About the Tests

About Test Blueprints

Test blueprints are created to provide guidance to Subject Matter Experts (SMEs) during the item writing phase of test development. In addition, we believe that they can assist those instructors who did not participate in item writing (and administrators) to understand the broad content of the item bank. Items are formally allocated across a course outline in a three-step process*:

  1. CETE psychometricians send a survey starting in the summer prior to item writing and until the item bank is written. The survey asks teachers to identify competencies they deem to be most important within the course as well as the difficulty level of writing items to each competency. Survey data is used to create a suggested blueprint for review by the Ohio Department of Education program specialists and SMEs.
  2. SMEs review the blueprint as a large group before item writing for a specific EOC test. There and in small groups, SMEs review the course outline and have the ability to make changes to the blueprint with a documented rationale based on their experience and expertise.
  3. Any revisions during small group work must be approved by the larger panel of SMEs attending an item writing workshop, as well as the program specialist from the Ohio Department of Education, which is the last step and produces the final blueprint which is summarized in this document.

Test blueprints can provide high-level guidance to instructors on preparing students for testing. It is important to keep in mind that the blueprint is a tool that is used when developing the test item bank during initial item writing and test creation. As with all tests, the End-of-Course test forms are a sample of the item bank.

Interpreting the Blueprints

Test blueprints display the total number of test items SMEs planned to write to a particular outcome (as designated in the course outline created by the Ohio Department of Education Office of Career-Technical Education or by a vendor). The blueprint describes structure of the item bank which is the total pool of test items created. Final test forms of 40-items are created from the item bank.

* This newer process for producing test blueprints was implemented October 1, 2015. Item banks created prior to this date were completed under a different blueprint process and therefore we are looking backward to provide the structure of the item bank. As revisions are completed for those career fields, for example Information Technology (2017-18), the blueprint process used will be the newer model. Learn more at cete.osu.edu/expertise/assessment

Test Blueprints

Health Science and Technology

ODE Subject Code: 072001
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills6.67%
1.2Leadership and Communications6.67%
1.3Business Ethics and Law5.56%
1.4Knowledge Management and Information Technology3.33%
1.5Global Environment3.33%
1.6Business Literacy2.22%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology4.44%
2.2Evaluate Body Systems4.44%
2.3Medical Terminology4.44%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions7.78%
3.2Health Promotion Interventions4.44%
3.3Pharmaceutical Interventions3.33%
3.5Nutritional Interventions6.67%
3.7Dental Interventions4.44%
Strand 4. Assistive Care
4.1Scope of Practice5.56%
4.2Therapeutic Communication and Interpersonal Skills5.56%
4.3Pathogenic Microorganisms, Infection Control and Infection6.67%
Strand 5. Bioscience Research and Development
5.9Clinical Laboratory Techniques and Procedures4.44%
Strand 6. Health Information Management
6.1Health Information Literacy5.56%
6.2Confidentiality, Privacy and Security4.44%

Nutrition and Wellness

ODE Subject Code: 072015
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology6.45%
2.2Evaluate Body Systems7.53%
2.3Medical Terminology9.68%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions6.45%
3.2Health Promotion Interventions16.13%
3.3Pharmaceutical Interventions4.30%
3.5Nutritional Interventions29.03%
3.6Exercise and Rehabilitative Intervention6.45%
3.7Dental Interventions1.08%
Strand 4. Assistive Care
4.1Scope of Practice2.15%
4.2Therapeutic Communication and Interpersonal Skills7.53%
Strand 6. Health Information Management
6.2Confidentiality, Privacy and Security3.23%

Principles of Allied Health Medicine

ODE Subject Code: 072035
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology15.79%
2.2Evaluate Body Systems8.42%
2.3Medical Terminology2.11%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions9.47%
3.2Health Promotion Interventions2.11%
3.4Emergency Interventions6.32%
3.5Nutritional Interventions3.16%
Strand 4. Assistive Care
4.1Scope of Practice7.37%
4.2Therapeutic Communication and Interpersonal Skills7.37%
4.3Pathogenic Microorganisms, Infection Control and Infection6.32%
4.4Hygiene6.32%
4.5Ambulation and Mobility6.32%
4.6Elimination5.26%
4.7End‐of‐Life Care4.21%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal2.11%
5.9Clinical Laboratory Techniques and Procedures2.11%
Strand 6. Health Information Management
6.1Health Information Literacy2.11%
6.2Confidentiality, Privacy and Security3.16%

