TEMPLATE Audiogram Report (de3a658a-1eda-4c11-8cd3-29c573324805)

TEMPLATE IDde3a658a-1eda-4c11-8cd3-29c573324805
ConceptAudiogram Report
DescriptionNot Specified
PurposeNot Specified
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
Language useden
Citeable Identifier1013.26.477
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  • new referral health centre
  • new referral self
  • review
  • opportunistic
  • post surgical
  • pre-surgical
  • administrative
  • other
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  • ear discharge
  • pain
  • hearing loss
  • ongoing otitis media
  • family concerns
  • language concerns
  • school concerns
  • other
  • hearing loss
  • failed screening
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  • Left  [The left external auditory canal and tympanic membrane.]
  • Right  [The right external auditory canal and tympanic membrane.]
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  • Hard  [The wax is hard.]
  • Soft  [The wax is soft.]
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  • Impacted  [Ear wax is tightly packed in the external auditory canal, such that it may be hard to remove or cause difficulty with hearing.]
  • Not impacted  [Ear wax is not tightly packed in the external auditory canal.]
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  • Full view  [All of the tympanic membrane was visualised.]
  • Partial occlusion  [Part of the tympanic membrane was not clearly visualised, but sufficient to permit a clinical opinion to be formed.]
  • Total occlusion  [None of the tympanic membrane visualised, such that a clinical opinion of the state of the tympanic membrane could not be formed.]
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  • wax
  • discharge
  • pain
  • non-compliant
  • other
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  • Present  [Tenderness is noted in the external auditory canal wall.]
  • Absent  [Tenderness is not noted in the external auditory canal wall.]
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  • Present  [Oedema is observed in the external auditory canal wall.]
  • Absent  [Oedema is not observed in the external auditory canal wall.]
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  • Present  [Erythema, or redness, is observed in the wall of the external auditory canal.]
  • Absent  [There is no erythema or redness observed in the wall of the external auditory canal.]
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  • Present  [An offensive odour is noted as originating from the external auditory canal.]
  • Absent  [No odour is noted as originating from the external auditory canal.]
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  • Serous  [The discharge appears to consist mostly of clear, watery fluid.]
  • Bloody  [The discharge appears to consist mostly of blood.]
  • Purulent  [The discharge appears to consist mostly of pus.]
  • Mucous  [The discharge appears to consist mostly of a thick, mucoid substance.]
  • Mucopurulent  [The discharge appears to consist of both mucous and pus.]
  • Haemoserous  [The discharge appears to consist of both blood and clear, watery fluid.]
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  • None  [No discharge is observed in the external auditory canal.]
  • Scant  [A small amount of discharge is observed in the external auditory canal.]
  • Moderate  [A moderate amount of discharge is observed in the external auditory canal.]
  • Profuse  [A profuse amount of discharge is observed in the external auditory canal.]
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  • In situ  [The ventilation tube is located in situ in the tympanic membrane.]
  • Partially extruded  [The ventilation tube is partially extruded from it's original position in the tympanic membrane.]
  • Extruded - remains in canal  [The ventilation tube has been extruded from the tympanic membrane but is visualised within the external auditory canal.]
  • Extruded - missing  [The ventilation tube has been extruded from the tympanic membrane and is not visualised anywhere within the external auditory canal.]
  • Unknown  [The position of the ventilation tube cannot be determined because the tympanic membrane is obscured and the ventilation tube is not observed within the external auditory canal.]
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  • Present  [Polyps are observed in the external auditory canal.]
  • Absent  [No polyps are observed in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0064]/items[at0147], code=at0147, itemType=ELEMENT, level=8, text=Fungal Spores, description=Presence of fungal spores in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Fungal spores are observed in the external auditory canal.]
  • Absent  [No fungal spores are observed in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0064]/items[at0159], code=at0159, itemType=ELEMENT, level=8, text=Foreign Body, description=Presence of a foreign body in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A foreign body is present in the external auditory canal.]
  • Absent  [A foreign body is present in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0064]/items[at0163], code=at0163, itemType=ELEMENT, level=8, text=Location of Foreign Body, description=Location of the foreign body within the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Outer canal  [The foreign body is located in the outer part of the external auditory canal.]
  • Deep canal  [The foreign body is located in the deep, inner part of the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104], code=at0104, itemType=CLUSTER, level=7, text=Tympanic Membrane Details, description=Details about findings on examination of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0007], code=at0007, itemType=ELEMENT, level=8, text=Membrane Intact?, description=Is the tympanic membrane intact?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Intact  [The tympanic membrane appears intact.]
  • Perforated  [The tympanic membrane appears perforated.]
  • Indeterminate  [It is not possible to tell if the tympanic membrane is intact or perforated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0018], code=at0018, itemType=ELEMENT, level=8, text=Appearance, description=Category describing the appearance of the tympanic membrane., comment=In most situations, this data element would only be recorded if the tympanic membrane is intact., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Translucent  [The tympanic membrane appears healthy.]
