Security and Medicine / Medicine / Audiometry / Examinations

Exams Result

It allows the registration of medical and laboratory examinations of employees and candidates. Registration may be manual, through the generation of examination request or by means of routines that automatically generate exams, for example: Resignation, removal, etc.

The screen provides some important information about the treatment of test results:

Attendant / ASO: it corresponds to the code of the attendant that generated the examination by the routine of generating request or by the service screen. The field ASO corresponds to the ASO code generated automatically through the ASO screen, also by the attendance;
Nr. Lot: corresponds to the batch number generated by the generate request routine. This number is used to facilitate the identification of the generated exams and also for a possible exclusion of exams by lot. This deletion occurs on the Generate Request, Button Delete;
Open / Finished: identifies whether the exam is open or completed. In the open condition, it allows the attendant to change the information. In the Completed situation, no change will be allowed, unless the user is allowed to reopen it by the button Reopen as indicated in the registry of the attendant. By button Conclude any attendant may complete an examination result, provided that the attendant's permissions are respected in the medicine settings.

In the record of the results of the exams it is possible to use the following rules by process:

534 - Apply Request Exams
535 - Change Request Exams
536 - Delete Request Exams
553 - Consistir result Exams

The process rules 534, 535 and 536 executed by this screen will be identified with the value 2 in the OriOpeExa system variable.

From this screen, you can also view the PPRA information of the employee medical records, using the button PPRA.

Information

Medical Form
Enter a number for each medical record.

Exam Code Enter the exam code referring to the opinion elaborated below.

Date Request Inform the day, month and year of the request for the requested exam, ie, when it was automatically generated or registered.

Date Result Enter the day, month and year of the exam result. From this will be counted the periodicity for the next examination.

Source Module
This field is automatically populated by the system in the inclusion or generation of the exam request and informs which module or routine generated the exam request between the following options:

M - Medicine
A - Medicine Attendance
R - Recruitment and Selection
G - Automatically Generated

Origin Exam Inform the origin of the exam, according to the request of the same.

Types of exams available:

Admission
Periodic
Return Sick-aid
Return Work Accident
Return Service
Return Maternity
INSS Maternity Return
Return Medical Leave 15 days
Job transfer
Org. unit transfer
Function transfer
Layoff policy
Monitoring
Request

Others

Attendant
Enter the code of the attendant (internal) who performed the service.

Covenant
Enter the code of the agreement to which the referral was made.

These companies must be registered as Other Companies, with the use of Medical Agreements.

Entity Exam Indicate in which entity the examination was performed, this entity must be registered as other companies with the type of use to be used in the category of each entity.

Under Investigation
There are cases in which the result of the examination is clear, that is, there is hearing loss, but it is necessary to verify that this loss can not be due to non-labor activities. In this case the company could not be held responsible for this result. The Examination that is checked that is under investigation, will appear in the PPP as "Abnormal - Non-Occupational", regardless of opinion.

"S - Yes": the result of this examination is under investigation;
"N - No".

Consider PPP

"S - Yes": the result of this exam will be considered in the PPP.
"N - No": will not be considered.

Examination Status

"S - Requested": corresponds to the situation of the examination that was only generated or registered;
"R - Performed": corresponds the situation of the exams with results and opinion;
"N - Not Performed": for some reason the examination did not happen;
"C - Canceled".

Exam Type The exams can be of two origins:

"R - Reference": corresponds to the first exam generated or one that will serve as a parameter for the subsequent one;
"S - Sequential": corresponds to exams after the reference.

Note

This field will not appear when you are defined in the Audiometry Settings, in Medicine> Audiometry> Definitions, field Results Audiometry = "1 - Consider by Ear".

Opinion (Right Ear) Enter the P arecer which may be used as a requirement in the selection process. For the audiometric examination, inform the opinion of the ordinance 19. This field is filled automatically when the audiometric test is interpreted by the respective button.

Opinion (left ear) Enter the P arecer physician for audiometric examination according to ordinance 19. This field is filled automatically when the audiometric test is interpreted by the respective button.

Identification Code Provide the identification code of the exam, generated by the laboratory that performed it.

