Open Model Viewer
Home Home
Status Status
Archetype Repository
Cluster Cluster
252
Composition Composition
28
Action Action
11
Evaluation Evaluation
61
Observation Observation
229
Instruction Instruction
10
Admin Admin
7
Section Section
12
Information Site Information
PROD  Build
  Modellbiblioteket openEHR Fork
Name
Hirsutism scales
Description
A grouping of related assessment scales used to quantify distribution and growth of body hair in women.
Keywords
Ferriman Gallwey score hirsutes hirsutism hyperandrogenism body hair growth terminal hair virilization male-pattern hair growth androgen-sensitive hair growth androgenic hair
Purpose
To record hair scores for up to thirteen body areas and a total sum of scores, in order to quantify excessive male-pattern hair growth in women.
Use
Use to record pattern of growth of androgen-sensitive terminal hair in women.

This archetype has been designed to be inclusive of all hirsutism scales that are associated with the original scale originally proposed by Ferriman and Gallwey which includes eleven body sites. The extended version is inclusive of all the original sites plus the sideburn area and the perineum. The modified Ferriman-Gallwey score, includes nine body sites, excluding the lower arm, lower leg, sideburn area and perineum.

Use a template to constrain the data elements to represent the dataset for the required scale.
Misuse
Not to be used to record information about generalised or excessive hair growth that does not represent hirsutism.
References
Ferriman, D. and J.D. Gallwey, CLINICAL ASSESSMENT OF BODY HAIR GROWTH IN WOMEN. The Journal of Clinical Endocrinology & Metabolism, 1961. 21(11): p. 1440-1447.
Hatch, R., et al., Hirsutism: Implications, etiology, and management. American Journal of Obstetrics and Gynecology, 1981. 140(7): p. 815-830.
Rosenfield, R.L., Clinical practice. Hirsutism. N Engl J Med, 2005. 353(24): p. 2578-88.
The Practice Committee of the American Society for Reproductive Medicine. The evaluation and treatment of androgen excess. Fertility and Sterility, 2006. 86(5): p. S241-S247.
Yildiz, B.O., et al., Visually scoring hirsutism. Human Reproduction Update, 2010. 16(1): p. 51-64.
Archetype Id
openEHR-EHR-OBSERVATION.hirsutism_scales.v1
Copyright
© openEHR Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
Original Author
Peter Fedorcsak
Oslo University Hospital
Date Originally Authored
To record hair scores for up to thirteen body areas and a total sum of scores, in order to quantify excessive male-pattern hair growth in women.
Language Details
Norwegian Bokmal
Peter Fedorcsak, Vebjørn Arntzen
Oslo University Hospital
Name Card Type Description
Upper lip hair
0..1 DV_ORDINAL Hair score on the upper lip.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Chin hair
0..1 DV_ORDINAL Hair score on the chin.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Sideburn hair
0..1 DV_ORDINAL Hair score on the sideburns.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Chest hair
0..1 DV_ORDINAL Hair score on the chest.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Upper back hair
0..1 DV_ORDINAL Hair score on the upper back.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Lower back hair
0..1 DV_ORDINAL Hair score on the lower back.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Upper abdomen hair
0..1 DV_ORDINAL Hair score on the upper abdomen.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Lower abdomen hair
0..1 DV_ORDINAL Hair score on the lower abdomen.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Upper arm hair
0..1 DV_ORDINAL Hair score on the upper arms.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Lower arm hair
0..1 DV_ORDINAL Hair score on the lower arms.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Thigh hair
0..1 DV_ORDINAL Hair score on the thighs.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Lower leg hair
0..1 DV_ORDINAL Hair score on the lower legs.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Perineum hair
0..1 DV_ORDINAL Hair score on the perineum.
Constraint for DV_ORDINAL
  • 0 : None
  • 1 : Grade 1
  • 2 : Grade 2
  • 3 : Grade 3
  • 4 : Grade 4
Total score
0..1 DV_COUNT The total sum of the hair scores recorded for each of the body area.
Constraint for DV_COUNT
min: >= 0; max: <= 52
Ferriman-Gallwey score
0..1 DV_COUNT The total sum of the hair scores recorded for each of eleven body areas.
Comment
The total sum of the hair scores recorded for each of eleven body areas originally proposed by Ferriman and Gallwey (excluding scores for the sideburn area and the perineum).