  • Opaque  [The tympanic membrane appears dull and opaque.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0011], code=at0011, itemType=ELEMENT, level=8, text=Normal Light Reflex, description=Presence of a normal light reflex noted., comment=In most situations, this data element would only be recorded if the tympanic membrane is intact. A 'normal' light reflex may be described as : a complete, bright triangular area of reflected light seen in the anteroinferior portion of the tympanic membrane., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A normal light reflex is visible.]
  • Absent  [A normal light reflex is not visible.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0022], code=at0022, itemType=ELEMENT, level=8, text=Surface Features, description=Features observed on the surface of the tympanic membrane., comment=Data element has multiple occurrences to enable multiple selections, if required. In most situations, this data element would only be recorded if the tympanic membrane is intact., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Blistering present  [Blistering is observed on the surface of the tympanic membrane.]
  • Scarring present  [Scarring is observed on the surface of the tympanic membrane.]
  • Granulation present  [Granulation is observed on the surface of the tympanic membrane.]
  • Thickening present  [Thickening is observed on the surface of the tympanic membrane.]
  • Tympanosclerosis present  [White patches, consistent with tympanosclerosis, are observed on surface of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0028], code=at0028, itemType=ELEMENT, level=8, text=Colour, description=Description of the overall colour of the tympanic membrane., comment=For example: red, bluish, or yellow., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010], code=at0010, itemType=CLUSTER, level=8, text=Landmark Anatomy, description=Details about visibility of anatomical landmarks of the middle ear at the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=9, text=Annulus, description=Narrative description of the Annulus., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0015], code=at0015, itemType=ELEMENT, level=9, text=Malleus Handle, description=Narrative description of the Malleus Handle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0016], code=at0016, itemType=ELEMENT, level=9, text=Malleus Head, description=Narrative description of the Malleus Head., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0017], code=at0017, itemType=ELEMENT, level=9, text=Umbo, description=Narrative description of the Umbo., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0061], code=at0061, itemType=ELEMENT, level=9, text=Incus, description=Narrative description of the Incus., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0010]/items[at0060], code=at0060, itemType=ELEMENT, level=9, text=Stapes, description=Narrative description of the Stapes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0034], code=at0034, itemType=ELEMENT, level=8, text=Location of Tympanosclerosis, description=Description of the location of any tympanosclerosis observed on the tympanic membrane., comment=May be coded with an external terminology, if desired, and be expressed as multiple occurrences for multiple sites., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Position of Tympanic Membrane, description=Description of the position of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Bulging  [The tympanic membrane appears to be bulging.]
  • Neutral  [The tympanic membrane is in a normal, neutral position - neither bulging or retracted.]
  • Retracted  [The tympanic membrane appears to be retracted.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0040], code=at0040, itemType=ELEMENT, level=8, text=Description of Retraction, description=Description of retraction of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0048], code=at0048, itemType=ELEMENT, level=8, text=Fluid Level Presence, description=Presence of a fluid level behind the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A fluid level is observed behind the tympanic membrane.]
  • Absent  [A fluid level is not observed behind the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0051], code=at0051, itemType=ELEMENT, level=8, text=Fluid Level Description, description=Narrative description of the fluid level and other related features observed behind the tympanic membrane., comment=For example, presence of bubbles., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0052], code=at0052, itemType=ELEMENT, level=8, text=Mobility, description=Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Immobile  [There is minimal or no movement of the tympanic membrane when positive pressure is applied.]
  • Hypomobile  [The tympanic membrane moves with less excursion and in a more sluggish fashion when positive pressure is applied.]
  • Mobile  [The tympanic membrane shows a crisp inward (medial) movement (approx 1mm) with positive pressure.]
  • Hypermobile  [There is exaggerated movement of the tympanic membrane when positive pressure is applied.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062], code=at0062, itemType=CLUSTER, level=8, text=Perforation Details, description=Details about the tympanic membrane perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0065], code=at0065, itemType=ELEMENT, level=9, text=Estimation of Size, description=Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks., comment=Many clinicians record perforations between the well defined 'pinhole' and 'subtotal' perforations using a variety of terms with inconsistent usage and definitions, such as small, medium and large. 'Intermediate' has been proposed as a means to minimise inter-clinician variability for documenting the size of all perforations falling between the 'pinhole' and 'subtotal' definitions. If more detail is required, then measurement of the perforation should be recorded., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pinhole  [A pinhole perforation is present in the tympanic membrane.]
  • Intermediate  [A perforation is present in the tympanic membrane, that is larger than a pinhole but smaller than a subtotal perforation.]
  • Subtotal  [A subtotal perforation is present in the tympanic membrane: the pars tensa is absent but the perforation does not include the annulus.]
  • Total  [A total perforation is present in the tympanic membrane; the tympanic membrane is essentially absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0074], code=at0074, itemType=ELEMENT, level=9, text=Region, description=Description of the region of the tympanic membrane perforation., comment=To document if the perforation is in the Pars flaccida and may be potentially unsafe. If 'Total' or 'Subtotal' is selected in 'Estimation of Size' data element then this data element becomes redundant. Coding with a terminology is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pars flaccida  [The tympanic membrane perforation is located in the pars flaccida.]