Date Collection

Inform the date of collection of the toxicological examination. This information will be taken to the S-2200 and S-2206 layouts when the examination is of an admission origin.

Result Inform the result for the exam:

"N - Normal": the test result is within acceptable standards;
"A - Changed": There has been some result out of acceptable standards.

Notes

In the interpretation of the exam will be adopted t
- he criterion: To be Normal, the two Ears should be Within Acceptable Limits. If any Ear is different, it will be considered as Changed;
- If the E
- xam is Changed, the system will characterize as Occupational or Non-Occupational;
If any Ear has a Suggestive opinion of PAINPSE (including Triggering or Aggravation) it will be characterized as Occupational.
This field will not appear when you are defined in the Audiometry Settings, in Medicine> Audiometry> Definitions, field Results Audiometry is set to "1 - Consider by Ear".

Evolution Result Corresponds to the evolution of the result for examination.

Notes

If it is a modified sequential examination and in some ear there was trigger or aggravation, in the course of the examination it is suggested that there was aggravation, because if one of these opinions was left, it is because the reference exam was better than the sequential one. So if the opinion of the right ear or the left ear is suggestive of PAINPSE trigger (4.2.1 or 4.2.2) or suggestive of aggravation of PAINPSE (4.2.3) the evolution of the examination is worsening. Otherwise the two ears is analyzed separately. If at least one of them has aggravated, it suggests as aggravation, otherwise it suggests as stable and if in both cases a regression of the loss does not suggest evolution, because in this case it is neither aggravation nor stable;
This field will not appear when you are defined in the Audiometry Settings, in Medicine> Audiometry> Definitions, field Results Audiometry is set to "1 - Consider by Ear".

Occupational
Identify the status of the outcome:

"O - Occupational": when the result for any of the ears is abnormal;
"N - Non-occupational": when the result is abnormal and the opinion of the right ear or left ear is Not Suggestive of PAINPSE (4.1.3) or Within Acceptable Limits (4.1.1).

Note

This field will not appear when you are defined in the Audiometry Settings, in Medicine> Audiometry> Definitions, field Results Audiometry is set to "1 - Consider by Ear".

Excessive Exposure Indicates if there was excessive exposure to the chemical agent, according to Table I of NR-7. This field is enabled only when the field Exam Status is set to "R - Done".

Interpretation exhibition
Information used for eSocial, S-2220 layout, interprExm field. When the company has the eSocial definitions for the active Safety and Medicine module, this information becomes mandatory.

The following is a description of the filling options according to NR7 - Table I:

EE - the biological indicator is capable of indicating an environmental exposure above the tolerance limit, but does not have its own clinical or toxicological significance alone, ie it does not indicate disease, nor is it associated with an effect or dysfunction of any biological system;
SC - in addition to showing excessive exposure, the biological indicator also has its own clinical or toxicological meaning, that is, it may indicate disease, be associated with an effect or a dysfunction of the evaluated biological system;
SC + - the biological indicator has its own clinical or toxicological significance but, in practice, due to its short biological half-life, should be considered EE.

Consider Table III

"S - Yes" report so that the examination result is presented in the report Table III NR 7 - Annual Report (SMPC011), otherwise this record will be disregarded in the issuance of the report.

Procedure (TUSS)

Select the clinical code referring to the medical procedure performed.

Procedure (Note)

Record information about the medical or diagnostic medical procedure performed. This field has the maximum limit of 200 characters and is mandatory if the field Procedure (TUSS) not informed.

last change

Demonstrates the user of the system that made the last change to the consulted registry.

Notes

Notes
Space destined to the registration of any complementary annotation referring to the requested examination.

Insert Auto Text Button It allows to fill the field of annotations with auto pre-registered texts in the screen of Register of Texts (Medicine> Audiometry> Registry of Texts). Only in the search of auto texts will the texts registered with Type of Use equal to "0 - General" and "2 - Exam Annotations".

Audiometry

In this folder, information will be recorded for the audiometric examination.

Audiometer
Inform the audiometer that will be used for the atrial measurements.

Cabin Inform the booth where the test will be run. If an audiometer is already registered in the audiometer register, it will be suggested in this field.

Hours Home Please state how many hours you should have between one exam and another. The default is 14 hours.

