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    <original_author id="date">2013-03-08</original_author>
    <original_author id="name">Ian McNicoll</original_author>
    <original_author id="organisation">freshEHR Informatics, UK</original_author>
    <original_author id="email">ian.mcnicoll@freshEHR.com</original_author>
    <other_contributors>Dag Aarhus, Vestre Viken HF, Norway</other_contributors>
    <other_contributors>Håvard Andreassen Sæverud, Oslo universitetssykehus, Norway</other_contributors>
    <other_contributors>Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Astrid Askeland, Dips AS, Norway</other_contributors>
    <other_contributors>Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)</other_contributors>
    <other_contributors>SB Bhattacharyya, Bhattacharyyas Clinical Records Research &amp; Informatics LLP, India</other_contributors>
    <other_contributors>Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Derek Corrigan, Royal College of Surgeons in Ireland, Ireland</other_contributors>
    <other_contributors>Manuela Domingo, hospital general universitario dr. balmis, Spain</other_contributors>
    <other_contributors>Ola Drange Røksund, Helse Bergen, Norway</other_contributors>
    <other_contributors>Kåre Flø, DIPS ASA, Norway</other_contributors>
    <other_contributors>Heather Grain, Llewelyn Grain Informatics, Australia</other_contributors>
    <other_contributors>Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Merete Havn Torland, Helse Vest IKT, Norway</other_contributors>
    <other_contributors>Sam Heard, Ocean Informatics, Australia</other_contributors>
    <other_contributors>Evelyn Hovenga, EJSH Consulting, Australia</other_contributors>
    <other_contributors>Tiago Jacinto, CINTESIS - FMUP, Portugal</other_contributors>
    <other_contributors>Lars Morgan Karlsen, DIPS ASA, Norway</other_contributors>
    <other_contributors>Agathe Krekvik Govertsen, Helse Bergen, Norway</other_contributors>
    <other_contributors>Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Valeria Lecca, Sardegna Ricerche, Italia</other_contributors>
    <other_contributors>Heather Leslie, Atomica Informatics, Australia (openEHR Editor)</other_contributors>
    <other_contributors>Anne M Gromsrud, DIPS AS, Norway</other_contributors>
    <other_contributors>Ian McNicoll, freshEHR Clinical Informatics, United Kingdom</other_contributors>
    <other_contributors>Svenne Naumann, Finnmarkssykehuset, Norway</other_contributors>
    <other_contributors>Mikael Nyström, Cambio Healthcare Systems AB, Sweden</other_contributors>
    <other_contributors>Bjørn Næss, DIPS ASA, Norway</other_contributors>
    <other_contributors>Andrej Orel, Marand d.o.o., Slovenia</other_contributors>
    <other_contributors>Ana Pereira, CINTESIS, CUF-Porto, Portugal</other_contributors>
    <other_contributors>Francisco Sanchez Laguna, Ministry of Health, Spain</other_contributors>
    <other_contributors>Norwegian Review Summary, Norwegian Public Hospitals, Norway</other_contributors>
    <other_contributors>Nina Særvold, Helse Bergen, Norway</other_contributors>
    <other_contributors>Nyree Taylor, Ocean Health Systems, Australia</other_contributors>
    <other_contributors>Anders Thurin, VGR, Sweden</other_contributors>
    <other_contributors>John Tore Valand, Helse Bergen, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Ina Wille, Helse-Vest RHF, Norway</other_contributors>
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    <other_details id="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/.</other_details>
    <other_details id="custodian_organisation">openEHR Foundation</other_details>
    <other_details id="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&#xD;
&#xD;
Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2011.&#xD;
&#xD;
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&#xD;
&#xD;
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.&#xD;
&#xD;
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.</other_details>
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    <other_details id="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.</other_details>
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      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>fi</code_string>
      </language>
      <purpose>*To record the results of a pulmonary function test performed using a spirometer or peak flow meter. (en)</purpose>
      <keywords>*respiratory (en)</keywords>
      <keywords>*pulmonary (en)</keywords>
      <keywords>*spirometry (en)</keywords>
      <keywords>*peak flow (en)</keywords>
      <keywords>*lung (en)</keywords>
      <keywords>*bronchial (en)</keywords>
      <keywords>*airway (en)</keywords>
      <keywords>*pef (en)</keywords>
      <keywords>*pefr (en)</keywords>
      <use>*Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.&#xD;
&#xD;
This archetype is intended to be used to record the results from:&#xD;
- electronic or mechanical measurement devices. Use the 'Method' element in Protocol to record how the result was measured; &#xD;
- 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.&#xD;
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. &#xD;
&#xD;
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.&#xD;
&#xD;
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.&#xD;
&#xD;
The 'Any event' can be cloned and constrained to support the representation of:&#xD;
- 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;&#xD;
- 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)</use>
      <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.&#xD;
&#xD;
Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.&#xD;
&#xD;
Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.&#xD;
&#xD;
Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose. (en)</misuse>
      <copyright />
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>nb</code_string>
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      <purpose>For å registrere resultatet av en lungefunksjonstest utført med et spirometer eller en PEF-måler.</purpose>
      <keywords>pulmonar,</keywords>
      <keywords>lunge</keywords>
      <keywords>spirometri</keywords>
      <keywords>PEF</keywords>
      <keywords>PEFR</keywords>
      <keywords>bronkie</keywords>
      <keywords>bronkial</keywords>
      <keywords>luftvei</keywords>
      <keywords>kols</keywords>
      <keywords>astma</keywords>
      <keywords>pusteprøve</keywords>
      <keywords>blåsetest</keywords>
      <keywords>belastningsspiro</keywords>
      <keywords>løpetest</keywords>
      <keywords>astmaundersøkelse</keywords>
      <keywords>metakolintest</keywords>
      <use>Brukes for å registrere resultatene av en spirometriundersøkelse eller en PEF-måling.&#xD;
&#xD;
Denne arketypen er ment for bruk til å registrere resultater fra: &#xD;
- elektroniske og mekaniske måleinstrumenter. Bruk elementet "Målingstype" under Protokoll for å registrere hvilken målemetode som ble brukt.&#xD;
- 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.&#xD;
- inspiratoriske og ekspiratoriske målinger. Testens navn vil angi om den gir et ekspiratorisk eller inspiratorisk resultat. &#xD;
&#xD;
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. &#xD;
&#xD;
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".&#xD;
&#xD;
"Uspesifisert hendelse" kan repeteres og begrenses for å støtte representasjon av&#xD;
- Flere målinger og gjennomsnitt av disse – "Uspesifisert hendelse" repeteres så mange ganger som nødvendig, samt i tillegg en intervallhendelse med den matematiske funksjonen "gjennomsnitt"&#xD;
- 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.</use>
      <misuse>Skal ikke brukes for å registrere resultatene av andre typer lungefunksjonstester, som for eksempel plethysmografi eller lungediffusjonstester. Bruk spesifikke arketyper for disse formålene.&#xD;
&#xD;
Skal ikke brukes for å registrere blodgassverdier. Til dette brukes arketypen OBSERVATION.laboratory_test_result (Laboratorieresultat).&#xD;
&#xD;
Skal ikke brukes for å registrere pulsoksymetrimålinger. Til dette brukes arketypen OBSERVATION.pulse_oximetry (Pulsoksymetri).</misuse>
      <copyright />
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>sl</code_string>
      </language>
      <purpose>*To record the results of a pulmonary function test performed using a spirometer or peak flow meter. (en)</purpose>
      <keywords>*respiratory (en)</keywords>
      <keywords>*pulmonary (en)</keywords>
      <keywords>*spirometry (en)</keywords>
      <keywords>*peak flow (en)</keywords>
      <keywords>*lung (en)</keywords>
      <keywords>*bronchial (en)</keywords>
      <keywords>*airway (en)</keywords>
      <keywords>*pef (en)</keywords>
      <keywords>*pefr (en)</keywords>
      <use>*Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.&#xD;
&#xD;
This archetype is intended to be used to record the results from:&#xD;
- electronic or mechanical measurement devices. Use the 'Method' element in Protocol to record how the result was measured; &#xD;
- 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.&#xD;
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. &#xD;
&#xD;
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.&#xD;
&#xD;
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.&#xD;
&#xD;
The 'Any event' can be cloned and constrained to support the representation of:&#xD;
- 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;&#xD;
- 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)</use>
      <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.&#xD;
&#xD;
Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.&#xD;
&#xD;
Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.&#xD;
&#xD;
Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose. (en)</misuse>
      <copyright>© openEHR Foundation</copyright>
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>en</code_string>
      </language>
      <purpose>To record the results of a pulmonary function test performed using a spirometer or peak flow meter.</purpose>
      <keywords>respiratory</keywords>
      <keywords>pulmonary</keywords>
      <keywords>spirometry</keywords>
      <keywords>peak flow</keywords>
      <keywords>lung</keywords>
      <keywords>bronchial</keywords>
      <keywords>airway</keywords>
      <keywords>pef</keywords>
      <keywords>pefr</keywords>
      <use>Use to record the results of a pulmonary function test performed using a spirometer or peak flow meter.&#xD;
&#xD;
This archetype is intended to be used to record the results from:&#xD;
- electronic or mechanical measurement devices. Use the 'Type of measurement' element in Protocol to record how the result was measured; &#xD;
- 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.&#xD;
- inspiratory and expiratory tests. The name of each test will indicate whether the test records an inspiratory or expiratory result. &#xD;
&#xD;
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.&#xD;
&#xD;
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.&#xD;
&#xD;
The 'Any event' can be cloned and constrained to support the representation of:&#xD;
- 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;&#xD;
- 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.</use>
      <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.&#xD;
&#xD;
Not to be used to record details about incentive spirometry. Use specific archetypes for these purposes.&#xD;
&#xD;
Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose.&#xD;
&#xD;
Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose.</misuse>
      <copyright>© openEHR Foundation</copyright>
    </details>
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      <code_string>fi</code_string>
    </language>
    <author id="name">Vesa Peltola</author>
    <author id="organisation">Tieto Finland Oy</author>
    <author id="email">vesa.peltola@tieto.com</author>
  </translations>
  <translations>
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      <terminology_id>
        <value>ISO_639-1</value>
      </terminology_id>
      <code_string>nb</code_string>
    </language>
    <author id="name">Mikkel Johan Gaup Grønmo, Silje Ljosland Bakke, Marit Alice Venheim, Hanne Marte Bårholm</author>
    <author id="organisation">Helse-Nord, Forvaltningssenter EPJ, Helse Vest IKT AS</author>
    <author id="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</author>
    <accreditation>Nasjonal IKT HF</accreditation>
  </translations>
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    </language>
    <author id="name">?</author>
  </translations>
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            <lower_included>true</lower_included>
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                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>129</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>3</lower>
                                <upper>3</upper>
                              </precision>
                              <units>L</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>mL</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0054</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>129</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>3</lower>
                                <upper>3</upper>
                              </precision>
                              <units>L</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>mL</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0044</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_PROPORTION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>numerator</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>REAL</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_REAL">
                                  <range>
                                    <lower_included>true</lower_included>
                                    <lower_unbounded>false</lower_unbounded>
                                    <upper_unbounded>true</upper_unbounded>
                                    <lower>0.0</lower>
                                  </range>
                                </item>
                              </children>
                            </attributes>
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>type</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>INTEGER</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_INTEGER">
                                  <list>2</list>
                                </item>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <cardinality>
                        <is_ordered>false</is_ordered>
                        <is_unique>false</is_unique>
                        <interval>
                          <lower_included>true</lower_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>true</upper_unbounded>
                          <lower>1</lower>
                        </interval>
                      </cardinality>
                    </attributes>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>name</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_CODED_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>defining_code</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_CODE_PHRASE">
                            <rm_type_name>CODE_PHRASE</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <terminology_id>
                              <value>local</value>
                            </terminology_id>
                            <code_list>at0065</code_list>
                            <code_list>at0064</code_list>
                            <code_list>at0172</code_list>
                            <code_list>at0174</code_list>
                            <code_list>at0076</code_list>
                            <code_list>at0145</code_list>
                            <code_list>at0070</code_list>
                            <code_list>at0067</code_list>
                            <code_list>at0146</code_list>
                            <code_list>at0068</code_list>
                            <code_list>at0069</code_list>
                            <code_list>at0171</code_list>
                            <code_list>at0082</code_list>
                            <code_list>at0077</code_list>
                            <code_list>at0078</code_list>
                            <code_list>at0176</code_list>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </occurrences>
                    <node_id>at0057</node_id>
                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                      <rm_attribute_name>items</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0058</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>126</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>3</lower>
                                <upper>3</upper>
                              </precision>
                              <units>l/s</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>ml/s</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>l/m</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0008</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>126</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>3</lower>
                                <upper>3</upper>
                              </precision>
                              <units>l/s</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>ml/s</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>l/min</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0122</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_PROPORTION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>numerator</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>REAL</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_REAL">
                                  <range>
                                    <lower_included>true</lower_included>
                                    <lower_unbounded>false</lower_unbounded>
                                    <upper_unbounded>true</upper_unbounded>
                                    <lower>0.0</lower>
                                  </range>
                                </item>
                              </children>
                            </attributes>
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>type</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>INTEGER</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_INTEGER">
                                  <list>2</list>
                                </item>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <cardinality>
                        <is_ordered>false</is_ordered>
                        <is_unique>false</is_unique>
                        <interval>
                          <lower_included>true</lower_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>true</upper_unbounded>
                          <lower>1</lower>
                        </interval>
                      </cardinality>
                    </attributes>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>name</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_CODED_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>defining_code</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_CODE_PHRASE">
                            <rm_type_name>CODE_PHRASE</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <terminology_id>
                              <value>local</value>
                            </terminology_id>
                            <code_list>at0152</code_list>
                            <code_list>at0205</code_list>
                            <code_list>at0072</code_list>
                            <code_list>at0073</code_list>
                            <code_list>at0074</code_list>
                            <code_list>at0075</code_list>
                            <code_list>at0177</code_list>
                            <code_list>at0178</code_list>
                            <code_list>at0179</code_list>
                            <code_list>at0186</code_list>
                            <code_list>at0187</code_list>
                            <code_list>at0188</code_list>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </occurrences>
                    <node_id>at0156</node_id>
                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                      <rm_attribute_name>items</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0165</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>125</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>cm[H2O]</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>0</upper>
                              </precision>
                              <units>mm[Hg]</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0166</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>125</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </precision>
                              <units>cm[H2O]</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>0.0</lower>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>0</upper>
                              </precision>
                              <units>mm[Hg]</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0167</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_PROPORTION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>numerator</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>REAL</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_REAL">
                                  <range>
                                    <lower_included>true</lower_included>
                                    <lower_unbounded>false</lower_unbounded>
                                    <upper_unbounded>true</upper_unbounded>
                                    <lower>0.0</lower>
                                  </range>
                                </item>
                              </children>
                            </attributes>
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>type</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>INTEGER</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_INTEGER">
                                  <list>2</list>
                                </item>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <cardinality>
                        <is_ordered>false</is_ordered>
                        <is_unique>false</is_unique>
                        <interval>
                          <lower_included>true</lower_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>true</upper_unbounded>
                          <lower>1</lower>
                        </interval>
                      </cardinality>
                    </attributes>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>name</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_CODED_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>defining_code</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_CODE_PHRASE">
                            <rm_type_name>CODE_PHRASE</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <terminology_id>
                              <value>local</value>
                            </terminology_id>
                            <code_list>at0170</code_list>
                            <code_list>at0181</code_list>
                            <code_list>at0182</code_list>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </occurrences>
                    <node_id>at0055</node_id>
                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                      <rm_attribute_name>items</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0056</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_PROPORTION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>numerator</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>REAL</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_REAL">
                                  <range>
                                    <lower_included>true</lower_included>
