Archetype : openEHR-EHR-CLUSTER.imaging_exam-uterus

Modellbiblioteket openEHR Fork

Name

Imaging examination of the uterus

Description

Findings on radiological examination of the uterus.

Keywords

uterus fundus myometrium endometrium junction

Purpose

To record the findings on radiological examination of the uterus, and their interpretation.

Use

Use to record the findings on radiological examination of the uterus, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the uterus using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in appropriate SLOTs:
- Details about the imaging examination of one or more gestations will be recorded using the 'Pregnancy findings' SLOT;
- Details about the imaging examination of the uterine cervix will be recorded within the 'Cervical findings' SLOT;
- Details about the imaging examination an intrauterine device (IUD) will be recorded within the 'IUD findings' SLOT; and
- Details about other imaging findings such as structural abnormalities or lesions will be recorded using the 'Additional findings' SLOT.

Misuse

Not to be used to record imaging examination findings for any body structure or region other than the uterus. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.

References

Abuhamad A, Chaoui R, Jeanty P, Paladini D, Walsh E. Ultrasound in Obstetrics and Gynecology: A Practical Approach [Internet]. The Global Library of Women’s Medicine; 2014 [cited 2021 Dec 21]. 322 p. Available from: https://www.glowm.com/pdf/Ultrasound_in_obstetrics_and_gynecology-chapter11.pdf.

AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Female Pelvis. J Ultrasound Med. 2020 May;39(5):E17-E23. doi: 10.1002/jum.15205. Epub 2020 Mar 9. PMID: 32150295. Available from: https://www.aium.org/resources/guidelines/femalePelvis.pdf.

American Institute of Ultrasound in Medicine; Society for Reproductive Endocrinology and Infertility; American Society of Reproductive Medicine. AIUM practice guideline for ultrasonography in reproductive medicine. J Ultrasound Med. 2009 Jan;28(1):128-37. PMID: 19106372. Available from: https://www.aium.org/resources/guidelines/reproductiveMed.pdf.

Leone FP, Timmerman D, Bourne T, Valentin L, Epstein E, Goldstein SR, Marret H, Parsons AK, Gull B, Istre O, Sepulveda W, Ferrazzi E, Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet Gynecol. 2010 Jan;35(1):103-12. doi: 10.1002/uog.7487. PMID: 20014360. Available from: https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.7487.

Archetype Id

openEHR-EHR-CLUSTER.imaging_exam-uterus.v0

Licencing

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/.

Original Author

Heather Leslie
Atomica Informatics

Date Originally Authored

2021-11-24

Language	Details
German	Natalia Strauch Medizinische Hochschule Hannover
Norwegian Bokmal	Peter Fedorcsak, Vebjørn Arntzen, Marit Alice Venheim University of Oslo, Oslo University Hospital, Helse Vest IKT

Name	Card	Type	Description
Body structure	1..1	DV_CODED_TEXT	Identification of the body structure or region examined. Comment If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant. Constraint for DV_CODED_TEXT Uterus
Body site	0..1	DV_TEXT	Identification of the area of the body under examination. Comment For example: a lymph node group (body structure) which found in the 'Right axilla'. Coding of 'Body site' with a terminology, such as SNOMED CT, is desirable. If the body site has been fully identified in the 'Body structure' data element, this data element becomes redundant.
Structured body site	0..*	Slot (Cluster)	Structured details about the area of the body under examination. Comment For example: details about a relative anatomical location, such as '2cm distal to the appendix'. If the body site has been fully identified in the 'Body structure' or 'Body site' data elements, then this SLOT becomes redundant. Slot Slot
Imaging findings	0..1	DV_TEXT	Narrative description of the imaging findings observed during this examination.
Additional details	0..*	Slot (Cluster)	Additional structured details about imaging findings for the identified body structure or region, or findings of related structures. Slot Slot
Impression	0..*	DV_TEXT	Single word, phrase or brief description that represents the clinical meaning and significance of all imaging findings for the identified body structure. Comment Also referred to as 'Interpretation' or 'Opinion'. For example: 'No abnormality detected' or 'Free fluid present'. Coding of the 'Impression' with a terminology is permitted, if useful. Multiple occurrences allow for more than one coded impression. A narrative description may include a comparison with previous studies of the identified body structure, if appropriate.
Comment	0..1	DV_TEXT	Additional narrative about the imaging findings of the body structure, not captured in other fields.
Length	0..1	DV_QUANTITY	The length of the entire uterus. Comment Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the external os of the cervix. DV_QUANTITY
Body length	0..1	DV_QUANTITY	The length of the body of the uterus. Comment Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the internal os of the cervix. DV_QUANTITY
Width	0..1	DV_QUANTITY	The width of the uterus. Comment Usually measured at the widest dimension in the transverse or coronal plane, perpendicular to the length. DV_QUANTITY
Height (AP)	0..1	DV_QUANTITY	The anteroposterior height of the uterus. Comment Usually measured in the midsagittal plane anteroposteriorly from outer to outer serosal surfaces. DV_QUANTITY
Uterine version	0..1	DV_CODED_TEXT	The relation between uterus and the vagina in the sagittal plane. Comment Also known as 'position'. Constraint for DV_CODED_TEXT Anteverted [The uterus is angled forward relative to the vagina.] Neutral [The uterus and the vagina are in the same plane.] Retroverted [The uterus is angled backward relative to the vagina.]
Uterine flexion	0..1	DV_CODED_TEXT	The relation between uterine body and the cervix in the sagittal plane. Constraint for DV_CODED_TEXT Anteflexed [The cervix-body angle faces anteriorly.] Retroflexed [The cervix-body angle faces posteriorly.]
Endometrium description	0..1	DV_TEXT	Narrative description about the endometrium. Comment For example: focal abnormalities, endometrial midline, vasularisation, and fluid or masses in the cavity. Record structured details about any lesion using the CLUSTER.imaging_exam-lesion and related specialisations nested within the 'Additional details' SLOT.
Endometrial thickness	0..1	DV_QUANTITY	Maximal measured thickness of the endometrium. DV_QUANTITY
Endometrial homogeneity	0..1	DV_CODED_TEXT	Description about the endometrial homogeneity. Constraint for DV_CODED_TEXT Homogeneous [The echotexture of the endometrium is uniform.] Heterogeneous [The echotexture of the endometrium is not uniform.]
Endometrial echogenicity	0..1	DV_CODED_TEXT	Description about the endometrial echogenicity compared with the echogenicity of the myometrium. Constraint for DV_CODED_TEXT Hyperechoic [Increased echogenicity of the endometrium, compared to the myometrium.] Isoechoic [Similar echogenicity of the endometrium, compared to the myometrium.] Trilaminar [A triple line pattern of the endometrium is observed.] Hypoechoic [Decreased echogenicity of the endometrium, compared to the myometrium.]
Endometrial uniformity	0..1	DV_CODED_TEXT	Description about the homogeneity and symmetry of the endometrium. Constraint for DV_CODED_TEXT Uniform [Endometrium appears homogeous with symmetrical anterior and posterior sides. It may also include the three-layer pattern.] Non-uniform [Endometrium appears heterogenous with asymmetrical anterior and posterior sides and cysts.]
Endometrial midline	0..1	DV_CODED_TEXT	Description about the interface between the opposing surfaces of the two endometrial walls. Constraint for DV_CODED_TEXT Linear [A straight hyperechogenic interface within the endometrium is observed.] Non-linear [A wavy hyperechogenic interface within the endometrium is observed.] Irregular [An irregular or interrupted hyperechogenic interface within the endometrium is observed.] Not defined [The absence of a hyperechogenic interface within the endometrium is observed.]
Junctional zone	0..1	DV_CODED_TEXT	Description about the junctional zone between the endometrium and the myometrium. Constraint for DV_CODED_TEXT Regular [The junctional zone appears regular.] Irregular [The junctional zone appears irregular.] Interrupted [The junctional zone appears interrupted.] Not defined [The junctional zone is not visible or well defined.]
Junctional zone thickness	0..1	DV_QUANTITY	Measured thickness of the junctional zone. DV_QUANTITY
Myometrium description	0..1	DV_TEXT	Narrative description about the myometrium. Comment For example: contour changes, texture, masses, and cysts as well as symmetry between the anterior and posterior segments of the myometrium. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-lesion nested within the 'Additional details' SLOT.
Cervical findings	0..*	Slot (Cluster)	Additional structured details about imaging findings about examination of the uterine cervix. Slot Slot
Pregnancy presence	0..1	DV_CODED_TEXT	The presence or absence of an intrauterine pregnancy. Constraint for DV_CODED_TEXT Present [Evidence of one or more intrauterine pregnancies are observed - gestational sac, embryo or foetus.] Absent [No intrauterine pregnancy is observed.] Indeterminate [It is not possible to determine if an intrauterine pregnancy is present or absent.]
Pregnancy findings	0..*	Slot (Cluster)	Additional structured details about imaging findings about one or more intrauterine pregnancies. Slot Slot
IUD presence	0..1	DV_CODED_TEXT	The presence or absence of an intrauterine device. Constraint for DV_CODED_TEXT Present [An IUD is observed in the uterus.] Absent [No IUD is observed in the uterus.] Indeterminate [It is not possible to determine if an IUD is present or absent.]
IUD findings	0..*	Slot (Cluster)	Structured details about imaging findings for an intrauterine device. Comment For example: to carry the location of the IUD within the uterus only; or details about the IUD device. If an IUD is located outside of the uterus, the IUD details should be recorded within the imaging archetype relevant for region or structure in which the IUD is located. Slot Slot