Constraint for DV_COUNT
min: >= 0; max: <= 44
Modified Ferriman-Gallwey score
0..1 DV_COUNT The total sum of the hair scores recorded for each of nine body areas.
Comment
The total sum of the hair scores recorded for each of nine body areas (excluding scores for the lower arm, lower leg, sideburn area and perineum).
Constraint for DV_COUNT
min: >= 0; max: <= 36
Name Card Type Description
Extension
0..* Slot (Cluster) Additional information required to capture local content or to align with other reference models/formalisms.
Comment
For example: local information requirements or additional metadata to align with FHIR.
Slot
Slot
 
archetype (adl_version=1.4; uid=a0def596-d035-4b45-88ae-07a5b9b38525)
	openEHR-EHR-OBSERVATION.hirsutism_scales.v1

concept
	[at0000]	-- Hirsutism scales
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Peter Fedorcsak, Vebjørn Arntzen">
				["organisation"] = <"Oslo University Hospital">
				["email"] = <"pfedorcs@ous-hf.no, varntzen@ous-hf.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Peter Fedorcsak">
		["organisation"] = <"Oslo University Hospital">
		["email"] = <"peter.fedorcsak@medisin.uio.no">
		["date"] = <"2021-09-21">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"Skåringssystem for å vurdere hårvekst på opp til tretten kroppsområder, beregne total skår, og tallfeste androgensensitiv behåring hos kvinner.">
			use = <"Bruk for å registrere fordeling av androgensensitivt terminalhår hos kvinner.

Denne arketypen har blitt designet for å kunne inkludere alle hirsutismeskåringer som er assosiert med den originale skåringen som opprinnelig ble foreslått av Ferriman og Gallwey, og som inkluderte elleve kroppsområder. Den utvidede versjonen inkluderer kinn og rumpeball i tillegg til de originale kroppsområdene. Den modifiserte Ferriman-Gallwey skår består av ni kroppsområder, og består av de ni originale minus underarm og legg.

For å begrense antall informasjonselementer til den ønskede varianten av hirsutismeskår, fjern de uønskede elementene i et templat.">
			keywords = <"hirsutisme, hyperandrogenisme, hårvekst, terminalhår, virilisering, mannslignende hårvekst, androgensensitivt hår", ...>
			misuse = <"Brukes ikke ved tilstander som kjennetegnes av generalisert eller økt hårvekst som ikke betraktes som hirsutisme.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record hair scores for up to thirteen body areas and a total sum of scores, in order to quantify excessive male-pattern hair growth in women.">
			use = <"Use to record pattern of growth of androgen-sensitive terminal hair in women.

This archetype has been designed to be inclusive of all hirsutism scales that are associated with the original scale originally proposed by Ferriman and Gallwey which includes eleven body sites. The extended version is inclusive of all the original sites plus the sideburn area and the perineum. The modified Ferriman-Gallwey score, includes nine body sites, excluding the lower arm, lower leg, sideburn area and perineum.

Use a template to constrain the data elements to represent the dataset for the required scale.">
			keywords = <"Ferriman Gallwey score, hirsutes, hirsutism, hyperandrogenism, body hair growth, terminal hair, virilization, male-pattern hair growth, androgen-sensitive hair growth, androgenic hair", ...>
			misuse = <"Not to be used to record information about generalised or excessive hair growth that does not represent hirsutism.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Nelio Borrozzino, Prontmed, Brazil", "Peter Fedorcsak, University of Oslo, Norway", "Mikkel Johan Gaup Grønmo, Forvaltningssenter EPJ, Helse-Nord, Norway (openEHR Editor)", "Evelyn Hovenga, EJSH Consulting, Australia", "Jörgen Kuylenstierna, eWeave AB, Sweden", "Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil", "Norwegian Review Summary, Nasjonal IKT HF, Norway", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)", "Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)", "Jan Mellembakken, Oslo universitetssykehus, Norway", "Elisabeth Qvigstad, Oslo universitetssykehus, Norway", "Tom Tanbo, Oslo universitetssykehus, Norway", "Eszter Vanky, St Olavs hospital, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Ferriman, D. and J.D. Gallwey, CLINICAL ASSESSMENT OF BODY HAIR GROWTH IN WOMEN. The Journal of Clinical Endocrinology & Metabolism, 1961. 21(11): p. 1440-1447.

