ARCHETYPE Audiogram Result (openEHR-EHR-OBSERVATION.audiogram.v2)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.audiogram.v2
ConceptAudiogram Result
DescriptionRecord of measurements of hearing acuity using an audiometer and their clinical interpretation.
UseUse to record measurements and related findings of hearing acuity for one ear at a time or both ears simultaneously. Use to record the interpretation of all measurements of hearing acuity for each ear or both ears if tested simultaneously, and an overall interpretation (or audiological diagnosis). This archetype has been designed to capture test measurements for the following tests: - Pure Tone Audiometry; - Play Audiometry; - Auditory Brainstem Response; - Automated Auditory Brainstem Response; and - Visual Reinforcement Orientation Audiometry. 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.
MisuseNot to be used to record other hearing tests. Use other archetypes as appropriate, for example OBSERVATION.tympanogram.
PurposeTo record measurements of hearing acuity using an audiometer and their interpretation by a clinician.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2012-10-10
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2012-10-10
OtherDetails Language Independent{MD5-CAM-1.0.1=34AFB409D6B9BC853F26CECFA6F185F4}
Keywordshearing, test, audiogram, audiometry, acuity
LifecycleCommitteeDraft
Language useden
Citeable Identifier1013.1.1316
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record of measurements of hearing acuity using an audiometer and their clinical interpretation., archetypeConceptComment=null, otherContributors=Stephen Chu, NEHTA, Australia (Editor)
Kerrie Lee, Ngaanyatjarra Health Service, Australia (Editor)
Heather Leslie, Ocean Informatics, Australia (Editor)
Kathy Currie, Program Leader, Hearing Health, Northern Territory Health, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0013]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Aided, description=The test has been conducted with the patient using a form of auditory assistance, such as a hearing aid or cochlear implant., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0013]/items[at0074], code=at0074, itemType=ELEMENT, level=4, text=Pre-test Conditions, description=Identification of whether the subject was exposed to a quiet environment for a specified period prior to testing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pre-test quiet [Test preceded by a quiet period.]
  • No pre-test quiet [Test not preceded by a quiet period.]
, extendedValues=null]], capabilities=[], items=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Any event, description=Any unspecified point in time or interval event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], provider=[], content=[], target=[], contacts=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=Masking, description=Presentation of a frequency masking stimulus to the non-test ear to more accurately determine hearing thresholds in the test ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unmasked [No masking was used during the test.]
  • Masked for bone conduction [Masking for bone conduction was applied to the non-test ear.]
  • Masked for air conduction [Masking for air conduction was applied to the non-test ear.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108], code=at0108, itemType=CLUSTER, level=2, text=Presentation, description=Presentation of the test stimulus to the test ear., comment=For example, noting the cooperation of the patient or the method used., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108]/items[at0109], code=at0109, itemType=ELEMENT, level=3, text=Air Conduction, description=The indirect transmission of the test stimulus to the inner ear through the atmosphere, via the auditory canal and inner ear structures., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Freefield [The stimulus is presented via loudspeaker.]
  • Insert earphone [The stimulus is presented via inset earphones.]
  • External earphone [The stimulus is presented via external earphones.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108]/items[at0113], code=at0113, itemType=ELEMENT, level=3, text=Bone Conduction, description=The direct transmission of the test stimulus to the inner ear via the cranial bones., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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=/protocol[at0032]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Test Environment, description=The space and conditions in which the audiometric test is administered., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Audiometric booth [Sound-treated room designed to attenuate nominal outside noise.]
  • 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=/protocol[at0032]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Test Stimulus, description=Identification of the frequency-specific stimulus used in measuring the hearing threshold., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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.]
  • Modulated tone [The test stimulus is a modulated tone.]
  • Pure Tone [The test stimulus is a pure tone.]
  • Broadband noise [The test stimulus is a broadband noise.]
  • Pink noise [The test stimulus is pink noise.]
  • Narrowband noise [The test stimulus is narrowband noise.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085], code=at0085, itemType=CLUSTER, level=2, text=Click Stimulus Specification, description=Identification of parameters specifying a click stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0086], code=at0086, itemType=ELEMENT, level=3, text=Onset Ramp, description=Time over which the stimulus grows to full amplitude., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0087], code=at0087, itemType=ELEMENT, level=3, text=Offset Ramp, description=Time over which the stimulus depletes to zero amplitude., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0088], code=at0088, itemType=ELEMENT, level=3, text=Total Duration, description=Total duration of the click stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093], code=at0093, itemType=CLUSTER, level=2, text=Threshold Determination Protocol, description=Protocol used to measure the hearing threshold., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Step Size, description=The step size (in decibels) of the change in the stimulus intensity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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 20 decibels.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093]/items[at0099], code=at0099, itemType=ELEMENT, level=3, text=Direction, description=The direction of change in the stimulus intensity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Descending/Ascending [Initial direction of change of the stimulus intesity is descending, followed by ascending.]
  • Ascending/Descending [Initial direction of change of the stimulus intensity is ascending, followed by descending.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0047], code=at0047, itemType=SLOT, level=2, text=Audiometer, description=Details of audiometer used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0116], code=at0116, itemType=SLOT, level=2, text=Earphones, description=Details of earphones, either insert or external, used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0119], code=at0119, itemType=ELEMENT, level=2, text=Test Modifications Required, description=Narrative description of any modfications to the standard methodology required to enable successful completion of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0089], code=at0089, itemType=ELEMENT, level=2, text=Calibration Reference dB, description=Scale used for acoustic calibration check., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • db SPL [The sound pressure level scale was used.]
  • dB HL [The hearing level scale was used.]
  • dB nHL [The normal hearing level scale was used.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102], code=at0102, itemType=CLUSTER, level=2, text=Screening Assessment Pass Criteria, description=Criteria used to determine a screening assessement pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0103], code=at0103, itemType=ELEMENT, level=3, text=Stimulus Type, description=Type of stimulus used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Tone [A tone stimulus was used.]
  • Click [A click stimulus was used.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Stimulus Level, description=Identification of the hearing threshold level used to determine a screening assessment pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units:
  • -10.0..120.0 dB
    Limit decimal places: 0