  • Pars tensa  [The tympanic membrane perforation is located in the pars tensa.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0071], code=at0071, itemType=ELEMENT, level=9, text=Marginal?, description=Location of the tympanic membrane perforation., comment=To document explicitly whether the perforation is located marginally, and therefore might be clinically unsafe. If 'Total' is selected in 'Estimation of Size' data element then this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Central  [The perforation is not involving the annulus and is bounded on all sides by the remnant of the tympanic membrane.]
  • Marginal  [The perforation involves the annulus of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0076], code=at0076, itemType=ELEMENT, level=9, text=Anterior?, description=Is an anterior perforation present?, comment=To document the presence of perf in the anterior portions of the pars tensa can be more difficult to manage. If 'Total' or 'Subtotal' is selected in 'Estimation of Size' data element then this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [An anterior perforation is present in the pars tensa.]
  • Absent  [An anterior perforation is not present in the pars tensa.]
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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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=CLUSTER, level=6, text=Test Details, description=The tympanogram test details, recorded per ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=Test Ear, description=Identification of the ear being tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left Ear  [The left ear was tested in isolation.]
  • Right Ear  [The right ear was tested in isolation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027], code=at0027, itemType=CLUSTER, level=7, text=Measurement Details, description=Measurements of middle ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0028], code=at0028, itemType=CLUSTER, level=8, text=Pressure vs Compliance Measurement, description=The Pressure/Compliance pair as measured by a tympanogram., comment=Multiple instances of this measurement will form the basis for the graphical display of the tympanogram., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0055], code=at0055, itemType=ELEMENT, level=9, text=Pressure, description=The pressure measured in the ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-600..200
Units:
  • daPa
  • mm[H20]
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  • ml
  • cc
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Units:
  • daPa
  • mm[H20]
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Units:
  • cc
  • ml
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  •  QuantityUnits: mmho
  •  Proportion
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  • Type A  [Curve with a distinctive sharp peak, around atmospheric pressure; normal static compliance; normal ear canal volume.]
  • Type B  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range.]
  • Type B with high ECV  [Rounded curve with measurable peak pressure; reduced static compliance; ear canal volume above the normal range.]
  • Type C  [As for Type A, but a significant negative peak pressure.]
  • Type D  [A curve with a double peak; normal or reduced static compliance; normal ear canal volume.]
  • Type As  [As for Type A, but with reduced static compliance.]
  • Type Ad  [As for Type A but with increased static compliance.]
  • Indeterminate  [It is not possible to determine the exact type of middle ear function.]
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  • Type B - high compliance  [Rounded curve with no measurable peak pressure; static compliance on lower limits of normal range; ear canal volume within normal range.]
  • Type B - low compliance  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range. Equivalent to the unqualified Type B classification.]
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  • Type C1  [A slight negative peak pressure, for example in range -100 to -199 daPa.]
  • Type C2  [A significant negative peak pressure, for example -200 daPa or greater.]
  • Type C3  [A negative peak pressure and low-normal static compliance.]
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  • Pass  [The test was passed, based on screening criteria.]
  • Fail  [The test was failed, based on screening criteria.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0012]/items[at0033], code=at0033, itemType=ELEMENT, level=7, text=Clinical Interpretation, description=Clinical interpretation of all measurements for the test ear., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Normal middle ear function
  • Reduced middle ear compliance (hypomobile)
  • Increased middle ear compliance (hypermobile)
  • No compliance
  • Tympanic membrane perforation
  • Eustachian tube dysfunction
  • Other
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  • Left Ear  [The left ear was tested in isolation.]
  • Right Ear  [The right ear was tested in isolation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0027], code=at0027, itemType=CLUSTER, level=7, text=Measurement Details, description=Measurements of middle ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0027]/items[at0028], code=at0028, itemType=CLUSTER, level=8, text=Pressure vs Compliance Measurement, description=The Pressure/Compliance pair as measured by a tympanogram., comment=Multiple instances of this measurement will form the basis for the graphical display of the tympanogram., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0055], code=at0055, itemType=ELEMENT, level=9, text=Pressure, description=The pressure measured in the ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-600..200
Units:
  • daPa
  • mm[H20]
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  • ml
  • cc
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Units:
  • daPa
  • mm[H20]
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Units:
  • cc
  • ml
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  •  QuantityUnits: mmho
  •  Proportion
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0031], code=at0031, itemType=ELEMENT, level=7, text=No Test Result, description=No test result is available for the test ear., comment=Record as True if the clinician was unable to record a result for the test ear., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0032], code=at0032, itemType=ELEMENT, level=7, text=Reason for No Test Result, description=Reason why no result is available for the test ear., comment=Coding with a terminology is preferred, where possible. For example, patient was not co-operative; patient was not capable; ran out of time; no seal; presence of tympanic membrane perforation, impacted wax or discharge., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Tympanogram Type, description=Description of the the shape of the tympanogram curve, based on the Jerger categories., comment=If Type B or C subtypes are to be used in an implementation, these should be substituted for the global 'Type B' or 'Type C' classification here. Both 'Type B' and 'Type B - low compliance'/'Type B - high compliance' should not be used in the same implementation. Similarly, both 'Type C' and Types C1-3 should not be used in the same implementation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type A  [Curve with a distinctive sharp peak, around atmospheric pressure; normal static compliance; normal ear canal volume.]
