{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Examinationofatympanicmembrane-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-examinationofatympanicmembrane-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.exam-tympanic_membrane.v0"
    }
  ],
  "version": "0",
  "name": "Examinationofatympanicmembrane",
  "title": "Examination of a tympanic membrane",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Findings observed during the physical examination of a tympanic membrane.",
  "purpose": "To record a narrative description and clinical interpretation of the findings observed during the physical examination of a tympanic membrane.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Examination_of_a_tympanic_membrane",
        "path": "Examination_of_a_tympanic_membrane",
        "short": "Examination of a tympanic membrane",
        "definition": "Findings observed during the physical examination of a tympanic membrane.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.System_or_structure_examined",
        "path": "Examination_of_a_tympanic_membrane.System_or_structure_examined",
        "short": "System or structure examined",
        "definition": "Identification of the examined body system or anatomical structure.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.System_or_structure_examined",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.System_or_structure_examined.value",
        "path": "Examination_of_a_tympanic_membrane.System_or_structure_examined.value",
        "short": "System or structure examined",
        "definition": "Identification of the examined body system or anatomical structure.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.System_or_structure_examined.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Body_site",
        "path": "Examination_of_a_tympanic_membrane.Body_site",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Body_site",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Body_site.value",
        "path": "Examination_of_a_tympanic_membrane.Body_site.value",
        "short": "Body site",
        "definition": "Identification of the area of the body under examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Body_site.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Structured_body_site",
        "path": "Examination_of_a_tympanic_membrane.Structured_body_site",
        "short": "Structured body site",
        "definition": "A structured description of the area of the body under examination.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Structured_body_site",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.No_abnormality_detected",
        "path": "Examination_of_a_tympanic_membrane.No_abnormality_detected",
        "short": "No abnormality detected",
        "definition": "Statement that no abnormality was detected (NAD) on physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.No_abnormality_detected",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.No_abnormality_detected.value",
        "path": "Examination_of_a_tympanic_membrane.No_abnormality_detected.value",
        "short": "No abnormality detected",
        "definition": "Statement that no abnormality was detected (NAD) on physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.No_abnormality_detected.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Clinical_description",
        "path": "Examination_of_a_tympanic_membrane.Clinical_description",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Clinical_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Clinical_description.value",
        "path": "Examination_of_a_tympanic_membrane.Clinical_description.value",
        "short": "Clinical description",
        "definition": "Narrative description of the overall findings observed during the physical examination.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Clinical_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.View",
        "path": "Examination_of_a_tympanic_membrane.View",
        "short": "View",
        "definition": "Description about the examiner's view of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.View",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.View.value",
        "path": "Examination_of_a_tympanic_membrane.View.value",
        "short": "View",
        "definition": "Description about the examiner's view of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.View.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Reason_for_occlusion",
        "path": "Examination_of_a_tympanic_membrane.Reason_for_occlusion",
        "short": "Reason for occlusion",
        "definition": "Narrative description of the reason for occlusion of view of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Reason_for_occlusion",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Reason_for_occlusion.value",
        "path": "Examination_of_a_tympanic_membrane.Reason_for_occlusion.value",
        "short": "Reason for occlusion",
        "definition": "Narrative description of the reason for occlusion of view of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Reason_for_occlusion.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Appearance",
        "path": "Examination_of_a_tympanic_membrane.Appearance",
        "short": "Appearance",
        "definition": "Category describing the appearance of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Appearance",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Appearance.value",
        "path": "Examination_of_a_tympanic_membrane.Appearance.value",
        "short": "Appearance",
        "definition": "Category describing the appearance of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Appearance.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Colour",
        "path": "Examination_of_a_tympanic_membrane.Colour",
        "short": "Colour",
        "definition": "Description of the overall colour of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Colour",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Colour.value",
        "path": "Examination_of_a_tympanic_membrane.Colour.value",
        "short": "Colour",
        "definition": "Description of the overall colour of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Colour.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Membrane_intact_",
        "path": "Examination_of_a_tympanic_membrane.Membrane_intact_",
        "short": "Membrane intact?",
        "definition": "Is the tympanic membrane intact?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Membrane_intact_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Membrane_intact_.value",
        "path": "Examination_of_a_tympanic_membrane.Membrane_intact_.value",
        "short": "Membrane intact?",