Assumed value: 0.0dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0107], code=at0107, itemType=ELEMENT, level=3, text=Stimulus Frequency, description=Identification of the stimulus frequency used to determine a screening assessment pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency
Units:
  • 0.125..16.0 kHz
    Limit decimal places: 3
  • 125.0..16000.0 Hz
    Limit decimal places: 0

Assumed value: 125.0Hz
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0120], code=at0120, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the protocol for the audiogram not captured in other fields., comment=For example, the cooperation of the subject or the method use for testing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Test Result Name, description=Identification of the Audiometry test performed., comment=Coding with a terminology is preferred, where possible. Applicable tests include: Pure Tone Audiometry; Play Audiometry; Auditory Brainstem Response; Automated Auditory Brainstem Response; and Visual Reinforcement Orientation Audiometry., 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=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=CLUSTER, level=4, text=(Test Result), description=The audiometry test result which can be recorded per ear or for both ears simultaneously., comment=null, uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=2..*, cardinalityText=Minimum of 2 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Runtime name constraint:
  • Left Ear Test Result [Test results for the left ear solo!]
  • Right Ear Test Result [*]
  • Binaural Test Result [REsult for bothies.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048], code=at0048, itemType=CLUSTER, level=5, text=Measurement, description=The measured frequency/threshold level pair., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=2..2, cardinalityText=Minimum of 2 items, maximum of 2 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048]/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Frequency, description=The stimulus frequency tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency
Units:
  • 125.0..16000.0 Hz
    Limit decimal places: 0
  • 0.125..16.0 kHz
    Limit decimal places: 3

Assumed value: 0.125kHz
Limit decimal places: 3, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048]/items[at0012], code=at0012, itemType=ELEMENT, level=6, 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=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units:
  • -10.0..120.0 dB
    Limit decimal places: 0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0122], code=at0122, itemType=ELEMENT, level=5, 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=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0123], code=at0123, itemType=ELEMENT, level=5, text=Reason for No Test Result, description=Reason why no 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=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Screening Assessment, description=Interpretation of a series of audiometric measurements, for purposes of screening assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055], code=at0055, itemType=CLUSTER, level=5, text=Hearing Threshold Interpretation, description=Interpretation of a series of audiometric measurements for purposes of hearing threshold assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0057], code=at0057, itemType=CLUSTER, level=6, text=Pure Tone Average, description=The calculated average pure tone hearing threshold according to specifed averaging criteria., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0057]/items[at0056], code=at0056, itemType=ELEMENT, level=7, text=dB Average, description=The average pure tone threshold according to the specified averaging criteria., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units:
  • -10.0..120.0 dB
    Limit decimal places: 1

Assumed value: 0.0dB
Limit decimal places: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0057]/items[at0061], code=at0061, itemType=ELEMENT, level=7, text=Criteria, description=The criteria on which the Pure Tone Average is calculated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0065], code=at0065, itemType=ELEMENT, level=6, text=Type of Loss, description=Identified type of hearing loss for the test ear, based on all measurements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Conductive [Hearing loss caused by blockage or damage in the outer and/or middle ear.]
  • Sensorineural [Hearing loss that is caused by damage to, or malfunction of, the cochlea or auditory nerve.]
  • Mixed [Hearing loss that is caused by a combination of conductive problems in the the outer and/or middle ear plus sensorineural problems in the cochlear and/or auditory nerve.]
  • Indeterminate [It is not possible to determine the exact type of hearing loss.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0070], code=at0070, itemType=ELEMENT, level=6, text=Clinical Interpretation, description=Clinical interpretation of all measurements for the test ear., comment=Coding with a terminology is preferred, where possible. Not to be used for recording the interpretation for both ears when the ears are tested simultaneously - use the data element 'Overall Interpretation' instead., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0055]/items[at0126], code=at0126, itemType=ELEMENT, level=6, text=Articulation Index, description=An algorithm to predict the amount of speech that is audible to a patient with a specific hearing loss., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Unitary
Numerator: 0.0..1.0
Assumed value: 0.0

