Audiogram-1-502

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

source

<xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/UncomfortableLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	6
content	complex

children

AudMeasurementConditions TonePoints

annotation

documentation

Uncomfortable Level Audiogram

The lowest signal level, in each ear, which is judged to be uncomfortably loud by the patient. The measurement is usually done with pure tones at audiometric frequencies but may be performed using speech-weighted noise; the signal level has to be expressed relative to a reference value, e.g. as hearing level.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation]

source

<xs:element name="UncomfortableLevel" minOccurs="0" maxOccurs="6">
<xs:annotation>
    <xs:documentation>Uncomfortable Level Audiogram

The lowest signal level, in each ear, which is judged to be uncomfortably loud by the patient. The measurement is usually done with pure tones at audiometric frequencies but may be performed using speech-weighted noise; the signal level has to be expressed relative to a reference value, e.g. as hearing level.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/UncomfortableLevel/TonePoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

source

<xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/MostComfortableLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	6
content	complex

children

AudMeasurementConditions TonePoints

annotation

documentation

Most Comfortable Level (MCL) Audiogram

This is an area within the residual hearing in which sounds are perceived as comfortable by the patient.
Tones presented during this test are pure tones and the patient is asked to respond when they find the sound comfortable. Generally audiologists now try to test to find this area of hearing by concentrating on finding the upper and lower levels of comfort.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation]

source

<xs:element name="MostComfortableLevel" minOccurs="0" maxOccurs="6">
<xs:annotation>
    <xs:documentation>Most Comfortable Level (MCL) Audiogram

This is an area within the residual hearing in which sounds are perceived as comfortable by the patient.
Tones presented during this test are pure tones and the patient is asked to respond when they find the sound comfortable. Generally audiologists now try to test to find this area of hearing by concentrating on finding the upper and lower levels of comfort.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/MostComfortableLevel/TonePoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

source

<xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechDiscriminationAudiogram

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	12
content	complex

children

AudMeasurementConditions SpeechDiscriminationPoints

annotation

documentation

Speech Discrimination is tested by having the speaker present a one syllable word, usually with a lead in sentence such as ’say the word..’ in lists of 25 or 50, which the listener repeats. These lists are standardized and weighted using all of the speech sounds heard in the chosen language. The percentage of words the listener repeats correctly is the discrimination score. The percentage correct is influenced by the type and degree of hearing loss present. This audiogram plots the results of this test against hearing level

Ref. [HOCA-5, Chapter 5, page 71: Speech Audiometry]

Note for individuals familiar with earlier versions of this data standard:
In previous versions of this standard this Audiogram was documented as a discrimination loss audiogram. The documentation implied that the score would represent the loss not the score. However, this description was in conflict with the definition of the percent score. To correct this documentation error HIMSA has changed the name and description.

source

<xs:element name="SpeechDiscriminationAudiogram" minOccurs="0" maxOccurs="12">
<xs:annotation>
    <xs:documentation>Speech Discrimination is tested by having the speaker present a one syllable word, usually with a lead in sentence such as ’say the word..’ in lists of 25 or 50, which the listener repeats. These lists are standardized and weighted using all of the speech sounds heard in the chosen language. The percentage of words the listener repeats correctly is the discrimination score. The percentage correct is influenced by the type and degree of hearing loss present. This audiogram plots the results of this test against hearing level

Ref. [HOCA-5, Chapter 5, page 71: Speech Audiometry]

Note for individuals familiar with earlier versions of this data standard:
In previous versions of this standard this Audiogram was documented as a discrimination loss audiogram. The documentation implied that the score would represent the loss not the score. However, this description was in conflict with the definition of the percent score. To correct this documentation error HIMSA has changed the name and description. </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="SpeechDiscriminationPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/SpeechDiscriminationAudiogram/SpeechDiscriminationPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

source

<xs:element name="SpeechDiscriminationPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechReceptionThresholdAudiogram

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	12
content	complex

children

AudMeasurementConditions SpeechReceptionPoints

annotation

documentation

Speech Reception Threshold (SRT) Audiogram The SRT is also defined as the Threshold
of Intelligibility (TI). It is defined as the presentation level (in dB HL) necessary for the
patient to reach a score of 50 % when presented for a series of easily understandable
phonemes. The SRT can be compared with the tone audiometry thresholds at the
frequencies [500, 100, 2000] Hz.

The SRT measurement can be carried out as a validation of the Tone Threshold Audiogram.

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]
Ref. [HOCA-5, Chapter 32, page 584: Pseudohypacusis]

source

<xs:element name="SpeechReceptionThresholdAudiogram" minOccurs="0" maxOccurs="12">
<xs:annotation>
    <xs:documentation>Speech Reception Threshold (SRT) Audiogram The SRT is also defined as the Threshold
of Intelligibility (TI). It is defined as the presentation level (in dB HL) necessary for the
patient to reach a score of 50 % when presented for a series of easily understandable
phonemes. The SRT can be compared with the tone audiometry thresholds at the
frequencies [500, 100, 2000] Hz.

The SRT measurement can be carried out as a validation of the Tone Threshold Audiogram.

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]
Ref. [HOCA-5, Chapter 32, page 584: Pseudohypacusis] </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="SpeechReceptionPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/SpeechReceptionThresholdAudiogram/SpeechReceptionPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

source

<xs:element name="SpeechReceptionPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechMostComfortableLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	12
content	complex

children

AudMeasurementConditions SpeechMostComfortablePoint

annotation

documentation

Speech Most Comfortable Level (MCL) Audiogram. Measurement of Discrimination
Loss is done at Most Comfortable Loudness for the patient, normally 30-40 dB above the
Speech Reception Threshold (SRT).

Some patients might find this level too high (recruitment present). This may make it
difficult to find the correct level for recording the MCL speech audiogram. In such cases a
complete speech audiogram curve should be recorded. NOTE: only the very MCL point of the speech audiogram can be saved.

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]

source

<xs:element name="SpeechMostComfortableLevel" minOccurs="0" maxOccurs="12">
<xs:annotation>
    <xs:documentation>Speech Most Comfortable Level (MCL) Audiogram. Measurement of Discrimination
Loss is done at Most Comfortable Loudness for the patient, normally 30-40 dB above the
Speech Reception Threshold (SRT).

Some patients might find this level too high (recruitment present). This may make it
difficult to find the correct level for recording the MCL speech audiogram. In such cases a
complete speech audiogram curve should be recorded. NOTE: only the very MCL point of the speech audiogram can be saved.

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="SpeechMostComfortablePoint" type="SpeechScorePoint_Type"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/SpeechMostComfortableLevel/SpeechMostComfortablePoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint

properties

content

complex

children

source

<xs:element name="SpeechMostComfortablePoint" type="SpeechScorePoint_Type"/>

element HIMSAAudiometricStandard/SpeechUncomfortableLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	12
content	complex

children

AudMeasurementConditions SpeechUncomfortablePoint

annotation

documentation

Speech UnComfortable Level (UCL) Audiogram. The SRT, MCL and UCL for speech
audiograms are saved as a single intensity value.

A complete speech audiogram curve would show the whole range from Speech Reception Threshold
(SRT), to Most Comfortable Level (MCL) to Uncomfortable Level (UCL)

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]

source

<xs:element name="SpeechUncomfortableLevel" minOccurs="0" maxOccurs="12">
<xs:annotation>
    <xs:documentation>Speech UnComfortable Level (UCL) Audiogram. The SRT, MCL and UCL for speech
audiograms are saved as a single intensity value.

A complete speech audiogram curve would show the whole range from Speech Reception Threshold
(SRT), to Most Comfortable Level (MCL) to Uncomfortable Level (UCL)

Ref. [HOCA-5, Chapter 7, page 96: Speech Audiometry]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="SpeechUncomfortablePoint" type="SpeechScorePoint_Type"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/SpeechUncomfortableLevel/SpeechUncomfortablePoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint

properties

content

complex

children

source

<xs:element name="SpeechUncomfortablePoint" type="SpeechScorePoint_Type"/>

element HIMSAAudiometricStandard/ToneNotes

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

MeasurementNotes_Type

properties

minOcc	0
maxOcc	1
content	complex

children

AudiometerMakeModel AudiometerSerialNumber AudiometerLastCalibration TestMethod TestReliability IsDeaf

annotation

documentation

Notes added to the Tone Audiogram

source

<xs:element name="ToneNotes" type="MeasurementNotes_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>Notes added to the Tone Audiogram</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/SpeechNotes

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

MeasurementNotes_Type

properties

minOcc	0
maxOcc	1
content	complex

children

AudiometerMakeModel AudiometerSerialNumber AudiometerLastCalibration TestMethod TestReliability IsDeaf

annotation

documentation

Notes added to the Speech Audiogram

source

<xs:element name="SpeechNotes" type="MeasurementNotes_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>Notes added to the Speech Audiogram</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/FrequenciesUsedForToneAverage

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

FrequenciesUsedForToneAverage_Type

properties

minOcc	0
maxOcc	1
content	complex

children

LeftEar1 LeftEar2 RightEar1 RightEar2

annotation

documentation

This structure allows specification of certain frequencies at which the pure tone average should be calculated. Each ear has two average values to allow for “double-weighting” of certain values as required in certain countries like Japan.

The average calculation method is applied to all averages for the given ear, so there is no
opportunity to specify a different pure tone average calculation method for bone
conduction than is used for air conduction, etc.

The rationale behind only a single set of information for each of left and right ears is that it
really does not make sense to calculate the average differently between two different tests.

A note on the double weighting: Essentially, if the set specifies to weight averages at
500,1000,1500 Hz and the second specifies 1000 Hz, then the average would be calculated
as follows:

(ValueAt(500) + (2 * ValueAt(1000)) + ValueAt(1500)) / 4

If the ValueAt(1000) for the left ear is maybe unreliable, a better average is sought for
that ear but you can still leave the right ear calculation unchanged.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation ]

source

<xs:element name="FrequenciesUsedForToneAverage" type="FrequenciesUsedForToneAverage_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>This structure allows specification of certain frequencies at which the pure tone average should be calculated. Each ear has two average values to allow for “double-weighting” of certain values as required in certain countries like Japan.

The average calculation method is applied to all averages for the given ear, so there is no
opportunity to specify a different pure tone average calculation method for bone
conduction than is used for air conduction, etc.

The rationale behind only a single set of information for each of left and right ears is that it
really does not make sense to calculate the average differently between two different tests.

A note on the double weighting: Essentially, if the set specifies to weight averages at
500,1000,1500 Hz and the second specifies 1000 Hz, then the average would be calculated
as follows:

(ValueAt(500) + (2 * ValueAt(1000)) + ValueAt(1500)) / 4

If the ValueAt(1000) for the left ear is maybe unreliable, a better average is sought for
that ear but you can still leave the right ear calculation unchanged.

Ref. [HOCA-5, Chapter 5, page 71: Puretone Evaluation ]
</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/DecayAudiogram

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	2
content	complex

children

AudMeasurementConditions DecayPoints

annotation

documentation

Testing involves the presentation of a sustained pure tone at or above the patient’s hearing threshold. The patient indicates when the tone is heard and when it disappears. The tone is presented at increasing levels until it is continuously heard for a set amount of time.

Tone decay is defined as a reduction in the ability to hear a sustained tone, and is indicative of a retrocochlear hearing loss.

Tone decay can be carried out at any frequency, and methods including the presentation levels vary in the research literature.

Ref. [HOCA-5, Chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]

source

<xs:element name="DecayAudiogram" minOccurs="0" maxOccurs="2">
<xs:annotation>
    <xs:documentation>Testing involves the presentation of a sustained pure tone at or above the patient’s hearing threshold. The patient indicates when the tone is heard and when it disappears. The tone is presented at increasing levels until it is continuously heard for a set amount of time.

Tone decay is defined as a reduction in the ability to hear a sustained tone, and is indicative of a retrocochlear hearing loss.

Tone decay can be carried out at any frequency, and methods including the presentation levels vary in the research literature.

Ref. [HOCA-5, Chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="DecayPoints" type="DecayPoint_Type" maxOccurs="50"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/DecayAudiogram/DecayPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

DecayPoint_Type

properties

minOcc	1
maxOcc	50
content	complex

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel StartTime EndTime AdditionalMaskingPoint

source

<xs:element name="DecayPoints" type="DecayPoint_Type" maxOccurs="50"/>

element HIMSAAudiometricStandard/AlternateBinauralLoudnessBalanceAudiogram

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	1
content	complex

children

AudMeasurementConditions AlternateBinauralLoudnessBalancePoints

annotation

documentation

A sound of constant intensity is presented to the patient’s good ear for a few seconds. A sound is then presented to the patient’s bad ear. The patient is asked to judge if the sounds are of equal loudness. The sound in the bad ear is varied until a loudness match with the good ear is found.

The level of the tone presented to the good ear is then increased and the procedure repeated.
At each frequency tested a graph is produced where equal loudness judgments are connected with a straight line.

Abnormal growth of loudness is an indication of cochlear hearing loss and is termed recruitment.

