ARCHETYPE ID | openEHR-EHR-OBSERVATION.tympanogram_226hz.v0 |
Concept | Tympanogram test result - 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. |
Use | Use to record measurements taken during tympanometry with a 226 Hz probe tone. Use to record outcome of tympanometry screening based on 226 Hz probe tone tympanometry. Use to record the interpretation all tympanogram measurements taken with a 226 Hz probe tone, to infer middle ear function for each ear, plus an overall interpretation (or tympanometric diagnosis). All of the data elements are recorded using a single method or protocol. If, during the test, any of the protocol parameters need to be modified, then the subsequent part of the test will need to be recorded within a separate instance of the test data, using the updated protocol parameters. Each 'Pressure vs Compliance Measurement' pair will comprise one pressure measurment with one corresponding compliance measurement. Compliance measurement has been represented in the archetype twice, each with different units. Compliance measurements will only be recorded in data using the unit that is recorded by the tympanometer in use - either volume units OR conductance units, but not both. Similarly, Static Compliance has been represented in the archetype twice, each with different units. Static Compliance measurements will only be recorded in data using the unit that is recorded by the tympanometer in use - either volume units OR conductance units, but not both. If the tympanogram 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. Similarly, if Type C subtypes describing the Tympanogram curve 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. |
Misuse | Not to be used to record other hearing tests. Use other archetypes as appropriate, for example OBSERVATION.audiogram. Not to be used to record high frequency tympanometry. Use the OBSERVATION.tympanogram_hf archetype instead. Not to be used to record multifrequency tympanometry. Use the OBSERVATION.tympanogram_hf archetype instead. |
Purpose | To record measurements based on a 226 Hz probe tone, of the admittance or impedance of the middle ear system as a function of changing the external ear canal pressure. To infer middle ear function from objective measurements based on a fixed 226Hz probe tone, taken at the tympanic membrane of the mobility of the tympanic membrane, in reponse to varying air pressure in the ear canal. |
References | Derived from: Tympanogram Result – 226Hz, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2012 Nov 20. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1111_5 (discontinued).¶ Previously derived from: Tympanogram, Draft archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager. Authored: 2012 Nov 20. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.73_2. American Academy of Audiology. (1997) Identification of hearing loss & middle-ear dysfunction in preschool & school-age children. Audiol Today. 9, 21–23. American National Standards Institute. (1987) Specifications for instruments to measure aural acoustic impedance and admittance (aural acoustic immittance). ANSI S3.39–1987. New York: American National Standards Institute. American Speech-Language-Hearing Association. (1997) Guidelines for audiologic screening. Rockville MD: American Speech-Language-Hearing Association. Fowler, C. G., & Shanks, J. E. (2002). Tympanometry. In J. Katz (Ed.), Handbook of clinical audiology (5th ed.). (pp. 175 – 204). Baltimore: Lippincott Williams & Wilkins. Margolis, R. H., & Hunter, L. L. (2000). Acoustic Immittance Measurements. In R. J. Roeser, M. Valente & H. Hosford-Dunn (Ed.), Audiology diagnosis. (pp. 381 - 423). New York: Thieme Medical Publishers, Inc. Margolis, R. H., Bass-Ringdahl, S., Hanks, W. D., Holte, K., & Zapala, D. A. (2003). Tympanometry in newborn infants—1 kHz norms. Journal of the American Academy of Audiology, 14, 383–392 Onusko, E. (2004). Tympanometry. American Family Physician, 70 (9), 1713 – 1720. |
Copyright | © Northern Territory Department of Health (Australia), openEHR Foundation |
Authors | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-11-20 |
Other Details Language | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-11-20 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Derived from: Tympanogram Result – 226Hz, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2012 Nov 20. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1111_5 (discontinued).¶ Previously derived from: Tympanogram, Draft archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager. Authored: 2012 Nov 20. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.73_2.
American Academy of Audiology. (1997) Identification of hearing loss & middle-ear dysfunction in preschool & school-age children. Audiol Today. 9, 21–23.
American National Standards Institute. (1987) Specifications for instruments to measure aural acoustic impedance and admittance (aural acoustic immittance). ANSI S3.39–1987. New York: American National Standards Institute.
American Speech-Language-Hearing Association. (1997) Guidelines for audiologic screening. Rockville MD: American Speech-Language-Hearing Association.
Fowler, C. G., & Shanks, J. E. (2002). Tympanometry. In J. Katz (Ed.), Handbook of clinical audiology (5th ed.). (pp. 175 – 204). Baltimore: Lippincott Williams & Wilkins.
Margolis, R. H., & Hunter, L. L. (2000). Acoustic Immittance Measurements. In R. J. Roeser, M. Valente & H. Hosford-Dunn (Ed.), Audiology diagnosis. (pp. 381 - 423). New York: Thieme Medical Publishers, Inc.
Margolis, R. H., Bass-Ringdahl, S., Hanks, W. D., Holte, K., & Zapala, D. A. (2003). Tympanometry in newborn infants—1 kHz norms. Journal of the American Academy of Audiology, 14, 383–392
Onusko, E. (2004). Tympanometry. American Family Physician, 70 (9), 1713 – 1720., current_contact=Heather Leslie, Atomica Informatics, Australia |
Keywords | tympanogram, tympanometry, tympanometer, admittance, pressure, compliance, immittance, static |
Lifecycle | in_development |
UID | f7eaa3df-0411-4b98-8164-96a9f1f66174 |
Language used | en |
Citeable Identifier | 1013.1.1845 |
Revision Number | 0.0.1-alpha |
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Units:
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