ID

29643

Description

http://openehr.org/ckm/ Use to record measurements taken during tympanometry with a 226 Hz probe tone. Use to record outcome of tympanometry screening based on 226 Hz probe tone tympanometry. Use to record the interpretation all tympanogram measurements taken with a 226 Hz probe tone, 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. Each 'Pressure vs Compliance Measurement' pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance measurement has been represented in the archetype twice, each with different units. Compliance measurements will only be recorded in data using the unit that is recorded by the tympanometer in use - either volume units OR conductance units, but not both. Similarly, Static Compliance has been represented in the archetype twice, each with different units. Static Compliance measurements will only be recorded in data using the unit that is recorded by the tympanometer in use - either volume units OR conductance units, but not both. If the tympanogram subtypes are to be used in an implementation, these should be substituted for the global Type B category in the 'Tympanogram Type' data element. Both 'Type B' and 'Type B - low/high compliance' should not be used in the same implementation. 'Type B - low complicance' is equivalent to the unqualified 'Type B' in the 'Tympanogram Type' data element. Similarly, if Type C subtypes describing the Tympanogram curve are to be used in an implementation, these should be substituted for the global Type C category in the 'Tympanogram Type' data element. Both Type C and Types C1-3 should not be used in the same implementation.

Link

http://openehr.org/ckm/

Keywords

Versions (1)
  1. 4/10/18 4/10/18 - Halim Ugurlu
Copyright Holder

openEHR Foundation

Uploaded on

April 10, 2018

DOI

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License

Creative Commons BY-NC 3.0
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openEHR-EHR-OBSERVATION.tympanogram_226hz.v1

English

openEHR-EHR-OBSERVATION.tympanogram_226hz.v1

1 forms  
  1. StudyEvent: openEHR-EHR-OBSERVATION.tympanogram_226hz.v1
    1. openEHR-EHR-OBSERVATION.tympanogram_226hz.v1
openEHR-EHR-OBSERVATION.tympanogram_226hz.v1.xml
Description

openEHR-EHR-OBSERVATION.tympanogram_226hz.v1.xml

Tympanogram Result - 226Hz
Description

Record of measurements of movement at the tympanic membrane in response to a 226Hz probe tone and changes in air pressure in the ear canal, and their clinical interpretation as an indication of middle ear function.

Data type

text

Alias
UMLS CUI [1,1]
C0679573
UMLS CUI [1,2]
C1274040
Any event
Description

Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.

Data type

text

Tympanogram Type
Description

Description of the the shape of the tympanogram curve, based on the Jerger categories.

Data type

text

Alias
UMLS CUI [1]
C0679573
Test Ear
Description

Identification of the ear being tested.

Data type

text

Alias
UMLS CUI [1]
C0013443
Result Details
Description

The tympanogram test result measurements and interpretations, recorded per ear.

Data type

text

Alias
UMLS CUI [1,1]
C0679573
UMLS CUI [1,2]
C0456984
Peak Pressure
Description

Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs.

Data type

float

Alias
UMLS CUI [1]
C0457587
Static Compliance (Conductance)
Description

Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve).

Data type

float

Alias
UMLS CUI [1]
C2121397
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 and Shanks; 2002, p. 180).

Data type

float

Alias
UMLS CUI [1,1]
C0013444
UMLS CUI [1,2]
C0449468
Test Result Image
Description

Digital representation of the entire result.

Data type

text

Alias
UMLS CUI [1,1]
C0920316
UMLS CUI [1,2]
C0376478
Comment
Description

Additional narrative about the test results and intepretation not captured in other fields.

Data type

text

Alias
UMLS CUI [1]
C0947611
Measurement Details
Description

Measurements of the tympanogram to infer middle ear function.

Data type

text

Alias
UMLS CUI [1,1]
C0679573
UMLS CUI [1,2]
C1522508
Pressure vs Compliance Measurement
Description

The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve.

Data type

text

Alias
UMLS CUI [1,1]
C0679573
UMLS CUI [1,2]
C0460139
UMLS CUI [2]
C3714738
Tympanometric Width
Description

The pressure interval corresponding to a 50% reduction in the peak static admittance.

Data type

float

Alias
UMLS CUI [1,1]
C0487742
UMLS CUI [1,2]
C0085853
Tympanometric Gradient
Description

The steepness of the slope of the tympanogram near the peak.

Data type

float

Alias
UMLS CUI [1,1]
C0812409
UMLS CUI [1,2]
C0085853
No Test Result
Description

No test result is available for the test ear.

Data type

boolean

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C1518422
Reason for No Test Result
Description

Reason why no result is available for the test ear.

