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. Multiple events and state information may be used to capture multiple measurements, pre- and post-bronchial challenge or bronchodilation results.
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.
ReferencesLung volumes [Internet]. [date unknown];[cited 2010 Aug 25 ] Available from: http://en.wikipedia.org/wiki/Lung_volumes

Spirometry [Internet]. [date unknown];[cited 2010 Aug 25 ] Available from: http://en.wikipedia.org/wiki/Spirometry

Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2007.

Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 VS FEV1/FVC IN THE SPIROMETRIC DIAGNOSIS OF AIRWAYS OBSTRUCTION AMONG ASIANS. In: Chest Meeting Abstracts. 2007 p. 491c.

Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med 1947;133:624-8.
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=Lung volumes [Internet]. [date unknown];[cited 2010 Aug 25 ] Available from: http://en.wikipedia.org/wiki/Lung_volumes Spirometry [Internet]. [date unknown];[cited 2010 Aug 25 ] Available from: http://en.wikipedia.org/wiki/Spirometry Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2007. Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 VS FEV1/FVC IN THE SPIROMETRIC DIAGNOSIS OF AIRWAYS OBSTRUCTION AMONG ASIANS. In: Chest Meeting Abstracts. 2007 p. 491c. Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med 1947;133:624-8., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=31E35B5E1E1F36F1C67A8DA140B54388, build_uid=bbaff422-03b6-4e5b-85f0-152ecdb3c7b3, revision=0.0.1-alpha}
Keywordsrespiratory, pulmonary, spirometry, peak flow, PFT, lung, bronchial
Lifecyclein_development
UIDb89d17c7-1114-4013-aa11-1e2d1ffdd073
Language useden
Citeable Identifier1013.1.1414
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The results of a common suite of pulmonary function measurements and calculated ratios to assess lung volumes, airway function and gas exchange., archetypeConceptComment=null, otherContributors=Valeria Lecca, Sardegna Ricerche, Italia
Derek Corrigan, Royal College of Surgeons in Ireland, Ireland
Heather Leslie, Atomica Informatics, Australia, originalLanguage=en, translators=Slovenian: ?
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  • Forced vital capacity (FVC) [The volume change of the lung between a full inspiration to total lung capacity and a maximal expiration to residual volume.]
  • Forced expiratory volume in 1 sec (FEV1) [The amount of air that can be forcibly blown out in one second.]
  • Forced expiratory volume in .75 sec (FEV.75) [The amount of air that can be forcibly blown out in 0.75 of a second.]
  • Forced expiratory volume in 3 sec (FEV3) [The amount of air that can be forcibly blown out in three seconds.]
  • Forced expiratory volume in 6 sec (FEV6) [The amount of air that can be forcibly blown out in six seconds.]
  • 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) Calculated= IRV+ Vt+ ERV.]
  • Total lung capacity (TLC) [The volume of gas contained in the lung after a full inhalation.]
  • Inspiratory capacity (IC/IVC) [The maximal volume that can be inspired following a normal expiration. Also termed Inspiratory vital capacity (IVC). Calculated = TV+IRV.]
  • Expiratory reserve volume (ERV) [The amount of additional air that can be pushed out after the end expiratory level of normal breathing.]
  • Inspiratory reserve volume (IRV) [The additional air that can be inhaled after a normal tidal breath in.]
  • Tidal volume (Vt) [The volume of air inspired and then expired from the lung during one respiratory cycle.]
  • Residual volume (RV) [The amount of air left in the lungs after a maximal exhalation.]
  • Functional residual capacity (FRC) [The amount of air left in the lungs after a tidal breath out. Calculated = ERV+RV.]
  • Anatomical dead space [The volume of the conducting airways.]
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Units:
  • >=0.0 l
  • >=0.0 ml
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0052]/items[at0054], code=at0054, itemType=ELEMENT, level=5, text=Predicted result, description=Predicted pulmonary volume test result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Volume
Units:
  • >=0.0 l
  • >=0.0 ml
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0052]/items[at0044], code=at0044, itemType=ELEMENT, level=5, text=Actual/predicted ratio, description=The ratio of actual to predicted test result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
  • Percent
Numerator: >=0.0
Denominator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0052]/items[at0126], code=at0126, itemType=ELEMENT, level=5, text=Reason for no test result, description=The reason why the pulmonary function test result is not available., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0052]/items[at0125], code=at0125, itemType=ELEMENT, level=5, text=No test result, description=The pulmonary function test result is not available., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0057], code=at0057, itemType=CLUSTER, level=4, text=Flow rate, description=Test result represented as a measured flow rate., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0057]/items[at0088], code=at0088, itemType=ELEMENT, level=5, text=Test name, description=The name of the flow rate test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Peak expiratory flow (PEF) [The maximum flow generated during expiration performed with maximal force and started after a full inspiration. Also termed Peak Expiratory Flow Rate (PEFR).]