archetype (adl_version=1.4; uid=bc440ac0-0176-4f2c-9e3e-0351d9f07354)
	openEHR-EHR-CLUSTER.imaging_exam-uterus.v0
specialise
	openEHR-EHR-CLUSTER.imaging_exam.v1

concept
	[at0000.1]	-- Imaging examination of the uterus
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Natalia Strauch">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"Strauch.Natalia@mh-hannover.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Peter Fedorcsak, Vebjørn Arntzen, Marit Alice Venheim">
				["organisation"] = <"University of Oslo, Oslo University Hospital, Helse Vest IKT">
				["email"] = <"peterfe@uio.no, varntzen@ous-hf.no, marit.alice.venheim@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2021-11-24">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"*To record the findings on radiological examination of the uterus, and their interpretation. (en)">
			use = <"*Use to record the findings on radiological examination of the uterus, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the uterus using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in appropriate SLOTs: 
- Details about the imaging examination of one or more gestations will be recorded using the 'Pregnancy findings' SLOT; 
- Details about the imaging examination of the uterine cervix will be recorded within the 'Cervical findings' SLOT; 
- Details about the imaging examination an intrauterine device (IUD) will be recorded within the 'IUD findings' SLOT; and
- Details about other imaging findings such as structural abnormalities or lesions will be recorded using the 'Additional findings' SLOT. (en)">
			keywords = <"*uterus, fundus, myometrium, endometrium, junction (en)", ...>
			misuse = <"*Not to be used to record imaging examination findings for any body structure or region other than the uterus. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression. (en)">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere funn ved radiologisk undersøkelse av livmor og tolkning av funnene.">
			use = <"Brukes for å registrere funn ved radiologisk undersøkelse av livmor og tolkning av funnene.

Det tiltenkte omfanget for denne CLUSTER.imaging_exam (Bildediagnostisk undersøkelse) - arketypen er til slutt å kunne registrere alle detaljerte funn ved bildediagnostisk undersøkelse av livmor uavhengig av modalitet. Det er forventet at flere dataelementer kan bli lagt til når krav til slike er identifisert og bekreftet.

Denne arketypen er utformet for å bli nøstet i SLOT'et \"Strukturerte funn\" i OBSERVATION.imaging_exam_result (Bildediagnostisk svar), men kan også brukes innen andre ENTRY- og CLUSTER-arketyper der det er klinisk passende. Bruk som et rammeverk der flere CLUSTER-arketyper kan nøstes inn i deres respektive SLOT:
- Detaljer om bildediagnostisk undersøkelse av en eller flere gestasjoner skal registreres i SLOT'et \"Funn ved graviditet\"
- Detaljer om bildediagnostisk undersøkelse av livmorhals skal registreres i SLOT'et \"Funn ved livmorhals\"
- Detaljer om bildediagnostisk undersøkelse av innsatt intrauterint prevensjonsmiddel (IUD) skal registreres i SLOT'et \"Funn ved IUD\"
- Detaljer om andre bildediagnostiske funn, som strukturelle abnormaliteter eller lesjoner, skal registreres i SLOT'et \"Ytterligere detaljer\"">
			keywords = <"*uterus, fundus, myometrium, endometrium, junction (en)", ...>
			misuse = <"Skal ikke brukes til å registrere funn fra undersøkelser av andre kroppsstrukturer enn livmoren. Bruk andre arketyper fra gruppen av CLUSTER.imaging_exam-arketyper for dette.

