Att_22 Clinic Exam Pulmonary Function Result Form

Lung Function Test Results
Name: _____________
Date: __________
Results
Your Best Value

Predicted Value

Lower Limits of
Normal

Forced Vital Capacity (FVC)

________Liters

________Liters

________Liters

Forced Expiratory Volume,
st
1 sec. (FEV 1 )

________Liters

________Liters

________Liters

FEV 1 /FVC Ratio (%)

_______%

_______%

_______%

*indicates values that are below the lower limits of normal
What does a Lung Function Test indicate?
The purpose of the lung function test is to determine how your lung function compares to normal lung
function for someone of your age, gender, race, and height. The table above provides your results for
three measurements. The forced vital capacity (FVC) is the maximal or total amount of air you can
forcefully breathe out after taking a deep breath. The 1-second forced expiratory volume (FEV 1 ) is the
amount of air that you can breathe out in the first second of exhaling. The FEV 1 /FVC (%) is the
calculation of the ratio of FEV 1 to FVC. The table also compares your results to predicted values for a
healthy, non-smoking person of the same age, height, gender, and race.

Interpretation and Advice


Your lung
function grade is

This is considered

A

Normal

B or C

Low

D or F

Unable to
Determine

V1.0 (07/02/13)

You are advised to

Your lung function test results were within normal
limits.
Your lung function test results were lower than
expected for someone of your age, gender, race,
and height. Please note that any abnormal lung
function test result is not a diagnosis of disease.
We recommend that you see your physician within
the next month for additional evaluations and a
complete medical examination.
We are unable to interpret your lung function test
results due to poor session quality. If you feel that
you are having lung problems, you should see your
healthcare provider for additional evaluation.

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