Vital Signs with Qualifying Elements
2.0.0 - ci-build International flag

Vital Signs with Qualifying Elements, published by HL7 International - Clinical Information Modeling Initiative. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cimi-vital-signs/ and changes regularly. See the Directory of published versions

Resource Profile: Respiratory Rate

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/respiratory-rate Version: 2.0.0
Draft as of 2024-10-09 Computable Name: ResiratoryRate

Copyright/Legal: Logica Health, all rights reserved Creative Commons License

The measured number of breaths taken in a minute.

Scope

The Respiratory Rate profile contains one observation, respiratory rate. In addition, this profile contains the following qualifying observations with associated SNOMED CT value sets: observation-deviceCode, BodyPosition, ExerciseAssociation, and MeasurementSetting.

Examples

The following examples are provided to illustrate conformant resource content to this profile.

Use Cases

1. Respiratory rate taken with patient sleeping in a supine position.

FHIR path and element binding Text Description Code Terminology
Observation.code Respiratory Rate 9279-1 LOINC
Body Position extension bindings
Observation.extension(bodyPositionExt) mapping Body position with respect to gravity 8361-8 LOINC
Observation.extension(bodyPositionExt) value sets Body position value set (foundation metadata concept) 81000205109 SNOMED CT Solor extension
Body Position value set 2.16.840.1.113762.1.4.1181.38 VSAC
Observation.extension(bodyPositionExt).value Supine body position (finding) 40199007 SNOMED CT
Sleep Status extension bindings
Observation.extension(sleepStatusExt) mapping Sleep Status need to request LOINC code LOINC
Observation.extension(sleepStatusExt) value sets Sleep Status Refset 24011000205104 SNOMED CT Solor extension
Observation.extension(sleepStatusExt).value Asleep (finding) 248220008 SNOMED CT

2. Respiratory Rate taken during exercise.

FHIR path and element binding Text Description Code Terminology
Observation.code Respiratory Rate 9279-1 LOINC
Exercise Association extension bindings
Observation.extension(exerciseAssociationExt) mapping Exercise Association 8361-8 LOINC
Observation.extension(exerciseAssociationExt).value During exercise (qualifier value) 309604004 SNOMED CT

Value Sets

Value Set Purpose
Body Position value set This value set contains concepts used to result the patient's body position, referencing the SNOMED Code 397155001 Body position (observable entity) and the LOINC term "Body position with respect to gravity" 8361-8.
Respiratory Rate Measurement Device value set This value set contains concepts used to result the type of device used to measure a heart rate, referencing the LOINC term "Type of Breath rate device" 9277-5.
Respiratory Rate Measurement Method This value set contains concepts used to result the method used for a respiratory rate measurement, referencing the LOINC term "Breath rate method” 9275-9.
Exertion Phase value set This values set is used to result the Exercise Association extension.
Measurement Setting value set This value set is used to result the Measurement Setting extension.
Abnormal Interpretation Numeric Nominal value set This value set is used to result the interpretation backbone element.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from observation-resprate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* observation-resprate FHIR Respiratory Rate Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... measurementDevice S 0..1 (Complex) Measurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Respiratory Rate Measurement Device value set (extensible)
.... BodyPosition S 0..1 (Complex) Body Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Position value set (extensible)
.... exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
.... MeasurementSetting S 0..1 CodeableConcept Measurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
.... sleepStatus S 0..1 CodeableConcept Sleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... code 1..1 CodeableConcept Respiratory rate
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: Numeric Result Interpretation value set (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.extension:measurementDevice.value[x]extensibleRespiratoryRateMeasurementDevicevalueset
http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS
from this IG
Observation.extension:BodyPosition.value[x]extensibleBodyPositionvalueset
http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS
from this IG
Observation.interpretationextensibleNumericResultInterpretationNom
http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS
from this IG
Observation.methodextensibleRespiratoryRateMeasurementMethodvalueset
http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS
from this IG

 

Other representations of profile: CSV, Excel, Schematron