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

ARCHETYPE IDopenEHR-EHR-OBSERVATION.audiology_speech_test_result.v0
ConceptAudiology speech test result
DescriptionRecord of results from an audiology speech test conducted for the purpose of assessing speech discrimination and speech recognition, and their clinical interpretation.
UseUse to record the results of audiology speech tests carried out to assess speech discrimination and speech recognition. Use to record the clinical interpretation of audiology speech tests carried out to assess speech discrimination and speech recognition.
MisuseNot to be used for audiology speech testing that is used for phonemic confusions analysis. Not to be used to assess speech production. Not to be used to record audiology speech tests where the presentaton level is not known - for example: unmonitored live voice.
PurposeTo record results from an audiology speech test conducted for the purpose of assessing speech discrimination and speech recognition, and their clinical interpretation.
ReferencesDerived from: Audiology Speech Test Result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2013 Jan 13. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1174_3 (discontinued).

Taylor B. Predicting Real World Hearing Aid Benefit with Speech Audiometry: An Evidence-Based Review; 2007 May 07 [cited 2013 Feb 08]. Available from: http://www.audiologyonline.com/articles/predicting-real-world-hearing-aid-946.

Madel J, Flexer C. Pediatric Audiology: Diagnosis, Technology, and Management. Thieme Medical Publishers; 2008. Chapter 10, Evaluation of Speech Perception in Infants and Children, p89-105.

Gordon-Salant S. Age-related differences in speech recognition performance as a function of test format and paradigm. Ear Hear. 1987 Oct;8(5):277-82. PubMed PMID: 3678641.

Nilsson M, Soli S D, Sullivan, J A. Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise. Acoust. Soc. Am. 95, 1085 (1994), DOI:10.1121/1.408469.
Copyright© Northern Territory Department of Health (Australia), openEHR Foundation
AuthorsAuthor name: Kerrie Lee
Email: kerrie.lee2@bigpond.com
Date originally authored: 2013-01-13
Other Details LanguageAuthor name: Kerrie Lee
Email: kerrie.lee2@bigpond.com
Date originally authored: 2013-01-13
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=openEHR Foundation, references=Derived from: Audiology Speech Test Result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2013 Jan 13. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1174_3 (discontinued). Taylor B. Predicting Real World Hearing Aid Benefit with Speech Audiometry: An Evidence-Based Review; 2007 May 07 [cited 2013 Feb 08]. Available from: http://www.audiologyonline.com/articles/predicting-real-world-hearing-aid-946. Madel J, Flexer C. Pediatric Audiology: Diagnosis, Technology, and Management. Thieme Medical Publishers; 2008. Chapter 10, Evaluation of Speech Perception in Infants and Children, p89-105. Gordon-Salant S. Age-related differences in speech recognition performance as a function of test format and paradigm. Ear Hear. 1987 Oct;8(5):277-82. PubMed PMID: 3678641. Nilsson M, Soli S D, Sullivan, J A. Development of the Hearing In Noise Test for the measurement of speech reception thresholds in quiet and in noise. Acoust. Soc. Am. 95, 1085 (1994), DOI:10.1121/1.408469., current_contact=Heather Leslie, Atomica Informatics, Australia, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=9C9A58E6EF0D2BE2083B9B2356D7C04C, build_uid=6294e6eb-4bb3-4dbc-a305-ff0e5ae6a0f5, revision=0.0.1-alpha}
Keywordsspeech, audiology
Lifecyclein_development
UID58b4a651-f781-4406-972a-e66c50e3a309
Language useden
Citeable Identifier1013.1.1651
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record of results from an audiology speech test conducted for the purpose of assessing speech discrimination and speech recognition, and their clinical interpretation., archetypeConceptComment=null, otherContributors=Stephen Chu, NEHTA, Australia
Kathy Currie, Northern Territory Health, Australia
Sam Heard, Ocean Informatics, Australia (Editor)
Anthony Leech, Hearing Health, Australia
Kerrie Lee, Ngaanyatjarra Health Service, Australia
Heather Leslie, Atomica Informatics, Australia (Editor)
Ian McNicoll, Ocean Informatics UK, United Kingdom, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], details=[], provider=[], items=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0087], code=at0087, itemType=ELEMENT, level=2, text=Type of adaptive test, description=The type of adaptive test used. Typically either in quiet or in noise., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Quiet [The speech signal is presented in optimal listening conditions, without any interference from other auditory signals.]
