OpenEHR Apperta Mirror
Name
Anatomical location
Description
A physical site on or within the human body.
Keywords
location site anatomical anatomic region topographic anatomy macroscopic anatomic anatomy
Purpose
To identify and record structured details about a single physical site on, or within, the human body using macroscopic anatomical terms.
Use
Use to record structured and consistent details about a single identified physical site on, or within, the human body.

This archetype is specifically designed to be used within the context of any appropriate ENTRY or CLUSTER archetypes which supply the context of the anatomical location.

As a fundamental part of clinical practice, clinicians can describe anatomical locations in a myriad of complex and variable ways. In practice, some archetypes carry a single data element for carrying a simple description of body site - for example, OBSERVATION.blood_pressure and CLUSTER.symptom when describing ear pain. In this situation, where the value set is predictable and simple to define, this single data element is a very accurate and pragmatic way to record the site in the body and to query at a later date. However in the situation where the anatomical location is not well defined or needs to be determined at run-time, it may be more flexible to use this structured archetype. For example, in the situation where any symptom can be recorded without any predefined scope of the type of symptom, then allowing the use of this archetype to specifically define an anatomical location in the body may be useful. In this case the CLUSTER.symptom archetype also carries a SLOT for 'Detailed anatomical location' which can include this archetype to support maximal flexibility in recording anatomical location data.

This archetype supports recording complex structured anatomical sites. For example, the apex beat of the heart is typically found at the fifth left intercostal space in the mid-clavicular line, tenderness at McBurney's point on the abdominal wall or a laceration on the palmar aspect of the proximal right thumb.

A combination of the data elements in this archetype can be used to individually record each component of a postcoordinated terminology expression that represents the anatomical site.

The 'Alternative structure' SLOT allows inclusion of additional archetypes that provide an alternative structure for describing the same body site, such as CLUSTER.anatomical_location_relative or CLUSTER.anatomical_location_clock, should this be required. In the situation where this archetype can only be used to name a large and/or non-specific body part, the additional use of the CLUSTER.anatomical_location_relative archetype will support recording of a more precise location - for example, 2 cm anterior to the cubital fossa of the left forearm or 4 cm below R costal margin on the chest wall in the mid-clavicular line.

If this archetype is used within other archetypes where the specified subject of care is not the individual for whom the record is being created, for example a fetus in-utero, then the anatomical location will be identifying a body site on or within the fetus.
Misuse
Not to be used for specifiying unilateral/bilateral occurrences of an anatomical feature.
References
Derived from:
Anatomical location, Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2023-03-21]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.587
Anatomy Mapper website [Internet]. Matt Molenda, [cited 2015 Apr 27]. Available from: http://www.anatomymapper.com/.
Archetype Id
openEHR-EHR-CLUSTER.anatomical_location-Laterality_Expansion.v0
Copyright
© openEHR Foundation, Apperta Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Heather Leslie
Ocean Informatics
Date Originally Authored
2008-11-10
Language Details
German
Sarah Ballout
Swedish
Åsa Skagerhult, Linda Aulin
Region Östergötland, Region Stockholm
Norwegian Bokmal
Lars Bitsch-Larsen
Haukeland University Hospital of Bergen, Norway
Portuguese (Brazil)
Osmeire Chamelette Sanzovo
Hospital Sírio Libanês - SP
Arabic (Syria)
Mona Saleh
Slovenian, Slovene
Biljana Princic
Dutch
Michiel Klitsie
Nedap Healthcare
Name Card Type Description
Body site name
1..1 DV_TEXT Identification of a single physical site either on, or within, the human body.
Comment
This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent.
Specific site
0..1 DV_TEXT Additional detail using a specific region or a point on, or within, the identified body site.
Comment
Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant.
Laterality
0..1 DV_CODED_TEXT The side of the body on which the identified body site is located.
Comment
If the identified body site has no laterality, this data element should not have a value. If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.
Constraint for DV_CODED_TEXT
  • Left
    [Left side of the body.]
  • Right
    [Right side of the body.]
  • Bilateral
    [Both sides of the body.]
Aspect
0..2
CHOICE OF
DV_CODED_TEXT
DV_TEXT
Qualifying detail about the specific aspect of the identified body site.
Comment
Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant. This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures.
Constraint for DV_CODED_TEXT
  • Medial
    [Towards the midline of the body site.]
  • Lateral
    [Towards the side, or edge, of the body site.]
  • Superior
    [Above the body site, often meaning towards the head.]
  • Inferior
    [Below the body site, often meaning towards the feet.]
  • Anterior
    [Towards the front, or ventral surface, of the body site.]
  • Posterior
    [Towards the back, or dorsal surface, of the body site.]
  • Proximal
    [More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.]
  • Distal
    [More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.]
  • Deep
    [Away from the surface of the body site.]
  • Superficial
    [Towards the surface of the body site.]
  • Palmar
    [Towards the palm of the hand.]
  • Plantar
    [Towards the sole of the foot.]
  • Dorsal
    [Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.]
  • Mid
    [In the middle of the body site.]
  • Oral
    [Towards the mouth. Usually used to describe locations within the digestive system.]
  • Anal
    [Towards the anus. Usually used to describe locations within the digestive system.]
Anatomical Line
0..1
CHOICE OF
DV_CODED_TEXT
DV_TEXT
Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body.
Comment
Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant.
Constraint for DV_CODED_TEXT
  • Midline
    [Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.]
  • Midaxillary line
    [Line running vertically down the surface of the body, passing through the apex of the axilla.]
  • Anterior axillary line
    [Line running vertically down the surface of the body, passing through the anterior axillary skinfold.]
  • Posterior axillary line
    [Line running vertically down the surface of the body, passing through the posterior axillary skinfold.]
  • Mid-clavicular line
    [Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.]
  • Mid-pupillary line
    [Line running vertically down the face through the midpoint of the pupil when looking directly forward.]
  • Mid-scapular line
    [Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.]
Description
0..1 DV_TEXT Narrative description that can be used to further refine and support the 'Body site name'.
Comment
For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area.
Alternative structure
0..* Slot (Cluster) Additional detail about the anatomical site using alternative approaches to describe the same body site.
Comment
For example, relative location or precise locations using coordinates.
Slot
Slot
Multimedia representation
0..* Slot (Cluster) Image or other media used to support identification of the body site.
Slot
Slot
archetype (adl_version=1.4; uid=c7484efd-94a9-4214-a334-d6fdb30ba457)
	openEHR-EHR-CLUSTER.anatomical_location-Laterality_Expansion.v0
specialise
	openEHR-EHR-CLUSTER.anatomical_location.v1

concept
	[at0000.1]	-- Anatomical location
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Sarah Ballout">
				["email"] = <"ballout.sarah@mh-hannover.de">
			>
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Åsa Skagerhult, Linda Aulin">
				["organisation"] = <"Region Östergötland, Region Stockholm">
				["email"] = <"asa.skagerhult@regionostergotland.se, linda.aulin@sll.se">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Lars Bitsch-Larsen">
				["organisation"] = <"Haukeland University Hospital of Bergen, Norway">
			>
			accreditation = <"MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine.">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Osmeire Chamelette Sanzovo">
				["organisation"] = <"Hospital Sírio Libanês - SP">
				["email"] = <"osmeire.acsanzovo@hsl.org.br">
			>
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			author = <
				["name"] = <"Mona Saleh">
			>
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			author = <
				["name"] = <"Biljana Princic">
			>
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			author = <
				["name"] = <"Michiel Klitsie">
				["organisation"] = <"Nedap Healthcare">
				["email"] = <"michiel.klitsie@nedap.com">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"2008-11-10">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Identifikation und Dokumentation von strukturierten Daten bezüglich einer bestimmten Körperstelle oder innerhalb des menschlichen Körpers, unter Verwendung makroskopischer anatomischer Fachbegriffe.">
			use = <"Zur Dokumentation von strukturierten und konsistenten Details eines einzelnen bestimmten physischen Bereich innerhalb des menschlichen Körpers verwenden.

Dieser Archetyp wurde speziell für die Verwendung im Rahmen von allen geeigneten ENTRY- oder CLUSTER-Archetypen entwickelt, die den Kontext des anatomischen Fundortes liefern.

Als grundlegender Bestandteil der klinischen Praxis, können Mediziner anatomische Lokalisationen auf einer Vielzahl von komplexen und variablen Wegen definieren. In der Praxis tragen einige Archetypen ein einziges Datenelement für eine einfache Beschreibung der Körperstelle - zum Beispiel OBSERVATION.blood_pressure und CLUSTER.symptom bei der Beschreibung von Ohrenschmerzen. In dieser Situation, in der die Wertemenge berechenbar und simpel zu definieren ist, ist dieses einzelne Datenelement eine sehr genaue und pragmatische Möglichkeit, die Stelle im Körper zu protokollieren und zu einem späteren Zeitpunkt abzufragen. In der Situation, in der die anatomische Lage nicht genau definiert ist oder zur Laufzeit bestimmt werden muss, kann es flexibler sein, diesen strukturierten Archetyp zu verwenden. Wenn zum Beispiel jedes Symptom ohne einen vordefinierten Umfang der Symptomatik aufgezeichnet werden kann, dann ist es sinnvoll, diesen Archetyp zu verwenden, um eine spezifische anatomische Lokalisation im Körper zu definieren. In diesem Fall trägt der CLUSTER.symptom Archetyp auch einen SLOT für 'Detaillierte anatomische Lokalisation', der diesen Archetyp enthalten kann, um maximale Flexibilität bei der Erfassung der Daten zur anatomischen Lage zu gewährleisten.

Dieser Archetyp unterstützt die Aufnahme von komplex strukturierten anatomischen Stellen. Beispielsweise findet sich der Scheitelpunkt des Herzens typischerweise am fünften linken Interkostalraum in der Mittelklavikularlinie, Schmerzempfindlichkeit am McBurney-Punkt an der Bauchdecke oder eine Risswunde an der Handflächeninnenseite des proximalen rechten Daumens.

Eine Kombination der Datenelemente in diesem Archetyp kann verwendet werden, um jede Komponente eines postkoordinierten Terminologieausdrucks, der den anatomischen Bereich repräsentiert, individuell zu dokumentieren.

Der SLOT \"Alternative Struktur\" erlaubt die Aufnahme zusätzlicher Archetypen, die eine alternative Struktur zur Beschreibung derselben Körperstelle bieten, wie z.B. CLUSTER.anatomical_location_relative oder CLUSTER.anatomical_location_clock, falls dies benötigt wird. Wenn dieser Archetyp nur zur Benennung eines großen und/oder unspezifischen Körperteils verwendet werden kann, unterstützt die zusätzliche Verwendung des Archetyps CLUSTER.anatomical_location_relative die Aufnahme einer genaueren Position - zum Beispiel 2 cm vor der kubitalen Fossa des linken Unterarms oder 4 cm unter dem Rippenrand an der Brustwand in der Mittelklavikularlinie.

