ARCHETYPE Pulmonary Function Testing (openEHR-EHR-OBSERVATION.pulmonary_function.v1)

ARCHETYPE ID	openEHR-EHR-OBSERVATION.pulmonary_function.v1
Concept	Pulmonary Function Testing
Description	Pulmonary function testing including spirometry and other lung volume testing.
Use	Used to record all representations of pulmonary function testing, including spirometry. Multiple events and state information may be used to capture pre and post bronchial challenge or bronchodilation results.
Misuse	Supporting subject information, often required to interpret the tests, such as smoking status or oxygenation, should be captured in separate, specific archetypes.
Purpose	To record results of pulmonary function tests, including spirometry and lung volume testing.
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.
Copyright	© openEHR Foundation
Authors	Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2013-03-08
Other Details Language	Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2013-03-08
Other Details (Language Independent)	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. MD5-CAM-1.0.1: 387886EC6090ADD9B2D1C7024ECF6956
Keywords	respiratory, pulmonary, spirometry, peak flow, PFT, lung, bronchial
Lifecycle	AuthorDraft
Language used	en
Citeable Identifier	1013.1.1515
state
Confounding factors	Confounding factors: Comment on and record other incidental factors that may affect interpretation of the observation.
Position	Position: The body position of the subject at the time of measurement. at0116::Standing [Standing at the time of measurement.] at0117::Sitting [Sitting (for example on bed or chair) at the time of measurement.] at0118::Reclining [Reclining at the time of measurement.] at0119::Lying [Lying flat at the time of measurement.] Assumed value: Standing
Bronchial challenge	Bronchial challenge: Details of any bronchial challenge administered as part of the test.
Agent/modality	Agent/modality: The agent or physical modality used e.g exercise.
Dose	Dose: The dose of agent used in the test.
Agent detail	Agent detail: Details of the agent used in the test. Include: All not explicitly excluded archetypes
Timing	Timing: The timing of the event. at0094::Before bronchial challenge [The test was taken before the challenge.] at0095::After bronchial challenge [The test was performed after the bronchial challenge.]
Duration	Duration: The timing of the test in relation to the challenge. Allowed values: days, hours, minutes, seconds >=0 seconds
Bronchodilation	Bronchodilation: Details of bronchodilation administered as part of the test.
Agent	Agent: The bronchodilating agent used in the test.
Dose	Dose: The dose of agent used in the test.
Timing	Timing: The timing of the event. at0094::Before bronchial challenge [The test was taken before the challenge.] at0095::After bronchial challenge [The test was performed after the bronchial challenge.]
Duration	Duration: The timing of the test in relation to the challenge. Allowed values: days, hours, minutes, seconds >=0 seconds
events
Any event	Any event: Any event.
protocol
Device	Device: Details of the device used to measure pulmonary function. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations
data
Result Details	Result Details: Details of Pulmonary Function Test Results.
Pulmonary Volume Result	Pulmonary Volume Result: Pulmonary function test that returns a measured volume or caclulated capacity.
Test Result Name	Test Result Name: The name of the pulmonary volume test/parameter. at0065::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.] at0067::Forced expiratory volume in 1 sec (FEV1) [The amount of air that can be forcibly blown out in one second.] at0070::Forced expiratory volume in .75 sec (FEV.75) [The amount of air that can be forcibly blown out in 0.75 of a second.] at0068::Forced expiratory volume in 3 sec (FEV3) [The amount of air that can be forcibly blown out in three seconds.] at0069::Forced expiratory volume in 6 sec (FEV6) [The amount of air that can be forcibly blown out in six seconds.] at0064::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.] at0066::Total lung capacity (TLC) [The volume of gas contained in the lung after a full inhalation.] at0076::Inspiratory capacity (IC/IVC) [The maximal volume that can be inspired following a normal expiration. Also termed Inspiratory vital capacity (IVC). Calculated = TV+IRV.] at0077::Expiratory reserve volume (ERV) [The amount of additional air that can be pushed out after the end expiratory level of normal breathing.] at0078::Inspiratory reserve volume (IRV) [The additional air that can be inhaled after a normal tidal breath in.] at0082::Tidal volume (Vt) [The volume of air inspired and then expired from the lung during one respiratory cycle.] at0083::Residual volume (RV) [The amount of air left in the lungs after a maximal exhalation.] at0084::Functional residual capacity (FRC) [The amount of air left in the lungs after a tidal breath out. Calculated = ERV+RV.] at0129::Anatomical dead space [The volume of the conducting airways.]
