TEMPLATE CL 3.1.4.1 226 Hz Tympanogram Report (CL 3.1.4.1 226 Hz Tympanogram Report)

TEMPLATE ID	*CL 3.1.4.1 226 Hz Tympanogram Report
Concept	*CL 3.1.4.1 226 Hz Tympanogram Report
Description	To record the findings from a 226Hz tympanogram assessment.
Purpose	To record the findings from a 226Hz tympanogram assessment.
References
Other Details (Language Independent)	MetaDataSet:Sample Set : Template metadata sample set
Language used	en
Citeable Identifier	1013.26.792
Root archetype id	openEHR-EHR-COMPOSITION.report-result.v1
226 Hz Tympanogram Report	226 Hz Tympanogram Report: Document to communicate information to others about the result of a test or assessment.
Tympanogram Result - 226Hz	Tympanogram Result - 226Hz: Measurement of tympanic membrane movement in response to a 226Hz probe tone and changes in air pressure in the ear canal, and associated clinical interpretation.
Data
Baseline	Baseline: Measurement collection recorded as the basis for comparison with following measurement collections that may include other variables of time or patient state.
Data
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Exclusion of examination	Exclusion of examination: Positive statement to record that the physical examination, or a specified part of the physical examination, was not performed.
Examination not done	Examination not done: Statement to explicity record that the examination was not performed. Record as True if the examination was not performed.
Reason	Reason: Reason for the 'not done' statement. For example: patient factors, equipment factors, time constraints. Client factors Equipment factors Time constraints Other
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Post valsalva	Post valsalva: Measurements are recorded after the patient has performed a valsalva manoeuvre.
Data
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Post toynbee	Post toynbee: Measurements are recorded after the patient has performed a toynbee manoeuvre.
Data
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Tympanogram Result - 226Hz #1	Tympanogram Result - 226Hz #1: Measurement of tympanic membrane movement in response to a 226Hz probe tone and changes in air pressure in the ear canal, and associated clinical interpretation.
Baseline	Baseline: Measurement collection recorded as the basis for comparison with following measurement collections that may include other variables of time or patient state.
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Exclusion of examination	Exclusion of examination: Positive statement to record that the physical examination, or a specified part of the physical examination, was not performed.
Examination not done	Examination not done: Statement to explicity record that the examination was not performed. Record as True if the examination was not performed.
Reason	Reason: Reason for the 'not done' statement. For example: patient factors, equipment factors, time constraints. Client factors Equipment factors Time constraints Other
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Post valsalva	Post valsalva: Measurements are recorded after the patient has performed a valsalva manoeuvre.
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
Post toynbee	Post toynbee: Measurements are recorded after the patient has performed a toynbee manoeuvre.
Result details	Result details: The tympanogram test result measurements and interpretations, recorded per ear.
Test ear	Test ear: Identification of the ear being tested. Right ear Left ear
Measurement details	Measurement details: Measurements of the tympanogram to infer middle ear function. Static compliance has been represented in the archetype twice, each with different units. Static compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both.
Pressure vs compliance measurement	Pressure vs compliance measurement: The Pressure/Compliance measurement pair, captured from a tympanometer and used to define a continuous tympanogram curve. Each measurement pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance has been represented in the archetype twice, each with different units. Compliance will only be recorded in data using the unit that is captured by the tympanometer in use - either volume units OR conductance units, but not both. Multiple instances of this measurement pair will form the basis for the graphical display of the tympanogram.
Pressure	Pressure: The pressure measured in the ear canal. -600..200 Units: daPa mm[H20]
Compliance (volume)	Compliance (volume): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in cc or ml. If the tympanometer records compliance in cc or ml, use this data element. If the tympanometer records compliance in mmho, use the 'Compliance (Conductance) data element. 0..5; 0..5 Units: ml cc
Compliance (conductance)	Compliance (conductance): The amount of acoustic energy absorbed by the middle ear system at a specified pressure, measured in mmHo. If the tympanometer records compliance in mmho, use this data element. If the tympanometer records compliance in cc or ml, use the 'Compliance (Volume) data element. 0..5 mmho
Peak pressure	Peak pressure: Peak pressure (also called tympanometric peak pressure or middle ear pressure or MEP) is the ear canal pressure at which the peak of the tympanogram occurs. Also known as Middle Ear Pressure (MEP). It is plotted on the horizontal axis on a tympanogram. -400..200 Units: daPa mm[H20]
Static compliance (volume)	Static compliance (volume): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). 0..5; 0..5 Units: ml cc
Static compliance (conductance)	Static compliance (conductance): Static compliance (SC) is the greatest amount of acoustic energy absorbed by the middle ear system (the vertical peak of the tympanogram curve). Also known as 'Static Admittance'. It is plotted on the verical axis of a tympanogram. 0..5 mmho
Ear canal volume	Ear canal volume: An estimate of the volume of air between the probe tip and the tympanic membrane if the tympanic membrane is intact, or the volume of the ear canal and the middle ear space if the tympanic membrane is perforated. (Fowler & Shanks, 2002, p. 180). 0..5; 0..5 Units: cc ml
Tympanometric width	Tympanometric width: The pressure interval corresponding to a 50% reduction in the peak static admittance. 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'. 0..400 daPa
Tympanometric gradient	Tympanometric gradient: The steepness of the slope of the tympanogram near the peak. This value is typically derived from the Tympanogram curve. QuantityUnits: mmho Proportion Unitary
No test result	No test result: No test result is available for the test ear. Record as True if the clinician was unable to record a result for the test ear.
Reason for no test result	Reason for no test result: Reason why no result is available for the test ear. 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. Discharge No Seal Obtained Other [...]
Tympanogram type	Tympanogram type: Description of the the shape of the tympanogram curve, based on the Jerger categories. 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. Type A Type As Type Ad Type B Type B with high ECV Type B with low ECV Type C Type Cs Type Cd Indeterminate
Clinical interpretation	Clinical interpretation: Clinical interpretation of all measurements for the test ear. Coding with a terminology is preferred, where possible. Consistent with normal middle ear function (A) Can represent normal middle ear function or stiff middle ear system (hypomobile) (As) Can indicate a flaccid or hypermobile middle ear system, such as ossicular subluxation or healed tympanic membrane perforation (hypermobile) (Ad) Consistent with middle ear effusion or thickened tympanic membrane (B) Consistent with a tympanic membrane perforation (B high) Consistent with wax in the ear canal or probe tip against side of canal wall (B low) Consistent with eustachian tube dysfunction without the presence of middle ear effusion (C) Consistent with eustachian tube dysfunction and most likely some fluid present in middle ear(Cs) Consistent with eustachian tube dysfunction and either ossicular subluxation or healed tympanic membrane perforation (Cd) Indeterminate (attempted, but no conclusion made)
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.

TEMPLATE *CL 3.1.4.1 226 Hz Tympanogram Report (*CL 3.1.4.1 226 Hz Tympanogram Report)

TEMPLATE CL 3.1.4.1 226 Hz Tympanogram Report (CL 3.1.4.1 226 Hz Tympanogram Report)