{ "resourceType" : "Bundle", "id" : "astral-settings-bundle", "implicitRules" : "therapy-settings", "type" : "transaction", "entry" : [{ "fullUrl" : "http://example.org/fhir/Observation/astral-spont-settings-observation", "resource" : { "resourceType" : "Observation", "id" : "astral-spont-settings-observation", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-device-settings-observation"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation

Resource Observation "astral-spont-settings-observation"

Profile: ResMed Device Settings Observation

ResMedReceivedDateTime: May 7, 2021, 6:28:17 PM

status: preliminary

code: Parent observation for device therapy settings, as reported by the device (ResMed observation CodeSystem#therapy-settings)

subject: Device/astral

effective: 2021-05-07

issued: May 7, 2021, 6:28:17 PM

hasMember:

status: preliminary

code: apnea-breath-type (ResMed Observation Metrics CodeSystem#apnea-breath-type)

value: No spont breath (ResMed settings values for spont breath#NOSPONTBREATH)

device: Device/astral

status: preliminary

code: apnea-interval (ResMed Observation Metrics CodeSystem#apnea-interval)

value: 262

device: Device/astral

status: preliminary

code: apnea-response-type (ResMed Observation Metrics CodeSystem#apnea-response-type)

value: PACV alarm (ResMed settings values for apnea response#PACVALARM)

device: Device/astral

status: preliminary

code: set-frequency-apnea-vent (ResMed Respiratory Setting CodeSystem#set-frequency-apnea-vent)

value: 30

device: Device/astral

status: preliminary

code: set-peak-inspiratory-flow-apnea-vent (ResMed Respiratory Setting CodeSystem#set-peak-inspiratory-flow-apnea-vent)

value: 73

device: Device/astral

status: preliminary

code: set-pressure-assist-apnea-vent (ResMed Respiratory Setting CodeSystem#set-pressure-assist-apnea-vent)

value: 20.6

device: Device/astral

status: preliminary

code: set-inspiratory-time-apnea-vent (ResMed Respiratory Setting CodeSystem#set-inspiratory-time-apnea-vent)

value: 1.3

device: Device/astral

status: preliminary

code: set-tidal-volume-apnea-vent (ResMed Respiratory Setting CodeSystem#set-tidal-volume-apnea-vent)

value: 1.045

device: Device/astral

status: preliminary

code: auto-expiratory-pressure-state (ResMed Respiratory Setting CodeSystem#auto-expiratory-pressure-state)

value: Off (ResMed settings values for enable/disable options#OFF)

device: Device/astral

status: preliminary

code: patient-circuit-type (ResMed Observation Metrics CodeSystem#patient-circuit-type)

value: Single circuit with leak (vented) (ResMed Ventilator Circuit CodeSystem#single-with-leak)

device: Device/astral

status: preliminary

code: cycle-threshold (ResMed Observation Metrics CodeSystem#cycle-threshold)

value: 50

device: Device/astral

status: preliminary

code: target-expiratory-pressure (ResMed Observation Metrics CodeSystem#target-expiratory-pressure)

value: 15

device: Device/astral

status: preliminary

code: patient-height (ResMed Observation Metrics CodeSystem#patient-height)

value: 200 cm (Details: UCUM code cm = 'cm')

device: Device/astral

status: preliminary

code: patient-interface (ResMed Observation Metrics CodeSystem#patient-interface)

value: Mask (ResMed settings values for interface type#MASK)

device: Device/astral

status: preliminary

code: mask-type (ResMed Observation Metrics CodeSystem#mask-type)

value: InLineVent (ResMed settings values for mask type#INLINEVENT)

device: Device/astral

status: preliminary

code: max-expiratory-pressure (ResMed Observation Metrics CodeSystem#max-expiratory-pressure)

value: 22.2

device: Device/astral

status: preliminary

code: min-expiratory-pressure (ResMed Observation Metrics CodeSystem#min-expiratory-pressure)

value: 20.8

device: Device/astral

status: preliminary

code: patient-type (ResMed Observation Metrics CodeSystem#patient-type)

value: Adult (ResMed settings values for patient type#ADULT)

device: Device/astral

status: preliminary

code: rise-time (ResMed Observation Metrics CodeSystem#rise-time)

value: 0.5

device: Device/astral

status: preliminary

code: target-alveolar-ventilation (ResMed Observation Metrics CodeSystem#target-alveolar-ventilation)

value: 10

device: Device/astral

status: preliminary

code: target-respiratory-rate (ResMed Observation Metrics CodeSystem#target-respiratory-rate)

value: 15

device: Device/astral

status: preliminary

code: set-max-inspiratory-time (ResMed Observation Metrics CodeSystem#set-max-inspiratory-time)

value: 2

device: Device/astral

status: preliminary

code: set-min-inspiratory-time (ResMed Observation Metrics CodeSystem#set-min-inspiratory-time)

