archetype (adl_version=1.4; uid=80bc786e-3275-4790-9fcf-4e595e6c021c)
	openEHR-EHR-OBSERVATION.spirometry_result.v2

concept
	[at0000]	-- Spirometry result
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Alina Rehberg">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"rehberg.alina@mh-hannover.de">
			>
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			author = <
				["name"] = <"Vesa Peltola">
				["organisation"] = <"Tieto Finland Oy">
				["email"] = <"vesa.peltola@tieto.com">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Mikkel Johan Gaup Grønmo, Silje Ljosland Bakke, Marit Alice Venheim, Hanne Marte Bårholm">
				["organisation"] = <"Helse-Nord, Forvaltningssenter EPJ, Helse Vest IKT AS">
				["email"] = <"mikkel.johan.gaup.gronmo@helse-nord.no, silje.ljosland.bakke@helse-vest-ikt.no, marit.alice.venheim@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no">
			>
			accreditation = <"Nasjonal IKT HF">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			author = <
				["name"] = <"?">
			>
		>
	>
description
	original_author = <
		["name"] = <"Ian McNicoll">
		["organisation"] = <"freshEHR Informatics, UK">
		["email"] = <"ian.mcnicoll@freshEHR.com">
		["date"] = <"2013-03-08">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Darstellung der Ergebnisse eines Lungenfunktionstests, der mit einem Spirometer oder Peak-Flow-Meter durchgeführt wird.">
			use = <"Zur Darstellung der Ergebnisse eines Lungenfunktionstests, der mit einem Spirometer oder Peak-Flow-Meter durchgeführt wurde.

Mit diesem Archetyp sollen diese Ergebnisse erfasst werden:
- elektronische oder mechanische Messgeräte. Verwenden Sie das Element „Art der Messung“ im Protokoll, um aufzuzeichnen, wie das Ergebnis gemessen wurde.
- orale, nasale oder Tracheotomietests. Verwenden Sie das Element „Methode“ im Protokoll, um die Art der Atemgeräte aufzuzeichnen, die zur Durchführung des Tests verwendet wurden. Zum Beispiel: Mundstück oder Gesichtsmaske. Messungen mit unterschiedlicher „Methode“ müssen mithilfe separater Instanzen des Archetyps aufgezeichnet werden.
- Inspirations- und Exspirationstests. Der Name jedes Tests gibt an, ob der Test ein inspiratorisches oder exspiratorisches Ergebnis aufzeichnet.

Erfolgt der Spirometrietest im Zusammenhang mit der Gabe von Bronchodilatatoren oder Challenge-Substanzen, kann dies über das Element „Challenge/Reversibilität“ erfasst werden. Details darüber, was verabreicht wurde, sollten mithilfe einer Instanz des ACTION.medication-Archetyps aufgezeichnet werden, die innerhalb derselben COMPOSITION festgeschrieben wurde.

Werden zusätzliche Informationen über Körpertemperatur, Umgebungsdruck oder Luftfeuchtigkeit benötigt, können diese über zusätzliche Archetypen erfasst werden. Die Körpertemperatur kann mithilfe einer Instanz des Archetyps OBSERVATION.body_temperature aufgezeichnet werden, die innerhalb derselben COMPOSITION festgeschrieben wird. Umgebungsdruck oder Luftfeuchtigkeit können mit CLUSTER.environmental_conditions im Slot „Enviromental Conditions“ erfasst werden.

Das „Jede Ereignis“ kann geklont und eingeschränkt werden, um die Darstellung von Folgendem zu unterstützen:
- Mehrere Messungen und ihr Durchschnitt – klonen Sie „Jedes Ereignis“ so oft wie nötig, plus ein zusätzliches Ereignis, das auf „Intervall“ eingestellt ist und das Attribut „Mittelwert“ auswählt;
- Ergebnisse vor und nach der Bronchialprovokation oder dem Bronchodilatator – klonen Sie „Jedes Ereignis“ und benennen Sie es in „Grundlinie“ und „Postprovokation/Bronchodilatator“ um, bei Bedarf mit einem Zeitversatz verbunden.">
			keywords = <"Atemwege", "pulmonal", "Spirometrie", "Spitzenfluss", "Lunge", "bronchial", "Atemweg", "pef", "pefr", "Lungenfunktion">
			misuse = <"Nicht zur Aufzeichnung der Ergebnisse anderer Arten von Lungenfunktionstests, beispielsweise Körperplethysmographie oder Lungendiffusionstests, geeignet. Verwenden Sie für diese Zwecke bestimmte Archetypen.

Nicht zur Aufzeichnung von Details zur Incentive-Spirometrie geeignet. Verwenden Sie für diese Zwecke bestimmte Archetypen.

Nicht zur Aufzeichnung der Ergebnisse von Blutgasuntersuchungen geeignet. Verwenden Sie zu diesem Zweck das OBSERVATION.laboratory_test_result.

Nicht zur Aufzeichnung von Messungen zur Pulsoximetrie geeignet. Verwenden Sie zu diesem Zweck die OBSERVATION.pulse_oximetry.">
		>
		["fi"] = <
			language = <[ISO_639-1::fi]>
			purpose = <"*To record the results of a pulmonary function test performed using a spirometer or peak flow meter. (en)">
			use = <"*Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.

This archetype is intended to be used to record the results from:
- electronic or mechanical measurement devices. Use the 'Method' element in Protocol to record how the result was measured; 
- oral, nasal or tracheostomy tests. Use the 'Breathing equipment' element in Protocol to record the type of breathing equipment used to perform the test. For example: mouth piece or face mask. Measurements with different 'Breathing equipment' will have to be recorded using separate instances of the archetype.
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. 

If the spirometry test is performed in association with the administration of bronchodilators or challenge substances, this can be recorded using the 'Challenge/reversibility' element. Details of what was administered should be recorded using an instance of the ACTION.medication archetype committed within the same COMPOSITION.

If additional information about body temperature, ambient pressure or humidity is required, this can be recorded using additional archetypes. Body temperature can be recorded using the OBSERVATION.body_temperature archetype alongside the spirometry archetype. Ambient pressure or humidity can be recorded using the CLUSTER.environmental_conditions in the 'Enviromental conditions' slot.

The 'Any event' can be cloned and constrained to support the representation of:
- Multiple measurements and their average - clone the 'Any event' as many times as needed, plus an additional event set to 'Interval' and selecting the 'Mean' attribute;
- Pre- and post bronchial challenge or bronchodilator results - clone the 'Any event' and rename as 'Baseline' and 'Post challenge/bronchodilator', associated with a time offset if required. (en)">
			keywords = <"*respiratory (en)", "*pulmonary (en)", "*spirometry (en)", "*peak flow (en)", "*lung (en)", "*bronchial (en)", "*airway (en)", "*pef (en)", "*pefr (en)">
			misuse = <"*Not to be used to record the results of other types of lung function tests, for example body plethysmography or lung diffusion tests. Use specific archetypes for these purposes.

Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.

Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.

Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose. (en)">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere resultatet av en lungefunksjonstest utført med et spirometer eller en PEF-måler.">
			use = <"Brukes for å registrere resultatene av en spirometriundersøkelse eller en PEF-måling.

Denne arketypen er ment for bruk til å registrere resultater fra: 
- elektroniske og mekaniske måleinstrumenter. Bruk elementet \"Målingstype\" under Protokoll for å registrere hvilken målemetode som ble brukt.
- både oral og nasal ekspiratorisk og inspiratorisk testing. Bruk elementet \"Metode\" under Protokoll for å registrere hvordan målingen ble utført. For eksempel munnstykke eller maske. Målinger med ulikt \"Metode\" må registreres med separate instanser av arketypen.
- inspiratoriske og ekspiratoriske målinger. Testens navn vil angi om den gir et ekspiratorisk eller inspiratorisk resultat. 

Hvis spirometriundersøkelsen utføres i forbindelse med administrering av bronkodilatorer eller irritanter/allergener, så bør detaljene om hva som er administrert registreres ved bruk av arketypen ACTION.medication (Legemiddelhåndtering) i samme COMPOSITION. 

Hvis man må registrere ytterligere informasjon om kroppstemperatur, lufttrykk eller luftfuktighet i omgivelsene, kan detaljene om dette registeres ved hjelp av andre arketyper. Kroppstemperatur kan registreres ved bruk av arketypen OBSERVATION.body_temperature (Kroppstemperatur) i samme COMPOSITION. Lufttrykk eller luftfuktighet kan registreres ved bruk av arketypen CLUSTER.environmental_conditions i SLOTet \"Omgivelsesforhold\".

\"Uspesifisert hendelse\" kan repeteres og begrenses for å støtte representasjon av
- Flere målinger og gjennomsnitt av disse – \"Uspesifisert hendelse\" repeteres så mange ganger som nødvendig, samt i tillegg en intervallhendelse med den matematiske funksjonen \"gjennomsnitt\"
- Resultatet av provokasjons- eller reversilibilitetstest – repeter \"Uspesifisert hendelse\" og endre navn til \"Baseline\" og Etter provokasjon/bronkodilator. Der det er passende, kan det spesifiseres en tidsforskyvning.">
			keywords = <"pulmonar,", "lunge", "spirometri", "PEF", "PEFR", "bronkie", "bronkial", "luftvei", "kols", "astma", "pusteprøve", "blåsetest", "belastningsspiro", "løpetest", "astmaundersøkelse", "metakolintest">
			misuse = <"Skal ikke brukes for å registrere resultatene av andre typer lungefunksjonstester, som for eksempel plethysmografi eller lungediffusjonstester. Bruk spesifikke arketyper for disse formålene.

Skal ikke brukes for å registrere blodgassverdier. Til dette brukes arketypen OBSERVATION.laboratory_test_result (Laboratorieresultat).

Skal ikke brukes for å registrere pulsoksymetrimålinger. Til dette brukes arketypen OBSERVATION.pulse_oximetry (Pulsoksymetri).">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			purpose = <"*To record the results of a pulmonary function test performed using a spirometer or peak flow meter. (en)">
			use = <"*Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.

This archetype is intended to be used to record the results from:
- electronic or mechanical measurement devices. Use the 'Method' element in Protocol to record how the result was measured; 
- oral, nasal or tracheostomy tests. Use the 'Breathing equipment' element in Protocol to record the type of breathing equipment used to perform the test. For example: mouth piece or face mask. Measurements with different 'Breathing equipment' will have to be recorded using separate instances of the archetype.
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. 

If the spirometry test is performed in association with the administration of bronchodilators or challenge substances, this can be recorded using the 'Challenge/reversibility' element. Details of what was administered should be recorded using an instance of the ACTION.medication archetype committed within the same COMPOSITION.

If additional information about body temperature, ambient pressure or humidity is required, this can be recorded using additional archetypes. Body temperature can be recorded using the OBSERVATION.body_temperature archetype alongside the spirometry archetype. Ambient pressure or humidity can be recorded using the CLUSTER.environmental_conditions in the 'Enviromental conditions' slot.

The 'Any event' can be cloned and constrained to support the representation of:
- Multiple measurements and their average - clone the 'Any event' as many times as needed, plus an additional event set to 'Interval' and selecting the 'Mean' attribute;
- Pre- and post bronchial challenge or bronchodilator results - clone the 'Any event' and rename as 'Baseline' and 'Post challenge/bronchodilator', associated with a time offset if required. (en)">
			keywords = <"*respiratory (en)", "*pulmonary (en)", "*spirometry (en)", "*peak flow (en)", "*lung (en)", "*bronchial (en)", "*airway (en)", "*pef (en)", "*pefr (en)">
			misuse = <"*Not to be used to record the results of other types of lung function tests, for example body plethysmography or lung diffusion tests. Use specific archetypes for these purposes.

Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.

Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.

Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose. (en)">
			copyright = <"© openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results of a pulmonary function test performed using a spirometer or peak flow meter.">
			use = <"Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.

This archetype is intended to be used to record the results from:
- electronic or mechanical measurement devices. Use the 'Type of measurement' element in Protocol to record how the result was measured; 
- oral, nasal or tracheostomy tests. Use the 'Method' element in Protocol to record the type of breathing equipment used to perform the test. For example: mouth piece or face mask. Measurements with different 'Method' will have to be recorded using separate instances of the archetype.
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. 