Ref. [HOCA-5, Chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]

source

<xs:element name="AlternateBinauralLoudnessBalanceAudiogram" minOccurs="0">
<xs:annotation>
    <xs:documentation>A sound of constant intensity is presented to the patient’s good ear for a few seconds. A sound is then presented to the patient’s bad ear. The patient is asked to judge if the sounds are of equal loudness. The sound in the bad ear is varied until a loudness match with the good ear is found.

The level of the tone presented to the good ear is then increased and the procedure repeated.
At each frequency tested a graph is produced where equal loudness judgments are connected with a straight line.

Abnormal growth of loudness is an indication of cochlear hearing loss and is termed recruitment.

Ref. [HOCA-5, Chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="AlternateBinauralLoudnessBalancePoints" type="TonePoints_Type" maxOccurs="192">
        <xs:annotation>
          <xs:documentation>Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone</xs:documentation>
        </xs:annotation>
      </xs:element>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/AlternateBinauralLoudnessBalanceAudiogram/AlternateBinauralLoudnessBalancePoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	192
content	complex

children

annotation

documentation

Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone

source

<xs:element name="AlternateBinauralLoudnessBalancePoints" type="TonePoints_Type" maxOccurs="192">
<xs:annotation>
<xs:documentation>Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/StengerAudiogram

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	1
content	complex

children

AudMeasurementConditions StengerPoints

annotation

documentation

The Stenger test is used when a patient claims that his hearing is impaired in one ear but the Audiologists does not believe them.

This test can only be performed if the difference in thresholds between ears is ≥ 20 dB. It involves presentation of a tone of one frequency to both ears and is based on the principle that when 2 tones of the same frequency are introduced simultaneously to both ears, only the louder tone will be perceived. The audiometer should allow separate intensity control for each channel.

The tone is first introduced to the good ear at a level which is 5-10 dB above the known
threshold. The same frequency tone is then simultaneously presented to the “bad” ear at a
level 10 dB below the (admitted) threshold. If the patient is simulating a hearing loss he
would hear the tone louder in the bad ear, and would, therefore, not respond to the tone,
since he/she does not want to admit to hearing in the bad ear and is unaware of the tone in
the good ear.

If the patient has a loss in the bad ear as measured, he/she will respond to the tone in the
good ear. If the patient was found to be dishonest then a new audiogram would be saved.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5 chapter 32, page 584: Pseudohypacusis]

source

<xs:element name="StengerAudiogram" minOccurs="0">
<xs:annotation>
    <xs:documentation>The Stenger test is used when a patient claims that his hearing is impaired in one ear but the Audiologists does not believe them.

This test can only be performed if the difference in thresholds between ears is ≥ 20 dB. It involves presentation of a tone of one frequency to both ears and is based on the principle that when 2 tones of the same frequency are introduced simultaneously to both ears, only the louder tone will be perceived. The audiometer should allow separate intensity control for each channel.

The tone is first introduced to the good ear at a level which is 5-10 dB above the known
threshold. The same frequency tone is then simultaneously presented to the “bad” ear at a
level 10 dB below the (admitted) threshold. If the patient is simulating a hearing loss he
would hear the tone louder in the bad ear, and would, therefore, not respond to the tone,
since he/she does not want to admit to hearing in the bad ear and is unaware of the tone in
the good ear.

If the patient has a loss in the bad ear as measured, he/she will respond to the tone in the
good ear. If the patient was found to be dishonest then a new audiogram would be saved.

Note that the max. 24 curve points can come in any order as [frequency, intensity] pairs.
Each point is properly identified by its standard frequency for which the intensity is
recorded.

Ref. [HOCA-5 chapter 32, page 584: Pseudohypacusis] </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="StengerPoints" type="TonePoints_Type" maxOccurs="24">
        <xs:annotation>
          <xs:documentation>Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone</xs:documentation>
        </xs:annotation>
      </xs:element>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/StengerAudiogram/StengerPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

properties

minOcc	1
maxOcc	24
content	complex

children

annotation

documentation

Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone

source

<xs:element name="StengerPoints" type="TonePoints_Type" maxOccurs="24">
<xs:annotation>
<xs:documentation>Masking Level and Masking Frequency are used to denote the stimulus in channel 2 of the Audiometer which would always be a pure tone</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/DifferenceLimenIntensity

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	2
content	complex

children

AudMeasurementConditions DifferenceLimenIntensityPoints

annotation

documentation

Difference Limen Intensity Audiogram also called Amplitude Modulation (AM) Test or
the Lüscher-Zwislocki test. In this audiogram, an Amplitude Modulation is added to a
steady tone, and the patient is asked to indicate the smallest variation he can detect.

The result is then recorded in dB. The most significant level of recording is found to be
approx. 40 dB above the hearing threshold.

Ref. [HOCA-5 chapter 3, page 33: Pseudohypacusis]

source

<xs:element name="DifferenceLimenIntensity" minOccurs="0" maxOccurs="2">
<xs:annotation>
    <xs:documentation>Difference Limen Intensity Audiogram also called Amplitude Modulation (AM) Test or
the Lüscher-Zwislocki test. In this audiogram, an Amplitude Modulation is added to a
steady tone, and the patient is asked to indicate the smallest variation he can detect.

The result is then recorded in dB. The most significant level of recording is found to be
approx. 40 dB above the hearing threshold.

Ref. [HOCA-5 chapter 3, page 33: Pseudohypacusis] </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="DifferenceLimenIntensityPoints" type="DifferenceLimenIntensityPoint_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/DifferenceLimenIntensity/DifferenceLimenIntensityPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

DifferenceLimenIntensityPoint_Type

properties

minOcc	1
maxOcc	24
content	complex

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize DifferenceLimenIntensityPointStatus AdditionalMaskingPoint

source

<xs:element name="DifferenceLimenIntensityPoints" type="DifferenceLimenIntensityPoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/DifferenceLimenFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	2
content	complex

children

AudMeasurementConditions DifferenceLimenFrequencyPoints

annotation

documentation

Difference Limen Frequency Audiogram also called Frequency Modulation (FM) Test. In
this audiogram, a Frequency Modulation is added to a steady tone, and the patient is asked
to indicate the smallest variation he can detect. This test is used to diagnose abnormal growth of loudness in cochlear hearing losses.

The result is then recorded in percentage.

Ref. [HOCA-5 chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]
Ref. [HOCA-5 chapter 3, page 33: Pseudohypacusis]

source

<xs:element name="DifferenceLimenFrequency" minOccurs="0" maxOccurs="2">
<xs:annotation>
    <xs:documentation>Difference Limen Frequency Audiogram also called Frequency Modulation (FM) Test. In
this audiogram, a Frequency Modulation is added to a steady tone, and the patient is asked
to indicate the smallest variation he can detect. This test is used to diagnose abnormal growth of loudness in cochlear hearing losses.

The result is then recorded in percentage.

Ref. [HOCA-5 chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests ]
Ref. [HOCA-5 chapter 3, page 33: Pseudohypacusis] </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions">
        <xs:annotation>
          <xs:documentation> Global Element used throughout this standard - see AudioMetricMeasurementConditions_Type for more details

</xs:documentation>
        </xs:annotation>
      </xs:element>
      <xs:element name="DifferenceLimenFrequencyPoints" type="DifferenceLimenFrequencyPoint_Type" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/DifferenceLimenFrequency/DifferenceLimenFrequencyPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

DifferenceLimenFrequencyPoint_Type

properties

minOcc	1
maxOcc	24
content	complex

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize DifferenceLimenFrequencyPointStatus AdditionalMaskingPoint

source

<xs:element name="DifferenceLimenFrequencyPoints" type="DifferenceLimenFrequencyPoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/ShortIncrementSensitivityIndex

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	2
content	complex

children

AudMeasurementConditions ShortIncrementSensitivityIndexPoints

annotation

documentation

Short increment sensitivity index testing is where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. The patient signals if the rise is heard. 20 rises are presented and the score then multiplied by 5 to give a percentage score. People with cochlear losses are likely to score above 70% where as normal hearing and other losses typically score less than 30%

Ref. [HOCA-5 chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests]

source

<xs:element name="ShortIncrementSensitivityIndex" minOccurs="0" maxOccurs="2">
<xs:annotation>
    <xs:documentation>Short increment sensitivity index testing is where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. The patient signals if the rise is heard. 20 rises are presented and the score then multiplied by 5 to give a percentage score. People with cochlear losses are likely to score above 70% where as normal hearing and other losses typically score less than 30%

Ref. [HOCA-5 chapter 8, page 111: Cochlear and Retrocochlear Behavioral Tests] </xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element ref="AudMeasurementConditions"/>
      <xs:element name="ShortIncrementSensitivityIndexPoints" type="ShortIncrementSensitivityIndexPoint" maxOccurs="24"/>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/ShortIncrementSensitivityIndex/ShortIncrementSensitivityIndexPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

ShortIncrementSensitivityIndexPoint

properties

minOcc	1
maxOcc	24
content	complex

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize NumberOfAnswers NumberOfIncrements AdditionalMaskingPoint

source

<xs:element name="ShortIncrementSensitivityIndexPoints" type="ShortIncrementSensitivityIndexPoint" maxOccurs="24"/>

element HIMSAAudiometricStandard/PrivateAudiogramData

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:base64Binary

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

In the past it was allowed by HIMSA to save privately formatted data in the unused section of the public storage area of a NOAH action. This usage was used mainly because more space was allocated for public storage versus private. At present this is no longer an issue as equal storage is allocated to both public and private data storage.

This elements primary function is to pass along any private data stored in the public area as base64 encoded data. NOAH is not performing any translation or conversion of data.

This data will never be converted back to an earlier version of a Audiogram data standard. For example, if an audiogram format 500 is saved with this element populated and then an older NOAH compatible fitting module tries to read the Audiogram (causing a conversion down to format 200) this data will be ignored by the converter process.

source

<xs:element name="PrivateAudiogramData" type="xs:base64Binary" minOccurs="0">
<xs:annotation>
<xs:documentation>In the past it was allowed by HIMSA to save privately formatted data in the unused section of the public storage area of a NOAH action. This usage was used mainly because more space was allocated for public storage versus private. At present this is no longer an issue as equal storage is allocated to both public and private data storage.

This elements primary function is to pass along any private data stored in the public area as base64 encoded data. NOAH is not performing any translation or conversion of data.

This data will never be converted back to an earlier version of a Audiogram data standard. For example, if an audiogram format 500 is saved with this element populated and then an older NOAH compatible fitting module tries to read the Audiogram (causing a conversion down to format 200) this data will be ignored by the converter process.
</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/WeberPoints

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	1
content	complex

children

WeberPoint

annotation

documentation

The Weber test is preformed by placing the struck tuning fork on the forehad or upper incisor teeth.

source

<xs:element name="WeberPoints" minOccurs="0">
<xs:annotation>
    <xs:documentation>The Weber test is preformed by placing the struck tuning fork on the forehad or upper incisor teeth.</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element name="WeberPoint" maxOccurs="8">
        <xs:complexType>
          <xs:sequence>
            <xs:element name="StimulusFrequency" type="xs:integer">
              <xs:annotation>
                <xs:documentation>Frequency of the stimulus channel in Hz
</xs:documentation>
              </xs:annotation>
            </xs:element>
            <xs:element name="StimulusLevel">
              <xs:annotation>
                <xs:documentation>Important Note: There was a misunderstanding during the creation phase of the Weber Element that was not caught later on. The StimulusLevel Element should not have not been implemented. As it makes no sense to have it HIMSA will plan to remove this element in the next format release.

It would not be our normal procedure to remove an element but in this case it seems safe to do so in this case.

As the element is further marked as mandatory a module saving the data would be required to save a value. HIMSA will suggest to save the value of zero. Readers of data can of course just ignore the value.

In the next format version HIMSA will also take the necessary steps in the conversion Dll’s to handle this situation.

Stimulus Level of the stimulus channel in dB
</xs:documentation>
              </xs:annotation>
              <xs:simpleType>
                <xs:restriction base="xs:decimal"/>
              </xs:simpleType>
            </xs:element>
            <xs:element name="PointStatus" type="WeberPointStatus_Type">
              <xs:annotation>
                <xs:documentation>Right / The patient heard better on the right ear.
Left / The patient heard better on the left ear.
Center / The patient heard equally well in both ears
NoResponse / The patient did not respond
NotAudible / Not audible to the patient</xs:documentation>
              </xs:annotation>
            </xs:element>
          </xs:sequence>
        </xs:complexType>
      </xs:element>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/WeberPoints/WeberPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	1
maxOcc	8
content	complex

children

StimulusFrequency StimulusLevel PointStatus

source

<xs:element name="WeberPoint" maxOccurs="8">
<xs:complexType>
    <xs:sequence>
      <xs:element name="StimulusFrequency" type="xs:integer">
        <xs:annotation>
          <xs:documentation>Frequency of the stimulus channel in Hz
</xs:documentation>
        </xs:annotation>
      </xs:element>
      <xs:element name="StimulusLevel">
        <xs:annotation>
          <xs:documentation>Important Note: There was a misunderstanding during the creation phase of the Weber Element that was not caught later on. The StimulusLevel Element should not have not been implemented. As it makes no sense to have it HIMSA will plan to remove this element in the next format release.

It would not be our normal procedure to remove an element but in this case it seems safe to do so in this case.

As the element is further marked as mandatory a module saving the data would be required to save a value. HIMSA will suggest to save the value of zero. Readers of data can of course just ignore the value.

