Version 2.78

35090-0 Patient history

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Patient history
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Additional Names

Short Name
Patient Hx

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.73
Order vs. Observation
Order
Common Test Rank Get Info
3463
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Anamnese:-:Zeitpunkt:^Patient:-:
es-AR Spanish (Argentina) PATIENT HISTORY:-:punto en el tiempo:^paciente:-:
es-MX Spanish (Mexico) Historia del paciente:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Paziente, storia:-:Pt:^Paziente:-:
Synonyms: paziente Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo Storia del paziente
nl-NL Dutch (Netherlands) voorgeschiedenis patiënt:-:moment:^patiënt:-:
Synonyms: anamnese
pt-BR Portuguese (Brazil) História do paciente:-:Pt:^Paciente:-:
Synonyms: ; Patient Hx; Point in time; Random
ru-RU Russian (Russian Federation) Пациент история:-:ТчкВрм:^Пациент:-:
Synonyms: Анамнез пациента;История пациента Точка во времени;Момент
zh-CN Chinese (China) 患者病史:-:时间点:^患者:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病人病史;患者医学史;患者疾病史 病史与体格检查 组 组合 组合医嘱 组合类 组套

11331-6 History of Alcohol use

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Alcohol use
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Alcohol use

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Changed Component from "History of alcohol use" to "Alcohol use", Property from "Find" to "Hx" and removed Method of "Reported" per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consumo de alcohol:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Consumo de alcohol:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Uso di alcol:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) alcoholgebruik:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: alcoholgebruik anamnese
ru-RU Russian (Russian Federation) Употребление алкоголя:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 酒精使用:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 喝酒;饮酒;酒精饮用;喝酒情况;饮酒情况;酒精饮用情况;酒精使用情况 时刻;随机;随意;瞬间 病史与体格检查

8658-7 History of Allergies

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Allergies
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Allergies

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.63
Change Reason
Previous Releases: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision;

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
35089-2 History and physical panel
97065-7 Medical history for preventive vaccination against COVID-19 (Coronavirus Disease 2019) - with mRNA vaccine
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de alergias:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Alergias:Hx:Punto temporal:^ Paciente:Nominal:
fr-CA French (Canada) Allergies:Histoire:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Allergie:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) allergieën:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Histórico de alergias:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Allergies Hx; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Аллергии:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 变态反应:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 过敏反应;过敏

8662-9 History of Childhood diseases

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Childhood diseases
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Childhood diseases

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de enfermedades durante la infancia:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Enfermedades de la infancia:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Maladies d'enfant:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Malattie infantili:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de doenças infantis:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Childhood diseases Hx; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) История детских болезней:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: Анамнез детских болезней История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 儿童疾病史:历史记录:时间点:^患者:名义型:
Synonyms: 儿童疾病历史;童年疾病史;幼年疾病史;幼年病史 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查

11333-2 History of Cognitive function

Part Descriptions

LP184337-6   Cognitive function
A patient's cognitive status (e.g., mood, memory, ability to make decisions) and issues that limit cognition (e.g., amnesia, dementia, aggressive behavior). May include assessment scale observations, identify caregivers, and provide information about non-medicinal supplies. Source: HL7 Consolidated CDA

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Cognitive function
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Cogn func

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Preferred Answer List LL2963-8

Externally Defined
Yes
Code System
SCT
Code System OID
1.3.6.1.4.1.12009.10.1.1896
Link to External List
http://snomed.info/sct

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de la función cognitiva:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Función cognitiva:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Funzione cognitiva:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) cognitieve functie:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
zh-CN Chinese (China) 认知功能:历史记录:时间点:^患者:名义型:
Synonyms: FCN 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 认知机能

8671-0 History of Functional status

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Functional status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Functional status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Preferred Answer List LL2963-8

Externally Defined
Yes
Code System
SCT
Code System OID
1.3.6.1.4.1.12009.10.1.1896
Link to External List
http://snomed.info/sct

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
47245-6 HIV treatment form Document
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes del estado funcional:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Estado funcional:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Stato funzionale:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de condição funcional:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Functional status Hx; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Функциональный статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент Функциональное состояние
zh-CN Chinese (China) 功能状态:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 功能状况;功能情况 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

11335-7 History of Growth+Development

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Growth+Development
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Growth+Development

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de crecimiento+desarrollo:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Crecimiento + Desarrollo:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Croissance et développement:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Crescita+Sviluppo:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi Crescita e Sviluppo paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История роста+Развития:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: Анамнез роста и развития История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 生长发育史:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 生长发育历史;生长+发育史;生长与发育史 病史与体格检查

