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
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The characteristics of spontaneous breathing by an individual., archetypeConceptComment=null, otherContributors=Karin Aarsheim, Helse Førde, Norway Morten Aas, Diakonhjemmet Sykehus, Norway Tomas Alme, Norway Erling Are Hole, Helse Bergen, Norway Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway Fredrik Borchsenius, Oslo universitetssykehus, Norway Pål Brekke, OUS Rikshospitalet, Norway Marja Buur, Medisch Centrum Alkmaar/ Code24, Netherlands Gregory Caulton, PatientOS Inc., United States Stephen Chu, NeHTA, Australia Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway Sebastian Garde, Ocean Informatics, Germany Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore Mikkel Gaup Grønmo, Helse-Nord, FSE, Norway (openEHR Editor) Atle Hansen, Universitetssykehuset Nord-Norge, Norway Anne Harbison, CPCER, Australia Sam Heard, Ocean Informatics, Australia Kristian Heldal, Telemark Hospital Trust, Norway Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway Omer Hotomaroglu, Turkey Sundaresan Jagannathan, Scottish NHS, United Kingdom Andrew James, University of Toronto, Canada Tom Jarl Jakobsen, Helse Bergen, Norway Heather Leslie, Atomica Informatics, Australia (Editor) Rikard Lovstrom, Swedish Medical Association, Sweden Hallvard Lærum, Direktoratet for e-helse, Norway Arne Løberg Sæter, DIPS ASA, Norway Hildegard McNicoll, freshEHR Clinical Informatics Ltd., UK Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands Anne Pauline Anderssen, Helse Nord RHF, Norway Thomas Schopf, University Hospital of North-Norway, Norway Micaela Thierley, Helse Bergen/Haraldsplass sykehus, Norway Nils Thomas Songstad, UNN HF, BUK, Barneavdelingen., Norway Kevin Thon, SKDE, Norway John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) Thomas Wilson, Finnmarkssykehuset HF Klinikk Hammerfest, Norway, originalLanguage=en, translators= German: Jasmin Buck, Sebastian Garde, Sarah Ballout, Alina Rehberg, University of Heidelberg, Central Queensland University, Medizinische Hochschule Hannover, ballout.sarah@mh-hannover.de, rehberg.alina@mh-hannover.de Swedish: Kirsi Poikela, Åsa Skagerhult, Tieto Sweden Healthcare & Welfare AB, Region Östergötland, ext.kirsi.poikela@tieto.com, asa.skagerhult@regionostergotland.se 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, Joost Holslag, Medisch Centrum Alkmaar, Nedap, m.buur-krom@mca.nl, joost.holslag@nedap.com, MD , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={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], 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]], contacts=[], details=[], description=[], content=[], provider=[], 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. 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