Skal ikke brukes til å registrere overordnede undersøkelsesfunn, kontekst eller tekniske detaljer relatert til billedundersøkelsen. Bruk arketypen OBSERVATION.imaging_exam_result (Bildediagnistisk svar) for å registrere for eksempel kommentar om undersøkelseskvalitet, differensialdiagnose og overordnet konklusjon.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the findings on radiological examination of the uterus, and their interpretation.">
			use = <"Use to record the findings on radiological examination of the uterus, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the uterus using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in appropriate SLOTs: 
- Details about the imaging examination of one or more gestations will be recorded using the 'Pregnancy findings' SLOT; 
- Details about the imaging examination of the uterine cervix will be recorded within the 'Cervical findings' SLOT; 
- Details about the imaging examination an intrauterine device (IUD) will be recorded within the 'IUD findings' SLOT; and
- Details about other imaging findings such as structural abnormalities or lesions will be recorded using the 'Additional findings' SLOT.">
			keywords = <"uterus, fundus, myometrium, endometrium, junction", ...>
			misuse = <"Not to be used to record imaging examination findings for any body structure or region other than the uterus. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)", "Heather Grain, Llewelyn Grain Informatics, Australia", "Evelyn Hovenga, EJSH Consulting, Australia", "Anjali Kulkarni, Karkinos, India", "Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Arunakiry Natarajan, medondo, Germany", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Natalia Strauch, Medizinische Hochschule Hannover, Germany", "Norwegian Review Summary, Norwegian Public Hospitals, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Abuhamad A, Chaoui R, Jeanty P, Paladini D, Walsh E. Ultrasound in Obstetrics and Gynecology: A Practical Approach [Internet]. The Global Library of Women’s Medicine; 2014 [cited 2021 Dec 21]. 322 p. Available from: https://www.glowm.com/pdf/Ultrasound_in_obstetrics_and_gynecology-chapter11.pdf.

AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Female Pelvis. J Ultrasound Med. 2020 May;39(5):E17-E23. doi: 10.1002/jum.15205. Epub 2020 Mar 9. PMID: 32150295. Available from: https://www.aium.org/resources/guidelines/femalePelvis.pdf.

American Institute of Ultrasound in Medicine; Society for Reproductive Endocrinology and Infertility; American Society of Reproductive Medicine. AIUM practice guideline for ultrasonography in reproductive medicine. J Ultrasound Med. 2009 Jan;28(1):128-37. PMID: 19106372. Available from: https://www.aium.org/resources/guidelines/reproductiveMed.pdf.

