ARCHETYPE Inspection of Tympanic Membrane (openEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1
ConceptInspection of Tympanic Membrane
DescriptionThe findings on physical examination by inspection of the tympanic membrane
UseFor use with the exam clusters for recording findings on inspection of the tmpanic membrane
MisuseShould only be used in the exam observation
PurposeFor recording the findings on inspection of the tympanic membrane
References
Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics
Date originally authored: 02/11/2007
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics
Date originally authored: 02/11/2007
OtherDetails Language Independent{references=}
Keywordsinspect, visual, ear, tympanic, perforation, drum
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.241
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The findings on physical examination by inspection of the tympanic membrane , archetypeConceptComment=null, otherContributors=Heather Leslie, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=CLUSTER, level=1, text=Normal statements, description=An optional group of statements about the normality of the inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement about the normality of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Tympanic membrane normal [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0048], code=at0048, itemType=ELEMENT, level=1, text=Clinical Description, description=Clinical description of the findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=CLUSTER, level=1, text=Findings, description=Specific findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0036], code=at0036, itemType=ELEMENT, level=2, text=Colour description, description=The colour of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005], code=at0005, itemType=CLUSTER, level=2, text=Location, description=The location of any findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Description, description=Description of the location of the findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018], code=at0018, itemType=CLUSTER, level=2, text=Shape or distribution, description=The shape or distribution of the object inspected, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Description, description=Description of the , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Symmetrical, description=Whether the distribution is symmetrical, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Surface, description=A description of the surface, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No evidence of inflammation [*]
  • Evidence of inflammation [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Surrounds, description=Description of immediate surrounds to object, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028], code=at0028, itemType=CLUSTER, level=2, text=Edge, description=Findings about the edge of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Description, description=Description of the edge or border of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Definition, description=The nature of the edge of the object of examination, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Well defined [The edge is clearly defined]
  • Moderately defined [The edge is defined but less clear in places]
  • Poorly defined [The edge is not defined clearly in many places]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Translucent, description=Is the object of inspection translucent?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.52], code=at0.52, itemType=ELEMENT, level=2, text=Adequacy of View, description=How good is the view of the membrane?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Unobscured [The TM is not obscured]
1: Slightly obscured [The TM is slightly obscured]
2: Moderately obscured [The TM is moderately obscured]
3: Mostly obscured [The TM is mostly obscured]
4: Totally obscured [The TM is totally obscured]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76], code=at0.76, itemType=CLUSTER, level=2, text=Specific Appearance, description=The appearance of the drum, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.58], code=at0.58, itemType=ELEMENT, level=3, text=Clinical Description, description=The general appearance of the tympanic membrane, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.93], code=at0.93, itemType=ELEMENT, level=3, text=Light Reflex present, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Contour, description=The contour of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.80], code=at0.80, itemType=ELEMENT, level=3, text=Retraction, description=Degree of tympanic membrane retraction (Sade classification), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No retraction [Normal TM without retraction]
1: Slightly retracted [TM slighly retracted i.e tothe level of the annualt ligament]
2: touches the ossicular chain [TM touchs the ossicular chain]
3: reaches the level of the promontory [TM reaches the promontory without adhering to it ]
4: adheres to the promontory [TM reaches the promontory and adheres to it]

Assumed value: 0: No retraction
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.90], code=at0.90, itemType=ELEMENT, level=3, text=Air/Fluid level visible?, description=Is a fluid level visible behind the membrane?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97], code=at0.97, itemType=CLUSTER, level=3, text=Scarring, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97]/items[at0.94], code=at0.94, itemType=ELEMENT, level=4, text=Description of scarring, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Evidence of Atrophy [*]
  • Evidence of tympanosclerosis [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97]/items[at0.79], code=at0.79, itemType=ELEMENT, level=4, text=Clinical Description, description=Text Description of the appearance of the drum, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.74], code=at0.74, itemType=CLUSTER, level=2, text=Ventilation Tube, description=Details of any ventilation tube inserted, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.74]/items[at0.98], code=at0.98, itemType=SLOT, level=3, text=Cluster: Ventilation tube, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.tympanic_ventilation_tube.