  • Type B  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range.]
  • Type B with high ECV  [Rounded curve with measurable peak pressure; reduced static compliance; ear canal volume above the normal range.]
  • Type C  [As for Type A, but a significant negative peak pressure.]
  • Type D  [A curve with a double peak; normal or reduced static compliance; normal ear canal volume.]
  • Type As  [As for Type A, but with reduced static compliance.]
  • Type Ad  [As for Type A but with increased static compliance.]
  • Indeterminate  [It is not possible to determine the exact type of middle ear function.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0071], code=at0071, itemType=ELEMENT, level=7, text=Tympanogram Type B Subtype, description=Subclassification of the tympanograms with a flat curve., comment=If the 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type B - high compliance  [Rounded curve with no measurable peak pressure; static compliance on lower limits of normal range; ear canal volume within normal range.]
  • Type B - low compliance  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range. Equivalent to the unqualified Type B classification.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0058], code=at0058, itemType=ELEMENT, level=7, text=Tympanogram Type C Subtype, description=Subclassification of the tympanograms with negative peak pressure., comment=If the subtypes 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type C1  [A slight negative peak pressure, for example in range -100 to -199 daPa.]
  • Type C2  [A significant negative peak pressure, for example -200 daPa or greater.]
  • Type C3  [A negative peak pressure and low-normal static compliance.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0012]/items[at0066], code=at0066, itemType=ELEMENT, level=7, text=Screening Outcome, description=Overall result of screening., comment=In some existing screening programs, the result has previously been recorded as one of three options: 'Pass', 'Re-test' or 'Refer'. This confounds the result with subsequent next actions. This data element is recording the outcome of the test alone - thus 'Pass' or 'Fail' are the only two options. Following a 'Fail' result, a clinical system can support the clinician to initiate appropriate a subsequent activity (eg based on other information such as previous screening test results) - either a rescheduling of the screening test (ie a 'Re-test') or initiation of a referral for further investigation (ie a 'Refer')., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pass  [The test was passed, based on screening criteria.]
  • Fail  [The test was failed, based on screening criteria.]
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  • Normal middle ear function
  • Reduced middle ear compliance (hypomobile
  • Increased middle ear compliance (hypermobile)
  • No compliance
  • Tympanic membrane perforation
  • Eustachian tube dysfunction
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=6, text=Overall Interpretation, description=Overall clinical interpretation of the measurements and related findings using an tympanometer., comment=Coding with a terminology is preferred, where possible. This data element is effectively an tympanometric diagnosis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=6, text=Test Result Image, description=Digital representation of the entire result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0037]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the test results and intepretation not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038], code=at0038, itemType=POINT_EVENT, level=4, text=Post Valsalva, description=Measurements are recorded after the patient has performed a valsalva manoeuvre., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012], code=at0012, itemType=CLUSTER, level=6, text=Test Details, description=The tympanogram test details, recorded per ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=Test Ear, description=Identification of the ear being tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left Ear  [The left ear was tested in isolation.]
  • Right Ear  [The right ear was tested in isolation.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027], code=at0027, itemType=CLUSTER, level=7, text=Measurement Details, description=Measurements of middle ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0028], code=at0028, itemType=CLUSTER, level=8, text=Pressure vs Compliance Measurement, description=The Pressure/Compliance pair as measured by a tympanogram., comment=Multiple instances of this measurement will form the basis for the graphical display of the tympanogram., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0055], code=at0055, itemType=ELEMENT, level=9, text=Pressure, description=The pressure measured in the ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-600..200
Units:
  • daPa
  • mm[H20]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0056], code=at0056, itemType=ELEMENT, level=9, text=Compliance (Conductance), description=The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..5 mmho, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0028]/items[at0069], code=at0069, itemType=ELEMENT, level=9, text=Compliance (Volume), description=The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • ml
  • cc
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0013], code=at0013, itemType=ELEMENT, level=8, text=Peak Pressure, description=Peak pressure (also called middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs., comment=Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-400..200
Units:
  • daPa
  • mm[H20]
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Units:
  • cc
  • ml
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=8, text=Tympanometric Width, description=The pressure interval corresponding to a 50% reduction in the peak static admittance., comment=This value is typically derived from the Tympanogram curve. In some immittance machines, for example the Grason Stadler GSI 39, this data element is known as 'gradient'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..400 daPa, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0027]/items[at0030], code=at0030, itemType=ELEMENT, level=8, text=Tympanometric Gradient, description=The steepness of the slope of the tympanogram near the peak., comment=This value is typically derived from the Tympanogram curve., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  QuantityUnits: mmho
  •  Proportion
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0031], code=at0031, itemType=ELEMENT, level=7, text=No Test Result, description=No test result is available for the test ear., comment=Record as True if the clinician was unable to record a result for the test ear., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0032], code=at0032, itemType=ELEMENT, level=7, text=Reason for No Test Result, description=Reason why no result is available for the test ear., comment=Coding with a terminology is preferred, where possible. For example, patient was not co-operative; patient was not capable; ran out of time; no seal; presence of tympanic membrane perforation, impacted wax or discharge., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Tympanogram Type, description=Description of the the shape of the tympanogram curve, based on the Jerger categories., comment=If Type B or C subtypes are to be used in an implementation, these should be substituted for the global 'Type B' or 'Type C' classification here. Both 'Type B' and 'Type B - low compliance'/'Type B - high compliance' should not be used in the same implementation. Similarly, both 'Type C' and Types C1-3 should not be used in the same implementation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type A  [Curve with a distinctive sharp peak, around atmospheric pressure; normal static compliance; normal ear canal volume.]
