ISO_639-1
en
false
2009-07-17
Ian McNicoll
freshEHR Clinical Informatics, United Kingdom
ian.mcnicoll@freshEHR.com
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
published
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/.
openEHR Foundation
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/.
org.openehr
openEHR Foundation
org.openehr
A1A7B5164F3CFAF0E68A2536547BD79E
15dd9776-7b1c-4c15-a8e4-74a093337f93
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.
2.0.12
ISO_639-1
de
Zur Repräsentation der charakteristischen Eigenschaften der Spontanatmung einer Person.
Respirationen
Atmung
Atem
Atmet
Respiration
Nicht zur Repräsentation der körperlichen Untersuchung des Atmungssystems verwenden. Verwenden Sie hierfür die Familie der Archetypen der körperlichen Untersuchung, wie z.B. CLUSTER.exam-chest oder CLUSTER.exam-lung.
Nicht zur Repräsentation der von weiteren Messungen im Zusammenhang mit der Atmung verwenden. Verwenden Sie hierfür bestimmte Archetypen, z.B. OBSERVATION.pulse_oximetry.
Nicht zur Repräsentation der Atemfunktion. Verwenden Sie hierfür bestimmte Archetypen, z.B. OBSERVATION.pulmonary_function.
Nicht zur Repräsentation von Daten über einer Personen die künstlich beatmet werden verwenden.
© openEHR Foundation
ISO_639-1
fi
*To record the characteristics of spontaneous breathing by an individual.(en)
*respirations(en)
*breathing(en)
*breath(en)
*resps(en)
*respiration(en)
*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.(en)
ISO_639-1
sv
Att registrera karakteristika för en individs spontana andning.
respiration
andning
andetag
andningsfrekvens
AF
Ska inte användas för att registrera den fysikaliska undersökningen av andningssystemet. Använd i stället någon av arketyperna om fysisk undersökning, exempelvis CLUSTER.exam-chest eller CLUSTER.exam-lung.
Ska inte användas för att registrera andra mätningar relaterade till andning. Använd i stället specifika arketyper för detta ändamål, exempelvis OBSERVATION.pulse_oximetry.
Ska inte användas för att registrera mått på lungfunktion. Använd i stället specifika arketyper för detta ändamål, exempelvis OBSERVATION.pulmonary_function.
Ska inte användas för att registrera detaljer om individer som får assisterad ventilation.
© openEHR Foundation
ISO_639-1
nb
For å registrere de observerte karakteristika ved spontant åndedrett.
pusting
respirasjon
pust
respirasjoner
frekvens
rytme
vital
tegn
livsfunksjoner
åndedrett
åndedrag
ventilasjon
hyperventilering
hyperventilasjon
hypoventilering
hypoventilasjon
ånde
blåse
Skal ikke brukes for å registrere undersøkelse av åndedrettssystemet, bruk spesifikke arketyper i gruppen av Undersøkelsesfunn til dette, for eksempel CLUSTER.exam-chest eller CLUSTER.exam-lung.
Skal ikke brukes for å registrere andre målinger knyttet til åndedrettet, bruk spesifikke arketyper til dette, for eksempel OBSERVATION-pulse_oximetry (Pulsoksymetri).
Skal ikke brukes til å registrere funksjonelle vurderinger av åndedrettet, bruk spesifikke arketyper til dette, for eksempel OBSERVATION.pulmonary_function (Lungefunksjon).
Skal ikke brukes til å registrere detaljer knyttet til assistert ventilasjon.
ISO_639-1
es-ar
Para registrar las características de la respiración espontánea.
respiraciones
respiración
FR
No usar para intentar registrar otros aspectos del exámen respiratorio en general. Otros arquetipos específicos serán utilizados para registrar características tales como esfuerzo respiratorio, hallazgos auscultatorios, etc.
No usar para registrar detalles cuando el paciente está en ventilación asistida.
© openEHR Foundation
ISO_639-1
pt-br
Registrar as características observadas da respiração espontânea.
respirações
respiração
Não deve ser usado para tentar registrar outros aspectos mais amplos do exame ou avaliação respiratória. Outros arquétipos específicos serão utilizados para registrar características tais como esforço respiratório, achados auscultatórios, etc.
