archetype (adl_version=1.4; uid=9c6caefc-e047-40bd-9aa9-0fb9e499c228)
	openEHR-EHR-CLUSTER.imaging_exam-uterine_body.v0
specialise
	openEHR-EHR-CLUSTER.imaging_exam.v1

concept
	[at0000.1]	-- Imaging examination of the uterine body
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 = <"Zur Darstellung der Befunde einer radiologischen Untersuchung einer bestimmten Körperstruktur oder -region und deren Interpretation.">
			use = <"*Use to record the findings on radiological examination of a specified body structure or region, and their interpretation.

In practice, the design intent is for the CLUSTER.imaging_exam family of archetypes to be used to record all detailed findings on radiological examination. The family of specialised archetypes are derived from this generic parent archetype, CLUSTER.imaging_exam, designed as a universal pattern for recording any findings in any specified body structure or region and using any modality.

Each structure- or region-specific specialisation of this parent archetype is intended to be inclusive of all reasonably anticipated and relevant findings. For example, the CLUSTER.imaging_exam-ovary will support recording of all findings that would be expected in reporting on imaging of the ovary using any radiological modality, including the size of the ovary, largest follicle size and the diameter and description of specific follicles. Similarly, CLUSTER.imaging_exam-lymph_node_group will contain data elements required to record specific findings of a lymph node group, including its precise or relative location in the body and the number of lymph nodes in the group. 

If an appropriate specialisation is not available for a body structure or region, this archetype can be used to record all relevant findings related to the structure or region. 

This archetype and its related family of specialisations are designed to be nested within the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype of its specialisations need to be extended with further levels of detailed findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT. (en)">
			keywords = <"Befund, Ergebnis, Bildgebung, Körper, Organ, System, Struktur, Region, Beobachtung, Diagnostik, Radiologie, Bild", ...>
			misuse = <"Nicht zur Darstellung von Befunden verwenden, die außerhalb der identifizierten Körperstruktur oder -region beobachtet wurden. Verwenden Sie zu diesem Zweck eine separate Instanz eines oder mehrerer Archetypen aus der Familie CLUSTER.imaging_exam.

Darf nicht verwendet werden, um Details in Bezug auf die Gesamtbefunde, den Kontext oder technische Details in Bezug auf ein vollständiges Testergebnis einer bildgebenden Untersuchung darzustellen. Verwenden Sie zu diesem Zweck das OBSERVATION.imaging_exam_result. Zum Beispiel Kommentare zur Studienqualität, zu Differenzialdiagnosen und zum Gesamteindruck.">
			copyright = <"© Nasjonal IKT HF">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere en fritekstbeskrivelse, strukturerte detaljer og klinisk tolkning av observerte funn eller observasjoner ved bildediagnostisk undersøkelse av livmoren.">
			use = <"Brukes for å registrere en fritekstbeskrivelse, strukturerte detaljer og klinisk tolkning av observerte funn eller observasjoner ved bildediagnostisk undersøkelse av livmoren. Denne arketypen omhandler ikke detaljert informasjon om livmorhalsen. Imidlertid kan arketypen CLUSTER.imaging_exam_cervix (Bildediagnostisk undersøkelse - livmorhals) nøstes inn i denne i SLOT'et \"Strukturerte detaljer\" dersom det er nødvendig.

Denne arketypen ble utviklet til bruk i SLOT'et \"Strukturerte funn\" i arketypen OBSERVATION.imaging_exam_result (Bildediagnostisk svar), men kan også brukes innen andre ENTRY- og CLUSTER-arketyper der det er klinisk passende.

Brukes som et rammeverk hvor andre CLUSTER arketyper kan nøstes i SLOT'et \"Strukturerte detaljer\" for å registrere ytterligere strukturerte bildefunn for delstrukturer av eggstokk eller andre relevante funn.">
			misuse = <"Skal ikke brukes til å registrere funn utenfor det spesifiserte organ eller kroppsdel. Bruk andre arketyper fra gruppen av CLUSTER.imaging_exam-arketyper for dette.

Skal ikke brukes til å registrere funn av livmorhalsen. Bruk CLUSTER.imaging_exam_cervix (Bildediagnostisk undersøkelse - livmorhals) til dette.