Hatch, R., et al., Hirsutism: Implications, etiology, and management. American Journal of Obstetrics and Gynecology, 1981. 140(7): p. 815-830.

Rosenfield, R.L., Clinical practice. Hirsutism. N Engl J Med, 2005. 353(24): p. 2578-88.

The Practice Committee of the American Society for Reproductive Medicine. The evaluation and treatment of androgen excess. Fertility and Sterility, 2006. 86(5): p. S241-S247.

Yildiz, B.O., et al., Visually scoring hirsutism. Human Reproduction Update, 2010. 16(1): p. 51-64.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"0FA8E5082BA1AF5203E8677528AF4D07">
		["build_uid"] = <"e22a0f2b-4636-4cd0-8f10-9dc35cdc5d47">
		["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
	OBSERVATION[at0000] matches {    -- Hirsutism scales
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Upper lip hair
										value matches {
											0|[local::at0007],
											1|[local::at0008],
											2|[local::at0009],
											3|[local::at0010],
											4|[local::at0011]
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Chin hair
										value matches {
											0|[local::at0020],
											1|[local::at0021],
											2|[local::at0022],
											3|[local::at0023],
											4|[local::at0024]
										}
									}
									ELEMENT[at0082] occurrences matches {0..1} matches {    -- Sideburn hair
										value matches {
											0|[local::at0083],
											1|[local::at0084],
											2|[local::at0085],
											3|[local::at0086],
											4|[local::at0087]
										}
									}
									ELEMENT[at0025] occurrences matches {0..1} matches {    -- Chest hair
										value matches {
											0|[local::at0026],
											1|[local::at0027],
											2|[local::at0028],
											3|[local::at0029],
											4|[local::at0030]
										}
									}
									ELEMENT[at0031] occurrences matches {0..1} matches {    -- Upper back hair
										value matches {
											0|[local::at0032],
											1|[local::at0033],
											2|[local::at0034],
											3|[local::at0035],
											4|[local::at0036]
										}
									}
									ELEMENT[at0037] occurrences matches {0..1} matches {    -- Lower back hair
										value matches {
											0|[local::at0038],
											1|[local::at0039],
											2|[local::at0040],
											3|[local::at0041],
											4|[local::at0042]
										}
									}
									ELEMENT[at0043] occurrences matches {0..1} matches {    -- Upper abdomen hair
										value matches {
											0|[local::at0044],
											1|[local::at0045],
											2|[local::at0046],
											3|[local::at0047],
											4|[local::at0048]
										}
									}
									ELEMENT[at0049] occurrences matches {0..1} matches {    -- Lower abdomen hair
										value matches {
											0|[local::at0050],
											1|[local::at0051],
											2|[local::at0052],
											3|[local::at0053],
											4|[local::at0054]
										}
									}
									ELEMENT[at0055] occurrences matches {0..1} matches {    -- Upper arm hair
										value matches {
											0|[local::at0056],
											1|[local::at0057],
											2|[local::at0058],
											3|[local::at0059],
											4|[local::at0060]
										}
									}
									ELEMENT[at0061] occurrences matches {0..1} matches {    -- Lower arm hair
										value matches {
											0|[local::at0062],
											1|[local::at0063],
											2|[local::at0064],
											3|[local::at0065],
											4|[local::at0066]
										}
									}
									ELEMENT[at0067] occurrences matches {0..1} matches {    -- Thigh hair
										value matches {
											0|[local::at0068],
											1|[local::at0069],
											2|[local::at0070],
											3|[local::at0071],
											4|[local::at0072]
										}
									}
									ELEMENT[at0073] occurrences matches {0..1} matches {    -- Lower leg hair
										value matches {
											0|[local::at0074],
											1|[local::at0075],
											2|[local::at0076],
											3|[local::at0077],
											4|[local::at0078]
										}
									}
									ELEMENT[at0091] occurrences matches {0..1} matches {    -- Perineum hair
										value matches {
											0|[local::at0092],
											1|[local::at0093],
											2|[local::at0094],
											3|[local::at0095],
											4|[local::at0096]
										}
									}
									ELEMENT[at0079] occurrences matches {0..1} matches {    -- Total score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..52|}
											}
										}
									}
