ARCHETYPE Pulmonary function test result (openEHR-EHR-OBSERVATION.pulmonary_function.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.pulmonary_function.v0
ConceptPulmonary function test result
DescriptionThe results of a common suite of pulmonary function measurements and calculated ratios to assess lung volumes, airway function and gas exchange.
UseUse to record measurements of lung volumes, airway function and gas exchange, commonly as part of a suite of measurements and calculations known as a pulmonary function test, including spirometry. The 'Any event' can be cloned and constrained to support representation of: - Multiple measurements and their average - clone the 'Any event' as many times as needed, plus an additional event set to 'Interval' and selecting the 'Mean' attribute; - Pre- and post-bronchial challenge results - clone the 'Any event' twice, renaming one 'Pre-challenge', 'Baseline' or similar and the other 'Post-challenge' or similar, associated with a time offset if required; or - Post bronchodilator therapy - clone the 'Any event', renaming as required. If the pulmonay function test is performed in association with administration of bronchodilators or challenge substances, then the details of what was administered should be recorded using an instance of the ACTION.medication archetype committed within the same COMPOSITION.
MisuseNot to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose. Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose.
PurposeTo record the results of a common suite of pulmonary function measurements and calculated ratios to assess lung volumes, airway function and gas exchange.
ReferencesJohns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2011.

Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 vs FEV1/FVC in the spirometric diagnosis of airways obstruction among Asians [cited 2019 03 12]. Chest. 2007; 132 (4_MeetingAbstracts): 491c-492. Available from https://journal.chestnet.org/article/S0012-3692(16)43894-8/pdf.

Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med. 1947 Dec 27;37(52):624-8.

Wikipedia [Internet]. Wikipedia. Lung volumes; 2019 02 23 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Lung_volumes.