Skal ikke brukes til å registrere overordnede undersøkelsesfunn, kontekst eller tekniske detaljer relatert til bildeundersøkelsen. Bruk arketypen OBSERVATION.imaging_exam_result (Bildediagnostisk svar) for å registrere for eksempel kommentar om undersøkelseskvalitet, differensialdiagnose og overordnet konklusjon.">
			copyright = <"© Nasjonal IKT HF">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting the uterine body.">
			use = <"Use to record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting the uterine body. The scope of this archetype does not include detailed information about the uterine cervix, however CLUSTER.imaging_exam-cervix may be nested within the 'Additional details' SLOT in this archetype as necessary.

This archetype has been designed to be used in the 'Structured imaging findings' SLOT within the OBSERVATION.imaging_exam_result archetype, 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 the 'Additional details' SLOT within this archetype to record additional nested levels of structured imaging findings for related body substructures, pregnancy findings, details about structural abnormalities such as a bicornuate uterus, morphological abnormalities such as a myometrial mass or intracavity lesion, or an adnexal mass.">
			misuse = <"Not to be used to record findings outside the specified body structure or region. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record findings of the uterine cervix. Use CLUSTER.imaging_exam-cervix 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 = <"© Nasjonal IKT HF">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital", "Liv Laugen, Oslo University Hospital", "Peter Fedorcsak, Oslo University Hospital">
	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"] = <"Nasjonal IKT">
		["references"] = <"Avgrenet fra: Imaging examination of the uterine body, Draft archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2022-05-27]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.5914

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.">
		["original_namespace"] = <"no.nasjonalikt">
		["original_publisher"] = <"Nasjonal IKT">
		["custodian_namespace"] = <"no.nasjonalikt">
		["MD5-CAM-1.0.1"] = <"E31266A1582D5A0724C10FEFA6A6444A">
		["build_uid"] = <"c62679e5-5349-4478-a217-d9d6a46fc746">
		["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 uterine body
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001.1] matches {    -- Body structure
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0.1]    -- Uterine body
						}
					}
				}
			}
			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-cervix(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-gestational_sac(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-fetus(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lymph_node_group(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-abnormality-adnexal_mass(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-abnormality(-[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[at0.14] occurrences matches {0..1} matches {    -- Width
				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[at0.15] occurrences matches {0..1} matches {    -- Depth
				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[at0.16] 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|>
								precision = <|0|>
							>
						>
					>
				}
			}
			ELEMENT[at0.18] occurrences matches {0..*} matches {    -- Endometrial texture
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.5] occurrences matches {0..1} matches {    -- Intrauterine pregnancy
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.6,    -- Present, viable
							at0.7,    -- Absent
							at0.8,    -- Indeterminate
							at0.12]    -- Present, non-viable
						}
					}
				}
			}
			ELEMENT[at0.2] occurrences matches {0..1} matches {    -- Number of gestations
				value matches {
					DV_COUNT matches {
						magnitude matches {|>=0|}
					}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.10,    -- Single
							at0.11]    -- Multiple
						}
					}
				}
			}
			ELEMENT[at0.3] occurrences matches {0..1} matches {    -- Chorionicity
				value matches {
					DV_COUNT matches {
						magnitude matches {|>=0|}
					}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.41,    -- Monochorionic
							at0.42]    -- Dichorionic
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.4] occurrences matches {0..1} matches {    -- Amnionicity
				value matches {
					DV_COUNT matches {*}
					DV_TEXT matches {*}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.43,    -- Monoamnionic
							at0.44]    -- Diamnionic
						}
					}
				}
			}
			ELEMENT[at0.19] occurrences matches {0..1} matches {    -- Myometrium description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.20] occurrences matches {0..1} matches {    -- Myometrial walls
				value matches {
					DV_TEXT matches {*}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.21,    -- Symmetrical
							at0.22]    -- Asymmetrical
						}
					}
				}
			}
			ELEMENT[at0.23] occurrences matches {0..1} matches {    -- Myometrial texture
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.24] occurrences matches {0..1} matches {    -- Junctional zone
				value matches {
					DV_TEXT matches {*}
				}
			}
			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|>
								precision = <|0|>
							>
						>
					>
				}
			}
			ELEMENT[at0.25] occurrences matches {0..1} matches {    -- Uterine axis
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.26,    -- Anteverted
							at0.27,    -- Axial
							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[at0.32] 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
						}
					}
				}
			}
			ELEMENT[at0.36] occurrences matches {0..1} matches {    -- IUD description
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}

ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0.1"] = <
					text = <"Uterine body">
					description = <"The uterine body was examined.">
				>
				["at0.10"] = <
					text = <"Single">
					description = <"A single gestation is observed.">
				>
				["at0.11"] = <
					text = <"Multiple">
					description = <"More than one gestation is observed.">
				>
				["at0.12"] = <
					text = <"Present, non-viable">
					description = <"Intrauterine pregnancy is observed, with no associated cardiac activity.">
				>
				["at0.13"] = <
					text = <"Length">
					description = <"The length of the 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 = <"Depth">
					description = <"The depth or height of the uterus.">
					comment = <"Usually measured in the sagittal plane, from the anterior to posterior walls, perpendicular to the length. Also known as 'antero-posterior diameter'.">
				>
				["at0.16"] = <
					text = <"Endometrium description">
					description = <"Narrative description about the endometrium.">
					comment = <"For example: thickness, focal abnormalities, echogenicity, and the presence and characteristics of fluid or masses in the cavity. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-abnormality nested within the 'Additional details' SLOT.">
				>
				["at0.17"] = <
					text = <"Endometrial thickness">
					description = <"Maximal measured thickness of the endometrium.">
					comment = <"Also known as the endometrial stripe.">
				>
				["at0.18"] = <
					text = <"Endometrial texture">
					description = <"Description about the endometrial texture.">
					comment = <"For example: homogeneous or heterogeneous; or describing ultrasound echogenicity as hypoechoic, isoechoic, or hyperechoic.">
				>
				["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-abnormality nested within the 'Additional details' SLOT.">
				>
				["at0.2"] = <
					text = <"Number of gestations">
					description = <"Number of gestations observed.">
				>
				["at0.20"] = <
					text = <"Myometrial walls">
					description = <"Description of the relative thickness of the endometrial walls.">
				>
				["at0.21"] = <
					text = <"Symmetrical">
					description = <"The thickness of the myometrial walls are symmetrical.">
				>
				["at0.22"] = <
					text = <"Asymmetrical">
					description = <"The thickness of the myometrial walls are not symmetrical.">
				>
				["at0.23"] = <
					text = <"Myometrial texture">
					description = <"Description about the myometrial texture.">
					comment = <"For example: homogeneous or heterogeneous.">
				>
				["at0.24"] = <
					text = <"Junctional zone">
					description = <"Description about the junctional zone of the myometrium.">
					comment = <"For example: regular, interrupted, or not visible.">
				>
				["at0.25"] = <
					text = <"Uterine axis">
					description = <"The axis of the cervix relative to the vagina.">
					comment = <"Also known as 'position'.">
				>
				["at0.26"] = <
					text = <"Anteverted">
					description = <"The vagina-cervix angle faces anteriorly.">
				>
				["at0.27"] = <
					text = <"Axial">
					description = <"The cervix is in the same axis as the vagina.">
				>
				["at0.28"] = <
					text = <"Retroverted">
					description = <"The vagina-cervix angle faces posteriorly.">
				>
				["at0.29"] = <
					text = <"Uterine flexion">
					description = <"The axis of the uterine fundus relative to the axis of the cervix.">
				>
				["at0.3"] = <
					text = <"Chorionicity">
					description = <"The number of chorionic (outer) membranes or placentas observed in a multiple pregnancy.">
				>
				["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 contraceptive 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.">
				>
				["at0.36"] = <
					text = <"IUD description">
					description = <"Narrative description about an observed IUD in the uterus.">
				>
				["at0.37"] = <
					text = <"Junctional zone thickness">
					description = <"Measured thickness of the junctional zone.">
				>
				["at0.4"] = <
					text = <"Amnionicity">
					description = <"The number of amnionic sacks (inner membranes) observed in a multiple pregnancy.">
				>
				["at0.41"] = <
					text = <"Monochorionic">
					description = <"One chorion or placenta is observed.">
				>
				["at0.42"] = <
					text = <"Dichorionic">
					description = <"Two chorions or placentae are observed.">
				>
				["at0.43"] = <
					text = <"Monoamnionic">
					description = <"One amniotic sac is observed.">
				>
				["at0.44"] = <
					text = <"Diamnionic">
					description = <"Two amniotic sacs are observed.">
				>
				["at0.5"] = <
					text = <"Intrauterine pregnancy">