  • Forced expiratory flow 25-75% (FEF25-75%) [The average flow of air from the lung during the middle portion (25-75%) of expiration (also sometimes referred to as the MMEF, for maximal mid-expiratory flow).]
  • Forced expiratory flow 25-50% (FEF25-50%) [The average flow of air from the lung during the middle portion (25-50%) of expiration (also sometimes referred to as the MMEF, for maximal mid-expiratory flow).]
  • Forced inspratory flow 25-75% (FIF25-75%) [The average flow of air into the lung during the middle portion (25-75%) of inspiration.]
  • Forced inspratory flow 25-50% (FIF25-50%) [The average flow of air into the lung during the middle portion (25-50%) of inspiration.]
  • Maximum voluntary ventilation [A measure of the maximum amount of air that can be inhaled and exhaled in one minute. Also termed Maximum ventilation per minute.]
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Units:
  • 0.0..60000.0 l/s
    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:
  • 0.0..60000.0 l/s
    Limit decimal places: 0
  • 0.0..200000.0 ml/s
    Limit decimal places: 0
  • 0.0..1000.0 l/min
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0057]/items[at0122], code=at0122, itemType=ELEMENT, level=5, text=Actual/predicted ratio, description=The ratio of actual to predicted test result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
  • Percent
Numerator: 0.0..100.0
Denominator: 0.0..100.0
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  • FEV1/FVC ratio (FEV1%FVC) [The ration 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. Calculated = FEV1/ IVC.]
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  • Ratio
  • Percent
Numerator: >=0.0
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  • Ratio
  • Percent
Numerator: >=0.0
Denominator: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Forced expiratory time (FET), description=The time taken to complete a forced expiration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: seconds
0 seconds..3 seconds
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Diffusion lung capacity, description=A test of the diffusion capacity (DLCO), or transfer factor (TLCO), of the lung for carbon monoxide (CO)., comment=Also called carbon monoxide diffusing capacity test. Generally DLCO is measured in "ml/min/kPa" and TLCO is measured in "ml/min/mmHg"., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0131], code=at0131, itemType=SLOT, level=4, text=Multimedia representation, description=Digital representation of the test results., comment=For example: Flow volume loop; or volume-time tracing., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.multimedia.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0130], code=at0130, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Overall clinical interpretation about all of the measurements and calculated ratios., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the test results and intepretation not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0133], code=at0133, itemType=SLOT, level=4, text=Test not done, description=Details to explicitly record that this test was not performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exclusion_exam.v1 and specialisations, extendedValues=null]], relationships=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0098], code=at0098, itemType=ELEMENT, level=4, text=Confounding factors, description=Record any issues or factors that may impact on the measurement of pulmonary function tests., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0115], code=at0115, itemType=ELEMENT, level=4, text=Position, description=The body position of the individual at the time of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Standing [Standing at the time of measurement.]
  • Sitting [Sitting (for example on bed or chair) at the time of measurement.]
  • Reclining [Reclining at the time of measurement.]
  • Lying [Lying flat at the time of measurement.]

Assumed value: Standing, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0046], code=at0046, itemType=CLUSTER, level=4, text=Bronchial challenge, description=Details of any bronchial challenge administered as part of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=ordered, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0046]/items[at0047], code=at0047, itemType=ELEMENT, level=5, text=Agent/modality, description=The agent or physical modality used e.g exercise., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0046]/items[at0048], code=at0048, itemType=ELEMENT, level=5, text=Dose, description=The dose of agent used in the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0046]/items[at0093], code=at0093, itemType=SLOT, level=5, text=Agent detail, description=Details of the agent used in the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0031]/items[at0046]/items[at0091], code=at0091, itemType=ELEMENT, level=5, text=Timing, description=The timing of the event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Before bronchial challenge [The test was taken before the challenge.]
  • After bronchial challenge [The test was performed after the bronchial challenge.]
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>=0 seconds
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