If the spirometry test is performed in association with the administration of bronchodilators or challenge substances, this can be recorded using the 'Challenge/reversibility' element. Details of what was administered should be recorded using an instance of the ACTION.medication archetype committed within the same COMPOSITION.

If additional information about body temperature, ambient pressure or humidity is required, this can be recorded using additional archetypes. Body temperature can be recorded using an instance of the OBSERVATION.body_temperature archetype committed within the same COMPOSITION. Ambient pressure or humidity can be recorded using the CLUSTER.environmental_conditions in the 'Enviromental conditions' slot.

The 'Any event' can be cloned and constrained to support the representation of:
- Multiple measurements and their average - clone the 'Any event' as many times as needed, plus an additional event set to 'Interval' and selecting the 'Mean' attribute;
- Pre- and post bronchial challenge or bronchodilator results - clone the 'Any event' and rename as 'Baseline' and 'Post challenge/bronchodilator', associated with a time offset if required.">
			keywords = <"respiratory", "pulmonary", "spirometry", "peak flow", "lung", "bronchial", "airway", "pef", "pefr">
			misuse = <"Not to be used to record the results of other types of lung function tests, for example body plethysmography or lung diffusion tests. Use specific archetypes for these purposes.

Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.

Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.

Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Dag Aarhus, Vestre Viken HF, Norway", "Håvard Andreassen Sæverud, Oslo universitetssykehus, Norway", "Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Astrid Askeland, Dips AS, Norway", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)", "Derek Corrigan, Royal College of Surgeons in Ireland, Ireland", "Manuela Domingo, hospital general universitario dr. balmis, Spain", "Ola Drange Røksund, Helse Bergen, Norway", "Kåre Flø, DIPS ASA, Norway", "Heather Grain, Llewelyn Grain Informatics, Australia", "Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)", "Merete Havn Torland, Helse Vest IKT, Norway", "Sam Heard, Ocean Informatics, Australia", "Evelyn Hovenga, EJSH Consulting, Australia", "Tiago Jacinto, CINTESIS - FMUP, Portugal", "Lars Morgan Karlsen, DIPS ASA, Norway", "Agathe Krekvik Govertsen, Helse Bergen, Norway", "Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)", "Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)", "Valeria Lecca, Sardegna Ricerche, Italia", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Anne M Gromsrud, DIPS AS, Norway", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom", "Svenne Naumann, Finnmarkssykehuset, Norway", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Bjørn Næss, DIPS ASA, Norway", "Andrej Orel, Marand d.o.o., Slovenia", "Ana Pereira, CINTESIS, CUF-Porto, Portugal", "Francisco Sanchez Laguna, Ministry of Health, Spain", "Norwegian Review Summary, Norwegian Public Hospitals, Norway", "Nina Særvold, Helse Bergen, Norway", "Nyree Taylor, Ocean Health Systems, Australia", "Anders Thurin, VGR, Sweden", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)", "Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)", "Ina Wille, Helse-Vest RHF, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of spirometry. Eur Respir J. 2005 Aug;26(2):319-38. doi: 10.1183/09031936.05.00034805. PubMed PMID: 16055882. Available from: https://erj.ersjournals.com/content/26/2/319.long

Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2011.

Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 vs FEV1/FVC in the spirometric diagnosis of airways obstruction among Asians [cited 2019 03 12].  Chest. 2007; 132 (4_MeetingAbstracts): 491c-492. Available from https://doi.org/10.1378/chest.132.4_MeetingAbstracts.491c

TIFFENEAU R, PINELLI. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire [Circulating air and captive air in the exploration of the pulmonary ventilator function]. Paris Med. 1947 Dec 27;37(52):624-8. French. PMID: 18909782.

Sheshadri A, Keus L, Blanco D, Lei X, Kellner C, Shannon VR, Balachandran DD, Jimenez CA, Bashoura L, Faiz SA. Pulmonary Function Testing in Patients with Tracheostomies: Feasibility and Technical Considerations. Lung. 2021 Jun;199(3):307-310. doi: 10.1007/s00408-021-00441-x. Epub 2021 Mar 29. PMID: 33779802; PMCID: PMC9275556.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"7C30237E2A5AD7DAEC81DB4EB35BDB77">
		["build_uid"] = <"c92d5ec3-921f-4162-8bc8-4ba4ff57b49a">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"2.0.1">
	>