In the next format version HIMSA will also take the necessary steps in the conversion Dll’s to handle this situation.

Stimulus Level of the stimulus channel in dB
</xs:documentation>
        </xs:annotation>
        <xs:simpleType>
          <xs:restriction base="xs:decimal"/>
        </xs:simpleType>
      </xs:element>
      <xs:element name="PointStatus" type="WeberPointStatus_Type">
        <xs:annotation>
          <xs:documentation>Right / The patient heard better on the right ear.
Left / The patient heard better on the left ear.
Center / The patient heard equally well in both ears
NoResponse / The patient did not respond
NotAudible / Not audible to the patient</xs:documentation>
        </xs:annotation>
      </xs:element>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/WeberPoints/WeberPoint/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz
</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/WeberPoints/WeberPoint/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

annotation

documentation

Important Note: There was a misunderstanding during the creation phase of the Weber Element that was not caught later on. The StimulusLevel Element should not have not been implemented. As it makes no sense to have it HIMSA will plan to remove this element in the next format release.

It would not be our normal procedure to remove an element but in this case it seems safe to do so in this case.

As the element is further marked as mandatory a module saving the data would be required to save a value. HIMSA will suggest to save the value of zero. Readers of data can of course just ignore the value.

In the next format version HIMSA will also take the necessary steps in the conversion Dll’s to handle this situation.

Stimulus Level of the stimulus channel in dB

source

<xs:element name="StimulusLevel">
<xs:annotation>
<xs:documentation>Important Note: There was a misunderstanding during the creation phase of the Weber Element that was not caught later on. The StimulusLevel Element should not have not been implemented. As it makes no sense to have it HIMSA will plan to remove this element in the next format release.

It would not be our normal procedure to remove an element but in this case it seems safe to do so in this case.

As the element is further marked as mandatory a module saving the data would be required to save a value. HIMSA will suggest to save the value of zero. Readers of data can of course just ignore the value.

In the next format version HIMSA will also take the necessary steps in the conversion Dll’s to handle this situation.

Stimulus Level of the stimulus channel in dB
</xs:documentation>
</xs:annotation>
<xs:simpleType>
<xs:restriction base="xs:decimal"/>
</xs:simpleType>
</xs:element>

element HIMSAAudiometricStandard/WeberPoints/WeberPoint/PointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

WeberPointStatus_Type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Right
enumeration	Left
enumeration	Center
enumeration	NoResponse
enumeration	NotAudible
enumeration	AudibleButCantTellWhichSide

annotation

documentation

Right / The patient heard better on the right ear.
Left / The patient heard better on the left ear.
Center / The patient heard equally well in both ears
NoResponse / The patient did not respond
NotAudible / Not audible to the patient

source

<xs:element name="PointStatus" type="WeberPointStatus_Type">
<xs:annotation>
<xs:documentation>Right / The patient heard better on the right ear.
Left / The patient heard better on the left ear.
Center / The patient heard equally well in both ears
NoResponse / The patient did not respond
NotAudible / Not audible to the patient</xs:documentation>
</xs:annotation>
</xs:element>

element HIMSAAudiometricStandard/SupplementaryData

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

minOcc	0
maxOcc	1
content	complex

children

Information

annotation

documentation

Supplementary data is data supplied by a Noah compatible application that does not follow a HIMSA published standard. The Supplementary data is included in conjunction with the HIMSA defined data standard – the data will be alongside the well-established HIMSA standards. For readers that are knowledgeable with the past “Public Extension” concept that Noah originally used with C header file based standards, this idea is similar in nature.

What is the need for supplementary data?

This general idea was originally suggested by a current HIMSA measurement equipment member company.

Despite HIMSA’s best intentions it is unrealistic that the HIMSA defined data standards can be updated as quickly as desired by another member company. HIMSA is actively trying to create a system where data standards can be updated in a more flexible manner but there will still be times where HIMSA cannot publish an updated version quickly enough due to technical issues or it could be that there is not good consensus with other member companies on a particular topic.

If data is stored as supplementary data then there is an easier to use option for the member to include the data so that other HIMSA member companies may make use of the data until it may be possible that the data structure be placed in the official HIMSA standard.

At first it may seem that HIMSA is suggesting a step backwards in data standardization but this is not the case. HIMSA believes that it will only make Noah easier to work with for member companies and in the long run provide HIMSA with more data information that could be candidates for standardization.

What will HIMSA have for requirements?

+The intention for saving the data in this area is to share it to other members that may wish to use it. If the data is proprietary or is secret in some way, do not store the data here.

+Supplementary data must be stored in an XML format.

+The data must include a version number, if the member creating the data changes the format then the version of the format must change as well

+If a new version is created the member company is required to notify HIMSA of the changes

+The member company creating supplementary data recognizes that HIMSA will most likely review the supplementary data format for possible inclusion in a future HIMSA standard.

What will HIMSA ask for but not have as a requirement?

+Supplementary will be defined by a schema (.XSD) file, if not then documentation must be available to HIMSA member companies requesting it.

+If a HIMSA standard is eventually updated to include the data that used to be stored in supplementary data HIMSA will strongly encourage member companies to move towards utilizing the updated public data standard.

What can the member companies (creators of data) expect?

+If a Noah runtime data converter is translating data from one format to another it will not perform any conversion on supplementary data, it will simply pass it along in the existing format. Please note that this will only function on data standards 502 and newer. This means that software trying to utilize older format (e.g. format 200) will not be able to receive this data.

@@ 502 to 500 conversion - This data must be removed as it was not supported in formation 500 @@

@@ 500 to 502 - this is not possible @@

source

<xs:element name="SupplementaryData" minOccurs="0">
<xs:annotation>
    <xs:documentation>Supplementary data is data supplied by a Noah compatible application that does not follow a HIMSA published standard. The Supplementary data is included in conjunction with the HIMSA defined data standard – the data will be alongside the well-established HIMSA standards. For readers that are knowledgeable with the past “Public Extension” concept that Noah originally used with C header file based standards, this idea is similar in nature.

What is the need for supplementary data?

This general idea was originally suggested by a current HIMSA measurement equipment member company.

Despite HIMSA’s best intentions it is unrealistic that the HIMSA defined data standards can be updated as quickly as desired by another member company. HIMSA is actively trying to create a system where data standards can be updated in a more flexible manner but there will still be times where HIMSA cannot publish an updated version quickly enough due to technical issues or it could be that there is not good consensus with other member companies on a particular topic.

If data is stored as supplementary data then there is an easier to use option for the member to include the data so that other HIMSA member companies may make use of the data until it may be possible that the data structure be placed in the official HIMSA standard.

At first it may seem that HIMSA is suggesting a step backwards in data standardization but this is not the case. HIMSA believes that it will only make Noah easier to work with for member companies and in the long run provide HIMSA with more data information that could be candidates for standardization.

What will HIMSA have for requirements?

+The intention for saving the data in this area is to share it to other members that may wish to use it. If the data is proprietary or is secret in some way, do not store the data here.

+Supplementary data must be stored in an XML format.

+The data must include a version number, if the member creating the data changes the format then the version of the format must change as well

+If a new version is created the member company is required to notify HIMSA of the changes

+The member company creating supplementary data recognizes that HIMSA will most likely review the supplementary data format for possible inclusion in a future HIMSA standard.

What will HIMSA ask for but not have as a requirement?

+Supplementary will be defined by a schema (.XSD) file, if not then documentation must be available to HIMSA member companies requesting it.

+If a HIMSA standard is eventually updated to include the data that used to be stored in supplementary data HIMSA will strongly encourage member companies to move towards utilizing the updated public data standard.

What can the member companies (creators of data) expect?

+If a Noah runtime data converter is translating data from one format to another it will not perform any conversion on supplementary data, it will simply pass it along in the existing format. Please note that this will only function on data standards 502 and newer. This means that software trying to utilize older format (e.g. format 200) will not be able to receive this data.

@@ 502 to 500 conversion - This data must be removed as it was not supported in formation 500 @@

@@ 500 to 502 - this is not possible @@

</xs:documentation>
</xs:annotation>
<xs:complexType>
    <xs:sequence>
      <xs:element name="Information">
        <xs:complexType>
          <xs:attribute name="Version" use="required">
            <xs:annotation>
              <xs:documentation>Version of this data</xs:documentation>
            </xs:annotation>
            <xs:simpleType>
              <xs:restriction base="xs:integer"/>
            </xs:simpleType>
          </xs:attribute>
          <xs:attribute name="Comments">
            <xs:annotation>
              <xs:documentation>General Comments about the data from the developer of the data</xs:documentation>
            </xs:annotation>
          </xs:attribute>
        </xs:complexType>
      </xs:element>
      <xs:any namespace="##any" processContents="skip" maxOccurs="unbounded">
        <xs:annotation>
          <xs:documentation>Any legal formatted XML data. This data does conform to this </xs:documentation>
        </xs:annotation>
      </xs:any>
    </xs:sequence>
</xs:complexType>
</xs:element>

element HIMSAAudiometricStandard/SupplementaryData/Information

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

properties

content

complex

attributes

Name

Type

Use

Default

Fixed

Annotation

Version

derived by: xs:integer

required

documentation

Version of this data

Comments

documentation

General Comments about the data from the developer of the data

source

<xs:element name="Information">
<xs:complexType>
    <xs:attribute name="Version" use="required">
      <xs:annotation>
        <xs:documentation>Version of this data</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:integer"/>
      </xs:simpleType>
    </xs:attribute>
    <xs:attribute name="Comments">
      <xs:annotation>
        <xs:documentation>General Comments about the data from the developer of the data</xs:documentation>
      </xs:annotation>
    </xs:attribute>
</xs:complexType>
</xs:element>

attribute HIMSAAudiometricStandard/SupplementaryData/Information/@Version

type

restriction of xs:integer

properties

use

required

annotation

documentation

Version of this data

source

<xs:attribute name="Version" use="required">
<xs:annotation>
<xs:documentation>Version of this data</xs:documentation>
</xs:annotation>
<xs:simpleType>
<xs:restriction base="xs:integer"/>
</xs:simpleType>
</xs:attribute>

attribute HIMSAAudiometricStandard/SupplementaryData/Information/@Comments

annotation

documentation

General Comments about the data from the developer of the data

source

<xs:attribute name="Comments">
<xs:annotation>
<xs:documentation>General Comments about the data from the developer of the data</xs:documentation>
</xs:annotation>
</xs:attribute>

complexType AdditionalMasking2_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

AdditionalStimulusLevel AdditionalMaskingLevel

used by

elements

ShortIncrementSensitivityIndexPoint/AdditionalMaskingPoint DecayPoint_Type/AdditionalMaskingPoint

annotation

documentation

The Additonal Masking 2 Type is used for tests such as Decay testing where a Point Status is not included

source

<xs:complexType name="AdditionalMasking2_Type">
<xs:annotation>
    <xs:documentation>The Additonal Masking 2 Type is used for tests such as Decay testing where a Point Status is not included</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="AdditionalStimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalStimulusLevel -> StimulusLevel
@@
</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AdditionalMaskingLevel">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB.

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalMaskingLevel -> MaskingLevel
@@</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
</xs:sequence>
</xs:complexType>

element AdditionalMasking2_Type/AdditionalStimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalStimulusLevel -> StimulusLevel
@@

source

<xs:element name="AdditionalStimulusLevel">
<xs:annotation>
    <xs:documentation>Stimulus Level of the stimulus channel in dB

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalStimulusLevel -> StimulusLevel
@@
</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AdditionalMasking2_Type/AdditionalMaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB.

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalMaskingLevel -> MaskingLevel
@@

source

<xs:element name="AdditionalMaskingLevel">
<xs:annotation>
    <xs:documentation>Masking Level of the masking channel in dB.

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalMaskingLevel -> MaskingLevel
@@</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

complexType AdditionalMasking_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

AdditionalStimulusLevel AdditionalMaskingLevel AdditionalMaskingPointStatus

used by

elements

TonePoints_Type/AdditionalMaskingPoint DifferenceLimenIntensityPoint_Type/AdditionalMaskingPoint DifferenceLimenFrequencyPoint_Type/AdditionalMaskingPoint SpeechScorePoint_Type/AdditionalMaskingPoint

source

<xs:complexType name="AdditionalMasking_Type">
<xs:sequence>
    <xs:element name="AdditionalStimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalStimulusLevel -> StimulusLevel
@@
</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AdditionalMaskingLevel">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB.

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalMaskingLevel -> MaskingLevel
@@</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AdditionalMaskingPointStatus" type="PointStatus_Type">
      <xs:annotation>
        <xs:documentation>Status of the point

See PointStatus_Type annotation notes for more information

@@
AdditionalMaskingPointStatus -> SpeechPointStatus or TonePointStatus

@@</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element AdditionalMasking_Type/AdditionalStimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalStimulusLevel -> StimulusLevel
@@

source

element AdditionalMasking_Type/AdditionalMaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB.