					description = <"The presence or absence of an intrauterine pregnancy.">
				>
				["at0.6"] = <
					text = <"Present, viable">
					description = <"Intrauterine pregnancy is observed, with associated cardiac activity.">
				>
				["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 of absent.">
				>
				["at0000.1"] = <
					text = <"Imaging examination of the uterine body">
					description = <"Findings observed in an imaging examination targeting the uterine body, using radiographic techniques.">
				>
				["at0001.1"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
				>
				["at0005"] = <
					text = <"Additional details">
					description = <"Additional structured details about imaging findings for the identified body structure or region, or findings of related structures.">
				>
				["at0000"] = <
					text = <"Imaging examination of a body structure">
					description = <"Findings on radiological examination of a specified body structure or region.">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the imaging findings of the body structure, not captured in other fields.">
				>
				["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.">
				>
				["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.
">
				>
				["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.">
				>
				["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.">
				>
				["at0004"] = <
					text = <"Imaging findings">
					description = <"Narrative description of the imaging findings observed during this examination.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0.1"] = <
					text = <"Livmoren">
					description = <"Undersøkelse av livmoren.">
				>
				["at0.10"] = <
					text = <"Enkel">
					description = <"En enkelt graviditet er sett.">
				>
				["at0.11"] = <
					text = <"Flerling">
					description = <"Mer enn en graviditet er sett.">
				>
				["at0.12"] = <
					text = <"Tilstede, ikke-levende">
					description = <"Intrauterint svangerskap uten observert hjerteaktivitet.">
				>
				["at0.13"] = <
					text = <"Lengde">
					description = <"Livmorens lengde.">
					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 måles ved den bredeste utstrekningen i koronal eller tverrsnitt, loddrett over lengden.">
				>
				["at0.15"] = <
					text = <"Dybde">
					description = <"Livmorens dybde eller høyde.">
					comment = <"Måle som regel i sagittalt snitt fra fremre vegg til bakre vegg, loddrett over lengden. Kjent også som antero-posterior diameter.">
				>
				["at0.16"] = <
					text = <"Beskrivelse av endometrium">
					description = <"Fritekstbeskrivelse av endometriet.">
					comment = <"Eksempelvis tykkelse, fokale avvik, ekkomønster, tilstedeværelse og egenskaper av væske eller masser i kaviteten. Bruk elementet CLUSTER.imaging_exam-abnormality nøstet i SLOT'et \"Strukturerte detaljer\" for å registrere strukturerte detaljer.">
				>
				["at0.17"] = <
					text = <"Endometrietykkelse">
					description = <"Den største tykkelsen av endometriet.">
					comment = <"Kjent også som endometriestripe.">
				>
				["at0.18"] = <
					text = <"Endometriemønster">
					description = <"Beskrivelse av endometriemønster.">
					comment = <"Eksempelvis homogen eller heterogen, eller ekkomønster som lavekkoisk, isoekkoisk eller hyperekkoisk.">
				>
				["at0.19"] = <
					text = <"Beskrivelse av myometrium">
					description = <"Fritekstbeskrivelse av myometriet.">
					comment = <"Eksempelvis konturendringer, mønster, masser og cyster, samt symmetri av fremre og bakre områder. Bruk elementet CLUSTER.imaging_exam-abnormality nøstet i SLOT'et \"Strukturerte detaljer\" for å registrere dette.">
				>
				["at0.2"] = <
					text = <"Antall graviditeter">
					description = <"Antall graviditeter sett.">
				>
				["at0.20"] = <
					text = <"Myometriumvegger">
					description = <"Beskrivelse av relativ tykkelse for myometriumveggene.">
				>
				["at0.21"] = <
					text = <"Symmetrisk">
					description = <"Myometriumveggene har symmetrisk tykkelse.">
				>
				["at0.22"] = <
					text = <"Asymmetrisk">
					description = <"Myometriumveggene har ikke symmetrisk tykkelse.">
				>
				["at0.23"] = <
					text = <"Myometrium tekstur">
					description = <"Beskrivelse av teksturen til myometrium.">
					comment = <"Eksempelvis homogen eller heterogen.">
				>
				["at0.24"] = <
					text = <"Overgangssone">
					description = <"Beskrivelse av overgangssone.">
					comment = <"Eksempelvis regelmessig, avbrutt eller ikke synlig.">
				>
				["at0.25"] = <
					text = <"Livmorens akse">
					description = <"Livmorhalsens akse i forhold til skjedens akse.">
					comment = <"Kjent også som posisjon.">
				>
				["at0.26"] = <
					text = <"Antevertert">
