| TEMPLATE ID | *CL 3.1.5.1 Audiometry Report |
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| Concept | *CL 3.1.5.1 Audiometry Report |
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| Description | To record the findings of hearing acuity using audiometry |
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| Purpose | To record the findings of hearing acuity using audiometry |
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| References | |
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| Other Details (Language Independent) | - MetaDataSet:Sample Set : Template metadata sample set
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| Language used | en |
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| Citeable Identifier | 1013.26.801 |
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| Root archetype id | openEHR-EHR-COMPOSITION.report-result.v1 |
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| Audiometry Report | Audiometry Report: Document to communicate information to others about the result of a test or assessment. |
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| Audiogram result | Audiogram result: Measurement of hearing acuity using a calibrated hearing test device, and associated clinical interpretation. |
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| Test result name | Test result name: Identification of the Audiometry test performed.
Coding with an external terminology is preferred, where possible. Applicable tests include: Pure Tone Audiometry; Play Audiometry; Auditory Brainstem Response (for threshold determination); and Visual Reinforcement Orientation Audiometry.
- Pure Tone Audiometry
- Play Audiometry
- VROA
- Industrial Audiometry
Annotations- HHIMS.Value Set: 3.1.5.1-2
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| Result details | Result details: The test result measurements and interpretations which can be recorded per ear, or for both ears simultaneously. |
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| Test ear | Test ear: Identification of the ear(s) to which the test stimulus is being presented.
- Right ear
- Left ear
- Binaural
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| Air conduction result | Air conduction result: The thresholds obtained using air conduction testing. |
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| Air conduction masking | Air conduction masking: A masking stimulus was applied to the non-test ear to obtain specified air conduction thresholds. |
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| Measurement | Measurement: The measured frequency/threshold dB level pair for air conduction results. |
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| Frequency | Frequency: The stimulus frequency tested.
Frequency is not applicable if a click stimulus is presented.
125..16000 Hz |
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| Threshold level | Threshold level: The stimulus intensity at threshold for the test frequency.
-10..120 dB |
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| No response | No response: No response from subject at identified frequency. |
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| No test result | No test result: No air conduction test result is available for the test ear.
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. |
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| Reason for no result | Reason for no result: Reason why no air conduction result is available for the test ear.
For example, patient was not cooperative; patient was not capable; ran out of time.
- Patient Factors
- Equipment Factors
- Time Constraints
- Other
- [...]
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| Bone conduction result | Bone conduction result: The thresholds obtained using bone conduction testing. |
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| Bone conduction masking | Bone conduction masking: A masking stimulus was applied to the non-test ear to obtain specified bone conduction thresholds. |
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| Measurement | Measurement: The measured frequency/threshold dB level pair for bone conduction results. |
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| Frequency | Frequency: The stimulus frequency of the test signal.
125..16000 Hz |
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| Threshold level | Threshold level: The intensity of the test stimulus at the subject's threshold for the test frequency.
-10..120 dB |
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| No response | No response: No response from subject at identified frequency. |
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| No test result | No test result: No bone conduction test result is available for the test ear. |
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| Reason for no result | Reason for no result: Reason why no bone conduction result is available for the test ear.
- Patient Factors
- Equipment Factors
- Inappropriate Test Environment
- Time Constraints
- Other
- [...]
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| Hearing threshold interpretation | Hearing threshold interpretation: Interpretation of a series of audiometric measurements for purposes of hearing threshold assessment. |
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| Pure tone average | Pure tone average: The average pure tone threshold according to the specified averaging criteria.
This calculation is typically determined using air conduction thresholds.
-10..120 dB |
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| Degree of loss | Degree of loss: Category of the degree of hearing loss derived from the dB threshold values using specified criteria.
Coding with a terminology is desirable, where possible. For example: none, mild, moderate, severe and profound. Each of these categories should be clearly defined on the basis of a dB range appropriate for age.
- None
- Mild
- Moderate
- Severe
- Profound
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| Type of loss | Type of loss: Identified type of hearing loss for the test ear, based on all measurements.
If there is no degree of loss, then this data element is not applicable.
- Conductive
- Sensorineural
- Retrocochlear
- Mixed
- Indeterminate
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| Clinical interpretation | Clinical interpretation: Clinical interpretation of all measurements for the test ear.
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. |
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| Comment | Comment: Additional narrative about the hearing threshold interpretation not captured in other fields.
For example: to explain the reason why a degree of loss has been recorded that appears to deviate from the protocol for the corresponding pure tone average. |
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| Sensorineural symmetry | Sensorineural symmetry: An interpretation about the symmetry of sensorineural component of hearing loss, based on bone conduction measurements for both ears.