        "definition": "Is the tympanic membrane intact?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Membrane_intact_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Surface_features",
        "path": "Examination_of_a_tympanic_membrane.Surface_features",
        "short": "Surface features",
        "definition": "Features observed on the surface of the tympanic membrane.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Surface_features",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Surface_features.value",
        "path": "Examination_of_a_tympanic_membrane.Surface_features.value",
        "short": "Surface features",
        "definition": "Features observed on the surface of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Surface_features.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_",
        "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_",
        "short": "Ventilation tube present?",
        "definition": "Is a ventilation tube observed in the tympanic membrane?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_.value",
        "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_.value",
        "short": "Ventilation tube present?",
        "definition": "Is a ventilation tube observed in the tympanic membrane?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_present_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement",
        "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement",
        "short": "Ventilation tube placement",
        "definition": "Observed placement of the ventilation tube (or grommet) in the tympanic membrane or the auditory canal.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement.value",
        "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement.value",
        "short": "Ventilation tube placement",
        "definition": "Observed placement of the ventilation tube (or grommet) in the tympanic membrane or the auditory canal.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Ventilation_tube_placement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis",
        "path": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis",
        "short": "Location of tympanosclerosis",
        "definition": "Description of the location of any tympanosclerosis observed on the tympanic membrane.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis.value",
        "path": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis.value",
        "short": "Location of tympanosclerosis",
        "definition": "Description of the location of any tympanosclerosis observed on the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Location_of_tympanosclerosis.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Fluid_level_presence",
        "path": "Examination_of_a_tympanic_membrane.Fluid_level_presence",
        "short": "Fluid level presence",
        "definition": "Finding of a fluid level behind the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Fluid_level_presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Fluid_level_presence.value",
        "path": "Examination_of_a_tympanic_membrane.Fluid_level_presence.value",
        "short": "Fluid level presence",
        "definition": "Finding of a fluid level behind the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Fluid_level_presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Fluid_level_description",
        "path": "Examination_of_a_tympanic_membrane.Fluid_level_description",
        "short": "Fluid level description",
        "definition": "Narrative description of the fluid level and other related features observed behind the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Fluid_level_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Fluid_level_description.value",
        "path": "Examination_of_a_tympanic_membrane.Fluid_level_description.value",
        "short": "Fluid level description",
        "definition": "Narrative description of the fluid level and other related features observed behind the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Fluid_level_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Mobility",
        "path": "Examination_of_a_tympanic_membrane.Mobility",
        "short": "Mobility",
        "definition": "Description of mobility of the tympanic membrane.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Mobility",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Mobility.value",
        "path": "Examination_of_a_tympanic_membrane.Mobility.value",
        "short": "Mobility",
        "definition": "Description of mobility of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Mobility.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane",
        "path": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane",
        "short": "Position of tympanic membrane",
        "definition": "Description of the position of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane.value",
        "path": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane.value",
        "short": "Position of tympanic membrane",
        "definition": "Description of the position of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Position_of_tympanic_membrane.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Retraction_description",
        "path": "Examination_of_a_tympanic_membrane.Retraction_description",
        "short": "Retraction description",
        "definition": "Narrative description of the retraction of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Retraction_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Retraction_description.value",
        "path": "Examination_of_a_tympanic_membrane.Retraction_description.value",
        "short": "Retraction description",
        "definition": "Narrative description of the retraction of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Retraction_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Perforation_description",
        "path": "Examination_of_a_tympanic_membrane.Perforation_description",
        "short": "Perforation description",
        "definition": "Narrative description of the perforation of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Perforation_description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Perforation_description.value",
        "path": "Examination_of_a_tympanic_membrane.Perforation_description.value",
        "short": "Perforation description",
        "definition": "Narrative description of the perforation of the tympanic membrane.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Perforation_description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Perforation_size",
        "path": "Examination_of_a_tympanic_membrane.Perforation_size",
        "short": "Perforation size",
        "definition": "Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Perforation_size",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Perforation_size.value",