Predicted Result	Predicted Result: Predicted pulmonary volume test result. Property: Volume Units: >=0.0 l >=0.0 ml
Actual Result	Actual Result: Actual pulmonary volume test result. Property: Volume Units: >=0.0 l >=0.0 ml
Actual/predicted Ratio	Actual/predicted Ratio: The ratio of actual to predicted test result. Ratio Percent Numerator: >=0.0 Denominator: 0.0..100.0
Pulmonary Flow Rate Result	Pulmonary Flow Rate Result: Pulmonary function test that returns a measured flow rate.
Test Result Name	Test Result Name: The name of the pulmonary flow rate test. at0071::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).] at0072::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).] at0073::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).] at0074::Forced inspratory flow 25-75% (FIF25-75%) [The average flow of air into the lung during the middle portion (25-75%) of inspiration.] at0075::Forced inspratory flow 25-50% (FIF25-50%) [The average flow of air into the lung during the middle portion (25-50%) of inspiration.] at0079::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.]
Predicted Result	Predicted Result: Predicted pulmonary flow rate result. Property: Flow rate, volume 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
Actual Result	Actual Result: Actual pulmonary flow rate result. Property: Flow rate, volume 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
Actual/predicted Ratio	Actual/predicted Ratio: The ratio of actual to predicted test result. Ratio Percent Numerator: 0.0..100.0 Denominator: 0.0..100.0
Pulmonary Ratio Result	Pulmonary Ratio Result: A pulmonary function test result expressed as a ratio.
Test Result Name	Test Result Name: The nameof the pulmonary ratio test. at0081::FEV1/FVC ratio (FEV1%FVC) [The ration of Forced expiratory volume in 1 second to Forced vital capacity.] at0080::Tiffenau index (FEV1/SVC) [The ratio of Forced Expiratory volume in 1 second to Inspired vital capacity. Calculated = FEV1/ IVC.]
Predicted Result	Predicted Result: Predicted pulmonary test ratio result. Ratio Percent Numerator: >=0.0 Denominator: >=0.0
Actual Result	Actual Result: Actual pulmonary test ratio result. Ratio Percent Numerator: >=0.0
Other Result	Other Result: Other pulmonary function tests.
Forced Expiratory Time (FET)	Forced Expiratory Time (FET): The time taken to complete a forced expiration. Allowed values: seconds 0 seconds..300 seconds
CO Transfer Factor (DLCO test)	CO Transfer Factor (DLCO test): Also called carbon monoxide diffusing capacity test. In North America the unit for D, co is mL CO/min/mm Hg. The Systeme Internationale unit is mmol/min/kPa, and in Europe the test is called the CO transfer factor. The following equation converts between the 2 units: D, 2.986 X T Property: Qualified real
Spirography Imaging	Spirography Imaging: Graphs produced by spirometry.
Volume-time Curve	Volume-time Curve: Shows volume (liters) along the Y-axis and time (seconds) along the X-axis. image/cgm, image/gif, image/png, image/tiff, image/jpeg
Flow-volume Loop	Flow-volume Loop: Graphically depicts the rate of airflow on the Y-axis and the total volume inspired or expired on the X-axis. image/cgm, image/gif, image/png, image/tiff, image/jpeg
No Test Result	No Test Result: The pulmonary function test result is not available. Allowed values: {true}
Reason for No Test Result	Reason for No Test Result: The reason why the pulmonary function test result is not available.
Interpretation	Interpretation: Textual or coded interpretations of the test results.
Overall Interpretation	Overall Interpretation: Overall clinical interpretation of the measurements and related findings.
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Other contributors	Valeria Lecca, Sardegna Ricerche, Italia Derek Corrigan, Royal College of Surgeons in Ireland, Ireland Heather Leslie, Ocean Informatics, Australia
Translators	Slovenian, Slovene: ?