This guide provides a step-by-step procedure for performing a Forced Vital Capacity (FVC) test using MIR WinSpiroPRO with LEMR integration to Best Practice (Bp Premier). WinSpiroPRO is compatible with the MiniSpir and MiniSpir II devices with firmware prior to 2023. All devices with new firmware must use MIR Spiro Software as they are no longer compatible with winspiroPRO.
The instructions below are designed for LEMR version 2023.10.9.1642 and later. If instructions for earlier versions are required, please contact LEMR Support.
1. Open the patient’s file in Best Practice (Bp Premier).
2. Make sure the patient’s height and weight information is up to date.
3. Go to the Utilities menu and select Spirometry.
4. Choose the LEMR Client computer where you wish to perform the test.
5. While the test is in progress, a window will be displayed over Best Practice. LEMR Client will pop up over the top.
6. LEMR Client will pop up asking to start a test – select WinSpiroPRO to start the test.
Note: If LEMR Client does not appear, click on the LEMR Client icon at the bottom of the screen or open LEMR Client from the desktop icon.
Then click on Sync Now at the lower left side of the LEMR Client window.
7. winspiroPro will now open. The patient's name and date of birth will be shown in the yellow field in the upper-left.
8. Click on the FVC button to start a Forced Vital Capacity test.
9. The testing window is shown. The patient can now perform the test when ready.
The National Asthma Council has a great video to demonstrate how a patient performs a Spirometry test here.
The test will automatically start when this window is shown. If you wait too long, the test will “time-out”. Press the Start button to start the test again.
10. If the test result was good, click Accept to keep it.
11. Repeat the test at least 3 times. You should continue to do PRE tests until the repeatability requirements are met.
To view the repeatability data, press the Results button.
Then press Go to FVC PRE.
If you need to finish the study now, follow the steps to Finish Study then LEMR will upload the report as it is now to Best Practice.
This could be for pre-employment medicals, to do other things in BP or test another patient while waiting for the bronchodilator to work, etc.Later, during the same day, you can resume a Spirometry session to add more tests (such as post tests).
To do this, simply start another Spirometry test from Best Practice on the same computer you had used earlier. LEMR Client will then offer to resume the study then go to Post Test.
12. Click on POST Bd to start your post-bronchodilator tests.
13. Perform at least 3 Spirometry tests in the same manner as the PRE tests. You should continue to do POST tests until the repeatability requirements are met.
To view the repeatability data, press the Results button.
Then press Go to FVC POST.
14. When finished, press the X to close winspiroPRO. Please wait while the report is generated.
15. When the LEMR Client window pops up, the test should be made ready for Best Practice to collect - the test icon will go from an uploading icon to a circled tick.
16. LEMR Server will detect the finished test and automatically import it into Best Practice. The imported test will be stored in Clinical Images. Click OK.
For additional background information on spirometry testing, please view the following:
National Asthma Council Spirometry Handbook for Primary Care (2023) - Download PDF
National Asthma Council Spirometry Quick Reference Guide (2020, deprecated) - Download PDF
COVID Recommendations: National Asthma Council - Spirometry Infection Control Recommendations for Primary Care (April 2022).
More information about WinSpiroPRO can be found on the LEMR Wiki.