Schema Audiogram-1-502.xsd


schema location C:\ProgramData\HIMSA\Noah\Schemas\Actions\Audiogram-1-502.xsd
attributeFormDefault unqualified
elementFormDefault qualified
targetNamespace http://www.himsa.com/Measurement/Audiogram/502
 
Elements  Complex types  Simple types 
AudMeasurementConditions  AdditionalMasking2_Type  AidedSolutions_Type 
HIMSAAudiometricStandard  AdditionalMasking_Type  AuxiliaryParameter_Type 
AudioMetricMeasurementConditions_Type  dBweighting_Type 
DecayPoint_Type  Ear_Type 
DeviceSolutions_Type  EstimatedResultBy_Type 
DifferenceLimenFrequencyPoint_Type  HearingInstrumentCondition_Type 
DifferenceLimenIntensityPoint_Type  PointStatus_Type 
FrequenciesUsedForToneAverage_Type  Presentation_Type 
MeasurementNotes_Type  Signal_Type 
ShortIncrementSensitivityIndexPoint  SignalOutput_Type 
SpeechScorePoint_Type  SpeechThreshold_Type 
TonePoints_Type  ToneAverage_Type 
Transducer_Type 
TransducerCalibrationStandard_Type 
WeberPointStatus_Type 


element AudMeasurementConditions
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p1.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type AudioMetricMeasurementConditions_Type
properties
content complex
children StimulusSignalType MaskingSignalType StimulusSignalOutput MaskingSignalOutput StimulusdBWeighting MaskingdBWeighting StimulusPresentationType MaskingPresentationType StimulusTransducerType MaskingTransducerType TransducerDescription StimulusTransducerCalibrationStandard MaskingTransducerCalibrationStandard HearingInstrument_1_Condition HearingInstrument_2_Condition HearingInstrumentDescription StimulusAuxiliary MaskingAuxiliary WordListName AuxiliaryParameterDescription SpeechThresholdType StimulusOnTime MaskingOnTime StimulusOffTime MaskingOffTime StimulusSiSiParameter MaskingSiSiParameter StimulusWarbleModulation MaskingWarbleModulation StimulusWarbleModulationSize MaskingWarbleModulationSize StimulusFrequencyModulation MaskingFrequencyModulation StimulusAmplitudeModulation MaskingAmplitudeModulation StimulusPulseModulation MaskingPulseModulation StimulusPulseCycle MaskingPulseCycle EstimatedResult DeviceSolutions
used by
elements HIMSAAudiometricStandard/AlternateBinauralLoudnessBalanceAudiogram HIMSAAudiometricStandard/DecayAudiogram HIMSAAudiometricStandard/DifferenceLimenFrequency HIMSAAudiometricStandard/DifferenceLimenIntensity HIMSAAudiometricStandard/MostComfortableLevel HIMSAAudiometricStandard/ShortIncrementSensitivityIndex HIMSAAudiometricStandard/SpeechDiscriminationAudiogram HIMSAAudiometricStandard/SpeechMostComfortableLevel HIMSAAudiometricStandard/SpeechReceptionThresholdAudiogram HIMSAAudiometricStandard/SpeechUncomfortableLevel HIMSAAudiometricStandard/StengerAudiogram HIMSAAudiometricStandard/ToneThresholdAudiogram HIMSAAudiometricStandard/UncomfortableLevel
annotation
documentation
Global Element used throughout this standard - see AudioMetricMeasurementConditions_Type for more details

The same set of measurement conditions are used for all Audiogram curves.
The Audiogram measurement conditions are very versatile and expandable in such a way that whenever new measurement methods are discovered they can be added to the existing ones.

They are meant to be used both by the ENT (Ear, Nose, Throat) for diagnostics purposes and for fitting hearing instruments as well. It is very important to realize that combinations of measurement conditions that make perfect sense to the ENT can be meaningless when programming hearing instruments. It is therefore important to examine all measurement conditions to ascertain whether they are useful for the intended purpose.

The measurement conditions have initial (default) values that must be filled in.

The following elements are mandatory and have initial values set:
StimulusSignalType, MaskingSignalType
StimulusSignalOutput, MaskingSignalOutput
StimulusdBWeighting, MaskingdBWeighting

In addition to the initial default values listed above recording the following audiogram test requires the following elements be set (even though they are listed as optional in the XSD schema file)

For tone audiograms these are:
StimulusPresentationType, MaskingPresentationType

For speech audiograms these are:
StimulusAuxiliary
MaskingAuxiliary

source <xs:element name="AudMeasurementConditions" type="AudioMetricMeasurementConditions_Type">
 
<xs:annotation>
   
<xs:documentation>Global Element used throughout this standard - see AudioMetricMeasurementConditions_Type for more details

The same set of measurement conditions are used for all Audiogram curves.
The Audiogram measurement conditions are very versatile and expandable in such a way that whenever new measurement methods are discovered they can be added to the existing ones.

