10210-3Physical findings of General status NarrativeActive
- Component
- Physical findings
- Property
- Find
- Time
- Pt
- System
- General status
- Scale
- Nar
- Method
- Observed
Additional Names
- Short Name
- Phys find General status
Term Description
Physical findings (of general status) describes general observations and readily observable attributes of the patient, including affect and demeanor, apparent age compared to actual age, gender, ethnicity, nutritional status based on appearance, body build and habitus (e.g., muscular, cachectic, obese), developmental or other deformities, gait and mobility, personal hygiene, evidence of distress, and voice quality and speech.
Source: Regenstrief LOINC
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 1.0i
- Last Updated
- Version 2.63
- Change Reason
- Because it is too difficult to maintain and because the distinction between documents and sections is not clear-cut nor necessary in most cases, the DOCUMENT_SECTION field has been deemed to have little value. The field has been set to null in the December 2017 release in preparation for removal in the December 2018 release. These changes were approved by the Clinical LOINC Committee.
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 72231-4 | Consultation note - recommended C-CDA R1.1 sections |
| 81222-2 | Consultation note - recommended C-CDA R2.0 and R2.1 sections |
| 55169-7 | Data Elements for Emergency Department Systems (DEEDS) Release 1.0 |
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 81242-0 | Enhanced discharge summary - recommended CDP Set 1 R1.0 sections |
| 81615-7 | Enhanced discharge summary - recommended CDP Set 1 R1.1 sections |
| 81243-8 | Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections |
| 72228-0 | History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections |
| 81245-3 | Interval document - recommended CDP Set 1 R1.0 and R1.1 sections |
| 59843-3 | Procedure note - recommended C-CDA R1.1 sections |
| 81223-0 | Referral note - recommended C-CDA R2.0 and R2.1 sections |
| 81221-4 | Transfer summary note - recommended C-CDA R2.0 sections |
| 81614-0 | Transfer summary note - recommended C-CDA R2.1 sections |
Language Variants Get Info
- zh-CNChinese (China)
- 体格检查发现:
发现: 时间点: 一般状态: 叙述型: 观察法 - it-ITItalian (Italy)
- Osservazioni fisiche:
Osservazione: Pt: Stato generale: Nar: Osservato - pt-BRPortuguese (Brazil)
- Achados físicos:
Achado: Pt: Estado geral: Nar: Observado - ru-RURussian (Russian Federation)
- Физикальные находки:
Находка: ТчкВрм: Общий статус: Опис: Наблюдённый - es-ARSpanish (Argentina)
- hallazgos físicos:
hallazgo: punto en el tiempo: estado general: Narrativo: observado
LOINC FHIR® API Example - CodeSystem Request Get Info
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=10210-3
LOINC Copyright
Copyright © 2019 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright