ARCHETYPE Pulse oximetry SG (openEHR-EHR-OBSERVATION.indirect_oximetry_SG.v0)

Type: openEHR ARCHETYPE
Purpose: To record blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry.
Use: Use to record blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry. Waveforms should be recorded here when used to document quality of the blood gas measurement.
Misuse: Not used for other non-invasive blood gas measurements such as transcutaneous CO₂, lateral end-tidal CO₂ or non-invasive cerebral oximetry. Not to be used for recording plethysmography. Use another appropriate archetype for this purpose. Not to be used for recording another type of measurement, such as pulse rate, where the recording device also provides this. 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. Not 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.laboratory_test_result archetype. 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.laboratory_test_result archetype.

Available formats: ADL XML

ARCHETYPE IDopenEHR-EHR-OBSERVATION.indirect_oximetry_SG.v0
ConceptPulse oximetry SG
DescriptionBlood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry.
UseUse to record blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry. Waveforms should be recorded here when used to document quality of the blood gas measurement.
MisuseNot used for other non-invasive blood gas measurements such as transcutaneous CO₂, lateral end-tidal CO₂ or non-invasive cerebral oximetry. Not to be used for recording plethysmography. Use another appropriate archetype for this purpose. Not to be used for recording another type of measurement, such as pulse rate, where the recording device also provides this. 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. Not 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.laboratory_test_result archetype. 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.laboratory_test_result archetype.
PurposeTo record blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry.
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
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: Ian.mcnicoll@oceaninformatics.com
Date originally authored: 2010-10-26
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: Ian.mcnicoll@oceaninformatics.com
Date originally authored: 2010-10-26
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
  • Custodian Organisation: Ocean Informatics
  • 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
  • Original Namespace: com.oceaninformatics
  • Original Publisher: Ocean Informatics
  • Custodian Namespace: com.oceaninformatics
  • MD5-CAM-1.0.1: 975C777BEA6CBFF2F7522792BC2CC303
  • Build Uid: ea28d6b6-7d68-474e-8621-fac5bf733972
  • Revision: 0.0.1-alpha
Keywordsoxygen, oxygenation, saturation, SpO2, spMet, spCO, spOC, carboxyhaemoglobin, methaemoglobin, pulse, oximeter, oximetry, concentration, partial, pressure, non-invasive, vital, O2, SaO₂, SaO2, sat, sats
Lifecyclein_development
UID2f08c9b8-0fd0-4935-bc52-a402bde7fbe4
Language useden
Citeable Identifier1013.1.1912
Revision Number0.0.1-alpha
data
SpO₂SpO₂: The saturation of oxygen in the peripheral blood, measured via pulse oximetry.
SpO₂ is defined as the ratio of oxyhaemoglobin (HbO₂) to the total concentration of haemoglobin (HbO₂ + deoxyhaemoglobin) in peripheral blood.
  • Percent
Numerator: 0.0..100.0
SpOCSpOC: The oxygen content of the peripheral blood, calculated based on pulse oximetry and pulse CO-oximetry.
Property: Concentration
Units: >=0.0 ml/dl
SpCOSpCO: The saturation of carboxyhaemoglobin in the peripheral blood, measured via pulse CO-oximetry.
  • Percent
Numerator: 0.0..100.0
SpMetSpMet: The saturation of methaemoglobin in the peripheral blood, measured via pulse CO-oximetry.
  • Percent
Numerator: 0.0..100.0
WaveformWaveform: A waveform reading associated with the oximetry measurement.
Include:
openEHR-EHR-CLUSTER.waveform.v1 and specialisations
Multimedia imageMultimedia image: Details of a series of oximetry readings, other than waveforms, expressed as a multimedia image or series of images. Waveforms should be recorded using the Waveform slot and associated cluster archetype.
Include:
openEHR-EHR-CLUSTER.multimedia.v1 and specialisations
InterpretationInterpretation: Single word, phrase or brief description which represents the clinical meaning and significance of the measurements.