Human Anatomy and Physiology

ODE Subject Code: 072040
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology27.55%
2.2Evaluate Body Systems23.47%
2.3Medical Terminology15.31%
Strand 5. Bioscience Research and Development
5.3Microbiology Testing and Technology13.27%
5.4Molecular and Genetic Technology8.16%
5.5Laboratory Standard Operational Procedures4.08%
5.6Culturing8.16%

Human Pathophysiology

ODE Subject Code: 072045
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills3.37%
1.2Leadership and Communications1.12%
1.3Business Ethics and Law2.25%
1.4Knowledge Management and Information Technology1.12%
1.5Global Environment1.12%
1.6Business Literacy1.12%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology16.85%
2.2Evaluate Body Systems3.37%
2.3Medical Terminology2.25%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions7.87%
3.2Health Promotion Interventions1.12%
3.3Pharmaceutical Interventions1.12%
3.4Emergency Interventions1.12%
Strand 4. Assistive Care
4.1Scope of Practice1.12%
4.2Therapeutic Communication and Interpersonal Skills2.25%
4.3Pathogenic Microorganisms, Infection Control and Infection3.37%
4.5Ambulation and Mobility1.12%
4.6Elimination2.25%
4.7End‐of‐Life Care1.12%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal2.25%
5.2Foundations of Chemistry6.74%
5.3Microbiology Testing and Technology10.11%
5.4Molecular and Genetic Technology8.99%
5.6Culturing1.12%
5.9Clinical Laboratory Techniques and Procedures12.36%
Strand 6. Health Information Management
6.1Health Information Literacy1.12%
6.2Confidentiality, Privacy and Security1.12%
6.3Electronic Health Records and Coding1.12%

Patient Centered Care

ODE Subject Code: 072050
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills3.13%
1.2Leadership and Communications1.04%
1.3Business Ethics and Law2.08%
1.4Knowledge Management and Information Technology2.08%
1.5Global Environment1.04%
1.6Business Literacy1.04%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology15.63%
2.2Evaluate Body Systems9.38%
2.3Medical Terminology3.13%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions7.29%
3.2Health Promotion Interventions3.13%
3.4Emergency Interventions3.13%
3.5Nutritional Interventions4.17%
3.6Exercise and Rehabilitative Intervention2.08%
Strand 4. Assistive Care
4.1Scope of Practice3.13%
4.2Therapeutic Communication and Interpersonal Skills8.33%
4.3Pathogenic Microorganisms, Infection Control and Infection6.25%
4.4Hygiene6.25%
4.5Ambulation and Mobility6.25%
4.6Elimination1.04%
4.7End‐of‐Life Care4.17%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal1.04%
5.9Clinical Laboratory Techniques and Procedures2.08%
Strand 6. Health Information Management
6.1Health Information Literacy1.04%
6.2Confidentiality, Privacy and Security1.04%
6.3Electronic Health Records and Coding1.04%

Patient Centered Care and Diagnosis

ODE Subject Code: 072055
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology15.22%
2.2Evaluate Body Systems11.96%
2.3Medical Terminology4.35%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions8.70%
3.2Health Promotion Interventions2.17%
3.3Pharmaceutical Interventions4.35%
3.4Emergency Interventions3.26%
3.5Nutritional Interventions4.35%
Strand 4. Assistive Care
4.1Scope of Practice1.09%
4.2Therapeutic Communication and Interpersonal Skills5.43%
4.3Pathogenic Microorganisms, Infection Control and Infection9.78%
4.4Hygiene4.35%
4.5Ambulation and Mobility6.52%
4.6Elimination6.52%
4.7End‐of‐Life Care5.43%
Strand 5. Bioscience Research and Development
5.9Clinical Laboratory Techniques and Procedures2.17%
Strand 6. Health Information Management
6.2Confidentiality, Privacy and Security1.09%
6.3Electronic Health Records and Coding3.26%

