Version 2.78

Status Information

Status
TRIAL

Term Description

The Age-Related Hearing Impairment instrument is a self-administered questionnaire which asks about an individual's hearing impairment history, history of ear diseases and operations, family history, and history of exposure to loud noises.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Article Consensus measures for Phenotypes and Exposures Fransen, E., Topsakal, V., Hendrickx, J., Van Laer, L., Huyghe, J. R., Van Eyken, E., Lemkens, N., Hannula, S., Maki-Tokko, E., Jensen, M., Demeester, K., Tropitzch, A., Bonaconsa, A., Mazzoli, M., Espeso, A., Verbruggen, K., Huyghe, J., Huygen, P.L., Kunst, S., Manninen, M., Diaz-Lacava, A., Steffens, M., Wienker, T. F., Pyykko, I., Cremers, C. W. R. J., Kremer, H., Dhooge, I., Stephens, D., Orzan, E., Pfister, M., Bille, M., Parving, A., Sorri, M., Van De Heyining, P., & Van Camp, G. (2008). Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: A European population-based multicenter study. Journal of the Association for Research in Otolaryngology, 9, 264-276.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
63008-7 PhenX - personal and family history of hearing loss protocol 201501
Indent67400-2 Do you have any difficulty with your hearing?
Indent67467-1 In which ear(s) do you have a hearing difficulty?
Indent67468-9 At what age did you first notice a hearing difficulty? a
Indent67401-0 How quickly did your hearing difficulty develop?
Indent67402-8 Do you know the reason for your hearing difficulty?
Indent67718-7 Do you know the reason for your hearing difficulty? (if there is a separate cause for each of your ears, please note them accordingly) Describe:
Indent67403-6 Does your hearing vary from day to day?
Indent67404-4 Do you find it very difficult to follow a conversation if there is background noise (e.g. TV, radio, children playing)?
Indent67405-1 Are you particularly sensitive to loud sounds?
Indent67406-9 Do you sometimes feel a fullness or blockage in your ears?
Indent67407-7 Nowadays, do you ever get noises in your head or ears (tinnitus) which usually last longer than five minutes?
Indent67408-5 Have you ever had an ear disease that has caused your hearing to get worse?
Indent67409-3 Have you ever had discharge of blood or pus, or smelly discharge (not wax) from either ear?
Indent67410-1 Have you ever had an ear operation?
Indent67171-9 Procedure type
Indent67719-5 Which ear?
Indent58234-6 Date of trauma or procedure
Indent67411-9 Have you ever suffered from attacks of dizziness in which things seem to spin around you?
Indent67412-7 Do you feel unsteady when walking in the dark?
Indent63897-3 Relative [CA Teachers]
Indent67413-5 Where did your mother's father (your maternal grandfather) originate from? Specify Country
Indent67414-3 Where did your mother's father (your maternal grandfather) originate from? Specify Region
Indent64238-9 Natural parent [PhenX]
Indent67415-0 As far as you know, does/did your mother have hearing problems?
Indent67720-3 What was his/her occupation?
Indent65223-0 Age of onset a
Indent67722-9 What is/was the cause of her hearing problem (if known)?
Indent39016-1 Age at death a
Indent67416-8 Do you have any brothers or sisters with normal hearing?
Indent67417-6 Do you have any brothers or sisters with normal hearing? (how many of your brothers/sisters have normal hearing?) {#}
Indent67463-0 Do you have any brothers or sisters with hearing difficulties?
Indent67464-8 Do you have any brothers or sisters with hearing difficulties? (how many of your brothers/sisters have hearing difficulties?) {#}
Indent63897-3 Relative [CA Teachers]
Indent46098-0 Sex
Indent54124-3 Birth date Family member {mm/dd/yyyy}
Indent67721-1 Age of onset of health-related event Family member a
Indent67418-4 Do you have any children with normal hearing?
Indent67419-2 How many children with normal hearing? {#}
Indent67465-5 Do you have any children with hearing difficulties? (how many of your children have hearing difficulties?)
Indent67466-3 How many children with hearing difficulties? (how many of your children have hearing difficulties?) {#}
Indent63897-3 Relative [CA Teachers]
Indent67420-0 Do you have uncles, aunts, cousins, nephews, or nieces with hearing difficulties?
Indent67421-8 Do you know if any of your relatives have already participated in this investigation?
Indent63897-3 Relative [CA Teachers]
Indent67422-6 Do you know if any of your relatives have already participated in this investigation?
Indent67286-5 If yes, what is his/her relationship to you?
Indent67423-4 Do you suffer from migraine?
Indent67424-2 How often do you generally have attacks?
Indent67425-9 Have you ever suffered a hearing loss from meningitis or encephalitis?
Indent67426-7 Have you ever had a whiplash injury?
Indent67427-5 Have you ever been knocked unconscious (e.g., in a traffic accident, contact sport, a fight or after a fall)?
Indent58338-5 Has a doctor ever told you that you had a myocardial infarction or heart attack?
Indent67428-3 Have you ever had heart surgery?
Indent67727-8 What operation(s)? (Please describe)
Indent67429-1 Have you ever had coronary artery catheterization?
Indent67430-9 What type of intervention(s) (e.g., stent, balloon dilatation)?
Indent65718-9 Have you ever been told by a physician that you had a stroke?
Indent67723-7 Date of health-related event
Indent67431-7 Have you ever had an operation on your carotid artery?
Indent67432-5 Do you suffer from intermittent claudication?
Indent67433-3 Do you have other problems with your heart or circulation?
Indent67434-1 Do you have other problems with your heart or circulation?
Indent67435-8 Do you suffer from diabetes?
