File AUDIOMETRIC_EXAM_DATA(509850.9) Data List
| DATE/TIME OF VISIT |
PATIENT |
EXAMINING AUDIOLOGIST |
REFERRAL SOURCE |
AGE AT VISIT |
*VA ELIGIBILITY STATUS |
TYPE OF VISIT |
TRANSDUCER TYPE |
DATE SIGNED |
TESTING STATION |
ICN |
DATE SENT TO DDC |
MESSAGE NUMBER |
CLAIM NUMBER |
RETRANSMISSION DATE |
RETRANSMISSION USER |
RIGHT FOUR FREQUENCY PTA |
LEFT FOUR FREQUENCY PTA |
RIGHT THREE FREQUENCY PTA |
LEFT THREE FREQUENCY PTA |
RIGHT TWO FREQUENCY PTA |
LEFT TWO FREQUENCY PTA |
RIGHT MCL |
RIGHT UCL |
LEFT MCL |
LEFT UCL |
R TYMPANOGRAM TYPE |
L TYMPANOGRAM TYPE |
INITIAL A/C THRESHOLD R 125 |
INITIAL A/C THRESHOLD R 250 |
INITIAL A/C THRESHOLD R 500 |
INITIAL A/C THRESHOLD R 750 |
INITIAL A/C THRESHOLD R 1000 |
INITIAL A/C THRESHOLD R 1500 |
INITIAL A/C THRESHOLD R 2000 |
INITIAL A/C THRESHOLD R 3000 |
INITIAL A/C THRESHOLD R 4000 |
INITIAL A/C THRESHOLD R 6000 |
INITIAL A/C THRESHOLD R 8000 |
INITIAL A/C THRESHOLD R 12000 |
*INITIAL B/C MASK LEVEL L |
*INITIAL B/C MASK LEVEL L 500 |
*INITIAL B/C MASK LEVEL L 750 |
*INITIAL B/C MASK LEVEL L 1000 |
*INITIAL B/C MASK LEVEL L 1500 |
*INITIAL B/C MASK LEVEL L 2000 |
*INITIAL B/C MASK LEVEL L 3000 |
*INITIAL B/C MASK LEVEL L 4000 |
*INITIAL B/C MASK LEVEL 6000 |
FINAL B/C MASK LEVEL L 250 |
FINAL B/C MASK LEVEL L 500 |
FINAL B/C MASK LEVEL L 750 |
FINAL B/C MASK LEVEL L 1000 |
FINAL B/C MASK LEVEL L 1500 |
FINAL B/C MASK LEVEL L 2000 |
FINAL B/C MASK LEVEL L 3000 |
FINAL B/C MASK LEVEL L 4000 |
FINAL B/C MASK LEVEL L 6000 |
*INITIAL A/C THRESH TAG R 125 |
*INITIAL A/C THRESH TAG R 250 |
*INITIAL A/C THRESH TAG R 500 |
*INITIAL A/C THRESH TAG R 750 |
*INITIAL A/C THRESH TAG R 1000 |
*INITIAL A/C THRESH TAG R 1500 |
*INITIAL A/C THRESH TAG R 2000 |
*INITIAL A/C THRESH TAG R 3000 |
*INITIAL A/C THRESH TAG R 4000 |
*INITIAL A/C THRESH TAG R 6000 |
*INITIAL A/C THRESH TAG R 8000 |
*INITIAL A/C THRESH TAG R12000 |
MATERIAL R-1 |
PERCENT CORRECT R-1 |
PRESENTATION METHOD R-1 |
PRESENTATION LEVEL R-1 |
MASKING LEVEL R-1 |
*WORD LIST R-2 |
PERCENT CORRECT R-2 |
*PRESENTATION METHOD R-2 |
PRESENTATION LEVEL R-2 |
MASKING LEVEL R-2 |
*WORD LIST R-3 |
PERCENT CORRECT R-3 |
*PRESENTATION METHOD R-3 |
PRESENTATION LEVEL R-3 |
MASKING LEVEL R-3 |
*WORD LIST R-4 |
PERCENT CORRECT R-4 |
*PRESENTATION METHOD R-4 |
PRESENTATION LEVEL R-4 |
MASKING LEVEL R-4 |
*WORD LIST R-5 |
PERCENT CORRECT R-5 |
*PRESENTATION METHOD R-5 |
PRESENTATION LEVEL R-5 |
MASKING LEVEL R-5 |
LIST R-1 |
LIST R-2 |
LIST R-3 |
LIST R-4 |
LIST R-5 |
MATERIAL L-1 |
