Pulmonary function testing

📈 SpiroMaker

Interprets spirometry and drafts a PFT report following the ATS/ERS 2022 interpretive strategy — determines pattern (obstruction / restriction / mixed / nonspecific), grades severity, and evaluates bronchodilator responsiveness. Enter whatever you have; z-scores are used preferentially when provided.

Spirometry values

Enter percent-predicted at minimum. Add z-scores and the LLN of the ratio for the most guideline-concordant output.

FEV₁/FVC ratio

FEV₁

FVC

Supporting (optional)

Post-bronchodilator (optional)

Suggested interpretation

Enter values and press Interpret.

Grading references

Severity (z-score, 2022)Severity (FEV₁ % pred)
Mild: −1.65 to −2.5Mild: ≥ 70%
Moderate: −2.5 to −4.0Moderate: 60–69%
Severe: < −4.0Mod-severe: 50–59%
Severe: 35–49% · Very severe: < 35%

Obstruction: FEV₁/FVC below the LLN (z < −1.645). Bronchodilator responsiveness (2022): increase > 10% of the predicted value in FEV₁ or FVC.

Clinical decision support only. This is a suggested interpretation to speed reporting — it does not replace review of flow-volume loops, test quality/acceptability, prior studies, or the clinical context. Restriction cannot be diagnosed on spirometry alone and requires lung volumes (TLC). Verify before finalizing any report.

References: Stanojevic S, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J 2022;60:2101499. · Graham BL, et al. 2019 ATS/ERS standardisation of spirometry. · DLCO Hb correction: 2017 ERS/ATS DLCO standards (Cotes).