10157-6 History of family member diseases Narrative

Term Description

History of family member diseases is a report of health information, including medical, genetic, environmental, and lifestyle factors, pertaining to the patient and his or her genetic relatives (living or deceased). The family history information is used to determine possible or relevant health risk factors that may have a potential impact on the patient's healthcare risk profile.
Source: Regenstrief LOINC

Fully-Specified Name

Component
History of family member diseases
Property
Hx
Time
Pt
System
^Family member
Scale
Nar
Method

Additional Names

Short Name
Family member diseases Hx

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Change Reason
Previous Releases: Changed Property from "Find" to "Hx", removed Method of "Reported" and corrected System from Family to ^Family member to align with existing family history terms and to represent family member as a Super System per 8/2015 Clinical LOINC Committee decision;
Common Test Rank Get Info
9825

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
81898-9 Composite triage and nursing note - recommended IHE set
72231-4 Consultation note - recommended C-CDA R1.1 sections
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2 Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9 Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4 Continuity of Care panel
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8 Discharge summary - recommended C-CDA R1.1 sections
81219-8 Discharge summary - recommended C-CDA R2.0 sections
81218-0 Discharge summary - recommended C-CDA R2.1 sections
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
81244-6 Enhanced procedure 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
35089-2 History and physical panel
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
35090-0 Patient history
74449-0 Patient plan of care - recommended IHE set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 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

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de enfermedades en miembros familiares:hallazgo:punto en el tiempo:familia:Narrativo:informado
es-MX Spanish (Mexico) Historia de enfermedades de miembros de la familia:Hx:Punto temporal:^ Miembro de la familia:Narrativo:
fr-BE French (Belgium) Anamnèse. Maladies dans la famille:Hx:Temps ponctuel:^membre de famille:Narratif:
fr-CA French (Canada) Antécédents familiaux:Histoire:Temps ponctuel:^membre de famille:Narratif:
it-IT Italian (Italy) Storia di malattie di membri familiari:Hx:Pt:^membro della famiglia:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Storia di malattie di membri della famiglia Storia;Anamnesi
nl-NL Dutch (Netherlands) geschiedenis van ziekte binnen de familie:voorgeschiedenis:moment:^familielid:tekstueel:
Synonyms: anamnese ziekte in familieanamnese
ru-RU Russian (Russian Federation) История член семьи заболевания:Hx:ТчкВрм:^семьи член:Опис:
Synonyms: История Описательный Семейный анамнез заболеваний Точка во времени;Момент
zh-CN Chinese (China) 家族成员疾病史:历史记录:时间点:^家庭成员:叙述型:
Synonyms: 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 家人;家族成员;超系统 - 家庭成员 家庭 家族成员病史;家属疾病史;家属病史;家庭成员疾病史;家庭成员病史 时刻;随机;随意;瞬间 病史与体格检查

8652-0 Hospital discharge history

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Hospital discharge history
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hospital discharge Hx

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
59271-7 Hospital discharge summary panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes del alta hospitalaria:hallazgo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Historial de alta hospitalaria:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Dimissione ospedaliera, storia:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Storia di dimissione ospedaliera
pt-BR Portuguese (Brazil) Histórico de alta hospitalar:Achado:Pt:^Paciente:Nom:
Synonyms: ; Hospital discharge Hx; Hosp; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Госпитализация выбытие история:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Выписка Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 医院出院史:发现:时间点:^患者:名义型:
Synonyms: 允许...离开(医院、军队);(从监狱)释放 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 医院出院历史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 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 时刻;随机;随意;瞬间 病史与体格检查 病院 院

11336-5 History of Hospitalization Narrative

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Hospitalization
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Hospitalization

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.63
Change Reason
Previous Releases: Changed Component from "History of hospitalizations" to "Hospitalization", Property from "Find" to "Hx" and removed Method of "Reported" per 8/2015 Clinical LOINC Committee decision;

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) hospitalizacion:Antecedente:Punto temporal:^paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de hospitalizaciones:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Hospitalización:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse.Hospitalisations:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Ospedalizzazioni:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia di ospedalizzazioni Storia;Anamnesi
nl-NL Dutch (Netherlands) ziekenhuisopname:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) История госпитализаций:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: Анамнез госпитализаций История Описательный Точка во времени;Момент
zh-CN Chinese (China) 住院治疗史:历史记录:时间点:^患者:叙述型:
Synonyms: 住院治疗历史; 医院收容史;送入医院;留诊史;住院史 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 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 时刻;随机;随意;瞬间 病史与体格检查

8676-9 History of Industrial exposure

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Industrial exposure
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Industrial exposure

