94085-8 Pain category

Term Description

Question used to categorize the type of pain that helps guide further assessment and treatment choices. Each of the types of pain has a specific context and treatment plan.

Fully-Specified Name

Component
Pain category
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Example Answer List LL5471-9

AnswerCodeScoreAnswer ID
Chest pain Copyright http://snomed.info/sct ID:29857009 Chest pain (finding)LA28842-5
Labor pain Copyright http://snomed.info/sct ID:247412007 Labor pain (finding)LA30531-0
Postoperative pain Copyright http://snomed.info/sct ID:213299007 Postoperative pain (finding)LA30532-8

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Κατηγορία πόνου:Type:Pt:^Ασθενής:Nom:
Synonyms: - H&P.HX Nom Pt Type Ασθενής Κατηγορία πόνου
es-MXSpanish (Mexico)Categoría de dolor:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Dolore, categoria:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi Categoria del dolore paziente Punto nel tempo (episodio)
zh-CNChinese (China)疼痛类别:类型: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 型 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛类别(分类、类型) 病史与体格检查

80316-3 Pain scale [Type]

Fully-Specified Name

Component
Pain scale
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
1469

Preferred Answer List LL3883-7

AnswerCodeScoreAnswer ID
ReportedLA25254-6
Pain severity 0-10LA25253-8
FLACCLA25255-3
Neonatal facesLA25256-1
Wong-Baker FACESLA25257-9

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Κλίμακα πόνου:Type:Pt:^Ασθενής:Nom:
Synonyms: - H&P.PX Nom Pt Type Ασθενής Κλίμακα πόνου
es-MXSpanish (Mexico)Escala de dolor:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Scala del dolore:Tipo:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
zh-CNChinese (China)疼痛量表:类型:时间点:^患者:名义型:
Synonyms: 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 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 历史纪录与体格检查 历史纪录与体格检查小节 型 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛指数量表;疼痛评分量表;疼痛评级量表;疼痛分级量表;疼痛打分量表;疼痛评分;疼痛指数 病史与体格检查

94084-1 Nonverbal pain indicators

Term Description

Patients often indicate pain without using their voice. The purpose of this question is to document non-stated pain indicators.

Fully-Specified Name

Component
Nonverbal pain indicators
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Example Answer List LL5470-1

AnswerCodeScoreAnswer ID
Activity alteration Copyright http://snomed.info/sct ID:129855000 Activity alteration (finding)LA30506-2
Aggressive behavior Copyright http://snomed.info/sct ID:61372001 Aggressive behavior (finding)LA30507-0
Anxiety Copyright http://snomed.info/sct ID:48694002 Anxiety (finding)LA10574-4
Change in sleep patternLA30508-8
Clenching teeth Copyright http://snomed.info/sct ID:110302009 Clenching teeth (finding)LA30509-6
Constant hand movementsLA30510-4
Contracted limbsLA30511-2
Crying Copyright http://snomed.info/sct ID:304534000 Crying (finding)LA29193-2
Excessive sweating Copyright http://snomed.info/sct ID:52613005 Excessive sweating (finding)LA30513-8
Eyes open wideLA30514-6
Feeling agitated Copyright http://snomed.info/sct ID:24199005 Feeling agitated (finding)LA30515-3
Feeling irritable Copyright http://snomed.info/sct ID:55929007 Feeling irritable (finding)LA30516-1
FlailingLA30517-9
FrowningLA30518-7
Gasping for breath Copyright http://snomed.info/sct ID:23141003 Gasping for breath (finding)LA30519-5
Grimaces Copyright http://snomed.info/sct ID:39960009 Grimaces (disorder)LA30520-3
Groaning respiration Copyright http://snomed.info/sct ID:248575002 Groaning respiration (finding)LA30521-1
Grunting respiration Copyright http://snomed.info/sct ID:62085005 Grunting respiration (finding)LA30522-9
Loss of appetite Copyright http://snomed.info/sct ID:79890006 Loss of appetite (finding)LA30523-7
Muscle tension Copyright http://snomed.info/sct ID:250069006 Muscle tension (finding)LA30524-5
Pacing up and down Copyright http://snomed.info/sct ID:74691006 Pacing up and down (finding)LA30525-2
Protective muscle spasm Copyright http://snomed.info/sct ID:250072004 Protective muscle spasm (finding)LA30526-0
Repetitive rocking movements Copyright http://snomed.info/sct ID:30189004 Repetitive rocking movements (finding)LA30527-8
Repetitive rubbing of body parts Copyright http://snomed.info/sct ID:247939009 Repetitive rubbing of body parts (finding)LA30528-6
Restlessness Copyright http://snomed.info/sct ID:162221009 Restlessness (finding)LA30529-4

