ARCHETYPE Tympanogram Result (openEHR-EHR-OBSERVATION.tympanogram_226hz.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.tympanogram_226hz.v1
ConceptTympanogram Result
DescriptionRecord of measurements of movement at the tympanic membrane in response to changes in air pressure in the ear canal and their clinical interpretation as an indication of middle ear function.
UseUse to record movement of the tympanic membrane in response to various levels of air pressure, for a single ear at a time. Use to record the interpretation all measurements to infer middle ear function for each ear, plus an overall interpretation (or tympanometric diagnosis). All of the data elements are recorded using a single method or protocol. If, during the test, any of the protocol parameters need to be modified, then the subsequent part of the test will need to be recorded within a separate instance of the test data, using the updated protocol parameters.
MisuseNot to be used to record other hearing tests. Use other archetypes as appropriate, for example OBSERVATION.audiogram.
PurposeTo record measurements of movement at the tympanic membrane in response to changes in air pressure in the ear canal and to infer middle ear function.
ReferencesopenEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. [Draft archetype] Tympanogram; [updated 2008 Aug 01, cited 2012 Nov 20]. Available from: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.73_2.

American Academy of Audiology. (1997) Identification of hearing loss & middle-ear dysfunction in preschool & school-age children. Audiol Today. 9, 21–23.

American National Standards Institute. (1987) Specifications for instruments to measure aural acoustic impedance and admittance (aural acoustic immittance). ANSI S3.39–1987. New York: American National Standards Institute.

American Speech-Language-Hearing Association. (1997) Guidelines for audiologic screening. Rockville MD: American Speech-Language-Hearing Association.

Fowler, C. G., & Shanks, J. E. (2002). Tympanometry. In J. Katz (Ed.), Handbook of clinical audiology (5th ed.). (pp. 175 – 204). Baltimore: Lippincott Williams & Wilkins.

Margolis, R. H., & Hunter, L. L. (2000). Acoustic Immittance Measurements. In R. J. Roeser, M. Valente & H. Hosford-Dunn (Ed.), Audiology diagnosis. (pp. 381 - 423). New York: Thieme Medical Publishers, Inc.

Margolis, R. H., Bass-Ringdahl, S., Hanks, W. D., Holte, K., & Zapala, D. A. (2003). Tympanometry in newborn infants—1 kHz norms. Journal of the American Academy of Audiology, 14, 383–392