PERCENT CORRECT L-1 |
*PRESENTATION METHOD L-1 |
PRESENTATION LEVEL L-1 |
MASKING LEVEL L-1 |
*WORD LIST L-2 |
PERCENT CORRECT L-2 |
*PRESENTATION METHOD L-2 |
PRESENTATION LEVEL L-2 |
MASKING LEVEL L-2 |
*WORD LIST L-3 |
PERCENT CORRECT L-3 |
*PRESENTATION METHOD L-3 |
PRESENTATION LEVEL L-3 |
MASKING LEVEL L-3 |
*WORD LIST L-4 |
PERCENT CORRECT L-4 |
*PRESENTATION METHOD L-4 |
PRESENTATION LEVEL L-4 |
MASKING LEVEL L-4 |
*WORD LIST L-5 |
PERCENT CORRECT L-5 |
*PRESENTATION METHOD L-5 |
PRESENTATION LEVEL L-5 |
MASKING LEVEL L-5 |
LIST L-1 |
LIST L-2 |
LIST L-3 |
LIST L-4 |
LIST L-5 |
CI WORD LIST R-1 |
CI PERCENT CORRECT R-1 |
CI WORD LIST R-2 |
CI PERCENT CORRECT R-2 |
CI NOISE PERCENT RIGHT |
CI NOISE MATERIAL RIGHT |
CI WORD LIST L-1 |
CI PERCENT CORRECT L-1 |
CI WORD LIST L-2 |
CI PERCENT CORRECT L-2 |
CI NOISE PERCENT LEFT |
CI NOISE MATERIAL LEFT |
INITIAL SRT THRESH R |
REPEAT SRT THRESH R |
INITIAL SRT MASK LEVEL R |
FINAL SRT MASK LEVEL R |
INITIAL SRT THRESH L |
REPEAT SRT THRESH L |
INITIAL SRT MASK LEVEL L |
FINAL SRT MASK LEVEL L |
PBMAX R |
PBMIN R |
PI/PB R |
PBMAX L |
PBMIN L |
PI/PB L |
*FINAL SRT TAG R |
*FINAL SRT TAG L |
*INITIAL SRT TAG R |
*INITIAL SRT TAG L |
APPLIED MAX R |
APPLIED MAX L |
MIDDLE EAR PRESSURE R |
PK IMMITTANCE 226 R |
VEQ - EQUIV EAR CANAL VOL R |
IAR THRESHOLD R 500 |
IAR THRESHOLD R 1000 |
IAR THRESHOLD R 2000 |
IAR THRESHOLD R 4000 |
CAR THRESHOLD R 500 |
CAR THRESHOLD R 1000 |
CAR THRESHOLD R 2000 |
CAR THRESHOLD R 4000 |
ACOUSTIC REFLEX DECAY R 500 |
ACOUSTIC REFLEX DECAY R 1000 |
AR HALF LIFE 500 R |
AR HALF LIFE 1000 R |
INTER-TEST CONSISTENCY R |
IAR BBN R |
CAR BBN R |
PK IMMITTANCE 678 R |
WEBER R |
PT STENGER R |
RINNE R |
OTHER TEST R |
MIDDLE EAR PRESSURE L |
PK IMMITTANCE 226 L |
VEQ - EQUIV EAR CANAL VOL L |
IAR THRESHOLD L 500 |
IAR THRESHOLD L 1000 |
IAR THRESHOLD L 2000 |
IAR THRESHOLD L 4000 |
CAR THRESHOLD L 500 |
CAR THRESHOLD L 1000 |
CAR THRESHOLD L 2000 |
CAR THRESHOLD L 4000 |
ACOUSTIC REFLEX DECAY L 500 |
ACOUSTIC REFLEX DECAY L 1000 |
AR HALF LIFE 500 L |
AR HALF LIFE 1000 L |
INTER-TEST CONSISTENCY L |
IAR BBN L |
CAR BBN L |
PK IMMITTANCE 678 L |
WEBER L |
PT STENGER L |
RINNE L |
OTHER TEST L |
COMMENTS |
RETEST A/C THRESHOLD R 125 |
RETEST A/C THRESHOLD R 250 |
RETEST A/C THRESHOLD R 500 |
RETEST A/C THRESHOLD R 750 |
RETEST A/C THRESHOLD R 1000 |
RETEST A/C THRESHOLD R 1500 |
RETEST A/C THRESHOLD R 2000 |
RETEST A/C THRESHOLD R 3000 |
RETEST A/C THRESHOLD R 4000 |
RETEST A/C THRESHOLD R 6000 |