									ELEMENT[at0089] occurrences matches {0..1} matches {    -- Ferriman-Gallwey score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..44|}
											}
										}
									}
									ELEMENT[at0090] occurrences matches {0..1} matches {    -- Modified Ferriman-Gallwey score
										value matches {
											DV_COUNT matches {
												magnitude matches {|0..36|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0012] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0088] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Hirsutism scales">
					description = <"A grouping of related assessment scales used to quantify distribution and growth of body hair in women.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					text = <"Upper lip hair">
					description = <"Hair score on the upper lip.">
				>
				["at0007"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0008"] = <
					text = <"Grade 1">
					description = <"A few hairs at outer margin.">
				>
				["at0009"] = <
					text = <"Grade 2">
					description = <"A small moustache at outer margin.">
				>
				["at0010"] = <
					text = <"Grade 3">
					description = <"A moustache extending halfway from outer margin.">
				>
				["at0011"] = <
					text = <"Grade 4">
					description = <"A moustache extending to mid-line.">
				>
				["at0012"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Chin hair">
					description = <"Hair score on the chin.">
				>
				["at0020"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0021"] = <
					text = <"Grade 1">
					description = <"A few scattered hairs.">
				>
				["at0022"] = <
					text = <"Grade 2">
					description = <"Scattered hairs with small concentrations.">
				>
				["at0023"] = <
					text = <"Grade 3">
					description = <"Complete light cover.">
				>
				["at0024"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover.">
				>
				["at0025"] = <
					text = <"Chest hair">
					description = <"Hair score on the chest.">
				>
				["at0026"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0027"] = <
					text = <"Grade 1">
					description = <"Circumareolar hairs.">
				>
				["at0028"] = <
					text = <"Grade 2">
					description = <"Circumareolar hairs with midline hair in addition.">
				>
				["at0029"] = <
					text = <"Grade 3">
					description = <"Fusion of circumareolar and midline areas, with three-quarter cover.">
				>
				["at0030"] = <
					text = <"Grade 4">
					description = <"Complete cover.">
				>
				["at0031"] = <
					text = <"Upper back hair">
					description = <"Hair score on the upper back.">
				>
				["at0032"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0033"] = <
					text = <"Grade 1">
					description = <"A few scattered hairs.">
				>
				["at0034"] = <
					text = <"Grade 2">
					description = <"Rather more hairs, still scattered.">
				>
				["at0035"] = <
					text = <"Grade 3">
					description = <"Complete light cover.">
				>
				["at0036"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover.">
				>
				["at0037"] = <
					text = <"Lower back hair">
					description = <"Hair score on the lower back.">
				>
				["at0038"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0039"] = <
					text = <"Grade 1">
					description = <"A sacral tuft of hair.">
				>
				["at0040"] = <
					text = <"Grade 2">
					description = <"A sacral tuft of hair with some lateral extension.">
				>
				["at0041"] = <
					text = <"Grade 3">
					description = <"Three-quarter cover.">
				>
				["at0042"] = <
					text = <"Grade 4">
					description = <"Complete cover.">
				>
				["at0043"] = <
					text = <"Upper abdomen hair">
					description = <"Hair score on the upper abdomen.">
				>
				["at0044"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0045"] = <
					text = <"Grade 1">
					description = <"A few mid-line hairs.">
				>
				["at0046"] = <
					text = <"Grade 2">
					description = <"Rather more hairs, still mid-line.">
				>
				["at0047"] = <
					text = <"Grade 3">
					description = <"Half cover.">
				>
				["at0048"] = <
					text = <"Grade 4">
					description = <"Full cover.">
				>
				["at0049"] = <
					text = <"Lower abdomen hair">
					description = <"Hair score on the lower abdomen.">
				>
				["at0050"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0051"] = <
					text = <"Grade 1">
					description = <"A few mid-line hairs.">
				>
				["at0052"] = <
					text = <"Grade 2">
					description = <"A mid-line streak of hair.">
				>
				["at0053"] = <
					text = <"Grade 3">
					description = <"A mid-line band of hair.">
				>
