Table of Contents

Audiology Clinical Report Writing Manual

• Overview 1010
• • Preface 1010
  • Purpose and Importance of Clinical Documentation and Reporting 1010
  • Elements of the Report 1111
  • General Suggestions Regarding Clarity 1111
  • Cultural Responsiveness 1212
  • Use of Generative Artificial Intelligence (AI) for Clinical Report Writing/Documentation 1212
• Audiologic Evaluation 1414
• • Subjective/History 1414
  • Results 1616
  • • Otoscopy 1616
    • Pure-Tone Audiometry (PTA) 1717
    • Speech Recognition Threshold (SRT) 1818
    • Word Recognition Scores (WRS) 1919
    • Speech-in-Noise (SIN) Testing 2020
    • Rollover 2222
    • Tympanometry 2222
    • Acoustic Reflexes 2323
    • Acoustic Reflex Decay 2323
  • Impressions and Recommendations 2323
• Hearing Aid Check 2626
• • Subjective/History 2626
  • Objective 2727
  • Assessment 2727
  • Impressions and Recommendations 2727
• Hearing Aid Demonstrations/Consultations 2828
• • Subjective/History 2828
  • Results 2828
  • Impressions and Recommendations 2828
• Hearing Aid Fittings 3030
• • Subjective/History 3030
  • Fitting 3030
  • Impressions and Recommendations 3030
• Tinnitus and Hyperacusis Evaluations 3434
• • Results 3434
  • • Ultra-High-Frequency Thresholds 3434
    • Loudness Discomfort Levels 3434
    • Tinnitus Pitch and Loudness 3434
    • Otoacoustic Emissions (OAEs) 3535
  • Impressions and recommendations 3535
• Auditory Processing Disorder Evaluations 3838
• • Subjective/History 3838
  • • I. Low Redundancy Monaural Speech Tests 3939
    • II. Temporal Patterning / Temporal Ordering Tests 3939
    • III. Dichotic Listening Tests 4040
    • IV. Binaural Interaction Tests 4040
  • Results 4040
  • Impressions and Recommendations 4141
  • • Subjective/History 4242
    • Test Battery 4242
    • Results 4242
    • Impressions and Counseling 4343
• Cochlear Implants 4444
• • Candidacy Evaluation and Consultation 4444
  • • Subjective/History 4444
    • Results 4444
    • Impressions and Counseling 4545
  • Device Discussion 4545
  • • Subjective/History 4646
    • Results 4646
    • Impressions and Recommendations 4646
  • CI Programming 4646
  • • Subjective/History 4747
    • Programming 4747
• Pediatrics 5050
• • Subjective/History 5050
  • Audiologic Results: Behavioral Testing 5151
  • • VRA 5151
    • CPA 5151
    • Conventional Tests 5252
    • Electroacoustic Testing: Immittance and Otoacoustic Emissions 5252
  • Impressions and Recommendations 5353
• Auditory Brainstem Response (ABR) 5656
• • Subjective/History 5656
  • Results 5656
  • Impressions 5656
  • Recommendations 5757
  • Examples of ABR Reports 5757
• References 6060
• Acknowledgments 6262
• About the Authors 6262