| ARCHETYPE ID | openEHR-EHR-OBSERVATION.audiology_speech_test_result_local.v0 |
|---|---|
| Concept | Audiological speech test result |
| Description | Record of results from an audiology speech test conducted for the purpose of assessing speech recognition, speech discrimintaion and speech intelligibility, and their clinical interpretation. |
| Use | Use to record the results of audiology speech tests carried out to assess the ability of a subject to understand speech in quiet and in noise, i.e. speech recognition, speech discrimination and speech intelligibility. Use to record the clinical interpretation of audiology speech tests carried out to assess speech discrimination and speech recognition. |
| Misuse | Not to be used for audiology speech testing that is used for phonemic confusions analysis. Not to be used to assess speech production. Not to be used to record audiology speech tests where the presentaton level is not known - for example: unmonitored live voice. |
| Purpose | To record results from an audiology speech test conducted for the purpose of assessing speech recognition, speech discrimintaion and speech intelligibility, and their clinical interpretation. |
| References | Derived from: Audiology Speech Test Result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2013 Jan 13. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1174_3 (discontinued). Taylor B. Predicting Real World Hearing Aid Benefit with Speech Audiometry: An Evidence-Based Review; 2007 May 07 [cited 2013 Feb 08]. Available from: http://www.audiologyonline.com/articles/predicting-real-world-hearing-aid-946. Madel J, Flexer C. Pediatric Audiology: Diagnosis, Technology, and Management. Thieme Medical Publishers; 2008. Chapter 10, Evaluation of Speech Perception in Infants and Children, p89-105. Gordon-Salant S. Age-related differences in speech recognition performance as a function of test format and paradigm. Ear Hear. 1987 Oct;8(5):277-82. PubMed PMID: 3678641. Nilsson M, Soli S D, Sullivan, J A. Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise. Acoust. Soc. Am. 95, 1085 (1994), DOI:10.1121/1.408469. |
| Copyright | © Northern Territory Department of Health (Australia), openEHR Foundation, HiGHmed |
| Authors | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2013-01-13 |
| Other Details Language | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2013-01-13 |
| Other Details (Language Independent) |
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| Keywords | speech test, speech intelligibility, hearing,, audiology |
| Lifecycle | in_development |
| UID | 29a78ab8-cfe2-4685-8884-594e0d36c8ca |
| Language used | en |
| Citeable Identifier | 1246.145.2007 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Test name | Test name: Name of conducted speech test. Use published name (including a reference) if possible. |
| Tested Side | Tested Side:
|
| Adaptive test procedure | |
| Target performance level | Target performance level: The specified percentage correct used to setup the adaptive test protocol.
Assumed value: false |
| Starting level of varied stimulus | Starting level of varied stimulus: The initial presentation level of the stimulus varied throughout the adaptive procedure in dB. Applicable for adaptive tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Starting step size | Starting step size: The number of dB by which the stimulus intensity is changed after each response at the beginning of the test. Applicable for adaptive tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Final step size | Final step size: The number of dB by which the stimulus intensity is changed after each response at the end of the test, i.e. during the trials analyzed for the result. Applicable for adaptive tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Presentation level of fixed stimulus | Presentation level of fixed stimulus: The presentation level of the stimulus fixed throughout the adaptive procedure in dB (speech or noise). Applicable for adaptive speech in noise tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Non-adaptive test procedure | |
| Competing noise presentation level | Competing noise presentation level: The initial sound pressure level of the masking sound, e.g., competing noise in dB. Not applicable for speech in quiet tests. Property: Loudness Units: dB Limit decimal places: 0 |
| Presented sensory modalities | Presented sensory modalities: The method used to present the speech test stimulus. For exampe: a visual stimulus can be used to test lip reading skills.
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| Voice type | Voice type: The mode by which the speech test stimuli are presented.
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| Presentation method | Presentation method: The method used to present the speech test stimulus.
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| Definition of scored elements | Definition of scored elements:
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| Response type | Response type: The type of response the patient is asked to give after hearing each stimulus.
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| Response set | Response set: The size of the response set.
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| Closed set alternatives | Closed set alternatives: The number of response alternatives offered in the Closed Set. |
| Closed domain items | Closed domain items: The number of response items offered in the Closed Task Domain. |
| Speech material | Speech material: The type of speech stimulus used for the speech test.
|
| Announcement | Announcement:
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| Competing noise type | Competing noise type: Type of signal used as a competing signal during speech in noise testing. Further details can be given in "Competing noise type details". Not applicable for speech in quiet tests.