Indent67436-6 Do you need insulin?
Indent67437-4 Disease history [PhenX]
Indent67438-2 Please describe your disease(s):
Indent67439-0 Autoimmune diseases [PhenX]
Indent67783-1 Have you ever had other operations (not covered by the previous questions)?
Indent8690-0 History of Surgical procedures
Indent67782-3 Other operation year
Indent67440-8 Do you have other serious health problems that are not covered by the previous questions?
Indent67441-6 Please describe these problems:
Indent67442-4 Have you ever been treated for a serious infection with an antibiotic (other than penicillin) which was administered by injection/drip for a week or more?
Indent67443-2 If 'YES', for what sort of infections did you receive these antibiotics?
Indent67444-0 Have you had cancer or leukemia?
Indent63929-4 Cancer Site/Type?
Indent67446-5 Have you been treated with chemotherapy or other medication for this condition?
Indent21946-9 Chemotherapy treatment Cancer
Indent67447-3 Have you ever received radiotherapy to your head or neck for a tumor?
Indent67448-1 What kind of tumor(s)?
Indent63936-9 Surgery Date?
Indent67449-9 On average how often do you take painkillers?
Indent67450-7 Do you take aspirin on a daily basis for your heart or to dilute your blood?
Indent67451-5 If 'YES', how long have you been taking aspirin so far? d;wk;mo;a
Indent52418-1 Current medication, Name 1..1
Indent67452-3 Please write down the medical reason why you had or have to take this medication. If necessary you can add an additional copy of this page
Indent67453-1 Duration of treatment d;wk;mo;a
Indent67454-9 Have you ever fired a gun?
Indent67455-6 Weapon type [PhenX]
Indent67456-4 Estimate the total number of shots fired.
Indent67457-2 Did you use ear protection?
Indent67458-0 If any, which type of ear protection did you use?
Indent67459-8 During your leisure time, are you/have you been regularly (more than once a week) exposed to loud sound or noise (so that you have to shout to make yourself heard by someone who was more than 1 m away from you)?
Indent67460-6 What kind of loud sound?
Indent67461-4 For how many years have you been exposed to this loud sound? a
Indent67462-2 How many hours per week have you been exposed to this loud sound? h/wk
Indent67457-2 Did you use ear protection?
Indent63743-9 What kind of work {were you/was SP} doing?
Indent67728-6 Have you been exposed to solvents (e.g., thrichloroethylene, toluene, evaporations from paints or lacquers) for more than one year in one of your jobs?
Indent67470-5 Which solvents?
Indent67730-2 In which year did the solvent exposure start?
Indent67737-7 How many hours per day were you exposed to noise?
Indent67732-8 Do you suffer from white finger syndrome/Raynaud's syndrome caused by excessive vibration (e.g., pneumatic hammers or drills)?
Indent67733-6 Have you ever worked for more than 1 year in a place where you had to raise your voice to make yourself heard by someone standing 1 m away from you?
Indent67734-4 Please describe the most important noise source(s)
Indent67735-1 What was the noise level (if you are aware of it) in dB? {ratio}
Indent67736-9 What was the noise dose (equivalent noise level if you are aware of it) in dBs? {ratio}
Indent67737-7 How many hours per day were you exposed to noise?
Indent67738-5 Was this a constant loud noise or an impulse noise (i.e., noise with (ir)regular high peaks of sound, like hammering)?
Indent8308-9 Body height --standing [in_us];cm;m
Indent29463-7 Body weight O [lb_av];kg
Indent66042-3 Dominant hand [PhenX]
Indent67575-1 Are you susceptible to sunburn?
Indent67576-9 What is the color of your eyes?
Indent67739-3 Have you ever smoked regularly?
Indent67740-1 At which age did you start smoking? a
Indent67741-9 For how many years did you (have you) smoke(d) up to now? a
Indent67744-3 Approximately how many cigarettes do (did) you smoke on average?
Indent67743-5 Do you drink alcohol regularly (every week)?
Indent67742-7 How many drinks do you have on average? (A small bottle of beer - 25cl, red or white wine - 12cl, or a small glass of spirits - 4cl counts as 1 drink)

Fully-Specified Name

Component
PhenX - personal and family history of hearing loss protocol 201501
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
Pers fam hx hearing loss proto

Survey Question

Source
PX201501

Basic Attributes

Class
PANEL.PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.66
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Added the PhenX protocol ID to the Component to clearly define the protocol version for which this panel is based upon.
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
63067-3 PhenX domain - Speech and hearing

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - protocolo 201501 de antecedentes personales y familiares de pérdida auditiva:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - anamnesi personale e familiare di perdita uditiva, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) PhenX - личная и семейная история слуха потери протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Потеря слуха Точка во времени;Момент
zh-CN Chinese (China) PhenX - 听力损失个人与家族史方案 201501:-:时间点:^患者:-:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 PhenX - 听力损失（听力损害、听力丧失、听觉损耗）个人与家族史方案 201501;Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.PhenX;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.PhenX;Consensus measures for Phenotypes and eXposures;PhenX;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;PhenX 医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 听力损害;听力丧失;听觉损耗 听觉 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=63008-7
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/63008-7