archetype (adl_version=1.4; uid=0f57bc87-f0a2-48c9-b3cd-7d97b81c942d)
	openEHR-EHR-CLUSTER.imaging_exam-fallopian_tube.v1
specialise
	openEHR-EHR-CLUSTER.imaging_exam.v1

concept
	[at0000.1]	-- Imaging examination of a fallopian tube
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Natalia Strauch">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"Strauch.Natalia@mh-hannover.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Vebjørn Arntzen">
				["organisation"] = <"Oslo University Hospital">
				["email"] = <"varntzen@ous-hf.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2021-11-24">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"*To record the findings on radiological examination of a single fallopian tube, and their interpretation. (en)">
			use = <"*Use to record the findings on radiological examination of a single fallopian tube, and their interpretation.

The intended scope for this CLUSTER.imaging_exam archetype is to eventually record all detailed findings on radiological examination about the fallopian tube using any modality, including examinations using contrast, such as Hysterosalpingography (HSG) or Hysterosalpingo-Contrast Sonography (HyCoSy). It is anticipated that further data elements may be added as requirements are identified and confirmed. 

This archetype is designed to be nested within the 'Additional details' SLOT in the CLUSTER.imaging_exam-uterine_body, the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT.

Details about medication or contrast medium administered as part of an imaging examination will be recorded using the ACTION.medication archetype, usually linked from the 'Procedure' data element within the OBSERVATION.imaging_exam_result archetype. 

A summary of any issues arising during the procedure, such as an increased resistance observed while flushing with contrast, should be recorded in the 'Comment' data element within this archetype or the 'Procedure summary' data element within the OBSERVATION.imaging_exam_result. Details related to the procedure can be recorded in a separate Procedure report using the ACTION.procedure archetype. (en)">
			keywords = <"*fluroscopy (en)", "*hysterosalpingogram (en)", "*contrast (en)", "*saline (en)", "*hycosy (en)", "*hsg (en)", "*sonography (en)", "*ultrasound (en)", "*tube (en)", "*sactosalpinx (en)", "*hydrosalpinx (en)", "*pyosalpinx (en)">
			misuse = <"*Not to be used to record imaging examination findings for any body structure or region other than a single fallopian tube. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

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

Det tiltenkte omfanget for denne CLUSTER.imaging_exam (Bildediagnostisk undersøkelse) - arketypen er til slutt å kunne registrere alle detaljerte funn ved bildediagnostisk undersøkelse av en eggleder. Dette inkluderer undersøkelser med kontrast, som røntgen hysterosalpingografi (HSG) eller ultralyd med kontrast (HyCoSy). Det er forventet at flere dataelementer kan bli lagt til når krav til slike er identifisert og bekreftet.

Denne arketypen er utformet for å bli nøstet i SLOT'et \"Ytterligere detaljer\" i arketypen CLUSTER.imaging_exam-uterine_body (Bildediagnostisk undersøkelse - livmor), SLOT'et \"Strukturerte funn\" i OBSERVATION.imaging_exam_result (Bildediagnostisk svar) eller i andre relevante Bildediagnostisk svar-arketyper, men kan også brukes innen andre ENTRY- og CLUSTER-arketyper der det er klinisk passende. Hvis denne arketypen, eller en spesialisering av denne, må utvides med flere nivåer med detaljerte funn eller observasjoner, kan flere forekomster av arketypen eller dens spesialiseringer nøstes i SLOT'et \"Ytterligere detaljer\".

Detaljer om om medikasjon eller kontrast som er administrert som del av en bildeundersøkelse vil bli registrert ved å bruke arketypen ACTION.medcation (Legemiddelhåndtering) og vanligvis linket til fra dataelementet \"Prosedyre\" i arketypen OBSERVATION.imaging_exam_result (Bildediagnostisk svar).