Não deve ser usado para registrar detalhes quando o paciente está sob ventilação assistida.
© openEHR Foundation
ISO_639-1
en
To record the characteristics of spontaneous breathing by an individual.
respirations
breathing
breath
resps
respiration
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.
© openEHR Foundation
ISO_639-1
ar-sy
لتسجيل الخصائص الملاحظة - المشاهدة - للتنفس التلقائي
*respirations(en)
*breathing(en)
*breath(en)
*resps(en)
*respiration(en)
لا يمكن استخدام النموذج لمحاولة تسجيل الجوانب الأخرى من الفحص أو التقييم التنفسي أشمل. يمكن استخدام نماذج أخرى مخصصة لتسجيل الخصائص من المجهود التنفسي و الموجودات التسمعية, إلى آخره
لا يستخدم لتسجيل تفاصيل حالة المنريض إذا كان يخضع للتهوية المساعَدة
© openEHR Foundation
ISO_639-1
fa
برای ثبت ویژگی هایی قابل مشاهده تنفس خود بخود بکار می رود.
تنفسها
نفس کشیده
نفس
تنفسی
برای ثبت سایر جنبه های آزمایشات یا ارزیابی گسترده تر تنفسی استفاده نمی شود.
از سایر الگوسازهای تخصصی برای ثبت ویژگی هایی نظیر تلاش برای تنفس،یافته های شنیداری و غیره استفاده نمایید.
برای ثبت جزییات در زمانی که فرد تحت تنفس مصنوعی است استفاده نکنید .
© openEHR Foundation
ISO_639-1
nl
Voor het vastleggen van observaties van de spontane ademhaling van een individu.
ademhaling
respiratie
inademen
uitademen
ademteug
adem
ademen
Niet te gebruiken om andere aspecten van het uitgebreidere onderzoek of beoordeling van de ademhaling te registreren. Andere, specifieke archetypes zullen gebruikt worden om karakteristieken zoals ademhalingsinspanning en auscultatoire bevindingen te registreren.
Niet te gebruiken voor de registratie van details, als de persoon beademing ondergaat.
© openEHR Foundation
ISO_639-1
de
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
ISO_639-1
sv
Kirsi Poikela, Åsa Skagerhult, Manna Vosta, Rikard Lövström
Tieto Sweden Healthcare & Welfare AB, Region Östergötland, Karolinska University Hospital
ext.kirsi.poikela@tieto.com, asa.skagerhult@regionostergotland.se, manna.vosta@regionstockholm.se, rikard.lovstrom@regionstockholm.se
ISO_639-1
fi
Vesa Peltola
Tieto Finland
vesa.peltola@tieto.com
ISO_639-1
es-ar
Dr. Leonardo Der Jachadurian
Bitios.com
Medical Doctor (Internal Medicine Specialist)
ISO_639-1
nb
Lars Bitsch-Larsen / Vebjørn Arntzen
Haukeland University Hospital, Bergen, Norway / Oslo universitetssykehus, Norway
varntzen@ous-hf.no
ISO_639-1
pt-br
Ana Paula de Andrade
Core Consulting
ana.andrade@coreconsulting.com.br
ISO_639-1
ar-sy
?
ISO_639-1
fa
Shahla Foozonkhah
Ocean Informatics
ISO_639-1
nl
Marja Buur, Joost Holslag
Medisch Centrum Alkmaar, Nedap
m.buur-krom@mca.nl, joost.holslag@nedap.com
MD
418f1d0c-1e4b-4874-8b83-af84b4e7a8f1
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archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspired_oxygen(-[a-zA-Z0-9_]+)*\.v1/}
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2007
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Respirações
As características observadas da respiração espontânea, como seriam comumente registradas em uma verificação de "sinais vitais".
*history(en)
*@ internal @(en)
Qualquer evento
*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. (en)
*List(en)
*@ internal @(en)
Frequência
*The rate of spontaneous breathing. (en)
*Regularity (en)
*The pattern of spontaneous breathing. (en)
Regular
Respiração regular.
Irregular
Respiração irregular.
Interpretação clínica
*Respiratory pattern as a single word, phrase or brief description which represents the clinical meaning and significance of the observations. (en)
Profundidade
*The depth of spontaneous breathing. (en)
Normal
Profundidade respiratória normal.