Wenn dieser Archetyp in anderen Archetypen verwendet wird, in denen das angegebene Thema nicht die Person ist, für die der Datensatz erstellt wird, z.B. ein Fötus in-utero, dann wird der anatomische Ort eine Körperstelle auf oder innerhalb des Fötus identifizieren.\"
">
			keywords = <"Lokalisation", "Stelle", "anatomisch", "anatomischer Bereich", "topographische Anatomie", "makroskopisch", "Anatomie">
			misuse = <"*Not to be used for specifiying unilateral/bilateral occurrences of an anatomical feature.(en)">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att identifiera och strukturerat registrera detaljer om en enskild del på eller i människokroppen genom att använda termer inom makroskopisk anatomi.">
			use = <"Används för att på ett strukturerat och konsekvent vis registrera detaljer om ett enskilt fysiskt ställe på eller i människokroppen.

Arketypen är specifikt utformad för att användas i lämpliga ENTRY- och CLUSTER-arketyper som sätter den anatomiska lokalisationen i ett sammanhang.

Som en grundläggande del av klinisk praxis kan kliniker beskriva anatomiska platser på en mängd olika sätt. Vissa arketyper innehåller ett enkelt dataelement för enkel beskrivning av en kroppslig plats - till exempel OBSERVATION.blood_pressure och CLUSTER.symptoms när man beskriver smärta i örat. I denna situation, där uppsättningen värden är förutsägbar och lätt att definiera, är detta enkla dataelement ett mycket exakt och praktiskt sätt att registrera en anatomisk plats på eller i kroppen och söka efter den vid ett senare tillfälle. Men när den anatomiska platsen inte är väldefinierad eller behöver definieras kontinuerligt kan det vara mer flexibelt att använda denna strukturerade arketyp. Till exempel, i en situation där symptom ska registreras utan förkunskap om vilka typer av symptom det kan vara, kan denna arketyp vara användbar för att definiera en anatomisk plats i kroppen. I det här fallet har CLUSTER.symptom-arketypen en \"Lokalisation\"-SLOT som kan innehålla denna arketyp för att stödja maximal flexibilitet vid registrering av anatomiska platsdata.

Arketypen stöder registrering av komplexa strukturerade anatomiska platser. Till exempel finns hjärtspetsstöten typiskt i mitralområdet, ömhet vid McBurneys punkt på bukenväggen eller sårskada på handflatan av den proximala högra tummen.

En kombination av dataelement i den här arketypen kan användas för att registrera varje komponent i ett postkoordinerat terminologiskt uttryck som representerar den anatomiska platsen.

SLOT för ''Alternativ struktur '' möjliggör användning av ytterligare arketyper som ger en alternativ struktur för beskrivning av samma kroppsplats, såsom CLUSTER.anatomical_location_relative eller CLUSTER.anatomical_location_circle, om detta skulle krävas. I den situation där den här arketypen endast kan användas för att namnge en stor och/eller ospecifik kroppsdel, kan ”CLUSTER. Anatomical_location_relative”-arketypen användas för att registrera en mer exakt plats – till exempel 2 cm främre än fossa cubitalis på vänster arm eller 4 cm under revbensbågen i medioklavikularlinjen på bröstväggen.

Om denna arketyp används i andra arketyper där patienten inte är den som dokumentationen syftar till, till exempel foster-in-utero, kommer den anatomiska lokalisationen att identifieras som en lokalisation på eller i fostrets kropp.">
			keywords = <"lokalisation", "ställe", "anatomisk", "anatomiskt område", "topografisk anatomi", "makroskopisk", "anatomi">
			misuse = <"Används inte för att ange unilaterala eller bilaterala förekomster av ett anatomiskt särdrag.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For registering av strukturerte detaljer om én enkelt makroskopisk fysisk lokalisering på eller i menneskekroppen.">
			use = <"Brukes for å dokumentere strukturerte og ensartede detaljer om et enkelt identifisert fysisk sted på eller i menneskekroppen.

Denne arketypen er spesifikt designet for bruk i ENTRY og CLUSTER-arketyper som gir konteksten for den anatomiske lokaliseringen.

Som en grunnleggende del av klinisk praksis kan klinikere beskrive anatomiske lokaliseringer på et utall forskjellige måter. Noen arketyper inneholder et enkelt dataelement for enkel beskrivelse av en kroppslig lokalisering - for eksempel OBSERVATION.blood_pressure, og CLUSTER.symptom når man beskriver øresmerter. I denne situasjonen, hvor verdisettet er forutsigbart og enkelt å definere, er dette enkle dataelementet en meget nøyaktig og praktisk måte for å registrere et anatomisk sted på eller i kroppen og søke på det på et senere tidspunkt. Når den anatomiske lokaliseringen derimot ikke er veldefinert eller må defineres fortløpende, kan det være mer fleksibelt å bruke denne strukturerte arketypen. For eksempel i en situasjon hvor et hvilket som helst symptom kan bli registrert uten noen forkunnskaper om hvilke typer symptomer det kan være, så vil muligheten for å bruke denne arketypen være nyttig. I dette tilfellet har CLUSTER.symptom-arketypen et SLOT for \"Strukturert anatomisk lokalisering\" som kan inneholde denne arketypen for å støtte maksimal fleksibilitet i registrering av data om den anatomiske lokaliseringen.

Arketypen støtter registrering av komplekse strukturerte anatomiske steder. For eksempel finnes hjertespisstøt typisk i femte venstre intercostalrom i midtclaviculære linjen, ømhet ved McBurney's punkt på abdomen eller laserasjon på den palmare siden av den proksimale høyre tommelen.

En kombinasjon av dataelementer i denne arketypen kan brukes for individuell registrering av hver komponent av et postkoordinert terminologiuttrykk for anatomisk sted.

Arketypen inneholder et \"Alternativ struktur\" SLOT som tillater inklusjon av ytterligere arketyper som gir en alternativ struktur for beskrivelse av det samme kroppssted, som CLUSTER.anatomical_location_relative eller CLUSTER.anatomical_location_clock om dette er nødvendig. I en situasjon hvor denne arketypen bare brukes til å navngi en større og/eller ikke-spesifikk kroppsdel, kan ytterligere bruk av CLUSTER.anatomical_location_relative-arketypen understøtte registrering av en mer presis lokasjon - for eksempel 2 cm anteriort for venstre arms cubitalfossa eller 4 cm under høyre costamargin på brystveggen i midtclaviculærlinjen.

Hvis denne arketypen brukes i andre arketyper hvor pasienten/klienten ikke er den som dokumentasjonen omhandler, for eksempel foetus-in-utero, så vil den anatomiske lokaliseringen bli identifisert som en lokalisering på eller i kroppen til fosteret.">
			keywords = <"sted", "lokalisering", "lokalisasjon", "anatomisk", "kroppssted", "anatomisk region", "topografisk anatomi", "makroskopisk", "anatomi", "kroppsdel", "dermatom", "legemsdel">
			misuse = <"Brukes ikke for spesifisering av unilateral/bilateral forekomst av et anatomisk kjennetegn.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"Para identificar e anotar informações estruturadas sobre um único local físico do corpo humano usando termos anatômicos macroscópicos.">
			use = <"Use para gravar detalhes estruturados e consistentes sobre um único local físico identificado do corpo humano.

Este arquétipo foi projetado especificamente para ser utilizado dentro do contexto de qualquer entrada ou CLUSTER arquétipo que forneça o contexto da localização anatômica.

Como uma parte fundamental da prática clínica, os médicos podem descrever localizações anatômicas em uma miríade de formas complexas e variáveis. Na prática, alguns arquétipos carregam um elemento de dados único para o transporte de uma simples descrição do local do corpo - por exemplo, OBSERVATION.blood_pressure e CLUSTER.symptom quando descrevem a dor de ouvido. Nesta situação, onde o valor definido é previsível e simples de definir, este elemento de dados único é uma maneira muito precisa e pragmática para gravar o local no corpo e a consulta em uma data posterior. No entanto na situação onde a localização anatômica não é bem definida ou precisa ser determinada em tempo de execução, pode ser mais flexível para usar este arquétipo estruturado. Por exemplo, na situação onde qualquer sintoma pode ser gravado sem qualquer escopo predefinido do tipo, em seguida, permitindo o uso deste arquétipo especificamente, definir uma localização anatômica do corpo pode ser útil. Neste caso, o arquétipo CLUSTER.symptom carrega também um SLOT para localização anatômica detalhada que inclui este arquétipo para oferecer suporte a máxima flexibilidade na gravação de dados da localização anatômica.

Este arquétipo suporta gravação de locais anatômicos estruturados complexos. Por exemplo, a batida do ápice do coração é normalmente encontrada no quinto espaço intercostal esquerdo na linha médio-clavicular, ou a sensibilidade em ponto de McBurneys na parede abdominal ou laceração na face palmar do polegar direito proximal.

Uma combinação de elementos de dados neste arquétipo pode ser usado para gravar individualmente cada componente de uma expressão de terminologia coordenada que representa o site anatômico.

A estrutura alternativa SLOT permite a inclusão de arquétipos adicionais que fornecem uma estrutura alternativa para descrever o mesmo local do corpo, como CLUSTER.anatomical_location_relative ou CLUSTER.anatomical_location_clock, esta deve ser exigida. Na situação onde este arquétipo só pode ser usado para nomear uma parte do corpo e/ou não-específica, o uso adicional do arquétipo CLUSTER.anatomical_location_relative oferecerá suporte a gravação de uma localização mais precisa - por exemplo, 2 cm anterior da fossa cubital do antebraço esquerdo ou 4 cm abaixo da margem costal de R na parede torácica na linha médio-clavicular.

Se este arquétipo é usado dentro de outros arquétipos onde o assunto especificado de cuidados não é o indivíduo para quem o registro está sendo criado, por exemplo um feto em útero, então a localização anatômica vai estar realizada identificando um local do corpo ou com o feto.">
			keywords = <"localização", "local", "anatômico", "região anatômica", "topografia anatômica", "macroscópico", "anatomia">
			misuse = <"Não deve ser usado para especificar as ocorrências unilateral/bilateral de uma característica anatômica.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To identify and record structured details about a single physical site on, or within, the human body using macroscopic anatomical terms.">
			use = <"Use to record structured and consistent details about a single identified physical site on, or within, the human body. 

This archetype is specifically designed to be used within the context of any appropriate ENTRY or CLUSTER archetypes which supply the context of the anatomical location. 

As a fundamental part of clinical practice, clinicians can describe anatomical locations in a myriad of complex and variable ways. In practice, some archetypes carry a single data element for carrying a simple description of body site - for example, OBSERVATION.blood_pressure and CLUSTER.symptom when describing ear pain. In this situation, where the value set is predictable and simple to define, this single data element is a very accurate and pragmatic way to record the site in the body and to query at a later date. However in the situation where the anatomical location is not well defined or needs to be determined at run-time, it may be more flexible to use this structured archetype. For example, in the situation where any symptom can be recorded without any predefined scope of the type of symptom, then allowing the use of this archetype to specifically define an anatomical location in the body may be useful. In this case the CLUSTER.symptom archetype also carries a SLOT for 'Detailed anatomical location' which can include this archetype to support maximal flexibility in recording anatomical location data.

