This guide provides a step-by-step procedure for performing a Forced Vital Capacity (FVC) test using MIR WinSpiroPRO with LEMR integration to MedicalDirector Clinical. 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 MedicalDirector Clinical.
2. Make sure your Spirometer device is plugged in to your computer.
3. Open the LEMR widget using the icon on the right side of the window and ensure the patient's height and weight information is up to date. If the height and weight data is out of date or not filled in on the widget, it is best to update this information in the MD Toolbox on the Weight tab. It is recommended to pin the sidebar open until the completed test is imported into MD Clinical. The widget is not active when the sidebar is hidden.
The “pin” button will keep the sidebar open.
4. Click on Start Spiro.
5. Select the target LEMR Client (if prompted).
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 this is a pre-only session (e.g. a pre-employment medical) skip to Finish Study
If bronchodilator is required, patient must wait 10–15 minutes after using the bronchodilator and then continue to Post Test
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 MedicalDirector Clinical. This could be for pre-employment medicals, to do other things in MD 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 MedicalDirector Clinical 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.
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 MedicalDirector Clinical to collect - the test icon will go from an uploading icon to a circled tick.
16. Go back into the patient's file in MedicalDirector Clinical and the report will automatically import into the Documents tab.