Superficial
Profundidade respiratória superficial.
Profunda
Respiração profunda.
*List(en)
*@ internal @(en)
*Clinical description (en)
*A narrative description about the spontaneous breathing of the individual. (en)
Variável
Profundidade respiratória variável.
Esforço
*Details about physical exertion being undertaken during the examination. (en)
*Inspired oxygen(en)
*Details of the amount of oxygen being delivered to the individual at the time of observation. (en)
Fatores de confusão
*Description about any issues or incidental factors that may impact on interpretation of the physical findings. (en)
*Tree(en)
*@ internal @(en)
Extensão
Informação adicional necessária para capturar contextos locais ou para alinhamento a outros modelos de referência/formalismos.
*Presence (en)
*Observation of spontaneous respiration. (en)
*Present (en)
*Respiratory movements are observed. (en)
*Not detected (en)
*Respiratory movements are not detected on observation. (en)
*Body position (en)
*The body position of the individual during the observation. (en)
*Standing/upright (en)
*The individual was standing, walking or running. (en)
*Sitting (en)
*The individual was sitting (for example, on a bed or chair). (en)
*Reclining (en)
*The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis. (en)
*Lying (en)
*The individual was lying flat. (en)
*Comment (en)
*Additional narrative about the respirations, not captured in other fields. (en)
*Prone (en)
*The individual was lying on their front. (en)
التنفس
الخصائص الملحوظة - المشاهدة- للتنفس التلقائي و الذي عادة ما يتم تسجيله كجزء من فحص العلامات الحياتية
*history(en)
*@ internal @(en)
إحدى الوقائع
*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. (en)
*List(en)
*@ internal @(en)
السرعة - المعدَّل
*The rate of spontaneous breathing. (en)
*Regularity (en)
*The pattern of spontaneous breathing. (en)
منتظم
تنفس منتظم
غير منتظم
تنفس غير منتظم
النمط التنفسي غير الطبيعي
*Respiratory pattern as a single word, phrase or brief description which represents the clinical meaning and significance of the observations. (en)
العمق
*The depth of spontaneous breathing. (en)
طبيعي
عمق التنفس طبيعي
ضحل
عمق التنفس ضحل
عميق
التنفس عميق
*List(en)
*@ internal @(en)
*Clinical description (en)
*A narrative description about the spontaneous breathing of the individual. (en)
متغير
عمق التنفس متغيِّر
المجهود - عنقود
*Details about physical exertion being undertaken during the examination. (en)
الأكسجين المحيط - عنقود
*Details of the amount of oxygen being delivered to the individual at the time of observation. (en)
العوامل المُربِكة
*Description about any issues or incidental factors that may impact on interpretation of the physical findings. (en)
*Tree(en)
*@ internal @(en)
*Cluster(en)
**(en)
*Presence (en)
*Observation of spontaneous respiration. (en)
*Present (en)
*Respiratory movements are observed. (en)
*Not detected (en)
*Respiratory movements are not detected on observation. (en)
*Body position (en)
*The body position of the individual during the observation. (en)
*Standing/upright (en)
*The individual was standing, walking or running. (en)
*Sitting (en)
*The individual was sitting (for example, on a bed or chair). (en)
*Reclining (en)
*The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis. (en)
*Lying (en)
*The individual was lying flat. (en)
*Comment (en)
*Additional narrative about the respirations, not captured in other fields. (en)
*Prone (en)
*The individual was lying on their front. (en)
Respiraciones
Las características observadas de la respiración espontánea, tal cual sería comúnmente registrada como parte de una evaluación de signos vitales.
*history(en)
*@ internal @(en)
Cualquier evento
*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. (en)
*List(en)
*@ internal @(en)
Frecuencia
*The rate of spontaneous breathing. (en)
*Regularity (en)
*The pattern of spontaneous breathing. (en)
Regular
Respiración regular.
Irregular
Respiración irregular.
Patrones respiratorios anormales
*Respiratory pattern as a single word, phrase or brief description which represents the clinical meaning and significance of the observations. (en)
Profundidad
*The depth of spontaneous breathing. (en)
Normal
Respiración con profundidad normal.