					description = <"Vinkel mellom skjedens og livmorhalsens akse peker fremover.">
				>
				["at0.27"] = <
					text = <"Aksial">
					description = <"Livmorshalsen og skjedens akse er parallelle.">
				>
				["at0.28"] = <
					text = <"Retrovertert">
					description = <"Vinkel mellom skjedens og livmorhalsens akse peker bakover.">
				>
				["at0.29"] = <
					text = <"Livmorens fleksjon">
					description = <"Fundus uteri akse i forhold til livmorhalsens akse.">
				>
				["at0.3"] = <
					text = <"Korionisitet">
					description = <"Antall chorion eller morkaker sett i flerlingsvangerskap.">
				>
				["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 = <"Tilstedeværelse eller fravær av intrauterin spiral.">
				>
				["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.">
				>
				["at0.36"] = <
					text = <"Beskrivelse av spiral">
					description = <"Fritekstbeskrivelse av intrauterin spiral.">
				>
				["at0.37"] = <
					text = <"Tykkelse av overgangssone">
					description = <"Overgangssonens tykkelse.">
				>
				["at0.4"] = <
					text = <"Amnionisitet">
					description = <"Antall amnionsekk sett i flerlingsvangerskap.">
				>
				["at0.41"] = <
					text = <"Monochorion">
					description = <"En chorion eller morkake er sett.">
				>
				["at0.42"] = <
					text = <"Dichorion">
					description = <"To chorion eller morkaker er sett.">
				>
				["at0.43"] = <
					text = <"Monoamnionisk">
					description = <"En amniosekk er sett.">
				>
				["at0.44"] = <
					text = <"Diamnionisk">
					description = <"To amnionsekker er sett.">
				>
				["at0.5"] = <
					text = <"Intrauterint svangerskap">
					description = <"Tilstedeværelse eller fravær av et intrauterint svangerskap.">
				>
				["at0.6"] = <
					text = <"Tilstede, levende">
					description = <"Intrauterint svangerskap med observert hjerteaktivitet.">
				>
				["at0.7"] = <
					text = <"Fraværende">
					description = <"Intrauterint svangerskap er ikke sett.">
				>
				["at0.8"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme om et intrauterint svangerskap er tilstede eller fraværende.">
				>
				["at0000"] = <
					text = <"Bildediagnostisk undersøkelse - kroppsstruktur">
					description = <"Funn eller observasjoner ved radiologisk undersøkelse av et definert organ eller en kroppsdel.">
				>
				["at0000.1"] = <
					text = <"Bildediagnostisk undersøkelse - livmor">
					description = <"Funn eller observasjoner ved bildediagnostisk undersøkelse av livmoren med bruk av radiologiske metoder.">
				>
				["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.">
				>
				["at0001.1"] = <
					text = <"Struktur">
					description = <"Navn av undersøkt struktur eller område på eller i kroppen.">
				>
				["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 = <"Uterine body">
					description = <"The uterine body was examined.">
				>
				["at0.10"] = <
					text = <"Single">
					description = <"A single gestation is observed.">
				>
				["at0.11"] = <
					text = <"Multiple">
					description = <"More than one gestation is observed.">
				>
				["at0.12"] = <
					text = <"Present, non-viable">
					description = <"Intrauterine pregnancy is observed, with no associated cardiac activity.">
				>
				["at0.13"] = <
					text = <"Length">
					description = <"The length of the 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 = <"Depth">
					description = <"The depth or height of the uterus.">
					comment = <"Usually measured in the sagittal plane, from the anterior to posterior walls, perpendicular to the length. Also known as 'antero-posterior diameter'.">
				>
				["at0.16"] = <
					text = <"Endometrium description">
					description = <"Narrative description about the endometrium.">
					comment = <"For example: thickness, focal abnormalities, echogenicity, and the presence and characteristics of fluid or masses in the cavity. Record structured details about any morphological abnormality using CLUSTER.imaging_exam-abnormality nested within the 'Additional details' SLOT.">
				>
				["at0.17"] = <
					text = <"Endometrial thickness">
					description = <"Maximal measured thickness of the endometrium.">
					comment = <"Also known as the endometrial stripe.">
				>
				["at0.18"] = <
					text = <"Endometrial texture">
					description = <"Description about the endometrial texture.">
					comment = <"For example: homogeneous or heterogeneous; or describing ultrasound echogenicity as hypoechoic, isoechoic, or hyperechoic.">
				>
				["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-abnormality nested within the 'Additional details' SLOT.">
				>
				["at0.2"] = <
					text = <"Number of gestations">