Onusko, E. (2004). Tympanometry. American Family Physician, 70 (9), 1713 – 1720.
Copyright© openEHR Foundation
AuthorsIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2012-11-20
Other Details LanguageIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2012-11-20
OtherDetails Language Independent{references=openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. [Draft archetype] Tympanogram; [updated 2008 Aug 01, cited 2012 Nov 20]. Available from: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.73_2. American Academy of Audiology. (1997) Identification of hearing loss & middle-ear dysfunction in preschool & school-age children. Audiol Today. 9, 21–23. American National Standards Institute. (1987) Specifications for instruments to measure aural acoustic impedance and admittance (aural acoustic immittance). ANSI S3.39–1987. New York: American National Standards Institute. American Speech-Language-Hearing Association. (1997) Guidelines for audiologic screening. Rockville MD: American Speech-Language-Hearing Association. Fowler, C. G., & Shanks, J. E. (2002). Tympanometry. In J. Katz (Ed.), Handbook of clinical audiology (5th ed.). (pp. 175 – 204). Baltimore: Lippincott Williams & Wilkins. Margolis, R. H., & Hunter, L. L. (2000). Acoustic Immittance Measurements. In R. J. Roeser, M. Valente & H. Hosford-Dunn (Ed.), Audiology diagnosis. (pp. 381 - 423). New York: Thieme Medical Publishers, Inc. Margolis, R. H., Bass-Ringdahl, S., Hanks, W. D., Holte, K., & Zapala, D. A. (2003). Tympanometry in newborn infants—1 kHz norms. Journal of the American Academy of Audiology, 14, 383–392 Onusko, E. (2004). Tympanometry. American Family Physician, 70 (9), 1713 – 1720., current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, MD5-CAM-1.0.1=1755CBEA9429D7DC5413EFD66487A491}
Keywordstympanogram, tympanometry, tympanometer, admittance, pressure, compliance, immittance, static
LifecycleCommitteeDraft
Language useden
Citeable Identifier1075.67.585
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record of measurements of movement at the tympanic membrane in response to changes in air pressure in the ear canal and their clinical interpretation as an indication of middle ear function., archetypeConceptComment=null, otherContributors=Kerrie Lee, Australia, originalLanguage=en, translators=Arabic (Syria): Mona Saleh
, subjectOfData=brez omejitev, archetypeTranslationTree=null, topLevelToAshis={source=[], state=[], description=[], content=[], provider=[], ism_transition=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0037], code=at0037, itemType=POINT_EVENT, level=2, text=Baseline, description=Measurement collection recorded as the basis for comparison with following measurement collections that may included other variables of time or patient state., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0038], code=at0038, itemType=POINT_EVENT, level=2, text=Post Valsalva, description=Measurements are recorded after the patient has performed a valsalva manoeuvre., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0039], code=at0039, itemType=POINT_EVENT, level=2, text=Post Toynbee, description=Measurements are recorded after the patient has performed a toynbee manoeuvre., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], details=[], identities=[], contacts=[], activities=[], relationships=[], context=[], capabilities=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=CLUSTER, level=4, text=Test, description=The tympanogram test result, recorded per ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Test Ear, description=Identification of the ear being tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left Ear [The left ear was tested in isolation.]
  • Right Ear [The right ear was tested in isolation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027], code=at0027, itemType=CLUSTER, level=5, text=Measurements, description=Measurements of middle ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0028], code=at0028, itemType=CLUSTER, level=6, text=Pressure vs Compliance Measurement, description=The measured Pressure/Compliance pair., comment=Multiple instances of this measurement will form the basis for the graphical display of the tympanogram., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=2..*, cardinalityText=Minimum of 2 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0013], code=at0013, itemType=ELEMENT, level=7, text=Peak Pressure, description=Peak pressure (also called middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs., comment=Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0014], code=at0014, itemType=ELEMENT, level=7, text=Static Compliance, description=Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanic tracing)., comment=Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Electrical conductance
Enote: mmho, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0018], code=at0018, itemType=ELEMENT, level=6, text=Ear Canal Volume, description=An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Volume
Enote:
  • 0.0..5.0 cc
  • 0.0..5.0 ml

