Use to record measurements and related findings for a single identified test of hearing acuity, for each ear tested separately or both ears simultaneously, via air conduction and/or bone conduction, with masking when required.
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 hearing threshold determination for air conduction and/or bone conduction (with or without masking) for the following tests:
- Pure Tone Audiometry;
- Play Audiometry;
- 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.
Not to be used for hearing screening assessment - use the OBSERVATION.hearing_screening archetype.
Not to be used to record other auditory assessments such as:
- Behavioural Observation Audiometry (BOA);
- Most Comfortable Listening Level (MCL) and Uncomfortable Listening Level (UCL); and
- Auditory Brainstem Response (ABR) for any purpose other than hearing threshold determination.
These assessments need to be recorded in specific archetypes for the purpose.
Organisasjon: Hearing Health Program, Northern Territory
E-post: kerrie.lee2@bigpond.com
Opprinnelig skrevet dato: 2012-10-10
Organisasjon: Hearing Health Program, Northern Territory
E-post: kerrie.lee2@bigpond.com
Opprinnelig skrevet dato: 2012-10-10
- Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
- Custodian Organisation: Nasjonal IKT
- References: Sabini P, Sclafani AP. Efficacy of serologic testing in asymmetric sensorineural hearing loss. Otolaryngol Head Neck Surg. 2000 Apr;122(4):469-76. PubMed PMID: 10740163.
- Current Contact: Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com
- Original Namespace: no.nasjonalikt
- Original Publisher: Nasjonal IKT
- Custodian Namespace: no.nasjonalikt
- MD5-CAM-1.0.1: 461410114E2BDA8F0C0753D0C936F4C1
- Build Uid: f559cd15-280e-49e5-b09d-392bea982551
- Revision: 0.0.1-alpha
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.
- Left Ear [The test stimuli were presented to the left ear only.]
- Right Ear [The test stimuli were presented to the right ear only.]
- Binaural [The test stimuli were presented to both ears simultaneously in a soundfield.]
Tillatte verdier: {true}
Frequency is not applicable if a click stimulus is presented.
Egenskap: Frequency
Enheter:
- 125.0..16000.0 Hz
Begrens antall desimaler: 0 - 0.125..16.0 kHz
Begrens antall desimaler: 3
Egenskap: Loudness
Enheter: -10.0..120.0 dB
Begrens antall desimaler: 0
Mulige begrunnelser for null-verdi:
- unknown
- masked
- not applicable
- no information
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.
Tillatte verdier: {true}
For example, patient was not cooperative; patient was not capable; ran out of time.
Tillatte verdier: {true}
Egenskap: Frequency
Enheter:
- 125.0..16000.0 Hz
Begrens antall desimaler: 0 - 0.125..16.0 kHz
Begrens antall desimaler: 3
Egenskap: Loudness
Enheter: -10.0..120.0 dB
Begrens antall desimaler: 0
This calculation is typically determined using air conduction thresholds.
Egenskap: Loudness
Enheter: -10.0..120.0 dB
Begrens antall desimaler: 1
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.
If there is no degree of loss, then this data element is not applicable.
- Conductive [A conductive hearing loss pattern has been identified for the Test Ear, based on the presence of an air/bone gap and bone conduction thresholds within normal range.]
- Sensorineural [A sensorineural hearing loss pattern has been identified for the Test Ear, based on no air/bone gap and thresholds outside normal range.]
- Retrocochlear [A form of sensorineural hearing loss in which the lesion is proximal to the cochlear.]
- Mixed [A mixed hearing loss pattern has been identified for the Test Ear, based on the presence of an air/bone gap and bone conduction thresholds outside normal range.]
- Indeterminate [It is not possible to determine the pattern of hearing loss.]
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.
- Fraksjon
Antatt verdi: false
- Symmetrical [The hearing loss is symmetrical.]
- Asymmetrical [The hearing loss is asymmetrical.]
If there is no degree of loss in both ears, then this data element is not applicable.
- Unilateral [Loss of hearing in one ear.]
- Bilateral [Loss of hearing in both ears.]
Coding with a terminology is preferred, where possible. This data element is effectively an audiological diagnosis. Binaural test results reflects either the performance for both ears (if equal hearing) or only the better ear (where there is asymmetric hearing)."
image/cgm, image/gif, image/png, image/tiff, image/jpeg, application/pdf
- Soundfield [The stimulus is presented via a loudspeaker located at least one metre away from the subject.]
