ARCHETYPE Audiology speech test result (openEHR-EHR-OBSERVATION.audiology_speech_test_result.v0)

Name: Audiology speech test result
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.audiology_speech_test_result.v0
Concept	Audiology speech test result
Description	Record of results from an audiology speech test conducted for the purpose of assessing speech discrimination and speech recognition, and their clinical interpretation.
Use	Use to record the results of audiology speech tests carried out to assess speech discrimination and speech recognition. 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 discrimination and speech recognition, 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
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)	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: 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. Current Contact: Heather Leslie, Atomica Informatics, Australia Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: 9C9A58E6EF0D2BE2083B9B2356D7C04C Build Uid: 6294e6eb-4bb3-4dbc-a305-ff0e5ae6a0f5 Revision: 0.0.1-alpha
Keywords	speech, audiology
Lifecycle	in_development
UID	58b4a651-f781-4406-972a-e66c50e3a309
Language used	en
Citeable Identifier	1246.145.2015
Revision Number	0.0.1-alpha
state
Aided status	Aided status: Indication regarding use of an assistive listening device by the test subject during the test. at0025::Aided [The test has been conducted with the patient using a form of auditory assistance, such as a hearing aid or cochlear implant.] at0026::Unaided [The test has been conducted without the patient using any form of auditory assistance, such as a hearing aid or cochlear implant.]
Type of listening device	Type of listening device: Identification of type of assistive listening device used. Only relevant if 'Aid Status' value is 'Aided'. at0028::Hearing aid [A type of hearing device.] at0029::Cochlear implant [A type of hearing device.] at0030::Bone conductor aid [A type of hearing device.]
Listening device settings	Listening device settings: Narrative description of the details of the assistive listening device settings.
Listening device	Listening device: Details about the specific assistive listening device used during the test. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations
Contralateral masking	Contralateral masking: Contralateral masking signal was presented to the non test ear. at0034::Present [Masking noise is presented to the non test ear.] at0035::Absent [No masking noise is presented.]
protocol
Type of adaptive test	Type of adaptive test: The type of adaptive test used. Typically either in quiet or in noise. at0088::Quiet [The speech signal is presented in optimal listening conditions, without any interference from other auditory signals.] at0089::Signal to noise ratio [The ratio of the signal intensity to the noise intensity.]
Target performance level	Target performance level: The specified percentage correct used to setup the adaptive test protocol. Percent Numerator: 0.0..100.0 Assumed value: false
Start level	Start level: The initial presentation level in dB. Property: Loudness Units: dB Limit decimal places: 0
Step size	Step size: The number of dB by which the stimullus intensity is changed after each response. Property: Loudness Units: dB Limit decimal places: 0
Presentation voice	Presentation voice: The mode by which the speech test stimuli are presented. at0055::Live voice [Presentation of the speech test stimuli by monitored live voice presentation by the tester.] at0056::Recorded voice [Presentation of the speech test stimuli from a recorded medium.]
Presentation method	Presentation method: The method used to present the speech test stimulus. at0059::Soundfield [The stimulus is presented via a loudspeaker located at least one metre away from the subject.] at0098::Insert earphone [The stimulus is presented via insert earphones.] at0058::Headphone [The stimulus is presented via external headphones - either circumaural or supraaural..]
Response type	Response type: The type of response the patient is asked to give after hearing each stimulus. at0061::Vocal [The person repeats the stimulus item that was heard.] at0062::Picture pointing [The test subject points to a picture of the stimulus item that was heard.] at0063::Written response alternatives [The test subject points to written text that corresponds to the stimulus item that was heard.] at0086::Concrete object pointing [The subject response is to point to a 3 dimensional (i.e., concrete) object.]
Response set	Response set: The size of the response set. at0065::Open set [The size of the response set is unlimited.] at0066::Closed set [The size of the response set is limited.] at0067::Closed task domain [The response set is limited and the response alternatives remain constant for the whole test list.]
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.
Stimulus type	Stimulus type: The type of speech stimulus used for the speech test. at0071::Nonsense syllable [A consonant-vowel (CV) or CCV or VC or VCC item that is not a real word but is phonotactically correct.] at0072::Nonsense CVC [Nonsense word comprising a consonant, then a vowel, then a final consonant, for example, "wub" or "yat".] at0073::Nonsense word [A speech stimulus that is not a real word but is phonotactically correct.] at0074::Monosyllabic word [A word comprised of a single syllable. For example, 'green'.] at0075::Spondee word [A word comprised of 2 syllables with equal stress on each syllable. For example, 'sunshine'.] at0076::Trochee word [A word that is comprised of two syllables with stress on the first syllable. For example 'bucket'.] at0077::Sentence [A grammatical unit of one or more words that expresses an independent statement, question, request, command, exclamation, etc.]
