ARCHETYPE Hearing screening test result (openEHR-EHR-OBSERVATION.hearing_screening_result.v0)

Name: Hearing screening test result
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.hearing_screening_result.v0
Concept	Hearing screening test result
Description	Record of results of a hearing screening assessment and the screening outcome.
Use	Use to record subject responses to hearing screening for one ear at a time or both ears simultaneously. Use to record the outcome of all responses to hearing screening (or Screening Outcome). This archetype has been designed to capture screening assessment for hearing, using pass/fail criteria, for the following tests: - Pure Tone Audiometry; - Play Audiometry; - Automated Auditory Brainstem Response; and - Visual Reinforcement Orientation Audiometry. All of the data elements are recorded using a single method or protocol. If, during the test, any of the protocol parameters need to be modified, then the subsequent part of the test will need to be recorded within a separate instance of the test data, using the updated protocol parameters.
Misuse	Not to be used for hearing threshold assessment - use the OBSERVATION.audiogram archetype. Not to be used to record other auditory assessments such as: - Behavioural Observation Audiometry (BOA); - Most Comfortable Listening Level (MCL) and Uncomfortable Listening Level (UCL); - Auditory Brainstem Response (ABR) for diagnostic purposes - Transient Evoked Otoacoustic Emission (TEOAE); and - Distortion Product Otoacoustic Emission (DPOAE). These assessments need to be recorded in specific archetypes for the purpose.
Purpose	To record of results of a hearing screening assessment and the screening outcome.
References	Derived from: Hearing screening result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2012 Dec 14. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1133_4 (discontinued). Sabini P, Sclafani AP. Efficacy of serologic testing in asymmetric sensorineural hearing loss. Otolaryngol Head Neck Surg. 2000 Apr;122(4):469-76. PubMed PMID: 10740163.
Copyright	© Northern Territory Department of Health (Australia), openEHR Foundation
Authors	Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-12-14
Other Details Language	Author name: Kerrie Lee Email: kerrie.lee2@bigpond.com Date originally authored: 2012-12-14
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: Hearing screening result, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2012 Dec 14. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1133_4 (discontinued). Sabini P, Sclafani AP. Efficacy of serologic testing in asymmetric sensorineural hearing loss. Otolaryngol Head Neck Surg. 2000 Apr;122(4):469-76. PubMed PMID: 10740163., current_contact=Heather Leslie, Atomica Informatics, Australia, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=16AB79C85D07DFC390FE1B65A96D3E34, build_uid=799e27af-8676-49f1-84f3-808dd892b759, revision=0.0.1-alpha}
Keywords	hearing, test, audiometry, acuity, decibels, screen, screening, VROA, VRA, play, AABR, neonatal, audiogram
Lifecycle	in_development
UID	99b0925d-20fe-4ddd-afc8-a9cfea3d6fb1
Language used	en
Citeable Identifier	1051.32.993
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record of results of a hearing screening assessment and the screening outcome., archetypeConceptComment=null, otherContributors=Stephen Chu, NEHTA, Australia Kathy Currie, Northern Territory Health, Australia Jade Frederiksen, Hearing Health Program, DoH, Australia Sam Harkus, Australian Hearing, Australia Sam Heard, Ocean Informatics, Australia Paul Hickey, Hearing Health Program, Australia Oliver Hosking, Remote Health NT, Australia Anthony Leech, Hearing Health, Australia Kerrie Lee, Ngaanyatjarra Health Service, Australia (Editor) Heather Leslie, Atomica Informatics, Australia (Editor) Rebecca Matthews, NT Hearing Services - NTG, Australia Mark Ramjan, NT Department of Health, Australia Bojana Sarkic, Northern Territory Government, Australia Fiona Wake, RAHC, Australia Amarjit Anand, NT Department of Health/NT Hearing, Australia Kimberley Crebbin, NT Hearing Services, Australia Lisa Dawson, NT Hearing Services, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0013]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Sleep status, description=The status of the subject during 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= at0029::Awake [The test subject was awake during the testing.] at0030::Asleep [The test subject was asleep during testing.] Assumed value: Awake, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0013]/items[at0140], code=at0140, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative description of factors, not recorded elsewhere, that may contribute to the screening result., comment=For example: The infant was crying at the time of testing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], content=[], capabilities=[], relationships=[], activities=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Any point in time, description=Default, unspecified point in time which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0142], code=at0142, itemType=POINT_EVENT, level=2, text=Neonatal screening, description=Test performed soon after birth to screen for hearing defects that warrant urgent investigation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], contacts=[], description=[], target=[], context=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0144], code=at0144, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Test environment, description=The physical environment in which the audiometric test is administered., comment=This data element is commonly used in industry hearing programs., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0076::Audiometric booth [Sound-treated test environment that meets audiometric standards for ambient noise.] at0079::Non-sound treated room [Test environment that does not meet audiometric standards for ambient noise.