An additional frequency is not defined as it must be the same as StimulusFrequency

@@
AdditionalMaskingLevel -> MaskingLevel
@@

source

element AdditionalMasking_Type/AdditionalMaskingPointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

TransducerCalibrationStandard_Type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	Normal
enumeration	AlwaysResponse
enumeration	NoResponse
enumeration	NotMeasurable
enumeration	DidNotTest
enumeration	CouldNotTest
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Status of the point

See PointStatus_Type annotation notes for more information

@@
AdditionalMaskingPointStatus -> SpeechPointStatus or TonePointStatus

@@

source

<xs:element name="AdditionalMaskingPointStatus" type="PointStatus_Type">
<xs:annotation>
<xs:documentation>Status of the point

See PointStatus_Type annotation notes for more information

@@
AdditionalMaskingPointStatus -> SpeechPointStatus or TonePointStatus

@@</xs:documentation>
</xs:annotation>
</xs:element>

complexType AudioMetricMeasurementConditions_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

used by

element

AudMeasurementConditions

annotation

documentation

Measuring Conditions for each recorded curve

source

<xs:complexType name="AudioMetricMeasurementConditions_Type">
<xs:annotation>
    <xs:documentation>Measuring Conditions for each recorded curve
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusSignalType" default="NoSignalApplied">
      <xs:annotation>
        <xs:documentation>Stimulus signal is the sound being presented to the patient, in the ear being tested, that you want them to respond to. (e.g. Pure Tone)</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="Signal_Type"/>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingSignalType" type="Signal_Type" default="NoSignalApplied">
      <xs:annotation>
        <xs:documentation>This is a sound used to stop the hearing in an ear that is not being tested from picking up the test signal. Often used when one ear is found to be significantly poorer than the other or for bone conduction testing.

The non test ear picking up the test tone is called crossover. Masking is presented to the non test ear.

An example of masking noise commonly used is narrowband noise (NBN)

The enumerated value "NoSignalApplied" signals that masking has NOT been performed. If masking has been used then a value other then NoSignalApplied will and must be used.

Ref. [HOCA-5, Chapter 9, page 124: Clinical Masking]</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusSignalOutput" type="SignalOutput_Type" default="NoSignalOutput">
      <xs:annotation>
        <xs:documentation>This refers to the method used to deliver the sound the patient responds to. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingSignalOutput" type="SignalOutput_Type" default="NoSignalOutput">
      <xs:annotation>
        <xs:documentation>This refers to the method used to deliver the masking sound to the patient. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound. (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusdBWeighting" type="dBweighting_Type" default="NodBWeighting">
      <xs:annotation>
        <xs:documentation>The weighting used for the stimulus signal.

See annotations for dBweighting_Type for more information
</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingdBWeighting" type="dBweighting_Type" default="NodBWeighting">
      <xs:annotation>
        <xs:documentation>The weighting used for the masking signal.

See annotations for dBweighting_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusPresentationType" default="NoPresentationType" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Presentation Type for the Stimulus signal

See annotations for Presentation_Type for more information</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="Presentation_Type"/>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingPresentationType" type="Presentation_Type" default="NoPresentationType" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Presentation Type for the Masking signal

See annotations for Presentation_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusTransducerType" type="Transducer_Type" default="NoTransducerType" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The device used to deliver sound to the test ear.

See annotations for Transducer_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingTransducerType" type="Transducer_Type" default="NoTransducerType" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The device used to deliver sound to the non test ear.

See annotations for Transducer_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="TransducerDescription" default="" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Optional description of the Transducer</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="16"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusTransducerCalibrationStandard" type="TransducerCalibrationStandard_Type" default="NoTransducerCalibrationStandard" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Standard used for the Stimulus Transducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]
</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingTransducerCalibrationStandard" type="TransducerCalibrationStandard_Type" default="NoTransducerCalibrationStandard" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Standard used for the MaskingTransducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]
</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="HearingInstrument_1_Condition" type="HearingInstrumentCondition_Type" default="NoCondition" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Indicates if a hearing instrument was worn by the patient during testing for condition 1

See annotations for HearingInstrumentCondtion_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="HearingInstrument_2_Condition" type="HearingInstrumentCondition_Type" default="NoCondition" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Indicates if a hearing instrument was worn by the patient during testing for condition 2

See annotations for HearingInstrumentCondtion_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="HearingInstrumentDescription" default="" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Generic text description of the hearing instrument(s) worn during the test</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="16"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusAuxiliary" type="AuxiliaryParameter_Type" default="NoAuxiliaryParameter" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Word list type used for stimulus

See AuxiliaryParameter_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingAuxiliary" type="AuxiliaryParameter_Type" default="NoAuxiliaryParameter" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Word list type used for masking

See AuxiliaryParameter_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="WordListName" minOccurs="0">
      <xs:annotation>
        <xs:documentation>When testing a patient's speech discrimination a number of different sets of words can be used these are termed word lists (e.g. Maryland CNC word list or BKB Sentence list)</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="16"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AuxiliaryParameterDescription" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Generic text description of the Auxiliary Parameters</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="16"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="SpeechThresholdType" type="SpeechThreshold_Type" default="NotUsed" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The type of speech threshold test

See SpeechThreshold_Type for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusOnTime" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.

An example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. </xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.000"/>
          <xs:fractionDigits value="3"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingOnTime" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.000"/>
          <xs:fractionDigits value="3"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusOffTime" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Used to control how long a signal is off between presentations (in seconds) in automatic tests.
example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. </xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.000"/>
          <xs:fractionDigits value="3"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingOffTime" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="3"/>
          <xs:minInclusive value="0.000"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusSiSiParameter" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Defines the amount of decibel increase added to the carrier signal during SISI testing, commonly used values are 1,2 and 3 dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingSiSiParameter" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking is not commonly used for SiSi testing, </xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusWarbleModulation" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The warble tone is a variation of the pure tone. The frequency of the basic tone is modulated in a desired pattern This is often used in free field Audiometry testing </xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingWarbleModulation" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Warble Modulation is not commonly used.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusWarbleModulationSize" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The amplitude of the warble tone in percent of the steady tone.

Measurement conditions typically used with DifferenceLimenFrequency testing.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="2"/>
          <xs:minInclusive value="0.00"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingWarbleModulationSize" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Warble Modulation Size is not commonly used</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusFrequencyModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The frequency of the basic tone is modulated by a lower frequency to produce a warble sound.

Measurement conditions typically used with DifferenceLimenFrequency</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequencyModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Frequency Modulation is typically not used.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusAmplitudeModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The amplitude of the basic tone is modulated to produce a warble sound.

Measurement conditions typically used with DifferenceLimenIntensity.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingAmplitudeModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Amplitude Modulation is typically not used</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusPulseModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is the frequency in Hz with which the signal is switched between the ears

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions </xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.0"/>
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingPulseModulation" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Pulse Modulation is typically not used</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.0"/>
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StimulusPulseCycle" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The Stimulus Pulse Cycle is the percentage of stimulus frequency where the signal is applied to the good ear. The rest of the pulse time is applied to the bad ear. This tells the audiometer how to cycle through that presentation when the stimulus present button is pressed.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions </xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingPulseCycle" minOccurs="0">
      <xs:annotation>
        <xs:documentation>In this case masking is understood to be the second measurement channel. This is the pulse time applied to the bad ear.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="EstimatedResult" type="EstimatedResultBy_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>If set this indicates that the test results have been estimated via one of the supported methods (e.g. ASSR, ABR)

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="DeviceSolutions" type="DeviceSolutions_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>A new element available starting in version 502. The element is an expansion of the HearingInstrument_1_Condition and HearingInstrument_2_Condition elements to better describe aided solutions. See annotations for DeviceSolutions_Type for more information

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element AudioMetricMeasurementConditions_Type/StimulusSignalType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of Signal_Type

properties

content	simple
default	NoSignalApplied

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoSignalApplied
enumeration	PureTone
enumeration	Warble
enumeration	NarrowBandNoise
enumeration	SpeechNoise
enumeration	WhiteNoise
enumeration	PinkNoise
enumeration	AuxiliarySignal
enumeration	Microphone
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Stimulus signal is the sound being presented to the patient, in the ear being tested, that you want them to respond to. (e.g. Pure Tone)

source

<xs:element name="StimulusSignalType" default="NoSignalApplied">
<xs:annotation>
<xs:documentation>Stimulus signal is the sound being presented to the patient, in the ear being tested, that you want them to respond to. (e.g. Pure Tone)</xs:documentation>
</xs:annotation>
<xs:simpleType>
<xs:restriction base="Signal_Type"/>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingSignalType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

Signal_Type

properties

content	simple
default	NoSignalApplied

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoSignalApplied
enumeration	PureTone
enumeration	Warble
enumeration	NarrowBandNoise
enumeration	SpeechNoise
enumeration	WhiteNoise
enumeration	PinkNoise
enumeration	AuxiliarySignal
enumeration	Microphone
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

This is a sound used to stop the hearing in an ear that is not being tested from picking up the test signal. Often used when one ear is found to be significantly poorer than the other or for bone conduction testing.

The non test ear picking up the test tone is called crossover. Masking is presented to the non test ear.

An example of masking noise commonly used is narrowband noise (NBN)

The enumerated value "NoSignalApplied" signals that masking has NOT been performed. If masking has been used then a value other then NoSignalApplied will and must be used.

Ref. [HOCA-5, Chapter 9, page 124: Clinical Masking]

source

<xs:element name="MaskingSignalType" type="Signal_Type" default="NoSignalApplied">
<xs:annotation>
<xs:documentation>This is a sound used to stop the hearing in an ear that is not being tested from picking up the test signal. Often used when one ear is found to be significantly poorer than the other or for bone conduction testing.

The non test ear picking up the test tone is called crossover. Masking is presented to the non test ear.

An example of masking noise commonly used is narrowband noise (NBN)

The enumerated value "NoSignalApplied" signals that masking has NOT been performed. If masking has been used then a value other then NoSignalApplied will and must be used.

Ref. [HOCA-5, Chapter 9, page 124: Clinical Masking]</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusSignalOutput

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

SignalOutput_Type

properties

content	simple
default	NoSignalOutput

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoSignalOutput
enumeration	AirConductorLeft
enumeration	AirConductorRight
enumeration	AirConductorBinaural
enumeration	BoneConductorLeft
enumeration	BoneConductorRight
enumeration	BoneConductorBinaural
enumeration	FreeFieldLeft
enumeration	FreeFieldRight
enumeration	FreeFieldBinaural
enumeration	InsertPhoneLeft
enumeration	InsertPhoneRight
enumeration	InsertPhoneBinaural
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

This refers to the method used to deliver the sound the patient responds to. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information

source

<xs:element name="StimulusSignalOutput" type="SignalOutput_Type" default="NoSignalOutput">
<xs:annotation>
<xs:documentation>This refers to the method used to deliver the sound the patient responds to. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingSignalOutput

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

SignalOutput_Type

properties

content	simple
default	NoSignalOutput

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoSignalOutput
enumeration	AirConductorLeft
enumeration	AirConductorRight
enumeration	AirConductorBinaural
enumeration	BoneConductorLeft
enumeration	BoneConductorRight
enumeration	BoneConductorBinaural
enumeration	FreeFieldLeft
enumeration	FreeFieldRight
enumeration	FreeFieldBinaural
enumeration	InsertPhoneLeft
enumeration	InsertPhoneRight
enumeration	InsertPhoneBinaural
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

This refers to the method used to deliver the masking sound to the patient. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound. (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information

source

<xs:element name="MaskingSignalOutput" type="SignalOutput_Type" default="NoSignalOutput">
<xs:annotation>
<xs:documentation>This refers to the method used to deliver the masking sound to the patient. The ear and way the sound is delivered is specified but not the exact device used to deliver that sound. (e.g. left air conduction not TDH39)

See annotations for SignalOutput_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusdBWeighting

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

dBweighting_Type

properties

content	simple
default	NodBWeighting

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NodBWeighting
enumeration	HL
enumeration	SPL
enumeration	ABS
enumeration	CSL
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

The weighting used for the stimulus signal.

See annotations for dBweighting_Type for more information

source

<xs:element name="StimulusdBWeighting" type="dBweighting_Type" default="NodBWeighting">
<xs:annotation>
<xs:documentation>The weighting used for the stimulus signal.

See annotations for dBweighting_Type for more information
</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingdBWeighting

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

dBweighting_Type

properties

content	simple
default	NodBWeighting

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NodBWeighting
enumeration	HL
enumeration	SPL
enumeration	ABS
enumeration	CSL
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

The weighting used for the masking signal.

See annotations for dBweighting_Type for more information

source

<xs:element name="MaskingdBWeighting" type="dBweighting_Type" default="NodBWeighting">
<xs:annotation>
<xs:documentation>The weighting used for the masking signal.

