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 to allow consistent querying. In this example, record the pulse rate in the OBSERVATION.pulse archetype. 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.pulse.
MisuseNot to be used to record any peripheral blood gas measurement that involves direct contact with blood. For example, PaO2, PaCO2 should be recorded using the OBSERVATION.pathology_test archetype suitable for recording blood gases. Not to be used to record invasive blood gas measurement. For example, arterial (SaO2), venous (SvO2) oxygen saturation or Oxygen content (CaOC) which are usually determined by invasive methods such as laboratory blood gases or vascular catheter devices. These should also 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.
ReferencesIndirect Oximetry, published archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 26 Jan 2010. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.188 (accessed 2013 Feb 26).

AARC (American Association for Respiratory Care) clinical practice guideline. Pulse oximetry. Respir Care. Respir Care 1992;37(8):891–897. Available from: http://www.rcjournal.com/cpgs/pulsecpg.html (accessed 2013 Feb 26).

Baldwin KM. Transcutaneous oximetry and skin surface temperature as objective measures of pressure ulcer risk. Adv Skin Wound Care. 2001 Jan-Feb;14(1):26-31. PubMed PMID: 11905453. Available from: http://journals.lww.com/aswcjournal/Fulltext/2001/01000/Transcutaneous_Oximetry_and_Skin_Surface.14.aspx (accessed 2013 Feb 26).

Barker SJ, Badal JJ. The measurement of dyshemoglobins and total hemoglobin by pulse oximetry. Curr Opin Anaesthesiol. 2008 Dec;21(6):805-10. doi: 10.1097/ACO.0b013e328316bb6f. Review. PubMed PMID: 18997533. Available from: http://journals.lww.com/co-anesthesiology/Abstract/2008/12000/The_measurement_of_dyshemoglobins_and_total.20.aspx (accessed 2013 Feb 26).

Hanning CD, Alexander-Williams JM. Pulse oximetry: a practical review. BMJ. 1995 Aug 5;311(7001):367-70. Review. PubMed PMID: 7640545; PubMed Central PMCID: PMC2550433. Available from: http://www.bmj.com/cgi/content/abstract/311/7001/367 (accessed 2013 Feb 26).

Jubran A. Pulse oximetry. Crit Care. 1999;3(2):R11-R17. PubMed PMID: 11094477; PubMed Central PMCID: PMC137227. Available from: http://ccforum.com/content/3/2/R11 (accessed 2013 Feb 26).
Copyright© openEHR Foundation
AuthorsIme avtorja: Ian McNicoll
Organizacija: Ocean Informatics, United Kingdom
e-Pošta: Ian.mcnicoll@oceaninformatics.com
Datum izvora: 2010-10-26
Other Details LanguageIme avtorja: Ian McNicoll
Organizacija: Ocean Informatics, United Kingdom
e-Pošta: Ian.mcnicoll@oceaninformatics.com
Datum izvora: 2010-10-26
OtherDetails Language Independent{references=Indirect Oximetry, published archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 26 Jan 2010. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.188 (accessed 2013 Feb 26). AARC (American Association for Respiratory Care) clinical practice guideline. Pulse oximetry. Respir Care. Respir Care 1992;37(8):891–897. Available from: http://www.rcjournal.com/cpgs/pulsecpg.html (accessed 2013 Feb 26). Baldwin KM. Transcutaneous oximetry and skin surface temperature as objective measures of pressure ulcer risk. Adv Skin Wound Care. 2001 Jan-Feb;14(1):26-31. PubMed PMID: 11905453. Available from: http://journals.lww.com/aswcjournal/Fulltext/2001/01000/Transcutaneous_Oximetry_and_Skin_Surface.14.aspx (accessed 2013 Feb 26). Barker SJ, Badal JJ. The measurement of dyshemoglobins and total hemoglobin by pulse oximetry. Curr Opin Anaesthesiol. 2008 Dec;21(6):805-10. doi: 10.1097/ACO.0b013e328316bb6f. Review. PubMed PMID: 18997533. Available from: http://journals.lww.com/co-anesthesiology/Abstract/2008/12000/The_measurement_of_dyshemoglobins_and_total.20.aspx (accessed 2013 Feb 26). Hanning CD, Alexander-Williams JM. Pulse oximetry: a practical review. BMJ. 1995 Aug 5;311(7001):367-70. Review. PubMed PMID: 7640545; PubMed Central PMCID: PMC2550433. Available from: http://www.bmj.com/cgi/content/abstract/311/7001/367 (accessed 2013 Feb 26). Jubran A. Pulse oximetry. Crit Care. 1999;3(2):R11-R17. PubMed PMID: 11094477; PubMed Central PMCID: PMC137227. Available from: http://ccforum.com/content/3/2/R11 (accessed 2013 Feb 26)., current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, MD5-CAM-1.0.1=A8E360D3AC064246EA4006A22D8F3499}
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
LifecycleCommitteeDraft
Language useden
Citeable Identifier1075.67.824
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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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  •  Šifriran tekst
    • Transmittal [A pulse oximetry transmittal sensor was applied.]
    • Reflective [A pulse oximetry reflective sensor was applied.]
    • Clamp [A pulse oximetry clamp sensor was applied.]
    • Strip [A pulse oximetry strip sensor was applied.]
    • Electrode [A transcutaneous electrode sensor was applied.]
  •  Besedilo
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Enote: 0.0..100.0 °C
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  •  Šifriran tekst
    • Transmittal [A pulse oximetry transmittal sensor was applied.]
    • Reflective [A pulse oximetry reflective sensor was applied.]
    • Clamp [A pulse oximetry clamp sensor was applied.]
    • Strip [A pulse oximetry strip sensor was applied.]
    • Electrode [A transcutaneous electrode sensor was applied.]
  •  Besedilo
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Enote: 0.0..100.0 °C
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