  • Type B  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range.]
  • Type B with high ECV  [Rounded curve with measurable peak pressure; reduced static compliance; ear canal volume above the normal range.]
  • Type C  [As for Type A, but a significant negative peak pressure.]
  • Type D  [A curve with a double peak; normal or reduced static compliance; normal ear canal volume.]
  • Type As  [As for Type A, but with reduced static compliance.]
  • Type Ad  [As for Type A but with increased static compliance.]
  • Indeterminate  [It is not possible to determine the exact type of middle ear function.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0071], code=at0071, itemType=ELEMENT, level=7, text=Tympanogram Type B Subtype, description=Subclassification of the tympanograms with a flat curve., comment=If the 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type B - high compliance  [Rounded curve with no measurable peak pressure; static compliance on lower limits of normal range; ear canal volume within normal range.]
  • Type B - low compliance  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range. Equivalent to the unqualified Type B classification.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0058], code=at0058, itemType=ELEMENT, level=7, text=Tympanogram Type C Subtype, description=Subclassification of the tympanograms with negative peak pressure., comment=If the subtypes 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type C1  [A slight negative peak pressure, for example in range -100 to -199 daPa.]
  • Type C2  [A significant negative peak pressure, for example -200 daPa or greater.]
  • Type C3  [A negative peak pressure and low-normal static compliance.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0066], code=at0066, itemType=ELEMENT, level=7, text=Screening Outcome, description=Overall result of screening., comment=In some existing screening programs, the result has previously been recorded as one of three options: 'Pass', 'Re-test' or 'Refer'. This confounds the result with subsequent next actions. This data element is recording the outcome of the test alone - thus 'Pass' or 'Fail' are the only two options. Following a 'Fail' result, a clinical system can support the clinician to initiate appropriate a subsequent activity (eg based on other information such as previous screening test results) - either a rescheduling of the screening test (ie a 'Re-test') or initiation of a referral for further investigation (ie a 'Refer')., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pass  [The test was passed, based on screening criteria.]
  • Fail  [The test was failed, based on screening criteria.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0038]/data[at0003]/items[at0012]/items[at0033], code=at0033, itemType=ELEMENT, level=7, text=Clinical Interpretation, description=Clinical interpretation of all measurements for the test ear., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Normal middle ear function
  • Reduced middle ear compliance (hypomobile
  • Increased middle ear compliance (hypermobile)
  • No compliance
  • Tympanic membrane perforation
  • Eustachian tube dysfunction
  • Other
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  • Left Ear  [The left ear was tested in isolation.]
  • Right Ear  [The right ear was tested in isolation.]
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Units:
  • daPa
  • mm[H20]
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  • ml
  • cc
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Units:
  • daPa
  • mm[H20]
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Units:
  • cc
  • ml
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  •  QuantityUnits: mmho
  •  Proportion
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  • Type A  [Curve with a distinctive sharp peak, around atmospheric pressure; normal static compliance; normal ear canal volume.]
  • Type B  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range.]
  • Type B with high ECV  [Rounded curve with measurable peak pressure; reduced static compliance; ear canal volume above the normal range.]
  • Type C  [As for Type A, but a significant negative peak pressure.]
  • Type D  [A curve with a double peak; normal or reduced static compliance; normal ear canal volume.]
  • Type As  [As for Type A, but with reduced static compliance.]
  • Type Ad  [As for Type A but with increased static compliance.]
  • Indeterminate  [It is not possible to determine the exact type of middle ear function.]
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  • Type B - high compliance  [Rounded curve with no measurable peak pressure; static compliance on lower limits of normal range; ear canal volume within normal range.]
  • Type B - low compliance  [Rounded curve with no measurable peak pressure, reduced static compliance; ear canal volume within normal range. Equivalent to the unqualified Type B classification.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/data[at0001]/events[at0039]/data[at0003]/items[at0012]/items[at0058], code=at0058, itemType=ELEMENT, level=7, text=Tympanogram Type C Subtype, description=Subclassification of the tympanograms with negative peak pressure., comment=If the subtypes 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Type C1  [A slight negative peak pressure, for example in range -100 to -199 daPa.]