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C3841220
Clinical Interpretation
Description

Clinical interpretation of all measurements for the test ear.

Data type

text

Alias
UMLS CUI [1]
C4086187
Overall Interpretation
Description

Overall clinical interpretation of the measurements and related findings using an tympanometer.

Data type

text

Alias
UMLS CUI [1]
C0459471
Baseline
Description

Measurement collection recorded as the basis for comparison with following measurement collections that may include other variables of time or patient state.

Data type

text

Alias
UMLS CUI [1]
C1442488
Post Valsalva
Description

Measurements are recorded after the patient has performed a valsalva manoeuvre.

Data type

text

Alias
UMLS CUI [1,1]
C0042293
UMLS CUI [1,2]
C0687676
Post Toynbee
Description

Measurements are recorded after the patient has performed a toynbee manoeuvre.

Data type

text

Alias
UMLS CUI [1,1]
C0490843
UMLS CUI [1,2]
C0687676
Pre-test Calibration Cavity Size
Description

A cavity with a known volume used to check the calibration of the tympanometer.

Data type

float

Alias
UMLS CUI [1,1]
C0006751
UMLS CUI [1,2]
C1138678
UMLS CUI [1,3]
C0332152
Direction of Pressure Change
Description

The dirction of change of pressure administered via the ear canal.

Data type

text

Alias
UMLS CUI [1,1]
C0449738
UMLS CUI [1,2]
C0460139
UMLS CUI [1,3]
C0392747
Rate of Pressure Change
Description

The rate of change of pressure used in tympanometry.

Data type

float

Alias
UMLS CUI [1,1]
C1442094
UMLS CUI [1,2]
C0392747
Admittance Measurement
Description

Method of acoustic admittance measurement used in the test.

Data type

text

Alias
UMLS CUI [1,1]
C0001166
UMLS CUI [1,2]
C1883165
Pressure Range
Description

The range of air pressure used to determine the tympanogram.

Data type

text

Alias
UMLS CUI [1,1]
C0460139
UMLS CUI [1,2]
C1514721
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.

Data type

float

Alias
UMLS CUI [1,1]
C0460139
UMLS CUI [1,2]
C0808070
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.

Data type

float

Alias
UMLS CUI [1,1]
C0460139
UMLS CUI [1,2]
C0806020
Tympanometer
Description

Details of tympanometer used to conduct the test.

Data type

text

Alias
UMLS CUI [1,1]
C0085853
UMLS CUI [1,2]
C1522508
Comment
Description

Additional narrative about the protocol for the tympanogram not captured in other fields.

Data type

text

Alias
UMLS CUI [1]
C0947611
Pressure
Description

The pressure measured in the ear canal.

Data type

float

Alias
UMLS CUI [1,1]
C0013444
UMLS CUI [1,2]
C0033095
Compliance (Conductance)
Description

The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo.

Data type

float

Alias
UMLS CUI [1]
C0457586
Tympanogram Type C Subtype
Description

Subclassification of the tympanograms with negative peak pressure.

Data type

text

Alias
UMLS CUI [1,1]
C0449560
UMLS CUI [1,2]
C0679573
Compliance (Volume)
Description

The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml.

Data type

float

Alias
UMLS CUI [1,1]
C0457586
UMLS CUI [1,2]
C0679573
Tympanogram Type B Subtype
Description

Subclassification of the tympanograms with a flat curve.

Data type

text

Alias
UMLS CUI [1,1]
C0679573
UMLS CUI [1,2]
C0449560
Static Compliance (Volume)
Description

Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve).

Data type

float

Alias
UMLS CUI [1,1]
C0449468
UMLS CUI [1,2]
C0679573
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Similar models

