<?xml version="1.0" encoding="UTF-8"?>
<archetype xmlns="http://schemas.openehr.org/v1" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <original_language>
    <terminology_id>
      <value>ISO_639-1</value>
    </terminology_id>
    <code_string>en</code_string>
  </original_language>
  <is_controlled>false</is_controlled>
  <description>
    <original_author id="date">2024-02-19</original_author>
    <lifecycle_state>in_development</lifecycle_state>
    <other_details id="licence">This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit https://urldefense.com/v3/__http://creativecommons.org/licenses/by-sa/4.0/__;!!JFdNOqOXpB6UZW0!qQwlhw-IcnT2C6CvQl7W6DHGCfxFJcR5_ax9rzBY0xeyqvdD13e9TIrbz3gOjFbD-7jD6GfVRUkghy5Gh0FzH7biQaDpfyGHYQ$ .</other_details>
    <other_details id="custodian_organisation">openEHR Foundation</other_details>
    <other_details id="original_namespace">org.openehr</other_details>
    <other_details id="original_publisher">openEHR Foundation</other_details>
    <other_details id="custodian_namespace">org.openehr</other_details>
    <other_details id="MD5-CAM-1.0.1">421A868385F764E2306EE0B61B20605E</other_details>
    <other_details id="build_uid">53f2e539-911a-4f01-8156-6171b572cf73</other_details>
    <other_details id="revision">0.0.1-alpha</other_details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>en</code_string>
      </language>
      <purpose>__unknown__</purpose>
      <use />
      <misuse />
      <copyright />
    </details>
  </description>
  <uid>
    <value>9778a118-6faa-4c7f-9632-b763a371ed97</value>
  </uid>
  <archetype_id>
    <value>openEHR-EHR-OBSERVATION.pure_tone_audiogram.v0</value>
  </archetype_id>
  <adl_version>1.4</adl_version>
  <concept>at0000</concept>
  <definition>
    <rm_type_name>OBSERVATION</rm_type_name>
    <occurrences>
      <lower_included>true</lower_included>
      <upper_included>true</upper_included>
      <lower_unbounded>false</lower_unbounded>
      <upper_unbounded>false</upper_unbounded>
      <lower>1</lower>
      <upper>1</upper>
    </occurrences>
    <node_id>at0000</node_id>
    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
      <rm_attribute_name>data</rm_attribute_name>
      <existence>
        <lower_included>true</lower_included>
        <upper_included>true</upper_included>
        <lower_unbounded>false</lower_unbounded>
        <upper_unbounded>false</upper_unbounded>
        <lower>1</lower>
        <upper>1</upper>
      </existence>
      <children xsi:type="C_COMPLEX_OBJECT">
        <rm_type_name>HISTORY</rm_type_name>
        <occurrences>
          <lower_included>true</lower_included>
          <upper_included>true</upper_included>
          <lower_unbounded>false</lower_unbounded>
          <upper_unbounded>false</upper_unbounded>
          <lower>1</lower>
          <upper>1</upper>
        </occurrences>
        <node_id>at0001</node_id>
        <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
          <rm_attribute_name>events</rm_attribute_name>
          <existence>
            <lower_included>true</lower_included>
            <upper_included>true</upper_included>
            <lower_unbounded>false</lower_unbounded>
            <upper_unbounded>false</upper_unbounded>
            <lower>0</lower>
            <upper>1</upper>
          </existence>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>EVENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </occurrences>
            <node_id>at0002</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>data</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>1</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ITEM_TREE</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0003</node_id>
                <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                  <rm_attribute_name>items</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>CLUSTER</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>1</lower>
                    </occurrences>
                    <node_id>at0040</node_id>
                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
                      <rm_attribute_name>items</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0041</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>382</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>125.0</lower>
                                <upper>16000.0</upper>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>0</upper>
                              </precision>
                              <units>Hz</units>
                            </list>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0.125</lower>
                                <upper>16.0</upper>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>3</lower>
                                <upper>3</upper>
                              </precision>
                              <units>kHz</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0042</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>123</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>-10.0</lower>
                                <upper>120.0</upper>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>0</upper>
                              </precision>
                              <units>dB</units>
                            </list>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0045</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_CODED_TEXT</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>defining_code</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_CODE_PHRASE">
                                <rm_type_name>CODE_PHRASE</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <terminology_id>
                                  <value>local</value>
                                </terminology_id>
                                <code_list>at0046</code_list>