Coding with a terminology is preferred, if possible. For example, normal oxygen saturation or hypoxaemia.
CommentComment: A text comment about the indirect oximetry result.
events
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
state
ExertionExertion: Details about physical activity undertaken at the time of measurement.
Include:
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations
Inspired oxygenInspired oxygen: Details of the amount of oxygen available to the subject at the time of observation.
Assumed values of 21% oxygen concentration, Fi0₂ of 0.21 and oxygen flow rate of 0 l/min or 0 ml/min.
Include:
openEHR-EHR-CLUSTER.inspired_oxygen.v1 and specialisations
Confounding factorsConfounding factors: Comment on and record other incidental factors that may be affect interpretation of the observation. For example, motion, pain, poor perfusion, infant feeding.
protocol
Sensor siteSensor site: The site of the measurement sensor.
Sensor typeSensor type: The type of measurement sensor used.
For example: transmittal electrode; reflective electrode; clamp electrode; or strip electrode.
Choice of:
  •  Coded Text
    • 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.]
  •  Text
Oximetry deviceOximetry device: Details of the non-invasive oximetry device used.
Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
ExtensionExtension: Additional information required to capture local context or to align with other reference models/formalisms.
e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC equivalents.
Include:
All not explicitly excluded archetypes
Other contributorsTomas Alme, DIPS, Norway
Nadim Anani, Karolinska Institutet, Sweden
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Koray Atalag, University of Auckland, New Zealand
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Mate Bestek, National Institute of Public Health of Slovenia, Slovenia
SB Bhattacharyya, Sudisa Consultancy Services, India
Marja Buur, Medisch Centrum Alkmaar/ Code24, Netherlands
Sergio Carmona, Chile
Ady Angelica Castro Acosta, CIBERES-Hospital 12 de Octubre, Spain
Rong Chen, Cambio Healthcare Systems, Sweden
Stephen Chu, Queensland Health, Australia
Tamsin Cockayne, Australia
Ed Conley, Cardiff University
Graham Denyer, Australian Antarctic Division, Australia
Paul Donaldson, Nursing Informatics Australia, Australia
Samo Drnovsek, Marand ltd, Slovenia
Shahla Foozonkhah, Iran ministry of health and education, Iran
Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Sebastian Garde, Ocean Informatics, Germany (Editor)
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør)
Heather Grain, Llewelyn Grain Informatics, Australia
Sam Heard, Ocean Informatics, Australia
Ingrid Heitmann, Oslo universitetssykehus HF, Norway
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
Lars Ivar Mehlum, Helse Bergen HF, Norway
Sundaresan Jagannathan, Scottish NHS, United Kingdom
Gorazd Kalan, University Medical Centre Ljubljana, Slovenia
Konstantinos Kalliamvakos, Cambio Healthcare Systems, Sweden
Lars Morgan Karlsen, DIPS ASA, Norway
Harmony Kosola, Alberta Health Services, Canada
Russell Leftwich, Russell B Leftwich MD, United States
Heather Leslie, Ocean Health Systems, Australia (openEHR Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Vincent McCauley, Medical Software Industry Association, Australia
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Udo Müller, CompuGROUP Software, Germany
Andrej Orel, Marand d.o.o., Slovenia
Vladimir Pizzo, Hospital Sírio Libanês, Brazil
Arturo Romero, SESCAM, Spain
Anoop Shah, University College London, United Kingdom
Tony Shannon, frectal ltd, United Kingdom
Norwegian Review Summary, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
Micaela Thierley, Helse Bergen, Norway
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Stian Torleif Varpe, Helse Bergen, Norway
Translators
  • German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University
  • Russian: Vyacheslav Mavrin, JSC Comsoft
  • Swedish: Kirsi Poikela, Tieto Sweden Healthcare & Welfare AB, ext.kirsi.poikela@tieto.com
  • Spanish (Argentina): Dr. Leonardo Der Jachadurian, Bitios.com, Medical Doctor (Internal Medicine Specialist)
  • Norwegian Bokmal: Lars Bitsch-Larsen, Haukeland University Hospital, MD, DEAA, speciialist in tropical medicine MBA
  • Arabic (Syria): Mona Saleh
  • Persian, Farsi: Shahla Foozonkhah, Ocean Informatics