definition
	OBSERVATION[at0000] occurrences matches {0..1} matches {    -- Spirometry result
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									CLUSTER[at0052] occurrences matches {0..*} matches {    -- Volume
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0053] occurrences matches {0..1} matches {    -- Result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::129]>
														list = <
															["1"] = <
																units = <"L">
																magnitude = <|>=0.0|>
																precision = <|3|>
															>
															["2"] = <
																units = <"mL">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
														>
													>
												}
											}
											ELEMENT[at0054] occurrences matches {0..1} matches {    -- Predicted result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::129]>
														list = <
															["1"] = <
																units = <"L">
																magnitude = <|>=0.0|>
																precision = <|3|>
															>
															["2"] = <
																units = <"mL">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
														>
													>
												}
											}
											ELEMENT[at0044] occurrences matches {0..1} matches {    -- Measured/predicted ratio
												value matches {
													DV_PROPORTION matches {
														numerator matches {|>=0.0|}
														type matches {2}
													}
												}
											}
										}
										name matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0065,    -- FVC
													at0064,    -- SVC
													at0172,    -- FIVC
													at0174,    -- IVC
													at0076,    -- IC
													at0145,    -- FEV0.5
													at0070,    -- FEV0.75
													at0067,    -- FEV1
													at0146,    -- FEV2
													at0068,    -- FEV3
													at0069,    -- FEV6
													at0171,    -- FIV1
													at0082,    -- TV
													at0077,    -- ERV
													at0078,    -- IRV
													at0176]    -- MVV
												}
											}
										}
									}
									CLUSTER[at0057] occurrences matches {0..*} matches {    -- Flow rate
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0058] occurrences matches {0..1} matches {    -- Result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::126]>
														list = <
															["1"] = <
																units = <"L/s">
																magnitude = <|>=0.0|>
																precision = <|3|>
															>
															["2"] = <
																units = <"mL/s">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
															["3"] = <
																units = <"L/min">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
														>
													>
												}
											}
											ELEMENT[at0008] occurrences matches {0..1} matches {    -- Predicted result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::126]>
														list = <
															["1"] = <
																units = <"L/s">
																magnitude = <|>=0.0|>
																precision = <|3|>
															>
															["2"] = <
																units = <"mL/s">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
															["3"] = <
																units = <"L/min">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
														>
													>
												}
											}
											ELEMENT[at0122] occurrences matches {0..1} matches {    -- Measured/predicted ratio
												value matches {
													DV_PROPORTION matches {
														numerator matches {|>=0.0|}
														type matches {2}
													}
												}
											}
										}
										name matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0152,    -- PEFR
													at0205,    -- PIFR
													at0072,    -- FEF25-75%
													at0073,    -- FEF25-50%
													at0074,    -- FIF25-75%
													at0075,    -- FIF25-50%
													at0177,    -- FEF25%
													at0178,    -- FEF50%
													at0179,    -- FEF75%
													at0186,    -- FIF25%
													at0187,    -- FIF50%
													at0188]    -- FIF75%
												}
											}
										}
									}
									CLUSTER[at0156] occurrences matches {0..*} matches {    -- Pressure
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0165] occurrences matches {0..1} matches {    -- Result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::125]>
														list = <
															["1"] = <
																units = <"cm[H2O]">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
															["2"] = <
																units = <"mm[Hg]">
																magnitude = <|>=0.0|>
																precision = <|0|>
															>
														>
													>
												}
											}
											ELEMENT[at0166] occurrences matches {0..1} matches {    -- Predicted result
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::125]>
														list = <
															["1"] = <
																units = <"cm[H2O]">
																magnitude = <|>=0.0|>
																precision = <|1|>
															>
															["2"] = <
																units = <"mm[Hg]">
																magnitude = <|>=0.0|>
																precision = <|0|>
															>
														>
													>
												}
											}
											ELEMENT[at0167] occurrences matches {0..1} matches {    -- Measured/predicted ratio
												value matches {
													DV_PROPORTION matches {
														numerator matches {|>=0.0|}
														type matches {2}
													}
												}
											}
										}
										name matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0170,    -- MEP
													at0181,    -- MIP
													at0182]    -- SNIP
												}
											}
										}
									}
									CLUSTER[at0055] occurrences matches {0..*} matches {    -- Ratio
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0056] occurrences matches {0..1} matches {    -- Result
												value matches {
													DV_PROPORTION matches {
														numerator matches {|>=0.0|}
														type matches {2}
													}
												}
											}
											ELEMENT[at0018] occurrences matches {0..1} matches {    -- Predicted result
												value matches {
													DV_PROPORTION matches {
														numerator matches {|>=0.0|}
														type matches {2}
													}
												}
											}
										}
										name matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0081,    -- FEV1/FVC ratio
													at0080,    -- FEV1/SVC ratio
													at0189,    -- FEV1/FEV6 ratio
													at0190]    -- FEV1/IVC ratio
												}
											}
										}
									}
									ELEMENT[at0013] occurrences matches {0..1} matches {    -- Forced expiratory time (FET)
										value matches {
											DV_DURATION matches {
												value matches {PTS/|>=PT0S|}
											}
										}
									}
									allow_archetype CLUSTER[at0131] occurrences matches {0..*} matches {    -- Multimedia representation
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1/}
									}
									ELEMENT[at0130] occurrences matches {0..1} matches {    -- Clinical interpretation
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0101] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0031] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0115] occurrences matches {0..1} matches {    -- Position
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0116,    -- Standing
													at0117,    -- Sitting
													at0118,    -- Reclining
													at0119]    -- Lying
												}
											}
										}
									}
									ELEMENT[at0098] occurrences matches {0..1} matches {    -- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
									allow_archetype CLUSTER[at0191] occurrences matches {0..1} matches {    -- Level of exertion
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v1/}
									}
									allow_archetype CLUSTER[at0209] occurrences matches {0..*} matches {    -- Environmental conditions
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v1/}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0029] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0196] occurrences matches {0..1} matches {    -- Type of measurement
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0197,    -- Mechanical
									at0198]    -- Electronic
								}
							}
						}
					}
					ELEMENT[at0199] occurrences matches {0..1} matches {    -- Method
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0192] occurrences matches {0..1} matches {    -- Challenge/reversibility
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0193,    -- None
									at0194,    -- Bronchial challenge test
									at0195]    -- Reversibility test
								}
							}
						}
					}
					allow_archetype CLUSTER[at0030] occurrences matches {0..*} matches {    -- Device
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
					}
					allow_archetype CLUSTER[at0185] occurrences matches {0..*} matches {    -- Predicted results source
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.knowledge_base_reference(-[a-zA-Z0-9_]+)*\.v1/}
					}
					allow_archetype CLUSTER[at0132] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Spirometry result">
					description = <"Pulmonary function test results using a spirometer or peak flow meter.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"Predicted result">
					description = <"Predicted flow rate.">
				>
				["at0013"] = <
					text = <"Forced expiratory time (FET)">
					description = <"The time taken to complete a forced expiration.">
				>
				["at0018"] = <
					text = <"Predicted result">
					description = <"Predicted ratio.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0030"] = <
					text = <"Device">
					description = <"Details of the device used to measure spirometry.">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0044"] = <
					text = <"Measured/predicted ratio">
					description = <"The ratio of the measured to predicted test results.">
				>
				["at0052"] = <
					text = <"Volume">
					description = <"Test result represented as a measured volume or calculated capacity.">
					comment = <"Each test result is recorded using a separate instance of this cluster.">
				>
				["at0053"] = <
					text = <"Result">
					description = <"Measured volume.">
				>
				["at0054"] = <
					text = <"Predicted result">
					description = <"Predicted volume.">
				>
				["at0055"] = <
					text = <"Ratio">
					description = <"A calculated test result expressed as a ratio.">
					comment = <"Each ratio is recorded using a separate instance of this cluster.">
				>
				["at0056"] = <
					text = <"Result">
					description = <"Calculated ratio.">
				>
				["at0057"] = <
					text = <"Flow rate">
					description = <"Test result represented as a measured flow rate.">
					comment = <"Each test result is recorded using a separate instance of this cluster.">
				>
				["at0058"] = <
					text = <"Result">
					description = <"Measured flow rate.">
				>
				["at0064"] = <
					text = <"SVC">
					description = <"Slow vital capacity (SVC) is the maximal volume of air that can be slowly exhaled from a position of full inspiration. Also known as Expiratory vital capacity (EVC). Equal to IRV + TV + ERV.">
				>
				["at0065"] = <
					text = <"FVC">
					description = <"Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration.">
				>
				["at0067"] = <
					text = <"FEV1">
					description = <"Forced expiratory volume at 1 second (FEV1) is the volume of air that has been exhaled during the first second of forced exhalation, during the performance of FVC.">
				>
				["at0068"] = <
					text = <"FEV3">
					description = <"Forced expiratory volume at 3 seconds (FEV3) is the volume of air that has been exhaled during the first three seconds of forced exhalation, during the performance of FVC.">
				>
				["at0069"] = <
					text = <"FEV6">
					description = <"Forced expiratory volume at 6 seconds (FEV6) is the volume of air that has been exhaled during the first six seconds of forced exhalation, during the performance of FVC.">
				>
				["at0070"] = <
					text = <"FEV0.75">
					description = <"Forced expiratory volume at 0.75 seconds (FEV0.75) is the volume of air that has been exhaled during the first three quarters of a second of forced exhalation, during the performance of FVC.">
				>
				["at0072"] = <
					text = <"FEF25-75%">
					description = <"Forced expiratory flow 25-75 % (FEF25-75%) is the mean forced expiratory flow of air measured during the expiration of 25-75 % of the volume of the forced vital capacity (FVC).">
				>
				["at0073"] = <
					text = <"FEF25-50%">
					description = <"Forced expiratory flow 25-50 % (FEF25-50%) is the mean forced expiratory flow of air measured during the expiration of 25-50 % of the volume of the forced vital capacity (FVC).">
				>
				["at0074"] = <
					text = <"FIF25-75%">
					description = <"Forced inspiratory flow 25-75 % (FIF25-75%) is the mean forced inspiratory flow of air measured during the inspiration of 25-75 % of the volume of the forced inspiratory vital capacity (FIVC).">
				>
				["at0075"] = <
					text = <"FIF25-50%">
					description = <"Forced inspiratory flow 25-50 % (FIF25-50%) is the mean forced inspiratory flow of air measured during the inspiration of 25-50 % of the volume of the forced inspiratory vital capacity (FIVC).">
				>
				["at0076"] = <
					text = <"IC">
					description = <"Inspiratory capacity (IC) is the maximal volume of air that can be inhaled after exhalation of normal tidal volume. Equal to TV + IRV.">
				>
				["at0077"] = <
					text = <"ERV">
					description = <"Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume.">
				>
				["at0078"] = <
					text = <"IRV">
					description = <"Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume.">
				>
				["at0080"] = <
					text = <"FEV1/SVC ratio">
					description = <"The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'.">
				>
				["at0081"] = <
					text = <"FEV1/FVC ratio">
					description = <"The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced vital capacity (FVC)'. Also known as FEV1%FVC or FEV1%F.">
				>
				["at0082"] = <
					text = <"TV">
					description = <"Tidal volume (TV) is the normal volume of air that can be inhaled or exhaled during one respiratory cycle when no extra effort is applied. Also known as Vᴛ.">
				>
				["at0098"] = <
					text = <"Confounding factors">
					description = <"Record any issues or factors that may impact on the spirometry test.">
					comment = <"For example: known COPD.">
				>
				["at0101"] = <
					text = <"Comment">
					description = <"Additional narrative about the test results and intepretation not captured in other fields.">
				>
				["at0115"] = <
					text = <"Position">
					description = <"The body position of the individual at the time of measurement.">
				>
				["at0116"] = <
					text = <"Standing">
					description = <"Standing at the time of measurement.">
				>
				["at0117"] = <
					text = <"Sitting">
					description = <"Sitting (for example on a bed or chair) at the time of measurement.">
				>
				["at0118"] = <
					text = <"Reclining">
					description = <"Reclining at the time of measurement.">
				>
				["at0119"] = <
					text = <"Lying">
					description = <"Lying flat at the time of measurement.">
				>
				["at0122"] = <
					text = <"Measured/predicted ratio">
					description = <"The ratio of measured to predicted test results.">
				>
				["at0130"] = <
					text = <"Clinical interpretation">