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0145], code=at0145, itemType=ELEMENT, level=2, text=Background noise, description=The amount of noise present in the test environment., comment=If testing is conducted in an audiometric booth, this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0077::Clinically significant [The background noise may compromise test results.] at0078::Not clinically significant [The background noise is not likely to compromise test results.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Test stimulus, description=Identification of the frequency-specific stimulus used in screening., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0036::Click [The test stimulus is a click.] at0035::Tone burst [The test stimulus is a tone burst centred on the specified frequency.] at0080::Warble tone [The test stimulus is a frequency modulated tone centred on the specified frequency.] at0141::Narrow band noise [The test stimulus is a narrow band noise centred on the specified frequency.] at0081::Pure tone [The test stimulus is a pure tone centred on the specified frequency.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0047], code=at0047, itemType=SLOT, level=2, text=Test device, description=Details of device used to conduct the test., comment=For example: details about the audiometer, 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=/protocol[at0032]/items[at0116], code=at0116, itemType=SLOT, level=2, text=Earphones, description=Details of earphones, either insert or external, used to conduct 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=/protocol[at0032]/items[at0134], code=at0134, itemType=ELEMENT, level=2, text=Reliability, description=Narrative description of the reliability of the test results, as determined by the tester., comment=If an appropriate value set can be determined, this could be coded. The maximum occurrences of this data element have been set to two to allow for both narrative and a coded value to be selected in a template., uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0089], code=at0089, 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= at0090::db SPL [The sound pressure level scale was used.] at0091::dB HL [The hearing level scale was used.] at0092::dB nHL [The normal hearing level scale was used.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102], code=at0102, itemType=CLUSTER, level=2, text=Screening assessment pass criteria, description=Criteria used to determine a screening assessement pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0107], code=at0107, itemType=ELEMENT, level=3, text=Screening frequency, description=Identification of the stimulus frequency used to determine a screening assessment pass., comment=This data element is not used if the Test Stimulus is specified as a Click., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency Units: 0.125..16.0 kHz Limit decimal places: 3 125.0..16000.0 Hz Limit decimal places: 0 Assumed value:* 125.0Hz Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Screening level, description=Identification of the level of stimulus used to determine a screening assessment pass., 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: -10.0..120.0 dB Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0120], code=at0120, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the protocol for the screening test not captured in other fields., comment=For example, the co-operation of the subject or description of the method used for testing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], other_participations=[], items=[], details=[], provider=[], source=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Test result name, description=Identification of the type of screening test performed., comment=Coding with an external terminology is preferred, where possible. Applicable tests using a screening protocol include: Pure Tone Audiometry; Play Audiometry; Auditory Brainstem Response; Automated Auditory Brainstem Response; and Visual Reinforcement Orientation Audiometry., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=CLUSTER, level=4, text=Test, description=The screening test result which can be recorded per ear or for both ears simultaneously., comment=null, uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Test ear, description=Identification of the ear to which the test stimulus is being presented., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0009::Right ear [The test stimuli were presented to the right ear only.] at0008::Left ear [The test stimuli were presented to the left ear only.] at0049::Binaural [The test stimuli were presented to both ears simultaneously in a soundfield.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048], code=at0048, itemType=CLUSTER, level=5, text=Stimulus response, description=The grouping of the subject's response to each stimulus presented., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=2.., cardinalityText=Minimum of 2 items (Cardinality: 2.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048]/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Frequency, description=The stimulus frequency tested., comment=Frequency is not applicable if a click stimulus is presented., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency Units: 500.0..4000.0 Hz Limit decimal places: 0 0.5..4.0 kHz Limit decimal places: 1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048]/items[at0012], code=at0012, itemType=ELEMENT, level=6, text=Intensity, description=The stimulus intensity tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Loudness Units: 0.0..50.0 dB Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0048]/items[at0137], code=at0137, itemType=ELEMENT, level=6, text=Response, description=The response of the test subject as a consequence of presentation of the frequency/intensity pair., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0138::Positive response [The subject responded, in a prescribed manner, to the stimulus.] at0139::No response [The subject did not respond to the stimulus.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0122], code=at0122, 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[at0006]/items[at0123], code=at0123, itemType=ELEMENT, level=5, text=Reason for no test result, description=Reason why no result is available for the test ear., comment=Coding with an external terminology is preferred, where possible. 