archetype (adl_version=1.4; uid=75b04774-0c90-4265-8a9a-77606dcd43df)
	openEHR-EHR-CLUSTER.imaging_myometrial_lesion.v0

concept
	[at0000]	-- Imaging examination of a myometrial lesion
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2022-11-15">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about a single myometrial lesion found on radiological examination, focused on supporting the differentiation of adenomyosis from fibroids and other uterine smooth muscle tumours.">
			use = <"Use to record details about a single myometrial lesion found on radiological examination.

This archetype has been designed to be nested in the 'Lesion detail' SLOT within the CLUSTER.imaging_exam-uterus or CLUSTER.imaging_exam-cervix archetypes.">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	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"] = <"Van den Bosch T, Dueholm M, Leone FP, Valentin L, Rasmussen CK, Votino A, Van Schoubroeck D, Landolfo C, Installé AJ, Guerriero S, Exacoustos C, Gordts S, Benacerraf B, D'Hooghe T, De Moor B, Brölmann H, Goldstein S, Epstein E, Bourne T, Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015 Sep;46(3):284-98. doi: 10.1002/uog.14806. Epub 2015 Aug 10. PMID: 25652685. Available from https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.14806.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"CA5F3B1D57660A88A79B9E352E102626">
		["build_uid"] = <"f1b21513-fb42-4ee0-b1fa-d27074fa3386">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- Imaging examination of a myometrial lesion
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- Label
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {    -- Location
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0003,    -- Anterior
							at0004,    -- Posterior
							at0005,    -- Fundal
							at0006,    -- Right lateral
							at0007,    -- Left lateral
							at0008]    -- Global
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0009] occurrences matches {0..1} matches {    -- FIGO classification
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0010,    -- Pedunculated intracavitary
							at0011,    -- Submucosal, < 50% intramural (≥50% submucosal)
							at0012,    -- Submucosal, ≥ 50% intramural (<50% submucosal)
							at0013,    -- 100% intramural, contacting endometrium
							at0014,    -- 100% intramural, no endometrial or subserosal contact
							at0015,    -- Subserosal,≥50% intramural
							at0016,    -- Subserosal,<50% intramural
							at0017,    -- Pedunculated subserosal
							at0018]    -- Non-myometrial location
						}
					}
				}
			}
			ELEMENT[at0019] occurrences matches {0..1} matches {    -- Dimension
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
								precision = <|1|>
							>
						>
					>
				}
				name matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0020,    -- Length
							at0021,    -- Width
							at0022]    -- Height
						}
					}
				}
			}
			ELEMENT[at0023] occurrences matches {0..1} matches {    -- Volume
				value matches {
					C_DV_QUANTITY <
						