Responsible Attendant
Inform the attendant responsible for the information registered.

Exam Type The exams can be of two origins:

Reference - corresponds to the first exam generated or the one that will serve as a parameter for the subsequent exam.
Sequential - corresponds to exams after the reference.

Meatoscopy OD Indicate the opinion for the OD meatoscopy examination.

OES Meatoscopy
Indicate the opinion for the OE meatoscopy examination.

Otoscopy OD Enter the report on OD otoscopy. The button next to it allows to bring pre-registered texts.

Otoscopy OE Enter the report on OE otoscopy. The button next to it allows to bring pre-registered texts.

Note
Space intended for some additional information.

Result Items

Quantification
Enter the value of the item resulting from the exam.

Type Masking VA Please state the type of masking for the airway.

Type Masking VO Inform the type of masking for the bone pathway.

Aerial Masking OD - Min Report minimum threshold for OD airway masking.

OD - Max Air Masking Report maximum limit for OD masking.

Air Masking OE - Min Report minimum threshold for OD airway masking.

OE - Max Air Masking Report maximum limit for OD masking.

Bone Masking OD - Min Report the minimum threshold for masking of the bone of DO.

Bone Masking OD - Max Report maximum limit for the masking of the airway of the OE.

Bone Masking OE - Min Report the minimum threshold for masking of the bone of DO.

OE - Max Bone Masking Report maximum limit for the masking of the airway of the OE.

Results of Air Frequency 0.25 OD Enter the air frequency value 0.25 OD.

Results of Air Frequency 0.5 OD Enter the air frequency value 0.5 OD.

Results of Air Frequency 1 OD Enter the value of the air frequency 1 OD.

Results of Air Frequency 2 OD Enter the amount of air frequency 2 DO.

Results of Air Frequency 3 OD Enter the amount of air frequency 3 DO.

Results of Air Frequency 4 OD Enter the amount of air frequency 4 DO.

Results of Air Frequency 6 OD Enter the value of the air frequency 6 OD.

Results of Air Frequency 8 OD Enter the amount of air frequency 8 OD.

Bone Frequency Score 0.25 OD Enter the value of bone frequency 0.25 OD.

Bone Frequency Score 0.5 OD Enter the value of the bone frequency 0.5 OD.

Results of Bone Frequency 1 OD Enter the value of bone frequency 1 OD.

Result of Bone Frequency 2 OD Enter the value of bone frequency 2 OD.

Result of Bone Frequency 3 OD Enter the value of bone frequency 3 OD.

Bone Frequency Score 4 OD Enter the value of bone frequency 4 OD.

Result of Bone Frequency 6 OD Enter the value of bone frequency 6 OD.

Results of Air Frequency 0.25 OE Enter the value of the air frequency 0.25 OE.

Results of Air Frequency 0.5 OE Enter the value of the air frequency 0.5 OE.

Results of Air Frequency 1 OE Enter the value of the air frequency 1 EO.

Results of Air Frequency 2 OE Enter the amount of air frequency 2 OE.

Results of Air Frequency 3 OE Enter the value of the air frequency 3 OE.

Results of Air Frequency 4 OE Enter the value of the air frequency 4 OE.

Results of Air Frequency 6 OE Enter the value of the air frequency 6 OE.

Results of Air Frequency 8 OE Enter the value of the air frequency 8 EO.

Result of Bone Frequency 0.25 OE Enter the value of bone frequency 0.25 OE.

Result of Bone Frequency 0.5 OE Enter the value of bone frequency 0.5 OE.

Result of Bone Frequency 1 OE Enter the value of bone frequency 1 OE.

ReFrequency 2 OE Enter the value of bone frequency 2 OE.

Rresult of Bone Frequency 3 OE Enter the value of bone frequency 3 OE.

Result of Bone Frequency 4 OE Enter the value of the bone frequency 4 OE.

Result of Bone Frequency 6 OE Enter the value of the bone frequency 6 OE.