Leone FP, Timmerman D, Bourne T, Valentin L, Epstein E, Goldstein SR, Marret H, Parsons AK, Gull B, Istre O, Sepulveda W, Ferrazzi E, Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet Gynecol. 2010 Jan;35(1):103-12. doi: 10.1002/uog.7487. PMID: 20014360. Available from: https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.7487.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"4E74AC49056CDB46722308BF3C171A4C">
		["build_uid"] = <"dc0ed4ad-032b-4a64-8cca-be039732021d">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000.1] matches {    -- Imaging examination of the uterus
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001.1] matches {    -- Body structure
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0.1]    -- Uterus
						}
					}
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {    -- Body site
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0003] occurrences matches {0..*} matches {    -- Structured body site
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v2|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1/}
			}
			ELEMENT[at0004] occurrences matches {0..1} matches {    -- Imaging findings
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {    -- Additional details
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-lymph_node_group(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lesion-adnexal_mass(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lesion(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0006] occurrences matches {0..*} matches {    -- Impression
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0007] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.13] occurrences matches {0..1} matches {    -- Length
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
								precision = <|0|>
							>
							["2"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
								precision = <|1|>
							>
						>
					>
				}
			}
			ELEMENT[at0.45] occurrences matches {0..1} matches {    -- Body length
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
								precision = <|0|>
							>
							["2"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
								precision = <|1|>
							>
						>
					>
				}
			}
			ELEMENT[at0.14] occurrences matches {0..1} matches {    -- Width
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
								precision = <|0|>
							>
						>
					>
				}
			}
			ELEMENT[at0.15] occurrences matches {0..1} matches {    -- Height (AP)
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
								precision = <|0|>
							>
							["2"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
								precision = <|1|>
							>
						>
					>
				}
			}
			ELEMENT[at0.25] occurrences matches {0..1} matches {    -- Uterine version
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.26,    -- Anteverted
							at0.27,    -- Neutral
							at0.28]    -- Retroverted
						}
					}
				}
			}
			ELEMENT[at0.29] occurrences matches {0..1} matches {    -- Uterine flexion
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.30,    -- Anteflexed
							at0.31]    -- Retroflexed
						}
					}
				}
			}
			ELEMENT[at0.16] occurrences matches {0..1} matches {    -- Endometrium description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.17] occurrences matches {0..1} matches {    -- Endometrial thickness
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0.52] occurrences matches {0..1} matches {    -- Endometrial homogeneity
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.53,    -- Homogeneous
							at0.54]    -- Heterogeneous
						}
					}
				}
			}
			ELEMENT[at0.18] occurrences matches {0..1} matches {    -- Endometrial echogenicity
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.49,    -- Hyperechoic
							at0.50,    -- Isoechoic
							at0.51,    -- Trilaminar
							at0.63]    -- Hypoechoic
						}
					}
				}
			}
			ELEMENT[at0.55] occurrences matches {0..1} matches {    -- Endometrial uniformity
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.56,    -- Uniform
							at0.57]    -- Non-uniform
						}
					}
				}
			}
			ELEMENT[at0.58] occurrences matches {0..1} matches {    -- Endometrial midline
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.59,    -- Linear
							at0.60,    -- Non-linear
							at0.61,    -- Irregular
							at0.62]    -- Not defined
						}
					}
				}
			}
			ELEMENT[at0.24] occurrences matches {0..1} matches {    -- Junctional zone
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.64,    -- Regular
							at0.65,    -- Irregular
							at0.66,    -- Interrupted
							at0.67]    -- Not defined
						}
					}
				}
			}
			ELEMENT[at0.37] occurrences matches {0..1} matches {    -- Junctional zone thickness
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0.19] occurrences matches {0..1} matches {    -- Myometrium description
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0.46] occurrences matches {0..*} matches {    -- Cervical findings
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-cervix(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0.5] occurrences matches {0..1} matches {    -- Pregnancy presence
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.6,    -- Present
							at0.7,    -- Absent
							at0.8]    -- Indeterminate
						}
					}
				}
			}
			allow_archetype CLUSTER[at0.47] occurrences matches {0..*} matches {    -- Pregnancy findings
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-foetus(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-pregnant_uterus\.v0/}
			}
			ELEMENT[at0.32] occurrences matches {0..1} matches {    -- IUD presence
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.33,    -- Present
							at0.34,    -- Absent
							at0.35]    -- Indeterminate
						}
					}
				}
			}
			allow_archetype CLUSTER[at0.48] occurrences matches {0..*} matches {    -- IUD findings
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v2|openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0.1"] = <
					text = <"Uterus">
					description = <"">
				>
				["at0.13"] = <
					text = <"Length">
					description = <"The length of the entire uterus.">
					comment = <"Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the external os of the cervix.">
				>
				["at0.14"] = <
					text = <"Width">
					description = <"The width of the uterus.">
					comment = <"Usually measured at the widest dimension in the transverse or coronal plane, perpendicular to the length.">
				>
				["at0.15"] = <
					text = <"Height (AP)">
					description = <"The anteroposterior height of the uterus.">
					comment = <"Usually measured in the midsagittal plane anteroposteriorly from outer to outer serosal surfaces. ">
				>
				["at0.16"] = <
					text = <"Endometrium description">
					description = <"Narrative description about the endometrium.">
					comment = <"For example: focal abnormalities, endometrial midline,  vasularisation, and fluid or masses in the cavity. Record structured details about any lesion using the CLUSTER.imaging_exam-lesion and related specialisations nested within the 'Additional details' SLOT.">
				>
				["at0.17"] = <
					text = <"Endometrial thickness">
					description = <"Maximal measured thickness of the endometrium.">
				>
				["at0.18"] = <
					text = <"Endometrial echogenicity">
					description = <"Description about the endometrial echogenicity compared with the echogenicity of the myometrium.">
				>
				["at0.19"] = <
					text = <"Myometrium description">
					description = <"Narrative description about the myometrium.">