						list = <
							["1"] = <
								units = <"cm3">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0024] occurrences matches {0..1} matches {    -- Outline
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0025,    -- Well-defined
							at0026]    -- Ill-defined
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0027] occurrences matches {0..1} matches {    -- Shape
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0028,    -- Round
							at0029,    -- Oval
							at0030]    -- Lobulated
						}
					}
				}
			}
			ELEMENT[at0031] occurrences matches {0..1} matches {    -- Contour
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0032,    -- Smooth
							at0033]    -- Irregular
						}
					}
				}
			}
			ELEMENT[at0034] occurrences matches {0..1} matches {    -- Rim
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0035,    -- Hypo-echogenic
							at0036,    -- Hyper-echogenic
							at0037]    -- No rim
						}
					}
				}
			}
			allow_archetype CLUSTER[at0038] occurrences matches {0..*} matches {    -- Lesion vascularisation
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.vascularisation_ultrasound(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0039] occurrences matches {0..1} matches {    -- Shadowing description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0040] occurrences matches {0..1} matches {    -- Shadowing details
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0041] occurrences matches {0..1} matches {    -- Shadow type
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0042,    -- Edge shadow
									at0043,    -- Internal shadow
									at0044]    -- Fan-shaped shadow
								}
							}
						}
					}
					ELEMENT[at0045] occurrences matches {0..1} matches {    -- Presence?
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0046,    -- Present
									at0047]    -- Absent
								}
							}
						}
					}
					ELEMENT[at0048] occurrences matches {0..1} matches {    -- Degree
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0049,    -- Slight
									at0050,    -- Moderate
									at0051]    -- Strong
								}
							}
						}
					}
				}
			}
			ELEMENT[at0052] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Imaging examination of a myometrial lesion">
					description = <"Details about a single myometrial lesion found on radiological examination.">
					comment = <"Other sites may include: broad ligament">
				>
				["at0001"] = <
					text = <"Label">
					description = <"Label used to uniquely identify one myometrial lesion from another.">
				>
				["at0003"] = <
					text = <"Anterior">
					description = <"The lesion is located within the myometrium in the anterior aspect of the uterus.">
				>
				["at0004"] = <
					text = <"Posterior">
					description = <"The lesion is located within the myometrium in the posterior aspect of the uterus.">
				>
				["at0005"] = <
					text = <"Fundal">
					description = <"The lesion is located within the myometrium in the fundus of the uterus.">
				>
				["at0006"] = <
					text = <"Right lateral">
					description = <"The lesion is located within the myometrium on the right side of the uterus.">
				>
				["at0007"] = <
					text = <"Left lateral">
					description = <"The lesion is located within the myometrium on the left side of the uterus.">
				>
				["at0008"] = <
					text = <"Global">
					description = <"The lesions are located within the myometrium and distributed throughout the uterus.">
				>
				["at0002"] = <
					text = <"Location">
					description = <"Description about the location of observed myometrial lesion.">
				>
				["at0010"] = <
					text = <"Pedunculated intracavitary">
					description = <"">
				>
				["at0011"] = <
					text = <"Submucosal, < 50% intramural (≥50% submucosal)">
					description = <"">
				>
				["at0012"] = <
					text = <"Submucosal, ≥ 50% intramural (<50% submucosal)">
					description = <"">
				>
				["at0013"] = <
					text = <"100% intramural, contacting endometrium">
					description = <"">
				>
				["at0014"] = <
					text = <"100% intramural, no endometrial or subserosal contact">
					description = <"">
				>
				["at0015"] = <
					text = <"Subserosal,≥50% intramural">
					description = <"">
				>
				["at0016"] = <
					text = <"Subserosal,<50% intramural">
					description = <"">
				>
				["at0017"] = <
					text = <"Pedunculated subserosal">
					description = <"">
				>
				["at0018"] = <
					text = <"Non-myometrial location">
					description = <"For example: cervical, broad ligament, parasitic.">
				>
				["at0009"] = <
					text = <"FIGO classification">
					description = <"Description of the site of the lesion within the myometrial wall according to the FIGO classification of fibroids.">
					comment = <"This data element allows up to 2 occurrences to be recorded, to support a hybrid classification using both submucosal and subserosal components - the first number designates the submucosal component and second number designates the subserosal component.">
				>
				["at0020"] = <
					text = <"Length">
					description = <"The measured length of the longest edge of the lesion.">
				>
				["at0021"] = <
					text = <"Width">
					description = <"The measured length of widest aspect of the lesion, usually perpendicular to the length.">
				>
				["at0022"] = <
					text = <"Height">
					description = <"The measured length of the vertical aspect of the lesion.">
				>
				["at0019"] = <
					text = <"Dimension">
					description = <"A measured dimension of the myometrial lesion.">
					comment = <"This data element has unlimited occurrences to allow for measurements in 3 unspecified perpendicular axes, for example 3 x 4 x 5 mm. Use run-time name constraints to specify orientation of length, width and height, if required.">
				>
				["at0023"] = <
					text = <"Volume">
					description = <"The calculated volume of the identified lesion.">
				>
				["at0039"] = <
					text = <"Shadowing description">
					description = <"Narrative description about associated acoustic shadowing.">
				>
				["at0045"] = <
					text = <"Presence?">
					description = <"">
				>
				["at0046"] = <
					text = <"Present">
					description = <"Edge shadowing is observed.">
				>
				["at0047"] = <
					text = <"Absent">
					description = <"No edge shadowing is observed.">
				>
				["at0040"] = <
					text = <"Shadowing details">
					description = <"">
				>
				["at0041"] = <
					text = <"Shadow type">
					description = <"">
				>
				["at0042"] = <
					text = <"Edge shadow">
					description = <"">
				>
				["at0043"] = <
					text = <"Internal shadow">
					description = <"">
				>
				["at0044"] = <
					text = <"Fan-shaped shadow">
					description = <"">
				>
				["at0048"] = <
					text = <"Degree">
					description = <"">
				>
				["at0049"] = <
					text = <"Slight">
					description = <"">
				>
				["at0050"] = <
					text = <"Moderate">
					description = <"">
				>
				["at0051"] = <
					text = <"Strong">
					description = <"">
				>
				["at0025"] = <
					text = <"Well-defined">
					description = <"The lesions observed in the myometrium are well-defined.">
				>
				["at0026"] = <
					text = <"Ill-defined">
					description = <"The lesions observed in the myometrium are ill-defined.">
				>
				["at0024"] = <
					text = <"Outline">
					description = <"Description of the silhouette of the endometrial lesion.">
				>
				["at0027"] = <
					text = <"Shape">
					description = <"The shape of the myometrial lesion.">
				>
				["at0028"] = <
					text = <"Round">
					description = <"">
				>
				["at0029"] = <
					text = <"Oval">
					description = <"">
				>
				["at0030"] = <
					text = <"Lobulated">
					description = <"">
				>
				["at0031"] = <
					text = <"Contour">
					description = <"The contour of the myometrial lesion.">
				>
				["at0032"] = <
					text = <"Smooth">
					description = <"">
				>
				["at0033"] = <
					text = <"Irregular">
					description = <"">
				>
				["at0034"] = <
					text = <"Rim">
					description = <"The echogenic rim of the lesion.">
				>
				["at0035"] = <
					text = <"Hypo-echogenic">
					description = <"">
				>
				["at0036"] = <
					text = <"Hyper-echogenic">
					description = <"">
				>
				["at0037"] = <
					text = <"No rim">
					description = <"">
				>
				["at0052"] = <
					text = <"Comment">
					description = <"Additional narrative about the myometrial lesion not captured in other fields.">
				>
				["at0038"] = <
					text = <"Lesion vascularisation">
					description = <"">
				>
			>
		>
	>