See annotations for dBweighting_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusPresentationType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of Presentation_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoPresentationType

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoPresentationType
enumeration	Continuous
enumeration	PulsedPresentation
enumeration	Alternating
enumeration	AmplitudeModulated
enumeration	StepwiseFrequencyModulated
enumeration	Impulse
enumeration	SiSiSignal
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Presentation Type for the Stimulus signal

See annotations for Presentation_Type for more information

source

<xs:element name="StimulusPresentationType" default="NoPresentationType" minOccurs="0">
<xs:annotation>
<xs:documentation>Presentation Type for the Stimulus signal

See annotations for Presentation_Type for more information</xs:documentation>
</xs:annotation>
<xs:simpleType>
<xs:restriction base="Presentation_Type"/>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingPresentationType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

Presentation_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoPresentationType

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoPresentationType
enumeration	Continuous
enumeration	PulsedPresentation
enumeration	Alternating
enumeration	AmplitudeModulated
enumeration	StepwiseFrequencyModulated
enumeration	Impulse
enumeration	SiSiSignal
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Presentation Type for the Masking signal

See annotations for Presentation_Type for more information

source

<xs:element name="MaskingPresentationType" type="Presentation_Type" default="NoPresentationType" minOccurs="0">
<xs:annotation>
<xs:documentation>Presentation Type for the Masking signal

See annotations for Presentation_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusTransducerType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

Transducer_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoTransducerType

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoTransducerType
enumeration	TDH39
enumeration	HDA200
enumeration	EARTONE3A
enumeration	DT48
enumeration	TDH49
enumeration	B71
enumeration	B72
enumeration	Beoton
enumeration	Holmberg
enumeration	User1
enumeration	User2
enumeration	User3
enumeration	EARTONE5A
enumeration	Eartone3A-ABR
enumeration	TDH50
enumeration	IP30
enumeration	DD45
enumeration	B81
enumeration	DD65
enumeration	Holmco_PD81
enumeration	Holmco_PD95
enumeration	HDA280

annotation

documentation

The device used to deliver sound to the test ear.

See annotations for Transducer_Type for more information

source

<xs:element name="StimulusTransducerType" type="Transducer_Type" default="NoTransducerType" minOccurs="0">
<xs:annotation>
<xs:documentation>The device used to deliver sound to the test ear.

See annotations for Transducer_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingTransducerType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

Transducer_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoTransducerType

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoTransducerType
enumeration	TDH39
enumeration	HDA200
enumeration	EARTONE3A
enumeration	DT48
enumeration	TDH49
enumeration	B71
enumeration	B72
enumeration	Beoton
enumeration	Holmberg
enumeration	User1
enumeration	User2
enumeration	User3
enumeration	EARTONE5A
enumeration	Eartone3A-ABR
enumeration	TDH50
enumeration	IP30
enumeration	DD45
enumeration	B81
enumeration	DD65
enumeration	Holmco_PD81
enumeration	Holmco_PD95
enumeration	HDA280

annotation

documentation

The device used to deliver sound to the non test ear.

See annotations for Transducer_Type for more information

source

<xs:element name="MaskingTransducerType" type="Transducer_Type" default="NoTransducerType" minOccurs="0">
<xs:annotation>
<xs:documentation>The device used to deliver sound to the non test ear.

See annotations for Transducer_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/TransducerDescription

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple
default	<empty>

facets

Kind	Value	Annotation
maxLength	16

annotation

documentation

Optional description of the Transducer

source

<xs:element name="TransducerDescription" default="" minOccurs="0">
<xs:annotation>
    <xs:documentation>Optional description of the Transducer</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="16"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusTransducerCalibrationStandard

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

properties

minOcc	0
maxOcc	1
content	simple
default	NoTransducerCalibrationStandard

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoTransducerCalibrationStandard
enumeration	ISO389
enumeration	ISO389_FFEQ
enumeration	ISO7566
enumeration	ISO7566_FFEQ
enumeration	ISO8798
enumeration	ISO8798_FFEQ
enumeration	ISO226
enumeration	ISO226_FFEQ
enumeration	ANSIS36
enumeration	ANSIS36_FFEQ
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Standard used for the Stimulus Transducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]

source

<xs:element name="StimulusTransducerCalibrationStandard" type="TransducerCalibrationStandard_Type" default="NoTransducerCalibrationStandard" minOccurs="0">
<xs:annotation>
<xs:documentation>Standard used for the Stimulus Transducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]
</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingTransducerCalibrationStandard

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

TransducerCalibrationStandard_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoTransducerCalibrationStandard

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoTransducerCalibrationStandard
enumeration	ISO389
enumeration	ISO389_FFEQ
enumeration	ISO7566
enumeration	ISO7566_FFEQ
enumeration	ISO8798
enumeration	ISO8798_FFEQ
enumeration	ISO226
enumeration	ISO226_FFEQ
enumeration	ANSIS36
enumeration	ANSIS36_FFEQ
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Standard used for the MaskingTransducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]

source

<xs:element name="MaskingTransducerCalibrationStandard" type="TransducerCalibrationStandard_Type" default="NoTransducerCalibrationStandard" minOccurs="0">
<xs:annotation>
<xs:documentation>Standard used for the MaskingTransducer Calibration

See annotations for Transducer_Type for more information

Ref. [HOCA-5, Chapter 4, page 50: Puretone, Speech and Noise signals]
</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/HearingInstrument_1_Condition

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

HearingInstrumentCondition_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoCondition

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoCondition
enumeration	UnAided
enumeration	Aided1
enumeration	Aided2
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Indicates if a hearing instrument was worn by the patient during testing for condition 1

See annotations for HearingInstrumentCondtion_Type for more information

source

<xs:element name="HearingInstrument_1_Condition" type="HearingInstrumentCondition_Type" default="NoCondition" minOccurs="0">
<xs:annotation>
<xs:documentation>Indicates if a hearing instrument was worn by the patient during testing for condition 1

See annotations for HearingInstrumentCondtion_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/HearingInstrument_2_Condition

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

HearingInstrumentCondition_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoCondition

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoCondition
enumeration	UnAided
enumeration	Aided1
enumeration	Aided2
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Indicates if a hearing instrument was worn by the patient during testing for condition 2

See annotations for HearingInstrumentCondtion_Type for more information

source

<xs:element name="HearingInstrument_2_Condition" type="HearingInstrumentCondition_Type" default="NoCondition" minOccurs="0">
<xs:annotation>
<xs:documentation>Indicates if a hearing instrument was worn by the patient during testing for condition 2

See annotations for HearingInstrumentCondtion_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/HearingInstrumentDescription

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple
default	<empty>

facets

Kind	Value	Annotation
maxLength	16

annotation

documentation

Generic text description of the hearing instrument(s) worn during the test

source

<xs:element name="HearingInstrumentDescription" default="" minOccurs="0">
<xs:annotation>
    <xs:documentation>Generic text description of the hearing instrument(s) worn during the test</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="16"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusAuxiliary

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AuxiliaryParameter_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoAuxiliaryParameter

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoAuxiliaryParameter
enumeration	MonoSyllabicWords
enumeration	MultiSyllabicWords
enumeration	DichoticWords
enumeration	Freiburger
enumeration	Reim
enumeration	Numerals
enumeration	SpondaicWords
enumeration	ConversationalSpeech
enumeration	PhoneticallyBalanced
enumeration	SentenceMaterial
enumeration	BodyParts
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Word list type used for stimulus

See AuxiliaryParameter_Type for more information

source

<xs:element name="StimulusAuxiliary" type="AuxiliaryParameter_Type" default="NoAuxiliaryParameter" minOccurs="0">
<xs:annotation>
<xs:documentation>Word list type used for stimulus

See AuxiliaryParameter_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingAuxiliary

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AuxiliaryParameter_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NoAuxiliaryParameter

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NoAuxiliaryParameter
enumeration	MonoSyllabicWords
enumeration	MultiSyllabicWords
enumeration	DichoticWords
enumeration	Freiburger
enumeration	Reim
enumeration	Numerals
enumeration	SpondaicWords
enumeration	ConversationalSpeech
enumeration	PhoneticallyBalanced
enumeration	SentenceMaterial
enumeration	BodyParts
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Word list type used for masking

See AuxiliaryParameter_Type for more information

source

<xs:element name="MaskingAuxiliary" type="AuxiliaryParameter_Type" default="NoAuxiliaryParameter" minOccurs="0">
<xs:annotation>
<xs:documentation>Word list type used for masking

See AuxiliaryParameter_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/WordListName

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	16

annotation

documentation

When testing a patient's speech discrimination a number of different sets of words can be used these are termed word lists (e.g. Maryland CNC word list or BKB Sentence list)

source

<xs:element name="WordListName" minOccurs="0">
<xs:annotation>
    <xs:documentation>When testing a patient's speech discrimination a number of different sets of words can be used these are termed word lists (e.g. Maryland CNC word list or BKB Sentence list)</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="16"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/AuxiliaryParameterDescription

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	16

annotation

documentation

Generic text description of the Auxiliary Parameters

source

<xs:element name="AuxiliaryParameterDescription" minOccurs="0">
<xs:annotation>
    <xs:documentation>Generic text description of the Auxiliary Parameters</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="16"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/SpeechThresholdType

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

SpeechThreshold_Type

properties

minOcc	0
maxOcc	1
content	simple
default	NotUsed

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	NotUsed
enumeration	SRT
enumeration	SDT
enumeration	SAT
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

The type of speech threshold test

See SpeechThreshold_Type for more information

source

<xs:element name="SpeechThresholdType" type="SpeechThreshold_Type" default="NotUsed" minOccurs="0">
<xs:annotation>
<xs:documentation>The type of speech threshold test

See SpeechThreshold_Type for more information</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusOnTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.000
fractionDigits	3

annotation

documentation

Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.

An example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level.

source

<xs:element name="StimulusOnTime" minOccurs="0">
<xs:annotation>
    <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.

An example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. </xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.000"/>
      <xs:fractionDigits value="3"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingOnTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.000
fractionDigits	3

annotation

documentation

Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.

source

<xs:element name="MaskingOnTime" minOccurs="0">
<xs:annotation>
    <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.000"/>
      <xs:fractionDigits value="3"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusOffTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.000
fractionDigits	3

annotation

documentation

Used to control how long a signal is off between presentations (in seconds) in automatic tests.
example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level.

source

<xs:element name="StimulusOffTime" minOccurs="0">
<xs:annotation>
    <xs:documentation>Used to control how long a signal is off between presentations (in seconds) in automatic tests.
example is SISI - short increment sensitivity index testing where a continuous tone is presented 20dB above HTL and every 5 seconds the intensity of that tone increases by 1 dB and is held at that level for one- fifth of a second before reducing back to the original level. </xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.000"/>
      <xs:fractionDigits value="3"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingOffTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.000
fractionDigits	3

annotation

documentation

Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.

source

<xs:element name="MaskingOffTime" minOccurs="0">
<xs:annotation>
    <xs:documentation>Used to control how long a signal is presented, in seconds, when a button on the audiometer is pressed.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="3"/>
      <xs:minInclusive value="0.000"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusSiSiParameter

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Defines the amount of decibel increase added to the carrier signal during SISI testing, commonly used values are 1,2 and 3 dB

source

<xs:element name="StimulusSiSiParameter" minOccurs="0">
<xs:annotation>
    <xs:documentation>Defines the amount of decibel increase added to the carrier signal during SISI testing, commonly used values are 1,2 and 3 dB</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingSiSiParameter

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking is not commonly used for SiSi testing,

source

<xs:element name="MaskingSiSiParameter" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking is not commonly used for SiSi testing, </xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusWarbleModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

The warble tone is a variation of the pure tone. The frequency of the basic tone is modulated in a desired pattern This is often used in free field Audiometry testing

source

<xs:element name="StimulusWarbleModulation" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>The warble tone is a variation of the pure tone. The frequency of the basic tone is modulated in a desired pattern This is often used in free field Audiometry testing </xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingWarbleModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Masking Warble Modulation is not commonly used.

source

<xs:element name="MaskingWarbleModulation" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Masking Warble Modulation is not commonly used.</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusWarbleModulationSize

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

The amplitude of the warble tone in percent of the steady tone.

Measurement conditions typically used with DifferenceLimenFrequency testing.

source

<xs:element name="StimulusWarbleModulationSize" minOccurs="0">
<xs:annotation>
    <xs:documentation>The amplitude of the warble tone in percent of the steady tone.

Measurement conditions typically used with DifferenceLimenFrequency testing.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="2"/>
      <xs:minInclusive value="0.00"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingWarbleModulationSize

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

Masking Warble Modulation Size is not commonly used

source

<xs:element name="MaskingWarbleModulationSize" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Warble Modulation Size is not commonly used</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusFrequencyModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

The frequency of the basic tone is modulated by a lower frequency to produce a warble sound.

Measurement conditions typically used with DifferenceLimenFrequency

source

<xs:element name="StimulusFrequencyModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>The frequency of the basic tone is modulated by a lower frequency to produce a warble sound.

Measurement conditions typically used with DifferenceLimenFrequency</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingFrequencyModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

Masking Frequency Modulation is typically not used.

source

<xs:element name="MaskingFrequencyModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Frequency Modulation is typically not used.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusAmplitudeModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

The amplitude of the basic tone is modulated to produce a warble sound.

Measurement conditions typically used with DifferenceLimenIntensity.

source

<xs:element name="StimulusAmplitudeModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>The amplitude of the basic tone is modulated to produce a warble sound.

