ARCHETYPE Indirect oximetry (openEHR-EHR-OBSERVATION.indirect_oximetry.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.indirect_oximetry.v1
ConceptIndirect oximetry
DescriptionMethod of monitoring blood gas measurements such as Spo2 and pTCO2 by indirect, currently non-invasive, means.
UseUsed to record indirect blood gas measurement, currently by non-invasive techniques. New indirect blood gas measurements should be added to this archetype. Where the recording device also provides another type of measurement, such as pulse rate, this should be recorded in a separate archetype, appropriate for that particular measurement e.g. the OBSERVATION.heart_rate-pulse archetype, to allow consistent querying. The aim is to consistently model a clinical concept, rather than to model device output ; devices are increasingly multi-functional and provide overlapping measurements which may need to be recorded using a number of discrete archetypes. Waveforms should be recorded here when used to document quality of the blood gas measurement. In contrast, if used for primary diagnostic purposes e.g. of cardiac output, plesmythography should be recorded in the key associated clinical archetype - OBSERVATION.heart_rate-pulse.
MisuseAny blood gas measurement that involves direct contact with blood, and measuring PaO2, PaCO2 should not be recorded using this archetype - Use OBSERVATION.lab_test-blood_gases archetype. New direct blood gas measurements should be added to OBSERVATION.lab_test-blood_gases.v1. NOT to be used to record direct blood gas measurement e.g arterial (SaO2), venous (SvO2) oxygen saturation or Oxygen content (CaOC) usually determined by invasive methods e.g. lab blood gases or vascular catheter devices. These should be recorded within the OBSERVATION.lab_test-blood_gases archetype.
PurposeTo record indirect, currently non-invasive, blood gas measurements, such as Spo2 and pTCO2, via pulse oximetry, transcutaneous oximetry or other methods. It is likely that this archetype will be used primarily to record oxygenation estimations, but other gas measurements may be included, or added over time.
ReferencesAARC Clinical Practice Guideline - Pulse Oximetry. Respir Care 1992;37(8):891–897,[cited 2010 Jan 31 ]
Available from http://www.rcjournal.com/cpgs/pulsecpg.html

Jubran A. Pulse oximetry [Internet]. Critical Care 1999;3(2):R11-R17.[cited 2009 Oct 29 ]
Available from: http://ccforum.com

Hanning CD, Alexander-Williams JM. Fortnightly Review: Pulse oximetry: a practical review [Internet]. BMJ 1995 Aug;311(7001):367-370.[cited 2009 Nov 9 ]
Available from: http://www.bmj.com/cgi/content/abstract/311/7001/367

Baldwin KM. Transcutaneous Oximetry and Skin Surface Temperature as Objective Measures of Pressure Ulcer Risk [Internet]. Advances in Skin & Wound Care 2001;14(1) [cited 2010 Jan 31 ]
Available from: http://journals.lww.com/aswcjournal/Fulltext/2001/01000/Transcutaneous_Oximetry_and_Skin_Surface.14.aspx

Barker SJ, Badal JJ. The measurement of dyshemoglobins and total hemoglobin by pulse oximetry [Internet]. Current Opinion in Anaesthesiology 2008;21(6):805-810.[cited 2010 Jan 12 ]
Available from: http://journals.lww.com/co-anesthesiology/Abstract/2008/12000/The_measurement_of_dyshemoglobins_and_total.20.aspx
Copyrightcopyright (c) 2010 openEHR foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: Ian.mcnicoll@oceaninformatics.com
Date originally authored: 26/01/2010
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: Ian.mcnicoll@oceaninformatics.com
Date originally authored: 26/01/2010
OtherDetails Language Independent{references=AARC Clinical Practice Guideline - Pulse Oximetry. Respir Care 1992;37(8):891–897,[cited 2010 Jan 31 ] Available from http://www.rcjournal.com/cpgs/pulsecpg.html Jubran A. Pulse oximetry [Internet]. Critical Care 1999;3(2):R11-R17.[cited 2009 Oct 29 ] Available from: http://ccforum.com Hanning CD, Alexander-Williams JM. Fortnightly Review: Pulse oximetry: a practical review [Internet]. BMJ 1995 Aug;311(7001):367-370.[cited 2009 Nov 9 ] Available from: http://www.bmj.com/cgi/content/abstract/311/7001/367 Baldwin KM. Transcutaneous Oximetry and Skin Surface Temperature as Objective Measures of Pressure Ulcer Risk [Internet]. Advances in Skin & Wound Care 2001;14(1) [cited 2010 Jan 31 ] Available from: http://journals.lww.com/aswcjournal/Fulltext/2001/01000/Transcutaneous_Oximetry_and_Skin_Surface.14.aspx Barker SJ, Badal JJ. The measurement of dyshemoglobins and total hemoglobin by pulse oximetry [Internet]. Current Opinion in Anaesthesiology 2008;21(6):805-810.[cited 2010 Jan 12 ] Available from: http://journals.lww.com/co-anesthesiology/Abstract/2008/12000/The_measurement_of_dyshemoglobins_and_total.20.aspx, MD5-CAM-1.0.1=20011847A5995DE4BEE632C7C59EDF8D}
Keywordsoxygen, oxygenation, saturation, SpO2, ptcCO2, ptcO2, spMet, spCO, spOC, carboxyhaemoglobin, methaemoglobin, transcutaneous, pulse, oximeter, oximetry, concentration, partial, pressure, non-invasive, vital, O2, CO2, carbon dioxide
LifecyclePublished
Language useden
Citeable Identifier1013.1.188
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Sergio Carmona, Chile
Stephen Chu, NeHTA, Australia
Tamsin Cockayne, Australia
Ed Conley, Cardiff University
Graham Denyer, Australian Antarctic Division, Australia
Paul Donaldson, Nursing Informatics Australia, Australia
Shahla Foozonkhah, Ocean Informatics, Australia
Sebastian Garde, Ocean Informatics, Germany (Editor)
Sam Heard, Ocean Informatics, Australia
Karsten Heusser, Hannover Medical School, Germany
Omer Hotomaroglu, Turkey (Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Pieter Hummel, Medisch Centrum Alkmaar, Netherlands
Eugene Igras, IRIS Systems, Inc., Canada
Sundaresan Jagannathan, Scottish NHS, United Kingdom
Gorazd Kalan, University Medical Centre Ljubljana, Slovenia
Heather Leslie, Ocean Informatics, Australia (Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Ian McNicoll, Ocean Informatics, United Kingdom (Editor)
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Udo Müller, CompuGROUP Software, Germany
Andrej Orel, Marand d.o.o., Slovenia
Arturo Romero, SESCAM, Spain
Tony Shannon, NHS, United Kingdom, originalLanguage=en, translators=German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University
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    • Strip [A pulse oximetry strip sensor was applied.]
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