This archetype supports recording complex structured anatomical sites. For example, the apex beat of the heart is typically found at the fifth left intercostal space in the mid-clavicular line, tenderness at McBurney's point on the abdominal wall or a laceration on the palmar aspect of the proximal right thumb.

A combination of the data elements in this archetype can be used to individually record each component of a postcoordinated terminology expression that represents the anatomical site.

The 'Alternative structure' SLOT allows inclusion of additional archetypes that provide an alternative structure for describing the same body site, such as CLUSTER.anatomical_location_relative or CLUSTER.anatomical_location_clock, should this be required. In the situation where this archetype can only be used to name a large and/or non-specific body part, the additional use of the CLUSTER.anatomical_location_relative archetype will support recording of a more precise location - for example, 2 cm anterior to the cubital fossa of the left forearm or 4 cm below R costal margin on the chest wall in the mid-clavicular line.

If this archetype is used within other archetypes where the specified subject of care is not the individual for whom the record is being created, for example a fetus in-utero, then the anatomical location will be identifying a body site on or within the fetus.">
			keywords = <"location", "site", "anatomical", "anatomic region", "topographic anatomy", "macroscopic", "anatomic", "anatomy">
			misuse = <"Not to be used for specifiying unilateral/bilateral occurrences of an anatomical feature.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			purpose = <"*To record details about anatomical location.(en)">
			use = <"">
			keywords = <"*location(en)", "*site(en)", "*anatomical(en)">
			misuse = <"*Not for specifiying unilateral/bilateral occurence - this is related to an evaluation which perhaps includes multiple locations.(en)">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			purpose = <"تسجيل المكان التشريحي بالتفصيل">
			use = <"">
			keywords = <"الموقع", "المكان", "تشريحي">
			misuse = <"لا يستخدم لتحديد حالات الحدوث في جانب واحد أو في الجانبين - حيث إن ذلك متعلق بتقييم قد يتضمن العديد من الأماكن">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["nl"] = <
			language = <[ISO_639-1::nl]>
			purpose = <"Om gestructureerde details over een structuur op of in het menselijk lichaam te identificeren en vast te leggen, in macroscopische anatomische termen.">
			use = <"Gebruik om gestructureerde details over een structuur op of in het menselijk lichaam te identificeren en vast te leggen.">
			keywords = <"locatie", "structuur", "anatomisch", "anatomische regio", "topografische anatomie", "macroscopisch">
			misuse = <"Niet gebruiken om meerdere unilaterale/bilaterale structuren vast te leggen.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Grethe Almenning, Bergen kommune, Norway", "Tomas Alme, DIPS, Norway", "Anne Pauline Anderssen, Helse Nord RHF, Norway", "Vebjørn Arntzen, Oslo universitetssykehus HF, Norway", "Koray Atalag, University of Auckland, New Zealand", "Silje Ljosland Bakke, Helse Bergen HF, Norway (Nasjonal IKT redaktør)", "Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway", "Rong Chen, Cambio Healthcare Systems, Sweden", "Stephen Chu, Queensland Health, Australia", "Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway", "Aitor Eguzkitza, UPNA (Public University of Navarre) - CHN (Complejo Hospitalario de Navarra), Spain", "Shahla Foozonkhah, Ocean Informatics, Australia", "Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway", "Sebastian Garde, Ocean Informatics, Germany", "Bente Gjelsvik, Helse Bergen, Norway", "Heather Grain, Llewelyn Grain Informatics, Australia", "Sam Heard, Ocean Informatics, Australia", "Ingrid Heitmann, NTNU, Norway", "Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway", "Anca Heyd, DIPS ASA, Norway", "Dunmail Hodkinson, Black Pear Software Ltd, UK", "Erling Are Hole, Helse Bergen, Norway", "Lars Karlsen, DIPS ASA, Norway", "Lars Morgan Karlsen, DIPS ASA, Norway", "Shinji Kobayashi, Kyoto University, Japan", "Sabine Leh, Helse-Bergen, Norway", "Heather Leslie, Ocean Informatics, Australia (openEHR Editor)", "Vesna Levasic, Orthopaedic Hospital Valdoltra, Slovenia", "Hallvard Lærum, Oslo Universitetssykehus HF, Norway", "Luis Marco Ruiz, Norwegian Center for Integrated Care and Telemedicine, Norway", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Erik Nissen, Cambio Healthcare Systems AB, Sweden", "Maria Beate Nupen, Oslo Universitetssykehus, Norway", "Bjørn Næss, DIPS ASA, Norway", "Andrej Orel, Marand d.o.o., Slovenia", "Rune Pedersen, Universitetssykehuset i Nord Norge, Norway", "Jussara Rotzsch, UNB, Brazil", "Thomas Schopf, University Hospital of North-Norway, Norway", "Nils Thomas Songstad, UNN HF, BUK, Barneavdelingen., Norway", "Micaela Thierley, Helse Bergen, Norway", "Rowan Thomas, St. Vincent's Hospital Melbourne, Australia", "Richard Townley-O'Neill, NEHTA, Australia", "John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)", "Dmitri Wall, Irish Skin Foundation, Ireland">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"Apperta UK">
		["references"] = <"Derived from:
Anatomical location, Published archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2023-03-21]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.587

Anatomy Mapper website [Internet]. Matt Molenda, [cited 2015 Apr 27]. Available from: http://www.anatomymapper.com/.">
		["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"Apperta UK">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"F205BE38CBC2879236D55CFA6235AF7C">
		["build_uid"] = <"1ab7c80e-82c5-4ffb-b25a-20749e95a841">
		["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 {    -- Anatomical location
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] matches {    -- Body site name
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0065] occurrences matches {0..1} matches {    -- Specific site
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0002.1] occurrences matches {0..1} matches {    -- Laterality
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0003,    -- Left
							at0004,    -- Right
							at0.1]    -- Bilateral
						}
					}
				}
			}
			ELEMENT[at0064.1] occurrences matches {0..2} matches {    -- Aspect
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0067,    -- Medial
							at0068,    -- Lateral
							at0069,    -- Superior
							at0070,    -- Inferior
							at0071,    -- Anterior
							at0072,    -- Posterior
							at0073,    -- Proximal
							at0074,    -- Distal
							at0080,    -- Deep
							at0081,    -- Superficial
							at0075,    -- Palmar
							at0076,    -- Plantar
							at0082,    -- Dorsal
							at0077,    -- Mid
							at0078,    -- Oral
							at0079]    -- Anal
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0055] occurrences matches {0..1} matches {    -- Anatomical Line
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0062,    -- Midline
							at0056,    -- Midaxillary line
							at0057,    -- Anterior axillary line
							at0058,    -- Posterior axillary line
							at0059,    -- Mid-clavicular line
							at0060,    -- Mid-pupillary line
							at0063]    -- Mid-scapular line
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0023] occurrences matches {0..1} matches {    -- Description
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0053] occurrences matches {0..*} matches {    -- Alternative structure
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1/}
			}
			allow_archetype CLUSTER[at0054] occurrences matches {0..*} matches {    -- Multimedia representation
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.multimedia(-[a-zA-Z0-9_]+)*\.v1/}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["ar-sy"] = <
			items = <
				["at0000.1"] = <
					text = <"*Anatomical location(en)">
					description = <"*A physical site on or within the human body.(en)">
				>
				["at0002.1"] = <
					text = <"*Laterality(en)">
					description = <"*The side of the body on which the identified  body site is located.(en)">
					comment = <"*If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.(en)">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"*Anatomical location(en)">
					description = <"*A physical site on or within the human body.(en)">
				>
				["at0001"] = <
					text = <"*Body site name(en)">
					description = <"*Identification of a single physical site either on, or within, the human body.(en)">
					comment = <"*This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail.

This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available.

If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent.(en)">
				>
				["at0002"] = <
					text = <"*Laterality(en)">
					description = <"*The side of the body on which the identified  body site is located.(en)">
					comment = <"*If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.(en)">
				>
				["at0003"] = <
					text = <"*Left(en)">
					description = <"*Left side of the body.(en)">
				>
				["at0004"] = <
					text = <"*Right(en)">
					description = <"*Right side of the body.(en)">
				>
				["at0023"] = <
					text = <"*Description(en)">
					description = <"*Narrative description that can be used to further refine and support the 'Body site name'.(en)">
					comment = <"*For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area.(en)">
				>
				["at0053"] = <
					text = <"*Alternative structure(en)">
					description = <"*Additional detail about the anatomical site using alternative approaches to describe the same body site.(en)">
					comment = <"*For example, relative location or precise locations using coordinates. (en)">
				>
				["at0054"] = <
					text = <"*Multimedia representation(en)">
					description = <"*Image or other media used to support identification of the body site.(en)">
				>
				["at0055"] = <
					text = <"*Anatomical Line(en)">
					description = <"*Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body.(en)">
					comment = <"*Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant.(en)">
				>
				["at0056"] = <
					text = <"*Midaxillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the apex of the axilla.(en)">
				>
				["at0057"] = <
					text = <"*Anterior axillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the anterior axillary skinfold.(en)">
				>
				["at0058"] = <
					text = <"*Posterior axillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the posterior axillary skinfold.(en)">
				>
				["at0059"] = <
					text = <"*Mid-clavicular line(en)">
					description = <"*Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.(en)">
				>
				["at0060"] = <
					text = <"*Mid-pupillary line(en)">
					description = <"*Line running vertically down the face through the midpoint of the pupil when looking directly forward.(en)">
				>
				["at0062"] = <
					text = <"*Midline(en)">
					description = <"*Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.(en)">
				>
				["at0063"] = <
					text = <"*Mid-scapular line(en)">
					description = <"*Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.(en)">
				>
				["at0064"] = <
					text = <"*Aspect(en)">
					description = <"*Qualifying detail about the specific aspect of the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.(en)">
				>
				["at0065"] = <
					text = <"*Specific site(en)">
					description = <"*Additional detail using a specific region or a point on, or within, the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant.(en)">
				>
				["at0067"] = <
					text = <"*Medial(en)">
					description = <"*Towards the midline of the body site.(en)">
				>
				["at0068"] = <
					text = <"*Lateral(en)">
					description = <"*Towards the side, or edge, of the body site.(en)">
				>
				["at0069"] = <
					text = <"*Superior(en)">
					description = <"*Above the body site, often meaning towards the head.(en)">
				>
				["at0070"] = <
					text = <"*Inferior(en)">
					description = <"*Below the body site, often meaning towards the feet.(en)">
				>
				["at0071"] = <
					text = <"*Anterior(en)">
					description = <"*Towards the front, or ventral surface, of  the body site.(en)">
				>
				["at0072"] = <
					text = <"*Posterior(en)">
					description = <"*Towards the back, or dorsal surface, of the body site.(en)">
				>
				["at0073"] = <
					text = <"*Proximal(en)">
					description = <"*More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.(en)">
				>
				["at0074"] = <
					text = <"*Distal(en)">
					description = <"*More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.(en)">
				>
				["at0075"] = <
					text = <"*Palmar(en)">
					description = <"*Towards the palm of the hand.(en)">
				>
				["at0076"] = <
					text = <"*Plantar(en)">
					description = <"*Towards the sole of the foot.(en)">
				>
				["at0077"] = <
					text = <"*Mid(en)">
					description = <"*In the middle of the body site.(en)">
				>
				["at0078"] = <
					text = <"*Oral(en)">
					description = <"*Towards the mouth. Usually used to describe locations within the digestive system.(en)">
				>
				["at0079"] = <
					text = <"*Anal(en)">
					description = <"*Towards the anus. Usually used to describe locations within the digestive system.(en)">
				>
				["at0080"] = <
					text = <"*Deep(en)">
					description = <"*Away from the surface of the body site.(en)">
				>
				["at0081"] = <
					text = <"*Superficial(en)">
					description = <"*Towards the surface of the body site.(en)">
				>
				["at0082"] = <
					text = <"*Dorsal(en)">
					description = <"*Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.(en)">
				>
				["at0064.1"] = <
					text = <"*Aspect(en)">
					description = <"*Qualifying detail about the specific aspect of the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["sl"] = <
			items = <
				["at0000.1"] = <
					text = <"*Anatomical location(en)">
					description = <"*A physical site on or within the human body.(en)">
				>
				["at0002.1"] = <
					text = <"*Laterality(en)">
					description = <"*The side of the body on which the identified  body site is located.(en)">
					comment = <"*If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.(en)">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"*Anatomical location(en)">
					description = <"*A physical site on or within the human body.(en)">
				>
				["at0001"] = <
					text = <"*Body site name(en)">
					description = <"*Identification of a single physical site either on, or within, the human body.(en)">
					comment = <"*This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail.

