ARCHETYPE Pulse oximetry (openEHR-EHR-OBSERVATION.pulse_oximetry.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.pulse_oximetry.v1
ConceptPulse oximetry
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.
ReferencesDerived from: Pulse oximetry, Deprecated archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2018-01-26]. Available from: http://openehr.org/ckm/#showArchetype_1013.1.188

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).

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
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Derived from: Pulse oximetry, Deprecated archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2018-01-26]. Available from: http://openehr.org/ckm/#showArchetype_1013.1.188 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). 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=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=02D54A1F08B1D0D12BDEB8DFD499D214, build_uid=992140bd-078e-4792-b1a5-4ce1de711162, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=1.1.3}
Keywordsoxygen, oxygenation, saturation, SpO2, spMet, spCO, spOC, carboxyhaemoglobin, methaemoglobin, pulse, oximeter, oximetry, concentration, partial, pressure, non-invasive, vital, O2, SaO₂, SaO2, sat, sats, hypoxaemia
Lifecyclepublished
UID7ca16b4f-6b53-4191-8769-199f13956c75
Language useden
Citeable Identifier1246.145.1101
Revision Number1.1.3
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry., archetypeConceptComment=null, otherContributors=Morten Aas, Oslo Universitetssykehus, Norway
Tomas 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
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Graham Denyer, Australian Antarctic Division, Australia
Paul Donaldson, Nursing Informatics Australia, Australia
Samo Drnovsek, Marand ltd, Slovenia
Stig Erik Hegrestad, Helse Førde, Norway
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
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
Patrícia Ivo, Prefeitura Municipal de Fortaleza, Brazil
Sundaresan Jagannathan, Scottish NHS, United Kingdom
Tom Jarl Jakobsen, Helse Bergen, Norway
Gorazd Kalan, University Medical Centre Ljubljana, Slovenia
Konstantinos Kalliamvakos, Cambio Healthcare Systems, Sweden
Hilde Karen Ofte, Nordlandssykehuset HF, 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
Mark Luciani, Gloucestershire Hospital NHS Foundation Trust, United Kingdom
Vincent McCauley, Medical Software Industry Association, Australia
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Jeroen Meintjens, Medisch Centrum Alkmaar, Netherlands
Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway
Udo Müller, CompuGROUP Software, Germany
Andrej Orel, Marand d.o.o., Slovenia
Vladimir Pizzo, Hospital Sírio Libanês, Brazil
Arturo Romero, SESCAM, Spain
Jussara Rotzsch, UNB, Brazil
Anoop Shah, University College London, United Kingdom
Tony Shannon, frectal ltd, United Kingdom
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Trine Strand, Oslo Universitetssykehus (OUS), Norway
Roy Støle, OUS, Norway
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, originalLanguage=en, translators=
  • German: Jasmin Buck, Sebastian Garde, Alina Rehberg, University of Heidelberg, Central Queensland University, Medizinische Hochschule Hannover, rehberg.alina@mh-hannover.de
  • Russian: Vyacheslav Mavrin, JSC Comsoft
  • Swedish: Kirsi Poikela / Erik Sundvall, KP: Tieto Sweden Healthcare & Welfare AB / ES: Region Östergötland, ext.kirsi.poikela@tieto.com / erik.sundvall@regionostergotland.se
  • Finnish: Vesa Peltola, Tieto Finland, vesa.peltola@tieto.com
  • Spanish (Argentina): Dr. Leonardo Der Jachadurian, Bitios.com, Medical Doctor (Internal Medicine Specialist)
  • Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital, MD, DEAA, speciialist in tropical medicine MBA
  • Portuguese (Brazil): Fernanda Maia Ewerton Rodrigues, Débora Farage, Adriana Kitajima, Ana Paula Rodrigues e Clóvis Puttini, Core Consulting, core@coreconsulting.com.br
  • Arabic (Syria): Mona Saleh
  • Farsi: Shahla Foozonkhah, Ocean Informatics
  • Dutch: Joost Holslag, Nedap, joost.holslag@nedap.com, MD
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], context=[], details=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], description=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Sensor site, description=The site of the measurement sensor., comment=For example: Right index finger, left earlobe. Coding with a terminology is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[LOINC::20081-6 | Pulse oximetry site], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0061], code=at0061, itemType=ELEMENT, level=2, text=Pre/post-ductal, description=Sensor site relative to the ductus arteriosus in neonates, to determine whether the blood supply to limb of the sensor site is pre- or post-ductal in cases of patent ductus arteriosus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pre-ductal [The sensor site is pre-ductal.]
  • Post-ductal [The sensor site is post-ductal.]
  • Indeterminate [Unable to assess whether the sensor site is pre- or post-ductal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0018], code=at0018, itemType=SLOT, level=2, text=Oximetry device, description=Details of the non-invasive oximetry device used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::448703006 | Pulse oximeter], values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0059], code=at0059, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local context or to align with other reference models/formalisms., comment=e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC equivalents., 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]], content=[], activities=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0014]/items[at0034], code=at0034, itemType=SLOT, level=4, text=Exertion, description=Details about physical activity undertaken at the time of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.level_of_exertion.v0 and specialisations or
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openEHR-EHR-CLUSTER.inspired_oxygen.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0014]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Confounding factors, description=Comment on and record other incidental factors that may be affect interpretation of the observation., comment=For example, motion, pain, poor perfusion, infant feeding, peripheral hypothermia, sedation., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], contacts=[], other_participations=[], target=[], provider=[], ism_transition=[], capabilities=[], items=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=SpO₂, description=The saturation of oxygen in the peripheral blood, measured via pulse oximetry., comment=SpO₂ is defined as the percentage of oxyhaemoglobin (HbO₂) to the total concentration of haemoglobin (HbO₂ + deoxyhaemoglobin) in peripheral blood., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=[SNOMED-CT::431314004 | Peripheral oxygen saturation]
[LOINC::59408-5 | Oxygen saturation in Arterial blood by Pulse oximetry], values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=SpOC, description=The oxygen content of the peripheral blood, calculated based on pulse oximetry and pulse CO-oximetry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=[LOINC::57800-5 | Oxygen content in Blood by calculation], values=Property: Concentration
Units: >=0.0 ml/dl, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0045], code=at0045, itemType=ELEMENT, level=4, text=SpCO, description=The saturation of carboxyhaemoglobin in the peripheral blood, measured via pulse CO-oximetry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=[LOINC::86904-0 | Carboxyhemoglobin/Hemoglobin.total in Arterial blood by Pulse oximetry], values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=SpMet, description=The saturation of methaemoglobin in the peripheral blood, measured via pulse CO-oximetry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=[LOINC::2614-6 | Methemoglobin/Hemoglobin.total in Blood], values=
  • Percent
Numerator: 0.0..100.0
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openEHR-EHR-CLUSTER.waveform.v0 and specialisations or
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openEHR-EHR-CLUSTER.multimedia.v0 and specialisations or
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  • Pre-ductal [The sensor site is pre-ductal.]
  • Post-ductal [The sensor site is post-ductal.]
  • Indeterminate [Unable to assess whether the sensor site is pre- or post-ductal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0018], code=at0018, itemType=SLOT, level=2, text=Oximetry device, description=Details of the non-invasive oximetry device used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::448703006 | Pulse oximeter], values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0059], code=at0059, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local context or to align with other reference models/formalisms., comment=e.g. Local hospital departmental infomation or additional metadata to align with HL7 or CDISC equivalents., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]