openEHR-EHR-OBSERVATION.tympanogram_226hz.v1

1 forms
  1. StudyEvent: openEHR-EHR-OBSERVATION.tympanogram_226hz.v1
    1. openEHR-EHR-OBSERVATION.tympanogram_226hz.v1
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Tympanogram Result - 226Hz
Item
Tympanogram Result - 226Hz
text
C0679573 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Any event
Item
Any event
text
Item
Tympanogram Type
text
C0679573 (UMLS CUI [1])
Tympanogram Type
Code List
Tympanogram Type
CL Item
Type A (1)
CL Item
Type B (2)
CL Item
Type B with high ECV (3)
CL Item
Type C (4)
CL Item
Type D (5)
CL Item
Type As (6)
CL Item
Type Ad (7)
CL Item
Indeterminate (8)
Item
Test Ear
text
C0013443 (UMLS CUI [1])
Test Ear
Code List
Test Ear
CL Item
Left Ear (1)
CL Item
Right Ear (2)
Result Details
Item
Result Details
text
C0679573 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
Peak Pressure
Item
Peak Pressure
float
C0457587 (UMLS CUI [1])
Static Compliance (Conductance)
Item
Static Compliance (Conductance)
float
C2121397 (UMLS CUI [1])
Ear Canal Volume
Item
Ear Canal Volume
float
C0013444 (UMLS CUI [1,1])
C0449468 (UMLS CUI [1,2])
Test Result Image
Item
Test Result Image
text
C0920316 (UMLS CUI [1,1])
C0376478 (UMLS CUI [1,2])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Measurement Details
Item
Measurement Details
text
C0679573 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Pressure vs Compliance Measurement
Item
Pressure vs Compliance Measurement
text
C0679573 (UMLS CUI [1,1])
C0460139 (UMLS CUI [1,2])
C3714738 (UMLS CUI [2])
Tympanometric Width
Item
Tympanometric Width
float
C0487742 (UMLS CUI [1,1])
C0085853 (UMLS CUI [1,2])
Tympanometric Gradient
Item
Tympanometric Gradient
float
C0812409 (UMLS CUI [1,1])
C0085853 (UMLS CUI [1,2])
No Test Result
Item
No Test Result
boolean
C1274040 (UMLS CUI [1,1])
C1518422 (UMLS CUI [1,2])
Reason for No Test Result
Item
Reason for No Test Result
text
C0566251 (UMLS CUI [1,1])
C3841220 (UMLS CUI [1,2])
Clinical Interpretation
Item
Clinical Interpretation
text
C4086187 (UMLS CUI [1])
Overall Interpretation
Item
Overall Interpretation
text
C0459471 (UMLS CUI [1])
Baseline
Item
Baseline
text
C1442488 (UMLS CUI [1])
Post Valsalva
Item
Post Valsalva
text
C0042293 (UMLS CUI [1,1])
C0687676 (UMLS CUI [1,2])
Post Toynbee
Item
Post Toynbee
text
C0490843 (UMLS CUI [1,1])
C0687676 (UMLS CUI [1,2])
Pre-test Calibration Cavity Size
Item
Pre-test Calibration Cavity Size
float
C0006751 (UMLS CUI [1,1])
C1138678 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
Item
Direction of Pressure Change
text
C0449738 (UMLS CUI [1,1])
C0460139 (UMLS CUI [1,2])
C0392747 (UMLS CUI [1,3])
Direction of Pressure Change
Code List
Direction of Pressure Change
CL Item
Descending (1)
CL Item
Ascending (2)
Rate of Pressure Change
Item
Rate of Pressure Change
float
C1442094 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
Item
Admittance Measurement
text
C0001166 (UMLS CUI [1,1])
C1883165 (UMLS CUI [1,2])
Admittance Measurement
Code List
Admittance Measurement
CL Item
Peak compensated static (1)
CL Item
Ambient compensated static (2)
Pressure Range
Item
Pressure Range
text
C0460139 (UMLS CUI [1,1])
C1514721 (UMLS CUI [1,2])
Start Pressure
Item
Start Pressure
float
C0460139 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Stop Pressure
Item
Stop Pressure
float
C0460139 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Tympanometer
Item
Tympanometer
text
C0085853 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Pressure
Item
Pressure
float
C0013444 (UMLS CUI [1,1])
C0033095 (UMLS CUI [1,2])
Compliance (Conductance)
Item
Compliance (Conductance)
float
C0457586 (UMLS CUI [1])
Item
Tympanogram Type C Subtype
text
C0449560 (UMLS CUI [1,1])
C0679573 (UMLS CUI [1,2])
Tympanogram Type C Subtype
Code List
Tympanogram Type C Subtype
CL Item
Type C1 (1)
CL Item
Type C2 (2)
CL Item
Type C3 (3)
Compliance (Volume)
Item
Compliance (Volume)
float
C0457586 (UMLS CUI [1,1])
C0679573 (UMLS CUI [1,2])
Item
Tympanogram Type B Subtype
text
C0679573 (UMLS CUI [1,1])
C0449560 (UMLS CUI [1,2])
Tympanogram Type B Subtype
Code List
Tympanogram Type B Subtype
CL Item
Type B - High Volume (1)
CL Item
Type B - Low Volume (2)
Static Compliance (Volume)
Item
Static Compliance (Volume)
float
C0449468 (UMLS CUI [1,1])
C0679573 (UMLS CUI [1,2])
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