Respiratory therapies


Parameter Case Report Form and Response Options

Did an oxygen or respiratory therapy already exist before the current illness? Yes No Unknown
Respiratory therapy

This profile of a FHIR Procedure is derived from the Procedure-profile of the Medical Informatics Initiative (MII). Procedure.code can be set to any SNOMED code that is-a 53950000 |Respiratory therapy (procedure)|, e.g. to be precise about what type of oxygen or respiratory therapy a patient receives.

The response options can be controlled via the status-Element of the Procedure resource:

Response option Procedure.status
Yes in-progress
No not-done
Unknown unknown

Notice however that this should not discourage systems, that implement the entire workflow execution states, to exchange resources which may contain information deemed relevant for this use case. This can especially include procedures where the status is completed.

The underlying MII Procedure profile requires information on the time when the procedure was performed via Procedure.performed[x]. In case the procedure was not performed at all or the time is unknown, the Data Absent Reason Extension can be used to populate Procedure.performed[x].


Profile - Respiratory Therapies

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-therapies

Snapshot

DokumentationsdatumS I0..1Extension(dateTime)
durchfuehrungsabsichtS I0..1Extension(Coding)
identifierΣ0..*Identifier
instantiatesCanonicalΣ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
instantiatesUriΣ0..*uri
basedOnΣ I0..*Reference(CarePlan | ServiceRequest)
partOfΣ I0..*Reference(Procedure | Observation | MedicationAdministration)
statusS Σ ?!1..1codeBinding
statusReasonΣ0..1CodeableConcept
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
SeitenlokalisationS I0..1Extension(Coding)
systemS Σ1..1uriFixed Value
versionS Σ1..1string
codeS Σ I1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient)
encounterΣ I0..1Reference(Encounter)
performedDateTimedateTime
performedPeriodPeriod
recorderΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
asserterΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
functionΣ0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
onBehalfOfI0..1Reference(Organization)
locationΣ I0..1Reference(Location)
reasonCodeΣ0..*CodeableConcept
reasonReferenceΣ I0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)
bodySiteS Σ0..*CodeableConceptBinding
outcomeΣ0..1CodeableConcept
reportI0..*Reference(DiagnosticReport | DocumentReference | Composition)
complication0..*CodeableConcept
complicationDetailI0..*Reference(Condition)
followUp0..*CodeableConcept
noteS0..*Annotation
action0..1CodeableConceptBinding
manipulatedI1..1Reference(Device)
usedReferenceI0..*Reference(Device | Medication | Substance)
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string


ValueSets

The respiratory therapies Valueset is provided with SNOMED-CT codes.

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/respiratory-therapies

ValueSet 'RespiratoryTherapies'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Therapeutic respiratory procedures

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • Include codes from SNOMED_CT where concept IsA 53950000


Examples

Patient receiving respiratory therapy since 12/12/2020

{
    "resourceType": "Procedure",
    "id": "respiratory-therapy-startet",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-therapies"
        ]
    },
    "status": "in-progress",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "53950000",
                "system": "http://snomed.info/sct",
                "display": "Respiratory therapy (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/example"
    },
    "performedPeriod": {
        "start": "2020-12-12"
    }
}


Patient not receiving respiratory therapy

{
    "resourceType": "Procedure",
    "id": "respiratory-therapy-not-performed",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-therapies"
        ]
    },
    "status": "not-done",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "53950000",
                "system": "http://snomed.info/sct",
                "display": "Respiratory therapy (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "not-performed"
            }
        ]
    }
}


Unknown if patient receives respiratory therapy

{
    "resourceType": "Procedure",
    "id": "respiratory-therapy-artificial-respiration-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-therapies"
        ]
    },
    "status": "unknown",
    "category": {
        "coding":  [
            {
                "code": "277132007",
                "system": "http://snomed.info/sct",
                "display": "Therapeutic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "40617009",
                "system": "http://snomed.info/sct",
                "display": "Artificial respiration (procedure)"
            }
        ],
        "text": "Artificial respiration"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "_performedDateTime": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode": "unknown"
            }
        ]
    }
}