Immittanciometry -500 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -450 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -400 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

-350 OD Immittance It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -300 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -250 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittance -200 OD It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

-150 OD Immittance It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -100 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -50 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 0 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 50 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 100 OD
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittance 150 OD It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittance 200 OD

It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -500 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -450 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -400 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -350 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -300 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -250 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -200 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -150 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -100 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry -50 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 0 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 50 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 100 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 150 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Immittanciometry 200 OE
It is intended to record static ear compliance in milliliters. Measurements can occur +200 to -500 daPA.
Expected Values: 2.00 - 1.80 - 1.60 - 1.40 - 1.20 - 1.00 - 0.80 - 0.60 - 0.40 - 0.20 - 0.00.

Note

In Immittanciometry -500 OD up until Immittanciometry 200 OE: fields referring to "Immittance - Frequency Values" will only be available if the field Result Immittanciometry of the screen Medicine> Audiometry> Definitions by Company is rated "F - Values by Frequency".

Jerger Type Tympanometric Curve (1970) Right Ear Type A It should be noted when the curve is of type A. This curve is characterized by a maximum peak around 0 (zero) decaPascal of pressure (daPa).

Jerger Tympanometric Curve (1970) Right Ear Type Ad It should be indicated when the curve is Ad type. This curve has a very large compli- ance, it does not have a point of maximum compli- ance because its two branches exceed the zero point of the graph.

Jerger Type Tympanometric Curve (1970) Right Ear Type Air It should be indicated when the curve is of type Ar. The profile of this curve is similar to that of the type A curve, but is flatter.

Jerger Type Tympanometric Curve (1970) Right Ear Type B It should be noted when the curve is type B. In this curve no peak of maximum compliance is observed and the curve is unalterable even if the pressure variations in the external acoustic meatus are large.

Jerger Type Tympanometric Curve (1970) Right Ear Type C It should be noted when the curve is type C. This curve is characterized by a peak of maximum compliance shifted to very negative pressures, around -100 daPa.

Type Jerger Tympanometric Curve (1970) Left Ear Type A It should be noted when the curve is of type A. This curve is characterized by a maximum peak around 0 (zero) decaPascal of pressure (daPa).

Jerger Type Tympanometric Curve (1970) Left Ear Type Ad It should be indicated when the curve is Ad type. This curve has a very large compli- ance, it does not have a point of maximum compli- ance because its two branches exceed the zero point of the graph.

Type Jerger Tympanometric Curve (1970) Left Ear Type Air It should be indicated when the curve is of type Ar. The profile of this curve is similar to that of the type A curve, but is flatter.

Type Jerger Tympanometric Curve (1970) Left Ear Type B It should be noted when the curve is type B. In this curve no peak of maximum compliance is observed and the curve is unalterable even if the pressure variations in the external acoustic meatus are large.

Type Jerger Tympanometric Curve (1970) Left Ear Type C It should be noted when the curve is type C. This curve is characterized by a peak of maximum compliance shifted to very negative pressures, around -100 daPa.

Note

Source of information about the Jerger Type (1970): JERGER, J. Clinical experience with impedance audiometry. Arch. Otolaryngol. 1970; 92: 311-324.

Note
Space intended for additional information.

Right Ear Stapedian Reflex - OE 500 Ipsilateral Probe Report a multiple of 5 between 60 and 120 which corresponds to ipsilateral of frequency 500. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 1000 Ipsilateral Probe Enter a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 1000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 2000 Ipsilateral Probe Report a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 2000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 4000 Ipsilateral Probe Report a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 4000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 500 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 500. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 1000 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 1000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 2000 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 2000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Right Ear Stapedian Reflex - OE 4000 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 4000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Right Ear Reflex - OE 500 Decay Probe Inform the fatigability / deterioration of the stapes reflex that corresponds to the decay of frequency 500. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Right Ear Reflex - OE 1000 Decay Probe
Inform the fatigability / deterioration of the stapes reflex that corresponds to the decay of frequency 1000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Right Ear Reflex - OE 2000 Decay Probe Inform the fatigability / deterioration of the reflex of stapiosis that corresponds to the decay of frequency 2000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Right Ear Stapedian Reflex - OE 4000 Decay Probe Inform the fatigability / deterioration of the reflex of stapiosis that corresponds to the decay of frequency 4000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Left Ear Reflex - Ipsilateral OD 500 Probe Report a multiple of 5 between 60 and 120 which corresponds to ipsilateral of frequency 500. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - OD 1000 Ipsilateral Probe Enter a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 1000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - OD 2000 Ipsilateral Probe Report a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 2000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - Probe OD 4000 Ipsilateral Report a multiple value of 5 between 60 and 120 which corresponds to the ipsilateral of frequency 4000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Left Ear Reflex - OD 500 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 500. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - Probe OD 1000 Contralateral Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 1000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - OD 2000 Contralateral Probe Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 2000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Reflex Left Ear - Probe OD 4000 Contralateral Enter a multiple value of 5 between 60 and 125 that corresponds to the contralateral of frequency 4000. The Lim column represents the threshold established in the airway. The Differ column is the difference between the Cont column and the Lim column.

