<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Measurement of hearing acuity using a calibrated hearing test device, and associated clinical interpretation." /> <purpose value="To record measurements of hearing acuity using a calibrated hearing test device, and their interpretation by a clinician." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Audiogram_test_result"> <path value="Audiogram_test_result" /> <short value="Audiogram test result" /> <definition value="Measurement of hearing acuity using a calibrated hearing test device, and associated clinical interpretation." /> <min value="1" /> <max value="1" /> <base> <path value="Audiogram_test_result" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol"> <path value="Audiogram_test_result.protocol" /> <short value="Tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Extension"> <path value="Audiogram_test_result.protocol.Extension" /> <short 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/> <base> <path value="Audiogram_test_result.protocol.Test_environment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Test_environment.value"> <path value="Audiogram_test_result.protocol.Test_environment.value" /> <short value="Test environment" /> <definition value="The environment in which the audiometric test is administered." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Test_environment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Background_noise"> <path value="Audiogram_test_result.protocol.Background_noise" /> <short value="Background noise" /> <definition value="The amount and nature of noise in the environment that may influence the test results." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Background_noise" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Background_noise.value"> <path value="Audiogram_test_result.protocol.Background_noise.value" /> <short value="Background noise" /> <definition value="The amount and nature of noise in the environment that may influence the test results." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Background_noise.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Test_stimulus"> <path value="Audiogram_test_result.protocol.Test_stimulus" /> <short value="Test stimulus" /> <definition value="Identification of the stimulus used in the hearing test to measure the hearing threshold." /> <min value="0" 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<definition value="Time over which the stimulus grows to full amplitude." /> <min value="1" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Click_stimulus_specification.Onset_ramp.value" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Click_stimulus_specification.Offset_ramp"> <path value="Audiogram_test_result.protocol.Click_stimulus_specification.Offset_ramp" /> <short value="Offset ramp" /> <definition value="Time over which the stimulus depletes to zero amplitude." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Click_stimulus_specification.Offset_ramp" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Click_stimulus_specification.Offset_ramp.value"> <path 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id="Audiogram_test_result.protocol.Click_stimulus_specification.Total_duration.value"> <path value="Audiogram_test_result.protocol.Click_stimulus_specification.Total_duration.value" /> <short value="Total duration" /> <definition value="Total duration of the click stimulus." /> <min value="1" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Click_stimulus_specification.Total_duration.value" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Threshold_determination_protocol"> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol" /> <short value="Threshold determination protocol" /> <definition value="Protocol used to measure the hearing threshold for pure tone, play and visual reinforcement orientation audiometry only." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition"> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition" /> <short value="Threshold definition" /> <definition value="Definition of the protocol used to define the threshold level used in the test." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition.value"> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition.value" /> <short value="Threshold definition" /> <definition value="Definition of the protocol used to define the threshold level used in the test." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Threshold_definition.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Threshold_determination_protocol.Step_size"> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Step_size" /> <short value="Step size" /> <definition value="The step size (in decibels) of the change in the stimulus intensity for threshold determination." /> <min value="0" /> <max value="1" /> <base> <path 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value="Direction" /> <definition value="The direction of change in the stimulus intensity." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Direction" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Threshold_determination_protocol.Direction.value"> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Direction.value" /> <short value="Direction" /> <definition value="The direction of change in the stimulus intensity." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Threshold_determination_protocol.Direction.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Audiogram_test_result.protocol.Test_instrument"> <path 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<path value="Audiogram_test_result.protocol.Test_modifications_required" /> <short value="Test modifications required" /> <definition value="Narrative description of any modfications to the standard methodology required to enable successful completion of the test." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Test_modifications_required" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Audiogram_test_result.protocol.Test_modifications_required.value"> <path value="Audiogram_test_result.protocol.Test_modifications_required.value" /> <short value="Test modifications required" /> <definition value="Narrative description of any modfications to the standard methodology required to enable successful completion of the test." /> <min value="0" /> <max value="1" /> <base> <path value="Audiogram_test_result.protocol.Test_modifications_required.value" /> <min value="0" /> <max value="1" /> </base> <type> <code 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