					comment = <"For example: contour changes, texture, masses, and cysts as well as symmetry between the anterior and posterior segments of the myometrium. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-lesion nested within the 'Additional details' SLOT.">
				>
				["at0.24"] = <
					text = <"Junctional zone">
					description = <"Description about the junctional zone between the endometrium and the myometrium.">
				>
				["at0.25"] = <
					text = <"Uterine version">
					description = <"The relation between uterus and the vagina in the sagittal plane.">
					comment = <"Also known as 'position'.">
				>
				["at0.26"] = <
					text = <"Anteverted">
					description = <"The uterus is angled forward relative to the vagina.">
				>
				["at0.27"] = <
					text = <"Neutral">
					description = <"The uterus and the vagina are in the same plane.">
				>
				["at0.28"] = <
					text = <"Retroverted">
					description = <"The uterus is angled backward relative to the vagina.">
				>
				["at0.29"] = <
					text = <"Uterine flexion">
					description = <"The relation between uterine body and the cervix in the sagittal plane.">
				>
				["at0.30"] = <
					text = <"Anteflexed">
					description = <"The cervix-body angle faces anteriorly.">
				>
				["at0.31"] = <
					text = <"Retroflexed">
					description = <"The cervix-body angle faces posteriorly.">
				>
				["at0.32"] = <
					text = <"IUD presence">
					description = <"The presence or absence of an intrauterine device.">
				>
				["at0.33"] = <
					text = <"Present">
					description = <"An IUD is observed in the uterus.">
				>
				["at0.34"] = <
					text = <"Absent">
					description = <"No IUD is observed in the uterus.">
				>
				["at0.35"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if an IUD is present or absent.">
				>
				["at0.37"] = <
					text = <"Junctional zone thickness">
					description = <"Measured thickness of the junctional zone.">
				>
				["at0.5"] = <
					text = <"Pregnancy presence">
					description = <"The presence or absence of an intrauterine pregnancy.">
				>
				["at0.6"] = <
					text = <"Present">
					description = <"Evidence of one or more intrauterine pregnancies are observed - gestational sac, embryo or foetus.">
				>
				["at0.7"] = <
					text = <"Absent">
					description = <"No intrauterine pregnancy is observed.">
				>
				["at0.8"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if an intrauterine pregnancy is present or absent.">
				>
				["at0000.1"] = <
					text = <"Imaging examination of the uterus">
					description = <"Findings on radiological examination of the uterus.">
				>
				["at0001.1"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant.">
				>
				["at0.45"] = <
					text = <"Body length">
					description = <"The length of the body of the uterus.">
					comment = <"Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the internal os of the cervix.">
				>
				["at0.46"] = <
					text = <"Cervical findings">
					description = <"Additional structured details about imaging findings about examination of the uterine cervix.">
				>
				["at0.47"] = <
					text = <"Pregnancy findings">
					description = <"Additional structured details about imaging findings about one or more intrauterine pregnancies.">
				>
				["at0.48"] = <
					text = <"IUD findings">
					description = <"Structured details about imaging findings for an intrauterine device.">
					comment = <"For example: to carry the location of the IUD *within the uterus* only; or details about the IUD device. If an IUD is located outside of the uterus, the IUD details should be recorded within the imaging archetype relevant for region or structure in which the IUD is located.">
				>
				["at0.49"] = <
					text = <"Hyperechoic">
					description = <"Increased echogenicity of the endometrium, compared to the myometrium.">
				>
				["at0.50"] = <
					text = <"Isoechoic">
					description = <"Similar echogenicity of the endometrium, compared to the myometrium.">
				>
				["at0.51"] = <
					text = <"Trilaminar">
					description = <"A triple line pattern of the endometrium is observed.">
				>
				["at0.52"] = <
					text = <"Endometrial homogeneity">
					description = <"Description about the endometrial homogeneity.">
				>
				["at0.53"] = <
					text = <"Homogeneous">
					description = <"The echotexture of the endometrium is uniform.">
				>
				["at0.54"] = <
					text = <"Heterogeneous">
					description = <"The echotexture of the endometrium is not uniform.">
				>
				["at0.55"] = <
					text = <"Endometrial uniformity">
					description = <"Description about the homogeneity and symmetry of the endometrium.">
				>
				["at0.56"] = <
					text = <"Uniform">
					description = <"Endometrium appears homogeous with symmetrical anterior and posterior sides. It may also include the three-layer pattern.">
				>
				["at0.57"] = <
					text = <"Non-uniform">
					description = <"Endometrium appears heterogenous with asymmetrical anterior and posterior sides and cysts.">
				>
				["at0.58"] = <
					text = <"Endometrial midline">
					description = <"Description about the interface between the opposing surfaces of the two endometrial walls.">
				>
				["at0.59"] = <
					text = <"Linear">
					description = <"A straight hyperechogenic interface within the endometrium is observed.">
				>
				["at0.60"] = <
					text = <"Non-linear">
					description = <"A wavy hyperechogenic interface within the endometrium is observed.">
				>
				["at0.61"] = <
					text = <"Irregular">
					description = <"An irregular or interrupted hyperechogenic interface within the endometrium is observed.">
				>
				["at0.62"] = <
					text = <"Not defined">
					description = <"The absence of a hyperechogenic interface within the endometrium is observed.">
				>
				["at0.63"] = <
					text = <"Hypoechoic">
					description = <"Decreased echogenicity of the endometrium, compared to the myometrium.">
				>
				["at0.64"] = <
					text = <"Regular">
					description = <"The junctional zone appears regular.">
				>
				["at0.65"] = <
					text = <"Irregular">
					description = <"The junctional zone appears irregular.">
				>
				["at0.66"] = <
					text = <"Interrupted">
					description = <"The junctional zone appears interrupted.">
				>
				["at0.67"] = <
					text = <"Not defined">
					description = <"The junctional zone is not visible or well defined.">
				>
				["at0000"] = <
					text = <"Imaging examination of a body structure">
					description = <"Findings on radiological examination of a specified body structure or region.">
				>
				["at0001"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant.">
				>
				["at0002"] = <
					text = <"Body site">
					description = <"Identification of the area of the body under examination.">
					comment = <"For example: a lymph node group (body structure) which found in the 'Right axilla'. Coding of 'Body site' with a terminology, such as SNOMED CT, is desirable. If the body site has been fully identified in the 'Body structure' data element, this data element becomes redundant.">
				>
				["at0003"] = <
					text = <"Structured body site">
					description = <"Structured details about the area of the body under examination.">
					comment = <"For example: details about a relative anatomical location, such as '2cm distal to the appendix'. If the body site has been fully identified in the 'Body structure' or 'Body site' data elements, then this SLOT becomes redundant.">
				>
				["at0004"] = <
					text = <"Imaging findings">
					description = <"Narrative description of the imaging findings observed during this examination.">
				>
				["at0005"] = <