  • Signal to noise ratio [The ratio of the signal intensity to the noise intensity.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Target performance level, description=The specified percentage correct used to setup the adaptive test protocol., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
Assumed value: false
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Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0090], code=at0090, itemType=ELEMENT, level=2, text=Step size, description=The number of dB by which the stimullus intensity is changed after each response., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB
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  • Live voice [Presentation of the speech test stimuli by monitored live voice presentation by the tester.]
  • Recorded voice [Presentation of the speech test stimuli from a recorded medium.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Presentation method, description=The method used to present the speech test stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Soundfield [The stimulus is presented via a loudspeaker located at least one metre away from the subject.]
  • Insert earphone [The stimulus is presented via insert earphones.]
  • Headphone [The stimulus is presented via external headphones - either circumaural or supraaural..]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0060], code=at0060, itemType=ELEMENT, level=2, text=Response type, description=The type of response the patient is asked to give after hearing each stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Vocal [The person repeats the stimulus item that was heard.]
  • Picture pointing [The test subject points to a picture of the stimulus item that was heard.]
  • Written response alternatives [The test subject points to written text that corresponds to the stimulus item that was heard.]
  • Concrete object pointing [The subject response is to point to a 3 dimensional (i.e., concrete) object.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0064], code=at0064, itemType=ELEMENT, level=2, text=Response set, description=The size of the response set., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Open set [The size of the response set is unlimited.]
  • Closed set [The size of the response set is limited.]
  • Closed task domain [The response set is limited and the response alternatives remain constant for the whole test list.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0068], code=at0068, itemType=ELEMENT, level=2, text=Closed set alternatives, description=The number of response alternatives offered in the Closed Set., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0069], code=at0069, itemType=ELEMENT, level=2, text=Closed domain items, description=The number of response items offered in the Closed Task Domain., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=2, text=Stimulus type, description=The type of speech stimulus used for the speech test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Nonsense syllable [A consonant-vowel (CV) or CCV or VC or VCC item that is not a real word but is phonotactically correct.]
  • Nonsense CVC [Nonsense word comprising a consonant, then a vowel, then a final consonant, for example, "wub" or "yat".]
  • Nonsense word [A speech stimulus that is not a real word but is phonotactically correct.]
  • Monosyllabic word [A word comprised of a single syllable. For example, 'green'.]
  • Spondee word [A word comprised of 2 syllables with equal stress on each syllable. For example, 'sunshine'.]
  • Trochee word [A word that is comprised of two syllables with stress on the first syllable. For example 'bucket'.]
  • Sentence [A grammatical unit of one or more words that expresses an independent statement, question, request, command, exclamation, etc.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=SNR speech presentation level, description=The initial signal to noise ratio level in dB. For example, +20 dB., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=SNR competing noise, description=Type of signal used as a competing signal during Signal to Noise Ratio testing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • White noise [Noise that has the same power at all frequencies (i.e., a flat power spectrum).]
  • Speech spectrum noise [Noise spectrum that approximates the average long term spectrum of adult male speech and has a slope below 100 Hz of +6 dB/octave, a flat spectrum between 100 Hz and 320 Hz, and above 320 Hz a slope of -6 dB/octave.]
  • Multitalker babble [A recording of the voices of many people who are talking simultaneously, resulting in an unintelligible babble.]
  • Alternate speaker [The masker is a single person speaking and this speaker is different to the speaker used for the test stimulus.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0083], code=at0083, itemType=ELEMENT, level=2, text=SNR competing noise presentation, description=The type of noise used in a speech test measuring speech perception in noise., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ipsilateral [The noise is presented to the same ear as the speech signal.]
  • Contralateral [The noise is presented to the ear opposite to the speech signal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Number of voices, description=Number of voices used to generate multispeaker babble., comment=Relevant only if 'Speech Babble' is the selected value for the 'Type of Mask' data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0036], code=at0036, itemType=ELEMENT, level=2, text=Masking presentation method, description=The method used to present the constralateral masking test signal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Earphone [A device that converts electric signals to audible sound and fits over or in the ear.]
  • Loudspeaker [A listening condition in which the listener is 1 metre from a loud speaker and hears sounds presented via the loud speaker.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0039], code=at0039, itemType=ELEMENT, level=2, text=Masking stimulus level, description=The level of the contralateral masking speech spectrum noise in dB., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Calibration reference dB, description=Scale used for acoustic calibration check., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • dB SPL [The sound pressure level scale was used.]