Stapedian Left Ear Reflex - OD 500 Decay Probe Inform the fatigability / deterioration of the stapes reflex that corresponds to the decay of frequency 500. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Reflex Left Ear - OD 1000 Decay Probe Inform the fatigability / deterioration of the stapes reflex that corresponds to the decay of frequency 1000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Reflex Left Ear - OD 2000 Decay Probe Inform the fatigability / deterioration of the reflex of stapiosis that corresponds to the decay of frequency 2000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Stapedian Left Ear Reflex - OD 4000 Decay Probe Inform the fatigability / deterioration of the reflex of stapiosis that corresponds to the decay of frequency 4000. This reflex has the function of protecting the cochlea when the ear is exposed to a sound of very high intensity. (Source: http://www.ipo.med.br/servicos/serv_decayrefl.php)

Note
Space intended for additional information.

Audiological Opinion
Inform the speech therapist's complementary comment regarding the result of the examination.

Immittanciometry

Values for Compliance

Average Ear Pressure (daPa) OD
Allows to enter values between -500 and +200 and these must be multiples of 50.

Maximum Relaxation (ml) OD
The values entered in this field can vary between 0.00 and 2.00 (two decimal places).

+ 200 daPa OD
The values entered in this field can vary between 0.00 and 2.00. But they are usually low values, close to 0 (zero). The field should receive values up to two decimal places.

Static Compliance (ml) OD
The values entered in this field can vary between 0.00 and 2.00 (two decimal places)

Gradient (ml) OD
Values can range from 0.00 to 2.00 (two decimal places)

Closing Point Chart (daPa) OD
In this field the value of the frequency at which the tympanometry chart is to be closed will be entered. In other words, since the user will not report the frequency values (from -500 to +200) in detail so that the system can assemble the Tympanometry graph, the graph will be assembled based on the compliance table information. This field should allow values between -500 and +200 that are multiples of 50. Normally it will receive value -200.

Average Ear Pressure (daPa) OE
Allows to enter values between -500 and +200 and these must be multiples of 50.

Maximum Relaxation (ml) OE
The values entered in this field can vary between 0.00 and 2.00 (two decimal places).

+ 200 daPa OE
The values entered in this field can vary between 0.00 and 2.00. But they are usually low values, close to 0 (zero). The field should receive values up to two decimal places.

Static compliance (ml) OE
The values entered in this field can vary between 0.00 and 2.00 (two decimal places)

Gradient (ml) OE
Values can range from 0.00 to 2.00 (two decimal places)

Closing Point Chart (daPa) OE
In this field the value of the frequency at which the tympanometry chart is to be closed will be entered. In other words, since the user will not report the frequency values (from -500 to +200) in detail so that the system can assemble the Tympanometry graph, the graph will be assembled based on the compliance table information. This field should allow values between -500 and +200 that are multiples of 50. Normally it will receive value -200.

Notes

The fields referring to "Immittance - Values for Compliance" will only be available if the field Result Immittanciometry of the screen Medicine> Audiometry> Definitions by Company has value "C - Values for Compliance".
The fields of "Immittanciometry - Values for Compliance" are used for the assembly of the tympanometry chart of the SMAU004.GER model. The rule that will follow for the assembly of the chart will be the following:
- The graph will basically have 3 points according to the values below:

Point 1: Axis x = +200, Axis y = value entered in the "+ 200 daPa" field of the respective ear.

Point 2: Axis x = value of the field "Average Ear Pressure (daPa)" of the respective ear, Axis y = value of the "Maximum Relaxation (ml)" field of the respective ear.