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.63], code=at0.63, itemType=CLUSTER, level=2, text=Perforation, description=Details of any perforation, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.63]/items[at0.99], code=at0.99, itemType=SLOT, level=3, text=Cluster: Perforation, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049], code=at0049, itemType=CLUSTER, level=2, text=Detail, description=Detailed examination of a finding on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049]/items[at0052], code=at0052, itemType=SLOT, level=3, text=Cluster: Exam, description=Exam details, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0050], code=at0050, itemType=ELEMENT, level=1, text=Drawing, description=An image of the findings on inspection - drawing, photo or video, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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]], events=[], provider=[], content=[], target=[], contacts=[], protocol=[], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[], context=[], details=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000.1, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=CLUSTER, level=1, text=Normal statements, description=An optional group of statements about the normality of the inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement about the normality of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Tympanic membrane normal [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0048], code=at0048, itemType=ELEMENT, level=1, text=Clinical Description, description=Clinical description of the findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=CLUSTER, level=1, text=Findings, description=Specific findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0036], code=at0036, itemType=ELEMENT, level=2, text=Colour description, description=The colour of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005], code=at0005, itemType=CLUSTER, level=2, text=Location, description=The location of any findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Description, description=Description of the location of the findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018], code=at0018, itemType=CLUSTER, level=2, text=Shape or distribution, description=The shape or distribution of the object inspected, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Description, description=Description of the , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Symmetrical, description=Whether the distribution is symmetrical, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Surface, description=A description of the surface, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No evidence of inflammation [*]
  • Evidence of inflammation [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Surrounds, description=Description of immediate surrounds to object, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028], code=at0028, itemType=CLUSTER, level=2, text=Edge, description=Findings about the edge of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Description, description=Description of the edge or border of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Definition, description=The nature of the edge of the object of examination, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Well defined [The edge is clearly defined]
  • Moderately defined [The edge is defined but less clear in places]
  • Poorly defined [The edge is not defined clearly in many places]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Translucent, description=Is the object of inspection translucent?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.52], code=at0.52, itemType=ELEMENT, level=2, text=Adequacy of View, description=How good is the view of the membrane?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Unobscured [The TM is not obscured]
1: Slightly obscured [The TM is slightly obscured]
2: Moderately obscured [The TM is moderately obscured]
3: Mostly obscured [The TM is mostly obscured]
4: Totally obscured [The TM is totally obscured]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76], code=at0.76, itemType=CLUSTER, level=2, text=Specific Appearance, description=The appearance of the drum, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.58], code=at0.58, itemType=ELEMENT, level=3, text=Clinical Description, description=The general appearance of the tympanic membrane, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.93], code=at0.93, itemType=ELEMENT, level=3, text=Light Reflex present, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Contour, description=The contour of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.80], code=at0.80, itemType=ELEMENT, level=3, text=Retraction, description=Degree of tympanic membrane retraction (Sade classification), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No retraction [Normal TM without retraction]
1: Slightly retracted [TM slighly retracted i.e tothe level of the annualt ligament]
2: touches the ossicular chain [TM touchs the ossicular chain]
3: reaches the level of the promontory [TM reaches the promontory without adhering to it ]
4: adheres to the promontory [TM reaches the promontory and adheres to it]

Assumed value: 0: No retraction
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.90], code=at0.90, itemType=ELEMENT, level=3, text=Air/Fluid level visible?, description=Is a fluid level visible behind the membrane?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97], code=at0.97, itemType=CLUSTER, level=3, text=Scarring, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97]/items[at0.94], code=at0.94, itemType=ELEMENT, level=4, text=Description of scarring, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Evidence of Atrophy [*]
  • Evidence of tympanosclerosis [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.76]/items[at0.97]/items[at0.79], code=at0.79, itemType=ELEMENT, level=4, text=Clinical Description, description=Text Description of the appearance of the drum, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.74], code=at0.74, itemType=CLUSTER, level=2, text=Ventilation Tube, description=Details of any ventilation tube inserted, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.74]/items[at0.98], code=at0.98, itemType=SLOT, level=3, text=Cluster: Ventilation tube, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.tympanic_ventilation_tube.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.63], code=at0.63, itemType=CLUSTER, level=2, text=Perforation, description=Details of any perforation, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.63]/items[at0.99], code=at0.99, itemType=SLOT, level=3, text=Cluster: Perforation, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049], code=at0049, itemType=CLUSTER, level=2, text=Detail, description=Detailed examination of a finding on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049]/items[at0052], code=at0052, itemType=SLOT, level=3, text=Cluster: Exam, description=Exam details, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0050], code=at0050, itemType=ELEMENT, level=1, text=Drawing, description=An image of the findings on inspection - drawing, photo or video, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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]], minIndents={}, termBindingRetrievalErrorMessage=null]