  • dB HL [The hearing level scale was used.]
  • dB A [The A-weighted decibels of the sound pressure level scale were used.]
, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Test result name, description=Identification of the audiology speech test performed., comment=For example: AB Word List; Paediatric Speech Intelligibility (PSI); NUCHIPS; HINT; and BKB Sentences., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=CLUSTER, level=4, text=Result details, description=The test measurements and interpretations which can be recorded per ear, or for both ears simultaneously., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Test ear, description=The ear to which to the speech signal is presented., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left ear [The test stimuli were presented to the left ear only.]
  • Right ear [The test stimuli were presented to the right ear only.]
  • Binaural [The test stimuli were presented to both ears simultaneously in a soundfield.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0093], code=at0093, itemType=ELEMENT, level=5, text=Presentation method, description=The method used to present the speech test stimulus., comment=For exampe: a visual stimulus can be used to test lip reading skills., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Auditory test [An auditory stimulus is presented to the test subject.]
  • Audiovisual test [A combination of auditory and visual stimuli are presented to the test subject.]
  • Visual test [A visual stimulus is presented to the test subject.]
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Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0010]/items[at0014], code=at0014, itemType=ELEMENT, level=6, text=Words correct, description=Percentage of words to which the test subject responds correctly., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0010]/items[at0015], code=at0015, itemType=ELEMENT, level=6, text=Elements correct, description=Percentage of elements to which the test subject responds correctly., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
Integral
Assumed value: false
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Units: dB
Limit decimal places: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0017]/items[at0019], code=at0019, itemType=ELEMENT, level=6, text=Signal to noise ratio, description=The relationship of the loudness of the speech signal in dB to the loudness level of the noise stimulus., comment=For example: if the speech level is 50dB and the noise level in 60dB then the SNR is -10., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: -20.0..30.0 dB
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Units: dB, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0017]/items[at0013]/items[at0081], code=at0081, itemType=ELEMENT, level=7, text=Sample size, description=The number of reverals in an adaptive threshold test used for calculating estimates of a given test result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0079], code=at0079, itemType=ELEMENT, level=5, text=No test result, description=No test result is available for the test ear., comment=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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0080], code=at0080, itemType=ELEMENT, level=5, text=Reason for no test result, description=Reason why no result is available for the test ear., comment=For example, patient was not cooperative; patient was not capable; ran out of time., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0020], code=at0020, itemType=ELEMENT, level=5, text=Clinical interpretation, description=Clinical interpretation of all responses for the identified test ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Overall interpretation, description=Overall clinical interpretation of the responses for both ears., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the test results and intepretation not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0023]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Aided status, description=Indication regarding use of an assistive listening device by the test subject during the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Aided [The test has been conducted with the patient using a form of auditory assistance, such as a hearing aid or cochlear implant.]
  • Unaided [The test has been conducted without the patient using any form of auditory assistance, such as a hearing aid or cochlear implant.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0023]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Type of listening device, description=Identification of type of assistive listening device used., comment=Only relevant if 'Aid Status' value is 'Aided'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Hearing aid [A type of hearing device.]
  • Cochlear implant [A type of hearing device.]
  • Bone conductor aid [A type of hearing device.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0023]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Listening device settings, description=Narrative description of the details of the assistive listening device settings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0023]/items[at0082], code=at0082, itemType=SLOT, level=4, text=Listening device, description=Details about the specific assistive listening device used during the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0023]/items[at0033], code=at0033, itemType=ELEMENT, level=4, text=Contralateral masking, description=Contralateral masking signal was presented to the non test ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Masking noise is presented to the non test ear.]
  • Absent [No masking noise is presented.]
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  • Quiet [The speech signal is presented in optimal listening conditions, without any interference from other auditory signals.]
  • Signal to noise ratio [The ratio of the signal intensity to the noise intensity.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Target performance level, description=The specified percentage correct used to setup the adaptive test protocol., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
Assumed value: false
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0091], code=at0091, itemType=ELEMENT, level=2, text=Start level, description=The initial presentation level in dB., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0090], code=at0090, itemType=ELEMENT, level=2, text=Step size, description=The number of dB by which the stimullus intensity is changed after each response., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Presentation voice, description=The mode by which the speech test stimuli are presented., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Live voice [Presentation of the speech test stimuli by monitored live voice presentation by the tester.]