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| Laterality of loss | Laterality of loss: An interpretation about the laterality of hearing loss, based on all hearing acuity measurements for both ears.
If there is no degree of loss in both ears, then this data element is not applicable.
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| Degree of impairment | Degree of impairment: Category of the degree of overall hearing impairment derived from the dB threshold values using specified criteria based on the better hearing ear. |
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| Summary | Summary: Overall clinical interpretation of the measurements and related findings using an audiometer.
Coding with a terminology is preferred, where possible. This data element is effectively an audiological diagnosis. Binaural test results reflect either the performance for both ears (if equal hearing) or only the better ear (where the hearing is not symmetrical). |
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| Comment | Comment: Additional narrative about the test results and intepretation not captured in other fields.
Annotations- HHIMS.Value Set: Only available for legacy data content.
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| Confounding factors | Confounding factors: Narrative description of factors, not recorded elsewhere, that may influence the threshold measurements.
For example: noise exposure prior to test. |
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| Average | Average: Record of the average measured results from more than one test. For example, the average of the 3000Hz to 6000Hz measurements in a Hearing Conservation or Industrial Audiometry Assessment. The data elements required in this use case may be quite limited and relevant ones revealed via templating. |
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| Data | |
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| Test result name | Test result name: Identification of the Audiometry test performed.
Coding with an external terminology is preferred, where possible. Applicable tests include: Pure Tone Audiometry; Play Audiometry; Auditory Brainstem Response (for threshold determination); and Visual Reinforcement Orientation Audiometry. |
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| Result details | Result details: The test result measurements and interpretations which can be recorded per ear, or for both ears simultaneously. |
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| Test ear | Test ear: Identification of the ear(s) to which the test stimulus is being presented.
- Right ear
- Left ear
- Binaural
|
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| Air conduction result | Air conduction result: The thresholds obtained using air conduction testing. |
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| Air conduction masking | Air conduction masking: A masking stimulus was applied to the non-test ear to obtain specified air conduction thresholds. |
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| Measurement | Measurement: The measured frequency/threshold dB level pair for air conduction results. |
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| Frequency | Frequency: The stimulus frequency tested.
Frequency is not applicable if a click stimulus is presented.
125..16000; 0.125..16
Units: |
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| Threshold level | Threshold level: The stimulus intensity at threshold for the test frequency.
-10..120 dB |
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| No response | No response: No response from subject at identified frequency. |
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| No test result | No test result: No air conduction test result is available for the test ear.
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. |
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| Reason for no result | Reason for no result: Reason why no air conduction result is available for the test ear.
For example, patient was not cooperative; patient was not capable; ran out of time. |
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| Bone conduction result | Bone conduction result: The thresholds obtained using bone conduction testing. |
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| Bone conduction masking | Bone conduction masking: A masking stimulus was applied to the non-test ear to obtain specified bone conduction thresholds. |
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| Measurement | Measurement: The measured frequency/threshold dB level pair for bone conduction results. |
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| Frequency | Frequency: The stimulus frequency of the test signal.
125..16000; 0.125..16
Units: |
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| Threshold level | Threshold level: The intensity of the test stimulus at the subject's threshold for the test frequency.
-10..120 dB |
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| No response | No response: No response from subject at identified frequency. |
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| No test result | No test result: No bone conduction test result is available for the test ear. |
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| Reason for no result | Reason for no result: Reason why no bone conduction result is available for the test ear. |
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| Hearing threshold interpretation | Hearing threshold interpretation: Interpretation of a series of audiometric measurements for purposes of hearing threshold assessment. |
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| Pure tone average | Pure tone average: The average pure tone threshold according to the specified averaging criteria.
This calculation is typically determined using air conduction thresholds.
-10..120 dB |
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| Degree of loss | Degree of loss: Category of the degree of hearing loss derived from the dB threshold values using specified criteria.
Coding with a terminology is desirable, where possible. For example: none, mild, moderate, severe and profound. Each of these categories should be clearly defined on the basis of a dB range appropriate for age. |
|---|
| Type of loss | Type of loss: Identified type of hearing loss for the test ear, based on all measurements.
If there is no degree of loss, then this data element is not applicable.
- Conductive
- Sensorineural
- Retrocochlear
- Mixed
- Indeterminate
|
|---|
| Clinical interpretation | Clinical interpretation: Clinical interpretation of all measurements for the test ear.
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. |
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| Articulation index | Articulation index: An algorithm to predict the amount of speech that is audible to a patient with a specific hearing loss.