				["at0054"] = <
					text = <"Grade 4">
					description = <"An inverted V-shaped growth.">
				>
				["at0055"] = <
					text = <"Upper arm hair">
					description = <"Hair score on the upper arms.">
				>
				["at0056"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0057"] = <
					text = <"Grade 1">
					description = <"Sparse growth not affecting more than a quarter of the limb surface.">
				>
				["at0058"] = <
					text = <"Grade 2">
					description = <"More than sparse growth, cover still incomplete.">
				>
				["at0059"] = <
					text = <"Grade 3">
					description = <"Complete light cover.">
				>
				["at0060"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover.">
				>
				["at0061"] = <
					text = <"Lower arm hair">
					description = <"Hair score on the lower arms.">
				>
				["at0062"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0063"] = <
					text = <"Grade 1">
					description = <"Light cover of dorsal surface.">
				>
				["at0064"] = <
					text = <"Grade 2">
					description = <"Complete light cover of dorsal surface.">
				>
				["at0065"] = <
					text = <"Grade 3">
					description = <"Heavy cover of dorsal surface.">
				>
				["at0066"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover of dorsal surface.">
				>
				["at0067"] = <
					text = <"Thigh hair">
					description = <"Hair score on the thighs.">
				>
				["at0068"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0069"] = <
					text = <"Grade 1">
					description = <"Sparse growth affecting not more than a quarter of the limb surface.">
				>
				["at0070"] = <
					text = <"Grade 2">
					description = <"More than sparse growth, cover still incomplete.">
				>
				["at0071"] = <
					text = <"Grade 3">
					description = <"Complete light cover.">
				>
				["at0072"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover.">
				>
				["at0073"] = <
					text = <"Lower leg hair">
					description = <"Hair score on the lower legs.">
				>
				["at0074"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0075"] = <
					text = <"Grade 1">
					description = <"Sparse growth affecting not more than a quarter of the limb surface.">
				>
				["at0076"] = <
					text = <"Grade 2">
					description = <"More than sparse growth, cover still incomplete.">
				>
				["at0077"] = <
					text = <"Grade 3">
					description = <"Complete light growth.">
				>
				["at0078"] = <
					text = <"Grade 4">
					description = <"Complete heavy growth.">
				>
				["at0079"] = <
					text = <"Total score">
					description = <"The total sum of the hair scores recorded for each of the body area.">
				>
				["at0082"] = <
					text = <"Sideburn hair">
					description = <"Hair score on the sideburns.">
				>
				["at0083"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0084"] = <
					text = <"Grade 1">
					description = <"A few scattered hairs.">
				>
				["at0085"] = <
					text = <"Grade 2">
					description = <"Scattered hairs with small concentrations.">
				>
				["at0086"] = <
					text = <"Grade 3">
					description = <"Complete light cover.">
				>
				["at0087"] = <
					text = <"Grade 4">
					description = <"Complete heavy cover.">
				>
				["at0088"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR.">
				>
				["at0089"] = <
					text = <"Ferriman-Gallwey score">
					description = <"The total sum of the hair scores recorded for each of eleven body areas.">
					comment = <"The total sum of the hair scores recorded for each of eleven body areas originally proposed by Ferriman and Gallwey (excluding scores for the sideburn area and the perineum).">
				>
				["at0090"] = <
					text = <"Modified Ferriman-Gallwey score">
					description = <"The total sum of the hair scores recorded for each of nine body areas.">
					comment = <"The total sum of the hair scores recorded for each of nine body areas (excluding scores for the lower arm, lower leg, sideburn area and perineum).">
				>
				["at0091"] = <
					text = <"Perineum hair">
					description = <"Hair score on the perineum.">
				>
				["at0092"] = <
					text = <"None">
					description = <"No excess hair.">
				>
				["at0093"] = <
					text = <"Grade 1">
					description = <"Perianal terminal hair.">
				>
				["at0094"] = <
					text = <"Grade 2">
					description = <"Lateral extension of terminal hair to edge of gluteal cleft.">
				>
				["at0095"] = <
					text = <"Grade 3">
					description = <"Three-quarter coverage of buttocks.">
				>
				["at0096"] = <
					text = <"Grade 4">