                                <code_list>at0047</code_list>
                                <code_list>at0049</code_list>
                                <code_list>at0063</code_list>
                                <code_list>at0064</code_list>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>ELEMENT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>0</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id>at0044</node_id>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>value</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_DV_QUANTITY">
                            <rm_type_name>DV_QUANTITY</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <property>
                              <terminology_id>
                                <value>openehr</value>
                              </terminology_id>
                              <code_string>123</code_string>
                            </property>
                            <list>
                              <magnitude>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>-10.0</lower>
                                <upper>120.0</upper>
                              </magnitude>
                              <precision>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>0</lower>
                                <upper>0</upper>
                              </precision>
                              <units>dB</units>
                            </list>
                          </children>
                        </attributes>
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>null_flavour</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>0</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_COMPLEX_OBJECT">
                            <rm_type_name>DV_CODED_TEXT</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                              <rm_attribute_name>defining_code</rm_attribute_name>
                              <existence>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>1</lower>
                                <upper>1</upper>
                              </existence>
                              <children xsi:type="C_CODE_PHRASE">
                                <rm_type_name>CODE_PHRASE</rm_type_name>
                                <occurrences>
                                  <lower_included>true</lower_included>
                                  <upper_included>true</upper_included>
                                  <lower_unbounded>false</lower_unbounded>
                                  <upper_unbounded>false</upper_unbounded>
                                  <lower>1</lower>
                                  <upper>1</upper>
                                </occurrences>
                                <node_id />
                                <terminology_id>
                                  <value>openehr</value>
                                </terminology_id>
                                <code_list>253</code_list>
                                <code_list>272</code_list>
                                <code_list>273</code_list>
                                <code_list>271</code_list>
                              </children>
                            </attributes>
                          </children>
                        </attributes>
                      </children>
                      <cardinality>
                        <is_ordered>false</is_ordered>
                        <is_unique>false</is_unique>
                        <interval>
                          <lower_included>true</lower_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>true</upper_unbounded>
                          <lower>1</lower>
                        </interval>
                      </cardinality>
                    </attributes>
                  </children>
                  <cardinality>
                    <is_ordered>false</is_ordered>
                    <is_unique>false</is_unique>
                    <interval>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </interval>
                  </cardinality>
                </attributes>
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>1</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
      <rm_attribute_name>protocol</rm_attribute_name>
      <existence>
        <lower_included>true</lower_included>
        <upper_included>true</upper_included>
        <lower_unbounded>false</lower_unbounded>
        <upper_unbounded>false</upper_unbounded>
        <lower>0</lower>
        <upper>1</upper>
      </existence>
      <children xsi:type="C_COMPLEX_OBJECT">
        <rm_type_name>ITEM_TREE</rm_type_name>
        <occurrences>
          <lower_included>true</lower_included>
          <upper_included>true</upper_included>
          <lower_unbounded>false</lower_unbounded>
          <upper_unbounded>false</upper_unbounded>
          <lower>1</lower>
          <upper>1</upper>
        </occurrences>
        <node_id>at0004</node_id>
        <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
          <rm_attribute_name>items</rm_attribute_name>
          <existence>
            <lower_included>true</lower_included>
            <upper_included>true</upper_included>
            <lower_unbounded>false</lower_unbounded>
            <upper_unbounded>false</upper_unbounded>
            <lower>0</lower>
            <upper>1</upper>
          </existence>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>1</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0005</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0006</code_list>
                    <code_list>at0007</code_list>
                    <code_list>at0008</code_list>
                    <code_list>at0009</code_list>
                    <code_list>at0067</code_list>