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| Comment | Comment: Additional narrative about the hearing threshold interpretation not captured in other fields.
For example: to explain the reason why a degree of loss has been recorded that appears to deviate from the protocol for the corresponding pure tone average. |
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| Sensorineural symmetry | Sensorineural symmetry: An interpretation about the symmetry of sensorineural component of hearing loss, based on bone conduction measurements for both ears.
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| Laterality of loss | Laterality of loss: An interpretation about the laterality of hearing loss, based on all hearing acuity measurements for both ears.
If there is no degree of loss in both ears, then this data element is not applicable.
|
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| Degree of impairment | Degree of impairment: Category of the degree of overall hearing impairment derived from the dB threshold values using specified criteria based on the better hearing ear. |
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| Overall interpretation | Overall interpretation: Overall clinical interpretation of the measurements and related findings using an audiometer.
Coding with a terminology is preferred, where possible. This data element is effectively an audiological diagnosis. Binaural test results reflect either the performance for both ears (if equal hearing) or only the better ear (where the hearing is not symmetrical). |
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| Comment | Comment: Additional narrative about the test results and intepretation not captured in other fields. |
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| State | |
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| Aided status | Aided status: Indication regarding use of an assistive listening device by the test subject during the test.
- Unaided
- Right aided
- Left aided
- Bilateral aided
- Bone conduction aided
Assumed value: Unaided |
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| Confounding factors | Confounding factors: Narrative description of factors, not recorded elsewhere, that may influence the threshold measurements.
For example: noise exposure prior to test. |
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| Air presentation | Air presentation: Presentation of the air conduction test stimulus indirectly to the inner ear through the atmosphere, via the auditory canal and middle ear structures.
- Soundfield
- Insert earphone
- Headphones
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| Bone presentation | Bone presentation: Presentation of the bone conduction test stimulus directly to the inner ear via the cranial bones.
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| Test environment | Test environment: The environment in which the audiometric test is administered.
This data element is commonly used in industry hearing programs.
- Audiometric booth
- Non-sound treated room
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| Background noise | Background noise: The amount and nature of noise in the environment that may influence the test results.
If testing is conducted in an audiometric booth, this data element is redundant.
- Clinically significant
- Not clinically significant
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| Test stimulus | Test stimulus: Identification of the stimulus used in the hearing test to measure the hearing threshold.
- Tone burst
- Click
- Warble Tone
- Pure Tone
- Narrow Band Noise
- Pulse tone
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| Click stimulus specification | Click stimulus specification: Identification of parameters specifying a click stimulus. |
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| Onset ramp | Onset ramp: Time over which the stimulus grows to full amplitude.
Units: millisec |
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| Offset ramp | Offset ramp: Time over which the stimulus depletes to zero amplitude.
Units: millisec |
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| Total duration | Total duration: Total duration of the click stimulus.
Units: millisec |
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| Threshold determination protocol | Threshold determination protocol: Protocol used to measure the hearing threshold for pure tone, play and visual reinforcement orientation audiometry only.
Not applicable for ABR testing. |
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| Threshold definition | Threshold definition: Definition of the protocol used to define the threshold level used in the test.
- Minimum response level
- 2/3 responses
- 3/6 responses
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| Step size | Step size: The step size (in decibels) of the change in the stimulus intensity for threshold determination.
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| Direction | Direction: The direction of change in the stimulus intensity.
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| Reliability | Reliability: Narrative description of the reliability of the test results.
If an appropriate value set can be determined, this could be coded. The maximum occurrences of this data element have been set to two to allow for both narrative and a coded value to be selected in a template. |
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| Test modifications required | Test modifications required: Narrative description of any modfications to the standard methodology required to enable successful completion of the test. |
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| Calibration reference dB | Calibration reference dB: Scale used for acoustic calibration of the test signal.
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| Criteria for pure tone average | Criteria for pure tone average: The criteria on which the Pure Tone Average is calculated. The average is based on air conduction thresholds and masked thresholds replace unmasked thresholds when applying the formula.
If recording the Criteria as a narrative, it is possible to identify the frequencies used for non-standard Pure Tone Average as free text.
 Coded Text- 3 frequency average
- 4 frequency average
 Text
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| Criteria for asymmetry | Criteria for asymmetry: The criteria on which asymmetry is defined in the test result interpretation.
For example: binaural difference in bone conduction thresholds of >10 dB at two consecutive frequencies or >15 dB at one frequency (0.25–8.0 kHz). |
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| Comment | Comment: Additional narrative about the protocol for the audiogram not captured in other fields.
For example, the co-operation of the test subject or description of the method used for testing. |
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