RETEST A/C THRESHOLD R 8000 |
FINAL A/C THRESHOLD R 125 |
FINAL A/C THRESHOLD R 250 |
FINAL A/C THRESHOLD R 500 |
FINAL A/C THRESHOLD R 750 |
FINAL A/C THRESHOLD R 1000 |
FINAL A/C THRESHOLD R 1500 |
FINAL A/C THRESHOLD R 2000 |
FINAL A/C THRESHOLD R 3000 |
FINAL A/C THRESHOLD R 4000 |
FINAL A/C THRESHOLD R 6000 |
FINAL A/C THRESHOLD R 8000 |
FINAL A/C THRESHOLD R 12000 |
*REPEAT A/C THRESH TAG R 125 |
*REPEAT A/C THRESH TAG R 250 |
*REPEAT A/C THRESH TAG R 500 |
*REPEAT A/C THRESH TAG R 750 |
*REPEAT A/C THRESH TAG R 1000 |
*REPEAT A/C THRESH TAG R 1500 |
*REPEAT A/C THRESH TAG R 2000 |
*REPEAT A/C THRESH TAG R 3000 |
*REPEAT A/C THRESH TAG R 4000 |
*REPEAT A/C THRESH TAG R 6000 |
*REPEAT A/C THRESH TAG R 8000 |
*REPEAT A/C THRESH TAG R 12000 |
INITIAL A/C THRESHOLD L 125 |
INITIAL A/C THRESHOLD L 250 |
INITIAL A/C THRESHOLD L 500 |
INITIAL A/C THRESHOLD L 750 |
INITIAL A/C THRESHOLD L 1000 |
INITIAL A/C THRESHOLD L 1500 |
INITIAL A/C THRESHOLD L 2000 |
INITIAL A/C THRESHOLD L 3000 |
INITIAL A/C THRESHOLD L 4000 |
INITIAL A/C THRESHOLD L 6000 |
INITIAL A/C THRESHOLD L 8000 |
INITIAL A/C THRESHOLD L 12000 |
*INITIAL A/C THRESH TAG L 125 |
*INITIAL A/C THRESH TAG L 250 |
*INITIAL A/C THRESH TAG L 500 |
*INITIAL A/C THRESH TAG L 750 |
*INITIAL A/C THRESH TAG L 1000 |
*INITIAL A/C THRESH TAG L 1500 |
*INITIAL A/C THRESH TAG L 2000 |
*INITIAL A/C THRESH TAG L 3000 |
*INITIAL A/C THRESH TAG L 4000 |
*INITIAL A/C THRESH TAG L 6000 |
*INITIAL A/C THRESH TAG L 8000 |
*INITIAL A/C THRESH TAG L12000 |
RETEST A/C THRESHOLD L 125 |
RETEST A/C THRESHOLD L 250 |
RETEST A/C THRESHOLD L 500 |
RETEST A/C THRESHOLD L 750 |
RETEST A/C THRESHOLD L 1000 |
RETEST A/C THRESHOLD L 1500 |
RETEST A/C THRESHOLD L 2000 |
RETEST A/C THRESHOLD L 3000 |
RETEST A/C THRESHOLD L 4000 |
RETEST A/C THRESHOLD L 6000 |
RETEST A/C THRESHOLD L 8000 |
FINAL A/C THRESHOLD L 125 |
FINAL A/C THRESHOLD L 250 |
FINAL A/C THRESHOLD L 500 |
FINAL A/C THRESHOLD L 750 |
FINAL A/C THRESHOLD L 1000 |
FINAL A/C THRESHOLD L 1500 |
FINAL A/C THRESHOLD L 2000 |
FINAL A/C THRESHOLD L 3000 |
FINAL A/C THRESHOLD L 4000 |
FINAL A/C THRESHOLD L 6000 |
FINAL A/C THRESHOLD L 8000 |
FINAL A/C THRESHOLD L 12000 |
*REPEAT A/C THRESH TAG L 125 |
*REPEAT A/C THRESH TAG L 250 |
*REPEAT A/C THRESH TAG 500 |
*REPEAT A/C THRESH TAAG L 750 |
*REPEAT A/C THRESH TAG L 1000 |
*REPEAT A/C THRESHOLD TAG 1500 |
*REPEAT A/C THRESH TAG L 2000 |
*REPEAT A/C THRESH TAG L 3000 |
*REPEAT A/C THRESH TAG L 4000 |
*REPEAT A/C THRESH TAG L 6000 |
*REPEAT A/C THRESH TAG L 8000 |
