1.2.3 1.2 · Diagnostic unit (functional, radiology, ultrasound diagnostics) (Diagnostic unit)

Room 1.2.3 · Cardiorespiratory testing (VO2max, treadmill )

Industry analytical passport of room type Diagnostic room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.

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Net usable area NUA

20.0 m²

GBA: ~26.0 m²

Treatment stations

1 station

Type: T2

Equipment CapEx

1 036 630 ₽

6 items

CapEx Finishes / MEP

2 800 000 ₽

Class V

Total investment

3 836 630 ₽

Turnkey incl. VAT

Payback period

10.3 mo

Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 20.0 m²

Building requirements and finishing materials (SanPiN)

Cleanliness class:Class V

Wet point:Required (cold + hot water + drain)

Ceiling height:≥ 3.0 m (clear height)

Door opening width:≥ 1.0–1.2 m (medical standard)

Floor covering:Homogeneous antistatic linoleum

Wall finish:Moisture-resistant paint / disinfectant resistance

Functional zone schedule (3 zones)

Functional zone	Area	Purpose and technological equipment
Specialist's consultation and work area	6.0 m²	Physician/nursing workstation, documentation and MIS
Procedure and treatment zone	11.0 m²	Procedure and device treatment zone for 1 station
Preparation and disinfection area	3.0 m²	Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 6.2 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:: 6.2 kW
Design power (Kd=0.72):: 4.46 kW
Cable lines:: 2 beams
Distribution board:: 230V / 50Hz (dedicated medical distribution board)
Residual current protection (RCD):: Individual medical type 'A' RCDs 10 mA / 30 mA
Medical UPS:: None kVA (None min)

HVAC (ventilation & SanPiN)

SanPiN cleanliness class:: Class V
Supply air exchange:: +3.0 ACH
Exhaust air exchange:: -3.0 ACH
Temperature:: 20-22°C
Humidity:: 45-55%
Gas destruction:: General ventilation filtration

Water supply & drainage and safety

Cold/hot water points:: 1 stations (elbow-operated)
Floor drains:: 1 pcs (dry trap)
Water treatment:: Standard cold water filtration
Clinical and technological rationale for synergy: Automatic fire alarm, type 2-3 warning and evacuation system, powder/gas fire extinguishers
Nurse call system:: Installed at stations

🔬 3. Medical and spa equipment specification (CapEx)

1 036 630 ₽

№	Equipment name	Brand / Manufacturer	Country	Ministry of Health registration certificate	Qty	Unit price	Amount (CapEx)
1	Treadmill test (GE T-2100 or Schiller MTM 1500) Medical treadmill for stress tests and functional diagnostics of the cardiovascular system under ECG monitoring. ★ HERO HIGH-TECH	GE / Schiller	—	Registration certificate not stated	1	785 230 ₽	785 230 ₽
2	OBR-30 recirculating irradiator Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20.	—	—	FSR 2012/13558 dated 28.06.2012	1	7 000 ₽	7 000 ₽
3	Elbow-operated medical dispenser Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant.	—	—	FSR2011/12142 dated 30.04.2019	2	3 200 ₽	6 400 ₽
4	Medical examination couch Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures.	—	—	FSR 2010/09508 dated 30.04.2023	1	8 000 ₽	8 000 ₽
5	Physician's workstation Ergonomic furniture set for a specialist physician (desk, chair with lumbar support, patient chair, document cabinet) for consultations.	—	—	Registration certificate not stated	1	80 000 ₽	80 000 ₽
6	Personal computer with printer / MFP Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions.	—	—	not a medical device	1	150 000 ₽	150 000 ₽
Equipment specification total:							1 036 630 ₽

Key flagship systems of the treatment room (Hero High-Tech)

Medical Class IIa / Russian Ministry of Health registration certificate 785 230 ₽

Treadmill test (GE T-2100 or Schiller MTM 1500)

GE / Schiller (Russia / International) · 1.5 kW

Medical treadmill for stress tests and functional diagnostics of the cardiovascular system under ECG monitoring.