Domnevana vrednost: 0.0ml
Omeji število decimalk: -1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=6, text=Tympanometric Width, description=The pressure interval corresponding to a 50% reduction in the peak static admittance., comment=This value is typically derived from the Tympanogram curve., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote: 0.0..400.0 daPa
Domnevana vrednost: 0.0daPa
Omeji število decimalk: -1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0030], code=at0030, itemType=ELEMENT, level=6, text=Tympanometric Gradient, description=The steepness of the slope of the tympanogram near the peak., comment=This value is typically derived from the Tympanogram curve., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Electrical conductance
Enote: mmho, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=No Test Result, description=No test result is available for the test ear., comment=Record as True if the clinician was unable to record a result for the test ear., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Dovoljene vrednosti: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=Reason for No Test Result, description=Reason why no result is available for the test ear., comment=For example, patient was not co-operative; patient was not capable; ran out of time; no seal; presence of tympanic membrane perforation, impacted wax or discharge., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Tympanogram Type, description=Description of the the shape of the tympanogram plot using Jerger categories., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type A [A distinctive sharp peak, around atmospheric pressure (between +50 to -99 daPa), static compliance = 0.3 to 1.6cc (adults) or 0.2 to 0.9cc (children 3 – 5yrs), and normal ear canal volume.]
  • Type B [Rounded line/no measurable peak pressure, reduced static compliance (<2cc), ear canal volume within normal range.]
  • Type C [As for Type A, but Peak Pressure less than -99 daPa i.e., a significant negative middle ear pressure.]
  • Type As [As for Type A but with reduced static compliance (< 0.3cc).]
  • Type Ad [As for Type A but with increased static compliance (>1.6cc).]
  • Indeterminate [It is not possible to determine the exact type of middle ear function.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0033], code=at0033, itemType=ELEMENT, level=5, text=Clinical Interpretation, description=Clinical interpretation of all measurements for the test ear., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Overall Interpretation, description=Overall clinical interpretation of the measurements and related findings using an tympanometer., comment=Coding with a terminology is preferred, where possible. This data element is effectively an tympanometric diagnosis., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Test Result Image, description=Digital representation of the entire result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/cgm, image/gif, image/png, image/tiff, image/jpeg, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the test results and intepretation not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], credentials=[], items=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0042], code=at0042, itemType=ELEMENT, level=2, text=Probe Tone Frequency, description=The frequency of the tone emitted by the probe inserted into the test ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Frequency
Enote: Hz
Domnevana vrednost: 226.0Hz
Omeji število decimalk: -1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0043], code=at0043, itemType=ELEMENT, level=2, text=Direction of Pressure Change, description=The dirction of change of pressure administered via the ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Descending [The pressure changes from positive to negative.]
  • Ascending [The pressure changes from negative to positive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Rate of Pressure Change, description=The rate of change of pressure used in tympanometry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Flow rate, volume
Enote: ml/s, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Admittance Measurement, description=Method of acoustic admittance measurement used in the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Peak compensated static [Admittance was measured Peak compensated static acoustic admittance.]
  • Ambient compensated static [Compliance was measured using the Ambient compensated static acoustic admittance.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050], code=at0050, itemType=CLUSTER, level=2, text=Pressure Range, description=The rate and direction of change in the air pressure in the ear canal used to obtain the tympanogram., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Start Pressure, description=The pressure value in daPa at which the pressure sweep for tympanometry begins. It is a positive pressure if the direction of pressure change is descending and a negative pressure if the direction of pressure change is ascending., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Stop Pressure, description=The pressure value in daPa at which the pressure sweep for tympanometry ends. It is a negative pressure if the direction of pressure change is descending and a positive pressure if the direction of pressure change is ascending., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0053], code=at0053, itemType=SLOT, level=2, text=Tympanometer, description=Details of tympanometer used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.device.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0041], code=at0041, itemType=ELEMENT, level=2, text=Pre-test Calibration Cavity Size, description=A cavity with a known volume used to check the calibration of the tympanometer., comment=ANSI S3.39 requires that three calibration cavities (0.5, 2.0, and 5.0 cm3) be checked with each device., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Volume
Enote: 0.5..5.0 cc
Omeji število decimalk: 1
Domnevana vrednost: 0.5cc
Omeji število decimalk: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the protocol for the tympanogram not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], target=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=0..1, cardinalityText=neobvezen, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0040], code=at0040, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=0..1, cardinalityText=neobvezen, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0042], code=at0042, itemType=ELEMENT, level=2, text=Probe Tone Frequency, description=The frequency of the tone emitted by the probe inserted into the test ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Frequency
Enote: Hz
Domnevana vrednost: 226.0Hz
Omeji število decimalk: -1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0043], code=at0043, itemType=ELEMENT, level=2, text=Direction of Pressure Change, description=The dirction of change of pressure administered via the ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Descending [The pressure changes from positive to negative.]
  • Ascending [The pressure changes from negative to positive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Rate of Pressure Change, description=The rate of change of pressure used in tympanometry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Flow rate, volume
Enote: ml/s, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Admittance Measurement, description=Method of acoustic admittance measurement used in the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Peak compensated static [Admittance was measured Peak compensated static acoustic admittance.]
  • Ambient compensated static [Compliance was measured using the Ambient compensated static acoustic admittance.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050], code=at0050, itemType=CLUSTER, level=2, text=Pressure Range, description=The rate and direction of change in the air pressure in the ear canal used to obtain the tympanogram., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Start Pressure, description=The pressure value in daPa at which the pressure sweep for tympanometry begins. It is a positive pressure if the direction of pressure change is descending and a negative pressure if the direction of pressure change is ascending., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0050]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Stop Pressure, description=The pressure value in daPa at which the pressure sweep for tympanometry ends. It is a negative pressure if the direction of pressure change is descending and a positive pressure if the direction of pressure change is ascending., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Pressure
Enote:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0053], code=at0053, itemType=SLOT, level=2, text=Tympanometer, description=Details of tympanometer used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.device.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0041], code=at0041, itemType=ELEMENT, level=2, text=Pre-test Calibration Cavity Size, description=A cavity with a known volume used to check the calibration of the tympanometer., comment=ANSI S3.39 requires that three calibration cavities (0.5, 2.0, and 5.0 cm3) be checked with each device., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Lastnost: Volume
Enote: 0.5..5.0 cc
Omeji število decimalk: 1
Domnevana vrednost: 0.5cc
Omeji število decimalk: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0040]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the protocol for the tympanogram not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]