					description = <"Number of gestations observed.">
				>
				["at0.20"] = <
					text = <"Myometrial walls">
					description = <"Description of the relative thickness of the endometrial walls.">
				>
				["at0.21"] = <
					text = <"Symmetrical">
					description = <"The thickness of the myometrial walls are symmetrical.">
				>
				["at0.22"] = <
					text = <"Asymmetrical">
					description = <"The thickness of the myometrial walls are not symmetrical.">
				>
				["at0.23"] = <
					text = <"Myometrial texture">
					description = <"Description about the myometrial texture.">
					comment = <"For example: homogeneous or heterogeneous.">
				>
				["at0.24"] = <
					text = <"Junctional zone">
					description = <"Description about the junctional zone of the myometrium.">
					comment = <"For example: regular, interrupted, or not visible.">
				>
				["at0.25"] = <
					text = <"Uterine axis">
					description = <"The axis of the cervix relative to the vagina.">
					comment = <"Also known as 'position'.">
				>
				["at0.26"] = <
					text = <"Anteverted">
					description = <"The vagina-cervix angle faces anteriorly.">
				>
				["at0.27"] = <
					text = <"Axial">
					description = <"The cervix is in the same axis as the vagina.">
				>
				["at0.28"] = <
					text = <"Retroverted">
					description = <"The vagina-cervix angle faces posteriorly.">
				>
				["at0.29"] = <
					text = <"Uterine flexion">
					description = <"The axis of the uterine fundus relative to the axis of the cervix.">
				>
				["at0.3"] = <
					text = <"Chorionicity">
					description = <"The number of chorionic (outer) membranes or placentas observed in a multiple pregnancy.">
				>
				["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 contraceptive 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.">
				>
				["at0.36"] = <
					text = <"IUD description">
					description = <"Narrative description about an observed IUD in the uterus.">
				>
				["at0.37"] = <
					text = <"Junctional zone thickness">
					description = <"Measured thickness of the junctional zone.">
				>
				["at0.4"] = <
					text = <"Amnionicity">
					description = <"The number of amnionic sacks (inner membranes) observed in a multiple pregnancy.">
				>
				["at0.41"] = <
					text = <"Monochorionic">
					description = <"One chorion or placenta is observed.">
				>
				["at0.42"] = <
					text = <"Dichorionic">
					description = <"Two chorions or placentae are observed.">
				>
				["at0.43"] = <
					text = <"Monoamnionic">
					description = <"One amniotic sac is observed.">
				>
				["at0.44"] = <
					text = <"Diamnionic">
					description = <"Two amniotic sacs are observed.">
				>
				["at0.5"] = <
					text = <"Intrauterine pregnancy">
					description = <"The presence or absence of an intrauterine pregnancy.">
				>
				["at0.6"] = <
					text = <"Present, viable">
					description = <"Intrauterine pregnancy is observed, with associated cardiac activity.">
				>
				["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 of absent.">
				>
				["at0000.1"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"Befunde zur radiologischen Untersuchung einer bestimmten Körperstruktur oder -region.">
				>
				["at0001.1"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"Zum Beispiel: „Leber“, „Rechtes Fußgelenk“ oder „Lymphknotengruppe“. Es wird empfohlen, die Körperstruktur mit einer geeigneten Terminologie, wie z. B. SNOMED CT, zu codieren.">
				>
				["at0005"] = <
					text = <"Zusätzliche Angaben">
					description = <"Zusätzliche strukturierte Angaben zu bildgebenden Befunden für die identifizierte Körperstruktur oder -region oder befundbezogene Strukturen.">
				>
				["at0000"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"Befunde zur radiologischen Untersuchung einer bestimmten Körperstruktur oder -region.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Zusätzlicher Text über die bildgebenden Befunde der Körperstruktur, der in anderen Bereichen nicht erfasst wurde.">
				>
				["at0001"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"Zum Beispiel: „Leber“, „Rechtes Fußgelenk“ oder „Lymphknotengruppe“. Es wird empfohlen, die Körperstruktur mit einer geeigneten Terminologie, wie z. B. SNOMED CT, zu codieren.">
				>
				["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.">
				>
				["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.">
				>
				["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.">
				>
				["at0004"] = <
					text = <"Bildgebende Befunde">
					description = <"Beschreibung der bei dieser Untersuchung beobachteten bildgebenden Befunde.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0.1"] = <[SNOMED-CT::23952005]>
			>
		>
	>