ARCHETYPE Imaging examination of a myometrial lesion (openEHR-EHR-CLUSTER.imaging_myometrial_lesion.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_myometrial_lesion.v0
ConceptImaging examination of a myometrial lesion
DescriptionDetails about a single myometrial lesion found on radiological examination.
UseUse to record details about a single myometrial lesion found on radiological examination. This archetype has been designed to be nested in the 'Lesion detail' SLOT within the CLUSTER.imaging_exam-uterus or CLUSTER.imaging_exam-cervix archetypes.
PurposeTo record details about a single myometrial lesion found on radiological examination, focused on supporting the differentiation of adenomyosis from fibroids and other uterine smooth muscle tumours.
ReferencesVan den Bosch T, Dueholm M, Leone FP, Valentin L, Rasmussen CK, Votino A, Van Schoubroeck D, Landolfo C, Installé AJ, Guerriero S, Exacoustos C, Gordts S, Benacerraf B, D'Hooghe T, De Moor B, Brölmann H, Goldstein S, Epstein E, Bourne T, Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015 Sep;46(3):284-98. doi: 10.1002/uog.14806. Epub 2015 Aug 10. PMID: 25652685. Available from https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.14806.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-11-15
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-11-15
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Van den Bosch T, Dueholm M, Leone FP, Valentin L, Rasmussen CK, Votino A, Van Schoubroeck D, Landolfo C, Installé AJ, Guerriero S, Exacoustos C, Gordts S, Benacerraf B, D'Hooghe T, De Moor B, Brölmann H, Goldstein S, Epstein E, Bourne T, Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015 Sep;46(3):284-98. doi: 10.1002/uog.14806. Epub 2015 Aug 10. PMID: 25652685. Available from https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.14806., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=CA5F3B1D57660A88A79B9E352E102626, build_uid=f1b21513-fb42-4ee0-b1fa-d27074fa3386, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID75b04774-0c90-4265-8a9a-77606dcd43df
Language useden
Citeable Identifier1013.1.6588
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Details about a single myometrial lesion found on radiological examination., archetypeConceptComment=Other sites may include: broad ligament, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], events=[], data=[], details=[], protocol=[], state=[], capabilities=[], other_participations=[], content=[], context=[], relationships=[], source=[], target=[], activities=[], description=[], ism_transition=[], contacts=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Label, description=Label used to uniquely identify one myometrial lesion from another., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Location, description=Description about the location of observed myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Anterior [The lesion is located within the myometrium in the anterior aspect of the uterus.]
    • Posterior [The lesion is located within the myometrium in the posterior aspect of the uterus.]
    • Fundal [The lesion is located within the myometrium in the fundus of the uterus.]
    • Right lateral [The lesion is located within the myometrium on the right side of the uterus.]
    • Left lateral [The lesion is located within the myometrium on the left side of the uterus.]
    • Global [The lesions are located within the myometrium and distributed throughout the uterus.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0009], code=at0009, itemType=ELEMENT, level=1, text=FIGO classification, description=Description of the site of the lesion within the myometrial wall according to the FIGO classification of fibroids., comment=This data element allows up to 2 occurrences to be recorded, to support a hybrid classification using both submucosal and subserosal components - the first number designates the submucosal component and second number designates the subserosal component., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pedunculated intracavitary
  • Submucosal, < 50% intramural (≥50% submucosal)
  • Submucosal, ≥ 50% intramural (<50% submucosal)
  • 100% intramural, contacting endometrium
  • 100% intramural, no endometrial or subserosal contact
  • Subserosal,≥50% intramural
  • Subserosal,<50% intramural
  • Pedunculated subserosal
  • Non-myometrial location [For example: cervical, broad ligament, parasitic.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0019], code=at0019, itemType=ELEMENT, level=1, text=(Dimension), description=A measured dimension of the myometrial lesion., comment=This data element has unlimited occurrences to allow for measurements in 3 unspecified perpendicular axes, for example 3 x 4 x 5 mm. Use run-time name constraints to specify orientation of length, width and height, if required., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units: >=0.0 mm
Limit decimal places: 1
Runtime name constraint:
  • Length [The measured length of the longest edge of the lesion.]
  • Width [The measured length of widest aspect of the lesion, usually perpendicular to the length.]
  • Height [The measured length of the vertical aspect of the lesion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Volume, description=The calculated volume of the identified lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units: >=0.0 cm3, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0024], code=at0024, itemType=ELEMENT, level=1, text=Outline, description=Description of the silhouette of the endometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Well-defined [The lesions observed in the myometrium are well-defined.]