					description = <"Overall clinical interpretation about all of the measurements and calculated ratios.">
				>
				["at0131"] = <
					text = <"Multimedia representation">
					description = <"Digital representation of the test results.">
					comment = <"For example: Flow volume loop; or volume-time tracing.">
				>
				["at0132"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR equivalents.">
				>
				["at0145"] = <
					text = <"FEV0.5">
					description = <"Forced expiratory volume at 0.5 seconds (FEV0.5) is the volume of air that has been exhaled during the first half second of forced exhalation, during the performance of FVC.">
				>
				["at0146"] = <
					text = <"FEV2">
					description = <"Forced expiratory volume at 2 seconds (FEV2) is the volume of air that has been exhaled during the first two seconds of forced exhalation, during the performance of FVC.">
				>
				["at0152"] = <
					text = <"PEFR">
					description = <"Peak expiratory flow rate (PEFR) is the peak flow rate during a forced vital capacity (FVC) maneuver. Also known as forced expiratory flow at maximum effort (FEFmax).">
				>
				["at0156"] = <
					text = <"Pressure">
					description = <"Test result represented as a measured pressure.">
					comment = <"Each test result is recorded using a separate instance of this cluster.">
				>
				["at0165"] = <
					text = <"Result">
					description = <"Measured pressure.">
				>
				["at0166"] = <
					text = <"Predicted result">
					description = <"Predicted pressure.">
				>
				["at0167"] = <
					text = <"Measured/predicted ratio">
					description = <"The ratio of measured to predicted test results.">
				>
				["at0170"] = <
					text = <"MEP">
					description = <"Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver.">
				>
				["at0171"] = <
					text = <"FIV1">
					description = <"Forced inspiratory volume at 1 second (FIV1) is the volume of air that has been inhaled during the first second of forced inhalation, during the performance of FIVC.">
				>
				["at0172"] = <
					text = <"FIVC">
					description = <"Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration.">
				>
				["at0174"] = <
					text = <"IVC">
					description = <"Inspiratory vital capacity (IVC) is the maximal volume of air that can be slowly inhaled from a position of full expiration. Equal to ERV + TV + IRV.">
				>
				["at0176"] = <
					text = <"MVV">
					description = <"Maximum voluntary ventilation (MVV) is the maximum volume of air the individual can breathe during a period of time specified by an interval event.">
				>
				["at0177"] = <
					text = <"FEF25%">
					description = <"Forced expiratory flow 25 % (FEF25%) is the maximal instantaneous expiratory flow when 25 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 75% (MEF75%).">
				>
				["at0178"] = <
					text = <"FEF50%">
					description = <"Forced expiratory flow 50 % (FEF50%) is the maximal instantaneous expiratory flow when 50 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 50 % (MEF50%).">
				>
				["at0179"] = <
					text = <"FEF75%">
					description = <"Forced expiratory flow 75 % (FEF75%) is the maximal instantaneous expiratory flow when 75 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 25 % (MEF25%).">
				>
				["at0181"] = <
					text = <"MIP">
					description = <"Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver.">
				>
				["at0182"] = <
					text = <"SNIP">
					description = <"Sniff nasal inspiratory pressure (SNIP) is the maximal inspiratory pressure in one occluded nostril during a maximal sniff performed from relaxed end-expiration through the other patent nostril.">
				>
				["at0185"] = <
					text = <"Predicted results source">
					description = <"The knowledge base used for the predicted results.">
					comment = <"For example: GLI 2012.">
				>
				["at0186"] = <
					text = <"FIF25%">
					description = <"Forced inspiratory flow 25 % (FIF25%) is the maximal instantaneous inspiratory flow when 25 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 75% (MIF75%).">
				>
				["at0187"] = <
					text = <"FIF50%">
					description = <"Forced inspiratory flow 50 % (FIF50%) is the maximal instantaneous inspiratory flow when 50 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 50% (MIF50%).">
				>
				["at0188"] = <
					text = <"FIF75%">
					description = <"Forced inspiratory flow 75 % (FIF75%) is the maximal instantaneous inspiratory flow when 75 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 25% (MIF25%).">
				>
				["at0189"] = <
					text = <"FEV1/FEV6 ratio">
					description = <"The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'.">
				>
				["at0190"] = <
					text = <"FEV1/IVC ratio">
					description = <"The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'.">
				>
				["at0191"] = <
					text = <"Level of exertion">
					description = <"Details about physical activity undertaken at the time of spirometry recording.">
				>
				["at0192"] = <
					text = <"Challenge/reversibility">
					description = <"Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test.">
					comment = <"A reversibility test is usually performed using an inhaled bronchodilator such as salbutamol, and is sometimes known as a post bronchodilator test. A bronchial challenge test is usually performed using an inhaled bronchoconstrictor such as methacholine, vigorous exercise, or inhalation of cold/dry air.">
				>
				["at0193"] = <
					text = <"None">
					description = <"The spirometry test was performed neither as a reversibility test nor a bronchial challenge test.">
				>
				["at0194"] = <
					text = <"Bronchial challenge test">
					description = <"The spirometry test was performed as a bronchial challenge test.">
				>
				["at0195"] = <
					text = <"Reversibility test">
					description = <"The spirometry test was performed as a reversibility test.">
				>
				["at0196"] = <
					text = <"Type of measurement">
					description = <"Type of measurement of spirometry.">
					comment = <"This is particularly relevant for PEFR and PIFR tests.">
				>
				["at0197"] = <
					text = <"Mechanical">
					description = <"Measurement using a purely mechanical device.">
				>
				["at0198"] = <
					text = <"Electronic">
					description = <"Measurement using an electronic device.">
				>
				["at0199"] = <
					text = <"Method">
					description = <"Method used to perform the test.">
					comment = <"For example: measurements performed orally using a mouth piece and nose clip, or nasally using a face mask with the mouth firmly closed. Measurements with different methods will have to be recorded using separate instances of the archetype.">
				>
				["at0205"] = <
					text = <"PIFR">
					description = <"Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver.">
				>
				["at0209"] = <
					text = <"Environmental conditions">
					description = <"Details about environmental conditions undertaken at the time of spirometry recording.">
				>
			>
		>
		["sl"] = <
			items = <
				["at0000"] = <
					text = <"*Spirometry (en)">
					description = <"*Pulmonary function test results using a spirometer or peak flow meter. (en)">
				>
				["at0001"] = <
					text = <"*Event Series(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*Any event(en)">
					description = <"*Any event.(en)">
				>
				["at0003"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0008"] = <
					text = <"*Predicted result(en)">
					description = <"*Predicted flow rate.(en)">
				>
				["at0013"] = <
					text = <"*Forced Expiratory Time (FET)(en)">
					description = <"*The time taken to complete a forced expiration. (en)">
				>
				["at0018"] = <
					text = <"*Predicted result(en)">
					description = <"*Predicted ratio.(en)">
				>
				["at0029"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0030"] = <
					text = <"*Device(en)">
					description = <"*Details of the device used to measure spirometry. (en)">
				>
				["at0031"] = <
					text = <"*Tree(en)">
					description = <"*@ internal @(en)">
				>
				["at0044"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"*The ratio of the measured to predicted test results.(en)">
				>
				["at0052"] = <
					text = <"*Volume (en)">
					description = <"*Test result represented as a measured volume or calculated capacity.  (en)">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0053"] = <
					text = <"*Result(en)">
					description = <"*Measured volume.(en)">
				>
				["at0054"] = <
					text = <"*Predicted result(en)">
					description = <"*Predicted volume.(en)">
				>
				["at0055"] = <
					text = <"*Ratio (en)">
					description = <"*A calculated test result expressed as a ratio. (en)">
					comment = <"*Each ratio is recorded using a separate instance of this cluster. (en)">
				>
				["at0056"] = <
					text = <"*Result(en)">
					description = <"*Calculated ratio.(en)">
				>
				["at0057"] = <
					text = <"*Flow rate (en)">
					description = <"*Test result represented as a measured flow rate. (en)">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0058"] = <
					text = <"*Result(en)">
					description = <"*Measured flow rate.(en)">
				>
				["at0064"] = <
					text = <"*SVC (en)">
					description = <"*Slow vital capacity (SVC) is the maximal volume of air that can be slowly exhaled from a position of full inspiration. Also known as Expiratory vital capacity (EVC). Equal to IRV + TV + ERV. (en)">
				>
				["at0065"] = <
					text = <"*FVC (en)">
					description = <"*Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration. (en)">
				>
				["at0067"] = <
					text = <"*FEV1(en)">
					description = <"*Forced expiratory volume at 1 second (FEV1) is the volume of air that has been exhaled during the first second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0068"] = <
					text = <"*FEV3(en)">
					description = <"*Forced expiratory volume at 3 seconds (FEV3) is the volume of air that has been exhaled during the first three seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0069"] = <
					text = <"*FEV6(en)">
					description = <"*Forced expiratory volume at 6 seconds (FEV6) is the volume of air that has been exhaled during the first six seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0070"] = <
					text = <"*FEV0.75 (en)">
					description = <"*Forced expiratory volume at 0.75 seconds (FEV0.75) is the volume of air that has been exhaled during the first three quarters of a second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0072"] = <
					text = <"*FEF25-75% (en)">
					description = <"*Forced expiratory flow 25-75 % (FEF25-75%) is the mean forced expiratory flow of air measured during the expiration of 25-75 % of the volume of the forced vital capacity (FVC). (en)">
				>
				["at0073"] = <
					text = <"*FEF25-50% (en)">
					description = <"*Forced expiratory flow 25-50 % (FEF25-50%) is the mean forced expiratory flow of air measured during the expiration of 25-50 % of the volume of the forced vital capacity (FVC). (en)">
				>
				["at0074"] = <
					text = <"*FIF25-75% (en)">
					description = <"*Forced inspiratory flow 25-75 % (FIF25-75%) is the mean forced inspiratory flow of air measured during the inspiration of 25-75 % of the volume of the forced inspiratory vital capacity (FIVC). (en)">
				>
				["at0075"] = <
					text = <"*FIF25-50% (en)">
					description = <"*Forced inspiratory flow 25-50 % (FIF25-50%) is the mean forced inspiratory flow of air measured during the inspiration of 25-50 % of the volume of the forced inspiratory vital capacity (FIVC). (en)">
				>
				["at0077"] = <
					text = <"*ERV (en)">
					description = <"*Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume. (en)">
				>
				["at0080"] = <
					text = <"*FEV1/SVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'. (en)">
				>
				["at0081"] = <
					text = <"*FEV1/FVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced vital capacity (FVC)'. Also known as FEV1%FVC or FEV1%F. (en)">
				>
				["at0082"] = <
					text = <"*TV (en)">
					description = <"*Tidal volume (TV) is the normal volume of air that can be inhaled or exhaled during one respiratory cycle when no extra effort is applied. Also known as Vᴛ. (en)">
				>
				["at0098"] = <
					text = <"*Confounding factors(en)">
					description = <"*Record any issues or factors that may impact on the spirometry test. (en)">
					comment = <"*For example: known COPD. (en)">
				>
				["at0101"] = <
					text = <"*Comment(en)">
					description = <"*Additional narrative about the test results and intepretation not captured in other fields.(en)">
				>
				["at0115"] = <
					text = <"*Position(en)">
					description = <"*The body position of the individual at the time of measurement. (en)">
				>
				["at0116"] = <
					text = <"*Standing(en)">
					description = <"*Standing at the time of measurement.(en)">
				>
				["at0117"] = <
					text = <"*Sitting(en)">
					description = <"*Sitting (for example on a bed or chair) at the time of measurement.(en)">
				>
				["at0118"] = <
					text = <"*Reclining(en)">
					description = <"*Reclining at the time of measurement.(en)">
				>
				["at0119"] = <
					text = <"*Lying(en)">
					description = <"*Lying flat at the time of measurement.(en)">
				>
				["at0122"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"*The ratio of measured to predicted test results. (en)">
				>
				["at0130"] = <
					text = <"*Clinical interpretation (en)">
					description = <"*Overall clinical interpretation about all of the measurements and calculated ratios. (en)">
				>
				["at0131"] = <
					text = <"*Multimedia representation (en)">
					description = <"*Digital representation of the test results. (en)">
					comment = <"*For example: Flow volume loop; or volume-time tracing. (en)">
				>
				["at0132"] = <
					text = <"*Cluster(en)">
					description = <"**(en)">
				>
				["at0145"] = <
					text = <"*FEV0.5 (en)">
					description = <"*Forced expiratory volume at 0.5 seconds (FEV0.5) is the volume of air that has been exhaled during the first half second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0146"] = <
					text = <"*FEV2(en)">
					description = <"*Forced expiratory volume at 2 seconds (FEV2) is the volume of air that has been exhaled during the first two seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0152"] = <
					text = <"*PEFR (en)">
					description = <"*Peak expiratory flow rate (PEFR) is the peak flow rate during a forced vital capacity (FVC) maneuver. Also known as forced expiratory flow at maximum effort (FEFmax). (en)">
				>
				["at0078"] = <
					text = <"*IRV (en)">
					description = <"*Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume. (en)">
				>
				["at0156"] = <
					text = <"*Pressure (en)">
					description = <"*Test result represented as a measured pressure. (en)">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0165"] = <
					text = <"*Result(en)">
					description = <"*Measured pressure. (en)">
				>
				["at0166"] = <
					text = <"*Predicted result(en)">
					description = <"*Predicted pressure. (en)">
				>
				["at0167"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"*The ratio of measured to predicted test results. (en)">
				>
				["at0170"] = <
					text = <"*MEP (en)">
					description = <"*Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver. (en)">
				>
				["at0171"] = <
					text = <"*FIV1 (en)">
					description = <"*Forced inspiratory volume at 1 second (FEV1) is the volume of air that has been inhaled during the first second of forced inhalation, during the performance of FIVC. (en)">
				>