                    <code_list>at0068</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>1</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0010</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0011</code_list>
                    <code_list>at0012</code_list>
                    <code_list>at0050</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>CLUSTER</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>1</lower>
            </occurrences>
            <node_id>at0013</node_id>
            <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
              <rm_attribute_name>items</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>1</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0014</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_CODED_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>defining_code</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_CODE_PHRASE">
                        <rm_type_name>CODE_PHRASE</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <terminology_id>
                          <value>local</value>
                        </terminology_id>
                        <code_list>at0015</code_list>
                        <code_list>at0016</code_list>
                        <code_list>at0017</code_list>
                      </children>
                    </attributes>
                  </children>
                </attributes>
              </children>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0028</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_CODED_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>defining_code</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_CODE_PHRASE">
                        <rm_type_name>CODE_PHRASE</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <terminology_id>
                          <value>local</value>
                        </terminology_id>
                        <code_list>at0031</code_list>
                        <code_list>at0032</code_list>
                        <code_list>at0033</code_list>
                      </children>
                    </attributes>
                  </children>
                </attributes>
              </children>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0018</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_CODED_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>defining_code</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_CODE_PHRASE">
                        <rm_type_name>CODE_PHRASE</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <terminology_id>
                          <value>local</value>
                        </terminology_id>
                        <code_list>at0019</code_list>
                        <code_list>at0020</code_list>
                        <code_list>at0023</code_list>
                      </children>
                    </attributes>
                  </children>
                </attributes>
              </children>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0066</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                  </children>
                </attributes>
              </children>
              <cardinality>
                <is_ordered>false</is_ordered>
                <is_unique>false</is_unique>
                <interval>
                  <lower_included>true</lower_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>true</upper_unbounded>
                  <lower>1</lower>
                </interval>
              </cardinality>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>CLUSTER</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0052</node_id>
            <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
              <rm_attribute_name>items</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>1</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0053</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_CODED_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>defining_code</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_CODE_PHRASE">
                        <rm_type_name>CODE_PHRASE</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <terminology_id>
                          <value>local</value>
                        </terminology_id>
                        <code_list>at0055</code_list>
                        <code_list>at0056</code_list>
                        <code_list>at0057</code_list>
                        <code_list>at0058</code_list>
                        <code_list>at0059</code_list>
                        <code_list>at0060</code_list>
                      </children>
                    </attributes>
                  </children>
                </attributes>
              </children>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0054</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_CODED_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>defining_code</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>1</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_CODE_PHRASE">
                        <rm_type_name>CODE_PHRASE</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <terminology_id>
                          <value>local</value>
                        </terminology_id>
                        <code_list>at0061</code_list>
                        <code_list>at0062</code_list>
                      </children>
                    </attributes>
                  </children>
                </attributes>
              </children>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>ELEMENT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>0</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id>at0065</node_id>
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>value</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>0</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>DV_TEXT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                  </children>