                                    <lower_unbounded>false</lower_unbounded>
                                    <upper_unbounded>true</upper_unbounded>
                                    <lower>0.0</lower>
                                  </range>
                                </item>
                              </children>
                            </attributes>
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>type</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>INTEGER</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_INTEGER">
                                  <list>2</list>
                                </item>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0018</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_PROPORTION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>numerator</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>REAL</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_REAL">
                                  <range>
                                    <lower_included>true</lower_included>
                                    <lower_unbounded>false</lower_unbounded>
                                    <upper_unbounded>true</upper_unbounded>
                                    <lower>0.0</lower>
                                  </range>
                                </item>
                              </children>
                            </attributes>
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>type</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_PRIMITIVE_OBJECT">
                                <rm_type_name>INTEGER</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <item xsi:type="C_INTEGER">
                                  <list>2</list>
                                </item>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <cardinality>
                        <is_ordered>false</is_ordered>
                        <is_unique>false</is_unique>
                        <interval>
                          <lower_included>true</lower_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>true</upper_unbounded>
                          <lower>1</lower>
                        </interval>
                      </cardinality>
                    </attributes>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>name</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_CODED_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>defining_code</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_CODE_PHRASE">
                            <rm_type_name>CODE_PHRASE</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <terminology_id>
                              <value>local</value>
                            </terminology_id>
                            <code_list>at0081</code_list>
                            <code_list>at0080</code_list>
                            <code_list>at0189</code_list>
                            <code_list>at0190</code_list>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0013</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_DURATION</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_PRIMITIVE_OBJECT">
                            <rm_type_name>DV_DURATION</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <item xsi:type="C_DURATION">
                              <pattern>PTS</pattern>
                              <range>
                                <lower_included>true</lower_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>true</upper_unbounded>
                                <lower>PT0S</lower>
                              </range>
                            </item>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="ARCHETYPE_SLOT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </occurrences>
                    <node_id>at0131</node_id>
                    <includes>
                      <string_expression>archetype_id/value matches {/openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1/}</string_expression>
                      <expression xsi:type="EXPR_BINARY_OPERATOR">
                        <type>Boolean</type>
                        <operator>2007</operator>
                        <precedence_overridden>false</precedence_overridden>
                        <left_operand xsi:type="EXPR_LEAF">
                          <type>String</type>
                          <item xsi:type="xsd:string">archetype_id/value</item>
                          <reference_type>attribute</reference_type>
                        </left_operand>
                        <right_operand xsi:type="EXPR_LEAF">
                          <type>C_STRING</type>
                          <item xsi:type="C_STRING">
                            <pattern>openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1</pattern>
                          </item>
                          <reference_type>constraint</reference_type>
                        </right_operand>
                      </expression>
                    </includes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0130</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0101</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                      </children>
                    </attributes>
                  </children>
                  <cardinality>
                    <is_ordered>false</is_ordered>
                    <is_unique>false</is_unique>
                    <interval>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </interval>
                  </cardinality>
                </attributes>
              </children>
            </attributes>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>state</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ITEM_TREE</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0031</node_id>
                <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                  <rm_attribute_name>items</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0115</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_CODED_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>defining_code</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_CODE_PHRASE">
                            <rm_type_name>CODE_PHRASE</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <terminology_id>
                              <value>local</value>
                            </terminology_id>
                            <code_list>at0116</code_list>
                            <code_list>at0117</code_list>
                            <code_list>at0118</code_list>
                            <code_list>at0119</code_list>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0098</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_TEXT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="ARCHETYPE_SLOT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0191</node_id>
                    <includes>
                      <string_expression>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/}</string_expression>
                      <expression xsi:type="EXPR_BINARY_OPERATOR">
                        <type>Boolean</type>
                        <operator>2007</operator>
                        <precedence_overridden>false</precedence_overridden>
                        <left_operand xsi:type="EXPR_LEAF">
                          <type>String</type>
                          <item xsi:type="xsd:string">archetype_id/value</item>
                          <reference_type>attribute</reference_type>
                        </left_operand>
                        <right_operand xsi:type="EXPR_LEAF">
                          <type>C_STRING</type>
                          <item xsi:type="C_STRING">
                            <pattern>openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.level_of_exertion(-[a-zA-Z0-9_]+)*\.v1</pattern>
                          </item>
                          <reference_type>constraint</reference_type>
                        </right_operand>
                      </expression>
                    </includes>
                  </children>
                  <children xsi:type="ARCHETYPE_SLOT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </occurrences>
                    <node_id>at0209</node_id>
                    <includes>
                      <string_expression>archetype_id/value matches {/openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v1/}</string_expression>
                      <expression xsi:type="EXPR_BINARY_OPERATOR">
                        <type>Boolean</type>
                        <operator>2007</operator>
                        <precedence_overridden>false</precedence_overridden>
                        <left_operand xsi:type="EXPR_LEAF">
                          <type>String</type>
                          <item xsi:type="xsd:string">archetype_id/value</item>
                          <reference_type>attribute</reference_type>
                        </left_operand>
                        <right_operand xsi:type="EXPR_LEAF">
                          <type>C_STRING</type>
                          <item xsi:type="C_STRING">
                            <pattern>openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.environmental_conditions(-[a-zA-Z0-9_]+)*\.v1</pattern>
                          </item>
                          <reference_type>constraint</reference_type>
                        </right_operand>
                      </expression>
                    </includes>
                  </children>
                  <cardinality>
                    <is_ordered>false</is_ordered>
                    <is_unique>false</is_unique>
                    <interval>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </interval>
                  </cardinality>
                </attributes>
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>1</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
      <rm_attribute_name>protocol</rm_attribute_name>
      <existence>
        <lower_included>true</lower_included>
        <upper_included>true</upper_included>
        <lower_unbounded>false</lower_unbounded>
        <upper_unbounded>false</upper_unbounded>
        <lower>0</lower>
        <upper>1</upper>
      </existence>
      <children xsi:type="C_COMPLEX_OBJECT">
        <rm_type_name>ITEM_TREE</rm_type_name>
        <occurrences>
          <lower_included>true</lower_included>
          <upper_included>true</upper_included>
          <lower_unbounded>false</lower_unbounded>
          <upper_unbounded>false</upper_unbounded>
          <lower>1</lower>
          <upper>1</upper>
        </occurrences>
        <node_id>at0029</node_id>
        <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
          <rm_attribute_name>items</rm_attribute_name>
          <existence>
            <lower_included>true</lower_included>
            <upper_included>true</upper_included>
            <lower_unbounded>false</lower_unbounded>
            <upper_unbounded>false</upper_unbounded>
            <lower>0</lower>
            <upper>1</upper>
          </existence>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0196</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0197</code_list>
                    <code_list>at0198</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0199</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0192</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0193</code_list>
                    <code_list>at0194</code_list>
                    <code_list>at0195</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="ARCHETYPE_SLOT">
            <rm_type_name>CLUSTER</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </occurrences>
            <node_id>at0030</node_id>
            <includes>
              <string_expression>archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}</string_expression>
              <expression xsi:type="EXPR_BINARY_OPERATOR">
                <type>Boolean</type>
                <operator>2007</operator>
