Type: openEHR TEMPLATE
Purpose: Zur Darstellung der Atemfrequenz innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten.
Use: Dieses Template wird verwendet, um die Atemfrequenz innerhalb eines intensivmedizinischen Monitorings eines Patienten mit COVID-19 aufzuzeichnen.
| TEMPLATE ID | Intensivmedizinisches Monitoring Atemfrequenz |
|---|---|
| Concept | Intensivmedizinisches Monitoring Atemfrequenz |
| Description | Zur Darstellung der Atemfrequenz innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten. |
| Use | Dieses Template wird verwendet, um die Atemfrequenz innerhalb eines intensivmedizinischen Monitorings eines Patienten mit COVID-19 aufzuzeichnen. |
| Purpose | Zur Darstellung der Atemfrequenz innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten. |
| References | |
| Authors | date: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg |
| Other Details Language | date: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1246.169.3503 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| Report | Report: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Bericht Name | Bericht Name: Identification information about the report.
|
| Status | Status: The status of the entire report. Note: This is not the status of any of the report components. |
| Case identification | Case identification: To record case identification details for public health purposes. |
| Case identifier | Case identifier: The identifier of this case. |
| Respiration | Respiration: The characteristics of spontaneous breathing by an individual. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Presence | Presence: Observation of spontaneous respiration. 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.
|
| Rate | Rate: The frequency of spontaneous breathing. 0..200 /min |
| Regularity | Regularity: The regularity of spontaneous breathing.
|
| Depth | Depth: The depth of spontaneous breathing.
|
| Clinical description | Clinical description: A narrative description about the spontaneous breathing of the individual. 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. |
| Clinical interpretation | Clinical interpretation: Single word, phrase or brief description which represents the clinical meaning and significance of the respiration findings. 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. |
| Comment | Comment: Additional narrative about the respirations, not captured in other fields. |
| State | |
| Body position | Body position: The body position of the individual during the observation.
|
| Confounding factors | Confounding factors: Identification of any issues or incidental factors that may impact on interpretation of the observation. For example: level of anxiety, pain, feeding in infants, tracheostomy. |