En oppsummering av eventuelle problemer som har oppstått i prosedyren, som økt motstand ved skylling med kontrastvæske, bør registreres i dataelementet \"Kommentar\" i denne arketypen, eller i \"Sammendrag av prosedyre\" i arketypen OBSERVATION.imaging_exam_result (Bildediagnostisk svar). Detaljer knyttet til prosedyren kan registreres i en egen prosedyrerapport ved å bruke ACTION.procedure archetype (Prosedyre).">
			keywords = <"fluoroskopi", "hysterosalpingografi", "kontrast", "saltløsning", "hycosy", "hsg", "sonografi", "ultralyd", "tube", "sactosalpinx", "hydrosalpinx", "pyosalpinx">
			misuse = <"Skal ikke brukes til å registrere funn fra undersøkelser av andre kroppsstrukturer enn en enkelt eggleder. Bruk andre arketyper fra gruppen av CLUSTER.imaging_exam-arketyper for dette.

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

The intended scope for this archetype is to eventually record all detailed findings on radiological examination about the fallopian tube using any modality, including examinations using contrast, such as Hysterosalpingography (HSG) or Hysterosalpingo-Contrast Sonography (HyCoSy). It is anticipated that further data elements may be added as requirements are identified and confirmed. 

This archetype is designed to be nested within the 'Additional details' SLOT in the CLUSTER.imaging_exam-uterine_body, the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT.

Details about medication or contrast medium administered as part of an imaging examination will be recorded using the ACTION.medication archetype, usually linked from the 'Procedure' data element within the OBSERVATION.imaging_exam_result archetype. 

A summary of any issues arising during the procedure, such as an increased resistance observed while flushing with contrast, should be recorded in the 'Comment' data element within this archetype or the 'Procedure summary' data element within the OBSERVATION.imaging_exam_result. Details related to the procedure can be recorded in a separate Procedure report using the ACTION.procedure archetype.">
			keywords = <"fluroscopy", "hysterosalpingogram", "contrast", "saline", "hycosy", "hsg", "sonography", "ultrasound", "tube", "sactosalpinx", "hydrosalpinx", "pyosalpinx">
			misuse = <"Not to be used to record imaging examination findings for any body structure or region other than a single fallopian tube. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)", "Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Randi Brendberg, Helse Nord RHF, Norway", "Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)", "Heather Grain, Llewelyn Grain Informatics, Australia", "Anca Heyd, DIPS ASA, Norway", "Evelyn Hovenga, EJSH Consulting, Australia", "Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)", "Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)", "Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør)", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Norwegian Review Summary, Norwegian Public Hospitals, Norway", "Tina Tellum, Oslo Universitetssykehus, Norway", "John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)", "Ina Wille, Helse-Vest RHF, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"29426AA0251B4D4EF40095A6D275DF55">
		["build_uid"] = <"647ee5c2-dd85-43bc-a9ea-0665d62cff85">
		["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"] = <"1.0.0">
	>