Measurement conditions typically used with DifferenceLimenIntensity.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingAmplitudeModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Amplitude Modulation is typically not used

source

<xs:element name="MaskingAmplitudeModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Amplitude Modulation is typically not used</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusPulseModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.0
fractionDigits	1

annotation

documentation

This is the frequency in Hz with which the signal is switched between the ears

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions

source

<xs:element name="StimulusPulseModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>This is the frequency in Hz with which the signal is switched between the ears

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions </xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.0"/>
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingPulseModulation

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.0
fractionDigits	1

annotation

documentation

Masking Pulse Modulation is typically not used

source

<xs:element name="MaskingPulseModulation" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Pulse Modulation is typically not used</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.0"/>
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/StimulusPulseCycle

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

The Stimulus Pulse Cycle is the percentage of stimulus frequency where the signal is applied to the good ear. The rest of the pulse time is applied to the bad ear. This tells the audiometer how to cycle through that presentation when the stimulus present button is pressed.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions

source

<xs:element name="StimulusPulseCycle" minOccurs="0">
<xs:annotation>
    <xs:documentation>The Stimulus Pulse Cycle is the percentage of stimulus frequency where the signal is applied to the good ear. The rest of the pulse time is applied to the bad ear. This tells the audiometer how to cycle through that presentation when the stimulus present button is pressed.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions </xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/MaskingPulseCycle

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

In this case masking is understood to be the second measurement channel. This is the pulse time applied to the bad ear.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions

source

<xs:element name="MaskingPulseCycle" minOccurs="0">
<xs:annotation>
    <xs:documentation>In this case masking is understood to be the second measurement channel. This is the pulse time applied to the bad ear.

Measurement conditions typically used with AlternateBinauralLoudnessBalanceConditions</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element AudioMetricMeasurementConditions_Type/EstimatedResult

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

EstimatedResultBy_Type

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
enumeration	ASSR
enumeration	ABR
enumeration	Other

annotation

documentation

If set this indicates that the test results have been estimated via one of the supported methods (e.g. ASSR, ABR)

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@

source

<xs:element name="EstimatedResult" type="EstimatedResultBy_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>If set this indicates that the test results have been estimated via one of the supported methods (e.g. ASSR, ABR)

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@</xs:documentation>
</xs:annotation>
</xs:element>

element AudioMetricMeasurementConditions_Type/DeviceSolutions

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

DeviceSolutions_Type

properties

minOcc	0
maxOcc	1
content	complex

children

RightEarDevice LeftEarDevice

annotation

documentation

A new element available starting in version 502. The element is an expansion of the HearingInstrument_1_Condition and HearingInstrument_2_Condition elements to better describe aided solutions. See annotations for DeviceSolutions_Type for more information

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@

source

<xs:element name="DeviceSolutions" type="DeviceSolutions_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>A new element available starting in version 502. The element is an expansion of the HearingInstrument_1_Condition and HearingInstrument_2_Condition elements to better describe aided solutions. See annotations for DeviceSolutions_Type for more information

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@</xs:documentation>
</xs:annotation>
</xs:element>

complexType DecayPoint_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel StartTime EndTime AdditionalMaskingPoint

used by

element

HIMSAAudiometricStandard/DecayAudiogram/DecayPoints

annotation

documentation

Data point for Decay sections

source

<xs:complexType name="DecayPoint_Type">
<xs:annotation>
    <xs:documentation>Data point for Decay sections
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusFrequency" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Intensity Level of the masking channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="StartTime">
      <xs:annotation>
        <xs:documentation>Start time for a Decay presentation</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="2"/>
          <xs:minInclusive value="0.00"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="EndTime">
      <xs:annotation>
        <xs:documentation>Start and End time for a Decay presentation</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:fractionDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking2_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.
AdditionalStimulusLevel –> enter the StimulusFrequency value
AdditionalMaskingLevel -> MaskingLevel

@@ REV 6 Convert 502 to 500
With format 502, for this element, it is assumed that the masking frequency is the same as the stimulus frequency. The problem that has been noted in a real support case is that a down conversion may result in no masking frequency being defined and that many older programs are counting on this masking freq. to be present, as has been noted in other annotations. To avoid this situation the down runtime conversion process will now copy the stimulus frequency to the masking frequency, if it is empty.
@@</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element DecayPoint_Type/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz.

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element DecayPoint_Type/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

<xs:element name="StimulusLevel">
<xs:annotation>
    <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DecayPoint_Type/MaskingFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Frequency of the masking channel in Hz.

source

<xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element DecayPoint_Type/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Intensity Level of the masking channel in dB

source

<xs:element name="MaskingLevel" minOccurs="0">
<xs:annotation>
    <xs:documentation>Intensity Level of the masking channel in dB</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DecayPoint_Type/StartTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

Start time for a Decay presentation

source

<xs:element name="StartTime">
<xs:annotation>
    <xs:documentation>Start time for a Decay presentation</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="2"/>
      <xs:minInclusive value="0.00"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DecayPoint_Type/EndTime

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

Start and End time for a Decay presentation

source

<xs:element name="EndTime">
<xs:annotation>
    <xs:documentation>Start and End time for a Decay presentation</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:fractionDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DecayPoint_Type/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AdditionalMasking2_Type

properties

minOcc	0
maxOcc	1
content	complex

children

AdditionalStimulusLevel AdditionalMaskingLevel

annotation

documentation

This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.
AdditionalStimulusLevel –> enter the StimulusFrequency value
AdditionalMaskingLevel -> MaskingLevel

@@ REV 6 Convert 502 to 500
With format 502, for this element, it is assumed that the masking frequency is the same as the stimulus frequency. The problem that has been noted in a real support case is that a down conversion may result in no masking frequency being defined and that many older programs are counting on this masking freq. to be present, as has been noted in other annotations. To avoid this situation the down runtime conversion process will now copy the stimulus frequency to the masking frequency, if it is empty.
@@

source

<xs:element name="AdditionalMaskingPoint" type="AdditionalMasking2_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.
AdditionalStimulusLevel –> enter the StimulusFrequency value
AdditionalMaskingLevel -> MaskingLevel

@@ REV 6 Convert 502 to 500
With format 502, for this element, it is assumed that the masking frequency is the same as the stimulus frequency. The problem that has been noted in a real support case is that a down conversion may result in no masking frequency being defined and that many older programs are counting on this masking freq. to be present, as has been noted in other annotations. To avoid this situation the down runtime conversion process will now copy the stimulus frequency to the masking frequency, if it is empty.
@@</xs:documentation>
</xs:annotation>
</xs:element>

complexType DeviceSolutions_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

RightEarDevice LeftEarDevice

used by

element

AudioMetricMeasurementConditions_Type/DeviceSolutions

annotation

documentation

Versions 500 and earlier all indicate that these are used to note of a hearing instrument was worn during the test, not another type of device. However, it is not clear what ear(s) is aided and until now this has not been important – at least nobody has informed HIMSA that this was important.

As HIMSA has looked to add the support for indicating if different types of devices can be indicated it has become apparent that a bit more complete structure is needed. In general the new structure will contain a more complete list of device solutions and the ability/requirement to denote which ear the solution is associated with.

The phrase “Aided Solution” will now be used in the new structure to do a better job of generally describing hearing instruments, cochlear implants etc.)
This is a new optional element to use and will have no connection of use with HearingInstrument_1_Condition and HearingInstrument_2_Condition elements

source

<xs:complexType name="DeviceSolutions_Type">
<xs:annotation>
    <xs:documentation>Versions 500 and earlier all indicate that these are used to note of a hearing instrument was worn during the test, not another type of device. However, it is not clear what ear(s) is aided and until now this has not been important – at least nobody has informed HIMSA that this was important.

As HIMSA has looked to add the support for indicating if different types of devices can be indicated it has become apparent that a bit more complete structure is needed. In general the new structure will contain a more complete list of device solutions and the ability/requirement to denote which ear the solution is associated with.

The phrase “Aided Solution” will now be used in the new structure to do a better job of generally describing hearing instruments, cochlear implants etc.)
This is a new optional element to use and will have no connection of use with HearingInstrument_1_Condition and HearingInstrument_2_Condition elements
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="RightEarDevice" type="AidedSolutions_Type" default="None ">
      <xs:annotation>
        <xs:documentation>If a device does not exist for this ear then select 'None'</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="LeftEarDevice" type="AidedSolutions_Type" default="None ">
      <xs:annotation>
        <xs:documentation>If a device does not exist for this ear then select 'None'</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element DeviceSolutions_Type/RightEarDevice

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AidedSolutions_Type

properties

content	simple
default	None

facets

Kind	Value	Annotation
enumeration	None
enumeration	EarOccluded
enumeration	AcousticHearingAid
enumeration	BoneConductionHearingAid
enumeration	BoneAnchoredHearingAid
enumeration	CochlearImplant
enumeration	ElectroacousticStimulation
enumeration	MiddleEarImplant
enumeration	AuditoryBrainstemImplant

annotation

documentation

If a device does not exist for this ear then select 'None'

source

<xs:element name="RightEarDevice" type="AidedSolutions_Type" default="None ">
<xs:annotation>
<xs:documentation>If a device does not exist for this ear then select 'None'</xs:documentation>
</xs:annotation>
</xs:element>

element DeviceSolutions_Type/LeftEarDevice

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AidedSolutions_Type

properties

content	simple
default	None

facets

Kind	Value	Annotation
enumeration	None
enumeration	EarOccluded
enumeration	AcousticHearingAid
enumeration	BoneConductionHearingAid
enumeration	BoneAnchoredHearingAid
enumeration	CochlearImplant
enumeration	ElectroacousticStimulation
enumeration	MiddleEarImplant
enumeration	AuditoryBrainstemImplant

annotation

documentation

If a device does not exist for this ear then select 'None'

source

<xs:element name="LeftEarDevice" type="AidedSolutions_Type" default="None ">
<xs:annotation>
<xs:documentation>If a device does not exist for this ear then select 'None'</xs:documentation>
</xs:annotation>
</xs:element>

complexType DifferenceLimenFrequencyPoint_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize DifferenceLimenFrequencyPointStatus AdditionalMaskingPoint

used by

element

HIMSAAudiometricStandard/DifferenceLimenFrequency/DifferenceLimenFrequencyPoints

annotation

documentation

Data point for Difference Limen Frequency (DLF)

source

<xs:complexType name="DifferenceLimenFrequencyPoint_Type">
<xs:annotation>
    <xs:documentation>Data point for Difference Limen Frequency (DLF)
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusFrequency" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="ModulationSize">
      <xs:annotation>
        <xs:documentation>Modulation Size. The observed Difference Limen Threshold is saved as a percentage. This integer value represents the lowest detectable difference in frequency represented as described below:

The Difference Limen (DL) will be saved for the variation in frequency in question in the
variable modSize. In the DLF case the measurement becomes

Frequency1A - Frequency1B
Modulation Size = ___________________________________________ X 10,000
Frequency1A

Intensity1A is defined as the measuring intensity and thus saved as intensity1. Intensity1B is the varied stimulus intensity. It can be increased or lowered.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:minInclusive value="0.00"/>
          <xs:totalDigits value="2"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="DifferenceLimenFrequencyPointStatus" type="PointStatus_Type">
      <xs:annotation>
        <xs:documentation>Status of Point

See PointStatus_Type enumeration for more details</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

AdditionalStimulusLevel -> StimulusLevel
AdditionalMaskingLevel -> MaskingLevel
AdditionalMaskingPointStatus -> DifferenceLimenFrequencyPointStatus
</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element DifferenceLimenFrequencyPoint_Type/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz.

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenFrequencyPoint_Type/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

element DifferenceLimenFrequencyPoint_Type/MaskingFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Frequency of the masking channel in Hz.

source

<xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenFrequencyPoint_Type/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB

source

<xs:element name="MaskingLevel" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Level of the masking channel in dB</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DifferenceLimenFrequencyPoint_Type/ModulationSize

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
minInclusive	0.00
totalDigits	2

annotation

documentation

Modulation Size. The observed Difference Limen Threshold is saved as a percentage. This integer value represents the lowest detectable difference in frequency represented as described below:

The Difference Limen (DL) will be saved for the variation in frequency in question in the
variable modSize. In the DLF case the measurement becomes

Frequency1A - Frequency1B
Modulation Size = ___________________________________________ X 10,000
Frequency1A

Intensity1A is defined as the measuring intensity and thus saved as intensity1. Intensity1B is the varied stimulus intensity. It can be increased or lowered.

source

<xs:element name="ModulationSize">
<xs:annotation>
    <xs:documentation>Modulation Size. The observed Difference Limen Threshold is saved as a percentage. This integer value represents the lowest detectable difference in frequency represented as described below:

The Difference Limen (DL) will be saved for the variation in frequency in question in the
variable modSize. In the DLF case the measurement becomes

Frequency1A - Frequency1B
Modulation Size = ___________________________________________ X 10,000
Frequency1A

Intensity1A is defined as the measuring intensity and thus saved as intensity1. Intensity1B is the varied stimulus intensity. It can be increased or lowered.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:minInclusive value="0.00"/>
      <xs:totalDigits value="2"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DifferenceLimenFrequencyPoint_Type/DifferenceLimenFrequencyPointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	Normal
enumeration	AlwaysResponse
enumeration	NoResponse
enumeration	NotMeasurable
enumeration	DidNotTest
enumeration	CouldNotTest
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Status of Point

See PointStatus_Type enumeration for more details

source

<xs:element name="DifferenceLimenFrequencyPointStatus" type="PointStatus_Type">
<xs:annotation>
<xs:documentation>Status of Point

See PointStatus_Type enumeration for more details</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenFrequencyPoint_Type/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AdditionalStimulusLevel AdditionalMaskingLevel AdditionalMaskingPointStatus

properties

minOcc	0
maxOcc	1
content	complex

children

annotation

documentation

source

complexType DifferenceLimenIntensityPoint_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize DifferenceLimenIntensityPointStatus AdditionalMaskingPoint

used by

element

HIMSAAudiometricStandard/DifferenceLimenIntensity/DifferenceLimenIntensityPoints

annotation

documentation

Data point for Difference Limen Intensity (DLI) thresholds

The difference limen (DL) will be saved for the frequency in question in the variable
modSize.

source

<xs:complexType name="DifferenceLimenIntensityPoint_Type">
<xs:annotation>
    <xs:documentation>Data point for Difference Limen Intensity (DLI) thresholds

The difference limen (DL) will be saved for the frequency in question in the variable
modSize.
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusFrequency" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Frequency of the masking channel in Hz</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="ModulationSize">
      <xs:annotation>
        <xs:documentation>Modulation Size. The observed Difference Limen Threshold measured in dB. This value represents the lowest detectable difference in Sound Pressure Level.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
          <xs:minInclusive value="0.0"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="DifferenceLimenIntensityPointStatus" type="PointStatus_Type">
      <xs:annotation>
        <xs:documentation>Status of the point

See PointStatus_Type annotations for more details</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

AdditionalStimulusLevel -> StimulusLevel
AdditionalMaskingLevel -> MaskingLevel
AdditionalMaskingPointStatus -> DifferenceLimenIntensityPointStatus
</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element DifferenceLimenIntensityPoint_Type/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz.