This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available.

If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent.(en)">
				>
				["at0002"] = <
					text = <"*Laterality(en)">
					description = <"*The side of the body on which the identified  body site is located.(en)">
					comment = <"*If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.(en)">
				>
				["at0003"] = <
					text = <"*Left(en)">
					description = <"*Left side of the body.(en)">
				>
				["at0004"] = <
					text = <"*Right(en)">
					description = <"*Right side of the body.(en)">
				>
				["at0023"] = <
					text = <"*Description(en)">
					description = <"*Narrative description that can be used to further refine and support the 'Body site name'.(en)">
					comment = <"*For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area.(en)">
				>
				["at0053"] = <
					text = <"*Alternative structure(en)">
					description = <"*Additional detail about the anatomical site using alternative approaches to describe the same body site.(en)">
					comment = <"*For example, relative location or precise locations using coordinates. (en)">
				>
				["at0054"] = <
					text = <"*Multimedia representation(en)">
					description = <"*Image or other media used to support identification of the body site.(en)">
				>
				["at0055"] = <
					text = <"*Anatomical Line(en)">
					description = <"*Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body.(en)">
					comment = <"*Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant.(en)">
				>
				["at0056"] = <
					text = <"*Midaxillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the apex of the axilla.(en)">
				>
				["at0057"] = <
					text = <"*Anterior axillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the anterior axillary skinfold.(en)">
				>
				["at0058"] = <
					text = <"*Posterior axillary line(en)">
					description = <"*Line running vertically down the surface of the body, passing through the posterior axillary skinfold.(en)">
				>
				["at0059"] = <
					text = <"*Mid-clavicular line(en)">
					description = <"*Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.(en)">
				>
				["at0060"] = <
					text = <"*Mid-pupillary line(en)">
					description = <"*Line running vertically down the face through the midpoint of the pupil when looking directly forward.(en)">
				>
				["at0062"] = <
					text = <"*Midline(en)">
					description = <"*Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.(en)">
				>
				["at0063"] = <
					text = <"*Mid-scapular line(en)">
					description = <"*Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.(en)">
				>
				["at0064"] = <
					text = <"*Aspect(en)">
					description = <"*Qualifying detail about the specific aspect of the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.(en)">
				>
				["at0065"] = <
					text = <"*Specific site(en)">
					description = <"*Additional detail using a specific region or a point on, or within, the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant.(en)">
				>
				["at0067"] = <
					text = <"*Medial(en)">
					description = <"*Towards the midline of the body site.(en)">
				>
				["at0068"] = <
					text = <"*Lateral(en)">
					description = <"*Towards the side, or edge, of the body site.(en)">
				>
				["at0069"] = <
					text = <"*Superior(en)">
					description = <"*Above the body site, often meaning towards the head.(en)">
				>
				["at0070"] = <
					text = <"*Inferior(en)">
					description = <"*Below the body site, often meaning towards the feet.(en)">
				>
				["at0071"] = <
					text = <"*Anterior(en)">
					description = <"*Towards the front, or ventral surface, of  the body site.(en)">
				>
				["at0072"] = <
					text = <"*Posterior(en)">
					description = <"*Towards the back, or dorsal surface, of the body site.(en)">
				>
				["at0073"] = <
					text = <"*Proximal(en)">
					description = <"*More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.(en)">
				>
				["at0074"] = <
					text = <"*Distal(en)">
					description = <"*More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.(en)">
				>
				["at0075"] = <
					text = <"*Palmar(en)">
					description = <"*Towards the palm of the hand.(en)">
				>
				["at0076"] = <
					text = <"*Plantar(en)">
					description = <"*Towards the sole of the foot.(en)">
				>
				["at0077"] = <
					text = <"*Mid(en)">
					description = <"*In the middle of the body site.(en)">
				>
				["at0078"] = <
					text = <"*Oral(en)">
					description = <"*Towards the mouth. Usually used to describe locations within the digestive system.(en)">
				>
				["at0079"] = <
					text = <"*Anal(en)">
					description = <"*Towards the anus. Usually used to describe locations within the digestive system.(en)">
				>
				["at0080"] = <
					text = <"*Deep(en)">
					description = <"*Away from the surface of the body site.(en)">
				>
				["at0081"] = <
					text = <"*Superficial(en)">
					description = <"*Towards the surface of the body site.(en)">
				>
				["at0082"] = <
					text = <"*Dorsal(en)">
					description = <"*Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.(en)">
				>
				["at0064.1"] = <
					text = <"*Aspect(en)">
					description = <"*Qualifying detail about the specific aspect of the identified body site.(en)">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["en"] = <
			items = <
				["at0000.1"] = <
					text = <"Anatomical location">
					description = <"A physical site on or within the human body.">
				>
				["at0002.1"] = <
					text = <"Laterality">
					description = <"The side of the body on which the identified  body site is located.">
					comment = <"If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.">
				>
				["at0.1"] = <
					text = <"Bilateral">
					description = <"Both sides of the body.">
				>
				["at0000"] = <
					text = <"Anatomical location">
					description = <"A physical site on or within the human body.">
				>
				["at0001"] = <
					text = <"Body site name">
					description = <"Identification of a single physical site either on, or within, the human body.">
					comment = <"This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail.

This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available.

If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent.">
				>
				["at0002"] = <
					text = <"Laterality">
					description = <"The side of the body on which the identified  body site is located.">
					comment = <"If the identified body site has no laterality, this data element should not have a value. 
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant.">
				>
				["at0003"] = <
					text = <"Left">
					description = <"Left side of the body.">
				>
				["at0004"] = <
					text = <"Right">
					description = <"Right side of the body.">
				>
				["at0023"] = <
					text = <"Description">
					description = <"Narrative description that can be used to further refine and support the 'Body site name'.">
					comment = <"For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area.">
				>
				["at0053"] = <
					text = <"Alternative structure">
					description = <"Additional detail about the anatomical site using alternative approaches to describe the same body site.">
					comment = <"For example, relative location or precise locations using coordinates. ">
				>
				["at0054"] = <
					text = <"Multimedia representation">
					description = <"Image or other media used to support identification of the body site.">
				>
				["at0055"] = <
					text = <"Anatomical Line">
					description = <"Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body.">
					comment = <"Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant.">
				>
				["at0056"] = <
					text = <"Midaxillary line">
					description = <"Line running vertically down the surface of the body, passing through the apex of the axilla.">
				>
				["at0057"] = <
					text = <"Anterior axillary line">
					description = <"Line running vertically down the surface of the body, passing through the anterior axillary skinfold.">
				>
				["at0058"] = <
					text = <"Posterior axillary line">
					description = <"Line running vertically down the surface of the body, passing through the posterior axillary skinfold.">
				>
				["at0059"] = <
					text = <"Mid-clavicular line">
					description = <"Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.">
				>
				["at0060"] = <
					text = <"Mid-pupillary line">
					description = <"Line running vertically down the face through the midpoint of the pupil when looking directly forward.">
				>
				["at0062"] = <
					text = <"Midline">
					description = <"Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.">
				>
				["at0063"] = <
					text = <"Mid-scapular line">
					description = <"Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.">
				>
				["at0064"] = <
					text = <"Aspect">
					description = <"Qualifying detail about the specific aspect of the identified body site.">
					comment = <"Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.">
				>
				["at0065"] = <
					text = <"Specific site">
					description = <"Additional detail using a specific region or a point on, or within, the identified body site.">
					comment = <"Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant.">
				>
				["at0067"] = <
					text = <"Medial">
					description = <"Towards the midline of the body site.">
				>
				["at0068"] = <
					text = <"Lateral">
					description = <"Towards the side, or edge, of the body site.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Above the body site, often meaning towards the head.">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Below the body site, often meaning towards the feet.">
				>
				["at0071"] = <
					text = <"Anterior">
					description = <"Towards the front, or ventral surface, of  the body site.">
				>
				["at0072"] = <
					text = <"Posterior">
					description = <"Towards the back, or dorsal surface, of the body site.">
				>
				["at0073"] = <
					text = <"Proximal">
					description = <"More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.">
				>
				["at0074"] = <
					text = <"Distal">
					description = <"More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.">
				>
				["at0075"] = <
					text = <"Palmar">
					description = <"Towards the palm of the hand.">
				>
				["at0076"] = <
					text = <"Plantar">
					description = <"Towards the sole of the foot.">
				>
				["at0077"] = <
					text = <"Mid">
					description = <"In the middle of the body site.">
				>
				["at0078"] = <
					text = <"Oral">
					description = <"Towards the mouth. Usually used to describe locations within the digestive system.">
				>
				["at0079"] = <
					text = <"Anal">
					description = <"Towards the anus. Usually used to describe locations within the digestive system.">
				>
				["at0080"] = <
					text = <"Deep">
					description = <"Away from the surface of the body site.">
				>
				["at0081"] = <
					text = <"Superficial">
					description = <"Towards the surface of the body site.">
				>
				["at0082"] = <
					text = <"Dorsal">
					description = <"Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.">
				>
				["at0064.1"] = <
					text = <"Aspect">
					description = <"Qualifying detail about the specific aspect of the identified body site.">
					comment = <"Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000.1"] = <
					text = <"Anatomisk lokalisering">
					description = <"Et fysisk sted på eller inne i menneskekroppen.">
				>
				["at0002.1"] = <
					text = <"Kroppsside">
					description = <"Den identifiserte kroppssiden.">
					comment = <"Hvis den identifiserte kroppssiden ikke har noen lateralitet, bør dette datalementet stå tomt. Hvis dataelementet \"Navn på kroppsted\" bruker prekoordinerte termer som inkluderer lateralitet, er dette dataelementet overflødig.">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"Anatomisk lokalisering">
					description = <"Et fysisk sted på eller inne i menneskekroppen.">
				>
				["at0001"] = <
					text = <"Navn på kroppssted">
					description = <"Navngiving av et enkelt fysisk sted enten på eller i menneskekroppen.">
					comment = <"Dette dataelementet er det eneste obligatoriske dataelementet i arketypen og bør brukes som det primære dataelementet for registrering av en anatomisk lokalisering. Det er sterkt anbefalt at \"Navn på kroppssted\" registreres så anatomisk spesifikt som mulig. For eksempel; registrer \"øvre øyelokk\" heller enn \"øyelokk\" med \"øvre\" som kvalifikator; \"femte ribben\" heller enn \"ribben\" med en numerisk kvalifikator. Bruk de andre dataelementene for lateralitet, aspekt, region og anatomisk linje for å gi mer detaljer.