*REPEAT A/C THRESH TAG L 12000 |
*INITIAL A/C MASK LEVEL R 125 |
*INITIAL A/C MASK LEVEL R 250 |
*INITIAL A/C MASK LEVELR 500 |
*INITIAL A/C MASK LEVEL R 750 |
*INITIAL A/C MASK LEVEL R 1000 |
*INITIAL A/C MASK LEVEL R 1500 |
*INITIAL A/C MASK LEVEL R 2000 |
*INITIAL A/C MASK LEVEL R 3000 |
*INITIAL A/C MASK LEVEL R 4000 |
*INITIAL A/C MASK LEVEL R 6000 |
*INITIAL A/C MASK LEVEL R 8000 |
*INITIAL A/C MASK LEVEL R12000 |
FINAL A/C MASK LEVEL R 125 |
FINAL A/C MASK LEVEL R 250 |
FINAL A/C MASK LEVEL R 500 |
FINAL A/C MASK LEVEL R 750 |
FINAL A/C MASK LEVEL R 1000 |
FINAL A/C MASK LEVEL R 1500 |
FINAL A/C MASK LEVEL R 2000 |
FINAL A/C MASK LEVEL R 3000 |
FINAL A/C MASK LEVEL R 4000 |
FINAL A/C MASK LEVEL R 6000 |
FINAL A/C MASK LEVEL R 8000 |
FINAL A/C MASK LEVEL R 12000 |
*INITIAL A/C MASK LEVEL L 125 |
*INITIAL A/C MASK LEVEL L 250 |
*INITIAL A/C MASK LEVEL L 500 |
*INITIAL A/C MASK LEVEL L 750 |
*INITIAL A/C MASK LEVEL L 1000 |
*INITIAL A/C MASK LEVEL L 1500 |
*INITIAL A/C MASK LEVEL L 2000 |
*INITIAL A/C MASK LEVEL L 3000 |
*INITIAL A/C MASK LEVEL L 4000 |
*INITIAL A/C MASK LEVEL L 6000 |
*INITIAL A/C MASK LEVEL L 8000 |
*INITIAL A/C MASK LEVEL L12000 |
FINAL A/C MASK LEVEL L 125 |
FINAL A/C MASK LEVEL L 250 |
FINAL A/C MASK LEVEL L 500 |
FINAL A/C MASK LEVEL L 750 |
FINAL A/C MASK LEVEL L 1000 |
FINAL A/C MASK LEVEL L 1500 |
FINAL A/C MASK LEVEL L 2000 |
FINAL A/C MASK LEVEL L 3000 |
FINAL A/C MASK LEVEL L 4000 |
FINAL A/C MASK LEVEL L 6000 |
FINAL A/C MASK LEVEL L 8000 |
FINAL A/C MASK LEVEL L 12000 |
INITIAL B/C THRESHOLD R 250 |
INITIAL B/C THRESHOLD R 500 |
INITIAL B/C THRESHOLD R 750 |
INITIAL B/C THRESHOLD R 1000 |
INITIAL B/C THRESHOLD R 1500 |
INITIAL B/C THRESHOLD R 2000 |
INITIAL B/C THRESHOLD R 3000 |
INITIAL B/C THRESHOLD R 4000 |
INITIAL B/C THRESHOLD R 6000 |
*INITIAL B/C THRESH TAG R 250 |
*INITIAL B/C THRESH TAG R 500 |
*INITIAL B/C THRESH TAG R 750 |
*INITIAL B/C THRESH TAG R 1000 |
*INITIAL B/C THRESH TAG R 2000 |
*INITIAL B/C THRESH TAG R 3000 |
*INITIAL B/C THRESH TAG R 4000 |
*INITIAL B/C THRESH TAG R 6000 |
RETEST B/C THRESHOLD R 250 |
RETEST B/C THRESHOLD R 500 |
RETEST B/C THRESHOLD R 750 |
RETEST B/C THRESHOLD R 1000 |
RETEST B/C THRESHOLD R 1500 |
RETEST B/C THRESHOLD R 2000 |
RETEST B/C THRESHOLD R 3000 |
RETEST B/C THRESHOLD R 4000 |
RETEST B/C THRESHOLD R 6000 |
FINAL B/C THRESHOLD R 250 |
FINAL B/C THRESHOLD R 500 |
FINAL B/C THRESHOLD R 750 |
FINAL B/C THRESHOLD R 1000 |
FINAL B/C THRESHOLD R 1500 |
FINAL B/C THRESHOLD R 2000 |