Point 3: Axis x = value entered in the field "Chart Closing Point (daPa)" of the respective ear, Axis y = 0 (zero);

The fields Static compliance (ml) and Gradient (ml) are only informative and will serve to complete the compliance table in the SMAU004.GER model, that is, these fields will not be used in the assembly of the Tympanometry chart.

Logoaudiometry

In this folder the information about the logoaudiometry will be registered.

Monosyllabic Words OD Enter the number of monosyllabic words used in the DO logoaudiometry test, or report that it has not been tested.

OD Monosyllables / Masking Report whether or not masking has occurred, or report that it has not been tested.

Words Dissyllable OD Enter the number of dissyllabic words used in the DO logoaudiometry test, or report that it has not been tested.

OD Dissyllables / Masking Report whether or not masking has occurred, or report that it has not been tested.

SDT OD
Enter the speech detection threshold for the OD and whether or not there was masking.

SDT SD / Masking Enter the speech detection threshold for the OD and whether or not there was masking.

SRT OD
Inform the speech recognition threshold for the DO and whether or not there was masking.

SRT OD / Masking Inform the speech recognition threshold for the DO and whether or not there was masking.

OES Monosyllables Enter the number of monosyllable words used in the OE logoaudiometry test or that have not been tested.

OE / Masking Monosyllabic Words Please state whether or not masking has occurred.

Words Dissyllables OE Enter the number of monosyllable words used in the OE logoaudiometry test or that have not been tested.

OE / Masking Dissyllable Words Indicate whether or not there was masking.

SDT OE
Enter the speech detection threshold for OE.

SDT OE / Masking Please state whether or not masking has occurred.

SRT OE
Enter the speech recognition threshold for the DO.

SRT OE / Mascarmento
Please state whether or not masking has occurred.

Type Masking Logo Enter the type of masking used in the logoaudiometry.

Qty Masking Logo OD Quantify the masking used in OD logoaudiometry in multiples of five.

Qty Masking Logo OE Quantify in multiples of five the masking used in OE logoaudiometry.

Note Logo Space intended for some additional information.

Methods

This folder will record the opinions of each method used.

Exam Type - OD The exams can be of two origins:

Reference - corresponds to the first exam generated or the one that will serve as a parameter for the subsequent exam.
Sequential - corresponds to exams after the reference.

Note

This field will only be displayed when it is defined in the Audiometry Settings, in Medicine> Audiometry> Definitions, field Results Audiometry = "1 - Consider by Ear".

Loss Type - OD Corresponds to the opinion of the type of loss of the DO. Valid types:

Conductive (Air - altered, Bone - normal) Should be tested if the gap is> 10
Neurosensorial - gap below 15 (Air - altered, Bone - altered) gap <15 - When not tested bone or
Mixed - gap above 10 (Air - altered, Bone - altered) gap> 10

Exam Type - OE
The exams can be of two origins:

Reference - corresponds to the first exam generated or the one that will serve as a parameter for the subsequent exam.
Sequential - corresponds to exams after the reference.

Note

This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Loss Type - OE Corresponds to the opinion of the type of loss of the OE. Valid types:

Conductive;
Neurosensorial;
Mixed.

Ordinance 19 OD:
Corresponds to the opinion of decree 19 OD.

Valid types:

Within acceptable limits (4.1.1) (DLA) - when all freq. are <= 25
Suggested by PAINPSE (4.1.2) (SP) - (freq. 3,4,6)> 25 - has drop (freq. 3,4,6) and above other freq. tested
Not suggestive of PAINPSE(4.1.3) (NSP) - has loss but does not fall under items 4.1.1 and 4.1.2
Suggested Trigger PAINPSE (within limits) (4.2.1) - (SDP DLA) when the ref. and seq are normal. It has gout (freq.3,4,6) and above other freq. tested including 8. Mean 3.4.6> = 10 or Isolated 3.4.6> = 15. Rare, but if there is bone analysis conducting the 3,4,6 has to have gap (between air and bone) <= 10
Suggestive Trigger of PAINPSE (4.2.2) (SDP) - when only the ref. it's normal. It has gout (freq.3,4,6) and above other freq. tested including 8. Mean 3.4.6> = 10, Isolated 3.4.6> = 15. If there is bone analysis conducting the 3,4,6 has to have gap (between air and bone) <= 10.
Suggestive Aggravation PAINPSE (4.2.3) (SAP) - when the ref. is 4.1.2 - suggestive of PAINPSE - has drop (freq. 3,4,6) and above other freq. tested including 8. Means 500.1,2 or 3,4,6> = 10, Isolated 3,4,6> = 15.