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de exposición en el ámbito industrial:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Exposición industrial:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Exposition toxiques industriels:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Esposizione industriale:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de exposição industruial:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Industrial exposure Hx; Finding; Findings; Point in time; Random; Nominal; Exp
ru-RU Russian (Russian Federation) История факторов промышленной среды воздействия:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 工业暴露史:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 工业接触史;工业暴露历史 时刻;随机;随意;瞬间 曝光 病史与体格检查 辐照

11339-9 History of Major illnesses and injuries

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Major illnesses and injuries
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Major illnesses and injuries

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
97065-7 Medical history for preventive vaccination against COVID-19 (Coronavirus Disease 2019) - with mRNA vaccine
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de enfermedades y lesiones traumáticas importantes:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Enfermedades y lesiones graves:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Maladies majeures et blessures:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Principali malattie e lesioni:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История основных заболеваний и травм:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 主要疾病与损伤史:历史记录:时间点:^患者:名义型:
Synonyms: 主要疾病与损伤历史;主要疾病与受伤史 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查

8677-7 History of Medication use

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Medication use
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Medication use

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision
Common Test Rank Get Info
6435

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consumo de medicaciones:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Uso de medicación:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Utilsation médications:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Uso di farmaci:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) medicijngebruik:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese geneesmiddelen
pt-BR Portuguese (Brazil) Histórico de uso de medicação:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Medication use Hx; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) История лекарственный препарат употребления:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Лекарственный анамнез Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 用药史:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 病史与体格检查 药物使用历史;药物使用史

11341-5 History of Occupation

Part Descriptions

LP133724-7   Occupation
The type of work done by the subject during his or her working life. Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Occupation
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Occupation

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision
Common Test Rank Get Info
8321

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes laborales:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Ocupación:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Occupazione:Hx:Pt:^Paziente:Nom:
Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) beroep:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
ru-RU Russian (Russian Federation) Род занятости:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 职业:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 时刻;随机;随意;瞬间 行业;工作;业务;专业 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

8683-5 History of Occupational exposure

Part Descriptions

LP72719-5   Occupational exposure
Actual contact or interaction with a specific hazard that increases an individual's risk of a detrimental physical or mental health outcome (e.g., ingestion or inhalation of a toxic chemical). Information on an exposure may include the measurement of duration/intensity of contact or interaction with the specific hazard. Source: National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Occupational exposure
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Occupational exposure

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de exposición en el ámbito laboral:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Exposición ocupacional:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Expositions professionnelles:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Esposizioni professionali:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de exposição ocupacional:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Occupational exposure Hx; Finding; Findings; Point in time; Random; Nominal; Exp
ru-RU Russian (Russian Federation) История факторов рабочей среды воздействия:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 职业暴露史:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 曝光 病史与体格检查 职业暴露历史 辐照

11343-1 History of Other nonmedical drug use

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other nonmedical drug use
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Other nonmedical drug use

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consumo de otras drogas de uso no terapéutico:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Uso de otras drogas no médicas:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Utilisation de drogues nonmédicales:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Altro uso non medico di droghe:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) overig drugsgebruik:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
ru-RU Russian (Russian Federation) История немедикаментозных лекарств употребления:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Наркотик Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 其他非医用毒品使用史:历史记录:时间点:^患者:名义型:
Synonyms: 其他的 其他非医用毒品使用历史;其他非药用毒品使用史 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 另外的 时刻;随机;随意;瞬间 毒品 毒品;麻醉药;麻醉品;麻药;兴奋剂;药品 毒品类 病史与体格检查 药品类 药物 药物（毒品、麻醉药、麻醉品、麻药、兴奋剂、药品）使用（利用、服用） 药物类

11345-6 History of Other social factors

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Other social factors
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Other social factors

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de otros factores sociales:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Otros factores sociales:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Autres facteurs sociaux:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Altri fattori sociali:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История других социальных факторов:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 其他社会因素史:历史记录:时间点:^患者:名义型:
Synonyms: 其他的 其他社会因素历史 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 另外的 时刻;随机;随意;瞬间 病史与体格检查

11347-2 History of Outpatient visits

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Outpatient visits
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Outpt visits

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consultas ambulatorias:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Visitas ambulatorias:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Visite paziente esterno:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi visite paziente ambulatoriale
nl-NL Dutch (Netherlands) poliklinische bezoeken:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
zh-CN Chinese (China) 门诊就诊类:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 门诊就诊类（就诊、就诊过程类、就诊过程、就医过程类、就医类、就医过程、就医）;门诊就诊类

8684-3 History of Present illness

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Present illness
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Pres illness

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision
Common Test Rank Get Info
5219