  • Recorded voice [Presentation of the speech test stimuli from a recorded medium.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Presentation method, description=The method used to present the speech test stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Soundfield [The stimulus is presented via a loudspeaker located at least one metre away from the subject.]
  • Insert earphone [The stimulus is presented via insert earphones.]
  • Headphone [The stimulus is presented via external headphones - either circumaural or supraaural..]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0060], code=at0060, itemType=ELEMENT, level=2, text=Response type, description=The type of response the patient is asked to give after hearing each stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Vocal [The person repeats the stimulus item that was heard.]
  • Picture pointing [The test subject points to a picture of the stimulus item that was heard.]
  • Written response alternatives [The test subject points to written text that corresponds to the stimulus item that was heard.]
  • Concrete object pointing [The subject response is to point to a 3 dimensional (i.e., concrete) object.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0064], code=at0064, itemType=ELEMENT, level=2, text=Response set, description=The size of the response set., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Open set [The size of the response set is unlimited.]
  • Closed set [The size of the response set is limited.]
  • Closed task domain [The response set is limited and the response alternatives remain constant for the whole test list.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0068], code=at0068, itemType=ELEMENT, level=2, text=Closed set alternatives, description=The number of response alternatives offered in the Closed Set., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0069], code=at0069, itemType=ELEMENT, level=2, text=Closed domain items, description=The number of response items offered in the Closed Task Domain., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=2, text=Stimulus type, description=The type of speech stimulus used for the speech test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Nonsense syllable [A consonant-vowel (CV) or CCV or VC or VCC item that is not a real word but is phonotactically correct.]
  • Nonsense CVC [Nonsense word comprising a consonant, then a vowel, then a final consonant, for example, "wub" or "yat".]
  • Nonsense word [A speech stimulus that is not a real word but is phonotactically correct.]
  • Monosyllabic word [A word comprised of a single syllable. For example, 'green'.]
  • Spondee word [A word comprised of 2 syllables with equal stress on each syllable. For example, 'sunshine'.]
  • Trochee word [A word that is comprised of two syllables with stress on the first syllable. For example 'bucket'.]
  • Sentence [A grammatical unit of one or more words that expresses an independent statement, question, request, command, exclamation, etc.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=SNR speech presentation level, description=The initial signal to noise ratio level in dB. For example, +20 dB., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=SNR competing noise, description=Type of signal used as a competing signal during Signal to Noise Ratio testing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • White noise [Noise that has the same power at all frequencies (i.e., a flat power spectrum).]
  • Speech spectrum noise [Noise spectrum that approximates the average long term spectrum of adult male speech and has a slope below 100 Hz of +6 dB/octave, a flat spectrum between 100 Hz and 320 Hz, and above 320 Hz a slope of -6 dB/octave.]
  • Multitalker babble [A recording of the voices of many people who are talking simultaneously, resulting in an unintelligible babble.]
  • Alternate speaker [The masker is a single person speaking and this speaker is different to the speaker used for the test stimulus.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0083], code=at0083, itemType=ELEMENT, level=2, text=SNR competing noise presentation, description=The type of noise used in a speech test measuring speech perception in noise., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ipsilateral [The noise is presented to the same ear as the speech signal.]
  • Contralateral [The noise is presented to the ear opposite to the speech signal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Number of voices, description=Number of voices used to generate multispeaker babble., comment=Relevant only if 'Speech Babble' is the selected value for the 'Type of Mask' data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0036], code=at0036, itemType=ELEMENT, level=2, text=Masking presentation method, description=The method used to present the constralateral masking test signal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Earphone [A device that converts electric signals to audible sound and fits over or in the ear.]
  • Loudspeaker [A listening condition in which the listener is 1 metre from a loud speaker and hears sounds presented via the loud speaker.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0039], code=at0039, itemType=ELEMENT, level=2, text=Masking stimulus level, description=The level of the contralateral masking speech spectrum noise in dB., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness
Units: dB, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Calibration reference dB, description=Scale used for acoustic calibration check., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • dB SPL [The sound pressure level scale was used.]
  • dB HL [The hearing level scale was used.]
  • dB A [The A-weighted decibels of the sound pressure level scale were used.]
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