Portaria 19 OE
Corresponds to the opinion of Portaria 19 OE.

Valid types:

Within acceptable limits (4.1.1) (DLA) - when all freq. are <= 25
Suggested by PAINPSE (4.1.2) (SP) - (freq. 3,4,6)> 25 - has drop (freq. 3,4,6) and above other freq. tested
Not suggestive of PAINPSE(4.1.3) (NSP) - has loss but does not fall under items 4.1.1 and 4.1.2
Suggested Trigger PAINPSE (within limits) (4.2.1) (SDP DLA) - when the ref. and seq are normal. It has gout (freq.3,4,6) and above other freq. tested including 8. Mean 3.4.6> = 10 or Isolated 3.4.6> = 15. Rare, but if there is bone analysis conducting the 3,4,6 has to have gap (between air and bone) <= 10
Suggestive Trigger of PAINPSE (4.2.2) (SDP) - when only the ref. it's normal. It has gout (freq.3,4,6) and above other freq. tested including 8. Mean 3.4.6> = 10, Isolated 3.4.6> = 15. If there is bone analysis conducting the 3,4,6 has to have gap (between air and bone) <= 10.
Suggestive Aggravation PAINPSE (4.2.3) (SAP) - when the ref. is 4.1.2 - suggestive of PAINPSE - has drop (freq. 3,4,6) and above other freq. tested including 8. Means 500.1,2 or 3,4,6> = 10, Isolated 3,4,6> = 15.

Clinical Opinion OD
Corresponds to the clinical opinion of the OD. Valid types:

Normal;
Slight loss;
Moderate loss;
Severe / moderate loss;
Severe loss;
Deep loss;
Anacuzia.

OE Clinical Opinion
Corresponds to the clinical opinion of the OE. Valid types:

Normal;
Slight loss;
Moderate loss;
Severe / moderate loss;
Severe loss;
Deep loss;
Anacuzia.

About Me Corresponds to the DO Pereira's opinion. Valid types:

Normal;
Acoustic drop;
Clinical impairment;
Professional deafness;
Reduction in minimum degree;
Reduction in medium degree;
Reduction in maximum degree;
Non-occupational diacusia;
Positive (Pereira method).

Investments Corresponds to the opinion of Pereira da OE. Valid types:

Normal;
Acoustic drop;
Clinical impairment;
Professional deafness;
Reduction in minimum degree;
Reduction in medium degree;
Reduction in maximum degree;
Non-occupational diacusia;
Positive (Pereira method).

INSS OD opinion
Corresponds to the opinion of INSS OD. Valid types:

Normal;
Reduction in minimum degree;
Reduction in medium degree;
Reduction in maximum degree;
Loss of hearing;
Positive (INSS method).

INSS OE report Corresponds to the opinion of INSS OE. Valid types:

Normal;
Reduction in minimum degree;
Reduction in medium degree;
Reduction in maximum degree;
Loss of hearing;
Positive (INSS method).

Opinion D & S OD
Corresponds to the opinion of the Davis & Silverman method of the right ear. The tonal average of 500, 1000 and 2000 is classified in:

Normal - when the mean is <= 25dB
Light loss - 25 dB <mean <= 40dB
Moderate loss - 40dB <average <= 70dB
Severe loss - 70dB <mean <= 90dB
Deep loss - mean> 90

Opinion D & S OE
Corresponds to the opinion of the Davis & Silverman method of the left ear.

Valid types:

Normal - when the mean is <= 25dB
Light loss - 25 dB <mean <= 40dB
Moderate loss - 40dB <average <= 70dB
Severe loss - 70dB <mean <= 90dB
Deep loss - mean> 90

Opinion Fowler OD s / discount
Inform the percentage of loss of the right ear without discount.