				["at0172"] = <
					text = <"*FIVC (en)">
					description = <"*Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration. (en)">
				>
				["at0076"] = <
					text = <"*IC (en)">
					description = <"*Inspiratory capacity (IC) is the maximal volume of air that can be inhaled after exhalation of normal tidal volume. Equal to TV + IRV. (en)">
				>
				["at0174"] = <
					text = <"*IVC (en)">
					description = <"*Inspiratory vital capacity (IVC) is the maximal volume of air that can be slowly inhaled from a position of full expiration. Equal to ERV + TV + IRV. (en)">
				>
				["at0176"] = <
					text = <"*MVV (en)">
					description = <"*Maximum voluntary ventilation (MVV) is the maximum volume of air the individual can breathe during a period of time specified by an interval event. (en)">
				>
				["at0177"] = <
					text = <"*FEF25% (en)">
					description = <"*Forced expiratory flow 25 % (FEF25%) is the maximal instantaneous expiratory flow when 25 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 75% (MEF75%). (en)">
				>
				["at0178"] = <
					text = <"*FEF50% (en)">
					description = <"*Forced expiratory flow 50 % (FEF50%) is the maximal instantaneous expiratory flow when 50 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 50 % (MEF50%). (en)">
				>
				["at0179"] = <
					text = <"*FEF75% (en)">
					description = <"*Forced expiratory flow 75 % (FEF75%) is the maximal instantaneous expiratory flow when 75 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 25 % (MEF25%). (en)">
				>
				["at0181"] = <
					text = <"*MIP (en)">
					description = <"*Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver. (en)">
				>
				["at0182"] = <
					text = <"*SNIP (en)">
					description = <"*Sniff nasal inspiratory pressure (SNIP) is the maximal inspiratory pressure in one occluded nostril during a maximal sniff performed from relaxed end-expiration through the other patent nostril. (en)">
				>
				["at0185"] = <
					text = <"*Predicted results source (en)">
					description = <"*The knowledge base used for the predicted results. (en)">
					comment = <"*For example: GLI 2012. (en)">
				>
				["at0186"] = <
					text = <"*FIF25% (en)">
					description = <"*Forced inspiratory flow 25 % (FIF25%) is the maximal instantaneous inspiratory flow when 25 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 75% (MIF75%). (en)">
				>
				["at0187"] = <
					text = <"*FIF50% (en)">
					description = <"*Forced inspiratory flow 50 % (FIF50%) is the maximal instantaneous inspiratory flow when 50 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 50% (MIF50%). (en)">
				>
				["at0188"] = <
					text = <"*FIF75% (en)">
					description = <"*Forced inspiratory flow 75 % (FIF75%) is the maximal instantaneous inspiratory flow when 75 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 25% (MIF25%). (en)">
				>
				["at0189"] = <
					text = <"*FEV1/FEV6 ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'. (en)">
				>
				["at0190"] = <
					text = <"*FEV1/IVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'. (en)">
				>
				["at0191"] = <
					text = <"*Level of exertion (en)">
					description = <"*Details about physical activity undertaken at the time of spirometry recording. (en)">
				>
				["at0192"] = <
					text = <"*Challenge/reversibility (en)">
					description = <"*Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test. (en)">
					comment = <"*A reversibility test is usually performed using an inhaled bronchodilator such as salbutamol, and is sometimes known as a post bronchodilator test. A bronchial challenge test is usually performed using an inhaled bronchoconstrictor such as methacholine, vigorous exercise, or inhalation of cold/dry air. (en)">
				>
				["at0193"] = <
					text = <"*None (en)">
					description = <"*The spirometry test was performed neither as a reversibility test nor a bronchial challenge test. (en)">
				>
				["at0194"] = <
					text = <"*Bronchial challenge test (en)">
					description = <"*The spirometry test was performed as a bronchial challenge test. (en)">
				>
				["at0195"] = <
					text = <"*Reversibility test (en)">
					description = <"*The spirometry test was performed as a reversibility test. (en)">
				>
				["at0196"] = <
					text = <"*Type of measurement (en)">
					description = <"*Type of measurement of spirometry. (en)">
					comment = <"*This is particularly relevant for PEFR and PIFR tests. (en)">
				>
				["at0197"] = <
					text = <"*Mechanical (en)">
					description = <"*Measurement using a purely mechanical device. (en)">
				>
				["at0198"] = <
					text = <"*Electronic (en)">
					description = <"*Measurement using an electronic device. (en)">
				>
				["at0199"] = <
					text = <"*Method (en)">
					description = <"*Method used to perform the test. (en)">
					comment = <"*For example: measurements performed orally using a mouth piece and nose clip, or nasally using a face mask with the mouth firmly closed. Measurements with different methods will have to be recorded using separate instances of the archetype. (en)">
				>
				["at0205"] = <
					text = <"*PIFR (en)">
					description = <"*Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver. (en)">
				>
				["at0209"] = <
					text = <"*Environmental conditions (en)">
					description = <"*Details about environmental conditions undertaken at the time of spirometry recording. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Spirometriresultat">
					description = <"Lungefunksjonstest ved bruk av et spirometer eller en PEF-måler.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"Forventet resultat">
					description = <"Forventet luftstrømshastighet.">
				>
				["at0013"] = <
					text = <"Forsert ekspiratorisk tid (FET)">
					description = <"Tiden det tar å fullføre en forsert ekspirasjon.">
				>
				["at0018"] = <
					text = <"Forventet resultat">
					description = <"Forventet ratio.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0030"] = <
					text = <"Måleapparat">
					description = <"Detaljer om måleapparatet brukt til å utføre måling av lungefunksjon.">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0044"] = <
					text = <"Målt/forventet ratio">
					description = <"Ratio mellom målt og forventet testresultat.">
				>
				["at0052"] = <
					text = <"Volum">
					description = <"Undersøkelsesresultat representert som et målt volum eller kalkulert kapasitet.">
					comment = <"Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet">
				>
				["at0053"] = <
					text = <"Resultat">
					description = <"Målt volum.">
				>
				["at0054"] = <
					text = <"Forventet resultat">
					description = <"Forventet volum.">
				>
				["at0055"] = <
					text = <"Ratio">
					description = <"Kalkulert undersøkelsesresultat uttrykt som ratio.">
					comment = <"Hver ratio er dokumentert ved bruk av separate instanser av dette CLUSTERet">
				>
				["at0056"] = <
					text = <"Resultat">
					description = <"Kalkulert ratio.">
				>
				["at0057"] = <
					text = <"Luftstrømshastighet">
					description = <"Testresultat representert som en målt luftstrømshastighet.">
					comment = <"Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet">
				>
				["at0058"] = <
					text = <"Resultat">
					description = <"Målt luftstrømshastighet.">
				>
				["at0064"] = <
					text = <"SVC">
					description = <"Slow vitalkapasitet (SVC) er det maksimale volumet med luft som kan utåndes ved sakte ekspirasjon etter en maksimal inspirasjon. SVC er tilsvarende IRV + TV + ERV.">
				>
				["at0065"] = <
					text = <"FVC">
					description = <"Forsert vitalkapasitet (FVC) er det maksimale volumet med luft som kan utåndes ved forsert ekspirasjon etter en maksimal inspirasjon.">
				>
				["at0067"] = <
					text = <"FEV1">
					description = <"Forsert ekspiratorisk volum etter 1 sekund (FEV1) er volumet av luft som har blitt utåndet i løpet av det første sekundet av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0068"] = <
					text = <"FEV3">
					description = <"Forsert ekspiratorisk volum etter 3 sekunder (FEV3) er volumet av luft som har blitt utåndet i løpet av de første tre sekundene av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0069"] = <
					text = <"FEV6">
					description = <"Forsert ekspiratorisk volum etter 6 sekunder (FEV6) er volumet av luft som har blitt utåndet i løpet av de første seks sekundene av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0070"] = <
					text = <"FEV0.75">
					description = <"Forsert ekspiratorisk volum etter 0,75 sekunder (FEV0.75) er volumet av luft som har blitt utåndet i løpet av det første tre kvarte sekundet av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0072"] = <
					text = <"FEF25-75%">
					description = <"Forsert ekspiratorisk luftstrømshastighet 25-75 % (FEF25-75%) er gjennomsnittlig forsert ekspiratorisk luftstrømshastighet målt under 25-75 % av volumet av forsert vitalkapasitet (FVC).">
				>
				["at0073"] = <
					text = <"FEF25-50%">
					description = <"Forsert ekspiratorisk luftstrømshastighet 25-50 % (FEF25-50%) er gjennomsnittlig forsert ekspiratorisk luftstrømshastighet målt under 25-50 % av volumet av forsert vitalkapasitet (FVC).">
				>
				["at0074"] = <
					text = <"FIF25-75%">
					description = <"Forsert inspiratorisk luftstrømshastighet 25-75 % (FIF25-75%) er gjennomsnittlig forsert inspiratorisk luftstrømshastighet målt under 25-75 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC).">
				>
				["at0075"] = <
					text = <"FIF25-50%">
					description = <"Forsert inspiratorisk luftstrømshastighet 25-50 % (FIF25-50%) er gjennomsnittlig forsert inspiratorisk luftstrømshastighet målt under 25-50 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC).">
				>
				["at0076"] = <
					text = <"IC">
					description = <"Inspiratorisk kapasitet (IC) er det maksimale volumet luft som kan innåndes etter ekspirasjon av normalt tidalvolum. IC er tilsvarende TV + IRV.">
				>
				["at0077"] = <
					text = <"ERV">
					description = <"Ekspiratorisk reservevolum (ERV) er det maksimale volumet luft som forsert kan utåndes etter ekspirasjon av normalt tidalvolum.">
				>
				["at0078"] = <
					text = <"IRV">
					description = <"Inspiratorisk reservevolum (IRV) er det maksimale volumet luft som forsert kan innåndes etter inspirasjon av normalt tidalvolum.">
				>
				["at0080"] = <
					text = <"FEV1/SVC ratio">
					description = <"Ratioen mellom FEV1 og SVC.">
				>
				["at0081"] = <
					text = <"FEV1/FVC ratio">
					description = <"Ratioen mellom FEV1 og FVC. Også kjent som FEV1%FVC eller FEV1%F.">
				>
				["at0082"] = <
					text = <"TV">
					description = <"Tidalvolum (TV) er det normale volumet av luft som kan innåndes og utåndes under en åndedrettssyklus, uten ytterligere anstrengelse. Også kjent som Vᴛ.">
				>
				["at0098"] = <
					text = <"Konfunderende faktorer">
					description = <"Forhold eller omstendigheter som kan ha betydning for undersøkelsene.">
					comment = <"For eksempel: kjent KOLS.">
				>
				["at0101"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om undersøkelsesresultatet og tolkningen som ikke er fanget i andre felt.">
				>
				["at0115"] = <
					text = <"Stilling">
					description = <"Individets posisjon ved tidspunktet for målingen.">
				>
				["at0116"] = <
					text = <"Stående">
					description = <"Stående ved tidspunktet for målingen.">
				>
				["at0117"] = <
					text = <"Sittende">
					description = <"Sittende (for eksempel på en stol eller på en seng) på tidspunkt for målingen.">
				>
				["at0118"] = <
					text = <"Tilbakelent">
					description = <"Sittende tilbakelent på tidspunkt for målingen.">
				>
				["at0119"] = <
					text = <"Liggende">
					description = <"Liggende flatt på tidspunkt for målingen.">
				>
				["at0122"] = <
					text = <"Målt/forventet ratio">
					description = <"Ratio mellom målt og forventet testresultat.">
				>
				["at0130"] = <
					text = <"Klinisk tolkning">
					description = <"Overordnet klinisk tolkning av målinger og kalkulerte ratioer.">
				>
				["at0131"] = <
					text = <"Multimediarepresentasjon">
					description = <"Bilde eller annet medium brukt for å understøtte undersøkelsesresultatet.">
					comment = <"For eksempel: Strømningsvolumsløyfe; eller volumtid tegning.">
				>
				["at0132"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som er nødvendig for å registrere lokalt innhold/kontekst, eller for å sammenstille med andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0145"] = <
					text = <"FEV0.5">
					description = <"Forsert ekspiratorisk volum etter 0,5 sekunder (FEV0.5) er volumet av luft som har blitt utåndet i løpet av det første halve sekundet av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0146"] = <
					text = <"FEV2">
					description = <"Forsert ekspiratorisk volum etter 2 sekunder (FEV2) er volumet av luft som har blitt utåndet i løpet av de første to sekundene av en forsert ekspirasjon, under utførelse av FVC.">
				>
				["at0152"] = <
					text = <"PEF">
					description = <"Maksimal ekspiratorisk luftstrømshastighet (PEF) er den høyeste ekspiratoriske luftstrømshastigheten oppnådd under en forsert vitalkapasitet-manøver (FVC). Også kjent som forsert maksimal ekspiratorisk strømning (FEFmax).">
				>
				["at0156"] = <
					text = <"Trykk">
					description = <"Testresultat representert som et målt trykk.">
					comment = <"Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet">
				>
				["at0165"] = <
					text = <"Resultat">
					description = <"Målt trykk.">
				>
				["at0166"] = <
					text = <"Forventet resultat">
					description = <"Forventet trykk.">
				>
				["at0167"] = <
					text = <"Målt/forventet ratio">
					description = <"Ratio mellom målt og forventet testresultat.">
				>
				["at0170"] = <
					text = <"MEP">
					description = <"Maksimalt ekspiratorisk trykk (MEP) er det maksimale ekspiratoriske trykket under en forsert vitalkapasitet-manøver (FVC).">
				>
				["at0171"] = <
					text = <"FIV1">
					description = <"Forsert inspiratorisk volum etter 1 sekund (FIV1) er volumet av luft som har blitt innåndet i løpet av det første sekundet av en forsert inspirasjon, under utførelse av FIVC.">
				>
				["at0172"] = <
					text = <"FIVC">
					description = <"Forsert inspiratorisk vitalkapasitet (FIVC) er det maksimale volumet med luft som kan innåndes ved forsert inspirasjon etter en maksimal ekspirasjon.">
				>
				["at0174"] = <
					text = <"IVC">
					description = <"Inspiratorisk vitalkapasitet (IVC) er det maksimale volumet med luft som kan innåndes ved sakte inspirasjon etter en maksimal ekspirasjon. IVC er tilsvarende ERV + TV + IRV.">
				>
				["at0176"] = <
					text = <"MVV">
					description = <"Maksimal voluntær ventilasjon (MVV) er det maksimale volumet luft som individet kan puste under en tidsperiode spesifisert av en intervallhendelse.">
				>
				["at0177"] = <
					text = <"FEF25%">
					description = <"Forsert ekspiratorisk luftstrømshastighet 25 % (FEF25%) er den maksimale momentane ekspiratoriske luftstrømshastigheten når 25% av volumet av forsert vitalkapasitet (FVC) er ekshalert. Også kjent som maksimal ekspiratorisk luftstrømshastighet 75 % (MEF75%).">
				>
				["at0178"] = <
					text = <"FEF50%">
					description = <"Forsert ekspiratorisk luftstrømshastighet 50 % (FEF50%) er den maksimale momentane ekspiratoriske luftstrømshastigheten når 50 % av volumet av forsert vitalkapasitet (FVC) er ekshalert. Også kjent som maksimal ekspiratorisk luftstrømshastighet 50 % (MEF50%).">
				>
				["at0179"] = <
					text = <"FEF75%">