                <precedence_overridden>false</precedence_overridden>
                <left_operand xsi:type="EXPR_LEAF">
                  <type>String</type>
                  <item xsi:type="xsd:string">archetype_id/value</item>
                  <reference_type>attribute</reference_type>
                </left_operand>
                <right_operand xsi:type="EXPR_LEAF">
                  <type>C_STRING</type>
                  <item xsi:type="C_STRING">
                    <pattern>openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1</pattern>
                  </item>
                  <reference_type>constraint</reference_type>
                </right_operand>
              </expression>
            </includes>
          </children>
          <children xsi:type="ARCHETYPE_SLOT">
            <rm_type_name>CLUSTER</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </occurrences>
            <node_id>at0185</node_id>
            <includes>
              <string_expression>archetype_id/value matches {/openEHR-EHR-CLUSTER\.knowledge_base_reference(-[a-zA-Z0-9_]+)*\.v1/}</string_expression>
              <expression xsi:type="EXPR_BINARY_OPERATOR">
                <type>Boolean</type>
                <operator>2007</operator>
                <precedence_overridden>false</precedence_overridden>
                <left_operand xsi:type="EXPR_LEAF">
                  <type>String</type>
                  <item xsi:type="xsd:string">archetype_id/value</item>
                  <reference_type>attribute</reference_type>
                </left_operand>
                <right_operand xsi:type="EXPR_LEAF">
                  <type>C_STRING</type>
                  <item xsi:type="C_STRING">
                    <pattern>openEHR-EHR-CLUSTER\.knowledge_base_reference(-[a-zA-Z0-9_]+)*\.v1</pattern>
                  </item>
                  <reference_type>constraint</reference_type>
                </right_operand>
              </expression>
            </includes>
          </children>
          <children xsi:type="ARCHETYPE_SLOT">
            <rm_type_name>CLUSTER</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </occurrences>
            <node_id>at0132</node_id>
            <includes>
              <string_expression>archetype_id/value matches {/.*/}</string_expression>
              <expression xsi:type="EXPR_BINARY_OPERATOR">
                <type>Boolean</type>
                <operator>2007</operator>
                <precedence_overridden>false</precedence_overridden>
                <left_operand xsi:type="EXPR_LEAF">
                  <type>String</type>
                  <item xsi:type="xsd:string">archetype_id/value</item>
                  <reference_type>attribute</reference_type>
                </left_operand>
                <right_operand xsi:type="EXPR_LEAF">
                  <type>C_STRING</type>
                  <item xsi:type="C_STRING">
                    <pattern>.*</pattern>
                  </item>
                  <reference_type>constraint</reference_type>
                </right_operand>
              </expression>
            </includes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
  </definition>
  <ontology>
    <term_definitions language="en">
      <items code="at0000">
        <items id="text">Spirometry result</items>
        <items id="description">Pulmonary function test results using a spirometer or peak flow meter.</items>
      </items>
      <items code="at0001">
        <items id="text">Event Series</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Any event</items>
        <items id="description">Default, unspecified point in time or interval which may be explicitly defined in a template or at run-time.</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0008">
        <items id="text">Predicted result</items>
        <items id="description">Predicted flow rate.</items>
      </items>
      <items code="at0013">
        <items id="text">Forced expiratory time (FET)</items>
        <items id="description">The time taken to complete a forced expiration.</items>
      </items>
      <items code="at0018">
        <items id="text">Predicted result</items>
        <items id="description">Predicted ratio.</items>
      </items>
      <items code="at0029">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0030">
        <items id="text">Device</items>
        <items id="description">Details of the device used to measure spirometry.</items>
      </items>
      <items code="at0031">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0044">
        <items id="text">Measured/predicted ratio</items>
        <items id="description">The ratio of the measured to predicted test results.</items>
      </items>
      <items code="at0052">
        <items id="text">Volume</items>
        <items id="description">Test result represented as a measured volume or calculated capacity.</items>
        <items id="comment">Each test result is recorded using a separate instance of this cluster.</items>
      </items>
      <items code="at0053">
        <items id="text">Result</items>
        <items id="description">Measured volume.</items>
      </items>
      <items code="at0054">
        <items id="text">Predicted result</items>
        <items id="description">Predicted volume.</items>
      </items>
      <items code="at0055">
        <items id="text">Ratio</items>
        <items id="description">A calculated test result expressed as a ratio.</items>
        <items id="comment">Each ratio is recorded using a separate instance of this cluster.</items>
      </items>
      <items code="at0056">
        <items id="text">Result</items>
        <items id="description">Calculated ratio.</items>
      </items>
      <items code="at0057">
        <items id="text">Flow rate</items>
        <items id="description">Test result represented as a measured flow rate.</items>
        <items id="comment">Each test result is recorded using a separate instance of this cluster.</items>
      </items>
      <items code="at0058">
        <items id="text">Result</items>
        <items id="description">Measured flow rate.</items>
      </items>
      <items code="at0064">
        <items id="text">SVC</items>
        <items id="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.</items>
      </items>
      <items code="at0065">
        <items id="text">FVC</items>
        <items id="description">Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration.</items>
      </items>
      <items code="at0067">
        <items id="text">FEV1</items>
        <items id="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.</items>
      </items>
      <items code="at0068">
        <items id="text">FEV3</items>
        <items id="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.</items>
      </items>
      <items code="at0069">
        <items id="text">FEV6</items>
        <items id="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.</items>
      </items>
      <items code="at0070">
        <items id="text">FEV0.75</items>
        <items id="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.</items>
      </items>
      <items code="at0072">
        <items id="text">FEF25-75%</items>
        <items id="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).</items>
      </items>
      <items code="at0073">
        <items id="text">FEF25-50%</items>
        <items id="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).</items>
      </items>
      <items code="at0074">
        <items id="text">FIF25-75%</items>
        <items id="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).</items>
      </items>
      <items code="at0075">
        <items id="text">FIF25-50%</items>
        <items id="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).</items>
      </items>
      <items code="at0076">
        <items id="text">IC</items>
        <items id="description">Inspiratory capacity (IC) is the maximal volume of air that can be inhaled after exhalation of normal tidal volume. Equal to TV + IRV.</items>
      </items>
      <items code="at0077">
        <items id="text">ERV</items>
        <items id="description">Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume.</items>
      </items>
      <items code="at0078">
        <items id="text">IRV</items>
        <items id="description">Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume.</items>
      </items>
      <items code="at0080">
        <items id="text">FEV1/SVC ratio</items>
        <items id="description">The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'.</items>
      </items>
      <items code="at0081">
        <items id="text">FEV1/FVC ratio</items>
        <items id="description">The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced vital capacity (FVC)'. Also known as FEV1%FVC or FEV1%F.</items>
      </items>
      <items code="at0082">
        <items id="text">TV</items>
        <items id="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.</items>
      </items>
      <items code="at0098">
        <items id="text">Confounding factors</items>
        <items id="description">Record any issues or factors that may impact on the spirometry test.</items>
        <items id="comment">For example: known COPD.</items>
      </items>
      <items code="at0101">
        <items id="text">Comment</items>
        <items id="description">Additional narrative about the test results and intepretation not captured in other fields.</items>
      </items>
      <items code="at0115">
        <items id="text">Position</items>
        <items id="description">The body position of the individual at the time of measurement.</items>
      </items>
      <items code="at0116">
        <items id="text">Standing</items>
        <items id="description">Standing at the time of measurement.</items>
      </items>
      <items code="at0117">
        <items id="text">Sitting</items>
        <items id="description">Sitting (for example on a bed or chair) at the time of measurement.</items>
      </items>
      <items code="at0118">
        <items id="text">Reclining</items>
        <items id="description">Reclining at the time of measurement.</items>
      </items>
      <items code="at0119">
        <items id="text">Lying</items>
        <items id="description">Lying flat at the time of measurement.</items>
      </items>
      <items code="at0122">
        <items id="text">Measured/predicted ratio</items>
        <items id="description">The ratio of measured to predicted test results.</items>
      </items>
      <items code="at0130">
        <items id="text">Clinical interpretation</items>
        <items id="description">Overall clinical interpretation about all of the measurements and calculated ratios.</items>
      </items>
      <items code="at0131">
        <items id="text">Multimedia representation</items>
        <items id="description">Digital representation of the test results.</items>
        <items id="comment">For example: Flow volume loop; or volume-time tracing.</items>
      </items>
      <items code="at0132">
        <items id="text">Extension</items>
        <items id="description">Additional information required to capture local content or to align with other reference models/formalisms.</items>
        <items id="comment">For example: local information requirements or additional metadata to align with FHIR equivalents.</items>
      </items>
      <items code="at0145">
        <items id="text">FEV0.5</items>
        <items id="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.</items>
      </items>
      <items code="at0146">
        <items id="text">FEV2</items>
        <items id="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.</items>
      </items>
      <items code="at0152">
        <items id="text">PEFR</items>
        <items id="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).</items>
      </items>
      <items code="at0156">
        <items id="text">Pressure</items>
        <items id="description">Test result represented as a measured pressure.</items>