definition
	CLUSTER[at0000.1] matches {    -- Imaging examination of a fallopian tube
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001.1] matches {    -- Body structure
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.1,    -- Right fallopian tube
							at0.2]    -- Left fallopian tube
						}
					}
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {    -- Body site
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0003] occurrences matches {0..*} matches {    -- Structured body site
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v2|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1/}
			}
			ELEMENT[at0004] occurrences matches {0..1} matches {    -- Imaging findings
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0.3] occurrences matches {0..1} matches {    -- Patency
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.4,    -- Patent
							at0.5,    -- Blocked
							at0.6]    -- Indeterminate
						}
					}
				}
			}
			ELEMENT[at0.7] occurrences matches {0..1} matches {    -- Gestational sac presence
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0.8,    -- Present
							at0.9,    -- Absent
							at0.10]    -- Indeterminate
						}
					}
				}
			}
			allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {    -- Additional details
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-lymph_node(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lymph_node_group(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lesion(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0006] occurrences matches {0..*} matches {    -- Impression
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0007] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0.11] occurrences matches {0..*} matches {    -- Gestational sac details
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-gestational_sac(-[a-zA-Z0-9_]+)*\.v0/}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0.1"] = <
					text = <"Right fallopian tube">
					description = <"">
				>
				["at0.2"] = <
					text = <"Left fallopian tube">
					description = <"">
				>
				["at0.3"] = <
					text = <"Patency">
					description = <"Assessment of the patency of the fallopian tube.">
				>
				["at0.4"] = <
					text = <"Patent">
					description = <"Contrast medium spills into the peritoneum.">
				>
				["at0.5"] = <
					text = <"Blocked">
					description = <"Contrast medium does not spill into the peritoneum.">
				>
				["at0.6"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if the fallopian tube is patent or blocked.">
				>
				["at0000.1"] = <
					text = <"Imaging examination of a fallopian tube">
					description = <"Findings on radiological examination of a single fallopian tube.">
				>
				["at0001"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant.">
				>
				["at0001.1"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant.">
				>
				["at0000"] = <
					text = <"Imaging examination of a body structure">
					description = <"Findings on radiological examination of a specified body structure or region.">
				>
				["at0002"] = <
					text = <"Body site">
					description = <"Identification of the area of the body under examination.">
					comment = <"For example: a lymph node group (body structure) which found in the 'Right axilla'. Coding of 'Body site' with a terminology, such as SNOMED CT, is desirable. If the body site has been fully identified in the 'Body structure' data element, this data element becomes redundant.">
				>
				["at0003"] = <
					text = <"Structured body site">
					description = <"Structured details about the area of the body under examination.">
					comment = <"For example: details about a relative anatomical location, such as '2cm distal to the appendix'. If the body site has been fully identified in the 'Body structure' or 'Body site' data elements, then this SLOT becomes redundant.">
				>
				["at0004"] = <
					text = <"Imaging findings">
					description = <"Narrative description of the imaging findings observed during this examination.">
				>
				["at0005"] = <
					text = <"Additional details">
					description = <"Additional structured details about imaging findings for the identified body structure or region, or findings of related structures.">
				>
				["at0006"] = <
					text = <"Impression">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of all imaging findings for the identified body structure.">
