{
  "resourceType": "ActivityDefinition",
  "id": "lateral-costal-breathing",
  "url": "https://bodyiq.dev/fhir/ActivityDefinition/lateral-costal-breathing",
  "version": "1",
  "name": "LateralCostalBreathing",
  "title": "Lateral Costal Breathing",
  "status": "draft",
  "experimental": true,
  "description": "Place hands on the lower lateral ribs. Breathe so that the ribs expand sideways into your hands rather than the chest lifting upward. Targets lateral intercostal expansion and the diaphragmatic zone of apposition.",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "user"
      },
      "valueCodeableConcept": {
        "text": "difficulty: beginner"
      }
    }
  ],
  "topic": [
    {
      "coding": [
        {
          "system": "https://bodyiq.dev/fhir/CodeSystem/exercise",
          "code": "lateral-costal-breathing",
          "display": "Lateral Costal Breathing"
        }
      ]
    }
  ],
  "kind": "ServiceRequest",
  "dosage": [
    {
      "text": "5–10 cycles × 2–3 rounds, daily."
    }
  ],
  "usage": "Evidence: moderate.",
  "note": [
    {
      "text": "Feel the ribs push your hands sideways — shoulders stay relaxed"
    },
    {
      "text": "No chest lift, no shoulder shrug on inhale"
    }
  ],
  "extension": [
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Diaphragm"
        },
        {
          "url": "role",
          "valueCode": "primary"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "5798000"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "External Intercostals"
        },
        {
          "url": "role",
          "valueCode": "primary"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "53967007"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Internal Intercostals"
        },
        {
          "url": "role",
          "valueCode": "synergist"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "41313007"
          }
        }
      ]
    }
  ]
}