Lifespan Development & Medical Interventions

ODE Subject Code: 072060
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.3Medical Terminology21.05%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions18.95%
3.2Health Promotion Interventions25.26%
3.3Pharmaceutical Interventions15.79%
3.5Nutritional Interventions18.95%

Mental Health

ODE Subject Code: 072065
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills1.15%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology1.15%
2.2Evaluate Body Systems2.30%
2.3Medical Terminology3.45%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions6.90%
3.3Pharmaceutical Interventions3.45%
3.4Emergency Interventions3.45%
Strand 4. Assistive Care
4.1Scope of Practice3.45%
4.2Therapeutic Communication and Interpersonal Skills3.45%
4.3Pathogenic Microorganisms, Infection Control and Infection3.45%
4.7End‐of‐Life Care2.30%
Strand 6. Health Information Management
6.1Health Information Literacy1.15%
6.2Confidentiality, Privacy and Security1.15%
6.3Electronic Health Records and Coding1.15%
Strand 7. Behavioral Health
7.1Behavioral Health/Psychopathology9.20%
7.2Behavioral Health Interventions17.24%
7.3Legal and Ethical Practices in Behavioral Health11.49%
7.4Substance Use Disorder (SUD)13.79%
7.5Crisis Intervention & Trauma-Informed Care6.90%
7.6Pediatric & Adolescent Behavioral Health3.45%

Integrated Behavioral Health

ODE Subject Code: 072066
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills1.00%
1.3Business Ethics and Law1.00%
Strand 2. Human Body System
2.2Evaluate Body Systems3.00%
2.3Medical Terminology2.00%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions4.00%
3.3Pharmaceutical Interventions5.00%
3.4Emergency Interventions3.00%
Strand 4. Assistive Care
4.1Scope of Practice3.00%
4.2Therapeutic Communication and Interpersonal Skills3.00%
4.3Pathogenic Microorganisms, Infection Control and Infection3.00%
Strand 6. Health Information Management
6.1Health Information Literacy4.00%
6.3Electronic Health Records and Coding2.00%
Strand 7. Behavioral Health
7.1Behavioral Health/Psychopathology11.00%
7.2Behavioral Health Interventions17.00%
7.3Legal and Ethical Practices in Behavioral Health9.00%
7.4Substance Use Disorder (SUD)15.00%
7.5Crisis Intervention & Trauma-Informed Care9.00%
7.6Pediatric & Adolescent Behavioral Health5.00%

Surgical Support

ODE Subject Code: 072070
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology14.29%
2.2Evaluate Body Systems12.09%
2.3Medical Terminology9.89%
Strand 3. Therapeutic Interventions
3.4Emergency Interventions8.79%
3.8Surgical Interventions10.99%
Strand 4. Assistive Care
4.1Scope of Practice8.79%
4.3Pathogenic Microorganisms, Infection Control and Infection8.79%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal10.99%
Strand 6. Health Information Management
6.1Health Information Literacy5.49%
6.2Confidentiality, Privacy and Security9.89%

Dental Technology

ODE Subject Code: 072075
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills3.41%
1.3Business Ethics and Law2.27%
1.5Global Environment2.27%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology5.68%
2.2Evaluate Body Systems9.09%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions12.50%
3.2Health Promotion Interventions1.14%
3.3Pharmaceutical Interventions2.27%
3.4Emergency Interventions3.41%
3.7Dental Interventions20.45%
Strand 4. Assistive Care
4.1Scope of Practice2.27%
4.2Therapeutic Communication and Interpersonal Skills2.27%
4.3Pathogenic Microorganisms, Infection Control and Infection4.55%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal6.82%
5.3Microbiology Testing and Technology2.27%
5.7Fermentation Technology3.41%
5.9Clinical Laboratory Techniques and Procedures1.14%
Strand 6. Health Information Management
6.1Health Information Literacy4.55%
6.2Confidentiality, Privacy and Security5.68%
6.3Electronic Health Records and Coding4.55%

