Respiratory rate


PARAMETER CASE REPORT FORM RESPONSE OPTIONS
Respiratory rate ☐ /min

This profile of a FHIR Observation is derived from the Respiratory rate-profile of the FHIR R4 core specification.

In addition to LOINC, Observation.code contains an exemplary SNOMED-CT coding.

Observation.valueQuantity has a fixed UCUM-unit of /min.


Profile - Respiratory Rate

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

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
vs-cat1..1CodeableConceptBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ1..1string
systemS Σ I1..1uri
codeS Σ1..1code
dataAbsentReasonS I0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


Examples

Respiratory Rate

{
    "resourceType": "Observation",
    "id": "respiratory-rate",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-rate"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "vital-signs",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "9279-1",
                "system": "http://loinc.org",
                "display": "Respiratory rate"
            },
            {
                "code": "86290005",
                "system": "http://snomed.info/sct",
                "display": "Respiratory rate (observable entity)"
            }
        ],
        "text": "Respiratory rate"
    },
    "valueQuantity": {
        "system": "http://unitsofmeasure.org",
        "code": "/min",
        "value": 22,
        "unit": "per minute"
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "9279-1_RespiratoryRate",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-09-25"
}


Respiratory Rate on Ventilator
Note the additional LOINC coding on Observation.code

{
    "resourceType": "Observation",
    "id": "respiratory-rate-on-ventilator",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/respiratory-rate"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "vital-signs",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "9279-1",
                "system": "http://loinc.org",
                "display": "Respiratory rate"
            },
            {
                "code": "19840-8",
                "system": "http://loinc.org",
                "display": "Breath rate spontaneous and mechanical --on ventilator"
            },
            {
                "code": "86290005",
                "system": "http://snomed.info/sct",
                "display": "Respiratory rate (observable entity)"
            }
        ],
        "text": "Respiratory rate on ventilator"
    },
    "valueQuantity": {
        "system": "http://unitsofmeasure.org",
        "code": "/min",
        "value": 16,
        "unit": "per minute"
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "code": "OBI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/observation-identifiers",
            "value": "9279-1_RespiratoryRate",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2021-04-14"
}