					text = <"Additional details">
					description = <"Additional structured details about imaging findings for the identified body structure or region, or findings of related structures.">
				>
				["at0006"] = <
					text = <"Impression">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of all imaging findings for the identified body structure.">
					comment = <"Also referred to as 'Interpretation' or 'Opinion'. For example: 'No abnormality detected' or 'Free fluid present'. Coding of the 'Impression' with a terminology is permitted, if useful. Multiple occurrences allow for more than one coded impression. A narrative description may include a comparison with previous studies of the identified body structure, if appropriate.">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the imaging findings of the body structure, not captured in other fields.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0.1"] = <
					text = <"Uterus">
					description = <"">
				>
				["at0.13"] = <
					text = <"Lengde">
					description = <"Lengden av hele uterus.">
					comment = <"Som regel måles i midsagittalt, langsgående snitt fra den ytre serosaoverflaten ved fundus til den ytre livmormunnen.">
				>
				["at0.14"] = <
					text = <"Bredde">
					description = <"Livmorens bredde.">
					comment = <"Som regel målt ved den bredeste utstrekningen i aksialplanet, vinkelrett på lengden.">
				>
				["at0.15"] = <
					text = <"Høyde (AP)">
					description = <"Anterior-posterior diameter.">
					comment = <"Som regelt målt i midsagitalt plan anterio-posterialt fra ytre kant av serosa til serosa.">
				>
				["at0.16"] = <
					text = <"Beskrivelse av endometrium">
					description = <"Fritekstbeskrivelse av endometriet.">
					comment = <"*For example: focal abnormalities, endometrial midline,  vasularisation, and fluid or masses in the cavity. Record structured details about any lesion using the CLUSTER.imaging_exam-lesion and related specialisations nested within the 'Additional details' SLOT. (en)">
				>
				["at0.17"] = <
					text = <"Endometrietykkelse">
					description = <"Den største tykkelsen av endometriet.">
				>
				["at0.18"] = <
					text = <"*Endometrial echogenicity (en)">
					description = <"*Description about the endometrial echogenicity compared with the echogenicity of the myometrium. (en)">
				>
				["at0.19"] = <
					text = <"Beskrivelse av myometrium">
					description = <"Fritekstbeskrivelse av myometriet.">
					comment = <"*For example: contour changes, texture, masses, and cysts as well as symmetry between the anterior and posterior segments of the myometrium. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-lesion nested within the 'Additional details' SLOT. (en)">
				>
				["at0.24"] = <
					text = <"*Junctional zone (en)">
					description = <"*Description about the junctional zone between the endometrium and the myometrium. (en)">
				>
				["at0.25"] = <
					text = <"*Uterine version (en)">
					description = <"*The relation between uterus and the vagina in the sagittal plane. (en)">
					comment = <"Kjent også som posisjon.">
				>
				["at0.26"] = <
					text = <"Antevertert">
					description = <"*The uterus is angled forward relative to the vagina. (en)">
				>
				["at0.27"] = <
					text = <"*Neutral (en)">
					description = <"*The uterus and the vagina are in the same plane. (en)">
				>
				["at0.28"] = <
					text = <"Retrovertert">
					description = <"*The uterus is angled backward relative to the vagina. (en)">
				>
				["at0.29"] = <
					text = <"Livmorens fleksjon">
					description = <"*The relation between uterine body and the cervix in the sagittal plane. (en)">
				>
				["at0.30"] = <
					text = <"Anteflektert">
					description = <"Livmorkroppens akse peker fremover i forhold til livmorhalsens akse.">
				>
				["at0.31"] = <
					text = <"Retroflektert">
					description = <"Vinkelen mellom livmorkroppens akse og livmorhalsens akse peker bakover.">
				>
				["at0.32"] = <
					text = <"Spiral">
					description = <"*The presence or absence of an intrauterine device. (en)">
				>
				["at0.33"] = <
					text = <"Tilstede">
					description = <"Intrauterin spiral er tilstede.">
				>
				["at0.34"] = <
					text = <"Fraværende">
					description = <"Intrauterin spiral er ikke tilstede.">
				>
				["at0.35"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme om intrauterin spiral er tilstede eller ikke.">
				>
				["at0.37"] = <
					text = <"Tykkelse av overgangssone">
					description = <"Overgangssonens tykkelse.">
				>
				["at0.45"] = <
					text = <"Livmorkropplengde">
					description = <"Lengden av livmorkroppen.">
					comment = <"Som regel måles i midsagittalt, langsgående snitt fra den ytre serosaoverflaten ved fundus til den indre livmormunnen.">
				>
				["at0.46"] = <
					text = <"*Cervical findings (en)">
					description = <"*Additional structured details about imaging findings about examination of the uterine cervix. (en)">
				>
				["at0.47"] = <
					text = <"*Pregnancy findings (en)">
					description = <"*Additional structured details about imaging findings about one or more intrauterine pregnancies. (en)">
				>
				["at0.48"] = <
					text = <"*IUD findings (en)">
					description = <"*Structured details about imaging findings for an intrauterine device. (en)">
					comment = <"*For example: to carry the location of the IUD *within the uterus* only; or details about the IUD device. If an IUD is located outside of the uterus, the IUD details should be recorded within the imaging archetype relevant for region or structure in which the IUD is located. (en)">
				>
				["at0.5"] = <
					text = <"*Pregnancy presence (en)">
					description = <"Tilstedeværelse eller fravær av et intrauterint svangerskap.">
				>
				["at0.6"] = <
					text = <"*Present (en)">
					description = <"*Evidence of one or more intrauterine pregnancies are observed - gestational sac, embryo or foetus. (en)">
				>
				["at0.7"] = <
					text = <"Fraværende">
					description = <"Intrauterint svangerskap er ikke sett.">
				>
				["at0.8"] = <
					text = <"Ubestemmelig">
					description = <"*It is not possible to determine if an intrauterine pregnancy is present or absent. (en)">
				>
				["at0000.1"] = <
					text = <"Bildediagnostisk undersøkelse - livmor">
					description = <"Funn ved radiologisk undersøkelse av livmor.">
				>
				["at0001.1"] = <
					text = <"Kroppsstruktur">
					description = <"Navn av undersøkt struktur eller område i kroppen.">
					comment = <"Dersom den aktuelle strukturen i kroppen er fullt ut angitt i dette \"Kroppsstruktur\"-elementet er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\" eller \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0.49"] = <
					text = <"*Hyperechoic (en)">
					description = <"*Increased echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.50"] = <
					text = <"*Isoechoic (en)">
					description = <"*Similar echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.51"] = <
					text = <"*Trilaminar (en)">
					description = <"*A triple line pattern of the endometrium is observed. (en)">
				>
				["at0.52"] = <
					text = <"*Endometrial homogeneity (en)">
					description = <"*Description about the endometrial homogeneity. (en)">
				>
				["at0.53"] = <
					text = <"*Homogeneous (en)">
					description = <"*The echotexture of the endometrium is uniform. (en)">
				>
				["at0.54"] = <
					text = <"*Heterogeneous (en)">
					description = <"*The echotexture of the endometrium is not uniform. (en)">
				>
				["at0.55"] = <
					text = <"*Endometrial uniformity (en)">