					description = <"Forsert ekspiratorisk luftstrømshastighet 75 % (FEF75%) er den maksimale momentane ekspiratoriske luftstrømshastigheten når 75 % av volumet av forsert vitalkapasitet (FVC) er ekshalert. Også kjent som maksimal ekspiratorisk luftstrømshastighet 25 % (MEF25%).">
				>
				["at0181"] = <
					text = <"MIP">
					description = <"Maksimalt inspiratorisk trykk (MIP) er det maksimale inspiratoriske trykket under en forsert inspiratorisk vitalkapasitet-manøver (FIVC).">
				>
				["at0182"] = <
					text = <"SNIP">
					description = <"Sniff nasal inspiratory pressure (SNIP) er det maksimale inspiratoriske trykket i et okkludert nesebor under et maksimalt nasalt innpust utført fra avslappet endeekspiratorisk fase, gjennom det åpne neseboret.">
				>
				["at0185"] = <
					text = <"Kilden til forventede resultater">
					description = <"Kilden for de forventede resultatene.">
					comment = <"For eksempel: GLI 2012.">
				>
				["at0186"] = <
					text = <"FIF25%">
					description = <"Forsert inspiratorisk luftstrømshastighet 25 % (FIF25%) er den maksimale momentane inspiratoriske luftstrømshastigheten når 25% av volumet av forsert inspiratorisk vitalkapasitet (FIVC) er inhalert. Også kjent som maksimal inspiratorisk luftstrømshastighet 75 % (MIF75%).">
				>
				["at0187"] = <
					text = <"FIF50%">
					description = <"Forsert inspiratorisk luftstrømshastighet 50 % (FIF50%) er den maksimale momentane inspiratoriske luftstrømshastigheten når 50 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC) er inhalert. Også kjent som maksimal inspiratorisk luftstrømshastighet 50 % (MIF50%).">
				>
				["at0188"] = <
					text = <"FIF75%">
					description = <"Forsert inspiratorisk luftstrømshastighet 75 % (FIF75%) er den maksimale momentane inspiratoriske luftstrømshastigheten når 75 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC) er inhalert. Også kjent som maksimal inspiratorisk luftstrømshastighet 25 % (MIF25%).">
				>
				["at0189"] = <
					text = <"FEV1/FEV6 ratio">
					description = <"Ratioen mellom FEV1 og FEV6.">
				>
				["at0190"] = <
					text = <"FEV1/IVC ratio">
					description = <"Ratioen mellom FEV1 og IVC.">
				>
				["at0191"] = <
					text = <"Fysisk anstrengelse">
					description = <"Detaljer om fysisk aktivitet på tidspunkt for spirometriundersøkelsen.">
				>
				["at0192"] = <
					text = <"Provokasjon/reversibilitet">
					description = <"Utsagn om spirometriundersøkelsen var utført som en reversibilitetstest eller en bronkial provokasjonstest.">
					comment = <"En reversibilitetstest er vanligvis utført med bruk av en inhalert bronkodilator, som for eksempel salbumatol, og er også kjent som en post bronkodilatortest. En bronkial provokasjonstest er vanligvis utført med bruk av en inhalert bronkokonstriktor som for eksempel metakolin, hard fysisk aktivitet eller innånding av kald/tørr luft.">
				>
				["at0193"] = <
					text = <"Ingen">
					description = <"Spirometriundersøkelsen var hverken utført som en reversibilitetstest eller en bronkial provokasjonstest.">
				>
				["at0194"] = <
					text = <"Bronkial provokasjonstest">
					description = <"Spirometriundersøkelsen var utført som en bronkial provokasjonstest.">
				>
				["at0195"] = <
					text = <"Reversibilitetstest">
					description = <"Spirometriundersøkelsen var utført som en reversibilitetstest.">
				>
				["at0196"] = <
					text = <"Målingstype">
					description = <"Type spirometrimåling.">
					comment = <"Dette er særlig relevant for PEFR- og PIFR-målinger.">
				>
				["at0197"] = <
					text = <"Mekanisk">
					description = <"Måling utført utelukkende ved bruk av mekanisk instrument.">
				>
				["at0198"] = <
					text = <"Elektronisk">
					description = <"Måling utført utelukkende ved bruk av elektronisk instrument.">
				>
				["at0199"] = <
					text = <"Metode">
					description = <"Metode brukt for å utføre testen.">
					comment = <"For eksempel: måling utført gjennom munnen ved hjelp av et munnstykke og neseklype, eller gjennom nesen ved hjelp av en maske og med munnen lukket. Målinger utført med forskjellige metoder må registreres ved hjelp av separate instanser av arketypen.">
				>
				["at0205"] = <
					text = <"PIF">
					description = <"Maksimal inspiratorisk luftstrømshastighet (PIF) er den høyeste inspiratoriske luftstrømshastigheten oppnådd under en forsert inspiratorisk vitalkapasitet-manøver (FIVC).">
				>
				["at0209"] = <
					text = <"Omgivelsesforhold">
					description = <"Detaljer om luftforhold i omgivelsene under spirometriundersøkelsen.">
				>
			>
		>
		["fi"] = <
			items = <
				["at0000"] = <
					text = <"*Spirometry (en)">
					description = <"*Pulmonary function test results using a spirometer or peak flow meter. (en)">
				>
				["at0001"] = <
					text = <"Tapahtumasarja">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Mikä tahansa tapahtuma">
					description = <"Oletusarvoinen, määrittämätön ajanhetki tai ajanjakso, joka voi olla määritetty tarkasti jossakin mallissa tai suorituksen aikana.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"Ennustettu tulos">
					description = <"Ennustettu keuhkojen virtausnopeustulos.">
				>
				["at0013"] = <
					text = <"Ulospuhallusaika (FET)">
					description = <"Ulospuhalluksen loppuun saattamiseen kulunut aika.">
				>
				["at0018"] = <
					text = <"Ennustettu tulos">
					description = <"Ennustettu keuhkotestin suhdetulos.">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0030"] = <
					text = <"Laite">
					description = <"*Details of the device used to measure spirometry. (en)">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0044"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"Mitatun ja ennustetun testituloksen suhde.">
				>
				["at0052"] = <
					text = <"Keuhkojen tilavuus">
					description = <"*Test result represented as a measured volume or calculated capacity.  (en)">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0053"] = <
					text = <"Mitattu tulos">
					description = <"Mitattu keuhkojen tilavuustestin tulos.">
				>
				["at0054"] = <
					text = <"Ennustettu tulos">
					description = <"Ennustettu keuhkojen tilavuustestin tulos.">
				>
				["at0055"] = <
					text = <"Keuhkojen virtausnopeuden suhde tilavuuteen">
					description = <"Keuhkojen virtausnopeuden suhde tilavuuteen suhdelukuna ilmaistuna.">
					comment = <"*Each ratio is recorded using a separate instance of this cluster. (en)">
				>
				["at0056"] = <
					text = <"Mitattu tulos">
					description = <"Mitattu keuhkojen virtausnopeuden suhde tilavuuteen.">
				>
				["at0057"] = <
					text = <"Keuhkojen virtausnopeus">
					description = <"Keuhkofunktiokoe, jonka tuloksena saadaan mitattu virtausnopeus.">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0058"] = <
					text = <"Mitattu tulos">
					description = <"Mitattu keuhkojen virtausnopeutestin tulos.">
				>
				["at0064"] = <
					text = <"*SVC (en)">
					description = <"*Slow vital capacity (SVC) is the maximal volume of air that can be slowly exhaled from a position of full inspiration. Also known as Expiratory vital capacity (EVC). Equal to IRV + TV + ERV. (en)">
				>
				["at0065"] = <
					text = <"*FVC (en)">
					description = <"*Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration. (en)">
				>
				["at0067"] = <
					text = <"Ulospuhallusaika 1 sekunnissa (FEV1)">
					description = <"*Forced expiratory volume at 1 second (FEV1) is the volume of air that has been exhaled during the first second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0068"] = <
					text = <"Ulospuhallusaika 3 sekunnissa (FEV3)">
					description = <"*Forced expiratory volume at 3 seconds (FEV3) is the volume of air that has been exhaled during the first three seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0069"] = <
					text = <"Ulospuhallusaika 6 sekunnissa (FEV6)">
					description = <"*Forced expiratory volume at 6 seconds (FEV6) is the volume of air that has been exhaled during the first six seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0070"] = <
					text = <"*FEV0.75 (en)">
					description = <"*Forced expiratory volume at 0.75 seconds (FEV0.75) is the volume of air that has been exhaled during the first three quarters of a second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0072"] = <
					text = <"*FEF25-75% (en)">
					description = <"*Forced expiratory flow 25-75 % (FEF25-75%) is the mean forced expiratory flow of air measured during the expiration of 25-75 % of the volume of the forced vital capacity (FVC). (en)">
				>
				["at0073"] = <
					text = <"*FEF25-50% (en)">
					description = <"*Forced expiratory flow 25-50 % (FEF25-50%) is the mean forced expiratory flow of air measured during the expiration of 25-50 % of the volume of the forced vital capacity (FVC). (en)">
				>
				["at0074"] = <
					text = <"*FIF25-75% (en)">
					description = <"*Forced inspiratory flow 25-75 % (FIF25-75%) is the mean forced inspiratory flow of air measured during the inspiration of 25-75 % of the volume of the forced inspiratory vital capacity (FIVC). (en)">
				>
				["at0075"] = <
					text = <"*FIF25-50% (en)">
					description = <"*Forced inspiratory flow 25-50 % (FIF25-50%) is the mean forced inspiratory flow of air measured during the inspiration of 25-50 % of the volume of the forced inspiratory vital capacity (FIVC). (en)">
				>
				["at0077"] = <
					text = <"*ERV (en)">
					description = <"*Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume. (en)">
				>
				["at0080"] = <
					text = <"*FEV1/SVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'. (en)">
				>
				["at0081"] = <
					text = <"*FEV1/FVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced vital capacity (FVC)'. Also known as FEV1%FVC or FEV1%F. (en)">
				>
				["at0082"] = <
					text = <"*TV (en)">
					description = <"*Tidal volume (TV) is the normal volume of air that can be inhaled or exhaled during one respiratory cycle when no extra effort is applied. Also known as Vᴛ. (en)">
				>
				["at0098"] = <
					text = <"Sekoittavat tekijät">
					description = <"*Record any issues or factors that may impact on the spirometry test. (en)">
					comment = <"*For example: known COPD. (en)">
				>
				["at0101"] = <
					text = <"Kommentti">
					description = <"Koetulosten ja tulkinnan kertomusmuodossa olevat lisätiedot, joita ei voida ilmoittaa muissa kentissä.">
				>
				["at0115"] = <
					text = <"Asento">
					description = <"Henkilön kehon asento mittaushetkellä.">
				>
				["at0116"] = <
					text = <"Seisten">
					description = <"Henkilö seisoo mittaushetkellä.">
				>
				["at0117"] = <
					text = <"Istuen">
					description = <"Henkilö istuu (esimerkiksi vuoteella tai tuolissa) mittaushetkellä.">
				>
				["at0118"] = <
					text = <"Taaksepäin nojaten">
					description = <"Henkilö nojaa mittaushetkellä taaksepäin.">
				>
				["at0119"] = <
					text = <"Makuulla">
					description = <"Henkilö on mittaushetkellä makuulla.">
				>
				["at0122"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"*The ratio of measured to predicted test results. (en)">
				>
				["at0130"] = <
					text = <"Kokonaistulkinta">
					description = <"Mittausten ja niihin liittyvien löydösten kliininen kokonaistulkinta.">
				>
				["at0131"] = <
					text = <"Spirometrian graafi">
					description = <"Spirometrian tuottamat käyrät.">
					comment = <"*For example: Flow volume loop; or volume-time tracing.(en)">
				>
				["at0132"] = <
					text = <"Laajennus">
					description = <"Lisätiedot, joita tarvitaan paikallisen sisällön kirjaamiseksi tai yhtenäistämiseksi muiden viitemallien tai formalismien kanssa.">
					comment = <"Esimerkki: paikalliset tietovaatimukset tai muu metadata, joilla saadaan aikaan vastaavuus vastaavien FHIR- tai CIMI-tietojen kanssa.">
				>
				["at0145"] = <
					text = <"*FEV0.5 (en)">
					description = <"*Forced expiratory volume at 0.5 seconds (FEV0.5) is the volume of air that has been exhaled during the first half second of forced exhalation, during the performance of FVC. (en)">
				>
				["at0146"] = <
					text = <"*FEV2(en)">
					description = <"*Forced expiratory volume at 2 seconds (FEV2) is the volume of air that has been exhaled during the first two seconds of forced exhalation, during the performance of FVC. (en)">
				>
				["at0152"] = <
					text = <"*PEFR (en)">
					description = <"*Peak expiratory flow rate (PEFR) is the peak flow rate during a forced vital capacity (FVC) maneuver. Also known as forced expiratory flow at maximum effort (FEFmax). (en)">
				>
				["at0078"] = <
					text = <"*IRV (en)">
					description = <"*Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume. (en)">
				>
				["at0156"] = <
					text = <"*Pressure (en)">
					description = <"*Test result represented as a measured pressure. (en)">
					comment = <"*Each test result is recorded using a separate instance of this cluster. (en)">
				>
				["at0165"] = <
					text = <"Mitattu tulos">
					description = <"*Measured pressure. (en)">
				>
				["at0166"] = <
					text = <"Ennustettu tulos">
					description = <"*Predicted pressure. (en)">
				>
				["at0167"] = <
					text = <"*Measured/predicted ratio (en)">
					description = <"*The ratio of measured to predicted test results. (en)">
				>
				["at0170"] = <
					text = <"*MEP (en)">
					description = <"*Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver. (en)">
				>
				["at0171"] = <
					text = <"*FIV1 (en)">
					description = <"*Forced inspiratory volume at 1 second (FEV1) is the volume of air that has been inhaled during the first second of forced inhalation, during the performance of FIVC. (en)">
				>
				["at0172"] = <
					text = <"*FIVC (en)">
					description = <"*Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration. (en)">
				>
				["at0076"] = <
					text = <"*IC (en)">
					description = <"*Inspiratory capacity (IC) is the maximal volume of air that can be inhaled after exhalation of normal tidal volume. Equal to TV + IRV. (en)">
				>
				["at0174"] = <
					text = <"*IVC (en)">
					description = <"*Inspiratory vital capacity (IVC) is the maximal volume of air that can be slowly inhaled from a position of full expiration. Equal to ERV + TV + IRV. (en)">
				>
				["at0176"] = <
					text = <"*MVV (en)">
					description = <"*Maximum voluntary ventilation (MVV) is the maximum volume of air the individual can breathe during a period of time specified by an interval event. (en)">
				>
				["at0177"] = <
					text = <"*FEF25% (en)">
					description = <"*Forced expiratory flow 25 % (FEF25%) is the maximal instantaneous expiratory flow when 25 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 75% (MEF75%). (en)">
				>
				["at0178"] = <
					text = <"*FEF50% (en)">
					description = <"*Forced expiratory flow 50 % (FEF50%) is the maximal instantaneous expiratory flow when 50 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 50 % (MEF50%). (en)">
				>
				["at0179"] = <
					text = <"*FEF75% (en)">
					description = <"*Forced expiratory flow 75 % (FEF75%) is the maximal instantaneous expiratory flow when 75 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 25 % (MEF25%). (en)">
				>
				["at0181"] = <
					text = <"*MIP (en)">
					description = <"*Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver. (en)">
				>
				["at0182"] = <
					text = <"*SNIP (en)">
					description = <"*Sniff nasal inspiratory pressure (SNIP) is the maximal inspiratory pressure in one occluded nostril during a maximal sniff performed from relaxed end-expiration through the other patent nostril. (en)">
				>
				["at0185"] = <
					text = <"*Predicted results source (en)">
