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

ARCHETYPE ID	openEHR-EHR-OBSERVATION.respiration.v1
Concept	Respirations
Description	The observed characteristics of spontaneous breathing as would commonly be recorded as part of a 'vital signs' examination.
Use	Use to record the observed and measured characteristics related to spontaneous respirations in a person, including respiratory rate, depth and rhythm. Respirations are commonly recorded as one component of Vital signs - comprising Blood Pressure, Pulse, Temperature, and Oximetry. There are additional specific archetypes for each of these concepts. Respirations should be measured before feeds in neonates and young infants.
Misuse	Not to be used to try to record other aspects of the broader respiratory examination or assessment. Other specific archetypes will be used to record characteristics such as respiratory effort, auscultatory findings etc. Not to be used to record details when the subject is undergoing assisted ventilation.
Purpose	To record the observed characteristics of spontaneous breathing.
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	copyright (c) 2010 openEHR Foundation
Authors	Author name: Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/07/2009
Other Details Language	Author name: Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/07/2009
Other Details (Language Independent)	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 MD5-CAM-1.0.1: FAD6FB4949DCF11D537FB08E2C70CB70
Keywords	respirations, breathing, breath, resps, respiration
Lifecycle	AuthorDraft
Language used	en
Citeable Identifier	1013.1.145
state
Ambient oxygen	Ambient oxygen: Details of the amount of oxygen being delivered to the subject at the time of observation. Assumed values of 21% oxygen concentration, Fi02 of 0.21 and oxygen flow rate of 0 l/min or 0 ml/min. Include: openEHR-EHR-CLUSTER.ambient_oxygen.v1 and specialisations
Confounding factors	Confounding factors: Comment on and record other incidental factors that may be contributing to the respirations observation. For example, level of anxiety, pain, feeding in infants, tracheostomy.
Exertion	Exertion: Subject's level of exertion at or just prior to the observation being made. Intended only to record exertion only as it might effect respirations and where it would not normally be recorded as part of general clinical observation. Include: openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations
events
Any event	Any event: Generic event
data
Rate	Rate: Rate of respiration. Property: Frequency Units: 0.0..200.0 /min Limit decimal places: 0
Rhythm	Rhythm: Rhythm of respiration. at0006::Regular [Regular respiration.] at0007::Irregular [Irregular respirations.]
Depth	Depth: Depth of respiration. at0017::Normal [Normal depth of breathing.] at0018::Shallow [Shallow depth of breathing.] at0019::Deep [Deep breathing.] at0025::Variable [Variable depth of breathing.]
Description	Description: A text description of respirations.
Abnormal respiratory pattern	Abnormal respiratory pattern: Specific abnormal respiratory pattern. Other patterns may be entered as free text or terminology subset defined at specialisation or template level. Choice of: Coded Text at0012::Kussmaul's respiration [Deep chest breathing with or without a visible gasp.] at0030::Cheyne-Stokes respiration [Periods of hyperventilation alternating with periods of apnoea.] at0031::Ataxic respiration [Breathing of varying tidal volumes and rates.] at0033::Apneustic respiration [Deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release of breath.] at0034::Cluster breathing [Clusters of irregular breaths that alternate with periods of apnoea. 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.] Text
Other contributors	Marja Buur, Medisch Centrum Alkmaar, Netherlands Gregory Caulton, PatientOS Inc., United States Stephen Chu, NeHTA, Australia Sebastian Garde, Ocean Informatics, Germany Son Ghee Yap, Singapore Health Services, Singapore Anne Harbison, CPCER, Australia Sam Heard, Ocean Informatics, Australia Omer Hotomargolu, Turkey Sundaresan Jagannathan, Scottish NHS, United Kingdom Andrew James, University of Toronto, Canada Heather Leslie, Ocean Informatics, Australia Rikard Lovstrom, Swedish Medical Association, Sweden Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands Soon Ghee Yap, Singapore Health Services Pte Ltd, Singapore
Translators	German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University Dutch: Marja Buur, Medisch Centrum Alkmaar, m.buur-krom@mca.nl