					description = <"Complete coverage of buttocks.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Hirsutismeskåringer">
					description = <"En arketype som består av varianter av samme skåringssystem for å kvantifisere fordeling og vekst av kroppsbehåring hos kvinner.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Tidspunkt">
					description = <"Spesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					text = <"Behåring på overleppe">
					description = <"Skår for hårvekst på overleppen.">
				>
				["at0007"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0008"] = <
					text = <"Grad 1">
					description = <"Få hårstrå ved ytre leppekant.">
				>
				["at0009"] = <
					text = <"Grad 2">
					description = <"Liten bart ved ytre leppekant.">
				>
				["at0010"] = <
					text = <"Grad 3">
					description = <"Bart som dekker halvparten av overleppe mot ytre leppekant.">
				>
				["at0011"] = <
					text = <"Grad 4">
					description = <"Bart som dekker hele overleppen.">
				>
				["at0012"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Behåring på hake">
					description = <"Skår for hårvekst på haken.">
				>
				["at0020"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0021"] = <
					text = <"Grad 1">
					description = <"Få spredte hårstrå.">
				>
				["at0022"] = <
					text = <"Grad 2">
					description = <"Spredte hårstrå med enkelte fortetninger.">
				>
				["at0023"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0024"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0025"] = <
					text = <"Behåring på bryst">
					description = <"Skår for hårvekst på bryst.">
				>
				["at0026"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0027"] = <
					text = <"Grad 1">
					description = <"Behåring rundt brystvorte.">
				>
				["at0028"] = <
					text = <"Grad 2">
					description = <"Behåring rundt brystvorte og mellom bryst.">
				>
				["at0029"] = <
					text = <"Grad 3">
					description = <"Sammenhengende behåring som dekker tre-fjerdedel av område rundt brystvorter og mellom brystene.">
				>
				["at0030"] = <
					text = <"Grad 4">
					description = <"Komplett dekkende behåring.">
				>
				["at0031"] = <
					text = <"Behåring på øvre rygg">
					description = <"Skår for hårvekst på øvre del av ryggen.">
				>
				["at0032"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0033"] = <
					text = <"Grad 1">
					description = <"Få spredte hårstrå.">
				>
				["at0034"] = <
					text = <"Grad 2">
					description = <"Noe mer, spredt behåring.">
				>
				["at0035"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0036"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0037"] = <
					text = <"Behåring på nedre rygg">
					description = <"Skår for hårvekst på nedre del av ryggen.">
				>
				["at0038"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0039"] = <
					text = <"Grad 1">
					description = <"Hårtust over korsbeinet.">
				>
				["at0040"] = <
					text = <"Grad 2">
					description = <"Hårtust over og ved siden av korsbeinet.">
				>
				["at0041"] = <
					text = <"Grad 3">
					description = <"Tre-fjerdedel dekkende hår.">
				>
				["at0042"] = <
					text = <"Grad 4">
					description = <"Komplett dekkende hår.">
				>
				["at0043"] = <
					text = <"Behåring på øvre mage">
					description = <"Skår for hårvekst på øvre del av magen.">
				>
				["at0044"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0045"] = <
					text = <"Grad 1">
					description = <"Enkelte hårstrå i midtlinjen.">
				>
				["at0046"] = <
					text = <"Grad 2">
					description = <"Mer hår i midtlinjen.">
				>
				["at0047"] = <
					text = <"Grad 3">
					description = <"Halvveis dekkende behåring.">
				>
				["at0048"] = <
					text = <"Grad 4">
					description = <"Fullt dekkende hår.">
				>
				["at0049"] = <
					text = <"Behåring på nedre mage">
					description = <"Skår for hårvekst på nedre del av magen.">
				>
				["at0050"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0051"] = <
					text = <"Grad 1">
					description = <"Enkelte hårstrå i midtlinjen.">
				>
				["at0052"] = <
					text = <"Grad 2">
					description = <"Linje av behåring i midtlinjen.">
				>
				["at0053"] = <
					text = <"Grad 3">
					description = <"Stripe av behåring i midtlinjen.">
				>
				["at0054"] = <
					text = <"Grad 4">
					description = <"Omvendt V-formet hårvekst.">
				>
				["at0055"] = <
					text = <"Behåring på overarm">
					description = <"Skår for hårvekst på overarm.">
				>
				["at0056"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0057"] = <
					text = <"Grad 1">
