ARCHETYPE common_audiological_functional_parameters (openEHR-EHR-OBSERVATION.common_audiological_functional_parameters.v3)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.common_audiological_functional_parameters.v3
Conceptcommon_audiological_functional_parameters
DescriptionA set of functional parameters that provides an abstract description of all relevant functional aspects of the human auditory system, with interpretation ranging from "normal" (0) to "maximally impaired" (1). The list of possible functional aspects corresponds to the definition of Buhl et al. (2019).
UseUse to summarize data from audiological tests that were performed with humans in hearing aid acoustician, ENT physician, or research scenarios. CAFPAs can be estimated by human experts or predicted by machine learning algorithms.
MisuseNot to be used to directly save measurement results (corresponding to a test corresponding to the respective functional parameter).
PurposeTo summarize data from different audiological tests (as performed in a certain clinic/database) in an independent and abstract representation of the human auditory system. Thereby, the CAFPAs are independent from the exact used tests for characterizing certain aspects of hearing loss in different clinical or research databases, and can be used to compare data from different databases.
ReferencesBuhl M, Warzybok A, Schädler MR, Lenarz T, Majdani O, Kollmeier B. Common Audiological Functional Parameters (CAFPAs): statistical and compact representation of rehabilitative audiological classification based on expert knowledge. Int J Audiol. 2019 Apr;58(4):231-245. doi: 10.1080/14992027.2018.1554912. PMID: 30900518.

Buhl M, Warzybok A, Schädler MR, Majdani O, Kollmeier B. Common Audiological Functional Parameters (CAFPAs) for single patient cases: deriving statistical models from an expert-labelled data set. Int J Audiol. 2020 Jul;59(7):534-547. doi: 10.1080/14992027.2020.1728401. Epub 2020 Feb 24. PMID: 32091289.

Saak SK, Hildebrandt A, Kollmeier B, Buhl M. Predicting Common Audiological Functional Parameters (CAFPAs) as Interpretable Intermediate Representation in a Clinical Decision-Support System for Audiology. Front Digit Health. 2020 Dec 15;2:596433. doi: 10.3389/fdgth.2020.596433. PMID: 34713064; PMCID: PMC8521966.