📋 4. Medical services nomenclature and clinical protocols

3 services

Code	Unified directory service	Market median	Facilities	Procedure passport
A12.10.001	Exercise ECG (treadmill test, cycle ergometry)	2 250 ₽	4	Passport →
A05.10.006	ECG (electrocardiography)	1 100 ₽	9	—
A12.09.001	Spirometry	1 800 ₽	5	—

📊 5. Comparative price benchmarking of leading resorts in Russia

Price analytics in the Knowledge Base

Summary price statistics by service category (10 resorts in Russia)

Category	Min	P25	Median P50	P75	Max	Segment leader	MEDISPA rec.
ECG)	4 000 ₽	4 500 ₽	5 000 ₽	5 500 ₽	6 000 ₽	Medical Spa / Premium segment	5 200 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 10.3 mo

Model scenario	OCC occupancy	Visits/year	Revenue per year	Gross profit (60%)	CapEx payback
Conservative	35%	2 520	4 326 840 ₽	2 596 104 ₽	17.7 mo
Base (MEDISPA.PRO plan)	60%	4 320	7 417 440 ₽	4 450 464 ₽	10.3 mo
Optimistic	75%	5 400	9 271 800 ₽	5 563 080 ₽	8.3 mo

Calculated from the room's procedures: average ticket 1 717 ₽ is the mean of the market medians of 3 of 3 profile procedures; average slot 30 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 7 200 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

4 studies

Canonical 5P medicine protocols & PRISMA systematic analysis (1)

Evidence Hub

PROT-M3-MITO-01 · M3 Level 1a

Clinical protocol of mitochondrial revitalisation and ergometry (CPET / VO2max)

5P protocol and calculator

Clinical rationale: Objective assessment of aerobic capacity VO2 max, anaerobic threshold (AT) and ventilatory efficiency VE/VCO2 to verify tissue energy deficit.

ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). Gibbons RJ, Balady GJ, Bricker JT et al. · Circulation (2002)

Level Level 2a (CEBM)

Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing. Mandsager K, Harb S, Cremer P et al. · JAMA Netw Open (2018)

Level Level 2a (CEBM)

Exercise standards for testing and training: a scientific statement from the American Heart Association. Fletcher GF, Ades PA, Kligfield P et al. · Circulation (2013)

Level Level 2a (CEBM)

Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Ross R, Blair SN, Arena R et al. · Circulation (2016)

Level Level 2a (CEBM)

🔄 8. End-to-end patient pathway and interdisciplinary synergy

4 stages

Pathway stage	Linked treatment room	Fire safety:
Admission diagnostics	1.2.1 Ultrasound and functional diagnostics room	Screening of baseline morphofunctional status, exclusion of contraindications and mapping of treatment areas.
Medical case conference	1.1.1 Integrative preventive medicine physician's office	Development of a personalised rehabilitation programme and prescription of treatment courses.
Metabolic synergy	1.3.1 Treatment room for infusion and ozone therapy (IV-Therapy)	Support of the cellular antioxidant pool and mitochondrial energy metabolism to enhance response to the treatment.
Effectiveness monitoring	3.1.1 Comprehensive check-up monitoring and bioimpedance room	Assessment of changes in phase angle, extracellular water balance and autonomic tone after completing the course.

📜 9. Regulatory and licensing status and medical staff requirements

2 staff roles

Russian Ministry of Health regulatory framework

Russian Ministry of Health licensing: primary specialised pre-medical and medical primary healthcare in the following specialities: Functional Diagnostics, Ultrasound Diagnostics, Radiology.

SanPiN: SanPiN 2.1.3678-20 "Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activity", Section IV.

5P medicine & integrative concept profile:

M5: Cardiometabolic continuum & vascular health — Prevention of atherosclerosis, insulin resistance, metabolic...
M6: Cellular biogenesis, mitochondrial health & Longevity: activation of mitochondrial biogenesis (PGC-1α), optimisation of tissue...

Staffing and qualification requirements

Specialist physician / Preventive medicine physician (Functional diagnostics) 1.0 FTE · 2-on/2-off shift pattern

Higher medical education, a valid specialist certificate and certification in integrative preventive 5P medicine

Treatment room nurse 1.0 FTE · 2-on/2-off shift pattern

Secondary vocational medical education, 'Nursing' certificate, authorisation to perform specialised procedures

💡 10. Frequently Asked Questions & Engineering Specifications

2 verified answers

Q1 What are the space programme and MEP requirements for room Cardiorespiratory testing (VO2max, treadmill )?

The planned net usable area for room 1.2.3 (Cardiorespiratory testing (VO2max, treadmill )) is 20.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 6.2 kW.

Q2 What is the CapEx budget and estimated payback for room Cardiorespiratory testing (VO2max, treadmill )?

Equipment CapEx is estimated at 1 036 630 ₽, fitout at 2 800 000 ₽, with an estimated payback of 10.3 mo across 1 treatment station(s).