This guide provides a step-by-step procedure for performing a Forced Vital Capacity (FVC) test using QRS Diagnostic / Vectracor Office Medic with LEMR integration to MedicalDirector Clinical. Office Medic is compatible with the QRS Diagnostic and Vectracor Orbit Spirometry devices.
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 If the height and weight data is out of date or not filled in on the widget, it is best to update this information in the MD Toolbox on the Weight tab.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 Office Medic 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. Click on Pre FVC to start a pre test for Forced Vital Capacity.
8. Enter the mouthpiece number and click OK. The Spirometer will now zero then the patient can blow into the mouthpiece when ready. The test will end when the air flow stops. The National Asthma Council has a great video to demonstrate how a patient performs a Spirometry test here.
9. Repeat the Pre FVC test 2 more times (or until repeatability criteria is met).
Once you have completed at least 3 tests and met the repeatability criteria, the following message will be displayed:
If the repeatability criteria is not met after 3 tests, continue to perform more tests until the repeatability criteria is met.
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 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.
10. Click on Post FVC to start a post test for Forced Vital Capacity. Perform the post tests in the same manner as the pre tests. Repeat until 3tests are complete (or until repeatability criteria is met).
11. Click on the End Session button when you have finished. On older versions of Office Medic, this will be an OK button.
12. 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.
13. Go back into the patient's file in MedicalDirector Clinical and the report will automatically import into the Documents tab.