Dette dataelementet bør kodes med en terminologi som kan assistere beslutningsstøtte når mulig - en passende terminologi for bruk her kunne omfatte individuelle konsepter eller lister av prekoordinerte termer. Fritekst bør kun brukes hvis det ikke finnes en passende terminologi.

Dersom navn på kroppssted er oppgitt i foreldrearketypen kan dette dataelementet være redundant. Imidlertid er det identifisert bruksområder der dataverdien kan kopieres inn i dette elementet for å understøtte semantiske spørringer basert på denne arketypen heller enn på foreldrearketypen.">
				>
				["at0002"] = <
					text = <"Kroppsside">
					description = <"Den identifiserte kroppssiden.">
					comment = <"Hvis den identifiserte kroppssiden ikke har noen lateralitet, bør dette datalementet stå tomt. Hvis dataelementet \"Navn på kroppsted\" bruker prekoordinerte termer som inkluderer lateralitet, er dette dataelementet overflødig.">
				>
				["at0003"] = <
					text = <"Venstre">
					description = <"Venstre side av kroppen">
				>
				["at0004"] = <
					text = <"Høyre">
					description = <"Høyre side av kroppen.">
				>
				["at0023"] = <
					text = <"Beskrivelse">
					description = <"Fritekstbeskrivelse som kan brukes for å ytterligere presisere og støtte \"Navn på kroppsted\".">
					comment = <"For eksempel: Tilgrensende til leppens overgang fra slimhinne til hud; en tatovering dekker nedre halvdel av dette området.">
				>
				["at0053"] = <
					text = <"Alternativ struktur">
					description = <"Tilleggsinformasjon om det anatomiske stedet ved bruk av alternativ tilnærming for å beskrive det samme kroppsstedet.">
					comment = <"For eksempel relativ lokalisering eller presis lokalisering ved bruk av koordinater.">
				>
				["at0054"] = <
					text = <"Multimediarepresentasjon">
					description = <"Bilde eller annet medium brukt for å understøtte identifikasjonen av kroppsstedet.">
				>
				["at0055"] = <
					text = <"Anatomisk linje">
					description = <"Detaljer om det anatomiske stedet beskrevet med teoretiske linjer tegnet gjennom anatomiske strukturer til bruk som et konsistent referansepunkt.">
					comment = <"Vanlige anatomiske linjer er inkludert som verdisett som kan utvides over tid, i tillegg gis mulighet for å bruke fritekst. Ytterligere bruk av dette dataelementet tillater registrering av typiske steder for hjertetspisstøt ved 5. intercostalrom på venstre side i midtclaviculærlinjen. Hvis dataelementet \"Navn på kroppsted\" bruker prekoordinerte termer som inkluderer lateralitet, er dette dataelementet overflødig.">
				>
				["at0056"] = <
					text = <"Midtaksillærlinjen">
					description = <"Linje som løper vertikalt ned langs overflaten av kroppen gjennom apex i aksillen.">
				>
				["at0057"] = <
					text = <"Fremre aksillærlinje">
					description = <"En linje som løper vertikalt ned langs kroppsoverflaten, og passerer gjennom fremre aksillære hudfold.">
				>
				["at0058"] = <
					text = <"Bakre aksillærlinje">
					description = <"En linje som løper vertikalt ned langs kroppsoverflaten, og passerer gjennom bakre aksillære hudfold.">
				>
				["at0059"] = <
					text = <"Midtclaviculærlinjen">
					description = <"En linje som løper vertikalt ned langs kroppsoverflaten parallelt med midtlinjen og passerer gjennom clavicelens midtpunkt.">
				>
				["at0060"] = <
					text = <"Midtpupillinjen">
					description = <"En linje som løper vertikalt ned ansiktet gjennom midtpunktet av pupillen når man ser rett framover.">
				>
				["at0062"] = <
					text = <"Midtlinjen">
					description = <"En linje som løper vertikalt og deler kroppen i en venstre og en høyre del, passerer gjennom hodet, spinal medulla og umbilicus. Alternativt kan det brukes som en delelinje av en kroppsdel, for eksempel en inndeling av en finger.">
				>
				["at0063"] = <
					text = <"Midtskapulærlinjen">
					description = <"En linje som løper vertikalt ned langs ryggens overflate, parallelt med midtlinjen og passerer gjennom det inferiore punkt av skapula.">
				>
				["at0064"] = <
					text = <"Aspekt">
					description = <"Spesifiserende detaljer om mer spesifikke aspekter ved det aktuelle kroppsstedet.">
					comment = <"Brukes til å øke presisjonen ved spesifisering av kroppsstedet, ved behov. Vanlige aspekter er blitt inkludert som et verdisett som kan utvides over tid, i tillegg til mulighet for å bruke fritekst. Elementet har som antagelse at kroppen blir beskrevet i den anatomiske posisjon. F.eks. proksimal uretra, plantart aspekt av venstre tommel. Flere aspekter kan også beskrives om det er nødvendig ved å åpne for opptil 2 forekomster. F.eks. venstre anterior/laterale (anteriolaterale) brystvegg. Hvis dataelementet \"Navn på kroppsted\" bruker prekoordinerte termer som inkluderer lateralitet, er dette dataelementet overflødig.">
				>
				["at0065"] = <
					text = <"Spesifikt sted">
					description = <"Ytterligere detaljer gitt ved hjelp av en spesifikk region eller et punkt på eller i det spesifiserte kroppsstedet.">
					comment = <"Brukes til å øke presisjonen ved spesifisering av kroppsstedet, dersom påkrevd. For eksempel den øvre høyre kvadranten eller McBurneys punkt på bukveggen, eller interfalangealleddet på stortåen. Dersom dataelementet \"Navn på kroppssted\" er registrert ved hjelp av prekoordinerte termer som omfatter det spesifikke stedet er dette dataelementet overflødig.">
				>
				["at0067"] = <
					text = <"Medial">
					description = <"Mot midtlinjen av kroppen.">
				>
				["at0068"] = <
					text = <"Lateral">
					description = <"Mot utsiden eller kanten av kroppen.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Over kroppssted, ofte menes mot hodet. Synonymt med \"kranial\".">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Under kroppssted, ofte menes mot føttene. Synonymt med \"kaudal\".">
				>
				["at0071"] = <
					text = <"Anterior">
					description = <"Mot fronten eller ventrale overflaten av kroppsstedet.">
				>
				["at0072"] = <
					text = <"Posterior">
					description = <"Mot bakside eller mot den dorsale overflaten av kroppsstedet.">
				>
				["at0073"] = <
					text = <"Proksimal">
					description = <"Mer sentralt eller tettere til festepunktet, beskriver vanligvis en del av et lem, finger eller vedheng.">
				>
				["at0074"] = <
					text = <"Distal">
					description = <"Mer perifert eller lengre vekke fra festepunktet, beskriver vanligvis av en del av et lem, finger eller vedheng.">
				>
				["at0075"] = <
					text = <"Palmar">
					description = <"Mot håndflaten.">
				>
				["at0076"] = <
					text = <"Plantar">
					description = <"Mot fotsålen.">
				>
				["at0077"] = <
					text = <"Mid">
					description = <"I midten av kroppsstedet.">
				>
				["at0078"] = <
					text = <"Oral">
					description = <"Mot munnen. Brukes som regel til å beskrive lokaliseringer i fordøyelsessystemet.">
				>
				["at0079"] = <
					text = <"Anal">
					description = <"Mot anus. Brukes som regel til å beskrive lokaliseringer i fordøyelsessystemet.">
				>
				["at0080"] = <
					text = <"Dyp">
					description = <"Bort fra overflaten av kroppsstedet.">
				>
				["at0081"] = <
					text = <"Overfladisk">
					description = <"Mot overflaten av kroppsstedet.">
				>
				["at0082"] = <
					text = <"Dorsal">
					description = <"Mot håndbaken eller toppen av foten. Brukes som motsetning til palmar og plantar, ikke som synonym for posterior.">
				>
				["at0064.1"] = <
					text = <"Aspekt">
					description = <"Spesifiserende detaljer om mer spesifikke aspekter ved det aktuelle kroppsstedet.">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000.1"] = <
					text = <"Localização anatômica">
					description = <"Identificação de um local físico dentro ou no corpo humano.">
				>
				["at0002.1"] = <
					text = <"Lateralidade">
					description = <"O lado do corpo em que se encontra o local do corpo identificado.">
					comment = <"Se o local identificado do corpo não tem relação com a lateralidade, este elemento de dados não deve ter um valor.
Se o elemento de dados de nome de local do corpo usa termos predefinidos que incluem lateralidade, então este elemento de dados é redundante.">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"Localização anatômica">
					description = <"Identificação de um local físico dentro ou no corpo humano.">
				>
				["at0001"] = <
					text = <"*Body site name(en)">
					description = <"*Identification of a single physical site either on, or within, the human body.(en)">
					comment = <"*This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail.

This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available.

