WHO Clinical Care in Crisis Implementation Guide for Children
0.1.0 - ci-build

WHO Clinical Care in Crisis Implementation Guide for Children - Local Development build (v0.1.0). See the Directory of published versions

Questionnaire: Respiratory Rate

Branch:
Structure
LinkIdTextCardinalityTypeFlagsDescription & Constraintsdoco
.. CHE.B24.DE01.Respiratory.RQuestionnairehttps://fhir.dk.swisstph-mis.ch/matchbox/fhir/Questionnaire/che.b24.de01.respiratory.r#0.1.0
... force-collectionnull0..1booleaniconiconExpressions:
... Fast Breathing profilenull0..1booleaniconiconExpressions:
  • Initial Value: Fast Breathing profile
  • Enable When: %resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().empty()
... AgeInMonthsnull0..1integericonExpressions:
... Respiratory Rate (Second Count) Not Possiblenull0..1booleaniconiconExpressions:
... CHE.B24.G.DE01Respiratory Rate (breaths per minute)0..1quantityExpressions:
  • Enable When: %resource.repeat(item).where(linkId='CHE.B24.G.DE02').answer.first().empty() and %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().empty()
.... CHE.B24.G.DE01-help<p><b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen. </p> <p>Caution: The rise and fall of the chest or abdomen counts as one breath, not two. not the rise and fall</p> <p>The number of breaths for <b>‘fast breathing’ depends on the child’s age.</b> <br /> - Under 2 months: More than 60 breaths per minute*<br /> - 2 to 11 months: More than 50 breaths per minute<br /> - 12 to 59 months: More than 40 breaths per minute</p> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection</p>0..1display
... CHE.B24.G.DE02null0..*choiceOptions: 1 option
Expressions:
  • Enable When: %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().empty() and %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().empty() and %resource.repeat(item).where(linkId='force-collection').answer.first().value = false
.... CHE.B24.G.DE02-helpIf the child is not calm and it is not possible to measure the respiratory rate, ask the mother to help calm the child and measure later in the consultation.0..1display
... secondnull0..1groupExpressions:
  • Enable When: %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 2 and (%resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 60 '{Breaths}/min' or %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 60 '{Breaths}/min') and %resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().empty()
.... CHE.B24.G.DE03Respiratory Rate Second Count (breaths per minute)0..1quantityExpressions:
  • Enable When: %resource.repeat(item).where(linkId='Respiratory Rate (Second Count) Not Possible').answer.first().empty()
..... CHE.B24.G.DE03-help<p>In young infants, <b>a second respiratory rate measurement should be taken to confirm fast breathing</b> (60 breaths a minute or more) found at the first measurement, unless there is already another sign of possible serious bacterial infection. Fast breathing is confirmed if respiratory rate is 60 breaths a minute or more at the second count. </p> <p>To measure the respiratory rate:<br /> <b>Count the number of breaths the child takes per minute</b> to determine if fast breathing is present.<br /> It is <b>very important that the child is calm</b> and still. If the child is moving or crying, you will not be able to get an accurate count of breaths. <br /> <b>To count the breaths per minute,</b> use a watch with a second hand or a digital watch. Look for the breathing movement anywhere on the child’s chest or abdomen.</p>0..1display
.... CHE.B24.G.DE04null0..*choiceOptions: 1 option
Expressions:
  • Enable When: %resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().empty()
..... CHE.B24.G.DE04-helpThe child&#8217;s second respiratory rate is not possible to measure0..1display
... CHE.B24.G.DE05Fast Breathing0..1booleaniconExpressions:
  • Enable When: %resource.repeat(item).where(linkId='Fast Breathing profile').answer.first().empty() and (%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2 or %resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().exists() or %resource.repeat(item).where(linkId='Respiratory Rate (Second Count) Not Possible').answer.first().exists() or %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value < 60 '{Breaths}/min')
  • Calculated Value: iif(%resource.repeat(item).where(linkId='Fast Breathing profile').answer.first().empty() and (%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2 or %resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().exists() or %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value < 60 '{Breaths}/min' or ( %resource.repeat(item).where(linkId='Respiratory Rate (Second Count) Not Possible').answer.first().exists() and ( %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 60 '{Breaths}/min' ) and %resource.repeat(item).where(linkId='force-collection').answer.first().value=true )), iif( (%resource.repeat(item).where(linkId='AgeInMonths').answer.first().value<2 and (%resource.repeat(item).where(linkId='second').repeat(item).where(linkId='CHE.B24.G.DE03').answer.first().value >= 60 '{Breaths}/min' or (%resource.repeat(item).where(linkId='Respiratory Rate (Second Count) Not Possible').answer.first().exists() and ( %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 60 '{Breaths}/min' or %resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 60 '{Breaths}/min' ) ) ) ) or (%resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 50 '{Breaths}/min' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 12 and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value >= 2) or (%resource.repeat(item).where(linkId='CHE.B24.G.DE01').answer.first().value >= 40 '{Breaths}/min' and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value>=12 and %resource.repeat(item).where(linkId='AgeInMonths').answer.first().value < 60) , true, false),{})
.... CHE.B24.G.DE05-help<p>Fast breathing is auto-calculated based on the respiratory rate and the child&#8217;s age: <br /> - Under 2 months: More than 60 breaths per minute*<br /> - 2 to 11 months: More than 50 breaths per minute<br /> - 12 to 59 months: More than 40 breaths per minute</p> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection</p>0..1display
... fastbreathing-TrueFast Breathing True0..1displayExpressions:
  • Enable When: %resource.repeat(item).where(linkId='CHE.B24.G.DE05').answer.first().value = true
.... fastbreathing-True-help<p>Fast breathing is auto-calculated based on the respiratory rate and the child&#8217;s age: </p> <ul> <li>Under 2 months: Greater than or equal to 60 breaths per minute*</li> <li>2 to 11 months: Greater than or equal to 50 breaths per minute</li> <li>12 to 59 months: Greater than or equal to 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection</p>0..1display
... fastbreathing-FalseFast Breathing False0..1displayExpressions:
  • Enable When: %resource.repeat(item).where(linkId='CHE.B24.G.DE05').answer.first().value = false
.... fastbreathing-False-help<p>Fast breathing is auto-calculated based on the respiratory rate and the child&#8217;s age: </p> <ul> <li>Under 2 months: Greater than or equal to 60 breaths per minute*</li> <li>2 to 11 months: Greater than or equal to 50 breaths per minute</li> <li>12 to 59 months: Greater than or equal to 40 breaths per minute</li> </ul> <p>*In young infants, a second measurement should be taken to confirm, unless there is already another sign of possible serious bacterial infection</p>0..1display
... timestampnull0..1dateTimeiconExpressions:

doco Documentation for this format

Option Sets

Answer options for CHE.B24.G.DE02

  • null#CHE.B24.G.DE02 ("Unable to perform Respiratory Rate at this time")

Answer options for CHE.B24.G.DE04

  • null#CHE.B24.G.DE04 ("Respiratory Rate Second Count Not Possible")