    • Ill-defined [The lesions observed in the myometrium are ill-defined.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Shape, description=The shape of the myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Round
  • Oval
  • Lobulated
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0031], code=at0031, itemType=ELEMENT, level=1, text=Contour, description=The contour of the myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Smooth
  • Irregular
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0034], code=at0034, itemType=ELEMENT, level=1, text=Rim, description=The echogenic rim of the lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Hypo-echogenic
  • Hyper-echogenic
  • No rim
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0038], code=at0038, itemType=SLOT, level=1, text=Lesion vascularisation, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.vascularisation_ultrasound.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039], code=at0039, itemType=ELEMENT, level=1, text=Shadowing description, description=Narrative description about associated acoustic shadowing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=CLUSTER, level=1, text=Shadowing details, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0041], code=at0041, itemType=ELEMENT, level=2, text=Shadow type, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Edge shadow
  • Internal shadow
  • Fan-shaped shadow
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Presence?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Edge shadowing is observed.]
  • Absent [No edge shadowing is observed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Degree, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Slight
  • Moderate
  • Strong
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0052], code=at0052, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the myometrial lesion not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], credentials=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Label, description=Label used to uniquely identify one myometrial lesion from another., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Location, description=Description about the location of observed myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Anterior [The lesion is located within the myometrium in the anterior aspect of the uterus.]
    • Posterior [The lesion is located within the myometrium in the posterior aspect of the uterus.]
    • Fundal [The lesion is located within the myometrium in the fundus of the uterus.]
    • Right lateral [The lesion is located within the myometrium on the right side of the uterus.]
    • Left lateral [The lesion is located within the myometrium on the left side of the uterus.]
    • Global [The lesions are located within the myometrium and distributed throughout the uterus.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0009], code=at0009, itemType=ELEMENT, level=1, text=FIGO classification, description=Description of the site of the lesion within the myometrial wall according to the FIGO classification of fibroids., comment=This data element allows up to 2 occurrences to be recorded, to support a hybrid classification using both submucosal and subserosal components - the first number designates the submucosal component and second number designates the subserosal component., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pedunculated intracavitary
  • Submucosal, < 50% intramural (≥50% submucosal)
  • Submucosal, ≥ 50% intramural (<50% submucosal)
  • 100% intramural, contacting endometrium
  • 100% intramural, no endometrial or subserosal contact
  • Subserosal,≥50% intramural
  • Subserosal,<50% intramural
  • Pedunculated subserosal
  • Non-myometrial location [For example: cervical, broad ligament, parasitic.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0019], code=at0019, itemType=ELEMENT, level=1, text=(Dimension), description=A measured dimension of the myometrial lesion., comment=This data element has unlimited occurrences to allow for measurements in 3 unspecified perpendicular axes, for example 3 x 4 x 5 mm. Use run-time name constraints to specify orientation of length, width and height, if required., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units: >=0.0 mm
Limit decimal places: 1
Runtime name constraint:
  • Length [The measured length of the longest edge of the lesion.]
  • Width [The measured length of widest aspect of the lesion, usually perpendicular to the length.]
  • Height [The measured length of the vertical aspect of the lesion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Volume, description=The calculated volume of the identified lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units: >=0.0 cm3, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0024], code=at0024, itemType=ELEMENT, level=1, text=Outline, description=Description of the silhouette of the endometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Well-defined [The lesions observed in the myometrium are well-defined.]
    • Ill-defined [The lesions observed in the myometrium are ill-defined.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Shape, description=The shape of the myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Round
  • Oval
  • Lobulated
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0031], code=at0031, itemType=ELEMENT, level=1, text=Contour, description=The contour of the myometrial lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Smooth
  • Irregular
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0034], code=at0034, itemType=ELEMENT, level=1, text=Rim, description=The echogenic rim of the lesion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Hypo-echogenic
  • Hyper-echogenic
  • No rim
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0038], code=at0038, itemType=SLOT, level=1, text=Lesion vascularisation, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.vascularisation_ultrasound.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0039], code=at0039, itemType=ELEMENT, level=1, text=Shadowing description, description=Narrative description about associated acoustic shadowing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=CLUSTER, level=1, text=Shadowing details, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0041], code=at0041, itemType=ELEMENT, level=2, text=Shadow type, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Edge shadow
  • Internal shadow
  • Fan-shaped shadow
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Presence?, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Edge shadowing is observed.]
  • Absent [No edge shadowing is observed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Degree, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Slight
  • Moderate
  • Strong
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0052], code=at0052, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the myometrial lesion not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]