Buhl M, Akin G, Saak S, Eysholdt U, Radeloff A, Kollmeier B, Hildebrandt A. Expert validation of prediction models for a clinical decision-support system in audiology. Front Neurol. 2022 Aug 23;13:960012. doi: 10.3389/fneur.2022.960012. PMID: 36081868; PMCID: PMC9446152.
Copyright© openEHR Foundation, HiGHmed
AuthorsAuthor name: Mareike Buhl, Samira Saak
Organisation: Institut de l'Audition, Institut Pasteur, Paris, France / University of Oldenburg and Cluster of Excellence Hearing4all, Germany
Email: mareike.buhl@pasteur.fr
Date originally authored: 2023-06-19
Other Details LanguageAuthor name: Mareike Buhl, Samira Saak
Organisation: Institut de l'Audition, Institut Pasteur, Paris, France / University of Oldenburg and Cluster of Excellence Hearing4all, Germany
Email: mareike.buhl@pasteur.fr
Date originally authored: 2023-06-19
OtherDetails 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=HiGHmed, references=Buhl M, Warzybok A, Schädler MR, Lenarz T, Majdani O, Kollmeier B. Common Audiological Functional Parameters (CAFPAs): statistical and compact representation of rehabilitative audiological classification based on expert knowledge. Int J Audiol. 2019 Apr;58(4):231-245. doi: 10.1080/14992027.2018.1554912. PMID: 30900518. Buhl M, Warzybok A, Schädler MR, Majdani O, Kollmeier B. Common Audiological Functional Parameters (CAFPAs) for single patient cases: deriving statistical models from an expert-labelled data set. Int J Audiol. 2020 Jul;59(7):534-547. doi: 10.1080/14992027.2020.1728401. Epub 2020 Feb 24. PMID: 32091289. Saak SK, Hildebrandt A, Kollmeier B, Buhl M. Predicting Common Audiological Functional Parameters (CAFPAs) as Interpretable Intermediate Representation in a Clinical Decision-Support System for Audiology. Front Digit Health. 2020 Dec 15;2:596433. doi: 10.3389/fdgth.2020.596433. PMID: 34713064; PMCID: PMC8521966. Buhl M, Akin G, Saak S, Eysholdt U, Radeloff A, Kollmeier B, Hildebrandt A. Expert validation of prediction models for a clinical decision-support system in audiology. Front Neurol. 2022 Aug 23;13:960012. doi: 10.3389/fneur.2022.960012. PMID: 36081868; PMCID: PMC9446152., current_contact=Mareike Buhl, Institut de l'Audition, mareike.buhl@pasteur.fr, original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=D655E3AB1111C2DACFAF7B0783FB1F1B, build_uid=65914547-77cc-4b1f-b237-642e088cdaf9, revision=3.0.0-alpha}
Keywordsaudiology, hearing loss, functional aspect, abstract representation, ...
Lifecyclein_development
UIDcfef84ea-5157-42c9-a749-e2d11b2f4e6d
Language useden
Citeable Identifier1246.145.2160
Revision Number3.0.0-alpha
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  • CA1 [Threshold, low frequencies]
  • CA2 [Threshold, low-to-middle frequencies]
  • CA3 [Threshold, middle-to-high frequencies]
  • CA4 [Threshold, high frequencies]
  • CU1 [Supra-threshold, low frequencies]
  • CU2 [Supra-threshold, high frequencies]
  • CB [Binaural]
  • CN [Neural]
  • CC [Cognitive]
  • CE [Socio-economic]
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  • Expert estimation [CAFPA value estimated by an expert, given audiological test results for a patient]
  • Prediction [CAFPA value estimated by a prediction algorithm, given audiological test results for a patient]
  • Expert validation [CAFPA value estimated by an expert, by checking and updating existing CAFPA values given audiological test results and predicted CAFPAs for a patient]
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.* or
openEHR-EHR-CLUSTER.cafpaexpert.v0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0169], code=at0169, itemType=ELEMENT, level=2, text=Database ID, description=ID of the database based on which CAFPAs were estimated (referring to an internal database containing more information about database)., comment=Could in the future be extended to a more exhaustive database description, for which a cluster (or cluster archetype) has to be defined. , uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0042], code=at0042, itemType=CLUSTER, level=2, text=Expert procedure, description=Describes procedure for CAFPA estimation (only for expert estimation or expert validation), including instructions and methodological aspects. , comment=Only required for expert estimation or expert validation., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0042]/items[at0049], code=at0049, itemType=ELEMENT, level=3, text=Instructions, description=Instructions given to the expert (only for expert estimation or expert validation). , comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Text
  • Video
  • Personal explanation
  • CAFPAs already familiar [Instructions not necessary for the respective expert]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0042]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Survey medium, description=Medium used for survey. , comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Paper sheet [CAFPA estimation performed on paper]
  • Digital form [CAFPA estimation performed on a digital device, e.g., computer, tablet, etc.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0042]/items[at0171], code=at0171, itemType=ELEMENT, level=3, text=Survey version, description=Version number of the employed expert survey., comment=null, 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=/protocol[at0005]/items[at0042]/items[at0046], code=at0046, itemType=ELEMENT, level=3, text=Patient contact, description=Describes if the expert met the patient during CAFPA estimation. , comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No [Default (so far only No)]
  • Yes [Patient (and data) seen while estimating CAFPAs]

Assumed value: No, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0024], code=at0024, itemType=CLUSTER, level=2, text=Prediction, description=Describes procedure used for CAFPA prediction. , comment=Only required if CAFPAs were estimated by prediction., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0024]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=Prediction model, description=Prediction model used., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Random Forest
  • Lasso Regression
  • Elastic Net
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0024]/items[at0038], code=at0038, itemType=ELEMENT, level=3, text=Code version, description=Code version of prediction model. , comment=null, 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=/protocol[at0005]/items[at0024]/items[at0168], code=at0168, itemType=ELEMENT, level=3, text=URL, description=Link to repository including the code. , comment=null, 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=/protocol[at0005]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Measurement status, description=Specify if CAFPAs were estimated based on unaided or aided measurements (AG and speech test)., comment=(... needs more info if aided: which device, which ear etc. -> refer to archetypes for audiogram and speech test, respectively) (too much to include this information in the CAFPA archetype?) , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unaided [Measurements without hearing device (default)]
  • Aided [Measurements with hearing device]

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  • CA1 [Threshold, low frequencies]
  • CA2 [Threshold, low-to-middle frequencies]
  • CA3 [Threshold, middle-to-high frequencies]
  • CA4 [Threshold, high frequencies]
  • CU1 [Supra-threshold, low frequencies]
  • CU2 [Supra-threshold, high frequencies]
  • CB [Binaural]
  • CN [Neural]
  • CC [Cognitive]
  • CE [Socio-economic]
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