PATIENT DETAILS
       
Age in years:   Height (cm):     
 


SPIROMETRY DATA
Pre-bronchodilator
  ASTHMA VS COPD Beeh Questionnaire DDQ Questionnaire
 
Pre-BD
Predicted
% Predicted
FEV1 (l)
FVC (l)
Age at onset of symptoms 
  
FEV1/FVC (%)
Atopy status 
  
PEFR (l/sec)
Smoked packyears 
  
FEF 25-75% (l/sec)
Cough characteristics 
  
 
Post-bronchodilator
 
Post-BD
% Predicted
% Change
FEV1 (l)
       Points   = 
FVC (l)
                            
FEV1/FVC (%)
PEFR (l/sec)
FEF 25-75% (l/sec)
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© 2005 ALF, v1.7