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| Competing noise type details | Competing noise type details: Details on signals used as noise in "competing noise type", e.g., name of established noise, number of talkers included in a babble noise, or other specific characteristics. Not applicable for speech in quiet tests. |
| Competing noise presentation side | Competing noise presentation side: Side(s) to which the competing noise is presented relative to side of tested ear during speech in noise tests conducted via headphones. Ipsilateral includes binaural presentation if applicable for speech presentation. Not applicable for speech in quiet tests. Not applicable for loudspeaker presentation.
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| Competing noise presentation method | Competing noise presentation method: The method used to present the masking test signal. Not applicable for speech in quiet tests.
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| Calibration reference dB | Calibration reference dB: Scale used for acoustic calibration check.
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| Hearing Devices | Hearing Devices: Hearing devices active during measurement. In template: repeat for all hearing devices of the patient (activated during measurement). |
| Device Type | Device Type:
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| Position | Position:
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| Listening device settings | Listening device settings: Additional narrative about the test results and intepretation not captured in other fields. E.g., programs/fittings of HA or CI used during measurement. |
| Comment | |
| Language proficiency of the listener | Language proficiency of the listener: The size of the response set.
|
| state | |
| Reason for no test result | Reason for no test result: Reason why no result is available for the test ear. For example, patient was not cooperative; patient was not capable; ran out of time. |
| Medication | |
| data | |
| Speech intelligibility scores | Speech intelligibility scores: Results obtained for performance, i.e., speech intelligibility in percent, at specific test levels. |
| stimulus level | stimulus level: The sound pressure level in dB SPL of the speech. Property: Loudness Units: dB Limit decimal places: 0 |
| Elements correct | Elements correct: Results obtained for performance, i.e. speech recognition in percent, at specific test levels.
Integral Assumed value: false |
| 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 or binaural testing in a soundfield, as defined by the 'Test Ear' data element. Allowed values: {true} |
| Results to achieve a target intelligibility | Results to achieve a target intelligibility: Speech level (for speech in quiet) or signal to noise ratio (for speech in noise) for reaching a certain target percentage of correct elements,e.g. 50 %. |
| Speech level to achieve target | Speech level to achieve target: The mean sound pressure level in dB of the speech stimuli required to achieve the target percentage of correct elements in a measurement in quiet. Property: Loudness Units: dB Limit decimal places: 1 |
| Signal to noise ratio to achieve target | Signal to noise ratio to achieve target: The relation of the sound pressure level of the speech signal to the sound pressure level of the noise in dB to achieve the target speech intelligibility in percent. For example: if the speech level is 50 dB and the noise level in 60 dB then the SNR is -10. Property: Loudness Units: -20.0..30.0 dB Limit decimal places: 0 |
| 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 or binaural testing in a soundfield, as defined by the 'Test Ear' data element. Allowed values: {true} |
| Reliability values | Reliability values: Details about the responses correct of the subject being tested. |
| Standard error | Standard error: A measure to compare a sample mean and a population mean. This data element needs the properties of the quantity to be set to allow a decimal number. Property: null |
| Confidence interval | Confidence interval: A term used in inferential statistics that measures the probability that a population parameter will fall between two set values. Units: dB |
| Sample size | Sample size: The number of reverals in an adaptive threshold test used for calculating estimates of a given test result. |
| Comment | Comment: Additional narrative about the test results and intepretation not captured in other fields. |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Stephen Chu, NEHTA, Australia Kathy Currie, Northern Territory Health, Australia Sam Heard, Ocean Informatics, Australia (Editor) Anthony Leech, Hearing Health, Australia Kerrie Lee, Ngaanyatjarra Health Service, Australia Heather Leslie, Atomica Informatics, Australia (Editor) Ian McNicoll, Ocean Informatics UK, United Kingdom Kirsten Wagener, Hörzentum Oldenburg, Germany Tahereh Afghah, Hörzentum Oldenburg, Germany Ania Warzybok, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Birger Kollmeier, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Lena Schell-Majoor, University of Oldenburg and Cluster of Excellence Hearing4all, Germany Mareike Buhl, Institut Pasteur, Paris, France |
| Translators |