Superficial
Respiración superficial.
Profunda
Respiración profunda.
*List(en)
*@ internal @(en)
*Clinical description (en)
*A narrative description about the spontaneous breathing of the individual. (en)
Variable
Respiración con profundidad variable.
Esfuerzo
*Details about physical exertion being undertaken during the examination. (en)
*Inspired oxygen(en)
*Details of the amount of oxygen being delivered to the individual at the time of observation. (en)
Factores confundidores
*Description about any issues or incidental factors that may impact on interpretation of the physical findings. (en)
*Tree(en)
*@ internal @(en)
*Cluster(en)
**(en)
*Presence (en)
*Observation of spontaneous respiration. (en)
*Present (en)
*Respiratory movements are observed. (en)
*Not detected (en)
*Respiratory movements are not detected on observation. (en)
*Body position (en)
*The body position of the individual during the observation. (en)
*Standing/upright (en)
*The individual was standing, walking or running. (en)
*Sitting (en)
*The individual was sitting (for example, on a bed or chair). (en)
*Reclining (en)
*The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis. (en)
*Lying (en)
*The individual was lying flat. (en)
*Comment (en)
*Additional narrative about the respirations, not captured in other fields. (en)
*Prone (en)
*The individual was lying on their front. (en)
Atemfrequenz
Die Charakteristiken der Spontanatmung einer Person.
History
@ internal @
Beliebiges Ereignis
Standardmäßiger, nicht näher beschriebener Zeitpunkt oder Intervall Ereignis welches in einem Template oder bei der Anwendung genauer definiert werden kann.
*List(en)
*@ internal @(en)
Messwert
Die Frequenz der Spontanatmung.
Regelmäßigkeit
Die Regelmäßigkeit der Spontanatmung.
Regelmäßig
Die Atmungsweise ist regelmäßig.
Unregelmäßig
Die Atmungsweise ist nicht regelmäßig.
Klinische Auswertung
Einzelwort, Satz oder Kurzbeschreibung, die die klinische Bedeutung und den Stellenwert der Atmungsbefunde repräsentiert.
Tiefe
Die Tiefe der Spontanatmung.
Normal
Normale Atmungstiefe.
Schwach
Schwache Atmungstiefe.
Tief
Tiefes Einatmen.
List
@ internal @
Klinische Beschreibung
Beschreibung der Spontanatmung der Person.
Veränderung
Unterschiedliche Atmungstiefe.
Anwendung
Angaben über die körperliche Anstrengung, die während der Untersuchung unternommen wurde.
Inspirierter Sauerstoff
Angaben über die Sauerstoffmenge, die der Person zum Zeitpunkt der Beobachtung verabreicht wurde.
Störfaktoren
Ermittlung von Aspekten oder zufälligen Faktoren, die sich auf die Auswertung der Beobachtung auswirkt.
*Tree(en)
*@ internal @(en)
Erweiterung
Zusätzliche Informationen, die zur Erfassung lokaler Inhalte oder zur Anpassung an andere Referenzmodelle/Formalismen erforderlich sind.
Präsenz
Die Beobachtung der Spontanatmung.
Vorhanden
Es werden die Atmungsbewegungen beobachtet.
Nicht nachgewiesen
Bei der Beobachtung werden keine Atembewegungen festgestellt.
Körperposition
Die Körperposition der Person zum Zeitpunkt der Beobachtung.
Stehend/aufrecht
Die Person stand, ging oder lief.
Sitzend
Die Person saß (z.B. auf einem Bett oder Stuhl).
Zurücklehnen
Die Person wurde in einem Winkel von ungefähr 45 Grad zurückgelehnt, wobei die Beine auf die Höhe des Beckens angehoben waren.
Liegend
Die Person lag auf dem Rücken.
Kommentar
Zusätzliche Beschreibung der Atmung, die in anderen Bereichen nicht erfasst wurde.
Neigend
Die Person lag auf der Frontseite.
Respiration
The characteristics of spontaneous breathing by an individual.
history
@ internal @
Any event
Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
List
@ internal @
Rate
The frequency of spontaneous breathing.
Regularity
The regularity of spontaneous breathing.
Regular
The breathing pattern is regular.
