ARCHETYPE Spirometry result (openEHR-EHR-OBSERVATION.spirometry_result.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.spirometry_result.v0
ConceptSpirometry result
DescriptionThe results of a spirometry test.
UseUse to record the results of a spirometry test. The 'Any event' can be cloned and constrained to support representation of: - Multiple measurements and their average - clone the 'Any event' as many times as needed, plus an additional event set to 'Interval' and selecting the 'Mean' attribute; - Pre- and post-bronchial challenge results - clone the 'Any event' twice, renaming one 'Pre-challenge', 'Baseline' or similar and the other 'Post-challenge' or similar, associated with a time offset if required; or - Post bronchodilator therapy - clone the 'Any event', renaming as required. If the pulmonay function test is performed in association with administration of bronchodilators or challenge substances, then the details of what was administered should be recorded using an instance of the ACTION.medication archetype committed within the same COMPOSITION.
MisuseNot to be used to record the results of lung function tests not performed using a spirometer or peak flow meter on room air, for example body plethysmography or lung diffusion tests. Use specific archetypes for these purposes. Not to be used to record the results of blood gas tests. Use the OBSERVATION.laboratory_test_result for this purpose. Not to be used to record measurements about pulse oximetry. Use the OBSERVATION.pulse_oximetry for this purpose.
PurposeTo record the results of a spirometry test.
ReferencesMiller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of spirometry. Eur Respir J. 2005 Aug;26(2):319-38. doi: 10.1183/09031936.05.00034805. PubMed PMID: 16055882. Available from: https://erj.ersjournals.com/content/26/2/319.long

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

Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 vs FEV1/FVC in the spirometric diagnosis of airways obstruction among Asians [cited 2019 03 12]. Chest. 2007; 132 (4_MeetingAbstracts): 491c-492. Available from https://journal.chestnet.org/article/S0012-3692(16)43894-8/pdf.

Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med. 1947 Dec 27;37(52):624-8.

Wikipedia [Internet]. Wikipedia. Lung volumes; 2019 02 23 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Lung_volumes.

