{ "resourceType": "StructureDefinition", "id": "logicalmodel-Tympanogramtestresult-highfrequency-R4", "url": "http://linkehr.com/fhir/logicalmodel-tympanogramtestresult-highfrequency-R4", "identifier": [ { "system": "openEHR-CKM", "value": "openEHR-EHR-OBSERVATION.tympanogram_hf.v0" } ], "version": "0", "name": "Tympanogramtestresult-highfrequency", "title": "Tympanogram test result - high frequency", "status": "draft", "date": "2024-06-18", "publisher": "openEHR", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.veratech.es" } ] } ], "description": "Record of measurements of movement at the tympanic membrane in response to a multifrequency probe tone, or a probe tone higher than 226Hz, and changes in air pressure in the ear canal, and their clinical interpretation as an indication of middle ear function.", "purpose": "To record measurements based on a multi-frequency (or sweep frequency) probe tone, or a probe tone higher than 226Hz, of the admittance or impedance of the middle ear system as a function of the pressure in the external ear canal pressure.\r\n\r\nTo infer middle ear function from objective measurements based on a high frequency probe tone, taken at the tympanic membrane of the mobility of the tympanic membrane, in reponse to varying air pressure in the ear canal.\r\n\r\nTo infer middle ear function from objective measurements based on a multi-frequency probe tone, taken at the tympanic membrane of the mobility of the tympanic membrane, in reponse to a specified air pressure in the ear canal.", "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": "Tympanogram_test_result___high_frequency", "path": "Tympanogram_test_result___high_frequency", "short": "Tympanogram test result - 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"Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency", "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency", "short": "Start frequency", "definition": "The frequncy value at which the frequency sweep for tympanometry begins.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency.value", "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency.value", "short": "Start frequency", "definition": "The frequncy value at which the frequency sweep for tympanometry begins.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Start_frequency.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency", "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency", "short": "Stop frequency", "definition": "The frequncy value at which the frequency sweep for tympanometry ends.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency.value", "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency.value", "short": "Stop frequency", "definition": "The frequncy value at which the frequency sweep for tympanometry ends.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.protocol.Multi_frequency.Stop_frequency.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, 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"short": "Any event", "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data", "short": "Tree", "definition": "@ internal @", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details", "short": "Result details", "definition": "The tympanogram test result details, recorded per ear.", "min": 0, "max": "2", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details", "min": 0, "max": "2" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear", "short": "Test ear", "definition": "Identification of the ear being tested.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear", "min": 1, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear.value", "short": "Test ear", "definition": "Identification of the ear being tested.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Test_ear.value", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details", "short": "Measurement details", "definition": "Measurements derived from the tympanomgram.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Peak_pressure", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Peak_pressure", "short": "Peak pressure", "definition": "Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak(s) of the tympanogram occurs.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Peak_pressure", "min": 0, "max": "1" } }, { "id": 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"short": "Y peak", "definition": "Peak compensated static admittance.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y_peak", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y_peak.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y_peak.value", "short": "Y peak", "definition": "Peak compensated static admittance.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y_peak.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200", "short": "Y+200", "definition": "Admittance at +200 daPa.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200.value", "short": "Y+200", "definition": "Admittance at +200 daPa.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Y+200.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": 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} ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume", "short": "Ear canal volume", "definition": "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).", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume.value", "short": "Ear canal volume", "definition": "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).", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_canal_volume.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_baseline_value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_baseline_value", "short": "Ear baseline value", "definition": "Derived ear canal volume.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Any_event.data.Result_details.Measurement_details.Ear_baseline_value", "min": 0, "max": "1" } }, { "id": 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"definition": "Admittance at -400 daPa.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Y_400", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Y_400.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Y_400.value", "short": "Y-400", "definition": "Admittance at -400 daPa.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Y_400.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_canal_volume", "path": 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(Fowler & Shanks, 2002, p. 180).", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_canal_volume", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_canal_volume.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_canal_volume.value", "short": "Ear canal volume", "definition": "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).", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_canal_volume.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value", "short": "Ear baseline value", "definition": "Derived ear canal volume.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value.value", "short": "Ear baseline value", "definition": "Derived ear canal volume.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Ear_baseline_value.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Resonant_frequency", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Resonant_frequency", "short": "Resonant frequency", "definition": "Frequency at which the total susceptance is zero.", "min": 0, "max": "1", "base": { "path": 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"Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.F45_degree", "short": "F45 degree", "definition": "The frequency corresponding to a 45° phase angle.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.F45_degree", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.F45_degree.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.F45_degree.value", "short": "F45 degree", "definition": "The frequency corresponding to a 45° phase angle.", "min": 1, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.F45_degree.value", "min": 1, "max": "1" }, "type": [ { "code": "Quantity" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Tympanometric_width", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Tympanometric_width", "short": "Tympanometric width", "definition": "The pressure interval corresponding to a 50% reduction in the peak static admittance.", "min": 0, "max": "1", "base": { "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Tympanometric_width", "min": 0, "max": "1" } }, { "id": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Tympanometric_width.value", "path": "Tympanogram_test_result___high_frequency.Event_Series.Baseline.data.Result_details.Measurement_details.Tympanometric_width.value", "short": "Tympanometric width", "definition": "The pressure interval corresponding to a 50% 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