Dental Radiography

ODE Subject Code: 072076
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.2Leadership and Communications7.45%
1.3Business Ethics and Law5.32%
1.4Knowledge Management and Information Technology6.38%
1.5Global Environment4.26%
1.6Business Literacy1.06%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology6.38%
2.2Evaluate Body Systems3.19%
2.3Medical Terminology7.45%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions9.57%
3.7Dental Interventions23.40%
Strand 4. Assistive Care
4.2Therapeutic Communication and Interpersonal Skills4.26%
4.3Pathogenic Microorganisms, Infection Control and Infection8.51%
Strand 6. Health Information Management
6.1Health Information Literacy6.38%
6.2Confidentiality, Privacy and Security6.38%

Oral Diagnosis and Treatment Planning

ODE Subject Code: 072080
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology14.89%
2.2Evaluate Body Systems5.32%
2.3Medical Terminology5.32%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions10.64%
3.4Emergency Interventions5.32%
3.7Dental Interventions22.34%
Strand 4. Assistive Care
4.1Scope of Practice4.26%
4.2Therapeutic Communication and Interpersonal Skills5.32%
4.3Pathogenic Microorganisms, Infection Control and Infection8.51%
4.4Hygiene5.32%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal4.26%
Strand 6. Health Information Management
6.1Health Information Literacy2.13%
6.2Confidentiality, Privacy and Security3.19%
6.3Electronic Health Records and Coding3.19%

Pharmacology

ODE Subject Code: 072085
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology14.13%
2.2Evaluate Body Systems7.61%
2.3Medical Terminology8.70%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions5.43%
3.2Health Promotion Interventions3.26%
3.3Pharmaceutical Interventions20.65%
3.4Emergency Interventions3.26%
3.5Nutritional Interventions3.26%
Strand 4. Assistive Care
4.1Scope of Practice4.35%
4.2Therapeutic Communication and Interpersonal Skills3.26%
4.3Pathogenic Microorganisms, Infection Control and Infection8.70%
Strand 5. Bioscience Research and Development
5.2Foundations of Chemistry4.35%
5.4Molecular and Genetic Technology2.17%
5.6Culturing2.17%
Strand 6. Health Information Management
6.1Health Information Literacy3.26%
6.2Confidentiality, Privacy and Security3.26%
6.3Electronic Health Records and Coding2.17%

Respiratory Technology

ODE Subject Code: 072090
Outcome #Outcome Name% Items Approved by SMEs

Opticianry and Vision Care

ODE Subject Code: 072095
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Body Form, Function and Pathophysiology22.47%
2.2Evaluate Body Systems7.87%
2.3Medical Terminology12.36%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions5.62%
3.4Emergency Interventions2.25%
Strand 4. Assistive Care
4.1Scope of Practice7.87%
4.2Therapeutic Communication and Interpersonal Skills8.99%
4.3Pathogenic Microorganisms, Infection Control and Infection8.99%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal10.11%
Strand 6. Health Information Management
6.1Health Information Literacy3.37%
6.2Confidentiality, Privacy and Security6.74%
6.3Electronic Health Records and Coding 3.37%

Clinical Laboratory Techniques

ODE Subject Code: 072100
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills3.26%
1.3Business Ethics and Law4.35%
1.4Knowledge Management and Information Technology3.26%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology3.26%
2.2Evaluate Body Systems1.09%
2.3Medical Terminology4.35%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions13.04%
3.4Emergency Interventions2.17%
Strand 4. Assistive Care
4.1Scope of Practice1.09%
4.2Therapeutic Communication and Interpersonal Skills3.26%
4.3Pathogenic Microorganisms, Infection Control and Infection6.52%
Strand 5. Bioscience Research and Development
5.1Handling, Preparation, Storage and Disposal8.70%
5.2Foundations of Chemistry5.43%
5.3Microbiology Testing and Technology3.26%
5.4Molecular and Genetic Technology3.26%
5.5Laboratory Standard Operational Procedures5.43%
5.6Culturing1.09%
5.8Biotechnology Research and Experiments2.17%
5.9Clinical Laboratory Techniques and Procedures19.57%
Strand 6. Health Information Management
6.1Health Information Literacy3.26%
6.2Confidentiality, Privacy and Security2.17%