Wikipedia [Internet]. Wikipedia. Spirometry; 2019 03 03 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Spirometry.
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Informatics, UK
Email: ian.mcnicoll@freshEHR.com
Date originally authored: 2013-03-08
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Informatics, UK
Email: ian.mcnicoll@freshEHR.com
Date originally authored: 2013-03-08
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of spirometry. Eur Respir J. 2005 Aug;26(2):319-38. doi: 10.1183/09031936.05.00034805. PubMed PMID: 16055882. Available from: https://erj.ersjournals.com/content/26/2/319.long Johns DP, Pierce R. Pocket guide to spirometry. McGraw-Hill Medical; 2011. Pingul EM, de Guia TS, Ayuyao FG. FEV1/FEV6 vs FEV1/FVC in the spirometric diagnosis of airways obstruction among Asians [cited 2019 03 12]. Chest. 2007; 132 (4_MeetingAbstracts): 491c-492. Available from https://journal.chestnet.org/article/S0012-3692(16)43894-8/pdf. Tiffeneau R, Pinelli A. Air circulant et air captif dans l'exploration de la fonction ventilatrice pulmonaire. Paris Med. 1947 Dec 27;37(52):624-8. Wikipedia [Internet]. Wikipedia. Lung volumes; 2019 02 23 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Lung_volumes. Wikipedia [Internet]. Wikipedia. Spirometry; 2019 03 03 [cited 2019 03 12]. Available from: http://en.wikipedia.org/wiki/Spirometry., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=B9D3AA618FB019CF7316B55D0D4C4C97, build_uid=eb2947bd-69af-4e4d-823b-5cb62bf38889, revision=0.0.1-alpha}
Keywordsrespiratory, pulmonary, spirometry, peak flow, lung, bronchial, airway
Lifecyclein_development
UIDab1b8b94-05a0-40bc-9312-ea75bb6ce6ed
Language useden
Citeable Identifier1013.1.1414
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The results of a spirometry test., archetypeConceptComment=null, otherContributors=Dag Aarhus, Vestre Viken HF, Norway
Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Astrid Askeland, Dips ASA, Norway
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Derek Corrigan, Royal College of Surgeons in Ireland, Ireland
Agathe Krekvik Govertsen, Helse Bergen, Norway
Heather Grain, Llewelyn Grain Informatics, Australia
Merete Havn Torland, Helse Vest IKT, Norway
Sam Heard, Ocean Informatics, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Tiago Jacinto, CINTESIS - FMUP, Portugal
Mikkel Johan Gaup Grønmo, Forvaltningssenter EPJ, Helse Nord RHF, Norway (Nasjonal IKT redaktør)
Lars Morgan Karlsen, DIPS ASA, Norway
Liv Laugen, ​Oslo University Hospital, Norway, Norway
Valeria Lecca, Sardegna Ricerche, Italia
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Anne M Gromsrud, DIPS AS, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Svenne Naumann, Finnmarkssykehuset, Norway
Andrej Orel, Marand d.o.o., Slovenia
Ana Pereira, CINTESIS, CUF-Porto, Portugal
Ola Drange Røksund, Helse Bergen, Norway
Nina Særvold, Helse Bergen, Norway
Håvard Andreassen Sæverud, Oslo universitetssykehus, Norway
Nyree Taylor, Ocean Health Systems, Australia
Anders Thurin, VGR, Sweden
John Tore Valand, Helse Bergen, Norway, originalLanguage=en, translators=Finnish: Vesa Peltola, Tieto Finland Oy, vesa.peltola@tieto.com
Norwegian Bokmål: Mikkel Johan Gaup Grønmo, Silje Ljosland Bakke, Marit Alice Venheim, Helse-Nord, Forvaltningssenter EPJ, Helse Vest IKT AS, mikkel.johan.gaup.gronmo@helse-nord.no, silje.ljosland.bakke@helse-vest-ikt.no, marit.alice.venheim@helse-vest-ikt.no, Nasjonal IKT HF
Slovenian: ?
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  • Standing [Standing at the time of measurement.]
  • Sitting [Sitting (for example on a bed or chair) at the time of measurement.]
  • Reclining [Reclining at the time of measurement.]
  • Lying [Lying flat at the time of measurement.]
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  • Forced vital capacity (FVC) [The maximal volume of air that can be forcibly exhaled from a position of full inspiration.]
  • Slow vital capacity (SVC) [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.]
  • Forced inspiratory vital capacity (FIVC) [The maximal volume of air that can be forcibly inhaled from a position of full expiration.]
  • Inspiratory vital capacity (IVC) [The maximal volume of air that can be slowly inhaled from a position of full expiration. Equal to ERV + TV + IRV.]
  • Inspiratory capacity (IC) [The maximal volume of air that can be that can be inhaled after exhalation of normal tidal volume. Equal to TV + IRV.]
  • FEV 0.5 [The volume of air that has been exhaled during the first half second of forced exhalation, during the performance of FVC.]
  • FEV 0.75 [The volume of air that has been exhaled during the first three quarters of a second of forced exhalation, during the performance of FVC.]
  • FEV1 [The volume of air that has been exhaled during the first second of forced exhalation, during the performance of FVC.]
  • FEV2 [The volume of air that has been exhaled during the first two seconds of forced exhalation, during the performance of FVC.]
  • FEV3 [The volume of air that has been exhaled during the first three seconds of forced exhalation, during the performance of FVC.]
  • FEV6 [The volume of air that has been exhaled during the first six seconds of forced exhalation, during the performance of FVC.]
  • FIV1 [The volume of air that has been inhaled during the first second of forced inhalation, during the performance of FIVC.]
  • Tidal volume (TV) [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.]
  • Expiratory reserve volume (ERV) [The maximal volume of air that can be that can be forcibly exhaled after exhalation of normal tidal volume.]
  • Inspiratory reserve volume (IRV) [The maximal volume of air that can be that can be forcibly inhaled after a inhalation of normal tidal volume.]
  • Maximum voluntary ventilation (MVV) [The maximum volume of air the individual can breathe during a period of time specified by an interval event.]
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Units:
  • >=0.0 L
    Limit decimal places: 3
  • >=0.0 mL
    Limit decimal places: 1
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Units:
  • >=0.0 L
    Limit decimal places: 3
  • >=0.0 mL
    Limit decimal places: 1
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  • Percent
Numerator: >=0.0
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  • Peak expiratory flow (PEF) [The maximal flow during a forced vital capacity (FVC) maneuver. Also known as Peak Expiratory Flow Rate (PEFR).]