					description = <"*Description about the homogeneity and symmetry of the endometrium. (en)">
				>
				["at0.56"] = <
					text = <"*Uniform (en)">
					description = <"*Endometrium appears homogeous with symmetrical anterior and posterior sides. It may also include the three-layer pattern. (en)">
				>
				["at0.57"] = <
					text = <"*Non-uniform (en)">
					description = <"*Endometrium appears heterogenous with asymmetrical anterior and posterior sides and cysts. (en)">
				>
				["at0.58"] = <
					text = <"*Endometrial midline (en)">
					description = <"*Description about the interface between the opposing surfaces of the two endometrial walls. (en)">
				>
				["at0.59"] = <
					text = <"*Linear (en)">
					description = <"*A straight hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.60"] = <
					text = <"*Non-linear (en)">
					description = <"*A wavy hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.61"] = <
					text = <"*Irregular (en)">
					description = <"*An irregular or interrupted hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.62"] = <
					text = <"*Not defined (en)">
					description = <"*The absence of a hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.63"] = <
					text = <"*Hypoechoic (en)">
					description = <"*Decreased echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.64"] = <
					text = <"*Regular (en)">
					description = <"*The junctional zone appears regular. (en)">
				>
				["at0.65"] = <
					text = <"*Irregular (en)">
					description = <"*The junctional zone appears irregular. (en)">
				>
				["at0.66"] = <
					text = <"*Interrupted (en)">
					description = <"*The junctional zone appears interrupted. (en)">
				>
				["at0.67"] = <
					text = <"*Not defined (en)">
					description = <"*The junctional zone is not visible or well defined. (en)">
				>
				["at0000"] = <
					text = <"Bildediagnostisk undersøkelse - kroppsstruktur">
					description = <"Funn eller observasjoner ved radiologisk undersøkelse av et definert organ eller en kroppsdel.">
				>
				["at0001"] = <
					text = <"Kroppsstruktur">
					description = <"Identifisering av organet eller kroppsdelen som svaret gjelder.">
					comment = <"For eksempel \"Lever\", \"Høyre ankel\" eller \"Lymfeknutegruppe\". Det er anbefalt å kode kroppsstruktur med en passende terminologi, som SNOMED CT. Dersom den aktuelle strukturen i kroppen er fullt ut angitt i dette \"Kroppsstruktur\"-elementet er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\" eller \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0002"] = <
					text = <"Anatomisk lokalisasjon">
					description = <"Identifisering av organ eller kroppsdel.">
					comment = <"For eksempel en lymfeknutegruppe (Kroppsstruktur) som er funnet i \"Høyre aksille\" (Anatomisk lokalisasjon). Det er ønskelig å kode \"Anatomisk lokalisasjon\" med en terminologi, som SNOMED CT. Dersom den anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\".">
				>
				["at0003"] = <
					text = <"Strukturert anatomisk lokalisasjon">
					description = <"Strukturerte detaljer om organ eller kroppsdel.">
					comment = <"For eksempel detaljert om en relativ anatomisk lokalisasjon, som \"2 cm distalt for appendix\". Dersom den nøyaktige eller relative anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0004"] = <
					text = <"Funn">
					description = <"Fritekstlig beskrivelse av funn eller observasjoner på bilder tatt under denne undersøkelsen.">
				>
				["at0005"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om funn eller observasjoner på bilder for det definerte organet eller kroppsdelen, eller om funn eller observasjoner hos tilhørende kroppsstrukturer.">
				>
				["at0006"] = <
					text = <"Resymé">
					description = <"Enkeltord, frase eller kortfattet beskrivelse som uttrykker den kliniske betydningen av alle funn og observasjoner for den definerte kroppsstrukturen.">
					comment = <"Kan også kalles \"Tolkning\" eller \"Inntrykk\". For eksempel \"Uten anmerkning\" eller \"Fri væske\". Dersom det er nyttig, er det åpent for å kode \"Resymé\" med en terminologi. Flere svar kan kodes ved at elementet er åpent for å være gjentakende. En beskrivelse i fritektst kan også brukes og kan inneholde en sammenligning med tidligere undersøkelser av samme kroppsstruktur.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om funn eller observasjoner på bilder av kroppsstrukturen og som ikke er fanget i andre felt.">
				>
			>
		>
		["de"] = <
			items = <
				["at0.1"] = <
					text = <"*Uterus (en)">
					description = <"">
				>
				["at0.13"] = <
					text = <"Length">
					description = <"*The length of the entire uterus. (en)">
					comment = <"Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the external os of the cervix.">
				>
				["at0.14"] = <
					text = <"Width">
					description = <"The width of the uterus.">
					comment = <"Usually measured at the widest dimension in the transverse or coronal plane, perpendicular to the length.">
				>
				["at0.15"] = <
					text = <"*Height (AP) (en)">
					description = <"*The anteroposterior height of the uterus. (en)">
					comment = <"*Usually measured in the midsagittal plane anteroposteriorly from outer to outer serosal surfaces.  (en)">
				>
				["at0.16"] = <
					text = <"Endometrium description">
					description = <"Narrative description about the endometrium.">
					comment = <"*For example: focal abnormalities, endometrial midline,  vasularisation, and fluid or masses in the cavity. Record structured details about any lesion using the CLUSTER.imaging_exam-lesion and related specialisations nested within the 'Additional details' SLOT. (en)">
				>
				["at0.17"] = <
					text = <"Endometrial thickness">
					description = <"Maximal measured thickness of the endometrium.">
				>
				["at0.18"] = <
					text = <"*Endometrial echogenicity (en)">
					description = <"*Description about the endometrial echogenicity compared with the echogenicity of the myometrium. (en)">
				>
				["at0.19"] = <
					text = <"Myometrium description">
					description = <"Narrative description about the myometrium.">
					comment = <"*For example: contour changes, texture, masses, and cysts as well as symmetry between the anterior and posterior segments of the myometrium. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-lesion nested within the 'Additional details' SLOT. (en)">
				>
				["at0.24"] = <
					text = <"*Junctional zone (en)">
					description = <"*Description about the junctional zone between the endometrium and the myometrium. (en)">
				>
				["at0.25"] = <
					text = <"*Uterine version (en)">
					description = <"*The relation between uterus and the vagina in the sagittal plane. (en)">
					comment = <"Also known as 'position'.">
				>
				["at0.26"] = <
					text = <"Anteverted">
					description = <"*The uterus is angled forward relative to the vagina. (en)">
				>
				["at0.27"] = <
					text = <"*Neutral (en)">
					description = <"*The uterus and the vagina are in the same plane. (en)">
				>
				["at0.28"] = <
					text = <"Retroverted">
					description = <"*The uterus is angled backward relative to the vagina. (en)">
				>
				["at0.29"] = <
					text = <"Uterine flexion">
					description = <"*The relation between uterine body and the cervix in the sagittal plane. (en)">
				>
				["at0.30"] = <
					text = <"Anteflexed">
					description = <"The cervix-body angle faces anteriorly.">
				>
				["at0.31"] = <
					text = <"Retroflexed">
					description = <"The cervix-body angle faces posteriorly.">
				>
				["at0.32"] = <
					text = <"IUD presence">
					description = <"*The presence or absence of an intrauterine device. (en)">