Wikipedia [Internet]. Wikipedia. Spirometry; 2019 03 03 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Spirometry.
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Informatics, UK
Email: ian.mcnicoll@freshEHR.com
Date originally authored: 2013-03-08
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Informatics, UK
Email: ian.mcnicoll@freshEHR.com
Date originally authored: 2013-03-08
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2011. Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 vs FEV1/FVC in the spirometric diagnosis of airways obstruction among Asians [cited 2019 03 12]. Chest. 2007; 132 (4_MeetingAbstracts): 491c-492. Available from https://journal.chestnet.org/article/S0012-3692(16)43894-8/pdf. Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med. 1947 Dec 27;37(52):624-8. Wikipedia [Internet]. Wikipedia. Lung volumes; 2019 02 23 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Lung_volumes. Wikipedia [Internet]. Wikipedia. Spirometry; 2019 03 03 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Spirometry., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=29527D6BC470C52054314B7BFF4400B4, build_uid=b15c4f1e-bec2-47b5-8efa-c10b4cf72d8b, revision=0.0.1-alpha}
Keywordsrespiratory, pulmonary, spirometry, peak flow, PFT, lung, bronchial, airway, plethysmograph
Lifecyclein_development
UIDb89d17c7-1114-4013-aa11-1e2d1ffdd073
Language useden
Citeable Identifier1013.1.1414
Revision Number0.0.1-alpha
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Derek Corrigan, Royal College of Surgeons in Ireland, Ireland
Heather Grain, Llewelyn Grain Informatics, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Tiago Jacinto, CINTESIS - FMUP, Portugal
Lars Morgan Karlsen, DIPS ASA, Norway
Valeria Lecca, Sardegna Ricerche, Italia
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Andrej Orel, Marand d.o.o., Slovenia
Ana Pereira, CINTESIS, CUF-Porto, Portugal
John Tore Valand, Helse Bergen, Norway, originalLanguage=en, translators=Finnish: Vesa Peltola, Tieto Finland Oy, vesa.peltola@tieto.com
Norwegian Bokmål: Mikkel Johan Gaup Grønmo, Helse-Nord, Forvaltningssenter EPJ, mikkel.johan.gaup.gronmo@helse-nord.no, Nasjonal IKT HF
Slovenian: ?
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  • Standing [Standing at the time of measurement.]
  • Sitting [Sitting (for example on a bed or chair) at the time of measurement.]
  • Reclining [Reclining at the time of measurement.]
  • Lying [Lying flat at the time of measurement.]
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  • Forced vital capacity (FVC) [The determination of the vital capacity from a maximally forced expiratory effort.]
  • FEV 0.5 [Volume that has been exhaled at the end of the first half second of forced expiration.]
  • FEV 0.75 [Volume that has been exhaled at the end of the first three quarters of a second of forced expiration.]
  • FEV1 [Volume that has been exhaled at the end of the first second of forced expiration.]
  • FEV2 [Volume that has been exhaled at the end of the first two seconds of forced expiration.]
  • FEV3 [Volume that has been exhaled at the end of the first three seconds of forced expiration.]
  • FEV6 [Volume that has been exhaled at the end of the first six seconds of forced expiration.]
  • Slow vital capacity (SVC/EVC) [The amount of air that can be forced out of the lungs after a maximal inspiration. Emphasis on completeness of expiration. Also termed expiratory vital capacity (EVC). Calculation = IRV+TV+ERV.]
  • Total lung capacity (TLC) [The volume in the lungs at maximal inflation. Calculation - VC+RV.]
  • Tidal volume (TV/VT) [The normal volume of air displaced between normal inhalation and exhalation when extra effort is not applied.]
  • Expiratory reserve volume (ERV) [The maximal volume of air that can be exhaled from the end-expiratory position.]
  • Inspiratory reserve volume (IRV) [The maximal volume that can be inhaled from the end-inspiratory level.]
  • Inspiratory capacity (IC) [The maximum volume of air inhaled from the point of maximum expiration, calculated as the sum of IRV and TV. Also known as Inspiratory vital capacity (IVC).]
  • Residual volume (RV) [The volume of air remaining in the lungs after a maximal exhalation.]
  • Functional residual capacity (FRC) [The volume in the lungs at the end-expiratory position. Calculation = ERV+RV.]
  • Anatomical dead space [The volume of the conducting airways.]
  • Vital capacity (VC) [The volume of air breathed out after the deepest inhalation.]
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  • Percent
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Denominator: 0.0..100.0
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  • Peak expiratory flow (PEF) [The highest forced expiratory flow measured with a peak flow meter. Also termed Peak Expiratory Flow Rate (PEFR).]
  • Forced expiratory flow (FEFmax) [The maximum instantaneous flow achieved during a FVC maneuver.]
  • Forced expiratory flow 25-75% (FEF25-75%) [The forced expiratory flow of air from the lung during the middle portion (25-75%) of expiration on the FVC curve.]
  • Forced expiratory flow 25-50% (FEF25-50%) [The forced expiratory flow of air from the lung during the middle portion (25-50%) of expiration on the FVC curve.]
  • Forced inspiratory flow 25-75% (FIF25-75%) [The forced inspiratory flow of air from the lung during the middle portion (25-75%) of inspiration on the FVC curve.]
  • Forced inspratory flow 25-50% (FIF25-50%) [The forced inspiratory flow of air from the lung during the middle portion (25-50%) of inspiration on the FVC curve.]
  • Maximum voluntary ventilation [volume of air expired in a specified period during repetitive maximal effort.]
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Units:
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    Limit decimal places: 0
  • 0.0..200000.0 ml/s
    Limit decimal places: 0
  • 0.0..1000.0 l/min
    Limit decimal places: 0
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Units:
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    Limit decimal places: 0
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    Limit decimal places: 0
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    Limit decimal places: 0
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  • Ratio
  • Percent
Numerator: 0.0..100.0
Denominator: 0.0..100.0
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  • FEV1/FVC ratio (FEV1%FVC) [The ratio of 'Forced expiratory volume in 1 second' to 'Forced vital capacity'.]
  • Tiffenau index (FEV1/SVC) [The ratio of 'Forced expiratory volume in 1 second' to 'Inspired vital capacity'. Calculation = FEV1/ IVC.]
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  • Ratio
  • Percent
Numerator: >=0.0
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0 seconds..3 seconds
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