  • Type C2  [A significant negative peak pressure, for example -200 daPa or greater.]
  • Type C3  [A negative peak pressure and low-normal static compliance.]
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  • Pass  [The test was passed, based on screening criteria.]
  • Fail  [The test was failed, based on screening criteria.]
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  • Normal middle ear function
  • Reduced middle ear compliance (hypomobile
  • Increased middle ear compliance (hypermobile)
  • No compliance
  • Tympanic membrane perforation
  • Eustachian tube dysfunction
  • Other
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  • Descending  [The pressure changes from positive to negative.]
  • Ascending  [The pressure changes from negative to positive.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Rate of Pressure Change, description=The rate of change of pressure used in tympanometry., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: daPa/s, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=Admittance Measurement, description=Method of acoustic admittance measurement used in the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Peak compensated static  [Admittance was measured Peak compensated static acoustic admittance.]
  • Ambient compensated static  [Compliance was measured using the Ambient compensated static acoustic admittance.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0050], code=at0050, itemType=CLUSTER, level=4, text=Pressure Range, description=The rate and direction of change in the air pressure in the ear canal used to obtain the tympanogram., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0050]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Start Pressure, description=The pressure value in daPa at which the pressure sweep for tympanometry begins. It is a positive pressure if the direction of pressure change is descending and a negative pressure if the direction of pressure change is ascending., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • daPa
  • mm[H20]
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  • daPa
  • mm[H20]
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Upper constraint: Units: daPa, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0063]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=Criteria for Static Compliance Pass, description=The range of 'Static Compliance' measurements which fulfil the criteria for a 'Pass'., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_INTERVAL, bindings=null, values=Lower constraint: Units: mmho
Upper constraint: Units: mmho, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.tympanogram_226hz.v1]/protocol[at0040]/items[at0063]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Criteria for Ear Canal Volume Pass, description=The range of 'Ear Canal Volume' measurements which fulfil the criteria for a 'Pass'., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_INTERVAL, bindings=null, values=Lower constraint: Units:
  • ml
  • cc

Upper constraint: Units:
  • cc
  • ml
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  • pure tone audiometry
  • play audiometry
  • VROA
  • BOA
  • ABR
  • other
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  • Left Ear  [The test stimuli were presented to the left ear only.]
  • Right Ear  [The test stimuli were presented to the right ear only.]
  • Binaural  [The test stimuli were presented to both ears simultaneously in a soundfield.]
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Units:
  • Hz
  • kHz
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0139]/items[at0048]/items[at0012], code=at0012, itemType=ELEMENT, level=9, text=Threshold Level, description=The stimulus intensity at threshold for the test frequency., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-10..120 dB, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0139]/items[at0122], code=at0122, itemType=ELEMENT, level=8, text=No Test Result, description=No air conduction test result is available for the test ear., comment=Record as True if the clinician was unable to record a result for the test ear or binaural testing in a soundfield, as defined by the 'Test Ear' data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0139]/items[at0123], code=at0123, itemType=ELEMENT, level=8, text=Reason for No Result, description=Reason why no air conduction result is available for the test ear., comment=For example, patient was not cooperative; patient was not capable; ran out of time., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0140], code=at0140, itemType=CLUSTER, level=7, text=Bone Conduction Result, description=The thresholds obtained using bone conduction testing., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0140]/items[at0142], code=at0142, itemType=ELEMENT, level=8, text=Bone Conduction Masking, description=A masking stimulus was applied to the non-test ear to obtain specified bone conduction thresholds., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0140]/items[at0143], code=at0143, itemType=CLUSTER, level=8, text=Measurement, description=The measured frequency/threshold level pair for bone conduction results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0140]/items[at0143]/items[at0144], code=at0144, itemType=ELEMENT, level=9, text=Frequency, description=The stimulus frequency of the test signal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=125..16000; 0.125..16
Units:
  • Hz
  • kHz
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  • none
  • mild
  • moderate
  • severe
  • profound
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  • Conductive  [A conductive hearing loss pattern has been identified for the Test Ear, based on the presence of an air/bone gap and bone conduction thresholds within normal range.]
  • Sensorineural  [A sensorineural hearing loss pattern has been identified for the Test Ear, based on no air/bone gap and thresholds outside normal range.]
  • Mixed  [A mixed hearing loss pattern has been identified for the Test Ear, based on the presence of an air/bone gap and bone conduction thresholds outside normal range.]
  • Indeterminate  [It is not possible to determine the pattern of hearing loss.]
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  • Unitary
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  • Symmetrical  [The hearing loss is symmetrical.]
  • Asymmetrical  [The hearing loss is asymmetrical.]
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  • Unilateral  [Loss of hearing in one ear.]
  • Bilateral  [Loss of hearing in both ears.]