Assumed value: false
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0071], code=at0071, itemType=ELEMENT, level=4, text=Symmetry of Loss, description=An interpretation about the symmetry of hearing loss, based on all hearing acuity measurements for both ears., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Symmetrical [The hearing loss is symmetrical.]
  • Asymmetrical [The hearing loss is assymmetrical.]
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  • Unmasked [No masking was used during the test.]
  • Masked for bone conduction [Masking for bone conduction was applied to the non-test ear.]
  • Masked for air conduction [Masking for air conduction was applied to the non-test ear.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108], code=at0108, itemType=CLUSTER, level=2, text=Presentation, description=Presentation of the test stimulus to the test ear., comment=For example, noting the cooperation of the patient or the method used., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108]/items[at0109], code=at0109, itemType=ELEMENT, level=3, text=Air Conduction, description=The indirect transmission of the test stimulus to the inner ear through the atmosphere, via the auditory canal and inner ear structures., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Freefield [The stimulus is presented via loudspeaker.]
  • Insert earphone [The stimulus is presented via inset earphones.]
  • External earphone [The stimulus is presented via external earphones.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0108]/items[at0113], code=at0113, itemType=ELEMENT, level=3, text=Bone Conduction, description=The direct transmission of the test stimulus to the inner ear via the cranial bones., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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=/protocol[at0032]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Test Environment, description=The space and conditions in which the audiometric test is administered., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Audiometric booth [Sound-treated room designed to attenuate nominal outside noise.]
  • 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=/protocol[at0032]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Test Stimulus, description=Identification of the frequency-specific stimulus used in measuring the hearing threshold., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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.]
  • Modulated tone [The test stimulus is a modulated tone.]
  • Pure Tone [The test stimulus is a pure tone.]
  • Broadband noise [The test stimulus is a broadband noise.]
  • Pink noise [The test stimulus is pink noise.]
  • Narrowband noise [The test stimulus is narrowband noise.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085], code=at0085, itemType=CLUSTER, level=2, text=Click Stimulus Specification, description=Identification of parameters specifying a click stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0086], code=at0086, itemType=ELEMENT, level=3, text=Onset Ramp, description=Time over which the stimulus grows to full amplitude., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0087], code=at0087, itemType=ELEMENT, level=3, text=Offset Ramp, description=Time over which the stimulus depletes to zero amplitude., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0085]/items[at0088], code=at0088, itemType=ELEMENT, level=3, text=Total Duration, description=Total duration of the click stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units:
  • millisec
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093], code=at0093, itemType=CLUSTER, level=2, text=Threshold Determination Protocol, description=Protocol used to measure the hearing threshold., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Step Size, description=The step size (in decibels) of the change in the stimulus intensity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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 20 decibels.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0093]/items[at0099], code=at0099, itemType=ELEMENT, level=3, text=Direction, description=The direction of change in the stimulus intensity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Descending/Ascending [Initial direction of change of the stimulus intesity is descending, followed by ascending.]
  • Ascending/Descending [Initial direction of change of the stimulus intensity is ascending, followed by descending.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0047], code=at0047, itemType=SLOT, level=2, text=Audiometer, description=Details of audiometer used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0116], code=at0116, itemType=SLOT, level=2, text=Earphones, description=Details of earphones, either insert or external, used to conduct the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0119], code=at0119, itemType=ELEMENT, level=2, text=Test Modifications Required, description=Narrative description of any modfications to the standard methodology required to enable successful completion of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0089], code=at0089, itemType=ELEMENT, level=2, text=Calibration Reference dB, description=Scale used for acoustic calibration check., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • db SPL [The sound pressure level scale was used.]
  • dB HL [The hearing level scale was used.]
  • dB nHL [The normal hearing level scale was used.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102], code=at0102, itemType=CLUSTER, level=2, text=Screening Assessment Pass Criteria, description=Criteria used to determine a screening assessement pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0103], code=at0103, itemType=ELEMENT, level=3, text=Stimulus Type, description=Type of stimulus used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Tone [A tone stimulus was used.]
  • Click [A click stimulus was used.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Stimulus Level, description=Identification of the hearing threshold level used to determine a screening assessment pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units:
  • -10.0..120.0 dB
    Limit decimal places: 0

Assumed value: 0.0dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0107], code=at0107, itemType=ELEMENT, level=3, text=Stimulus Frequency, description=Identification of the stimulus frequency used to determine a screening assessment pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency
Units:
  • 0.125..16.0 kHz
    Limit decimal places: 3
  • 125.0..16000.0 Hz
    Limit decimal places: 0

Assumed value: 125.0Hz
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