        "path": "Examination_of_a_tympanic_membrane.Perforation_size.value",
        "short": "Perforation size",
        "definition": "Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Perforation_size.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Intermediate_estimation",
        "path": "Examination_of_a_tympanic_membrane.Intermediate_estimation",
        "short": "Intermediate estimation",
        "definition": "Qualification about the size of an intermediate perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Intermediate_estimation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Intermediate_estimation.value",
        "path": "Examination_of_a_tympanic_membrane.Intermediate_estimation.value",
        "short": "Intermediate estimation",
        "definition": "Qualification about the size of an intermediate perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Intermediate_estimation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Length_of_perforation",
        "path": "Examination_of_a_tympanic_membrane.Length_of_perforation",
        "short": "Length of perforation",
        "definition": "Direct measurement of the longest axis of the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Length_of_perforation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Length_of_perforation.value",
        "path": "Examination_of_a_tympanic_membrane.Length_of_perforation.value",
        "short": "Length of perforation",
        "definition": "Direct measurement of the longest axis of the perforation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Length_of_perforation.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Width_of_perforation",
        "path": "Examination_of_a_tympanic_membrane.Width_of_perforation",
        "short": "Width of perforation",
        "definition": "Direct measurement of the shortest axis of the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Width_of_perforation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Width_of_perforation.value",
        "path": "Examination_of_a_tympanic_membrane.Width_of_perforation.value",
        "short": "Width of perforation",
        "definition": "Direct measurement of the shortest axis of the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Width_of_perforation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_",
        "path": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_",
        "short": "Pars flaccida vs pars tensa?",
        "definition": "Description of the region of the tympanic membrane perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_.value",
        "path": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_.value",
        "short": "Pars flaccida vs pars tensa?",
        "definition": "Description of the region of the tympanic membrane perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Pars_flaccida_vs_pars_tensa_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Marginal_vs_central_",
        "path": "Examination_of_a_tympanic_membrane.Marginal_vs_central_",
        "short": "Marginal vs central?",
        "definition": "Location of the tympanic membrane perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Marginal_vs_central_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Marginal_vs_central_.value",
        "path": "Examination_of_a_tympanic_membrane.Marginal_vs_central_.value",
        "short": "Marginal vs central?",
        "definition": "Location of the tympanic membrane perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Marginal_vs_central_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Anterior_",
        "path": "Examination_of_a_tympanic_membrane.Anterior_",
        "short": "Anterior?",
        "definition": "Is an anterior perforation present?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Anterior_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Anterior_.value",
        "path": "Examination_of_a_tympanic_membrane.Anterior_.value",
        "short": "Anterior?",
        "definition": "Is an anterior perforation present?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Anterior_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Edge",
        "path": "Examination_of_a_tympanic_membrane.Edge",
        "short": "Edge",
        "definition": "Narrative description of the edge of the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Edge",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Edge.value",
        "path": "Examination_of_a_tympanic_membrane.Edge.value",
        "short": "Edge",
        "definition": "Narrative description of the edge of the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Edge.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Examination_findings",
        "path": "Examination_of_a_tympanic_membrane.Examination_findings",
        "short": "Examination findings",
        "definition": "Structured details about the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Examination_findings",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Multimedia_representation",
        "path": "Examination_of_a_tympanic_membrane.Multimedia_representation",
        "short": "Multimedia representation",
        "definition": "Digital image, video or diagram representing the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Multimedia_representation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Clinical_interpretation",
        "path": "Examination_of_a_tympanic_membrane.Clinical_interpretation",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Clinical_interpretation",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Clinical_interpretation.value",
        "path": "Examination_of_a_tympanic_membrane.Clinical_interpretation.value",
        "short": "Clinical interpretation",
        "definition": "Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Clinical_interpretation.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Comment",
        "path": "Examination_of_a_tympanic_membrane.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the physical examination findings, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Comment.value",
        "path": "Examination_of_a_tympanic_membrane.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the physical examination findings, not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Examination_of_a_tympanic_membrane.Examination_not_done",
        "path": "Examination_of_a_tympanic_membrane.Examination_not_done",
        "short": "Examination not done",
        "definition": "Details to explicitly record that this examination was not performed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Examination_of_a_tympanic_membrane.Examination_not_done",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}