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  • Aided  [The test has been conducted with the patient using a form of auditory assistance, such as a hearing aid or cochlear implant.]
  • Unaided  [The test has been conducted without the patient using any form of auditory assistance, such as a hearing aid or cochlear implant.]
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  • Pre-test quiet  [Test preceded by a quiet time period for the test subject as specified by the applied protocol.]
  • No pre-test quiet  [Test not preceded by a quiet period for the test subject as specified by the applied protocol.]
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  • Soundfield  [The stimulus is presented via a loudspeaker located at least one metre away from the subject.]
  • Insert earphone  [The stimulus is presented via insert earphones.]
  • External headset  [The stimulus is presented via external headsets - either circumaural or supraaural..]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/protocol[at0032]/items[at0108]/items[at0113], code=at0113, itemType=ELEMENT, level=5, text=Bone Conduction, description=The direct transmission of the test stimulus to the inner ear via the cranial bones., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Mastoid  [The posterior part of the temporal bone, including the mastoid process.]
  • Forehead  [Area of the head bounded by the normal hairline, eyebrows and the temples on either side.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/protocol[at0032]/items[at0075], code=at0075, itemType=ELEMENT, level=4, text=Test Environment, description=The space and conditions in which the audiometric test is administered., comment=This data element is commonly used in industry hearing programs., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Audiometric booth  [Sound treated room that provides a test environment that meets audiometric standards for ambient noise inside the booth.]
  • Minimal background noise  [Non-sound treated room with minimal background noise.]
  • Moderate background noise  [Non-sound treated room with moderate background noise.]
  • High background noise  [Non-sound treated room with high background noise.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/protocol[at0032]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Test Stimulus, description=Identification of the stimulus used in the hearing test to measure the hearing threshold., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Tone Burst  [The test stimulus is a tone burst.]
  • Click  [The test stimulus is a click.]
  • Warble Tone  [The test stimulus is a frequency modulated tone.]
  • Pure Tone  [The test stimulus is a pure tone.]
  • Narrow Band Noise  [The test stimulus is a narrow band noise centred on the specified frequency.]
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  • Minimum response level  [The softest level at which a subject responds to a stimulus.]
  • 2/3 responses  [The softest level at which the subject responds to two out of three consecutive threshold runs.]
  • 3/6 responses  [The softest level at which the subject responds to three out of six consecutive threshold runs.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/protocol[at0032]/items[at0093]/items[at0094], code=at0094, itemType=ELEMENT, level=5, text=Step Size, description=The step size (in decibels) of the change in the stimulus intensity for threshold determination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 1 dB  [Step size of one decibel.]
  • 5 dB  [Step size of five decibels.]
  • 10 dB  [Step size of ten decibels.]
  • 20 dB  [Step size of twenty decibels.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test Results']/items[openEHR-EHR-OBSERVATION.audiogram.v1]/protocol[at0032]/items[at0093]/items[at0099], code=at0099, itemType=ELEMENT, level=5, text=Direction, description=The direction of change in the stimulus intensity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ascending  [Threshold is calculated based on the ascending runs where the stimulus moves from below threshold to above threshold.]
  • Descending  [Threshold is calculated based on the descending runs where the stimulus moves from above threshold to below threshold.]
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  • dB SPL  [The test stimuli are calibrated using the sound pressure level scale.]
  • dB HL  [The test stimuli are calibrated using the hearing level scale.]
  • dB nHL  [The test stimuli are calibrated using the normal hearing level scale.]
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  •  Coded Text
    • 3 frequency average  [The pure tone hearing threshold is calculated using 0.5, 1 and 2 kHz.]
    • 4 frequency average  [The pure tone hearing threshold is calculated using 0.5, 1, 2 and 4 kHz.]