Irregular
The breathing pattern is not regular.
Clinical interpretation
Single word, phrase or brief description which represents the clinical meaning and significance of the respiration findings.
Depth
The depth of spontaneous breathing.
Normal
Normal depth of breathing.
Shallow
Shallow depth of breathing.
Deep
Deep breathing.
List
@ internal @
Clinical description
A narrative description about the spontaneous breathing of the individual.
Variable
Variable depth of breathing.
Exertion
Details about physical exertion being undertaken during the examination.
Inspired oxygen
Details of the amount of oxygen being delivered to the individual at the time of observation.
Confounding factors
Identification of any issues or incidental factors that may impact on interpretation of the observation.
Tree
@ internal @
Extension
Additional information required to capture local context or to align with other reference models/formalisms.
Presence
Observation of spontaneous respiration.
Present
Respiratory movements are observed.
Not detected
Respiratory movements are not detected on observation.
Body position
The body position of the individual during the observation.
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.
Comment
Additional narrative about the respirations, not captured in other fields.
Prone
The individual was lying on their front.
تنفس
ویژگی های قابل مشاهده مربوط به تنفس خود بخود که معمولا می توان به عنوان بخشی از آزمایشات "علایم حیاتی" ثبت نمود.
*history(en)
*@ internal @(en)
هر رویداد
*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. (en)
*List(en)
*@ internal @(en)
میزان
*The rate of spontaneous breathing. (en)
*Regularity (en)
*The pattern of spontaneous breathing. (en)
منظم
تنفس منظم.
نامنظم
تنفس نامنظم.
الگوی غیر طبیعی تنفس
*Respiratory pattern as a single word, phrase or brief description which represents the clinical meaning and significance of the observations. (en)
عمق
*The depth of spontaneous breathing. (en)
طبیعی
عمق تنفس طبیعی.
سطحی
عمق تنفس سطحی.
عمیق
تنفس عمیق.
*List(en)
*@ internal @(en)
*Clinical description (en)
*A narrative description about the spontaneous breathing of the individual. (en)
متغیر
عمق تنفس طبیعی.
تقلا
*Details about physical exertion being undertaken during the examination. (en)
اکسیژن محیطی
*Details of the amount of oxygen being delivered to the individual at the time of observation. (en)
فاکتورهای جانبی
*Description about any issues or incidental factors that may impact on interpretation of the physical findings. (en)
*Tree(en)
*@ internal @(en)
*Cluster(en)
**(en)
*Presence (en)
*Observation of spontaneous respiration. (en)
*Present (en)
*Respiratory movements are observed. (en)
*Not detected (en)
*Respiratory movements are not detected on observation. (en)
*Body position (en)
*The body position of the individual during the observation. (en)
*Standing/upright (en)
*The individual was standing, walking or running. (en)
*Sitting (en)
*The individual was sitting (for example, on a bed or chair). (en)
*Reclining (en)
*The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis. (en)
*Lying (en)
*The individual was lying flat. (en)
*Comment (en)
*Additional narrative about the respirations, not captured in other fields. (en)
*Prone (en)
*The individual was lying on their front. (en)
Ademhaling
Observaties van de spontane ademhaling, zoals deze meestal geregistreerd worden als onderdeel van de observatie van de vitale functies
*history(en)
*@ internal @(en)
Elke gebeurtenis
Standaard, ongespecificeerd moment in de tijd of interval gebeurtenis dat/die nader gespecificeerd kan worden in een template of terwijl de applicatie draait.
*List(en)
*@ internal @(en)
Frequentie
De frequentie van spontane ademhaling.
Regelmatigheid
De regelmatigheid van de spontane ademhaling.
Normaal
Er is een normaal ademhalingsritme.
Abnormaal
Er is een abnormaal ademhalingsritme.
Klinische interpretatie
Enkel woord, frase of korte beschrijving die de klinische betekenis of significantie weergeeft van de bevindingen van de ademhaling.
Diepte
De diepte van de spontane ademhaling.
Normaal
Normale diepte van de ademhaling.
Oppervlakkig
Oppervlakkige ademhaling.
Diep
Diepe ademhaling.