        <items id="comment">Each test result is recorded using a separate instance of this cluster.</items>
      </items>
      <items code="at0165">
        <items id="text">Result</items>
        <items id="description">Measured pressure.</items>
      </items>
      <items code="at0166">
        <items id="text">Predicted result</items>
        <items id="description">Predicted pressure.</items>
      </items>
      <items code="at0167">
        <items id="text">Measured/predicted ratio</items>
        <items id="description">The ratio of measured to predicted test results.</items>
      </items>
      <items code="at0170">
        <items id="text">MEP</items>
        <items id="description">Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver.</items>
      </items>
      <items code="at0171">
        <items id="text">FIV1</items>
        <items id="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.</items>
      </items>
      <items code="at0172">
        <items id="text">FIVC</items>
        <items id="description">Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration.</items>
      </items>
      <items code="at0174">
        <items id="text">IVC</items>
        <items id="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.</items>
      </items>
      <items code="at0176">
        <items id="text">MVV</items>
        <items id="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.</items>
      </items>
      <items code="at0177">
        <items id="text">FEF25%</items>
        <items id="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%).</items>
      </items>
      <items code="at0178">
        <items id="text">FEF50%</items>
        <items id="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%).</items>
      </items>
      <items code="at0179">
        <items id="text">FEF75%</items>
        <items id="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%).</items>
      </items>
      <items code="at0181">
        <items id="text">MIP</items>
        <items id="description">Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver.</items>
      </items>
      <items code="at0182">
        <items id="text">SNIP</items>
        <items id="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.</items>
      </items>
      <items code="at0185">
        <items id="text">Predicted results source</items>
        <items id="description">The knowledge base used for the predicted results.</items>
        <items id="comment">For example: GLI 2012.</items>
      </items>
      <items code="at0186">
        <items id="text">FIF25%</items>
        <items id="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%).</items>
      </items>
      <items code="at0187">
        <items id="text">FIF50%</items>
        <items id="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%).</items>
      </items>
      <items code="at0188">
        <items id="text">FIF75%</items>
        <items id="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%).</items>
      </items>
      <items code="at0189">
        <items id="text">FEV1/FEV6 ratio</items>
        <items id="description">The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'.</items>
      </items>
      <items code="at0190">
        <items id="text">FEV1/IVC ratio</items>
        <items id="description">The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'.</items>
      </items>
      <items code="at0191">
        <items id="text">Level of exertion</items>
        <items id="description">Details about physical activity undertaken at the time of spirometry recording.</items>
      </items>
      <items code="at0192">
        <items id="text">Challenge/reversibility</items>
        <items id="description">Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test.</items>
        <items id="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.</items>
      </items>
      <items code="at0193">
        <items id="text">None</items>
        <items id="description">The spirometry test was performed neither as a reversibility test nor a bronchial challenge test.</items>
      </items>
      <items code="at0194">
        <items id="text">Bronchial challenge test</items>
        <items id="description">The spirometry test was performed as a bronchial challenge test.</items>
      </items>
      <items code="at0195">
        <items id="text">Reversibility test</items>
        <items id="description">The spirometry test was performed as a reversibility test.</items>
      </items>
      <items code="at0196">
        <items id="text">Type of measurement</items>
        <items id="description">Type of measurement of spirometry.</items>
        <items id="comment">This is particularly relevant for PEFR and PIFR tests.</items>
      </items>
      <items code="at0197">
        <items id="text">Mechanical</items>
        <items id="description">Measurement using a purely mechanical device.</items>
      </items>
      <items code="at0198">
        <items id="text">Electronic</items>
        <items id="description">Measurement using an electronic device.</items>
      </items>
      <items code="at0199">
        <items id="text">Method</items>
        <items id="description">Method used to perform the test.</items>
        <items id="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.</items>
      </items>
      <items code="at0205">
        <items id="text">PIFR</items>
        <items id="description">Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver.</items>
      </items>
      <items code="at0209">
        <items id="text">Environmental conditions</items>
        <items id="description">Details about environmental conditions undertaken at the time of spirometry recording.</items>
      </items>
    </term_definitions>
    <term_definitions language="sl">
      <items code="at0000">
        <items id="text">*Spirometry (en)</items>
        <items id="description">*Pulmonary function test results using a spirometer or peak flow meter. (en)</items>
      </items>
      <items code="at0001">
        <items id="text">*Event Series(en)</items>
        <items id="description">*@ internal @(en)</items>
      </items>
      <items code="at0002">
        <items id="text">*Any event(en)</items>
        <items id="description">*Any event.(en)</items>
      </items>
      <items code="at0003">
        <items id="text">*Tree(en)</items>
        <items id="description">*@ internal @(en)</items>
      </items>
      <items code="at0008">
        <items id="text">*Predicted result(en)</items>
        <items id="description">*Predicted flow rate.(en)</items>
      </items>
      <items code="at0013">
        <items id="text">*Forced Expiratory Time (FET)(en)</items>
        <items id="description">*The time taken to complete a forced expiration. (en)</items>
      </items>
      <items code="at0018">
        <items id="text">*Predicted result(en)</items>
        <items id="description">*Predicted ratio.(en)</items>
      </items>
      <items code="at0029">
        <items id="text">*Tree(en)</items>
        <items id="description">*@ internal @(en)</items>
      </items>
      <items code="at0030">
        <items id="text">*Device(en)</items>
        <items id="description">*Details of the device used to measure spirometry. (en)</items>
      </items>
      <items code="at0031">
        <items id="text">*Tree(en)</items>
        <items id="description">*@ internal @(en)</items>
      </items>
      <items code="at0044">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">*The ratio of the measured to predicted test results.(en)</items>
      </items>
      <items code="at0052">
        <items id="text">*Volume (en)</items>
        <items id="description">*Test result represented as a measured volume or calculated capacity.  (en)</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0053">
        <items id="text">*Result(en)</items>
        <items id="description">*Measured volume.(en)</items>
      </items>
      <items code="at0054">
        <items id="text">*Predicted result(en)</items>
        <items id="description">*Predicted volume.(en)</items>
      </items>
      <items code="at0055">
        <items id="text">*Ratio (en)</items>
        <items id="description">*A calculated test result expressed as a ratio. (en)</items>
        <items id="comment">*Each ratio is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0056">
        <items id="text">*Result(en)</items>
        <items id="description">*Calculated ratio.(en)</items>
      </items>
      <items code="at0057">
        <items id="text">*Flow rate (en)</items>
        <items id="description">*Test result represented as a measured flow rate. (en)</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0058">
        <items id="text">*Result(en)</items>
        <items id="description">*Measured flow rate.(en)</items>
      </items>
      <items code="at0064">
        <items id="text">*SVC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0065">
        <items id="text">*FVC (en)</items>
        <items id="description">*Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration. (en)</items>
      </items>
      <items code="at0067">
        <items id="text">*FEV1(en)</items>
        <items id="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)</items>
      </items>
      <items code="at0068">
        <items id="text">*FEV3(en)</items>
        <items id="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)</items>
      </items>
      <items code="at0069">
        <items id="text">*FEV6(en)</items>
        <items id="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)</items>
      </items>
      <items code="at0070">
        <items id="text">*FEV0.75 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0072">
        <items id="text">*FEF25-75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0073">
        <items id="text">*FEF25-50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0074">
        <items id="text">*FIF25-75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0075">
        <items id="text">*FIF25-50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0077">
        <items id="text">*ERV (en)</items>
        <items id="description">*Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume. (en)</items>
      </items>
      <items code="at0080">
        <items id="text">*FEV1/SVC ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'. (en)</items>
      </items>
      <items code="at0081">
        <items id="text">*FEV1/FVC ratio (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0082">
        <items id="text">*TV (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0098">
        <items id="text">*Confounding factors(en)</items>
        <items id="description">*Record any issues or factors that may impact on the spirometry test. (en)</items>
        <items id="comment">*For example: known COPD. (en)</items>
      </items>
      <items code="at0101">
        <items id="text">*Comment(en)</items>
        <items id="description">*Additional narrative about the test results and intepretation not captured in other fields.(en)</items>
      </items>
      <items code="at0115">
        <items id="text">*Position(en)</items>
        <items id="description">*The body position of the individual at the time of measurement. (en)</items>
      </items>
      <items code="at0116">
        <items id="text">*Standing(en)</items>
        <items id="description">*Standing at the time of measurement.(en)</items>
      </items>
      <items code="at0117">
        <items id="text">*Sitting(en)</items>
        <items id="description">*Sitting (for example on a bed or chair) at the time of measurement.(en)</items>
      </items>
      <items code="at0118">
        <items id="text">*Reclining(en)</items>
        <items id="description">*Reclining at the time of measurement.(en)</items>
      </items>
      <items code="at0119">
        <items id="text">*Lying(en)</items>
        <items id="description">*Lying flat at the time of measurement.(en)</items>