                </attributes>
              </children>
              <cardinality>
                <is_ordered>false</is_ordered>
                <is_unique>false</is_unique>
                <interval>
                  <lower_included>true</lower_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>true</upper_unbounded>
                  <lower>1</lower>
                </interval>
              </cardinality>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0025</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0026</code_list>
                    <code_list>at0027</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0035</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_CODED_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                  <rm_attribute_name>defining_code</rm_attribute_name>
                  <existence>
                    <lower_included>true</lower_included>
                    <upper_included>true</upper_included>
                    <lower_unbounded>false</lower_unbounded>
                    <upper_unbounded>false</upper_unbounded>
                    <lower>1</lower>
                    <upper>1</upper>
                  </existence>
                  <children xsi:type="C_CODE_PHRASE">
                    <rm_type_name>CODE_PHRASE</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>1</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id />
                    <terminology_id>
                      <value>local</value>
                    </terminology_id>
                    <code_list>at0036</code_list>
                    <code_list>at0037</code_list>
                    <code_list>at0038</code_list>
                  </children>
                </attributes>
              </children>
            </attributes>
          </children>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0051</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
  </definition>
  <ontology>
    <term_definitions language="en">
      <items code="at0000">
        <items id="text">pure tone audiogram</items>
        <items id="description">pure tone audiogram</items>
      </items>
      <items code="at0001">
        <items id="text">History</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Any event</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0004">
        <items id="text">Item tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0005">
        <items id="text">Modality</items>
        <items id="description" />
      </items>
      <items code="at0006">
        <items id="text">unmasked air conduction</items>
        <items id="description" />
      </items>
      <items code="at0007">
        <items id="text">masked air conduction</items>
        <items id="description" />
      </items>
      <items code="at0008">
        <items id="text">unmasked bone conduction</items>
        <items id="description" />
      </items>
      <items code="at0009">
        <items id="text">masked bone conduction</items>
        <items id="description" />
      </items>
      <items code="at0010">
        <items id="text">Tested Side</items>
        <items id="description" />
      </items>
      <items code="at0011">
        <items id="text">Left ear</items>
        <items id="description">Left ear was tested</items>
      </items>
      <items code="at0012">
        <items id="text">Right ear</items>
        <items id="description">Right ear was tested</items>
      </items>
      <items code="at0013">
        <items id="text">Signal Sources</items>
        <items id="description">Stimulus properties (e.g., test or masking stimulus).</items>
        <items id="comment">If masked threshold is measured, this cluster occures twice in template for stimulus and masker.</items>
      </items>
      <items code="at0014">
        <items id="text">Device</items>
        <items id="description">Description of the signal source used for stimulation</items>
      </items>
      <items code="at0015">
        <items id="text">Air conduction Headphones</items>
        <items id="description" />
      </items>
      <items code="at0016">
        <items id="text">Bone conduction headphones</items>
        <items id="description" />
      </items>
      <items code="at0017">
        <items id="text">Loudspeaker</items>
        <items id="description" />
      </items>
      <items code="at0018">
        <items id="text">Position</items>
        <items id="description" />
      </items>
      <items code="at0019">
        <items id="text">Left ear</items>
        <items id="description" />
      </items>
      <items code="at0020">
        <items id="text">Right ear</items>
        <items id="description" />
      </items>
      <items code="at0023">
        <items id="text">Forehead</items>
        <items id="description" />
      </items>
      <items code="at0025">
        <items id="text">Test environment</items>
        <items id="description">The environment in which the audiometric test is administered.</items>
        <items id="comment">This data element is commonly used in industry hearing programs.</items>
      </items>
      <items code="at0026">
        <items id="text">Audiometric booth</items>
        <items id="description">Sound-treated test environment that meets audiometric standards for ambient noise.</items>
      </items>
      <items code="at0027">
        <items id="text">Non-sound treated room</items>
        <items id="description">Test environment that does not meet audiometric standards for ambient noise.</items>
      </items>
      <items code="at0028">
        <items id="text">Stimulus</items>
        <items id="description">Identification of the stimulus used in the hearing test to measure the hearing threshold.</items>