					comment = <"Also referred to as 'Interpretation' or 'Opinion'. For example: 'No abnormality detected' or 'Free fluid present'. Coding of the 'Impression' with a terminology is permitted, if useful. Multiple occurrences allow for more than one coded impression. A narrative description may include a comparison with previous studies of the identified body structure, if appropriate.">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the imaging findings of the body structure, not captured in other fields.">
				>
				["at0.7"] = <
					text = <"Gestational sac presence">
					description = <"Presence of a gestational sac within the identified fallopian tube.">
				>
				["at0.8"] = <
					text = <"Present">
					description = <"A gestational sac is observed.">
				>
				["at0.9"] = <
					text = <"Absent">
					description = <"No gestational sac is observed.">
				>
				["at0.10"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if a gestational sac is present or absent.">
				>
				["at0.11"] = <
					text = <"Gestational sac details">
					description = <"Structured details about an observed gestational sac within the fallopian tube.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0.1"] = <
					text = <"Høyre eggleder">
					description = <"">
				>
				["at0.10"] = <
					text = <"Ubstemmelig">
					description = <"Det er ikke mulig å avgjøre om en gestasjonssekk er tilstede eller fraværende.">
				>
				["at0.11"] = <
					text = <"Gestasjonssekkdetaljer">
					description = <"Strukturerte detaljer om en observert gestasjonssekk i egglederen.">
				>
				["at0.2"] = <
					text = <"Venstre eggleder">
					description = <"">
				>
				["at0.3"] = <
					text = <"Gjennomtrengelighet">
					description = <"Vurdering av i hvilken grad egglederen er åpen.">
				>
				["at0.4"] = <
					text = <"Åpen">
					description = <"Kontrastvæsken flyter fritt til bukhulen.">
				>
				["at0.5"] = <
					text = <"Blokkert">
					description = <"Kontrastvæsken flyter ikke til bukhulen.">
				>
				["at0.6"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme om egglederen er åpen eller blokkert.">
				>
				["at0.7"] = <
					text = <"Gestasjonssekk tilstedeværelse">
					description = <"Tilstedeværelse av en gestasjonssekk i den identifiserte egglederen.">
				>
				["at0.8"] = <
					text = <"Tilstede">
					description = <"En gestasjonssekk er observert.">
				>
				["at0.9"] = <
					text = <"Fraværende">
					description = <"Ingen gestasjonssekk er observert.">
				>
				["at0000"] = <
					text = <"Bildediagnostisk undersøkelse - kroppsstruktur">
					description = <"Funn eller observasjoner ved radiologisk undersøkelse av et definert organ eller en kroppsdel.">
				>
				["at0000.1"] = <
					text = <"Bildediagnostisk undersøkelse - eggleder">
					description = <"Funn eller observasjoner ved radiologisk undersøkelse av en eggleder.">
				>
				["at0001"] = <
					text = <"Kroppsstruktur">
					description = <"Identifisering av organet eller kroppsdelen som svaret gjelder.">
					comment = <"*For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. (en)">
				>
				["at0001.1"] = <
					text = <"Kroppsstruktur">
					description = <"Identifisering av strukturen i kroppen eller regionen som er undersøkt.">
					comment = <"Dersom den aktuelle strukturen i kroppen er fullt ut angitt i dette \"Kroppsstruktur\"-elementet er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\" eller \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0002"] = <
					text = <"Anatomisk lokalisasjon">
					description = <"Identifisering av organ eller kroppsdel.">
					comment = <"For eksempel en lymfeknutegruppe (Kroppsstruktur) som er funnet i \"Høyre aksille\" (Anatomisk lokalisasjon). Det er ønskelig å kode \"Anatomisk lokalisasjon\" med en terminologi, som SNOMED CT. Dersom den anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\".">
				>
				["at0003"] = <
					text = <"Strukturert anatomisk lokalisasjon">
					description = <"Strukturerte detaljer om organ eller kroppsdel.">
					comment = <"For eksempel detaljert om en relativ anatomisk lokalisasjon, som \"2 cm distalt for appendix\". Dersom den nøyaktige eller relative anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0004"] = <
					text = <"Funn">
					description = <"Fritekstlig beskrivelse av funn eller observasjoner på bilder tatt under denne undersøkelsen.">
				>
				["at0005"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om funn eller observasjoner på bilder for det definerte organet eller kroppsdelen, eller om funn eller observasjoner hos tilhørende kroppsstrukturer.">
				>
				["at0006"] = <
					text = <"Resymé">
					description = <"Enkeltord, frase eller kortfattet beskrivelse som uttrykker den kliniske betydningen av alle funn og observasjoner for den definerte kroppsstrukturen.">