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[at0051], code=at0051, itemType=ELEMENT, level=4, text=Screening outcome, description=Overall result of screening., comment=In some existing screening programs, the result has previously been recorded as one of three options: 'Pass', 'Re-test' or 'Refer'. This confounds the result with subsequent next actions. This data element is recording the outcome of the test alone - thus 'Pass' or 'Fail' are the only two options. Following a 'Fail' result, a clinical system can support the clinician to initiate appropriate a subsequent activity (eg based on other information such as previous screening test results) - either a rescheduling of the screening test (ie a 'Re-test') or initiation of a referral for further investigation (ie a 'Refer'). , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0052::Pass [The test was passed, based on screening criteria.] at0053::Fail [The test was failed, based on screening criteria.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0143], code=at0143, itemType=SLOT, level=4, text=Multimedia, description=Digital representation of the test results., 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.multimedia.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0146], code=at0146, itemType=SLOT, level=4, text=Test not done, description=Details to explicitly record that this test was not performed., 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.exclusion_exam.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, 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]], credentials=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0032], code=at0032, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1.., subCardinalityText= (Cardinality: 1.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0144], code=at0144, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Test environment, description=The physical environment in which the audiometric test is administered., comment=This data element is commonly used in industry hearing programs., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0076::Audiometric booth [Sound-treated test environment that meets audiometric standards for ambient noise.] at0079::Non-sound treated room [Test environment that does not meet audiometric standards for ambient noise.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0145], code=at0145, itemType=ELEMENT, level=2, text=Background noise, description=The amount of noise present in the test environment., comment=If testing is conducted in an audiometric booth, this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0077::Clinically significant [The background noise may compromise test results.] at0078::Not clinically significant [The background noise is not likely to compromise test results.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Test stimulus, description=Identification of the frequency-specific stimulus used in screening., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0036::Click [The test stimulus is a click.] at0035::Tone burst [The test stimulus is a tone burst centred on the specified frequency.] at0080::Warble tone [The test stimulus is a frequency modulated tone centred on the specified frequency.] at0141::Narrow band noise [The test stimulus is a narrow band noise centred on the specified frequency.] at0081::Pure tone [The test stimulus is a pure tone centred on the specified frequency.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0047], code=at0047, itemType=SLOT, level=2, text=Test device, description=Details of device used to conduct the test., comment=For example: details about the audiometer, 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=/protocol[at0032]/items[at0116], code=at0116, itemType=SLOT, level=2, text=Earphones, description=Details of earphones, either insert or external, used to conduct 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=/protocol[at0032]/items[at0134], code=at0134, itemType=ELEMENT, level=2, text=Reliability, description=Narrative description of the reliability of the test results, as determined by the tester., comment=If an appropriate value set can be determined, this could be coded. The maximum occurrences of this data element have been set to two to allow for both narrative and a coded value to be selected in a template., uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0089], code=at0089, 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= at0090::db SPL [The sound pressure level scale was used.] at0091::dB HL [The hearing level scale was used.] at0092::dB nHL [The normal hearing level scale was used.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102], code=at0102, itemType=CLUSTER, level=2, text=Screening assessment pass criteria, description=Criteria used to determine a screening assessement pass., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0107], code=at0107, itemType=ELEMENT, level=3, text=Screening frequency, description=Identification of the stimulus frequency used to determine a screening assessment pass., comment=This data element is not used if the Test Stimulus is specified as a Click., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Frequency Units: 0.125..16.0 kHz Limit decimal places: 3 125.0..16000.0 Hz Limit decimal places: 0 Assumed value:* 125.0Hz Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0102]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Screening level, description=Identification of the level of stimulus used to determine a screening assessment pass., 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: -10.0..120.0 dB Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0032]/items[at0120], code=at0120, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the protocol for the screening test not captured in other fields., comment=For example, the co-operation of the subject or description of the method used for testing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]