Health Information Technology

ODE Subject Code: 072135
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills7.69%
Strand 2. Human Body System
2.3Medical Terminology10.99%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions5.49%
3.3Pharmaceutical Interventions5.49%
Strand 4. Assistive Care
4.1Scope of Practice7.69%
4.2Therapeutic Communication and Interpersonal Skills7.69%
Strand 5. Bioscience Research and Development
5.8Biotechnology Research and Experiments7.69%
Strand 6. Health Information Management
6.1Health Information Literacy15.38%
6.2Confidentiality, Privacy and Security16.48%
6.3Electronic Health Records and Coding15.38%

Health Information Management

ODE Subject Code: 072140
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology10.99%
2.3Medical Terminology16.48%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions1.10%
Strand 4. Assistive Care
4.1Scope of Practice10.99%
Strand 6. Health Information Management
6.1Health Information Literacy20.88%
6.2Confidentiality, Privacy and Security19.78%
6.3Electronic Health Records and Coding19.78%

Billing and Coding

ODE Subject Code: 072145
Outcome #Outcome Name% Items Approved by SMEs
Strand 2. Human Body System
2.3Medical Terminology21.51%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions4.30%
3.4Emergency Interventions1.08%
Strand 4. Assistive Care
4.1Scope of Practice7.53%
Strand 6. Health Information Management
6.1Health Information Literacy13.98%
6.2Confidentiality, Privacy and Security27.96%
6.3Electronic Health Records and Coding23.66%

Medical Terminology

ODE Subject Code: 072150
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.2Leadership and Communications2.78%
Strand 2. Human Body System
2.1Human Anatomy, Physiology, and Pathophysiology38.89%
2.3Medical Terminology32.41%
Strand 3. Therapeutic Interventions
3.3Pharmaceutical Interventions7.41%
Strand 4. Assistive Care
4.1Scope of Practice6.48%
4.3Pathogenic Microorganisms, Infection Control and Infection6.48%
Strand 5. Bioscience Research and Development
5.3Microbiology Testing and Technology1.85%
5.8Biotechnology Research and Experiments0.93%
Strand 6. Health Information Management
6.1Health Information Literacy1.85%
6.2Confidentiality, Privacy and Security0.93%

Medical and Dental Office Technology

ODE Subject Code: 072155
Outcome #Outcome Name% Items Approved by SMEs
Strand 1. Business Operations/21st Century Skills
1.1Employability Skills4.88%
1.2Leadership and Communications4.88%
1.3Business Ethics and Law4.88%
1.4Knowledge Management and Information Technology8.54%
1.5Global Environment7.32%
1.6Business Literacy2.44%
1.8Operations Management2.44%
1.9Financial Management1.22%
1.10Sales and Marketing1.22%
Strand 2. Human Body System
2.3Medical Terminology6.10%
Strand 3. Therapeutic Interventions
3.1Environmental Interventions8.54%
3.3Pharmaceutical Interventions6.10%
3.4Emergency Interventions2.44%
Strand 4. Assistive Care
4.1Scope of Practice7.32%
4.2Therapeutic Communication and Interpersonal Skills6.10%
4.3Pathogenic Microorganisms, Infection Control and Infection7.32%
Strand 6. Health Information Management
6.1Health Information Literacy4.88%
6.2Confidentiality, Privacy and Security4.88%
6.3Electronic Health Records and Coding8.54%

Emergency Medical Technician

ODE Subject Code: 170345
Outcome #Outcome Name% Items Approved by SMEs
Strand 4. Emergency
4.3Anatomy and Physiology1.06%
4.4Medical Terminology1.06%
4.5Pathophysiology1.06%
4.6Life Span Development1.06%
4.7Public Health1.06%
4.8Pharmacology3.19%
4.9Airway3.19%
4.10Assessment9.57%
4.11Medicine27.66%
4.12Shock and Resuscitation2.13%
4.13Trauma22.34%
4.14Special Patient Populations9.57%
4.15Emergency Medical Services (EMS) Operations8.51%
4.16Clinical Behavior/ Judgment8.51%

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