					description = <"*The knowledge base used for the predicted results. (en)">
					comment = <"*For example: GLI 2012. (en)">
				>
				["at0186"] = <
					text = <"*FIF25% (en)">
					description = <"*Forced inspiratory flow 25 % (FIF25%) is the maximal instantaneous inspiratory flow when 25 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 75% (MIF75%). (en)">
				>
				["at0187"] = <
					text = <"*FIF50% (en)">
					description = <"*Forced inspiratory flow 50 % (FIF50%) is the maximal instantaneous inspiratory flow when 50 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 50% (MIF50%). (en)">
				>
				["at0188"] = <
					text = <"*FIF75% (en)">
					description = <"*Forced inspiratory flow 75 % (FIF75%) is the maximal instantaneous inspiratory flow when 75 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired. Also known as maximum inspiratory flow 25% (MIF25%). (en)">
				>
				["at0189"] = <
					text = <"*FEV1/FEV6 ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'. (en)">
				>
				["at0190"] = <
					text = <"*FEV1/IVC ratio (en)">
					description = <"*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'. (en)">
				>
				["at0191"] = <
					text = <"*Level of exertion (en)">
					description = <"*Details about physical activity undertaken at the time of spirometry recording. (en)">
				>
				["at0192"] = <
					text = <"*Challenge/reversibility (en)">
					description = <"*Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test. (en)">
					comment = <"*A reversibility test is usually performed using an inhaled bronchodilator such as salbutamol, and is sometimes known as a post bronchodilator test. A bronchial challenge test is usually performed using an inhaled bronchoconstrictor such as methacholine, vigorous exercise, or inhalation of cold/dry air. (en)">
				>
				["at0193"] = <
					text = <"*None (en)">
					description = <"*The spirometry test was performed neither as a reversibility test nor a bronchial challenge test. (en)">
				>
				["at0194"] = <
					text = <"*Bronchial challenge test (en)">
					description = <"*The spirometry test was performed as a bronchial challenge test. (en)">
				>
				["at0195"] = <
					text = <"*Reversibility test (en)">
					description = <"*The spirometry test was performed as a reversibility test. (en)">
				>
				["at0196"] = <
					text = <"*Type of measurement (en)">
					description = <"*Type of measurement of spirometry. (en)">
					comment = <"*This is particularly relevant for PEFR and PIFR tests. (en)">
				>
				["at0197"] = <
					text = <"*Mechanical (en)">
					description = <"*Measurement using a purely mechanical device. (en)">
				>
				["at0198"] = <
					text = <"*Electronic (en)">
					description = <"*Measurement using an electronic device. (en)">
				>
				["at0199"] = <
					text = <"*Method (en)">
					description = <"*Method used to perform the test. (en)">
					comment = <"*For example: measurements performed orally using a mouth piece and nose clip, or nasally using a face mask with the mouth firmly closed. Measurements with different methods will have to be recorded using separate instances of the archetype. (en)">
				>
				["at0205"] = <
					text = <"*PIFR (en)">
					description = <"*Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver. (en)">
				>
				["at0209"] = <
					text = <"*Environmental conditions (en)">
					description = <"*Details about environmental conditions undertaken at the time of spirometry recording. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Spirometrie Ergebnis">
					description = <"Ergebnisse von Lungenfunktionstests mit einem Spirometer oder Peak-Flow-Meter.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Jedes Ereignis">
					description = <"Jeder Zeitpunkt oder jedes Intervall, das in einem Template oder zur Laufzeit definiert werden kann.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"Vorhergesagtes Ergebnis">
					description = <"Vorhergesagter Durchfluss">
				>
				["at0013"] = <
					text = <"Forcierte Exspirationszeit (FET)">
					description = <"Die Zeit, die zum Abschließen eines erzwungenen Ablaufs benötigt wird.">
				>
				["at0018"] = <
					text = <"Vorhergesagtes Ergebnis">
					description = <"Vorhergesagtes Verhältnis">
				>
				["at0029"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0030"] = <
					text = <"Gerät">
					description = <"Details über das Gerät mit dem die Spirometrie gemessen wird.">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0044"] = <
					text = <"Gemessenes/vorhergesagtes Verhältnis">
					description = <"Das Verhältnis der gemessenen zu den vorhergesagten Testergebnissen">
				>
				["at0052"] = <
					text = <"Volumen">
					description = <"Das Testergebnis wird als gemessenes Volumen oder berechnete Kapazität dargestellt.">
					comment = <"Jedes Testergebnis wird über eine separate Instanz dieses Clusters aufgezeichnet.">
				>
				["at0053"] = <
					text = <"Ergebnis">
					description = <"Gemessenes Volumen">
				>
				["at0054"] = <
					text = <"Vorhergesagtes Ergebnis">
					description = <"Vorhergesagtes Volumen">
				>
				["at0055"] = <
					text = <"Ratio">
					description = <"Ein berechnetes Testergebnis ausgedrückt als Verhältnis.">
					comment = <"Jedes Verhältnis wird mithilfe einer separaten Instanz dieses Clusters aufgezeichnet.">
				>
				["at0056"] = <
					text = <"Ergebnis">
					description = <"Berechnetes Verhältnis">
				>
				["at0057"] = <
					text = <"Flussrate">
					description = <"Das Testergebnis wird als gemessene Durchflussrate dargestellt.">
					comment = <"Jedes Testergebnis wird mithilfe einer separaten Instanz dieses Clusters aufgezeichnet.">
				>
				["at0058"] = <
					text = <"Ergebnis">
					description = <"Gemessener Durchfluss">
				>
				["at0064"] = <
					text = <"SVC">
					description = <"Die langsame Vitalkapazität (SVC) ist das maximale Luftvolumen, das aus einer Position voller Inspiration langsam ausgeatmet werden kann. Auch als exspiratorische Vitalkapazität (EVC) bekannt. Entspricht IRV + TV + ERV.">
				>
				["at0065"] = <
					text = <"FVC">
					description = <"Die forcierte Vitalkapazität (FVC) ist das maximale Luftvolumen, das aus einer Position voller Inspiration zwangsweise ausgeatmet werden kann.">
				>
				["at0067"] = <
					text = <"FEV1">
					description = <"Das forcierte Exspirationsvolumen bei 1 Sekunde (FEV1) ist das Luftvolumen, das während der ersten Sekunde der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0068"] = <
					text = <"FEV3">
					description = <"Das forcierte Exspirationsvolumen bei 3 Sekunden (FEV3) ist das Luftvolumen, das während der ersten drei Sekunden der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0069"] = <
					text = <"FEV6">
					description = <"Das forcierte Exspirationsvolumen nach 6 Sekunden (FEV6) ist das Luftvolumen, das während der ersten sechs Sekunden der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0070"] = <
					text = <"FEV0.75">
					description = <"Das forcierte Exspirationsvolumen bei 0.75 Sekunden (FEV0.75) ist das Luftvolumen, das während der ersten dreiviertel Sekunde der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0072"] = <
					text = <"FEF25-75%">
					description = <"Der forcierte exspiratorische Luftstrom 25–75 % (FEF25–75 %) ist der mittlere forcierte exspiratorische Luftstrom, der während der Ausatmung von 25–75 % des Volumens der forcierten Vitalkapazität (FVC) gemessen wird.">
				>
				["at0073"] = <
					text = <"FEF25-50%">
					description = <"Der forcierte exspiratorische Luftstrom 25–50 % (FEF25–50 %) ist der mittlere forcierte exspiratorische Luftstrom, der während der Ausatmung von 25–50 % des Volumens der forcierten Vitalkapazität (FVC) gemessen wird.">
				>
				["at0074"] = <
					text = <"FIF25-75%">
					description = <"Der forcierte Inspirationsfluss 25–75 % (FIF25–75 %) ist der mittlere forcierte Inspirationsluftfluss, der während der Inspiration von 25–75 % des Volumens der forcierten inspiratorischen Vitalkapazität (FIVC) gemessen wird.">
				>
				["at0075"] = <
					text = <"FIF25-50%">
					description = <"Der forcierte Inspirationsfluss 25–50 % (FIF25–50 %) ist der mittlere forcierte Inspirationsluftfluss, der während der Inspiration von 25–50 % des Volumens der forcierten inspiratorischen Vitalkapazität (FIVC) gemessen wird.">
				>
				["at0076"] = <
					text = <"IC">
					description = <"Die Inspirationskapazität (IC) ist das maximale Luftvolumen, das nach dem Ausatmen eines normalen Atemzugvolumens eingeatmet werden kann. Entspricht TV + IRV.">
				>
				["at0077"] = <
					text = <"ERV">
					description = <"Das exspiratorische Reservevolumen (ERV) ist das maximale Luftvolumen, das nach dem Ausatmen des normalen Atemzugvolumens zwangsweise ausgeatmet werden kann.">
				>
				["at0078"] = <
					text = <"IRV">
					description = <"Das inspiratorische Reservevolumen (IRV) ist das maximale Luftvolumen, das nach einer Inhalation mit normalem Atemzugvolumen zwangsweise eingeatmet werden kann.">
				>
				["at0080"] = <
					text = <"FEV1/SVC Ratio">
					description = <"Das Verhältnis von „Forciertes Exspirationsvolumen in 1 Sekunde (FEV1)“ zu „Langsame Vitalkapazität (SVC)“.">
				>
				["at0081"] = <
					text = <"FEV1/FVC Ratio">
					description = <"Das Verhältnis von „Forciertes Exspirationsvolumen in 1 Sekunde (FEV1)“ zu „Forcierter Vitalkapazität (FVC)“. Auch bekannt als FEV1 %FVC oder FEV1 %F.">
				>
				["at0082"] = <
					text = <"TV">
					description = <"Das Atemzugvolumen (TV) ist das normale Luftvolumen, das während eines Atemzyklus ohne zusätzliche Anstrengung ein- oder ausgeatmet werden kann. Auch als Vᴛ bekannt.">
				>
				["at0098"] = <
					text = <"Einflussfaktoren">
					description = <"Zum Darstellung aller Probleme oder Faktoren, die sich auf den Spirometrietest auswirken könnten.">
					comment = <"Zum Beispiel: bekannte COPD.">
				>
				["at0101"] = <
					text = <"Kommentar">
					description = <"Zusätzlicher Freitext über die Testergebnisse und deren Interpretation, die nicht in anderen Felder erfasst werden konnte.">
				>
				["at0115"] = <
					text = <"Position">
					description = <"Die Position der untersuchten Person während der Messung.">
				>
				["at0116"] = <
					text = <"Stehend">
					description = <"Stehend zum Zeitpunkt der Blutdruckmessung.">
				>
				["at0117"] = <
					text = <"Sitzend">
					description = <"Sitzend zum Zeitpunkt der Blutdruckmessung (z.B. auf einem Bett oder Stuhl).">
				>
				["at0118"] = <
					text = <"Zurückgelehnt">
					description = <"Patient zurückgelehnt zum Zeitpunkt der Blutdruckmessung.">
				>
				["at0119"] = <
					text = <"Liegend">
					description = <"Flach liegend zum Zeitpunkt der Blutdruckmessung.">
				>
				["at0122"] = <
					text = <"Gemessenes/vorhergesagtes Verhältnis">
					description = <"Das Verhältnis der gemessenen zu den vorhergesagten Testergebnissen">
				>
				["at0130"] = <
					text = <"Klinische Interpretation">
					description = <"Gesamte klinische Interpretation aller Messungen und berechneten Verhältnisse.">
				>
				["at0131"] = <
					text = <"Multimediale Darstellung">
					description = <"Digitale Darstellung der Testergebnisse.">
					comment = <"Zum Beispiel: Durchflussvolumenschleife; oder Volumen-Zeit-Trace.">
				>
				["at0132"] = <
					text = <"Erweiterung">
					description = <"Zusätzliche Information, die für die Erfassung des lokalen Kontexts oder für die Anpassung an andere Referenzmodelle/Formalismen benötigt wird.">
					comment = <"Zum Beispiel: Informationen bzgl. der lokalen Krankenhausabteilung oder zusätzliche Metadata zur Anpassung an entsprechende FHIR oder CIMI Gegenstücke.">
				>
				["at0145"] = <
					text = <"FEV0.5">
					description = <"Das forcierte Exspirationsvolumen bei 0.5 Sekunden (FEV0.5) ist das Luftvolumen, das während der ersten halben Sekunde der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0146"] = <
					text = <"FEV2">
					description = <"Das forcierte Exspirationsvolumen bei 2 Sekunden (FEV2) ist das Luftvolumen, das während der ersten zwei Sekunden der forcierten Ausatmung während der Durchführung der FVC ausgeatmet wurde.">
				>
				["at0152"] = <
					text = <"PEFR">
					description = <"Die maximale exspiratorische Flussrate (PEFR) ist die maximale Flussrate während eines Manövers mit forcierter Vitalkapazität (FVC). Wird auch als forcierter exspiratorischer Fluss bei maximaler Anstrengung (FEFmax) bezeichnet.">
				>
				["at0156"] = <
					text = <"Druck">
					description = <"Testergebnis wird als gemessener Druck dargestellt.">
					comment = <"Jedes Testergebnis wird mithilfe einer separaten Instanz dieses Clusters aufgezeichnet.">
				>
				["at0165"] = <
					text = <"Ergebnis">
					description = <"Gemessener Druck">
				>
				["at0166"] = <
					text = <"Vorhergesagtes Ergebnis">
					description = <"Vorhergesagter Druck">
				>
				["at0167"] = <
					text = <"Gemessenes/vorhergesagtes Verhältnis">
					description = <"Das Verhältnis der gemessenen zu den vorhergesagten Testergebnissen">
				>
				["at0170"] = <
					text = <"MEP">
					description = <"Der maximale Ausatmungsdruck (MEP) ist der maximale Ausatmungsdruck während eines Manövers mit forcierter Vitalkapazität (FVC).">
				>
				["at0171"] = <
					text = <"FIV1">
					description = <"Das forcierte Inspirationsvolumen bei 1 Sekunde (FIV1) ist das Luftvolumen, das während der ersten Sekunde der forcierten Inhalation während der Durchführung von FIVC eingeatmet wurde.">
				>
				["at0172"] = <
					text = <"FIVC">
					description = <"Die forcierte inspiratorische Vitalkapazität (FIVC) ist das maximale Luftvolumen, das aus einer Position voller Exspiration zwangsweise eingeatmet werden kann.">
				>
				["at0174"] = <
					text = <"IVC">
					description = <"Die inspiratorische Vitalkapazität (IVC) ist das maximale Luftvolumen, das aus einer Position voller Exspiration langsam eingeatmet werden kann. Entspricht ERV + TV + IRV.">
				>
				["at0176"] = <
					text = <"MVV">
					description = <"Die maximale freiwillige Ventilation (MVV) ist das maximale Luftvolumen, das die Person während eines durch ein Intervallereignis festgelegten Zeitraums atmen kann.">
				>
				["at0177"] = <
					text = <"FEF25%">
					description = <"Forced expiratory flow 25 % (FEF25%) is the maximal instantaneous expiratory flow when 25 % of the of the volume of the forced vital capacity (FVC) has been expired. Also known as maximal voluntary flow 75% (MEF75%).">
				>
				["at0178"] = <
					text = <"FEF50%">
					description = <"Der forcierte exspiratorische Fluss 50 % (FEF50 %) ist der maximale momentane exspiratorische Fluss, wenn 50 % des Volumens der forcierten Vitalkapazität (FVC) ausgeatmet wurden. Auch bekannt als maximaler freiwilliger Fluss 50 % (MEF50 %).">
				>
				["at0179"] = <
					text = <"FEF75%">
					description = <"Der forcierte exspiratorische Fluss 75 % (FEF75 %) ist der maximale momentane exspiratorische Fluss, wenn 75 % des Volumens der forcierten Vitalkapazität (FVC) ausgeatmet wurden. Auch bekannt als maximaler freiwilliger Fluss 25 % (MEF25 %).">
				>
				["at0181"] = <
					text = <"MIP">
					description = <"Der maximale Inspirationsdruck (MIP) ist der maximale Inspirationsdruck während eines FIVC-Manövers (Forced Inspiratory Vital Capacity).">
				>
				["at0182"] = <
					text = <"SNIP">
					description = <"Der Sniff-Naseninspirationsdruck (SNIP) ist der maximale Inspirationsdruck in einem verschlossenen Nasenloch während eines maximalen Schnüffelvorgangs, der vom entspannten Ende bis zur Ausatmung durch das andere offene Nasenloch durchgeführt wird.

