedValues=null], 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