				>
				["at0.33"] = <
					text = <"Present">
					description = <"An IUD is observed in the uterus.">
				>
				["at0.34"] = <
					text = <"Absent">
					description = <"No IUD is observed in the uterus.">
				>
				["at0.35"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if an IUD is present or absent.">
				>
				["at0.37"] = <
					text = <"Junctional zone thickness">
					description = <"Measured thickness of the junctional zone.">
				>
				["at0.5"] = <
					text = <"*Pregnancy presence (en)">
					description = <"The presence or absence of an intrauterine pregnancy.">
				>
				["at0.6"] = <
					text = <"*Present (en)">
					description = <"*Evidence of one or more intrauterine pregnancies are observed - gestational sac, embryo or foetus. (en)">
				>
				["at0.7"] = <
					text = <"Absent">
					description = <"No intrauterine pregnancy is observed.">
				>
				["at0.8"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine if an intrauterine pregnancy is present or absent. (en)">
				>
				["at0000.1"] = <
					text = <"*Imaging examination of the uterus (en)">
					description = <"*Findings on radiological examination of the uterus. (en)">
				>
				["at0001.1"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant. (en)">
				>
				["at0.45"] = <
					text = <"*Body length (en)">
					description = <"*The length of the body of the uterus. (en)">
					comment = <"*Usually measured in the midsagittal plane, from the outer serosal surface of the fundus to the internal os of the cervix. (en)">
				>
				["at0.46"] = <
					text = <"*Cervical findings (en)">
					description = <"*Additional structured details about imaging findings about examination of the uterine cervix. (en)">
				>
				["at0.47"] = <
					text = <"*Pregnancy findings (en)">
					description = <"*Additional structured details about imaging findings about one or more intrauterine pregnancies. (en)">
				>
				["at0.48"] = <
					text = <"*IUD findings (en)">
					description = <"*Structured details about imaging findings for an intrauterine device. (en)">
					comment = <"*For example: to carry the location of the IUD *within the uterus* only; or details about the IUD device. If an IUD is located outside of the uterus, the IUD details should be recorded within the imaging archetype relevant for region or structure in which the IUD is located. (en)">
				>
				["at0.49"] = <
					text = <"*Hyperechoic (en)">
					description = <"*Increased echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.50"] = <
					text = <"*Isoechoic (en)">
					description = <"*Similar echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.51"] = <
					text = <"*Trilaminar (en)">
					description = <"*A triple line pattern of the endometrium is observed. (en)">
				>
				["at0.52"] = <
					text = <"*Endometrial homogeneity (en)">
					description = <"*Description about the endometrial homogeneity. (en)">
				>
				["at0.53"] = <
					text = <"*Homogeneous (en)">
					description = <"*The echotexture of the endometrium is uniform. (en)">
				>
				["at0.54"] = <
					text = <"*Heterogeneous (en)">
					description = <"*The echotexture of the endometrium is not uniform. (en)">
				>
				["at0.55"] = <
					text = <"*Endometrial uniformity (en)">
					description = <"*Description about the homogeneity and symmetry of the endometrium. (en)">
				>
				["at0.56"] = <
					text = <"*Uniform (en)">
					description = <"*Endometrium appears homogeous with symmetrical anterior and posterior sides. It may also include the three-layer pattern. (en)">
				>
				["at0.57"] = <
					text = <"*Non-uniform (en)">
					description = <"*Endometrium appears heterogenous with asymmetrical anterior and posterior sides and cysts. (en)">
				>
				["at0.58"] = <
					text = <"*Endometrial midline (en)">
					description = <"*Description about the interface between the opposing surfaces of the two endometrial walls. (en)">
				>
				["at0.59"] = <
					text = <"*Linear (en)">
					description = <"*A straight hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.60"] = <
					text = <"*Non-linear (en)">
					description = <"*A wavy hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.61"] = <
					text = <"*Irregular (en)">
					description = <"*An irregular or interrupted hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.62"] = <
					text = <"*Not defined (en)">
					description = <"*The absence of a hyperechogenic interface within the endometrium is observed. (en)">
				>
				["at0.63"] = <
					text = <"*Hypoechoic (en)">
					description = <"*Decreased echogenicity of the endometrium, compared to the myometrium. (en)">
				>
				["at0.64"] = <
					text = <"*Regular (en)">
					description = <"*The junctional zone appears regular. (en)">
				>
				["at0.65"] = <
					text = <"*Irregular (en)">
					description = <"*The junctional zone appears irregular. (en)">
				>
				["at0.66"] = <
					text = <"*Interrupted (en)">
					description = <"*The junctional zone appears interrupted. (en)">
				>
				["at0.67"] = <
					text = <"*Not defined (en)">
					description = <"*The junctional zone is not visible or well defined. (en)">
				>
				["at0000"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"Befunde zur radiologischen Untersuchung einer bestimmten Körperstruktur oder -region.">
				>
				["at0001"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. (en)">
				>
				["at0002"] = <
					text = <"Körperstelle">
					description = <"Identifizierung des zu untersuchenden Bereichs des Körpers.">
					comment = <"Zum Beispiel: eine Lymphknotengruppe (Körperstruktur), die sich in der „rechten Achselhöhle“ befindet. Eine Kodierung von „Körperstelle“ mit einer Terminologie, wie z. B. SNOMED CT, ist wünschenswert. Wenn die Körperstelle im Datenelement „Körperstruktur“ vollständig identifiziert wurde, wird dieses Datenelement überflüssig.">
				>
				["at0003"] = <
					text = <"Körperstelle strukturiert">
					description = <"Strukturierte Angaben zum untersuchten Körperbereich.">
					comment = <"Zum Beispiel: Angaben zu einer relativen anatomischen Lokalisation, wie z. B. „2 cm distal zum Blinddarm“. Wenn die Körperstelle in den Datenelementen „Körperstruktur“ oder „Körperstelle“ vollständig identifiziert wurde, wird dieser SLOT überflüssig.">
				>
				["at0004"] = <
					text = <"Bildgebende Befunde">
					description = <"Beschreibung der bei dieser Untersuchung beobachteten bildgebenden Befunde.">
				>
				["at0005"] = <
					text = <"Zusätzliche Angaben">
					description = <"Zusätzliche strukturierte Angaben zu bildgebenden Befunden für die identifizierte Körperstruktur oder -region oder befundbezogene Strukturen.">
				>
				["at0006"] = <
					text = <"Interpretation">
					description = <"Einzelnes Wort, Satz oder kurze Beschreibung, die die klinische Bedeutung und Signifikanz aller bildgebenden Befunde für die identifizierte Körperstruktur darstellt.">
					comment = <"Auch als „Eindruck“ oder „Meinung“ bezeichnet. Zum Beispiel: „Keine Anomalie erkannt“ oder „Freie Flüssigkeit vorhanden“. Eine Kodierung des „Interpretation“ mit einer Terminologie ist zulässig, sofern sinnvoll. Mehrere Vorkommen ermöglichen mehr als eine codierte Interpretation. Eine einfache Beschreibung kann gegebenenfalls einen Vergleich mit früheren Studien der identifizierten Körperstruktur beinhalten.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Zusätzlicher Text über die bildgebenden Befunde der Körperstruktur, der in anderen Bereichen nicht erfasst wurde.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0.1"] = <[SNOMED-CT::35039007]>
			>
		>
	>