- Insert Earphone [The stimulus is presented via insert earphones.]
- Headphones [The stimulus is presented via external headphones - either circumaural or supraaural..]
- 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.]
This data element is commonly used in industry hearing programs.
- Audiometric booth [Sound treated room that provides a test environment that meets audiometric standards for ambient noise inside the booth.]
- Other [The test environment was not a booth that meets audiometric standards for ambient noise inside the booth.]
- Not Clinically Significant [The background noise is not clinically significant.]
- Clinically Significant [The background noise is clinically significant.]
- Tone Burst [The test stimulus is a tone burst.]
- Click [The test stimulus is a click.]
- Warble Tone [The test stimulus is a frequency modulated tone.]
- Pure Tone [The test stimulus is a pure tone.]
- Narrow Band Noise [The test stimulus is a narrow band noise centred on the specified frequency.]
- Pulse Tone [The test stimulus is a pulse tone.]
Egenskap: Time
Enheter:
- millisec
- yr
Egenskap: Time
Enheter: millisec
Egenskap: Time
Enheter: millisec
Not applicable for ABR testing.
- Minimum response level [The softest level at which a subject responds to a stimulus.]
- 2/3 responses [The softest level at which the subject responds to two out of three consecutive threshold runs.]
- 3/6 responses [The softest level at which the subject responds to three out of six consecutive threshold runs.]
- 1 dB [Step size of one decibel.]
- 5 dB [Step size of five decibels.]
- 10 dB [Step size of ten decibels.]
- 20 dB [Step size of twenty decibels.]
- Ascending [Threshold is calculated based on the ascending runs where the stimulus moves from below threshold to above threshold.]
- Descending [Threshold is calculated based on the descending runs where the stimulus moves from above threshold to below threshold.]
Details of the headphones and bone conductors that are calibrated to be used in conjunction with a specific hearing test instrument will be nested as specific CLUSTER archetypes within the CLUSTER.hearing_test_instrument archetype.
Inkluder:
openEHR-EHR-CLUSTER.device-hearing_
For example: hearing aid or bone conductor aid.
Inkluder:
openEHR-EHR-CLUSTER.device.v1 og spesialiseringer
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.
- dB SPL [The test stimuli are calibrated using the sound pressure level scale.]
- dB HL [The test stimuli are calibrated using the hearing level scale.]
- dB nHL [The test stimuli are calibrated using the normal hearing level scale.]
If recording the Criteria as a narrative, it is possible to identify the frequencies used for non-standard Pure Tone Average as free text.
Mulige datatyper:
Kodet tekst- 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.]
Fri eller kodet tekst
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).
For example, the co-operation of the test subject or description of the method used for testing.
- Unaided [Testing has not been aided by a hearing device, such as a hearing aid or cochlear implant.]
- Left Aided [Left ear testing has been aided by a hearing device, such as a hearing aid or cochlear implant.]
- Right Aided [Right ear testing has been aided by a hearing device, such as a hearing aid or cochlear implant.]
- Bilateral Aided [Testing has been aided by use of bilateral hearing devices, such as a hearing aids or cochlear implants.]
- Bone Conduction Aided [Testing has been aided by a bone conduction device.]
Antatt verdi: Unaided
For example: noise exposure prior to test.
Matematisk funksjon: Median
Judith Boswell, Adelaide Hearing Consultants, Australia
Stephen Chu, NEHTA, Australia
Kimberley Crebbin, NT Hearing Services, Australia
Kathy Currie, Northern Territory Health, Australia
Lisa Dawson, NT Hearing, Northern Territory
Jade Frederiksen, Hearing Health Program, DoH, Australia
Sam Harkus, Australian Hearing, Australia
Sam Heard, Ocean Informatics, Australia (Editor)
Paul Hickey, Hearing Health Program, Australia
Oliver Hosking, Remote Health NT, Australia
Anthony Leech, Hearing Health, Australia
Kerrie Lee, Ngaanyatjarra Health Service, Australia
Heather Leslie, Ocean Informatics, Australia (Editor)
Rebecca Matthews, NT Hearing Services - NTG, Australia
Ian McNicoll, Ocean Informatics UK, United Kingdom
Mark Ramjan, NT Department of Health, Australia
Bojana Sarkic, Northern Territory Government, Australia
Kelly Simmons, Department of Health, Australia
Prasha Sooful, Royal Darwin Hospital, Australia
Fiona Wake, RAHC, Australia