value: 3

device: Device/astral

status: preliminary

code: trigger-type (ResMed Observation Metrics CodeSystem#trigger-type)

value: OFF (ResMed settings values for levels#OFF)

device: Device/astral

status: preliminary

code: max-pressure-support (ResMed Observation Metrics CodeSystem#max-pressure-support)

value: 25

device: Device/astral

status: preliminary

code: min-pressure-support (ResMed Observation Metrics CodeSystem#min-pressure-support)

value: 15

device: Device/astral

component

code: therapy-mode (ResMed Observation Metrics CodeSystem#therapy-mode)

value: Spont (ResMed therapy mode CodeSystem#SPONT)

component

code: active-program (ResMed Observation Metrics CodeSystem#active-program)

value: Program 1 (ResMed Therapy Program CodeSystem#1)

component

code: program-name (ResMed Observation Metrics CodeSystem#program-name)

value: Mouthpiece (ResMed Therapy Program Name CodeSystem#PN10)

Generated Narrative: Observation #astral-apnea-breathtype

status: preliminary

code: apnea-breath-type (ResMed Observation Metrics CodeSystem#apnea-breath-type)

value: No spont breath (ResMed settings values for spont breath#NOSPONTBREATH)

device: Device/astral

Generated Narrative: Observation #astral-apnea-interval

status: preliminary

code: apnea-interval (ResMed Observation Metrics CodeSystem#apnea-interval)

value: 262

device: Device/astral

Generated Narrative: Observation #astral-apnea-response

status: preliminary

code: apnea-response-type (ResMed Observation Metrics CodeSystem#apnea-response-type)

value: PACV alarm (ResMed settings values for apnea response#PACVALARM)

device: Device/astral

Generated Narrative: Observation #astral-apneavent-freq

status: preliminary

code: set-frequency-apnea-vent (ResMed Respiratory Setting CodeSystem#set-frequency-apnea-vent)

value: 30

device: Device/astral

Generated Narrative: Observation #astral-apneavent-peakinspflow

status: preliminary

code: set-peak-inspiratory-flow-apnea-vent (ResMed Respiratory Setting CodeSystem#set-peak-inspiratory-flow-apnea-vent)

value: 73

device: Device/astral

Generated Narrative: Observation #astral-apneavent-pressassist

status: preliminary

code: set-pressure-assist-apnea-vent (ResMed Respiratory Setting CodeSystem#set-pressure-assist-apnea-vent)

value: 20.6

device: Device/astral

Generated Narrative: Observation #astral-apneavent-ti

status: preliminary

code: set-inspiratory-time-apnea-vent (ResMed Respiratory Setting CodeSystem#set-inspiratory-time-apnea-vent)

value: 1.3

device: Device/astral

Generated Narrative: Observation #astral-apneavent-tidvolume

status: preliminary

code: set-tidal-volume-apnea-vent (ResMed Respiratory Setting CodeSystem#set-tidal-volume-apnea-vent)

value: 1.045

device: Device/astral

Generated Narrative: Observation #astral-autoepap

status: preliminary

code: auto-expiratory-pressure-state (ResMed Respiratory Setting CodeSystem#auto-expiratory-pressure-state)

value: Off (ResMed settings values for enable/disable options#OFF)

device: Device/astral

Generated Narrative: Observation #astral-circuit

status: preliminary

code: patient-circuit-type (ResMed Observation Metrics CodeSystem#patient-circuit-type)

value: Single circuit with leak (vented) (ResMed Ventilator Circuit CodeSystem#single-with-leak)

device: Device/astral

Generated Narrative: Observation #astral-cyclethresh

status: preliminary

code: cycle-threshold (ResMed Observation Metrics CodeSystem#cycle-threshold)

value: 50

device: Device/astral

Generated Narrative: Observation #astral-epap

status: preliminary

code: target-expiratory-pressure (ResMed Observation Metrics CodeSystem#target-expiratory-pressure)

value: 15

device: Device/astral

Generated Narrative: Observation #astral-heightcm

status: preliminary

code: patient-height (ResMed Observation Metrics CodeSystem#patient-height)

value: 200 cm (Details: UCUM code cm = 'cm')

device: Device/astral

Generated Narrative: Observation #astral-interface

status: preliminary

code: patient-interface (ResMed Observation Metrics CodeSystem#patient-interface)

value: Mask (ResMed settings values for interface type#MASK)

device: Device/astral

Generated Narrative: Observation #astral-mask

status: preliminary

code: mask-type (ResMed Observation Metrics CodeSystem#mask-type)

value: InLineVent (ResMed settings values for mask type#INLINEVENT)

device: Device/astral

Generated Narrative: Observation #astral-maxepap

status: preliminary

code: max-expiratory-pressure (ResMed Observation Metrics CodeSystem#max-expiratory-pressure)