">
				>
				["at0185"] = <
					text = <"Quelle der vorhergesagten Ergebnisse">
					description = <"Die für die vorhergesagten Ergebnisse verwendete Wissensbasis.">
					comment = <"Zum Beispiel: GLI 2012.">
				>
				["at0186"] = <
					text = <"FIF25%">
					description = <"Der forcierte Inspirationsfluss 25 % (FIF25 %) ist der maximale momentane Inspirationsfluss, wenn 25 % des Volumens der forcierten inspiratorischen Vitalkapazität (FIVC) eingeatmet wurden. Wird auch als maximaler Inspirationsfluss 75 % (MIF75 %) bezeichnet.">
				>
				["at0187"] = <
					text = <"FIF50%">
					description = <"Der forcierte Inspirationsfluss 50 % (FIF50 %) ist der maximale momentane Inspirationsfluss, wenn 50 % des Volumens der forcierten inspiratorischen Vitalkapazität (FIVC) eingeatmet wurden. Wird auch als maximaler Inspirationsfluss 50 % (MIF50 %) bezeichnet.">
				>
				["at0188"] = <
					text = <"FIF75%">
					description = <"Der forcierte Inspirationsfluss 75 % (FIF75 %) ist der maximale momentane Inspirationsfluss, wenn 75 % des Volumens der forcierten inspiratorischen Vitalkapazität (FIVC) eingeatmet wurden. Wird auch als maximaler Inspirationsfluss 25 % (MIF25 %) bezeichnet.">
				>
				["at0189"] = <
					text = <"FEV1/FEV6 Ratio">
					description = <"Das Verhältnis von „Forciertes Exspirationsvolumen in 1 Sekunde (FEV1)“ zu „Forciertes Exspirationsvolumen in 6 Sekunden (FEV6)“.">
				>
				["at0190"] = <
					text = <"FEV1/IVC Ratio">
					description = <"The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'.">
				>
				["at0191"] = <
					text = <"Grad der Anstrengung">
					description = <"Details zur körperlichen Aktivität zum Zeitpunkt der Spirometrieaufzeichnung.">
				>
				["at0192"] = <
					text = <"Herausforderung/Reversibilität">
					description = <"Aussage darüber, ob der Spirometrietest als Reversibilitätstest oder als Bronchialprovokationstest durchgeführt wurde.">
					comment = <"Ein Reversibilitätstest wird normalerweise mit einem inhalierten Bronchodilatator wie Salbutamol durchgeführt und wird manchmal auch als Post-Bronchodilatator-Test bezeichnet. Ein Bronchial-Provokationstest wird normalerweise mit einem inhalierten Bronchokonstriktor wie Methacholin, intensiver körperlicher Betätigung oder dem Einatmen kalter/trockener Luft durchgeführt.">
				>
				["at0193"] = <
					text = <"Keine">
					description = <"Der Spirometrietest wurde weder als Reversibilitätstest noch als Bronchialprovokationstest durchgeführt.">
				>
				["at0194"] = <
					text = <"Bronchialer Provokationstest">
					description = <"Der Spirometrietest wurde als bronchialer Provokationstest durchgeführt.">
				>
				["at0195"] = <
					text = <"Reversibilitätstest">
					description = <"Der Spirometrietest wurde als Reversibilitätstest durchgeführt.">
				>
				["at0196"] = <
					text = <"Art der Messung">
					description = <"Messart der Spirometrie.">
					comment = <"Dies ist insbesondere für PEFR- und PIFR-Tests relevant.">
				>
				["at0197"] = <
					text = <"Mechanisch">
					description = <"Messung mit einem rein mechanischen Gerät.">
				>
				["at0198"] = <
					text = <"Elektronisch">
					description = <"Messung mit einem elektronischen Gerät.">
				>
				["at0199"] = <
					text = <"Methode">
					description = <"Die zur Durchführung des Tests verwendete Methode.">
					comment = <"Zum Beispiel: Messungen werden oral mit Mundstück und Nasenklammer oder nasal mit einer Gesichtsmaske bei fest geschlossenem Mund durchgeführt. Messungen mit unterschiedlichen Methoden müssen mithilfe separater Instanzen des Archetyps aufgezeichnet werden.">
				>
				["at0205"] = <
					text = <"PIFR">
					description = <"Die maximale inspiratorische Flussrate (PIFR) ist die maximale Flussrate während eines forcierten inspiratorischen Vitalkapazitätsmanövers (FIVC).">
				>
				["at0209"] = <
					text = <"Umweltbedingungen">
					description = <"Details zu den Umgebungsbedingungen zum Zeitpunkt der Spirometrieaufzeichnung.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0065"] = <[SNOMED-CT::50834005]>
				["at0064"] = <[SNOMED-CT::83411002]>
				["at0067"] = <[SNOMED-CT::59328004]>
				["at0069"] = <[SNOMED-CT::878869001]>
				["at0070"] = <[SNOMED-CT::251910007]>
				["at0072"] = <[SNOMED-CT::251932003]>
				["at0076"] = <[SNOMED-CT::29533001]>
				["at0077"] = <[SNOMED-CT::55532004]>
				["at0078"] = <[SNOMED-CT::55562005]>
				["at0081"] = <[SNOMED-CT::251944000]>
				["at0082"] = <[SNOMED-CT::13621006]>
				["at0152"] = <[SNOMED-CT::18491006]>
				["at0171"] = <[SNOMED-CT::251912004]>
				["at0174"] = <[SNOMED-CT::251913009]>
				["at0186"] = <[SNOMED-CT::251927004]>
				["at0187"] = <[SNOMED-CT::251926008]>
				["at0188"] = <[SNOMED-CT::251924006]>
				["at0177"] = <[SNOMED-CT::251921003]>
				["at0178"] = <[SNOMED-CT::251920002]>
				["at0179"] = <[SNOMED-CT::251919008]>
				["at0181"] = <[SNOMED-CT::27913002]>
				["at0170"] = <[SNOMED-CT::17202005]>
				["at0205"] = <[SNOMED-CT::251923000]>
				["at0189"] = <[SNOMED-CT::702534005]>
				["at0116"] = <[SNOMED-CT::10904000]>
				["at0117"] = <[SNOMED-CT::33586001]>
				["at0118"] = <[SNOMED-CT::272580008]>
			>
		>
	>