Dear Ian:
Sorry it took me some days to get back to you. I´m also sending this mail to the Clinical Discussion List as it may benefit others.
The proposed pulmonary function archetype is also adequate for adult use, I took some extra time to have it checked by the Chief of Intensive Care at my Hospital. The archetype is detailed enough for international use.
Your assumption is correct VO2max does merit a separate archetype included as a subset of a more detailed “Exercise Stress Testing” arquetype.
The VO2max has its clinical fundamentals for assessment of cardiovascular function which may or may not have a pulmonary component.
So the pulmonary function test archetype could take the value from the Exercise Stress Test arquetype and also if a cardiac patient also have a Lung impairment the Exercise Stress Testing should read the values pre & post bronchodilation.
The reason for showing the archetypes at my Hospital (and it worked as planned) was to get more Clinical experts into the Clinical Modelling process. I will be meeting next week the Chief of Acute Coronary Unit to discuss the modelling of the more General “Stress Exercise Testing” I´ll keep the list informed.
Wow! For me an excellent way to finish 2011 
Happy new years to all :=)
Domingo
Hi Domingo,
Thanks for offering to have a look at this archetype. It was developed
for use in a Paediatric EMR in Slovenia but very much as a candidate
for international use.
One of the issues I suspect you might challenge is whether V02max
merits a separate archetype.
Ian
Dr Ian McNicoll
office +44 (0)1536 414 994
fax +44 (0)1536 516317
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian.mcnicoll@oceaninformatics.com
Clinical Modelling Consultant, Ocean Informatics, UK
Director/Clinical Knowledge Editor openEHR Foundation www.openehr.org/knowledge
Honorary Senior Research Associate, CHIME, UCL
SCIMP Working Group, NHS Scotland
BCS Primary Health Care www.phcsg.org