They are meant to be used both by the ENT (Ear, Nose, Throat) for diagnostics purposes and for fitting hearing instruments as well. It is very important to realize that combinations of measurement conditions that make perfect sense to the ENT can be meaningless when programming hearing instruments. It is therefore important to examine all measurement conditions to ascertain whether they are useful for the intended purpose.

The measurement conditions have initial (default) values that must be filled in.

The following elements are mandatory and have initial values set:
StimulusSignalType, MaskingSignalType
StimulusSignalOutput, MaskingSignalOutput
StimulusdBWeighting, MaskingdBWeighting

In addition to the initial default values listed above recording the following audiogram test requires the following elements be set (even though they are listed as optional in the XSD schema file)

For tone audiograms these are:
StimulusPresentationType, MaskingPresentationType

For speech audiograms these are:
StimulusAuxiliary
MaskingAuxiliary

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

element HIMSAAudiometricStandard
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p2.png
namespace http://www.himsa.com/Measurement/Audiogram/502
properties
content complex
children ToneThresholdAudiogram UncomfortableLevel MostComfortableLevel SpeechDiscriminationAudiogram SpeechReceptionThresholdAudiogram SpeechMostComfortableLevel SpeechUncomfortableLevel ToneNotes SpeechNotes FrequenciesUsedForToneAverage DecayAudiogram AlternateBinauralLoudnessBalanceAudiogram StengerAudiogram DifferenceLimenIntensity DifferenceLimenFrequency ShortIncrementSensitivityIndex PrivateAudiogramData WeberPoints SupplementaryData
attributes
Name  Type  Use  Default  Fixed  Annotation
Version  derived by: xs:integer  required    502  
documentation
Version of this data standard
ValidatedByNOAH  xs:boolean  optional      
documentation
This attribute is no longer in use.  The original intention was for Noah to fill in the value but the idea was never fully implemented and not needed.
ConvertedFromDataStandard  derived by: xs:integer        
documentation
Software saving data formatted via this XSD file should not use this element for storage.  The intention is for Noah data convertors to fill in an appropriate value for runtime conversions - not permanent storage.

Please note that values less than 500 mean that the data was originally stored in a format which was not validated by Noah before storage.  This could mean that the data will not validated against this version
annotation
documentation
ROOT ELEMENT

Important: All XML data must be encoded using UTF-8.  With Noah 4.13 and newer Noah validation rules will only allow UTF-8.

Including a Byte Order Mark (BOM)is not necessary but considered acceptable

Declaring and making use of additional XML Namespaces is not allowed.  Noah validation rules will reject the data if detected.

Revision 5

See REV history below

HIMSA highly recommends the below 3rd party documentation for individuals not familiar with Audiology.  The book is reference throughout this data standard:
[HOCA-5] Handbook of Clinical Audiology, edited by Jack Katz, Williams and Wilkins, 2002, 5. Edition

For software saving an Audiogram using this data standard:
In order not to waste space in the NOAH database it is not legal to save empty elements.  For example, do not store <Element/>.

The information in this document is subject to change according to the review policies established by HIMSA II.

HIMSA II MAKES NO WARRANTY OF ANY KIND WITH REGARD TO THIS MATERIAL, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTY OR SUITABILITY FOR A PARTICULAR PURPOSE. HIMSA shall not be liable for errors contained herein or for incidental consequential damages in connection with the supply of, performance of, or use of this material.

This document contains proprietary information that is protected by copyright. All rights are reserved. No parts of this document may be photocopied, reproduced or distributed to Non-HIMSA member companies. without the prior permission of HIMSA II.

REV History
Rev 1 - first release, Jan. 2016
Rev 2 - October 13 2016, Weber point should not contain stimulus level element
Rev 3 - January 17 2018 REV 4 / January 17 2018 - Annotation updates only.  Text "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." added to MaskingFrequency and MaskingLevel.  This rule already seems to be followed by most companies and the original format 200 documentation stipulates to enter the value if masking is performed.
REV 4 November 4 2019 - Annotation updates only, note to use UTF-8
REV 5  December 7, 2020 - Annotation updates only, note on UTF-8 and validation, BOM and use of additional namespaces
REV 6 October 9 2023 - Document Format 502 to 500 Converter for AdditionalMaskingFrequency


Copyright © 2016 HIMSA II  K/S
source <xs:element name="HIMSAAudiometricStandard">
 
<xs:annotation>
   
<xs:documentation>ROOT ELEMENT

Important: All XML data must be encoded using UTF-8.  With Noah 4.13 and newer Noah validation rules will only allow UTF-8.

Including a Byte Order Mark (BOM)is not necessary but considered acceptable

Declaring and making use of additional XML Namespaces is not allowed.  Noah validation rules will reject the data if detected.

Revision 5

See REV history below

HIMSA highly recommends the below 3rd party documentation for individuals not familiar with Audiology.  The book is reference throughout this data standard:
[HOCA-5] Handbook of Clinical Audiology, edited by Jack Katz, Williams and Wilkins, 2002, 5. Edition

For software saving an Audiogram using this data standard:
In order not to waste space in the NOAH database it is not legal to save empty elements.  For example, do not store
<Element/>.

The information in this document is subject to change according to the review policies established by HIMSA II.

HIMSA II MAKES NO WARRANTY OF ANY KIND WITH REGARD TO THIS MATERIAL, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTY OR SUITABILITY FOR A PARTICULAR PURPOSE. HIMSA shall not be liable for errors contained herein or for incidental consequential damages in connection with the supply of, performance of, or use of this material.

This document contains proprietary information that is protected by copyright. All rights are reserved. No parts of this document may be photocopied, reproduced or distributed to Non-HIMSA member companies. without the prior permission of HIMSA II.

REV History
Rev 1 - first release, Jan. 2016
Rev 2 - October 13 2016, Weber point should not contain stimulus level element
Rev 3 - January 17 2018 REV 4 / January 17 2018 - Annotation updates only.  Text "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." added to MaskingFrequency and MaskingLevel.  This rule already seems to be followed by most companies and the original format 200 documentation stipulates to enter the value if masking is performed.
REV 4 November 4 2019 - Annotation updates only, note to use UTF-8
REV 5  December 7, 2020 - Annotation updates only, note on UTF-8 and validation, BOM and use of additional namespaces
REV 6 October 9 2023 - Document Format 502 to 500 Converter for AdditionalMaskingFrequency


Copyright © 2016 HIMSA II  K/S
</xs:documentation>
 
</xs:annotation>
 
<xs:complexType>
   
<xs:sequence>
     
<xs:element name="ToneThresholdAudiogram" minOccurs="0" maxOccurs="18">
       
<xs:annotation>
         
<xs:documentation>Standard Tone Hearing Threshold (THR) Audiogram. This is the basic audiogram for
recording the patient’s Hearing Threshold Level (HTL).

Method: Presentation of Pure tone stimulus via transducer. Masking in the opposite ear is
frequently used. Threshold is defined as the 50% response level (softest level at which
patient responds to tone 50% of the time).

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:annotation>
               
<xs:documentation> Global Element used throughout this standard - see AudioMetricMeasurementConditions_Type for more details

The same set of measurement conditions are used for all Audiogram curves.
The Audiogram measurement conditions are very versatile and expandable in such a way that whenever new measurement methods are discovered they can be added to the existing ones.

They are meant to be used both by the ENT (Ear, Nose, Throat) for diagnostics purposes and for fitting hearing instruments as well. It is very important to realize that combinations of measurement conditions that make perfect sense to the ENT can be meaningless when programming hearing instruments. It is therefore important to examine all measurement conditions to ascertain whether they are useful for the intended purpose.



</xs:documentation>
             
</xs:annotation>
           
</xs:element>
           
<xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>
         
</xs:sequence>
       
</xs:complexType>
     
</xs:element>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
     
<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>
   
</xs:sequence>
   
<xs:attribute name="Version" use="required" fixed="502">
     
<xs:annotation>
       
<xs:documentation>Version of this data standard
</xs:documentation>
     
</xs:annotation>
     
<xs:simpleType>
       
<xs:restriction base="xs:integer">
         
<xs:minInclusive value="500"/>
       
</xs:restriction>
     
</xs:simpleType>
   
</xs:attribute>
   
<xs:attribute name="ValidatedByNOAH" type="xs:boolean" use="optional">
     
<xs:annotation>
       
<xs:documentation>This attribute is no longer in use.  The original intention was for Noah to fill in the value but the idea was never fully implemented and not needed.</xs:documentation>
     
</xs:annotation>
   
</xs:attribute>
   
<xs:attribute name="ConvertedFromDataStandard">
     
<xs:annotation>
       
<xs:documentation>Software saving data formatted via this XSD file should not use this element for storage.  The intention is for Noah data convertors to fill in an appropriate value for runtime conversions - not permanent storage.

Please note that values less than 500 mean that the data was originally stored in a format which was not validated by Noah before storage.  This could mean that the data will not validated against this version
</xs:documentation>
     
</xs:annotation>
     
<xs:simpleType>
       
<xs:restriction base="xs:integer">
         
<xs:minInclusive value="100"/>
       
</xs:restriction>
     
</xs:simpleType>
   
</xs:attribute>
 
</xs:complexType>
</xs:element>

attribute HIMSAAudiometricStandard/@Version
type restriction of xs:integer
properties
use required
fixed 502
facets
Kind Value Annotation
minInclusive 500
annotation
documentation
Version of this data standard
source <xs:attribute name="Version" use="required" fixed="502">
 
<xs:annotation>
   
<xs:documentation>Version of this data standard
</xs:documentation>
 
</xs:annotation>
 
<xs:simpleType>
   
<xs:restriction base="xs:integer">
     
<xs:minInclusive value="500"/>
   
</xs:restriction>
 
</xs:simpleType>
</xs:attribute>

attribute HIMSAAudiometricStandard/@ValidatedByNOAH
type xs:boolean
properties
use optional
annotation
documentation
This attribute is no longer in use.  The original intention was for Noah to fill in the value but the idea was never fully implemented and not needed.
source <xs:attribute name="ValidatedByNOAH" type="xs:boolean" use="optional">
 
<xs:annotation>
   
<xs:documentation>This attribute is no longer in use.  The original intention was for Noah to fill in the value but the idea was never fully implemented and not needed.</xs:documentation>
 
</xs:annotation>
</xs:attribute>

attribute HIMSAAudiometricStandard/@ConvertedFromDataStandard
type restriction of xs:integer
facets
Kind Value Annotation
minInclusive 100
annotation
documentation
Software saving data formatted via this XSD file should not use this element for storage.  The intention is for Noah data convertors to fill in an appropriate value for runtime conversions - not permanent storage.

Please note that values less than 500 mean that the data was originally stored in a format which was not validated by Noah before storage.  This could mean that the data will not validated against this version
source <xs:attribute name="ConvertedFromDataStandard">
 
<xs:annotation>
   
<xs:documentation>Software saving data formatted via this XSD file should not use this element for storage.  The intention is for Noah data convertors to fill in an appropriate value for runtime conversions - not permanent storage.

Please note that values less than 500 mean that the data was originally stored in a format which was not validated by Noah before storage.  This could mean that the data will not validated against this version
</xs:documentation>
 
</xs:annotation>
 
<xs:simpleType>
   
<xs:restriction base="xs:integer">
     
<xs:minInclusive value="100"/>
   
</xs:restriction>
 
</xs:simpleType>
</xs:attribute>

element HIMSAAudiometricStandard/ToneThresholdAudiogram
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p3.png
namespace http://www.himsa.com/Measurement/Audiogram/502
properties
minOcc 0
maxOcc 18
content complex
children AudMeasurementConditions TonePoints
annotation
documentation
Standard Tone Hearing Threshold (THR) Audiogram. This is the basic audiogram for
recording the patient’s Hearing Threshold Level (HTL).

Method: Presentation of Pure tone stimulus via transducer. Masking in the opposite ear is
frequently used. Threshold is defined as the 50% response level (softest level at which
patient responds to tone 50% of the time).

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="ToneThresholdAudiogram" minOccurs="0" maxOccurs="18">
 
<xs:annotation>
   
<xs:documentation>Standard Tone Hearing Threshold (THR) Audiogram. This is the basic audiogram for
recording the patient’s Hearing Threshold Level (HTL).

Method: Presentation of Pure tone stimulus via transducer. Masking in the opposite ear is
frequently used. Threshold is defined as the 50% response level (softest level at which
patient responds to tone 50% of the time).

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:annotation>
         
<xs:documentation> Global Element used throughout this standard - see AudioMetricMeasurementConditions_Type for more details

The same set of measurement conditions are used for all Audiogram curves.
The Audiogram measurement conditions are very versatile and expandable in such a way that whenever new measurement methods are discovered they can be added to the existing ones.

They are meant to be used both by the ENT (Ear, Nose, Throat) for diagnostics purposes and for fitting hearing instruments as well. It is very important to realize that combinations of measurement conditions that make perfect sense to the ENT can be meaningless when programming hearing instruments. It is therefore important to examine all measurement conditions to ascertain whether they are useful for the intended purpose.



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

element HIMSAAudiometricStandard/ToneThresholdAudiogram/TonePoints
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p4.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type TonePoints_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint
source <xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/UncomfortableLevel
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p5.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p6.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type TonePoints_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint
source <xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/MostComfortableLevel
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p7.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p8.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type TonePoints_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint
source <xs:element name="TonePoints" type="TonePoints_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechDiscriminationAudiogram
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p9.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p10.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type SpeechScorePoint_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint
source <xs:element name="SpeechDiscriminationPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechReceptionThresholdAudiogram
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p11.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p12.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type SpeechScorePoint_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint
source <xs:element name="SpeechReceptionPoints" type="SpeechScorePoint_Type" maxOccurs="24"/>

element HIMSAAudiometricStandard/SpeechMostComfortableLevel
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p13.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p14.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type SpeechScorePoint_Type
properties
content complex
children StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint
source <xs:element name="SpeechMostComfortablePoint" type="SpeechScorePoint_Type"/>

element HIMSAAudiometricStandard/SpeechUncomfortableLevel
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p15.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p16.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type SpeechScorePoint_Type
properties
content complex
children StimulusLevel MaskingLevel ScorePercent NumberOfWords SpeechPointStatus AdditionalMaskingPoint
source <xs:element name="SpeechUncomfortablePoint" type="SpeechScorePoint_Type"/>

element HIMSAAudiometricStandard/ToneNotes
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p17.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p18.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p19.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p20.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p21.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p22.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p23.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type TonePoints_Type
properties
minOcc 1
maxOcc 192
content complex
children StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint
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 Audiogram-1-502_diagrams/Audiogram-1-502_p24.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p25.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type TonePoints_Type
properties
minOcc 1
maxOcc 24
content complex
children StimulusFrequency StimulusLevel MaskingFrequency MaskingLevel TonePointStatus AdditionalMaskingPoint
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 Audiogram-1-502_diagrams/Audiogram-1-502_p26.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p27.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p28.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p29.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p30.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p31.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p32.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p33.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p34.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p35.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p36.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p37.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p38.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p39.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p40.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p41.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p42.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p43.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p44.png
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 AdditionalMasking_Type/AdditionalMaskingLevel
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p45.png
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>

element AdditionalMasking_Type/AdditionalMaskingPointStatus
diagram Audiogram-1-502_diagrams/Audiogram-1-502_p46.png
namespace http://www.himsa.com/Measurement/Audiogram/502
type PointStatus_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 Audiogram-1-502_diagrams/Audiogram-1-502_p47.png
namespace http://www.himsa.com/Measurement/Audiogram/502
children StimulusSignalType MaskingSignalType StimulusSignalOutput MaskingSignalOutput StimulusdBWeighting MaskingdBWeighting StimulusPresentationType MaskingPresentationType StimulusTransducerType MaskingTransducerType TransducerDescription StimulusTransducerCalibrationStandard MaskingTransducerCalibrationStandard HearingInstrument_1_Condition HearingInstrument_2_Condition HearingInstrumentDescription StimulusAuxiliary MaskingAuxiliary WordListName AuxiliaryParameterDescription SpeechThresholdType StimulusOnTime MaskingOnTime StimulusOffTime MaskingOffTime StimulusSiSiParameter MaskingSiSiParameter StimulusWarbleModulation MaskingWarbleModulation StimulusWarbleModulationSize MaskingWarbleModulationSize StimulusFrequencyModulation MaskingFrequencyModulation StimulusAmplitudeModulation MaskingAmplitudeModulation StimulusPulseModulation MaskingPulseModulation StimulusPulseCycle MaskingPulseCycle EstimatedResult DeviceSolutions
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 Audiogram-1-502_diagrams/Audiogram-1-502_p48.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p49.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p50.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p51.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p52.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p53.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p54.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p55.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p56.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p57.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p58.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p59.png
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 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 Audiogram-1-502_diagrams/Audiogram-1-502_p60.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p61.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p62.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p63.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p64.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p65.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p66.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p67.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p68.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p69.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p70.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p71.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p72.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p73.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p74.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p75.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p76.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p77.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p78.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p79.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p80.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p81.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p82.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p83.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p84.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p85.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p86.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p87.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p88.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p89.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p90.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p91.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p92.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p93.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p94.png
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 Audiogram-1-502_diagrams/Audiogram-1-502_p95.png
namespace http://www.himsa.com/Measurement/Audiogram/502