Opinion Fowler OD with discount
Report the right ear loss percentage at a discount.

Opinion Fowler OD
State the Fowler opinion on the right ear:

Minimum grade;
Maximum grade.

Opinion Fowler OE s / discount
Report the percentage of loss of the left ear without a discount.

Opinion Fowler OE with discount
Tell the percentage of loss of the left ear discounted.

Opinion Fowler OE
State the Fowler opinion on the left ear:

Minimum grade;
Maximum grade.

Bilateral Fowler Opinion s / discount
Inform the percentage of bilateral loss without discount.

Bilateral Fowler Opinion with discount
Enter the percentage of bilateral loss at a discount.

Bilateral Fowler Opinion
Report the bilateral Fowler opinion:

Minimum grade;
Maximum grade.

Result - OD Inform the result for the exam:

Normal, the test result is within acceptable standards.
Changed, something out of acceptable standards has occurred.

Notes

In the interpretation of the exam the criterion will be adopted: To be Normal, the ear should be Within Acceptable Limits. If the Exam is Changed, the system will characterize as Occupational or Non-Occupational. If the ear has a Suggestive PAINPSE (including Trigger or Aggravation) opinion it will be characterized as Occupational.
This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".
This field will be required if the company activates eSocial and Date Result is greater than or equal to the date of use of eSocial.

Evolution Result - OD The evolution of the result for examination corresponds to:

Improved;
Stable;
Aggravation.

Notes

If an abnormal sequential examination is triggered or aggravated, in the course of the examination it is aggravation, because if it was one of these opinions is because the reference exam was better than the sequential. So if the right ear's opinion is suggestive of PAINPSE (4.2.1 or 4.2.2) or Suggested Worsening of PAINPSE (4.2.3) the evolution of the examination is of aggravation.
This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Occupational - OD
Identify the status of the outcome:

Occupational when the result is abnormal.
Non-occupational when the result is abnormal and the opinion is Non-Suggestive of PAINPSE (4.1.3) or Within Acceptable Limits (4.1.1).

Note

This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Result - OE Enter the result for the exam .:

Normal - the test result is within acceptable standards.
Changed - some result was out of acceptable standards.

Notes

In the interpretation of the exam the criterion will be adopted: To be Normal, the ear should be Within Acceptable Limits. If the Exam is Changed, the system will characterize as Occupational or Non-Occupational. If the ear has a Suggestive PAINPSE (including Trigger or Aggravation) opinion it will be characterized as Occupational.
This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Evolution Result - OE

The evolution of the result for examination corresponds to:

Improved
Stable
Aggravation

Notes

If an abnormal sequential examination is triggered or aggravated, in the course of the examination it is aggravation, because if it was one of these opinions is because the reference exam was better than the sequential. So if the left ear's opinion is suggestive of PAINPSE (4.2.1 or 4.2.2) or Suggested Worsening of PAINPSE (4.2.3) the evolution of the examination is of aggravation.
This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Occupational - OE
Identify the status of the result:

Occupational - when the result is abnormal.
Non-occupational - when the result is abnormal and the opinion is Non-Suggestive of PAINPSE (4.1.3) or within Acceptable Limits (4.1.1).

Note

This field will only appear when it is set in the Audiometry Settings (SM: Medicine> Audiometry> Settings) field Results Audiometry = "1 - Consider by Ear".

Play button
This button suggests the opinions of audiometry according to the methods of interpretation.

Medium Button
This button displays the Exam Result - Averages screen.

Quiz button
This button displays the Questionnaire Response screen.

Button Tab
This button is enabled only when the Medical Record field is filled in, and allows access to the Medical File of the informed partner.

Recent Button
This button is only displayed when audiometry is audited and is only enabled when the Result Items tab is open. Through it it is possible to visualize the previous audiometry results, without having to leave the current record.

Dist. Button EPI
It will open the EPI Individual Distribution screen. The button is enabled only when there is integration with the Security module. When you open the distribution screen, the system will fill in the Company, Contributor Type, Collaborator based on the employee's medical record information, and the Delivery Date field based on the Exam Result Date. The EPI field will be filled with 0 (zero) for the user to report.