TEMPLATE Hearing Screening Report (Hearing Screening Report)

TEMPLATE IDHearing Screening Report
ConceptHearing Screening Report
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2023-01-11
Other Details Languagedate: 2023-01-11
Other Details (Language Independent)
  • Sem Ver: 5.0.0
  • Build Uid: 12b92320-229f-4be2-ab22-507f8ec07e36
  • MD5-CAM-1.0.1: f185bc22a97774f2d1d48cffd9f2c9b8
  • PARENT:MD5-CAM-1.0.1: 005501C1FA493A4838F5F1121F2870EC
  • Original Language: ISO_639-1::en
Language useden
Citeable Identifier1246.169.2817
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
Hearing Screening ReportHearing Screening Report: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Report IDReport ID: Identification information about the report.
StatusStatus: The status of the entire report. Note: This is not the status of any of the report components.
Hearing ScreeningHearing Screening: Hearing Screening
Data
Any eventAny event: *
Data
Test nameTest name: *
Right earRight ear: *
Test earTest ear: *
  • Right 
Stimulus responseStimulus response: *
FrequencyFrequency: *
Units: kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (4)Stimulus response (4): *
FrequencyFrequency: *
Units: kHz
Default value: 0.25 kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (3)Stimulus response (3): *
FrequencyFrequency: *
Units: kHz
Default value: 0.5 kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (2)Stimulus response (2): *
FrequencyFrequency: *
Units: kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Mean hearing lossMean hearing loss: *
Units: dB[A]
Left earLeft ear: *
Test earTest ear: *
  • Left 
Stimulus responseStimulus response: *
FrequencyFrequency: *
Units: kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (4)Stimulus response (4): *
FrequencyFrequency: *
Units: kHz
Default value: 0.25 kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (3)Stimulus response (3): *
FrequencyFrequency: *
Units: kHz
Default value: 0.5 kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Stimulus response (2)Stimulus response (2): *
FrequencyFrequency: *
Units: kHz
IntensityIntensity: *
Units: dB[A]
ResponseResponse: *
Mean hearing lossMean hearing loss: *
Units: dB[A]
Mean hearing lossMean hearing loss: *
Units: dB[A]
CommentComment: *
Protocol
Medical deviceMedical device: An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements.
Device nameDevice name: Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device.
This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available.
Serial numberSerial number: Number assigned by the manufacturer which can be found on the device, and should be specific to each device., its label, or accompanying packaging.
Problem/DiagnosisProblem/Diagnosis: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Problem/Diagnosis nameProblem/Diagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.