					comment = <"Kan også kalles \"Tolkning\" eller \"Inntrykk\". For eksempel \"Uten anmerkning\" eller \"Fri væske\". Dersom det er nyttig, er det åpent for å kode \"Resymé\" med en terminologi. Flere svar kan kodes ved at elementet er åpent for å være gjentakende. En beskrivelse i fritektst kan også brukes og kan inneholde en sammenligning med tidligere undersøkelser av samme kroppsstruktur.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om funn eller observasjoner på bilder av kroppsstrukturen og som ikke er fanget i andre felt.">
				>
			>
		>
		["de"] = <
			items = <
				["at0000.1"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"*Findings on radiological examination of a single fallopian tube. (en)">
				>
				["at0001.1"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant. (en)">
				>
				["at0.1"] = <
					text = <"Right fallopian tube">
					description = <"">
				>
				["at0.2"] = <
					text = <"Left fallopian tube">
					description = <"">
				>
				["at0.3"] = <
					text = <"Patency">
					description = <"*Assessment of the patency of the fallopian tube. (en)">
				>
				["at0.4"] = <
					text = <"Patent">
					description = <"Contrast medium spills into the peritoneum.">
				>
				["at0.5"] = <
					text = <"Blocked">
					description = <"Contrast medium does not spill into the peritoneum.">
				>
				["at0.6"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine if the fallopian tube is patent or blocked. (en)">
				>
				["at0001"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. (en)">
				>
				["at0000"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"Befunde zur radiologischen Untersuchung einer bestimmten Körperstruktur oder -region.">
				>
				["at0002"] = <
					text = <"Körperstelle">
					description = <"Identifizierung des zu untersuchenden Bereichs des Körpers.">
					comment = <"Zum Beispiel: eine Lymphknotengruppe (Körperstruktur), die sich in der „rechten Achselhöhle“ befindet. Eine Kodierung von „Körperstelle“ mit einer Terminologie, wie z. B. SNOMED CT, ist wünschenswert. Wenn die Körperstelle im Datenelement „Körperstruktur“ vollständig identifiziert wurde, wird dieses Datenelement überflüssig.">
				>
				["at0003"] = <
					text = <"Körperstelle strukturiert">
					description = <"Strukturierte Angaben zum untersuchten Körperbereich.">
					comment = <"Zum Beispiel: Angaben zu einer relativen anatomischen Lokalisation, wie z. B. „2 cm distal zum Blinddarm“. Wenn die Körperstelle in den Datenelementen „Körperstruktur“ oder „Körperstelle“ vollständig identifiziert wurde, wird dieser SLOT überflüssig.">
				>
				["at0004"] = <
					text = <"Bildgebende Befunde">
					description = <"Beschreibung der bei dieser Untersuchung beobachteten bildgebenden Befunde.">
				>
				["at0005"] = <
					text = <"Zusätzliche Angaben">
					description = <"Zusätzliche strukturierte Angaben zu bildgebenden Befunden für die identifizierte Körperstruktur oder -region oder befundbezogene Strukturen.">
				>
				["at0006"] = <
					text = <"Interpretation">
					description = <"Einzelnes Wort, Satz oder kurze Beschreibung, die die klinische Bedeutung und Signifikanz aller bildgebenden Befunde für die identifizierte Körperstruktur darstellt.">
					comment = <"Auch als „Eindruck“ oder „Meinung“ bezeichnet. Zum Beispiel: „Keine Anomalie erkannt“ oder „Freie Flüssigkeit vorhanden“. Eine Kodierung des „Interpretation“ mit einer Terminologie ist zulässig, sofern sinnvoll. Mehrere Vorkommen ermöglichen mehr als eine codierte Interpretation. Eine einfache Beschreibung kann gegebenenfalls einen Vergleich mit früheren Studien der identifizierten Körperstruktur beinhalten.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Zusätzlicher Text über die bildgebenden Befunde der Körperstruktur, der in anderen Bereichen nicht erfasst wurde.">
				>
				["at0.7"] = <
					text = <"*Gestational sac presence (en)">
					description = <"*Presence of a gestational sac within the identified fallopian tube. (en)">
				>
				["at0.8"] = <
					text = <"*Present (en)">
					description = <"*A gestational sac is observed. (en)">
				>
				["at0.9"] = <
					text = <"*Absent (en)">
					description = <"*No gestational sac is observed. (en)">
				>
				["at0.10"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine if a gestational sac is present or absent. (en)">
				>
				["at0.11"] = <
					text = <"*Gestational sac details (en)">
					description = <"*Structured details about an observed gestational sac within the fallopian tube. (en)">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0.1"] = <[SNOMED-CT::2033006]>
				["at0.2"] = <[SNOMED-CT::113293009]>
			>
		>
	>