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The chart highlights the importance of smoking cessation, vaccinations, exercise, pulmonary rehabilitation, testing for Alpha-1 antitrypsin deficiency and again, evaluating comorbid conditions. Spirometry is the basis for confirmation of a COPD diagnosis. The PCG continues to provide guidance for categorizing spirometry results, which fall into 3 major groups: This panel also highlights the other roles of spirometry: While not all patients fit into any 1-page algorithm, the simplified PCG fits most patients by grouping them into those with lower and higher symptom and functional status burdens using the modified Medical Research Council mMRC and the COPD Assessment Test CAT 8 scales which are short and feasible additions to routine primary care practice. The mMRC is a quick way to determine the activity and functional capacity of patients.