      </items>
      <items code="at0122">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">*The ratio of measured to predicted test results. (en)</items>
      </items>
      <items code="at0130">
        <items id="text">*Clinical interpretation (en)</items>
        <items id="description">*Overall clinical interpretation about all of the measurements and calculated ratios. (en)</items>
      </items>
      <items code="at0131">
        <items id="text">*Multimedia representation (en)</items>
        <items id="description">*Digital representation of the test results. (en)</items>
        <items id="comment">*For example: Flow volume loop; or volume-time tracing. (en)</items>
      </items>
      <items code="at0132">
        <items id="text">*Cluster(en)</items>
        <items id="description">**(en)</items>
      </items>
      <items code="at0145">
        <items id="text">*FEV0.5 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0146">
        <items id="text">*FEV2(en)</items>
        <items id="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)</items>
      </items>
      <items code="at0152">
        <items id="text">*PEFR (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0078">
        <items id="text">*IRV (en)</items>
        <items id="description">*Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume. (en)</items>
      </items>
      <items code="at0156">
        <items id="text">*Pressure (en)</items>
        <items id="description">*Test result represented as a measured pressure. (en)</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0165">
        <items id="text">*Result(en)</items>
        <items id="description">*Measured pressure. (en)</items>
      </items>
      <items code="at0166">
        <items id="text">*Predicted result(en)</items>
        <items id="description">*Predicted pressure. (en)</items>
      </items>
      <items code="at0167">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">*The ratio of measured to predicted test results. (en)</items>
      </items>
      <items code="at0170">
        <items id="text">*MEP (en)</items>
        <items id="description">*Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver. (en)</items>
      </items>
      <items code="at0171">
        <items id="text">*FIV1 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0172">
        <items id="text">*FIVC (en)</items>
        <items id="description">*Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration. (en)</items>
      </items>
      <items code="at0076">
        <items id="text">*IC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0174">
        <items id="text">*IVC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0176">
        <items id="text">*MVV (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0177">
        <items id="text">*FEF25% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0178">
        <items id="text">*FEF50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0179">
        <items id="text">*FEF75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0181">
        <items id="text">*MIP (en)</items>
        <items id="description">*Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver. (en)</items>
      </items>
      <items code="at0182">
        <items id="text">*SNIP (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0185">
        <items id="text">*Predicted results source (en)</items>
        <items id="description">*The knowledge base used for the predicted results. (en)</items>
        <items id="comment">*For example: GLI 2012. (en)</items>
      </items>
      <items code="at0186">
        <items id="text">*FIF25% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0187">
        <items id="text">*FIF50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0188">
        <items id="text">*FIF75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0189">
        <items id="text">*FEV1/FEV6 ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'. (en)</items>
      </items>
      <items code="at0190">
        <items id="text">*FEV1/IVC ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'. (en)</items>
      </items>
      <items code="at0191">
        <items id="text">*Level of exertion (en)</items>
        <items id="description">*Details about physical activity undertaken at the time of spirometry recording. (en)</items>
      </items>
      <items code="at0192">
        <items id="text">*Challenge/reversibility (en)</items>
        <items id="description">*Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test. (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0193">
        <items id="text">*None (en)</items>
        <items id="description">*The spirometry test was performed neither as a reversibility test nor a bronchial challenge test. (en)</items>
      </items>
      <items code="at0194">
        <items id="text">*Bronchial challenge test (en)</items>
        <items id="description">*The spirometry test was performed as a bronchial challenge test. (en)</items>
      </items>
      <items code="at0195">
        <items id="text">*Reversibility test (en)</items>
        <items id="description">*The spirometry test was performed as a reversibility test. (en)</items>
      </items>
      <items code="at0196">
        <items id="text">*Type of measurement (en)</items>
        <items id="description">*Type of measurement of spirometry. (en)</items>
        <items id="comment">*This is particularly relevant for PEFR and PIFR tests. (en)</items>
      </items>
      <items code="at0197">
        <items id="text">*Mechanical (en)</items>
        <items id="description">*Measurement using a purely mechanical device. (en)</items>
      </items>
      <items code="at0198">
        <items id="text">*Electronic (en)</items>
        <items id="description">*Measurement using an electronic device. (en)</items>
      </items>
      <items code="at0199">
        <items id="text">*Method (en)</items>
        <items id="description">*Method used to perform the test. (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0205">
        <items id="text">*PIFR (en)</items>
        <items id="description">*Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver. (en)</items>
      </items>
      <items code="at0209">
        <items id="text">*Environmental conditions (en)</items>
        <items id="description">*Details about environmental conditions undertaken at the time of spirometry recording. (en)</items>
      </items>
    </term_definitions>
    <term_definitions language="nb">
      <items code="at0000">
        <items id="text">Spirometriresultat</items>
        <items id="description">Lungefunksjonstest ved bruk av et spirometer eller en PEF-måler.</items>
      </items>
      <items code="at0001">
        <items id="text">Event Series</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Uspesifisert hendelse</items>
        <items id="description">Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0008">
        <items id="text">Forventet resultat</items>
        <items id="description">Forventet luftstrømshastighet.</items>
      </items>
      <items code="at0013">
        <items id="text">Forsert ekspiratorisk tid (FET)</items>
        <items id="description">Tiden det tar å fullføre en forsert ekspirasjon.</items>
      </items>
      <items code="at0018">
        <items id="text">Forventet resultat</items>
        <items id="description">Forventet ratio.</items>
      </items>
      <items code="at0029">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0030">
        <items id="text">Måleapparat</items>
        <items id="description">Detaljer om måleapparatet brukt til å utføre måling av lungefunksjon.</items>
      </items>
      <items code="at0031">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0044">
        <items id="text">Målt/forventet ratio</items>
        <items id="description">Ratio mellom målt og forventet testresultat.</items>
      </items>
      <items code="at0052">
        <items id="text">Volum</items>
        <items id="description">Undersøkelsesresultat representert som et målt volum eller kalkulert kapasitet.</items>
        <items id="comment">Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet</items>
      </items>
      <items code="at0053">
        <items id="text">Resultat</items>
        <items id="description">Målt volum.</items>
      </items>
      <items code="at0054">
        <items id="text">Forventet resultat</items>
        <items id="description">Forventet volum.</items>
      </items>
      <items code="at0055">
        <items id="text">Ratio</items>
        <items id="description">Kalkulert undersøkelsesresultat uttrykt som ratio.</items>
        <items id="comment">Hver ratio er dokumentert ved bruk av separate instanser av dette CLUSTERet</items>
      </items>
      <items code="at0056">
        <items id="text">Resultat</items>
        <items id="description">Kalkulert ratio.</items>
      </items>
      <items code="at0057">
        <items id="text">Luftstrømshastighet</items>
        <items id="description">Testresultat representert som en målt luftstrømshastighet.</items>
        <items id="comment">Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet</items>
      </items>
      <items code="at0058">
        <items id="text">Resultat</items>
        <items id="description">Målt luftstrømshastighet.</items>
      </items>
      <items code="at0064">
        <items id="text">SVC</items>
        <items id="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.</items>
      </items>
      <items code="at0065">
        <items id="text">FVC</items>
        <items id="description">Forsert vitalkapasitet (FVC) er det maksimale volumet med luft som kan utåndes ved forsert ekspirasjon etter en maksimal inspirasjon.</items>
      </items>
      <items code="at0067">
        <items id="text">FEV1</items>
        <items id="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.</items>
      </items>
      <items code="at0068">
        <items id="text">FEV3</items>
        <items id="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.</items>
      </items>
      <items code="at0069">
        <items id="text">FEV6</items>
        <items id="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.</items>
      </items>
      <items code="at0070">
        <items id="text">FEV0.75</items>
        <items id="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.</items>
      </items>
      <items code="at0072">
        <items id="text">FEF25-75%</items>
        <items id="description">Forsert ekspiratorisk luftstrømshastighet 25-75 % (FEF25-75%) er gjennomsnittlig forsert ekspiratorisk luftstrømshastighet målt under 25-75 % av volumet av forsert vitalkapasitet (FVC).</items>
      </items>
      <items code="at0073">
        <items id="text">FEF25-50%</items>
        <items id="description">Forsert ekspiratorisk luftstrømshastighet 25-50 % (FEF25-50%) er gjennomsnittlig forsert ekspiratorisk luftstrømshastighet målt under 25-50 % av volumet av forsert vitalkapasitet (FVC).</items>
      </items>
      <items code="at0074">
        <items id="text">FIF25-75%</items>
        <items id="description">Forsert inspiratorisk luftstrømshastighet 25-75 % (FIF25-75%) er gjennomsnittlig forsert inspiratorisk luftstrømshastighet målt under 25-75 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC).</items>
      </items>
      <items code="at0075">
        <items id="text">FIF25-50%</items>
        <items id="description">Forsert inspiratorisk luftstrømshastighet 25-50 % (FIF25-50%) er gjennomsnittlig forsert inspiratorisk luftstrømshastighet målt under 25-50 % av volumet av forsert inspiratorisk vitalkapasitet (FIVC).</items>
      </items>
      <items code="at0076">
        <items id="text">IC</items>
        <items id="description">Inspiratorisk kapasitet (IC) er det maksimale volumet luft som kan innåndes etter ekspirasjon av normalt tidalvolum. IC er tilsvarende TV + IRV.</items>
      </items>
      <items code="at0077">