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenIntensityPoint_Type/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

element DifferenceLimenIntensityPoint_Type/MaskingFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Frequency of the masking channel in Hz

source

<xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Frequency of the masking channel in Hz</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenIntensityPoint_Type/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB

source

element DifferenceLimenIntensityPoint_Type/ModulationSize

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
minInclusive	0.0
fractionDigits	1

annotation

documentation

Modulation Size. The observed Difference Limen Threshold measured in dB. This value represents the lowest detectable difference in Sound Pressure Level.

source

<xs:element name="ModulationSize">
<xs:annotation>
    <xs:documentation>Modulation Size. The observed Difference Limen Threshold measured in dB. This value represents the lowest detectable difference in Sound Pressure Level.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
      <xs:minInclusive value="0.0"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element DifferenceLimenIntensityPoint_Type/DifferenceLimenIntensityPointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	Normal
enumeration	AlwaysResponse
enumeration	NoResponse
enumeration	NotMeasurable
enumeration	DidNotTest
enumeration	CouldNotTest
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Status of the point

See PointStatus_Type annotations for more details

source

<xs:element name="DifferenceLimenIntensityPointStatus" type="PointStatus_Type">
<xs:annotation>
<xs:documentation>Status of the point

See PointStatus_Type annotations for more details</xs:documentation>
</xs:annotation>
</xs:element>

element DifferenceLimenIntensityPoint_Type/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AdditionalStimulusLevel AdditionalMaskingLevel AdditionalMaskingPointStatus

properties

minOcc	0
maxOcc	1
content	complex

children

annotation

documentation

source

complexType FrequenciesUsedForToneAverage_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

LeftEar1 LeftEar2 RightEar1 RightEar2

used by

element

HIMSAAudiometricStandard/FrequenciesUsedForToneAverage

source

<xs:complexType name="FrequenciesUsedForToneAverage_Type">
<xs:annotation>
    <xs:documentation/>
</xs:annotation>
<xs:sequence>
    <xs:element name="LeftEar1" minOccurs="0" maxOccurs="13">
      <xs:annotation>
        <xs:documentation>Frequencies used to calculate the average for LeftEar1</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="ToneAverage_Type"/>
      </xs:simpleType>
    </xs:element>
    <xs:element name="LeftEar2" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
      <xs:annotation>
        <xs:documentation>Frequencies used to calculate the average for LeftEar2</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="RightEar1" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
      <xs:annotation>
        <xs:documentation>Frequencies used to calculate the average for RightEar1</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="RightEar2" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
      <xs:annotation>
        <xs:documentation>Frequencies used to calculate the average for RightEar2</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element FrequenciesUsedForToneAverage_Type/LeftEar1

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of ToneAverage_Type

properties

minOcc	0
maxOcc	13
content	simple

facets

Kind	Value	Annotation
enumeration	125
enumeration	250
enumeration	500
enumeration	750
enumeration	1000
enumeration	1500
enumeration	2000
enumeration	3000
enumeration	4000
enumeration	6000
enumeration	8000
enumeration	12000
enumeration	16000
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Frequencies used to calculate the average for LeftEar1

source

<xs:element name="LeftEar1" minOccurs="0" maxOccurs="13">
<xs:annotation>
<xs:documentation>Frequencies used to calculate the average for LeftEar1</xs:documentation>
</xs:annotation>
<xs:simpleType>
<xs:restriction base="ToneAverage_Type"/>
</xs:simpleType>
</xs:element>

element FrequenciesUsedForToneAverage_Type/LeftEar2

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

ToneAverage_Type

properties

minOcc	0
maxOcc	13
content	simple

facets

Kind	Value	Annotation
enumeration	125
enumeration	250
enumeration	500
enumeration	750
enumeration	1000
enumeration	1500
enumeration	2000
enumeration	3000
enumeration	4000
enumeration	6000
enumeration	8000
enumeration	12000
enumeration	16000
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Frequencies used to calculate the average for LeftEar2

source

<xs:element name="LeftEar2" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
<xs:annotation>
<xs:documentation>Frequencies used to calculate the average for LeftEar2</xs:documentation>
</xs:annotation>
</xs:element>

element FrequenciesUsedForToneAverage_Type/RightEar1

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

ToneAverage_Type

properties

minOcc	0
maxOcc	13
content	simple

facets

Kind	Value	Annotation
enumeration	125
enumeration	250
enumeration	500
enumeration	750
enumeration	1000
enumeration	1500
enumeration	2000
enumeration	3000
enumeration	4000
enumeration	6000
enumeration	8000
enumeration	12000
enumeration	16000
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Frequencies used to calculate the average for RightEar1

source

<xs:element name="RightEar1" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
<xs:annotation>
<xs:documentation>Frequencies used to calculate the average for RightEar1</xs:documentation>
</xs:annotation>
</xs:element>

element FrequenciesUsedForToneAverage_Type/RightEar2

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

ToneAverage_Type

properties

minOcc	0
maxOcc	13
content	simple

facets

Kind	Value	Annotation
enumeration	125
enumeration	250
enumeration	500
enumeration	750
enumeration	1000
enumeration	1500
enumeration	2000
enumeration	3000
enumeration	4000
enumeration	6000
enumeration	8000
enumeration	12000
enumeration	16000
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Frequencies used to calculate the average for RightEar2

source

<xs:element name="RightEar2" type="ToneAverage_Type" minOccurs="0" maxOccurs="13">
<xs:annotation>
<xs:documentation>Frequencies used to calculate the average for RightEar2</xs:documentation>
</xs:annotation>
</xs:element>

complexType MeasurementNotes_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

AudiometerMakeModel AudiometerSerialNumber AudiometerLastCalibration TestMethod TestReliability IsDeaf

used by

elements

HIMSAAudiometricStandard/SpeechNotes HIMSAAudiometricStandard/ToneNotes

annotation

documentation

The Measurement Notes structure is designed to hold the notes from an Audiological
Measurement. The information herein could be useful to other entities as the information
affects the test and its results.

source

<xs:complexType name="MeasurementNotes_Type">
<xs:annotation>
    <xs:documentation>The Measurement Notes structure is designed to hold the notes from an Audiological
Measurement. The information herein could be useful to other entities as the information
affects the test and its results.
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="AudiometerMakeModel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The Manufacturer Make Model of the equipment used.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="41"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AudiometerSerialNumber" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The Manufacturer Serial Number of the equipment used.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="41"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="AudiometerLastCalibration" type="xs:dateTime" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Date of Last Calibration of the equipment used.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="TestMethod" minOccurs="0">
      <xs:annotation>
        <xs:documentation>It is possible to carry out Audiological tests according to a number of different protocols. This field allows the actual method of testing to be described. For example, Visual reinforcement Audiometry is used to achieve a Pure Tone Audiogram from small children and the audiologist would comment that testing was performed using this method.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="41"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="TestReliability" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Patients are required to respond consistently at the same level during pure tone audiometry in order to find their HTL accurately. For some patients this is not possible and an accurate HTL cannot be established because the patient responds at varying levels during the testing claiming them to be their HTL. The audiologist would generally remark that the responses were not accurate by writing a comment in the reliability field</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:string">
          <xs:maxLength value="41"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="IsDeaf" type="Ear_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This element is used to clearly signal that the patient is deaf in the ear choice that is set. If a value is set then the reader of the data can assume that this is a valid reason for why testing was conducted for the set ear(s) or any data present for a deaf ear. If an ear selection is made then user conducting the Audiogram test has determined that the ear choice is deaf.

This approach is taken rather than requiring the reader of the data to pay attention to curves that may be present with the PointStatus_Type is set to something like DidNotTest or CouldNotTest, or NoResponse at the maximum output of the audiometer, which can vary per audiometer.

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@
</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element MeasurementNotes_Type/AudiometerMakeModel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	41

annotation

documentation

The Manufacturer Make Model of the equipment used.

source

<xs:element name="AudiometerMakeModel" minOccurs="0">
<xs:annotation>
    <xs:documentation>The Manufacturer Make Model of the equipment used.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="41"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element MeasurementNotes_Type/AudiometerSerialNumber

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	41

annotation

documentation

The Manufacturer Serial Number of the equipment used.

source

<xs:element name="AudiometerSerialNumber" minOccurs="0">
<xs:annotation>
    <xs:documentation>The Manufacturer Serial Number of the equipment used.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="41"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element MeasurementNotes_Type/AudiometerLastCalibration

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:dateTime

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Date of Last Calibration of the equipment used.

source

<xs:element name="AudiometerLastCalibration" type="xs:dateTime" minOccurs="0">
<xs:annotation>
<xs:documentation>Date of Last Calibration of the equipment used.</xs:documentation>
</xs:annotation>
</xs:element>

element MeasurementNotes_Type/TestMethod

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	41

annotation

documentation

It is possible to carry out Audiological tests according to a number of different protocols. This field allows the actual method of testing to be described. For example, Visual reinforcement Audiometry is used to achieve a Pure Tone Audiogram from small children and the audiologist would comment that testing was performed using this method.

source

<xs:element name="TestMethod" minOccurs="0">
<xs:annotation>
    <xs:documentation>It is possible to carry out Audiological tests according to a number of different protocols. This field allows the actual method of testing to be described. For example, Visual reinforcement Audiometry is used to achieve a Pure Tone Audiogram from small children and the audiologist would comment that testing was performed using this method.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="41"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element MeasurementNotes_Type/TestReliability

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:string

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
maxLength	41

annotation

documentation

Patients are required to respond consistently at the same level during pure tone audiometry in order to find their HTL accurately. For some patients this is not possible and an accurate HTL cannot be established because the patient responds at varying levels during the testing claiming them to be their HTL. The audiologist would generally remark that the responses were not accurate by writing a comment in the reliability field

source

<xs:element name="TestReliability" minOccurs="0">
<xs:annotation>
    <xs:documentation>Patients are required to respond consistently at the same level during pure tone audiometry in order to find their HTL accurately. For some patients this is not possible and an accurate HTL cannot be established because the patient responds at varying levels during the testing claiming them to be their HTL. The audiologist would generally remark that the responses were not accurate by writing a comment in the reliability field</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:string">
      <xs:maxLength value="41"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element MeasurementNotes_Type/IsDeaf

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

Ear_Type

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
enumeration	Right
enumeration	Left
enumeration	Binaural

annotation

documentation

This element is used to clearly signal that the patient is deaf in the ear choice that is set. If a value is set then the reader of the data can assume that this is a valid reason for why testing was conducted for the set ear(s) or any data present for a deaf ear. If an ear selection is made then user conducting the Audiogram test has determined that the ear choice is deaf.

This approach is taken rather than requiring the reader of the data to pay attention to curves that may be present with the PointStatus_Type is set to something like DidNotTest or CouldNotTest, or NoResponse at the maximum output of the audiometer, which can vary per audiometer.

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@

source

<xs:element name="IsDeaf" type="Ear_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>This element is used to clearly signal that the patient is deaf in the ear choice that is set. If a value is set then the reader of the data can assume that this is a valid reason for why testing was conducted for the set ear(s) or any data present for a deaf ear. If an ear selection is made then user conducting the Audiogram test has determined that the ear choice is deaf.

This approach is taken rather than requiring the reader of the data to pay attention to curves that may be present with the PointStatus_Type is set to something like DidNotTest or CouldNotTest, or NoResponse at the maximum output of the audiometer, which can vary per audiometer.

@@Convert down Rule: Going from 502->500. This element and concept did not exist so none of the data in this element can be convereted down @@
</xs:documentation>
</xs:annotation>
</xs:element>

complexType ShortIncrementSensitivityIndexPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel ModulationSize NumberOfAnswers NumberOfIncrements AdditionalMaskingPoint

used by

element

HIMSAAudiometricStandard/ShortIncrementSensitivityIndex/ShortIncrementSensitivityIndexPoints

annotation

documentation

Data point for Short Increment Sensitivity Index (SISI) Audiogram

source

<xs:complexType name="ShortIncrementSensitivityIndexPoint">
<xs:annotation>
    <xs:documentation>Data point for Short Increment Sensitivity Index (SISI) Audiogram
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusFrequency" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="ModulationSize">
      <xs:annotation>
        <xs:documentation>The observed SiSi Increment size measured in dB. This value represents the lowest detectable difference in Sound Pressure Level</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="NumberOfAnswers" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Number of positive responses given by the patient corresponding to the saved increment
size.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="NumberOfIncrements" type="xs:integer">
      <xs:annotation>
        <xs:documentation>The total number of presentations given with the corresponding increment size</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking2_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

AdditionalStimulusLevel -> StimulusLevel
AdditionalMaskingLevel -> MaskingLevel
</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element ShortIncrementSensitivityIndexPoint/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz.

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element ShortIncrementSensitivityIndexPoint/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

element ShortIncrementSensitivityIndexPoint/MaskingFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Frequency of the masking channel in Hz.

source

<xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Frequency of the masking channel in Hz.</xs:documentation>
</xs:annotation>
</xs:element>

element ShortIncrementSensitivityIndexPoint/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB

source

element ShortIncrementSensitivityIndexPoint/ModulationSize

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

The observed SiSi Increment size measured in dB. This value represents the lowest detectable difference in Sound Pressure Level

source

<xs:element name="ModulationSize">
<xs:annotation>
    <xs:documentation>The observed SiSi Increment size measured in dB. This value represents the lowest detectable difference in Sound Pressure Level</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element ShortIncrementSensitivityIndexPoint/NumberOfAnswers

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Number of positive responses given by the patient corresponding to the saved increment
size.

source

<xs:element name="NumberOfAnswers" type="xs:integer">
<xs:annotation>
<xs:documentation>Number of positive responses given by the patient corresponding to the saved increment
size.</xs:documentation>
</xs:annotation>
</xs:element>

element ShortIncrementSensitivityIndexPoint/NumberOfIncrements

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

The total number of presentations given with the corresponding increment size

source

<xs:element name="NumberOfIncrements" type="xs:integer">
<xs:annotation>
<xs:documentation>The total number of presentations given with the corresponding increment size</xs:documentation>
</xs:annotation>
</xs:element>

element ShortIncrementSensitivityIndexPoint/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AdditionalMasking2_Type

properties

minOcc	0
maxOcc	1
content	complex

children

AdditionalStimulusLevel AdditionalMaskingLevel

annotation

documentation

source

<xs:element name="AdditionalMaskingPoint" type="AdditionalMasking2_Type" minOccurs="0">
<xs:annotation>
<xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

AdditionalStimulusLevel -> StimulusLevel
AdditionalMaskingLevel -> MaskingLevel
</xs:documentation>
</xs:annotation>
</xs:element>

complexType SpeechScorePoint_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint

used by

elements

HIMSAAudiometricStandard/SpeechDiscriminationAudiogram/SpeechDiscriminationPoints HIMSAAudiometricStandard/SpeechMostComfortableLevel/SpeechMostComfortablePoint HIMSAAudiometricStandard/SpeechReceptionThresholdAudiogram/SpeechReceptionPoints HIMSAAudiometricStandard/SpeechUncomfortableLevel/SpeechUncomfortablePoint

annotation

documentation

Data point for Speech Scores, used by all speech audiograms

source

<xs:complexType name="SpeechScorePoint_Type">
<xs:annotation>
    <xs:documentation>Data point for Speech Scores, used by all speech audiograms
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="ScorePercent">
      <xs:annotation>
        <xs:documentation>The number of correct repeated phonemes (words, syllables…) in percent
</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="2"/>
          <xs:minInclusive value="0.00"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="NumberOfWords" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>The number of correctly repeated phonemes (words, syllables…) </xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="SpeechPointStatus" type="PointStatus_Type">
      <xs:annotation>
        <xs:documentation>Status of the Point

@@ Convert Down Rule: Converting from 502->500. This element is not in format 500. You will need to remove it when converting to format 500. @@

++Convert Up Rule:
Converting from 500->502.
This is a manditory element in format 502. Use the value Unknown when converting up.++
</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

AdditionalStimulusLevel -> StimulusLevel
AdditionalMaskingLevel -> MaskingLevel
AdditionalMaskingPointStatus -> SpeechPointStatus
</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element SpeechScorePoint_Type/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

element SpeechScorePoint_Type/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB

source

element SpeechScorePoint_Type/ScorePercent

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
minInclusive	0.00
fractionDigits	2

annotation

documentation

The number of correct repeated phonemes (words, syllables…) in percent

source

<xs:element name="ScorePercent">
<xs:annotation>
    <xs:documentation>The number of correct repeated phonemes (words, syllables…) in percent
</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="2"/>
      <xs:minInclusive value="0.00"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element SpeechScorePoint_Type/NumberOfWords

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

The number of correctly repeated phonemes (words, syllables…)

source

<xs:element name="NumberOfWords" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>The number of correctly repeated phonemes (words, syllables…) </xs:documentation>
</xs:annotation>
</xs:element>

element SpeechScorePoint_Type/SpeechPointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	Normal
enumeration	AlwaysResponse
enumeration	NoResponse
enumeration	NotMeasurable
enumeration	DidNotTest
enumeration	CouldNotTest
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Status of the Point

@@ Convert Down Rule: Converting from 502->500. This element is not in format 500. You will need to remove it when converting to format 500. @@

++Convert Up Rule:
Converting from 500->502.
This is a manditory element in format 502. Use the value Unknown when converting up.++

source

<xs:element name="SpeechPointStatus" type="PointStatus_Type">
<xs:annotation>
<xs:documentation>Status of the Point

@@ Convert Down Rule: Converting from 502->500. This element is not in format 500. You will need to remove it when converting to format 500. @@

++Convert Up Rule:
Converting from 500->502.
This is a manditory element in format 502. Use the value Unknown when converting up.++
</xs:documentation>
</xs:annotation>
</xs:element>

element SpeechScorePoint_Type/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

AdditionalStimulusLevel AdditionalMaskingLevel AdditionalMaskingPointStatus

properties

minOcc	0
maxOcc	1
content	complex

children

annotation

documentation

source

complexType TonePoints_Type

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

children

StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint

used by

elements

HIMSAAudiometricStandard/AlternateBinauralLoudnessBalanceAudiogram/AlternateBinauralLoudnessBalancePoints HIMSAAudiometricStandard/StengerAudiogram/StengerPoints HIMSAAudiometricStandard/ToneThresholdAudiogram/TonePoints HIMSAAudiometricStandard/UncomfortableLevel/TonePoints HIMSAAudiometricStandard/MostComfortableLevel/TonePoints

annotation

documentation

Data point used to store curve points of tone audiograms

source

<xs:complexType name="TonePoints_Type">
<xs:annotation>
    <xs:documentation>Data point used to store curve points of tone audiograms
</xs:documentation>
</xs:annotation>
<xs:sequence>
    <xs:element name="StimulusFrequency" type="xs:integer">
      <xs:annotation>
        <xs:documentation>Frequency of the stimulus channel in Hz
</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="StimulusLevel">
      <xs:annotation>
        <xs:documentation>Stimulus Level of the stimulus channel in dB
</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Frequency for masking channe in Hz.

If masking has been used then it is assumed that this frequency is the same as the StimulusFrequency. However, If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="MaskingLevel" minOccurs="0">
      <xs:annotation>
        <xs:documentation>Masking Level of the masking channel in dB.

If the MaskingLevel has been populated with data this means that the point as defined by the StimulusFrequency and StimulusLevel is masked.

If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.</xs:documentation>
      </xs:annotation>
      <xs:simpleType>
        <xs:restriction base="xs:decimal">
          <xs:fractionDigits value="1"/>
        </xs:restriction>
      </xs:simpleType>
    </xs:element>
    <xs:element name="TonePointStatus" type="PointStatus_Type">
      <xs:annotation>
        <xs:documentation>Status of the point

See PointStatus_Type annotation notes for more information</xs:documentation>
      </xs:annotation>
    </xs:element>
    <xs:element name="AdditionalMaskingPoint" type="AdditionalMasking_Type" minOccurs="0">
      <xs:annotation>
        <xs:documentation>This is a new element added in version 502. Previously it was not possible/realistic to save 2 points, one being masked and the other unmasked. When recording a pure tone audiogram, the classic (manual) method of recording allows not masked and masked values for the same measurement to be recorded. For example, if a large asymmetry, re-test the poorer ear with masking, end up with a set of not masked and a set of masked results for the same ear. From a hearing aid fitting perspective all that is needed is the “true” thresholds but clinically having sight of the two sets of values is significant.

Moving forward it is now possible to store both a masked and unmasked point. If the software storing the audiogram wishes to support this use case then it must use this element to define the masked point.

@@ 502 to 500 down convert rules: If masking data is present in this structure then copy the entire child structure up one level. This means that the masking data will overwrite the related elements. This is preferred as the masked data is considered better data for other programs such as fitting modules to use.

+AdditionalStimulusLevel -> StimulusLevel
+AdditionalMaskingLevel -> MaskingLevel
+AdditionalMaskingPointStatus -> TonePointStatus

@@ REV 6 Convert 502 to 500
With format 502, for this element, it is assumed that the masking frequency is the same as the stimulus frequency. The problem that has been noted in a real support case is that a down conversion may result in no masking frequency being defined and that many older programs are counting on this masking freq. to be present, as has been noted in other annotations. To avoid this situation the down runtime conversion process will now copy the stimulus frequency to the masking frequency, if it is empty.
@@

Also noted - The new AdditionalStimulusLevel is added compared to 502. It is added as the first element, normally a new element was be added as the last. In this case it makes more sense to add it first and OK to do in the case that AdditionalMaskingPoint was in error for version 502. @@</xs:documentation>
      </xs:annotation>
    </xs:element>
</xs:sequence>
</xs:complexType>

element TonePoints_Type/StimulusFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

content

simple

annotation

documentation

Frequency of the stimulus channel in Hz

source

<xs:element name="StimulusFrequency" type="xs:integer">
<xs:annotation>
<xs:documentation>Frequency of the stimulus channel in Hz
</xs:documentation>
</xs:annotation>
</xs:element>

element TonePoints_Type/StimulusLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

content

simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Stimulus Level of the stimulus channel in dB

source

<xs:element name="StimulusLevel">
<xs:annotation>
    <xs:documentation>Stimulus Level of the stimulus channel in dB
</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element TonePoints_Type/MaskingFrequency

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

xs:integer

properties

minOcc	0
maxOcc	1
content	simple

annotation

documentation

Frequency for masking channe in Hz.

If masking has been used then it is assumed that this frequency is the same as the StimulusFrequency. However, If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.

source

<xs:element name="MaskingFrequency" type="xs:integer" minOccurs="0">
<xs:annotation>
<xs:documentation>Frequency for masking channe in Hz.

If masking has been used then it is assumed that this frequency is the same as the StimulusFrequency. However, If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.</xs:documentation>
</xs:annotation>
</xs:element>

element TonePoints_Type/MaskingLevel

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

restriction of xs:decimal

properties

minOcc	0
maxOcc	1
content	simple

facets

Kind	Value	Annotation
fractionDigits	1

annotation

documentation

Masking Level of the masking channel in dB.

If the MaskingLevel has been populated with data this means that the point as defined by the StimulusFrequency and StimulusLevel is masked.

If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.

source

<xs:element name="MaskingLevel" minOccurs="0">
<xs:annotation>
    <xs:documentation>Masking Level of the masking channel in dB.

If the MaskingLevel has been populated with data this means that the point as defined by the StimulusFrequency and StimulusLevel is masked.

If masking is to be recorded it is then necessary to save values for both MaskingFrequency and MaskingLevel. The XSD was not able to be setup to enforce this rule due to legacy (format 200) design.</xs:documentation>
</xs:annotation>
<xs:simpleType>
    <xs:restriction base="xs:decimal">
      <xs:fractionDigits value="1"/>
    </xs:restriction>
</xs:simpleType>
</xs:element>

element TonePoints_Type/TonePointStatus

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type

properties

content

simple

facets

Kind	Value	Annotation
enumeration	Unknown
enumeration	Normal
enumeration	AlwaysResponse
enumeration	NoResponse
enumeration	NotMeasurable
enumeration	DidNotTest
enumeration	CouldNotTest
enumeration	User1
enumeration	User2
enumeration	User3

annotation

documentation

Status of the point

See PointStatus_Type annotation notes for more information

source

<xs:element name="TonePointStatus" type="PointStatus_Type">
<xs:annotation>
<xs:documentation>Status of the point

See PointStatus_Type annotation notes for more information</xs:documentation>
</xs:annotation>
</xs:element>

element TonePoints_Type/AdditionalMaskingPoint

diagram

namespace

http://www.himsa.com/Measurement/Audiogram/502

type