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de la enfermedad actual:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Enfermedad presente:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Malattia attuale:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) huidige ziekte:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Histórico de doenças atuais:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Present illness Hx; Finding; Findings; Point in time; Random; Nominal
zh-CN Chinese (China) 现有疾病:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 现病史;目前疾病;当前疾病;现病 病史与体格检查

11351-4 History of Sexual behavior

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Sexual behavior
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Sexual behavior

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de conducta sexual:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Comportamiento sexual:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Comportement sexuel:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Comportamento sessuale:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История полового поведения:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Половой анамнез Точка во времени;Момент
zh-CN Chinese (China) 性行为史:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 性行为历史 时刻;随机;随意;瞬间 病史与体格检查

8689-2 History of Social function

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Social function
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Social function

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de la función social:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Función social:Hx:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Anamnèse. Fonctions sociales:Hx:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Funzioni sociali:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de função social:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Social function Hx; Finding; Findings; Point in time; Random; Nominal; Funct; FCN; Func
ru-RU Russian (Russian Federation) История социального функционирования:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 社会功能史:历史记录:时间点:^患者:名义型:
Synonyms: FCN 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 社会功能历史;社交功能史

8690-0 History of Surgical procedures

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Surgical procedures
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Surg proc

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision
Common Test Rank Get Info
5378

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history
63067-3 PhenX domain - Speech and hearing

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de procedimientos quirúrgicos:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Procedimientos quirúrgicos:Hx:Punto temporal:^ Paciente:Nominal:
fr-CA French (Canada) Antécédents chirurgicaux:Histoire:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Procedure chirurgiche:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) chirurgische ingrepen:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese operaties
pt-BR Portuguese (Brazil) Histórico de procedimentos cirúrgicos:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Surgical procedures Hx; Finding; Findings; Point in time; Random; Nominal
zh-CN Chinese (China) 外科手术操作项目类:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 外科手术（外科学手术、手术）操作项目类（操作类、操作项目、操作） 时刻;随机;随意;瞬间 病史与体格检查

29547-7 History of Symptoms and diseases

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Symp + dis

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed Method of "Observed" per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:^paciente:Nominal:observado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:^ Paciente:Nominal:
fr-CA French (Canada) Symptômes et maladies:Histoire:Temps ponctuel:^Patient:Nominal:
Synonyms: Antécédents médicaux
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de sintomas & doenças:Achado:Pt:^Paciente:Nom:Observado
Synonyms: ; Sx & diseases Hx; Finding; Findings; Point in time; Random; Nominal; Observ
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

11367-0 History of Tobacco use

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Tobacco use status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Tobacco use

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision; Changed Component from "Tobacco use" to clarify meaning as the status of tobacco use, not the type of tobacco used
Common Test Rank Get Info
876

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de tabquismo:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Estado de consumo de tabaco:Hx:Punto temporal:^ Paciente:Nominal:
fr-CA French (Canada) Habitudes tabagiques:Histoire:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Status d'uso del tabacco:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) tabaksgebruik:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
zh-CN Chinese (China) 烟草使用状况:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 时刻;随机;随意;瞬间 烟草使用（烟草吸食、吸烟、抽烟、用烟）状况（状态、情况） 烟草吸食;吸烟;抽烟;用烟 状况;情况 病史与体格检查

8691-8 History of Travel

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Travel
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hx of Travel

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Change Reason
Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision
Common Test Rank Get Info
4676

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel
35090-0 Patient history

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Reiseanamnese:Anamnese:Zeitpunkt:^Patient:Nominal:
es-AR Spanish (Argentina) antecedentes de viajes realizados:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Viaje:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Viaggio:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de viagens:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Travel Hx; Finding; Findings; Point in time; Random; Nominal
zh-CN Chinese (China) 旅行:历史记录:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 旅游;出行;长途行走;游历 时刻;随机;随意;瞬间 病史与体格检查

35091-8 Patient physical

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Patient physical
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Additional Names

Short Name
Patient physical

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.27
Order vs. Observation
Order

Member of these Panels

LOINC Long Common Name
35089-2 History and physical panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) PATIENT PHYSICAL:-:punto en el tiempo:^paciente:-:
es-MX Spanish (Mexico) Físico del paciente:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Paziente, visita medica:-:Pt:^Paziente:-:
Synonyms: paziente Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo
pt-BR Portuguese (Brazil) Paciente físico:-:Pt:^Paciente:-:
Synonyms: Point in time; Random
ru-RU Russian (Russian Federation) Пациент физикальное исследование:-:ТчкВрм:^Пациент:-:
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) 患者体格检查:-:时间点:^患者:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 患者查体;病人体格检查 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病史与体格检查 组 组合 组合医嘱 组合类 组套