| ARCHETYPE ID | openEHR-EHR-OBSERVATION.hearing_screening_result.v0 |
|---|---|
| Concept | Hearing screening test result |
| Description | Record of results of a hearing screening assessment and the screening outcome. |
| Use | Use to record subject responses to hearing screening for one ear at a time or both ears simultaneously. Use to record the outcome of all responses to hearing screening (or Screening Outcome). This archetype has been designed to capture screening assessment for hearing, using pass/fail criteria, for the following tests:
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. |
| Misuse | Not to be used for hearing threshold assessment - use the OBSERVATION.audiogram archetype. Not to be used to record other auditory assessments such as:
|
| Purpose | To record of results of a hearing screening assessment and the screening outcome. |
| References | Derived from: Hearing screening result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2012 Dec 14. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1133_4 (discontinued). 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. |
| Copyright | © Northern Territory Department of Health (Australia), openEHR Foundation |
| Authors | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-12-14 |
| Other Details Language | Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-12-14 |
| Other Details (Language Independent) |
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| Keywords | hearing, test, audiometry, acuity, decibels, screen, screening, VROA, VRA, play, AABR, neonatal, audiogram |
| Lifecycle | in_development |
| UID | 99b0925d-20fe-4ddd-afc8-a9cfea3d6fb1 |
| Language used | en |
| Citeable Identifier | 1246.145.2758 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes |
| Test environment | Test environment: The physical environment in which the audiometric test is administered. This data element is commonly used in industry hearing programs.
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| Background noise | Background noise: The amount of noise present in the test environment. If testing is conducted in an audiometric booth, this data element is redundant.
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| Test stimulus | Test stimulus: Identification of the frequency-specific stimulus used in screening.
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| Test device | Test device: Details of device used to conduct the test. For example: details about the audiometer Include: openEHR-EHR-CLUSTER.device.v1 and specialisations |
| Earphones | Earphones: Details of earphones, either insert or external, used to conduct the test. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations |
| Reliability | Reliability: Narrative description of the reliability of the test results, as determined by the tester. 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. |
| Calibration reference dB | Calibration reference dB: Scale used for acoustic calibration check.
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| Screening assessment pass criteria | Screening assessment pass criteria: Criteria used to determine a screening assessement pass. |
| Screening frequency | Screening frequency: Identification of the stimulus frequency used to determine a screening assessment pass. This data element is not used if the Test Stimulus is specified as a Click. Property: Frequency Units:
Assumed value: 125.0Hz Limit decimal places: 0 |
| Screening level | Screening level: Identification of the level of stimulus used to determine a screening assessment pass. Property: Loudness Units: -10.0..120.0 dB Limit decimal places: 0 |
| Comment | Comment: Additional narrative about the protocol for the screening test not captured in other fields. For example, the co-operation of the subject or description of the method used for testing. |
| state | |
| Sleep status | Sleep status: The status of the subject during testing.
Assumed value: Awake |
| Confounding factors | Confounding factors: Narrative description of factors, not recorded elsewhere, that may contribute to the screening result. For example: The infant was crying at the time of testing. |
| data | |
| Test result name | Test result name: Identification of the type of screening test performed. Coding with an external terminology is preferred, where possible. Applicable tests using a screening protocol include: Pure Tone Audiometry; Play Audiometry; Auditory Brainstem Response; Automated Auditory Brainstem Response; and Visual Reinforcement Orientation Audiometry. |
| Test | Test: The screening test result which can be recorded per ear or for both ears simultaneously. |
| Test ear | Test ear: Identification of the ear to which the test stimulus is being presented.
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| Stimulus response | Stimulus response: The grouping of the subject's response to each stimulus presented. |
| Frequency | Frequency: The stimulus frequency tested. Frequency is not applicable if a click stimulus is presented. Property: Frequency Units:
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| Intensity | Intensity: The stimulus intensity tested. Property: Loudness Units: 0.0..50.0 dB Limit decimal places: 0 |
| Response | Response: The response of the test subject as a consequence of presentation of the frequency/intensity pair.
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| 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. Coding with an external terminology is preferred, where possible. For example, patient was not cooperative; patient was not capable; ran out of time. |
| Screening outcome | Screening outcome: Overall result of screening. In some existing screening programs, the result has previously been recorded as one of three options: 'Pass', 'Re-test' or 'Refer'. This confounds the result with subsequent next actions. This data element is recording the outcome of the test alone - thus 'Pass' or 'Fail' are the only two options. Following a 'Fail' result, a clinical system can support the clinician to initiate appropriate a subsequent activity (eg based on other information such as previous screening test results) - either a rescheduling of the screening test (ie a 'Re-test') or initiation of a referral for further investigation (ie a 'Refer').
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| Multimedia | Multimedia: Digital representation of the test results. Include: openEHR-EHR-CLUSTER.multimedia.v1 and specialisations |
| Test not done | Test not done: Details to explicitly record that this test was not performed. Include: openEHR-EHR-CLUSTER.exclusion_ |
| Comment | Comment: Additional narrative about the test results and intepretation not captured in other fields. |
| events | |
| Any point in time | Any point in time: Default, unspecified point in time which may be explicitly defined in a template or at run-time. |
| Neonatal screening | Neonatal screening: Test performed soon after birth to screen for hearing defects that warrant urgent investigation. |
| Other contributors | Stephen Chu, NEHTA, Australia Kathy Currie, Northern Territory Health, Australia Jade Frederiksen, Hearing Health Program, DoH, Australia Sam Harkus, Australian Hearing, Australia Sam Heard, Ocean Informatics, Australia Paul Hickey, Hearing Health Program, Australia Oliver Hosking, Remote Health NT, Australia Anthony Leech, Hearing Health, Australia Kerrie Lee, Ngaanyatjarra Health Service, Australia (Editor) Heather Leslie, Atomica Informatics, Australia (Editor) Rebecca Matthews, NT Hearing Services - NTG, Australia Mark Ramjan, NT Department of Health, Australia Bojana Sarkic, Northern Territory Government, Australia Fiona Wake, RAHC, Australia Amarjit Anand, NT Department of Health/NT Hearing, Australia Kimberley Crebbin, NT Hearing Services, Australia Lisa Dawson, NT Hearing Services, Australia |
| Translators |