LOINC
Version 2.66

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