FINAL B/C THRESHOLD R 3000 |
FINAL B/C THRESHOLD R 4000 |
FINAL B/C THRESHOLD R 6000 |
*REPEAT B/C THRESH TAG R 250 |
*REPEAT B/C THRESH TAG R 500 |
*REPEAT B/C THRESH TAG R 750 |
*REPEAT B/C THRESH TAG R 1000 |
*REPEAT B/C THRESH TAG R 1500 |
*REPEAT B/C THRESH TAG R 2000 |
*REPEAT B/C THRESH TAG R 3000 |
*REPEAT B/C THRESH TAG R 4000 |
*REPEAT B/C THRESH TAG R 6000 |
SSN TEXT |
DFN NAME TEXT |
EXAMINER NAME TEXT |
REFERRAL SOURCE TEXT |
BIRTH DATE |
*ELIGIBILITY STATUS TEXT |
TYPE OF VET TEXT |
STATION NUMBER |
DATE SIGNED AT SITE |
AUDIOMETRIC DATA IEN AT SITE |
SENDING USER |
SENDING SERVICE |
INITIAL B/C THRESHOLD L 250 |
INITIAL B/C THRESHOLD L 500 |
INITIAL B/C THRESHOLD L 750 |
INITIAL B/C THRESHOLD L 1000 |
INITIAL B/C THRESHOLD L 1500 |
INITIAL B/C THRESHOLD L 2000 |
INITIAL B/C THRESHOLD L 3000 |
INITIAL B/C THRESHOLD L 4000 |
INITIAL B/C THRESHOLD L 6000 |
*INITIAL B/C THRESH TAG L 250 |
*INITIAL B/C THRESH TAG L 500 |
*INITIAL B/C THRESH TAG L 750 |
*INITIAL B/C THRESH TAG L 1000 |
*INITIAL B/C THRESH TAG L 1500 |
*INITIAL B/C THRESH TAG L 2000 |
*INITIAL B/C THRESH TAG L 3000 |
*INITIAL B/C THRESH TAG L 6000 |
RETEST B/C THRESHOLD L 250 |
RETEST B/C THRESHOLD L 500 |
RETEST B/C THRESHOLD L 750 |
RETEST B/C THRESHOLD L 1000 |
RETEST B/C THRESHOLD L 1500 |
RETEST B/C THRESHOLD L 2000 |
RETEST B/C THRESHOLD L 3000 |
RETEST B/C THRESHOLD L 4000 |
RETEST B/C THRESHOLD L 6000 |
FINAL B/C THRESHOLD L 250 |
FINAL B/C THRESHOLD L 500 |
FINAL B/C THRESHOLD L 750 |
FINAL B/C THRESHOLD L 1000 |
FINAL B/C THRESHOLD L 1500 |
FINAL B/C THRESHOLD L 2000 |
FINAL B/C THRESHOLD L 3000 |
FINAL B/C THRESHOLD L 4000 |
FINAL B/C THRESHOLD L 6000 |
*REPEAT B/C THRESH TAG L 250 |
*REPEAT B/C THRESH TAG L 500 |
*REPEAT B/C THRESH TAG L 750 |
*REPEAT B/C THRESH TAG L 1000 |
*REPEAT B/C THRESH TAG L 1500 |
*REPEAT B/C THRESH TAG L 2000 |
*REPEAT B/C THRESH TAG L 3000 |
*REPEAT B/C THRESH TAG L 4000 |
*REPEAT B/C THRESH TAG L 6000 |
*INITIAL B/C MASK LEVEL R 250 |
*INITIAL B/C MASK LEVEL R 500 |
*INITIAL B/C MASK LEVEL R 750 |
*INITIAL B/C MASK LEVEL R 1000 |
*INITIAL B/C MASK LEVEL R 1500 |
*INITIAL B/C MASK LEVEL R 2000 |
*INITIAL B/C MASK LEVEL R 3000 |
*INITIAL B/C MASK LEVEL R 4000 |
*INITIAL B/C MASK LEVEL R 6000 |
FINAL B/C MASK LEVEL R 250 |
FINAL B/C MASK LEVEL R 500 |
FINAL B/C MASK LEVEL R 750 |
FINAL B/C MASK LEVEL R 1000 |
FINAL B/C MASK LEVEL R 1500 |
FINAL B/C MASK LEVEL R 2000 |
FINAL B/C MASK LEVEL R 3000 |
FINAL B/C MASK LEVEL R 4000 |
FINAL B/C MASK LEVEL R 6000 |