        <items id="text">ERV</items>
        <items id="description">Ekspiratorisk reservevolum (ERV) er det maksimale volumet luft som forsert kan utåndes etter ekspirasjon av normalt tidalvolum.</items>
      </items>
      <items code="at0078">
        <items id="text">IRV</items>
        <items id="description">Inspiratorisk reservevolum (IRV) er det maksimale volumet luft som forsert kan innåndes etter inspirasjon av normalt tidalvolum.</items>
      </items>
      <items code="at0080">
        <items id="text">FEV1/SVC ratio</items>
        <items id="description">Ratioen mellom FEV1 og SVC.</items>
      </items>
      <items code="at0081">
        <items id="text">FEV1/FVC ratio</items>
        <items id="description">Ratioen mellom FEV1 og FVC. Også kjent som FEV1%FVC eller FEV1%F.</items>
      </items>
      <items code="at0082">
        <items id="text">TV</items>
        <items id="description">Tidalvolum (TV) er det normale volumet av luft som kan innåndes og utåndes under en åndedrettssyklus, uten ytterligere anstrengelse. Også kjent som Vᴛ.</items>
      </items>
      <items code="at0098">
        <items id="text">Konfunderende faktorer</items>
        <items id="description">Forhold eller omstendigheter som kan ha betydning for undersøkelsene.</items>
        <items id="comment">For eksempel: kjent KOLS.</items>
      </items>
      <items code="at0101">
        <items id="text">Kommentar</items>
        <items id="description">Ytterligere fritekst om undersøkelsesresultatet og tolkningen som ikke er fanget i andre felt.</items>
      </items>
      <items code="at0115">
        <items id="text">Stilling</items>
        <items id="description">Individets posisjon ved tidspunktet for målingen.</items>
      </items>
      <items code="at0116">
        <items id="text">Stående</items>
        <items id="description">Stående ved tidspunktet for målingen.</items>
      </items>
      <items code="at0117">
        <items id="text">Sittende</items>
        <items id="description">Sittende (for eksempel på en stol eller på en seng) på tidspunkt for målingen.</items>
      </items>
      <items code="at0118">
        <items id="text">Tilbakelent</items>
        <items id="description">Sittende tilbakelent på tidspunkt for målingen.</items>
      </items>
      <items code="at0119">
        <items id="text">Liggende</items>
        <items id="description">Liggende flatt på tidspunkt for målingen.</items>
      </items>
      <items code="at0122">
        <items id="text">Målt/forventet ratio</items>
        <items id="description">Ratio mellom målt og forventet testresultat.</items>
      </items>
      <items code="at0130">
        <items id="text">Klinisk tolkning</items>
        <items id="description">Overordnet klinisk tolkning av målinger og kalkulerte ratioer.</items>
      </items>
      <items code="at0131">
        <items id="text">Multimediarepresentasjon</items>
        <items id="description">Bilde eller annet medium brukt for å understøtte undersøkelsesresultatet.</items>
        <items id="comment">For eksempel: Strømningsvolumsløyfe; eller volumtid tegning.</items>
      </items>
      <items code="at0132">
        <items id="text">Tilleggsinformasjon</items>
        <items id="description">Ytterligere informasjon som er nødvendig for å registrere lokalt innhold/kontekst, eller for å sammenstille med andre referansemodeller/formalismer.</items>
        <items id="comment">For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.</items>
      </items>
      <items code="at0145">
        <items id="text">FEV0.5</items>
        <items id="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.</items>
      </items>
      <items code="at0146">
        <items id="text">FEV2</items>
        <items id="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.</items>
      </items>
      <items code="at0152">
        <items id="text">PEF</items>
        <items id="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).</items>
      </items>
      <items code="at0156">
        <items id="text">Trykk</items>
        <items id="description">Testresultat representert som et målt trykk.</items>
        <items id="comment">Hvert testresultat er dokumentert ved bruk av separate instanser av dette CLUSTERet</items>
      </items>
      <items code="at0165">
        <items id="text">Resultat</items>
        <items id="description">Målt trykk.</items>
      </items>
      <items code="at0166">
        <items id="text">Forventet resultat</items>
        <items id="description">Forventet trykk.</items>
      </items>
      <items code="at0167">
        <items id="text">Målt/forventet ratio</items>
        <items id="description">Ratio mellom målt og forventet testresultat.</items>
      </items>
      <items code="at0170">
        <items id="text">MEP</items>
        <items id="description">Maksimalt ekspiratorisk trykk (MEP) er det maksimale ekspiratoriske trykket under en forsert vitalkapasitet-manøver (FVC).</items>
      </items>
      <items code="at0171">
        <items id="text">FIV1</items>
        <items id="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.</items>
      </items>
      <items code="at0172">
        <items id="text">FIVC</items>
        <items id="description">Forsert inspiratorisk vitalkapasitet (FIVC) er det maksimale volumet med luft som kan innåndes ved forsert inspirasjon etter en maksimal ekspirasjon.</items>
      </items>
      <items code="at0174">
        <items id="text">IVC</items>
        <items id="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.</items>
      </items>
      <items code="at0176">
        <items id="text">MVV</items>
        <items id="description">Maksimal voluntær ventilasjon (MVV) er det maksimale volumet luft som individet kan puste under en tidsperiode spesifisert av en intervallhendelse.</items>
      </items>
      <items code="at0177">
        <items id="text">FEF25%</items>
        <items id="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%).</items>
      </items>
      <items code="at0178">
        <items id="text">FEF50%</items>
        <items id="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%).</items>
      </items>
      <items code="at0179">
        <items id="text">FEF75%</items>
        <items id="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%).</items>
      </items>
      <items code="at0181">
        <items id="text">MIP</items>
        <items id="description">Maksimalt inspiratorisk trykk (MIP) er det maksimale inspiratoriske trykket under en forsert inspiratorisk vitalkapasitet-manøver (FIVC).</items>
      </items>
      <items code="at0182">
        <items id="text">SNIP</items>
        <items id="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.</items>
      </items>
      <items code="at0185">
        <items id="text">Kilden til forventede resultater</items>
        <items id="description">Kilden for de forventede resultatene.</items>
        <items id="comment">For eksempel: GLI 2012.</items>
      </items>
      <items code="at0186">
        <items id="text">FIF25%</items>
        <items id="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%).</items>
      </items>
      <items code="at0187">
        <items id="text">FIF50%</items>
        <items id="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%).</items>
      </items>
      <items code="at0188">
        <items id="text">FIF75%</items>
        <items id="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%).</items>
      </items>
      <items code="at0189">
        <items id="text">FEV1/FEV6 ratio</items>
        <items id="description">Ratioen mellom FEV1 og FEV6.</items>
      </items>
      <items code="at0190">
        <items id="text">FEV1/IVC ratio</items>
        <items id="description">Ratioen mellom FEV1 og IVC.</items>
      </items>
      <items code="at0191">
        <items id="text">Fysisk anstrengelse</items>
        <items id="description">Detaljer om fysisk aktivitet på tidspunkt for spirometriundersøkelsen.</items>
      </items>
      <items code="at0192">
        <items id="text">Provokasjon/reversibilitet</items>
        <items id="description">Utsagn om spirometriundersøkelsen var utført som en reversibilitetstest eller en bronkial provokasjonstest.</items>
        <items id="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.</items>
      </items>
      <items code="at0193">
        <items id="text">Ingen</items>
        <items id="description">Spirometriundersøkelsen var hverken utført som en reversibilitetstest eller en bronkial provokasjonstest.</items>
      </items>
      <items code="at0194">
        <items id="text">Bronkial provokasjonstest</items>
        <items id="description">Spirometriundersøkelsen var utført som en bronkial provokasjonstest.</items>
      </items>
      <items code="at0195">
        <items id="text">Reversibilitetstest</items>
        <items id="description">Spirometriundersøkelsen var utført som en reversibilitetstest.</items>
      </items>
      <items code="at0196">
        <items id="text">Målingstype</items>
        <items id="description">Type spirometrimåling.</items>
        <items id="comment">Dette er særlig relevant for PEFR- og PIFR-målinger.</items>
      </items>
      <items code="at0197">
        <items id="text">Mekanisk</items>
        <items id="description">Måling utført utelukkende ved bruk av mekanisk instrument.</items>
      </items>
      <items code="at0198">
        <items id="text">Elektronisk</items>
        <items id="description">Måling utført utelukkende ved bruk av elektronisk instrument.</items>
      </items>
      <items code="at0199">
        <items id="text">Metode</items>
        <items id="description">Metode brukt for å utføre testen.</items>
        <items id="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.</items>
      </items>
      <items code="at0205">
        <items id="text">PIF</items>
        <items id="description">Maksimal inspiratorisk luftstrømshastighet (PIF) er den høyeste inspiratoriske luftstrømshastigheten oppnådd under en forsert inspiratorisk vitalkapasitet-manøver (FIVC).</items>
      </items>
      <items code="at0209">
        <items id="text">Omgivelsesforhold</items>
        <items id="description">Detaljer om luftforhold i omgivelsene under spirometriundersøkelsen.</items>
      </items>
    </term_definitions>
    <term_definitions language="fi">
      <items code="at0000">
        <items id="text">*Spirometry (en)</items>
        <items id="description">*Pulmonary function test results using a spirometer or peak flow meter. (en)</items>
      </items>
      <items code="at0001">
        <items id="text">Tapahtumasarja</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Mikä tahansa tapahtuma</items>
        <items id="description">Oletusarvoinen, määrittämätön ajanhetki tai ajanjakso, joka voi olla määritetty tarkasti jossakin mallissa tai suorituksen aikana.</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0008">
        <items id="text">Ennustettu tulos</items>
        <items id="description">Ennustettu keuhkojen virtausnopeustulos.</items>
      </items>
      <items code="at0013">
        <items id="text">Ulospuhallusaika (FET)</items>
        <items id="description">Ulospuhalluksen loppuun saattamiseen kulunut aika.</items>
      </items>
      <items code="at0018">
        <items id="text">Ennustettu tulos</items>
        <items id="description">Ennustettu keuhkotestin suhdetulos.</items>
      </items>
      <items code="at0029">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0030">
        <items id="text">Laite</items>
        <items id="description">*Details of the device used to measure spirometry. (en)</items>
      </items>
      <items code="at0031">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0044">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">Mitatun ja ennustetun testituloksen suhde.</items>
      </items>
      <items code="at0052">
        <items id="text">Keuhkojen tilavuus</items>