					description = <"Sparsom hårvekst som ikke dekker mer enn fjerdedel av lemmets overflate.">
				>
				["at0058"] = <
					text = <"Grad 2">
					description = <"Mer enn sparsom hårvekst, inkomplett dekning.">
				>
				["at0059"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0060"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0061"] = <
					text = <"Behåring på underarm">
					description = <"Skår for hårvekst på underarm.">
				>
				["at0062"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0063"] = <
					text = <"Grad 1">
					description = <"Lett dekkende hår på baksiden.">
				>
				["at0064"] = <
					text = <"Grad 2">
					description = <"Komplett, lett dekkende hår på baksiden.">
				>
				["at0065"] = <
					text = <"Grad 3">
					description = <"Tett dekkende hår på baksiden.">
				>
				["at0066"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår på baksiden.">
				>
				["at0067"] = <
					text = <"Behåring på lår">
					description = <"Skår for hårvekst på lår.">
				>
				["at0068"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0069"] = <
					text = <"Grad 1">
					description = <"Sparsom hårvekst som ikke dekker mer enn en fjerdedel av kroppsdelens overflate.">
				>
				["at0070"] = <
					text = <"Grad 2">
					description = <"Mer enn sparsom hårvekst, inkomplett dekning.">
				>
				["at0071"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0072"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0073"] = <
					text = <"Behåring på legg">
					description = <"Skår for hårvekst på legg.">
				>
				["at0074"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0075"] = <
					text = <"Grad 1">
					description = <"Sparsom hårvekst som ikke dekker mer enn en fjerdedel av kroppsdelens overflate.">
				>
				["at0076"] = <
					text = <"Grad 2">
					description = <"Mer enn sparsom hårvekst, inkomplett dekning.">
				>
				["at0077"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0078"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0079"] = <
					text = <"Totalskår">
					description = <"Summen av skårene for behåring på hvert enkelt kroppsområde.">
				>
				["at0082"] = <
					text = <"Behåring på kinn">
					description = <"Skår for hårvekst på kinn.">
				>
				["at0083"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0084"] = <
					text = <"Grad 1">
					description = <"Få spredte hårstrå.">
				>
				["at0085"] = <
					text = <"Grad 2">
					description = <"Spredte hårstrå med enkelte fortetninger.">
				>
				["at0086"] = <
					text = <"Grad 3">
					description = <"Komplett, lett dekkende hår.">
				>
				["at0087"] = <
					text = <"Grad 4">
					description = <"Komplett, tett dekkende hår.">
				>
				["at0088"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0089"] = <
					text = <"Ferriman-Gallwey skår">
					description = <"Summen av skårene for behåring på hvert enkelt av de elleve kroppsområdene.">
					comment = <"Summen av skårene for behåring på hvert enkelt av de elleve kroppsområdene opprinnelig foreslått av Ferriman og Gallwey, dvs unntatt kinn og perineum.">
				>
				["at0090"] = <
					text = <"Modifisert Ferriman-Gallwey skår">
					description = <"Summen av skårene for behåring på hvert enkelt av de ni kroppsområdene.">
					comment = <"Summen av skårene for behåring på hvert enkelt av de ni kroppsområdene, unntatt underarm, legg, kinn og perineum.">
				>
				["at0091"] = <
					text = <"Behåring på perineum">
					description = <"Skår for hårvekst på perineum.">
				>
				["at0092"] = <
					text = <"Ingen">
					description = <"Ingen økt behåring.">
				>
				["at0093"] = <
					text = <"Grad 1">
					description = <"Hår rundt endetarmsåpningen.">
				>
				["at0094"] = <
					text = <"Grad 2">
					description = <"Hårvekst utvidet mot rumpesprekk.">
				>
				["at0095"] = <
					text = <"Grad 3">
					description = <"Trefjerdedels dekning av rumpeballene.">
				>
				["at0096"] = <
					text = <"Grad 4">
					description = <"Komplett dekning av rumpeballene.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0005"] = <[SNOMED-CT::302095008]>
				["at0019"] = <[SNOMED-CT::302096009]>
				["at0025"] = <[SNOMED-CT::302098005]>
				["at0031"] = <[SNOMED-CT::302101009]>
				["at0037"] = <[SNOMED-CT::302102002]>
				["at0043"] = <[SNOMED-CT::302099002]>
				["at0049"] = <[SNOMED-CT::302100005]>
				["at0055"] = <[SNOMED-CT::302103007]>
				["at0061"] = <[SNOMED-CT::302104001]>
				["at0067"] = <[SNOMED-CT::302105000]>
				["at0073"] = <[SNOMED-CT::302106004]>
				["at0082"] = <[SNOMED-CT::302097000]>
			>
		>
	>