value: 22.2

device: Device/astral

Generated Narrative: Observation #astral-minepap

status: preliminary

code: min-expiratory-pressure (ResMed Observation Metrics CodeSystem#min-expiratory-pressure)

value: 20.8

device: Device/astral

Generated Narrative: Observation #astral-patienttype

status: preliminary

code: patient-type (ResMed Observation Metrics CodeSystem#patient-type)

value: Adult (ResMed settings values for patient type#ADULT)

device: Device/astral

Generated Narrative: Observation #astral-risetime

status: preliminary

code: rise-time (ResMed Observation Metrics CodeSystem#rise-time)

value: 0.5

device: Device/astral

Generated Narrative: Observation #astral-targetalveolarvent

status: preliminary

code: target-alveolar-ventilation (ResMed Observation Metrics CodeSystem#target-alveolar-ventilation)

value: 10

device: Device/astral

Generated Narrative: Observation #astral-targetrate

status: preliminary

code: target-respiratory-rate (ResMed Observation Metrics CodeSystem#target-respiratory-rate)

value: 15

device: Device/astral

Generated Narrative: Observation #astral-timax

status: preliminary

code: set-max-inspiratory-time (ResMed Observation Metrics CodeSystem#set-max-inspiratory-time)

value: 2

device: Device/astral

Generated Narrative: Observation #astral-timin

status: preliminary

code: set-min-inspiratory-time (ResMed Observation Metrics CodeSystem#set-min-inspiratory-time)

value: 3

device: Device/astral

Generated Narrative: Observation #astral-trigger

status: preliminary

code: trigger-type (ResMed Observation Metrics CodeSystem#trigger-type)

value: OFF (ResMed settings values for levels#OFF)

device: Device/astral

Generated Narrative: Observation #astral-ivaps-maxps

status: preliminary

code: max-pressure-support (ResMed Observation Metrics CodeSystem#max-pressure-support)

value: 25

device: Device/astral

Generated Narrative: Observation #astral-ivaps-minps

status: preliminary

code: min-pressure-support (ResMed Observation Metrics CodeSystem#min-pressure-support)

value: 15

device: Device/astral

" }, "contained" : [{ "resourceType" : "Observation", "id" : "astral-apnea-breathtype", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "apnea-breath-type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/settings-spont-breath", "code" : "NOSPONTBREATH" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apnea-interval", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "apnea-interval" }] }, "valueQuantity" : { "value" : 262 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apnea-response", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "apnea-response-type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/settings-apnea-response", "code" : "PACVALARM" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apneavent-freq", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "set-frequency-apnea-vent" }] }, "valueQuantity" : { "value" : 30 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apneavent-peakinspflow", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "set-peak-inspiratory-flow-apnea-vent" }] }, "valueQuantity" : { "value" : 73 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apneavent-pressassist", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "set-pressure-assist-apnea-vent" }] }, "valueQuantity" : { "value" : 20.6 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apneavent-ti", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "set-inspiratory-time-apnea-vent" }] }, "valueQuantity" : { "value" : 1.3 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-apneavent-tidvolume", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "set-tidal-volume-apnea-vent" }] }, "valueQuantity" : { "value" : 1.045 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-autoepap", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system", "code" : "auto-expiratory-pressure-state" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/settings-option", "code" : "OFF" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-circuit", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "patient-circuit-type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-vent-circuit-code-system", "code" : "single-with-leak" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-cyclethresh", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "cycle-threshold" }] }, "valueQuantity" : { "value" : 50 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-epap", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "target-expiratory-pressure" }] }, "valueQuantity" : { "value" : 15 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-heightcm", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "patient-height" }] }, "valueQuantity" : { "value" : 200, "unit" : "cm", "system" : "http://unitsofmeasure.org", "code" : "cm" }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-interface", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "patient-interface" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-settings-interface-code-system", "code" : "MASK" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-mask", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "mask-type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-settings-mask-type-code-system", "code" : "INLINEVENT" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-maxepap", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "max-expiratory-pressure" }] }, "valueQuantity" : { "value" : 22.2 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-minepap", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "min-expiratory-pressure" }] }, "valueQuantity" : { "value" : 20.8 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-patienttype", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "patient-type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/settings-patient-type", "code" : "ADULT" }] }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-risetime", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "rise-time" }] }, "valueQuantity" : { "value" : 0.5 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-targetalveolarvent", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "target-alveolar-ventilation" }] }, "valueQuantity" : { "value" : 10 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-targetrate", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "target-respiratory-rate" }] }, "valueQuantity" : { "value" : 15 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-timax", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system", "code" : "set-max-inspiratory-time" }] }, "valueQuantity" : { "value" : 2 }, "device" : { "reference" : "Device/astral" } }, { "resourceType" : "Observation", "id" : "astral-timin", "meta" : { "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"] }, "status" : "preliminary", 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