  • Forced expiratory flow (FEFmax) [The maximal instantaneous flow during a forced vital capacity (FVC) maneuver.]
  • Forced expiratory flow 25-75 % (FEF25-75%) [The mean forced expiratory flow of air measured during the expiration of 25-75 % of the volume of the forced vital capacity (FVC).]
  • Forced expiratory flow 25-50 % (FEF25-50%) [The mean forced expiratory flow of air measured during the expiration of 25-50 % of the volume of the forced vital capacity (FVC).]
  • Forced inspiratory flow 25-75 % (FIF25-75%) [The mean forced inspiratory flow of air measured during the inspiration of 25-75 % of the volume of the forced inspiratory vital capacity (FIVC).]
  • Forced inspiratory flow 25-50 % (FIF25-50%) [The mean forced inspiratory flow of air measured during the inspiration of 25-50 % of the volume of the forced inspiratory vital capacity (FIVC).]
  • Forced expiratory flow 25 % (FEF25%) [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%).]
  • Forced expiratory flow 50 % (FEF50%) [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%).]
  • Forced expiratory flow 75 % (FEF75%) [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%).]
  • Forced inspiratory flow 25 % (FIF25%) [The maximal instantaneous inspiratory flow when 25 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired.]
  • Forced inspiratory flow 50 % (FIF50%) [The maximal instantaneous inspiratory flow when 50 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired.]
  • Forced inspiratory flow 75 % (FIF75%) [The maximal instantaneous inspiratory flow when 75 % of the of the volume of the forced inspiratory vital capacity (FIVC) has been inspired.]
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Units:
  • >=0.0 l/s
    Limit decimal places: 3
  • >=0.0 ml/s
    Limit decimal places: 1
  • >=0.0 l/m
    Limit decimal places: 1
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Units:
  • >=0.0 l/s
    Limit decimal places: 3
  • >=0.0 ml/s
    Limit decimal places: 1
  • >=0.0 l/min
    Limit decimal places: 1
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  • Percent
Numerator: >=0.0
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  • Maximal expiratory pressure (MEP) [The maximal expiratory pressure during a forced vital capacity (FVC) maneuver.]
  • Maximal inspiratory pressure (MIP) [The maximal inspiratory pressure during a forced inspiratory vital capacity (FIVC) maneuver.]
  • Sniff nasal inspiratory pressure (SNIP) [The maximal inspiratory pressure in one occluded nostril during a maximal sniff performed from relaxed end-expiration through the other patent nostril.]
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Units:
  • >=0.0 cm[H2O]
    Limit decimal places: 1
  • >=0.0 mm[Hg]
    Limit decimal places: 0
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Units:
  • >=0.0 cm[H2O]
    Limit decimal places: 1
  • >=0.0 mm[Hg]
    Limit decimal places: 0
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  • Percent
Numerator: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0156]/items[at0168], code=at0168, itemType=ELEMENT, level=5, text=No test result, description=The pulmonary function test result is not available., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0156]/items[at0169], code=at0169, itemType=ELEMENT, level=5, text=Reason for no test result, description=The reason why the pulmonary function test result is not available., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055], code=at0055, itemType=CLUSTER, level=4, text=Ratio, description=A calculated test result expressed as a ratio., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055]/items[at0089], code=at0089, itemType=ELEMENT, level=5, text=Ratio name, description=The name of the calculated ratio., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • FEV1/FVC ratio (FEV1%FVC) [The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced vital capacity (FVC)'. Also known as FEV1%F.]
  • FEV1/SVC ratio (FEV1/SVC) [The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Slow vital capacity (SVC)'.]
  • FEV1/FEV6 ratio [The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Forced expiratory volume in 6 seconds (FEV6)'.]
  • FEV1/IVC ratio [The ratio of 'Forced expiratory volume in 1 second (FEV1)' to 'Inspired vital capacity (IVC)'.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Result, description=Calculated ratio., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Predicted result, description=Predicted ratio., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Forced expiratory time (FET), description=The time taken to complete a forced expiration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: seconds
>=0 seconds
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0131], code=at0131, itemType=SLOT, level=4, text=Multimedia representation, description=Digital representation of the test results., comment=For example: Flow volume loop; or volume-time tracing., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.media_file.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0130], code=at0130, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Overall clinical interpretation about all of the measurements and calculated ratios., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the test results and intepretation not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], provider=[], details=[], target=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0029], code=at0029, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0031], code=at0031, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Device, description=Details of the device used to measure pulmonary function., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0185], code=at0185, itemType=SLOT, level=2, text=Predicted results source, description=The source for the predicted results., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.knowledge_base_reference.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0151], code=at0151, itemType=ELEMENT, level=2, text=Formula, description=The formula used to calculate the value of a specified parameter., comment=This data element is set to multiple occurrences to allow for as many formulas as necessary to be renamed within a template or at run-time., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0132], code=at0132, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]