      </items>
      <items code="at0031">
        <items id="text">Warble Tone</items>
        <items id="description">The test stimulus is a frequency modulated tone.</items>
      </items>
      <items code="at0032">
        <items id="text">Pure Tone</items>
        <items id="description">The test stimulus is a pure tone.</items>
      </items>
      <items code="at0033">
        <items id="text">Narrow Band Noise</items>
        <items id="description">The test stimulus is a narrow band noise centred on the specified frequency.</items>
      </items>
      <items code="at0035">
        <items id="text">Calibration reference dB</items>
        <items id="description">Scale used for acoustic calibration of the test signal.</items>
      </items>
      <items code="at0036">
        <items id="text">dB SPL</items>
        <items id="description">The test stimuli are calibrated using the sound pressure level scale.</items>
      </items>
      <items code="at0037">
        <items id="text">dB HL</items>
        <items id="description">The test stimuli are calibrated using the hearing level scale.</items>
      </items>
      <items code="at0038">
        <items id="text">dB nHL</items>
        <items id="description">The test stimuli are calibrated using the normal hearing level scale.</items>
      </items>
      <items code="at0040">
        <items id="text">Spectrum</items>
        <items id="description" />
      </items>
      <items code="at0041">
        <items id="text">Frequency</items>
        <items id="description">The stimulus frequency tested.</items>
        <items id="comment">Frequency is not applicable if a click stimulus is presented.</items>
      </items>
      <items code="at0042">
        <items id="text">Signal Level</items>
        <items id="description">The stimulus intensity at threshold for the test frequency.</items>
      </items>
      <items code="at0044">
        <items id="text">Masking Level</items>
        <items id="description">The stimulus intensity at threshold for the test frequency.</items>
      </items>
      <items code="at0045">
        <items id="text">Response</items>
        <items id="description" />
      </items>
      <items code="at0046">
        <items id="text">No perception</items>
        <items id="description">Maximum level presented without obtaining a threshold</items>
      </items>
      <items code="at0047">
        <items id="text">Detection threshold</items>
        <items id="description" />
      </items>
      <items code="at0049">
        <items id="text">UCL</items>
        <items id="description">Uncomfortable Loudness Level</items>
      </items>
      <items code="at0050">
        <items id="text">Binaural</items>
        <items id="description">Binaurally tested</items>
      </items>
      <items code="at0051">
        <items id="text">Comment</items>
        <items id="description">Additional narrative about the protocol for the audiogram not captured in other fields.</items>
        <items id="comment">For example, the co-operation of the test subject or description of the method used for testing.</items>
      </items>
      <items code="at0052">
        <items id="text">Hearing Devices</items>
        <items id="description">Hearing devices active during measurement.</items>
        <items id="comment">In template: repeat for all hearing devices of the patient (activated during measurement).</items>
      </items>
      <items code="at0053">
        <items id="text">Device Type</items>
        <items id="description" />
      </items>
      <items code="at0054">
        <items id="text">Position</items>
        <items id="description" />
      </items>
      <items code="at0055">
        <items id="text">Hearing Aid</items>
        <items id="description" />
      </items>
      <items code="at0056">
        <items id="text">Bone Anchored Hearing Aid</items>
        <items id="description" />
      </items>
      <items code="at0057">
        <items id="text">Middle Ear Implant</items>
        <items id="description" />
      </items>
      <items code="at0058">
        <items id="text">Cochlea Implant</items>
        <items id="description" />
      </items>
      <items code="at0059">
        <items id="text">Auditory Brainstem Implant</items>
        <items id="description" />
      </items>
      <items code="at0060">
        <items id="text">Other</items>
        <items id="description" />
      </items>
      <items code="at0061">
        <items id="text">Left ear</items>
        <items id="description" />
      </items>
      <items code="at0062">
        <items id="text">Right ear</items>
        <items id="description" />
      </items>
      <items code="at0063">
        <items id="text">Non-auditory perception</items>
        <items id="description">E.g., vibration</items>
      </items>
      <items code="at0064">
        <items id="text">Contralateral perception</items>
        <items id="description">Stimulus is perceived on the non-tested side</items>
      </items>
      <items code="at0065">
        <items id="text">Comment</items>
        <items id="description">Additional narrative about the test results and intepretation not captured in other fields.</items>
        <items id="comment">E.g., programs/fittings of HA or CI used during measurement.</items>
      </items>
      <items code="at0066">
        <items id="text">Comment</items>
        <items id="description">Additional narrative about the test results and intepretation not captured in other fields.</items>
      </items>
      <items code="at0067">
        <items id="text">soundfield</items>
        <items id="description" />
      </items>
      <items code="at0068">
        <items id="text">other</items>
        <items id="description" />
      </items>
    </term_definitions>
  </ontology>
</archetype>