  •  Text
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  • None
  • Acute Otitis media without Perforation (AOMwoP)
  • Acute Otitis media with perforation (AOMwip)
  • Recurrent Acute Otitis Media (rAOM)
  • Otitis Media with Effusion (OME)
  • Persitent (Chronic) Otitis Media with Effusion (pOME)
  • Chronic Suppurative Otitis Media (CSOM)
  • Dry Perforation
  • Otitis Externa
  • Other
  • Hearing Loss
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  • High risk of persistent (Chronic) OME (pOME)
  • High risk of CSOM
  • High risk of lanaguage and learning hearing loss consequences
  • High risk of social and emotional hearing loss consequences
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Date of onset, description=Estimated or actual date the problem/diagnosis began, in the opinion of the clinician., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Age at onset, description=The estimated or actual age of the individual when the clinician assesses that the problem/diagnosis began. Note: May be important in situations where approximations of age based on calculations are not accurate enough, eg in infants under one year., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018], code=at0018, itemType=CLUSTER, level=4, text=Occurrence summary, description=Summary information about occurrences or exacerbations. Note: Detailed information about each occurrence or exacerbation is likely to be held in other parts of the health record., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Number, description=Cumulative number of occurrences or exacerbations of the problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=Frequency, description=The frequency or estimated frequency of occurrences or exacerbations of the problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • /min
  • /h
  • /d
  • /wk
  • /mo
  • /yr
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018]/items[at0020], code=at0020, itemType=ELEMENT, level=5, text=Latest occurrence, description=The date of the last occurrence or exacerbation of the problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018]/items[at0072], code=at0072, itemType=ELEMENT, level=5, text=Description, description=A narrative description, including outcomes and other key details, about occurrences or exacerbations of the problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0018]/items[at0073], code=at0073, itemType=ELEMENT, level=5, text=Link to occurrence details, description=Link to further information about past occurrences or exacerbations of the problem/diagnosis that exist elsewhere in the health record., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0026], code=at0026, itemType=CLUSTER, level=4, text=Related items, description=Further problems, diagnoses, procedures or events that are related in some way to this problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0026]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=Related item, description=Identification of a related problem, diagnosis, procedure, or event as text, coded text or link within the health record. Note: It is desirable that this field should be coded using terminology, wherever possible., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0026]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Relationship type, description=The type of relationship that this problem/diagnosis has to the related item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Caused by  [This concept identifies the direct cause or causative agent of a Problem/Diagnosis. The concept includes the idea of ‘complications’, ‘causative agent’ and ‘due to’. Note: Where no causality or sequence of events is known, this relationship type should be left blank.]
  • Following  [This value identifies the sequence of events between the related items, but does not assert causality. This can be used for sequelae or late effects. Note: Where no causality or sequence of events is known, this relationship type should be left blank.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Date of resolution/remission, description=The date or estimated date that the problem/diagnosis resolved or went into remission., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Age at resolution/remission, description=The age of the person at the time of resolution or remission of the problem/diagnosis. Note: May be important in situations where approximations of age based on calculations are not accurate enough, eg in infants under one year., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the problem or diagnosis not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0074], code=at0074, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0074]/items[at0075], code=at0075, itemType=ELEMENT, level=4, text=Link to supporting clinical evidence, description=Links to other relevant information, including pathology reports., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Recommendations'], code=at0000, itemType=SECTION, level=1, text=Recommendations, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan'], code=at0000, itemType=SECTION, level=1, text=Plan, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1], code=at0000.1, itemType=INSTRUCTION, level=2, text=Australian Hearing Referral request, description=Request for provision of a specified service by another healthcare provider or organisation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Current Activity., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=5, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • device consideration
  • device follow up
  • review
  • other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Reason for request, description=A short description of the reason for the request. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • bilateral hearing loss
  • existing aided client
  • existing unaided client
  • client request
  • school request
  • other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Intent, description=Stated intent of the request by the referrer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=5, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Emergency  [The request is an emergency.]
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=5, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=5, text=Supplementary information to follow, description=True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=5, text=Supplementary information expected, description=Details of the nature of supplementary information that is to follow e.g name of laboratory results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Requestor Identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Request status, description=The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2], code=at0.2, itemType=CLUSTER, level=4, text=Duration, description=Length of time the referral is valid., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2]/items[at0.3], code=at0.3, itemType=ELEMENT, level=5, text=Duration, description=Duration for which the referral is valid., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2]/items[at0.4], code=at0.4, itemType=ELEMENT, level=5, text=Indefinite, description=If true, referral is for an indefinite period of time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment'], code=at0000, itemType=INSTRUCTION, level=2, text=Follow up Audiology Appointment, description=Request for a range of different healthcare services, for example, a referral, lab request, equipment request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Current Activity., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/timing, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=timing, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=5, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • diagnostic audiometry
  • VROA
  • BOA
  • ABR
  • other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Reason for request, description=A short description of the reason for the request. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • monitoring
  • pre-surgical assessment
  • post surgical assessment
  • other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Intent, description=Stated intent of the request by the referrer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=5, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Emergency  [The request is an emergency.]
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=5, text=Supplementary information to follow, description=True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=5, text=Supplementary information expected, description=Details of the nature of supplementary information that is to follow e.g name of laboratory results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Requestor Identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='Follow up Audiology Appointment']/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Request status, description=The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • open
  • closed
  • expired
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review'], code=at0000, itemType=INSTRUCTION, level=2, text=ENT Teleotology Review, description=Request for a range of different healthcare services, for example, a referral, lab request, equipment request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Current Activity., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=5, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • ENT Consultation
  • ENT Nurse
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=5, text=Description of service, description=A detailed narrative description of the service requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Reason for request, description=A short description of the reason for the request. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Intent, description=Stated intent of the request by the referrer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=5, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Emergency  [The request is an emergency.]
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=5, text=Supplementary information to follow, description=True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=5, text=Supplementary information expected, description=Details of the nature of supplementary information that is to follow e.g name of laboratory results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Requestor Identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1 and name/value='ENT Teleotology Review']/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Request status, description=The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=1, text=Clinical Synopsis, description=A narrative summary about a patient, from the perspective of a healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Synopsis, description=An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]