SNR speech presentation level	SNR speech presentation level: The initial signal to noise ratio level in dB. For example, +20 dB. Property: Loudness Units: dB Limit decimal places: 0
SNR competing noise	SNR competing noise: Type of signal used as a competing signal during Signal to Noise Ratio testing. at0041::White noise [Noise that has the same power at all frequencies (i.e., a flat power spectrum).] at0042::Speech spectrum noise [Noise spectrum that approximates the average long term spectrum of adult male speech and has a slope below 100 Hz of +6 dB/octave, a flat spectrum between 100 Hz and 320 Hz, and above 320 Hz a slope of -6 dB/octave.] at0043::Multitalker babble [A recording of the voices of many people who are talking simultaneously, resulting in an unintelligible babble.] at0044::Alternate speaker [The masker is a single person speaking and this speaker is different to the speaker used for the test stimulus.]
SNR competing noise presentation	SNR competing noise presentation: The type of noise used in a speech test measuring speech perception in noise. at0084::Ipsilateral [The noise is presented to the same ear as the speech signal.] at0085::Contralateral [The noise is presented to the ear opposite to the speech signal.]
Number of voices	Number of voices: Number of voices used to generate multispeaker babble. Relevant only if 'Speech Babble' is the selected value for the 'Type of Mask' data element.
Masking presentation method	Masking presentation method: The method used to present the constralateral masking test signal. at0037::Earphone [A device that converts electric signals to audible sound and fits over or in the ear.] at0038::Loudspeaker [A listening condition in which the listener is 1 metre from a loud speaker and hears sounds presented via the loud speaker.]
Masking stimulus level	Masking stimulus level: The level of the contralateral masking speech spectrum noise in dB. Property: Loudness Units: dB
Calibration reference dB	Calibration reference dB: Scale used for acoustic calibration check. at0047::dB SPL [The sound pressure level scale was used.] at0048::dB HL [The hearing level scale was used.] at0097::dB A [The A-weighted decibels of the sound pressure level scale were used.]
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.
data
Test result name	Test result name: Identification of the audiology speech test performed. For example: AB Word List; Paediatric Speech Intelligibility (PSI); NUCHIPS; HINT; and BKB Sentences.
Result details	Result details: The test measurements and interpretations which can be recorded per ear, or for both ears simultaneously.
Test ear	Test ear: The ear to which to the speech signal is presented. at0007::Left ear [The test stimuli were presented to the left ear only.] at0008::Right ear [The test stimuli were presented to the right ear only.] at0009::Binaural [The test stimuli were presented to both ears simultaneously in a soundfield.]
Presentation method	Presentation method: The method used to present the speech test stimulus. For exampe: a visual stimulus can be used to test lip reading skills. at0094::Auditory test [An auditory stimulus is presented to the test subject.] at0095::Audiovisual test [A combination of auditory and visual stimuli are presented to the test subject.] at0096::Visual test [A visual stimulus is presented to the test subject.]
Performance intensity function	Performance intensity function: Results obtained for performance intensity function at each test level.
Loudness	Loudness: The stimulus intensity. Property: Loudness Units: dB Limit decimal places: 0
Words correct	Words correct: Percentage of words to which the test subject responds correctly. Percent Numerator: 0.0..100.0
Elements correct	Elements correct: Percentage of elements to which the test subject responds correctly. Percent Numerator: 0.0..100.0 Integral Assumed value: false
Adaptive speech test	Adaptive speech test: Details of the adaptive test protocol.
Loudness to achieve target	Loudness to achieve target: The mean dB loudness level of the speech stimuli required to achieve the target correct performance. Property: Loudness Units: dB Limit decimal places: 1
Signal to noise ratio	Signal to noise ratio: The relationship of the loudness of the speech signal in dB to the loudness level of the noise stimulus. For example: if the speech level is 50dB and the noise level in 60dB then the SNR is -10. Property: Loudness Units: -20.0..30.0 dB Limit decimal places: 0
Reliability	Reliability: 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. Property: Loudness Units: dB
Sample size	Sample size: The number of reverals in an adaptive threshold test used for calculating estimates of a given test result.
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}
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.
Clinical interpretation	Clinical interpretation: Clinical interpretation of all responses for the identified test ear.
Overall interpretation	Overall interpretation: Overall clinical interpretation of the responses for both ears.
Comment	Comment: Additional narrative about the test results and intepretation not captured in other fields.
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
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