*List(en)
*@ internal @(en)
Klinische beschrijving
Een verhalende beschrijving van de spontane ademhaling van het individu.
Variërend
Variërende diepte van de ademhaling.
Inspanning
Gegevens over de fysieke inspanning tijdens het onderzoek.
Toegevoerde zuurstof
Gegevens over de hoeveelheid zuurstof die toegediend werd aan het individu op moment van observatie.
Beïnvloedende factoren
Identificatie van problemen of beïnvloedende factoren die invloed hebben op interpretatie van de observatie.
*Tree(en)
*@ internal @(en)
Uitbreiding
Aanvullende informatie benodigd voor het ondervangen van lokale eisen of om te verbinden met andere referentiemodellen/formalismen
Aanwezigheid
Observatie van spontane ademhaling.
Aanwezig
Ademhalingsbewegingen zijn waargenomen.
Niet waargenomen
Ademhalingsbewegingen zijn niet waargenomen bij observatie.
Lichaamspositie
De lichaamspositie van het individu tijdens de observatie.
Staand/rechtop
Het individu stond, liep, of was aan het rennen.
Zittend
Het individu zat (bijvoorbeeld op bed of in een stoel).
Achterleunend
Het individu leunde achterover in een hoek van ongeveer 45 graden, met de benen omhoog op het niveau van het bekken.
Liggend
Het individu lag op de rug.
Opmerking
Extra verhalende beschrijving van de ademhaling, die niet past in andere velden.
Vooroverliggend
Het individu lag op de buik.
Respiration
Karakteristika för en individs spontana andning.
Historik
@ internal @
Ospecificerad händelse
Ospecificerad standardhändelse vid en tidpunkt eller inom ett tidsintervall som explicit kan definieras i en mall eller genereras automatiskt av vissa IT-system.
List
@ internal @
Frekvens
Frekvensen av spontan andning.
Regelbundenhet
Regelbundenheten i spontan andning.
Regelbunden
Regelbunden andning.
Oregelbunden
Oregelbunden andning.
Klinisk tolkning
Ord, fras eller kort beskrivning som fångar den kliniska betydelsen och signifikansen av andningsfynden.
Andningsdjup
Djupet i spontan andning.
Normal
Normalt andningsdjup.
Ytlig
Ytligt andningsdjup.
Djup
Djup andning.
List
@ internal @
Klinisk beskrivning
Beskrivning avseende individens spontana andning.
Variabelt
Variabelt andningsdjup.
Ansträngning
Detaljer om den fysiska ansträngningsnivån vid undersökningstillfället.
Inandat syre
Detaljer om syrgastillförsel vid observationstillfället.
Möjliga felkällor
Beskrivning av faktorer och felkällor som kan påverka tolkningen av observationen.
*Tree(en)
*@ internal @(en)
Tilläggsinformation
Plats för att infoga tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav.
Förekomst
Observation av spontanandning.
Påvisad
Andning observeras.
Ej påvisad
Andning observeras inte.
Kroppsposition
Individens kroppsposition vid observationen.
Stående/upprätt
Individen stod, gick eller sprang.
Sittande
Individen satt, till exempel på en säng eller en stol.
Bakåtlutad
Individen låg bakåtlutade i en vinkel på ungefär 45 grader, med benen upphöjda till bäckennivå.
Liggande
Individen låg på rygg.
Kommentar
Kommentarer avseende respirationen som inte täcks av övriga fält.
Bukläge
Individen låg på mage.
Åndedrett
De observerte karakteristika ved spontant åndedrett til et individ.
*history(en)
*@ internal @(en)
Uspesifisert hendelse
Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.
*List(en)
*@ internal @(en)
Frekvens
Åndedrettsfrekvensen målt som åndedrag per minutt.
Regelmessighet
Regelmessigheten av spontant åndedrett.
Regelmessig
Regelmessig åndedrett.
Uregelmessig
Uregelmessig åndedrett.
Klinisk fortolkning
Et enkelt ord eller en frase som uttrykker den kliniske betydningen av funnene ved åndedrettet.
Dybde
Dybden av spontant åndedrett.
Normal
Normal åndedrettsdybde.
Overfladisk
Overfladisk åndedrett.
Dyp
Dype åndedrett.
*List(en)
*@ internal @(en)
Beskrivelse
Beskrivelse i fritekst om det spontane åndedrettet til et individ.
Varierende
Varierende åndedrettsdybde.
Fysisk anstrengelse
Detaljer om fysisk anstrengelse ved registreringen.
Innåndet oksygen
Detaljer om mengden oksygen som gis pasienten ved tidspunktet man har gjort observasjonen.
Konfunderende faktorer
Beskrivelse av eventuelle faktorer som kan påvirke den kliniske fortolkningen.
Klinisk fortolkning
Kort beskrivelse av den kliniske betydningen av funnene.
Tilleggsinformasjon
Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.
Spontant åndedrett
Observasjon av spontant åndedrett.
Tilstede
Spontant åndedrett kan observeres.
Ikke observert
Spontant åndedrett kan ikke observeres.
Stilling
Individets stilling ved tidspunktet for målingen.
Stående/Oppreist
Stående, gående eller løpende.
Sittende
Sittende, for eksempel på en stol eller på en seng.
Tilbakelent
Sittende tilbakelent ca 45º og med beina hevet til samme høyde som hoften ved tidspunkt for målingen.
Ryggleie
Liggende på ryggen.
Kommentar
Ytterligere fritekstbeskrivelse om åndedrettet som ikke er registrert i andre felt.
Mageleie
Liggende på magen.
Hengitys
Havaitut spontaanin hengityksen ominaisuudet, jotka yleensä kirjattaisiin osana ”vitaalimerkit”-tutkimusta.
history
@ internal @
Mikä tahansa tapahtuma
Yleinen tapahtuma.
List
@ internal @
Hengitysfrekvenssi
Hengitystaajuus.
*Regularity (en)
Hengityksen rytmi.
Säännöllinen
Säännöllinen hengitys.
Epäsäännöllinen
Epäsäännöllinen hengitys.
Kliininen tulkinta
Hengitystapa taikka yksittäinen sana, fraasi tai lyhyt kuvaus joka edustaa mittausten kliinistä merkitystä.
Syvyys
Hengityksen syvyys.
Normaali
Normaali hengityksen syvyys.
Pinnallinen
Pinnallinen hengityksen syvyys.
Syvä
Syvä hengitys.
List
@ internal @
Kuvaus
Tekstimuotoinen hengitysten kuvaus.
Muuttuva
Muuttuva hengityksen syvyys.
Rasitus
Tutkittavan rasitustaso havaintohetkellä tai juuri sitä ennen. Tarkoitettu rasituksen kirjaamiseen vain tapauksissa, joissa se saattaa vaikuttaa hengitykseen, mutta jota ei normaalisti kirjattaisi osana yleisiä kliinisiä huomioita.
Ilman happipitoisuus
Kertoo, kuinka paljon henkilölle annettiin happea tarkkailuhetkenä. Oletetut arvot ovat happipitoisuus 21 %, Fi02 0,21 ja hapen virtausnopeus 0 l/min tai 0 ml/min.
Sekoittavat tekijät
Kommentoi ja kirjaa muita satunnaistekijöitä, jotka saattavat vaikuttaa hengityksen havainnointiin. Esimerkiksi ahdistuneisuus, kipu, vauvan rintaruokinta, trakeostomia.
Tree
@ internal @
Laajennus
Lisätiedot, joita tarvitaan paikallisen asiayhteyden kirjaamiseksi tai yhtenäistämiseksi muiden viitemallien tai formalismien kanssa.
*Presence(en)
*Observation of spontaneous respiration.(en)
*Present(en)
*Respiratory movements are observed.(en)
*Not detected(en)
*Respiratory movements are not detected on observation.(en)
*Body position(en)
*The body position of the individual during the observation.(en)
*Standing/upright(en)
*The individual was standing, walking or running.(en)
*Sitting(en)
*The individual was sitting (for example, on a bed or chair).(en)
*Reclining(en)
*The individual was reclining at an approximate angle of 45 degrees, with the legs elevated to the level of the pelvis.(en)
*Lying(en)
*The individual was lying flat.(en)
*Comment (en)
*Additional narrative about the respirations, not captured in other fields. (en)
*Prone (en)
*The individual was lying on their front. (en)
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