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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.

LOINC Names Get Info

Fully-Specified Name
Physical findings:Find:Pt:General status:Nar:Observed
Long Common Name
Physical findings of General status Narrative
Short Name
Phys find General status

Part Model Get Info

  • Component
    Physical findings
    LP73100-7
    • Analyte
      Physical findings
      LP73100-7
      • Component Numerator
        Physical findings
        LP73100-7
        • Component Numerator Core
          Physical findings
          LP73100-7
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    General status
    LP29998-9
    • System Core
      General status
      LP29998-9
    • Super System
      NULL
       
  • Scale
    Nar
    LP7749-7
  • Method
    Observed
    LP6425-5

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63 (MIN)

Member of these Panels

LOINCLong Common Name
72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
59843-3Procedure note - recommended C-CDA R1.1 sections
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Φυσικά ευρήματα:Εύρεση:Pt:Γενική κατάσταση:Nar:Παρατηρηθέν
Synonyms: H&P.PX Nar Pt Γενική κατάσταση Εύρεση Παρατηρηθέν Φυσικά ευρήματα
es-ARSpanish (Argentina)hallazgos físicos:hallazgo:punto en el tiempo:estado general:Narrativo:observado
es-MXSpanish (Mexico)Hallazgos físicos:Tipo:Punto temporal:Estatus general:Narrativo:Observed
it-ITItalian (Italy)Osservazioni fisiche:Osservazione:Pt:Stato generale:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Achados físicos:Achado:Pt:Estado geral:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RURussian (Russian Federation)Физикальные находки:Находка:ТчкВрм:Общий статус:Опис:Наблюдённый
Synonyms: Общее состояние Описательный Точка во времени;Момент
zh-CNChinese (China)体格检查发现:发现:时间点:一般状态:叙述型:观察法
Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 历史纪录与体格检查 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 大体状态;普通状态;总体状态 时刻;随机;随意;瞬间 病史与体格检查 观测法

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=10210-3