If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent.(en)">
				>
				["at0002"] = <
					text = <"Lateralidade">
					description = <"O lado do corpo em que se encontra o local do corpo identificado.">
					comment = <"Se o local identificado do corpo não tem relação com a lateralidade, este elemento de dados não deve ter um valor.
Se o elemento de dados de nome de local do corpo usa termos predefinidos que incluem lateralidade, então este elemento de dados é redundante.">
				>
				["at0003"] = <
					text = <"Esquerdo">
					description = <"Lado esquerdo do corpo.">
				>
				["at0004"] = <
					text = <"Direito">
					description = <"Lado direito do corpo.">
				>
				["at0023"] = <
					text = <"Descrição">
					description = <"Descrição narrativa que pode ser usada para refinar e apoiar o 'nome do local do corpo'.">
					comment = <"Por exemplo: adjacentes à borda do vermelhão; uma tatuagem cobre a metade inferior desta área.">
				>
				["at0053"] = <
					text = <"Estrutura alternativa">
					description = <"Detalhes adicionais sobre o local anatômico usando abordagens alternativas para descrever o mesmo local do corpo.">
					comment = <"Por exemplo, localização relativa ou precisa usando coordenadas.">
				>
				["at0054"] = <
					text = <"Representação multimídia">
					description = <"Imagem ou outros meios de comunicação utilizados para apoiar a identificação do local do corpo.">
				>
				["at0055"] = <
					text = <"Linha anatômica">
					description = <"Detalhes adicionais utilizando-se linhas teóricas desenhadas através de estruturas anatômicas, utilizadas para fornecer um ponto de referência consistente no corpo humano.">
					comment = <"Linhas anatômicas comuns foram incluídas como um conjunto de valor, que pode ser estendido ao longo do tempo, além de uma opção de texto livre. O uso adicional deste elemento de dados permite a gravação da posição típica da batida do ápice cardíaco no 5º espaço intercostal, lado esquerdo e linha médio-clavicular. Se o elemento de dados de nome de local do corpo usa termos predefinidos que incluem linha anatômica, então este elemento de dados é redundante.">
				>
				["at0056"] = <
					text = <"Linha axilar média">
					description = <"Linha correndo verticalmente para baixo na superfície do corpo, passando através do ápice da axila.">
				>
				["at0057"] = <
					text = <"Linha axilar anterior">
					description = <"Linha correndo verticalmente para baixo da superfície do corpo , passando pela dobra cutânea axilar anterior .">
				>
				["at0058"] = <
					text = <"Linha axilar posterior">
					description = <"Linha correndo verticalmente para baixo da superfície do corpo , passando pela dobra cutânea axilar posterior .">
				>
				["at0059"] = <
					text = <"Linha clavicular média">
					description = <"Linha correndo verticalmente para baixo na superfície do corpo, paralelo à linha média e passando pelo ponto médio da clavícula.">
				>
				["at0060"] = <
					text = <"Linha pupilar média">
					description = <"Linha correndo verticalmente para baixo à face através do ponto médio da pupila quando se olha diretamente para a frente.">
				>
				["at0062"] = <
					text = <"Linha média">
					description = <"Linha vertical que divide o corpo em partes esquerda e direita, passando através da cabeça, medula espinhal e umbigo. Alternativamente pode referir uma linha que divide uma parte do corpo em duas partes iguais.">
				>
				["at0063"] = <
					text = <"Linha escapular média">
					description = <"A linha que corre verticalmente para baixo da superfície posterior do corpo, paralelamente à linha mediana e que passa pelo ponto inferior da escápula.">
				>
				["at0064"] = <
					text = <"Aspecto">
					description = <"Detalhes sobre o aspecto específico do local identificado no corpo.">
					comment = <"Use para aumentar a precisão da identificação do site do corpo, se necessário. Aspectos comuns foram incluídos como um conjunto de valor, que pode ser estendido ao longo do tempo, além de uma opção de texto livre. Pressupõe que o corpo está sendo descrito enquanto na posição anatômica. Por exemplo: uretra proximal; face plantar do polegar esquerdo. Múltiplos aspectos também podem ser descritos, se necessário, permitindo para as ocorrências de 0..2. Por exemplo: uma lesão pode ser na parede torácica esquerda anterior-lateral (ou seja, ântero-lateral). Se o elemento de dados de nome de local do corpo usa termos predefinidos que incluem o aspecto, então este elemento de dados é redundante.">
				>
				["at0065"] = <
					text = <"Local específico">
					description = <"Detalhes adicionais utilizando uma região específica ou um ponto, ou dentro, o local do corpo identificado.">
					comment = <"Use para aumentar a precisão da identificação do local do corpo, se necessário. Por exemplo, o quadrante superior direito ou ponto de McBurney na parede abdominal ou região inter falângica dos dedos do pé. Se o elemento de dados do nome do local do corpo usa termos predefinidos que incluem o local específico, então este elemento de dados é redundante.">
				>
				["at0067"] = <
					text = <"Medial">
					description = <"Em direção à linha média do local do corpo">
				>
				["at0068"] = <
					text = <"Lateral">
					description = <"Para o lado, ou borda , do local do corpo.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Acima do local do corpo, frequentemente significa na direção da cabeça.">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Abaixo do local do corpo, frequentemente significa para os pés.">
				>
				["at0071"] = <
					text = <"Anterior">
					description = <"Para a frente , ou na superfície ventral, do local do corpo.">
				>
				["at0072"] = <
					text = <"Posterior">
					description = <"Para a parte traseira ou superfície dorsal do local do corpo.">
				>
				["at0073"] = <
					text = <"Proximal">
					description = <"Mais central ou para mais perto do ponto de ligação, e, geralmente descreve a parte de um membro, dedo ou apêndice.">
				>
				["at0074"] = <
					text = <"Distal">
					description = <"Mais periférico, ou mais do ponto de acessório, e geralmente descreve a parte de um membro, apêndice ou dígito.">
				>
				["at0075"] = <
					text = <"Palmar">
					description = <"Em direção às palmas das mãos.">
				>
				["at0076"] = <
					text = <"Plantar">
					description = <"Em direção às solas dos pés.">
				>
				["at0077"] = <
					text = <"Médio">
					description = <"No meio do corpo.">
				>
				["at0078"] = <
					text = <"Oral">
					description = <"Para a boca. Geralmente utilizado para descrever locais no sistema digestivo.">
				>
				["at0079"] = <
					text = <"Anal">
					description = <"Para o ânus. Geralmente utilizado para descrever locais no sistema digestivo.">
				>
				["at0080"] = <
					text = <"*Deep(en)">
					description = <"*Away from the surface of the body site.(en)">
				>
				["at0081"] = <
					text = <"*Superficial(en)">
					description = <"*Towards the surface of the body site.(en)">
				>
				["at0082"] = <
					text = <"*Dorsal(en)">
					description = <"*Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.(en)">
				>
				["at0064.1"] = <
					text = <"Aspecto">
					description = <"Detalhes sobre o aspecto específico do local identificado no corpo.">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000.1"] = <
					text = <"Anatomische Lokalisation">
					description = <"Eine physische Stelle am oder innerhalb des menschlichen Körpers.">
				>
				["at0002.1"] = <
					text = <"Lateralität">
					description = <"Die Seite des Körpers, an der sich die identifizierte Körperstelle befindet.">
					comment = <"Wenn die identifizierte Körperstelle keine Seitenlage aufweist, sollte dieses Datenelement keinen Wert haben. Wenn das Datenelement \"Name der Körperstelle\" präkoordinierte Bezeichnungen verwendet, die eine Seitenlokalisation einschließt, dann ist dieses Datenelement redundant.">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"Anatomische Lokalisation">
					description = <"Eine physische Stelle am oder innerhalb des menschlichen Körpers.">
				>
				["at0001"] = <
					text = <"Name der Körperstelle">
					description = <"Identifikation einer einzelnen physischen Stelle entweder am oder innerhalb des menschlichen Körpers.">
					comment = <"Dieses Datenelement ist der einzige verpflichtend auszufüllende Datenpunkt in diesem Archetypen und sollte als primärer Datenpunkt verwendet werden, um eine anatomische Lokalisation mit einem häufig verwendeten Namen aufzuzeichnen. Es wird dringend empfohlen, dass der Name der Körperstelle so genau aufgezeichnet wird, wie es anatomisch möglich ist. Zum Beispiel: zeichne \"oberes Augenlid\" auf und nicht \"Augenlid\" mit \"oberer\" als Qualifier; \"fünfte Rippe\" statt \"Rippe\" mit einem numerischen Qualifier. Verwenden Sie die anderen Datenelemente für Lateralität, Sichtweise, Region und anatomische Linie, um mehr Details anzugeben. 

Dieses Datenelement sollte mit einer Terminologie kodiert werden, die nach Möglichkeit Entscheidungsunterstützung auslösen kann - ein geeignetes Termset für die Verwendung hier könnte aus einzelnen Konzepten oder einer Liste von vorab abgestimmten Begriffen zusammengesetzt sein. Freitext sollte nur verwendet werden, wenn keine entsprechende Terminologie vorhanden ist. 