        <items id="description">*Test result represented as a measured volume or calculated capacity.  (en)</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0053">
        <items id="text">Mitattu tulos</items>
        <items id="description">Mitattu keuhkojen tilavuustestin tulos.</items>
      </items>
      <items code="at0054">
        <items id="text">Ennustettu tulos</items>
        <items id="description">Ennustettu keuhkojen tilavuustestin tulos.</items>
      </items>
      <items code="at0055">
        <items id="text">Keuhkojen virtausnopeuden suhde tilavuuteen</items>
        <items id="description">Keuhkojen virtausnopeuden suhde tilavuuteen suhdelukuna ilmaistuna.</items>
        <items id="comment">*Each ratio is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0056">
        <items id="text">Mitattu tulos</items>
        <items id="description">Mitattu keuhkojen virtausnopeuden suhde tilavuuteen.</items>
      </items>
      <items code="at0057">
        <items id="text">Keuhkojen virtausnopeus</items>
        <items id="description">Keuhkofunktiokoe, jonka tuloksena saadaan mitattu virtausnopeus.</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0058">
        <items id="text">Mitattu tulos</items>
        <items id="description">Mitattu keuhkojen virtausnopeutestin tulos.</items>
      </items>
      <items code="at0064">
        <items id="text">*SVC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0065">
        <items id="text">*FVC (en)</items>
        <items id="description">*Forced vital capacity (FVC) is the maximal volume of air that can be forcibly exhaled from a position of full inspiration. (en)</items>
      </items>
      <items code="at0067">
        <items id="text">Ulospuhallusaika 1 sekunnissa (FEV1)</items>
        <items id="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)</items>
      </items>
      <items code="at0068">
        <items id="text">Ulospuhallusaika 3 sekunnissa (FEV3)</items>
        <items id="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)</items>
      </items>
      <items code="at0069">
        <items id="text">Ulospuhallusaika 6 sekunnissa (FEV6)</items>
        <items id="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)</items>
      </items>
      <items code="at0070">
        <items id="text">*FEV0.75 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0072">
        <items id="text">*FEF25-75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0073">
        <items id="text">*FEF25-50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0074">
        <items id="text">*FIF25-75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0075">
        <items id="text">*FIF25-50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0077">
        <items id="text">*ERV (en)</items>
        <items id="description">*Expiratory reserve volume (ERV) is the maximal volume of air that can be forcibly exhaled after exhalation of normal tidal volume. (en)</items>
      </items>
      <items code="at0080">
        <items id="text">*FEV1/SVC ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'. (en)</items>
      </items>
      <items code="at0081">
        <items id="text">*FEV1/FVC ratio (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0082">
        <items id="text">*TV (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0098">
        <items id="text">Sekoittavat tekijät</items>
        <items id="description">*Record any issues or factors that may impact on the spirometry test. (en)</items>
        <items id="comment">*For example: known COPD. (en)</items>
      </items>
      <items code="at0101">
        <items id="text">Kommentti</items>
        <items id="description">Koetulosten ja tulkinnan kertomusmuodossa olevat lisätiedot, joita ei voida ilmoittaa muissa kentissä.</items>
      </items>
      <items code="at0115">
        <items id="text">Asento</items>
        <items id="description">Henkilön kehon asento mittaushetkellä.</items>
      </items>
      <items code="at0116">
        <items id="text">Seisten</items>
        <items id="description">Henkilö seisoo mittaushetkellä.</items>
      </items>
      <items code="at0117">
        <items id="text">Istuen</items>
        <items id="description">Henkilö istuu (esimerkiksi vuoteella tai tuolissa) mittaushetkellä.</items>
      </items>
      <items code="at0118">
        <items id="text">Taaksepäin nojaten</items>
        <items id="description">Henkilö nojaa mittaushetkellä taaksepäin.</items>
      </items>
      <items code="at0119">
        <items id="text">Makuulla</items>
        <items id="description">Henkilö on mittaushetkellä makuulla.</items>
      </items>
      <items code="at0122">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">*The ratio of measured to predicted test results. (en)</items>
      </items>
      <items code="at0130">
        <items id="text">Kokonaistulkinta</items>
        <items id="description">Mittausten ja niihin liittyvien löydösten kliininen kokonaistulkinta.</items>
      </items>
      <items code="at0131">
        <items id="text">Spirometrian graafi</items>
        <items id="description">Spirometrian tuottamat käyrät.</items>
        <items id="comment">*For example: Flow volume loop; or volume-time tracing.(en)</items>
      </items>
      <items code="at0132">
        <items id="text">Laajennus</items>
        <items id="description">Lisätiedot, joita tarvitaan paikallisen sisällön kirjaamiseksi tai yhtenäistämiseksi muiden viitemallien tai formalismien kanssa.</items>
        <items id="comment">Esimerkki: paikalliset tietovaatimukset tai muu metadata, joilla saadaan aikaan vastaavuus vastaavien FHIR- tai CIMI-tietojen kanssa.</items>
      </items>
      <items code="at0145">
        <items id="text">*FEV0.5 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0146">
        <items id="text">*FEV2(en)</items>
        <items id="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)</items>
      </items>
      <items code="at0152">
        <items id="text">*PEFR (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0078">
        <items id="text">*IRV (en)</items>
        <items id="description">*Inspiratory reserve volume (IRV) is the maximal volume of air that can be forcibly inhaled after a inhalation of normal tidal volume. (en)</items>
      </items>
      <items code="at0156">
        <items id="text">*Pressure (en)</items>
        <items id="description">*Test result represented as a measured pressure. (en)</items>
        <items id="comment">*Each test result is recorded using a separate instance of this cluster. (en)</items>
      </items>
      <items code="at0165">
        <items id="text">Mitattu tulos</items>
        <items id="description">*Measured pressure. (en)</items>
      </items>
      <items code="at0166">
        <items id="text">Ennustettu tulos</items>
        <items id="description">*Predicted pressure. (en)</items>
      </items>
      <items code="at0167">
        <items id="text">*Measured/predicted ratio (en)</items>
        <items id="description">*The ratio of measured to predicted test results. (en)</items>
      </items>
      <items code="at0170">
        <items id="text">*MEP (en)</items>
        <items id="description">*Maximal expiratory pressure (MEP) is the maximal expiratory pressure during a forced vital capacity (FVC) maneuver. (en)</items>
      </items>
      <items code="at0171">
        <items id="text">*FIV1 (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0172">
        <items id="text">*FIVC (en)</items>
        <items id="description">*Forced inspiratory vital capacity (FIVC) is the maximal volume of air that can be forcibly inhaled from a position of full expiration. (en)</items>
      </items>
      <items code="at0076">
        <items id="text">*IC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0174">
        <items id="text">*IVC (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0176">
        <items id="text">*MVV (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0177">
        <items id="text">*FEF25% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0178">
        <items id="text">*FEF50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0179">
        <items id="text">*FEF75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0181">
        <items id="text">*MIP (en)</items>
        <items id="description">*Maximal inspiratory pressure (MIP) is the maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver. (en)</items>
      </items>
      <items code="at0182">
        <items id="text">*SNIP (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0185">
        <items id="text">*Predicted results source (en)</items>
        <items id="description">*The knowledge base used for the predicted results. (en)</items>
        <items id="comment">*For example: GLI 2012. (en)</items>
      </items>
      <items code="at0186">
        <items id="text">*FIF25% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0187">
        <items id="text">*FIF50% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0188">
        <items id="text">*FIF75% (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0189">
        <items id="text">*FEV1/FEV6 ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'. (en)</items>
      </items>
      <items code="at0190">
        <items id="text">*FEV1/IVC ratio (en)</items>
        <items id="description">*The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'. (en)</items>
      </items>
      <items code="at0191">
        <items id="text">*Level of exertion (en)</items>
        <items id="description">*Details about physical activity undertaken at the time of spirometry recording. (en)</items>
      </items>
      <items code="at0192">
        <items id="text">*Challenge/reversibility (en)</items>
        <items id="description">*Statement about whether the spirometry test was performed as a reversibility test or a bronchial challenge test. (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0193">
        <items id="text">*None (en)</items>
        <items id="description">*The spirometry test was performed neither as a reversibility test nor a bronchial challenge test. (en)</items>
      </items>
      <items code="at0194">
        <items id="text">*Bronchial challenge test (en)</items>
        <items id="description">*The spirometry test was performed as a bronchial challenge test. (en)</items>
      </items>
      <items code="at0195">
        <items id="text">*Reversibility test (en)</items>
        <items id="description">*The spirometry test was performed as a reversibility test. (en)</items>
      </items>
      <items code="at0196">
        <items id="text">*Type of measurement (en)</items>
        <items id="description">*Type of measurement of spirometry. (en)</items>
        <items id="comment">*This is particularly relevant for PEFR and PIFR tests. (en)</items>
      </items>
      <items code="at0197">
        <items id="text">*Mechanical (en)</items>
        <items id="description">*Measurement using a purely mechanical device. (en)</items>
      </items>
      <items code="at0198">
        <items id="text">*Electronic (en)</items>
        <items id="description">*Measurement using an electronic device. (en)</items>
      </items>
      <items code="at0199">
        <items id="text">*Method (en)</items>
        <items id="description">*Method used to perform the test. (en)</items>
        <items id="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)</items>
      </items>
      <items code="at0205">
        <items id="text">*PIFR (en)</items>
        <items id="description">*Peak inspiratory flow rate (PIFR) is the peak flow rate during a forced inspiratory vital capacity (FIVC) maneuver. (en)</items>
      </items>
      <items code="at0209">
        <items id="text">*Environmental conditions (en)</items>
        <items id="description">*Details about environmental conditions undertaken at the time of spirometry recording. (en)</items>
      </items>
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