ARCHETYPE Six Minute Walk Test (6MWT) (openEHR-EHR-OBSERVATION.six_minute_walk_test-CAEHR_B.v0)

Name: Six Minute Walk Test (6MWT)
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.six_minute_walk_test-CAEHR_B.v0
Concept	Six Minute Walk Test (6MWT)
Description	To record the performance of the 6MWT (Six Minute Walk Test) of a person.
Use	Use to record the performance of the 6MWT of a person. The 6MWT can be used in patients of any age group with a wide range of diagnoses. It assesses the functional capacity of the individual and provides valuable information about all systems during physical activity, including the pulmonary and cardiovascular systems, blood circulation, neuromuscular units, body metabolism, and peripheral circulation, and is designed to be completed with additional measurements during the test.
Misuse	Not to be used to record with the following contraindications: unstable angina during the previous month and myocardial infarction during the previous month. Relative contraindications include a resting heart rate of more than 120, a systolic blood pressure of more than 180 mm Hg, and a diastolic blood pressure of more than 100 mm Hg. Patients with any of these findings should be referred to the physician ordering or supervising the test for individual clinical assessment and a decision about the conduct of the test. The results from a resting electrocardiogram done during the previous 6 months should also be reviewed before testing. Stable exertional angina is not an absolute contraindication for a 6MWT, but patients with these symptoms should perform the test after using their antiangina medication, and rescue nitrate medication should be readily available.
Purpose	To record the performance of the Six Minute Walk Test (6MWT) of a person. The 6MWT is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.
References	Derived from: Sechs Minuten Gehtest (6MWT), Published archetype [Internet]. HiGHmed, HiGHmed Clinical Knowledge Manager [cited: 2024-03-08]. Available from: https://ckm.highmed.org/ckm/archetypes/1246.145.1730 ATS statement: guidelines for the six-minute walk test. American journal of respiratory and critical care medicine, 2002. 166(1): p. 111-7
Copyright	© HiGHmed
Authors	Author name: Urs Alexander König Organisation: Peter L. Reichertz Institute for Medical Informatics of TU BS and Hannover Medical School Email: koenig.urs@mh-hannover.de Date originally authored: 2024-03-07
Other Details Language	Author name: Urs Alexander König Organisation: Peter L. Reichertz Institute for Medical Informatics of TU BS and Hannover Medical School Email: koenig.urs@mh-hannover.de Date originally authored: 2024-03-07
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=HiGHmed, references=Derived from: Sechs Minuten Gehtest (6MWT), Published archetype [Internet]. HiGHmed, HiGHmed Clinical Knowledge Manager [cited: 2024-03-08]. Available from: https://ckm.highmed.org/ckm/archetypes/1246.145.1730 ATS statement: guidelines for the six-minute walk test. American journal of respiratory and critical care medicine, 2002. 166(1): p. 111-7, original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=D8FF9B98EC3E27FB8571EFE95EE4E982, build_uid=1ab7aa70-545f-4bb5-bae1-5c6ad3298c5b, revision=0.0.1-alpha}
Keywords	6MWT, six minutes, walking, test, aerobic capacity, endurance, walk test, cardiopulmonary, cardio
Lifecycle	in_development
UID	a25d3639-ecf0-4fdf-b8ac-f7187d6533df
Language used	en
Citeable Identifier	1246.145.2181
Revision Number	0.0.1-alpha
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subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0006]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Supplemental oxygen used, description=To record if a person needed aids to complete the exam., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0006]/items[at0071], code=at0071, itemType=SLOT, level=2, text=Inspired oxygen, description=To record how much oxygen a person needed., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* 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description=Distance a person walked within the documented time duration. 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At the beginning of the 6-minute exercise, show the scale to the person and ask the person this: “Please grade your level of shortness of breath using this scale.” Then ask this: “Please grade your level of fatigue using this scale.” At the end of the exercise, remind the person of the breathing number that they chose before the exercise and ask the person to grade their breathing level again. 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