Wenn der Name der Körperstelle bereits im übergeordneten Archetyp angegeben ist, kann dieses Datenelement redundant sein. Alternativ wurde ein Anwendungsfall ermittelt, bei dem der Wert in dieses Element dupliziert sein könnte, um semantische Abfragen unter Verwendung dieses Archetyps und nicht das Datenelement innerhalb des übergeordneten Elements zu unterstützen.">
				>
				["at0002"] = <
					text = <"Lateralität">
					description = <"Die Seite des Körpers, an der sich die identifizierte Körperstelle befindet.">
					comment = <"Wenn die identifizierte Körperstelle keine Seitenlage aufweist, sollte dieses Datenelement keinen Wert haben. Wenn das Datenelement \"Name der Körperstelle\" präkoordinierte Bezeichnungen verwendet, die eine Seitenlokalisation einschließt, dann ist dieses Datenelement redundant.">
				>
				["at0003"] = <
					text = <"Links">
					description = <"Die linke Körperseite.">
				>
				["at0004"] = <
					text = <"Rechts">
					description = <"Die rechte Körperseite.">
				>
				["at0023"] = <
					text = <"Beschreibung">
					description = <"Aussagekräftige Erläuterung, die verwendet werden kann, um die \"Körperstelle\" weiter zu verfeinern.">
					comment = <"Zum Beispiel: Angrenzend an den Amorbogen; eine Tätowierung bedeckt die untere Hälfte dieses Bereichs.">
				>
				["at0053"] = <
					text = <"Alternative Struktur">
					description = <"Zusätzliche Informationen über die anatomische Lage mit alternativen Ansätzen zur Beschreibung der gleichen Körperstelle.">
					comment = <"Zum Beispiel, relative oder exakte Positionen unter Verwendung von Koordinaten.">
				>
				["at0054"] = <
					text = <"Multimediale Darstellung">
					description = <"Bilder oder andere Medien, die der Identifizierung der Körperstelle dienen.">
				>
				["at0055"] = <
					text = <"Anatomische Linie">
					description = <"Zusätzliches Detail unter Verwendung theoretischer Linien, die durch anatomische Strukturen erweitert werden können, um einen einheitlichen Bezugspunkt auf dem menschlichen Körper zu erhalten.">
					comment = <"Verbreitete anatomische Linien wurden als Wertemenge aufgenommen, die im Laufe der Zeit erweitert werden können, sowie eine Freitextoption. Die zusätzliche Verwendung dieses Datenelements ermöglicht die Aufzeichnung der typischen Position des Herzschlags am 5. Interkostalraum, der linken Seite und der Mittelklavikularlinie. Wenn das Datenelement 'Body site name' vorkoordinierte Begriffe verwendet, die eine anatomische Linie enthalten, ist dieses Datenelement redundant.">
				>
				["at0056"] = <
					text = <"mittlere Axillarlinie">
					description = <"Linie, die senkrecht zur Körperoberfläche verläuft und durch den Scheitelpunkt der Achselhöhle geht.">
				>
				["at0057"] = <
					text = <"vordere Axillarlinie">
					description = <"Die Linie verläuft senkrecht über die Körperoberfläche und verläuft durch die vordere Hautfalte der Achselhöhle.">
				>
				["at0058"] = <
					text = <"hintere Axillarlinie">
					description = <"Linie, die senkrecht über die Körperoberfläche verläuft und durch die hintere Achselhaut führt.">
				>
				["at0059"] = <
					text = <"Medioklavikularlinie">
					description = <"Linie, die senkrecht über die Körperoberfläche verläuft, parallel zur Mittellinie und durch den Mittelpunkt der Klavikula führt.">
				>
				["at0060"] = <
					text = <"Mittelere Pupillarlinie">
					description = <"Die Linie verläuft vertikal durch den Mittelpunkt der Pupille, wenn man direkt nach vorne schaut.">
				>
				["at0062"] = <
					text = <"Mittellinie">
					description = <"Vertikal verlaufende Linie, die den Körper in eine linke und rechte Seite teilt und durch den Kopf, das Rückenmark und den Nabel verläuft. Alternativ kann es sich auf eine Linie beziehen, die ein Körperteil in zwei gleiche Teile teilt, zum Beispiel einen Zeh/Finger.">
				>
				["at0063"] = <
					text = <"Mittlere Skapularlinie">
					description = <"Die Linie verläuft senkrecht über die hintere Körperoberfläche, parallel zur Mittellinie und verläuft durch den unteren Punkt des Schulterblattes.">
				>
				["at0064"] = <
					text = <"Perspektive">
					description = <"Qualifizierende Angabe unter spezifischer Sicht der identifizierten Körperstelle.">
					comment = <"Falls benötigt, verwenden Sie dieses Element zur Erhöhung der Erkennungsgenauigkeit der Körperstelle. Häufige Aspekte wurden als Wertmengen hinzugefügt, die im Laufe der Zeit erweitert werden können, sowie auch eine Freitextoption. Dies setzt voraus, dass der Körper in der anatomischen Position beschrieben wird. Zum Beispiel: proximal Urethra; plantare Seite des linken Daumens. Bei Bedarf können auch mehrere Aspekte beschrieben werden, indem 0..2 Lokalisationen zugelassen werden. Zum Beispiel: Eine Läsion kann sich an der linken anterior/lateral (d.h. anterolateralen) Brustwand befinden. Wenn das Datenelement 'Körperstelle' vordefinierte Begriffe verwendet, die die Perspektive enthalten, dann ist dieses Datenelement redundant.">
				>
				["at0065"] = <
					text = <"Spezifische Körperstelle">
					description = <"Zusätzliches Detail unter Verwendung eines bestimmten Bereiches oder eines Punktes auf oder innerhalb der spezifischen Körperstelle.">
					comment = <"Zur Erhöhung der Erkennungsgenauigkeit der Körperstelle, falls dies erforderlich ist. Zum Beispiel der obere rechte Quadrant oder McBurney's Punkt auf der Bauchdecke oder das Zwischengelenk der Großzehe. Wenn das Datenelement \"Name der Körperstelle\" präkoordinierte Bezeichnungen für die jeweilige Stelle enthält, dann ist dieses Datenelement redundant.">
				>
				["at0067"] = <
					text = <"Medial">
					description = <"Zur Körpermitte hin orientiert.">
				>
				["at0068"] = <
					text = <"Lateral">
					description = <"Zur Seite oder zum Rand der Körperstelle.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Über der Körpermitte, oft in Richtung des Kopfes.">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Unterhalb der Körpermitte, oft in Richtung der Füße.">
				>
				["at0071"] = <
					text = <"Anterior">
					description = <"In Richtung der Vorderseite oder der ventralen Oberfläche des Körpers.">
				>
				["at0072"] = <
					text = <"Posterior">
					description = <"In Richtung Rücken oder Rückseite des Körpers.">
				>
				["at0073"] = <
					text = <"Proximal">
					description = <"Zur Körpermitte hin. Beschreibt für gewöhnlich einen Teil eines Gliedmaßes, Fingers oder eines Anhängsels.">
				>
				["at0074"] = <
					text = <"Distal">
					description = <"Mehr periphere oder weiter vom Körpermitte entfernte Stelle. Beschreibt in der Regel einen Teil einer Extremität, eines Fingers/Zehs oder Körperglieds.">
				>
				["at0075"] = <
					text = <"Palmar">
					description = <"In Richtung der Handfläche.">
				>
				["at0076"] = <
					text = <"Plantar">
					description = <"In Richtung der Fußsohle.">
				>
				["at0077"] = <
					text = <"Mid">
					description = <"In der Mitte des Körpers.">
				>
				["at0078"] = <
					text = <"Oral">
					description = <"Den Mund betreffend. Wird üblicherweise zur Beschreibung von Stellen im Verdauungssystem verwendet.">
				>
				["at0079"] = <
					text = <"Anal">
					description = <"Zum Anus hin. Wird üblicherweise zur Beschreibung von Stellen im Verdauungssystem verwendet.">
				>
				["at0080"] = <
					text = <"Tief">
					description = <"Entfernt von der Oberfläche der Körperstelle.">
				>
				["at0081"] = <
					text = <"Oberflächlich">
					description = <"Auf die Oberfläche zu, bezeichnet oberflächlich gelegene Strukturen.">
				>
				["at0082"] = <
					text = <"Dorsal">
					description = <"In Richtung des Handrückens oder des Fußrückens hin gelegen. Als Gegenstück zu Palmar oder Plantar, nicht als Synonym für posterior.">
				>
				["at0064.1"] = <
					text = <"Perspektive">
					description = <"Qualifizierende Angabe unter spezifischer Sicht der identifizierten Körperstelle.">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["nl"] = <
			items = <
				["at0000.1"] = <
					text = <"Anatomische locatie">
					description = <"Een fysieke regio op of in het menselijk lichaam.">
				>
				["at0002.1"] = <
					text = <"Lateraliteit">
					description = <"De zijde van het lichaam waarop de geïdentificeerde Lichaamslocatie zich bevindt.">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"Anatomische locatie">
					description = <"Een fysieke regio op of in het menselijk lichaam.">
				>
				["at0001"] = <
					text = <"Lichaamslocatie">
					description = <"Identificatie van een enkele fysieke regio op of in het menselijk lichaam.">
				>
				["at0002"] = <
					text = <"Lateraliteit">
					description = <"De zijde van het lichaam waarop de geïdentificeerde Lichaamslocatie zich bevindt.">
				>
				["at0003"] = <
					text = <"Links">
					description = <"Linkerzijde van het lichaam.">
				>
				["at0004"] = <
					text = <"Rechts">
					description = <"Rechterzijde van het lichaam.">
				>
				["at0023"] = <
					text = <"Beschrijving">
					description = <"Verhalende beschrijving die kan worden gebruikt om de 'Lichaamslocatie' verder te verfijnen en te ondersteunen.">
				>
				["at0053"] = <
					text = <"Alternatieve structuur">
					description = <"Extra details over de anatomische regio met alternatieve benaderingen om dezelfde lichaamslocatie te beschrijven.">
				>
				["at0054"] = <
					text = <"Multimedia representatie">
					description = <"Afbeelding of andere media die worden gebruikt om identificatie van de lichaamslocatie te ondersteunen.">
				>
				["at0055"] = <
					text = <"Anatomische lijn">
					description = <"Extra details met behulp van theoretische lijnen getrokken door anatomische structuren die worden gebruikt om een ​​consistent referentiepunt op het menselijk lichaam te bieden.">
				>
				["at0056"] = <
					text = <"Midaxillaire lijn">
					description = <"Lijn die verticaal langs het oppervlak van het lichaam loopt en door de top van de oksel loopt.">
				>
				["at0057"] = <
					text = <"Anterior axillaire lijn">
					description = <"Lijn die verticaal langs het oppervlak van het lichaam loopt en door de voorste axillaire huidplooi gaat.">
				>
				["at0058"] = <
					text = <"Posterior axillaire lijn">
					description = <"Lijn die verticaal langs het oppervlak van het lichaam loopt en door de achterste axillaire huidplooi gaat.">
				>
				["at0059"] = <
					text = <"Mid-claviculaire lijn">
					description = <"Lijn die verticaal langs het lichaamsoppervlak loopt, evenwijdig aan de middellijn en door het middelpunt van het sleutelbeen.">
				>
				["at0060"] = <
					text = <"Mid-pupillaire lijn">
					description = <"Lijn die verticaal over het gezicht loopt door het middelpunt van de pupil als je recht naar voren kijkt.">
				>
				["at0062"] = <
					text = <"Middenlijn">
					description = <"Lijn die verticaal loopt en het lichaam in linker en rechter delen verdeelt, die door het hoofd, het ruggenmerg en de navel loopt. Als alternatief kan het verwijzen naar een lijn die een lichaamsdeel in twee gelijke delen verdeelt.">
				>
				["at0063"] = <
					text = <"Mid-scapulaire lijn">
					description = <"Lijn die verticaal langs het achterste oppervlak van het lichaam loopt, evenwijdig aan de middellijn en door het onderste punt van het schouderblad gaat.">
				>
				["at0064"] = <
					text = <"Aspect">
					description = <"Kwalificerend detail over het specifieke aspect van de geïdentificeerde lichaamslocatie.">
				>
				["at0065"] = <
					text = <"Specifieke locatie">
					description = <"Extra details met behulp van een specifieke regio of een punt op of binnen de geïdentificeerde lichaamslocatie.">
				>
				["at0067"] = <
					text = <"Mediaal">
					description = <"Naar de middellijn van de lichaamslocatie.">
				>
				["at0068"] = <
					text = <"Lateraal">
					description = <"Naar de zijkant of rand van de lichaamslocatie.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Boven de lichaamslocatie, ookwel richting het hoofd.">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Onder de lichaamslocatie, ook wel richting de voeten.">
				>
				["at0071"] = <
					text = <"Anterior">
					description = <"Naar de voorkant of het ventrale oppervlak van de lichaamslocatie.">
				>
				["at0072"] = <
					text = <"Posterior">
					description = <"Naar de achterkant of het dorsale oppervlak van de lichaamslocatie.">
				>
				["at0073"] = <
					text = <"Proximaal">
					description = <"Centraler of dichter bij het centrum van het lichaam, meestal gebruikt in de context van een ledenmaat, vinger of aanhangsel.">
				>
				["at0074"] = <
					text = <"Distaal">
					description = <"Verder weg van het centrum van het lichaam, meestal gebruikt in de context van een ledenmaat, vinger of aanhangsel.">
				>
				["at0075"] = <
					text = <"Palmair">
					description = <"Naar de palm van de hand.">
				>
				["at0076"] = <
					text = <"Plantair">
					description = <"Naar de voetzool.">
				>
				["at0077"] = <
					text = <"Midden">
					description = <"In het midden van de lichaamslocatie.">
				>
				["at0078"] = <
					text = <"Oraal">
					description = <"Naar de mond toe, meestal gebruikt in de context van het spijsverteringssysteem.">
				>
				["at0079"] = <
					text = <"Anaal">
					description = <"Naar de anus toe, meestal gebruikt in de context van het spijsverteringssysteem.">
				>
				["at0080"] = <
					text = <"Diep">
					description = <"Dieper onder de oppervlakte van de lichaamslocatie.">
				>
				["at0081"] = <
					text = <"Oppervlakkig">
					description = <"Naar de oppervlakte toe van de lichaamslocatie.">
				>
				["at0082"] = <
					text = <"Dorsaal">
					description = <"Naar de rug van de hand of de voet. Gebruik als tegenovergestelde van palmair of plantair, en niet als synoniem voor posterior.">
				>
				["at0064.1"] = <
					text = <"Aspect">
					description = <"Kwalificerend detail over het specifieke aspect van de geïdentificeerde lichaamslocatie.">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000.1"] = <
					text = <"Anatomisk lokalisation">
					description = <"Ett fysiskt ställe på eller i människokroppen.">
				>
				["at0002.1"] = <
					text = <"Lateralitet">
					description = <"Den sida av kroppen där det identifierade kroppsstället är lokaliserat.">
					comment = <"Om det identifierade kroppsstället saknar lateralitet ska detta fält inte användas. 
Om fältet \"Namn på kroppsställe\" har prekoordinerade termer som innefattar lateralitet är detta fält redundant.">
				>
				["at0.1"] = <
					text = <"*Bilateral (en)">
					description = <"*Both sides of the body. (en)">
				>
				["at0000"] = <
					text = <"Anatomisk lokalisation">
					description = <"Ett fysiskt ställe på eller i människokroppen.">
				>
				["at0001"] = <
					text = <"Namn på kroppsställe">
					description = <"Identifiering av enskilt fysiskt ställe på eller i människokroppen.">
					comment = <"Det här är det enda obligatoriska fältet i denna arketyp och det ska användas som det primära stället att registrera en anatomisk lokalisation med ett vedertaget namn. Det rekommenderas starkt att \"Namn på kroppsställe\" anges så specifikt som det är anatomiskt möjligt. Till exempel; registrera \"övre ögonlock\" snarare än \"ögonlock\" med \"övre\" som kvalificering; \"femte revbenet\" snarare än \"revben\" med en numerisk kvalificering. Använd de andra dataelementen för lateralitet, aspekt, region och anatomisk linje för att ge mer information.

Detta dataelement bör kodas med en terminologi som kan starta beslutsstödsfunktionalitet när så är möjligt - en lämplig terminologi för användning här kan innehålla enskilda begrepp eller listor med förkoordinerade termer. Fritext bör endast användas om det inte finns någon lämplig terminologi.

Om kroppsställets namn anges i den överordnade arketypen kan detta dataelement vara överflödigt. Emellertid har användningsfall identifierats där datavärdet kan kopieras till detta element för att stödja semantiska utsökningsfrågor baserat på denna arketyp snarare än den överordnade arketypen.


">
				>
				["at0002"] = <
					text = <"Lateralitet">
					description = <"Den sida av kroppen där det identifierade kroppsstället är lokaliserat.">
					comment = <"Om det identifierade kroppsstället saknar lateralitet ska detta fält inte användas. 
Om fältet \"Namn på kroppsställe\" har prekoordinerade termer som innefattar lateralitet är detta fält redundant.">
				>
				["at0003"] = <
					text = <"Vänster">
					description = <"Kroppens vänstra sida.">
				>
				["at0004"] = <
					text = <"Höger">
					description = <"Kroppens högra sida.">
				>
				["at0023"] = <
					text = <"Beskrivning">
					description = <"Beskrivning för att ytterligare specificera och detaljera \"Namn på kroppsställe\".">
					comment = <"Till exempel: intill läppröda; en tatuering täcker den nedre halvan av detta område.">
				>
				["at0053"] = <
					text = <"Alternativ struktur">
					description = <"Ytterligare information om den anatomiska platsen med en alternativ metod för att beskriva samma kroppsställe.
">
					comment = <"Till exempel relativ plats eller exakt plats med hjälp av koordinater.">
				>
				["at0054"] = <
					text = <"Multimediarepresentation">
					description = <"Bild eller annat medium som används för att stödja identifieringen av kroppsplatsen.">
				>
				["at0055"] = <
					text = <"Anatomisk linje">
					description = <"Ytterligare detalj där teoretiska linjer dragits genom anatomiska strukturer för att ge en fast referenspunkt på människokroppen.">
					comment = <"Vanligt förekommande anatomiska linjer finns inkluderade som en värdemängd som kan utökas över tid, plus möjlighet till fritext. Om dataelementet 'Kroppsställets namn' använder förkoordinerade termer som inkluderar det specifika kroppsstället är detta dataelement överflödigt.">
				>
				["at0056"] = <
					text = <"Mellersta axillarlinjen">
					description = <"En vertikal linje som går över kroppsytan genom axillspetsen.">
				>
				["at0057"] = <
					text = <"Främre axillarlinjen">
					description = <"En linje som löper vertikalt ner över kroppens yta och passerar genom det främre axillära hudvecket.">
				>
				["at0058"] = <
					text = <"Bakre axillarlinjen">
					description = <"En linje som löper vertikalt ner över kroppens yta och passerar genom det bakre axillära hudvecket.">
				>
				["at0059"] = <
					text = <"Medioklavikularlinjen">
					description = <"En linje som löper vertikalt ner på kroppens yta, parallellt med mittlinjen och passerar genom nyckelbenets mittpunkt.">
				>
				["at0060"] = <
					text = <"Mellersta pupillinjen">
					description = <"En linjen löper lodrätt nedåt längs ansiktet genom pupillens mittpunkt när man tittar direkt framåt.">
				>
				["at0062"] = <
					text = <"Mittlinje">
					description = <"En vertikal linje som delar in kroppen i vänster och höger halva. Den går genom huvud, ryggmärg och navel. Alternativt åsyftas en linje som delar in en kroppsdel i två lika stora delar, exempelvis en tå eller ett finger.">
				>
				["at0063"] = <
					text = <"Mellersta skapularlinjen">
					description = <"En linje som löper vertikalt längs kroppens bakre yta, parallellt med mittlinjen och passerar genom den lägre punkten på skulderbladet.">
				>
				["at0064"] = <
					text = <"Del">
					description = <"Utmärkande detalj hos den specifika delen av det identifierade kroppsstället.">
					comment = <"Används, om det behövs, för att öka precisionen i identifieringen av kroppsstället. Om dataelementet 'Namn på kroppsstället' använder förkoordinerade termer som inkluderar kroppsdelen är detta dataelement överflödigt.">
				>
				["at0065"] = <
					text = <"Specifikt ställe">
					description = <"Ytterligare detalj angiven som ett specifikt område eller en punkt på eller i det identifierade kroppsstället.">
					comment = <"Används för att öka precisionen i identifieringen av kroppsstället. Till exempel McBurneys punkt på bukväggen. Om dataelementet 'Kroppsställets namn' använder förkoordinerade termer som inkluderar det specifika kroppsstället är detta dataelement överflödigt.">
				>
				["at0067"] = <
					text = <"Medial">
					description = <"I riktning mot kroppsställets mittlinje.">
				>
				["at0068"] = <
					text = <"Lateral">
					description = <"I riktning mot kroppsställets sida eller kant.">
				>
				["at0069"] = <
					text = <"Superior">
					description = <"Ovanför kroppsstället, ofta i betydelsen i riktning mot huvudet.">
				>
				["at0070"] = <
					text = <"Inferior">
					description = <"Nedanför kroppsstället, ofta i betydelsen i riktning mot fötterna.">
				>
				["at0071"] = <
					text = <"Främre">
					description = <"Främre delen eller ventrala ytan av kroppsstället.">
				>
				["at0072"] = <
					text = <"Bakre">
					description = <"Bakre delen eller dorsala ytan av kroppsstället.">
				>
				["at0073"] = <
					text = <"Proximal">
					description = <"Mer central eller närmare fastsättningspunkten, vanligtvis en beskrivning av en del av extremitet, finger, tå eller bihang.">
				>
				["at0074"] = <
					text = <"Distal">
					description = <"Mer perifert eller längre bort från fastsättningspunkten, vanligtvis en beskrivning av en del av extremitet, finger, tå eller bihang.">
				>
				["at0075"] = <
					text = <"Palmar">
					description = <"I riktning mot handflatan.">
				>
				["at0076"] = <
					text = <"Plantar">
					description = <"I riktning mot fotsulan.">
				>
				["at0077"] = <
					text = <"I mitten av">
					description = <"I mitten av kroppsstället.">
				>
				["at0078"] = <
					text = <"Oral">
					description = <"I riktning mot munnen. Används vanligtvis för att beskriva lokalisation inom matspjälkningssystemet.">
				>
				["at0079"] = <
					text = <"Anal">
					description = <"I riktning mot anus. Används vanligtvis för att beskriva lokalisation inom matspjälkningssystemet.">
				>
				["at0080"] = <
					text = <"Djup">
					description = <"I riktning bort från kroppsställets yta.">
				>
				["at0081"] = <
					text = <"Ytlig">
					description = <"I riktning mot kroppsställets yta.">
				>
				["at0082"] = <
					text = <"Dorsal">
					description = <"I riktning mot handens baksida eller fotens ovansida. Används som motsats till handflata och fotsula, inte som en synonym till bakre.">
				>
				["at0064.1"] = <
					text = <"Del">
					description = <"Utmärkande detalj hos den specifika delen av det identifierade kroppsstället.">
					comment = <"*Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant.
This specialisation is only to add the additional value of 'bilateral' to the laterality value set to meet the clinical use case arising from recording mapped data received from an external system recording medical device implantation procedures. (en)">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0002.1"] = <[SNOMED-CT::272741003]>
				["at0002"] = <[SNOMED-CT::272741003]>
				["at0003"] = <[SNOMED-CT::7771000]>
				["at0004"] = <[SNOMED-CT::24028007]>
			>
		>
	>