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Μη λεκτικοί δείκτες πόνου:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: - H&P.HX Nom Pt Ασθενής Εύρεση Μη λεκτικοί δείκτες πόνου
es-MXSpanish (Mexico)Indicadores de dolor no verbal:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Indicatori di dolore non verbali:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CNChinese (China)非言语型疼痛指标:发现: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 疼;痛;痛苦;悲痛;苦恼 病史与体格检查 非言语型(非文字型、不涉及言语的、非言语的、非语言的、不用语言的、非文字)疼痛指标;非言语性疼痛指标

32419-4 Pain quality

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain quality
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.61 (MIN)

Example Answer List LL4459-5

AnswerCodeScoreAnswer ID
AcheLA27491-2
BurningLA25279-3
CrampingLA27492-0
Crushing painLA27493-8
DullLA12709-4
IntermittentLA24760-3
Phantom limbLA27496-1
PiercingLA27497-9
PressureLA27498-7
PruritusLA27499-5
SharpLA12708-6
Shock-like electrical painLA27501-8
StabbingLA27502-6
Tearing painLA27503-4
ThrobbingLA27505-9

Member of these Panels

LOINCLong Common Name
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Ποιότητα πόνου:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: - H&P.HX Nom Pt Ασθενής Εύρεση Ποιότητα πόνου
es-ARSpanish (Argentina)calidad del dolor:hallazgo:punto en el tiempo:^paciente:Nominal:
es-MXSpanish (Mexico)Calidad del dolor:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Dolore, qualità:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Qualità del dolore
pt-BRPortuguese (Brazil)Qualidade da dor:Achado:Pt:^Paciente:Nom:
Synonyms: ; Pain character; Finding; Findings; Point in time; Random; Nominal
ru-RURussian (Russian Federation)Боль характер:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)疼痛性质:发现: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 疼;痛;痛苦;悲痛;苦恼 疼痛性质(本质、特性、特质、品质、质量、特征、特色、特点) 病史与体格检查

39111-0 Body site

Fully-Specified Name

Component
Body site
Property
Anat
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.15
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
572

Example Answer List LL5065-9

AnswerCodeScoreAnswer ID
AbdomenLA12706-0
Upper Extremity-LeftLA29192-4
Upper Extremity-RightLA29191-6
Lower Extremity-LeftLA24413-9
Lower Extremity-RightLA24414-7
ChestLA18111-7
HeadLA18116-6
PelvisLA16744-7
StomachLA4476-3
Eye-leftLA18788-2
Eye-rightLA18789-0
LiverLA4584-4
PancreasLA4654-5
KidneyLA4591-9
BreastLA4255-1
SpineLA4340-1
SkullLA4331-0

Member of these Panels

LOINCLong Common Name
72369-2Body site identification panel
97887-4Core Outcome Measures Index for the Back [COMI]
97327-1Core Outcome Measures Index for the Neck [COMI]
88677-0German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
72283-5Nail assessment panel
38212-7Pain assessment panel
97339-6Pain severity and Body site panel
72284-3Skin assessment panel
39135-9Wound assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σωματικό σημείο:Anat:Pt:^Ασθενής:Nom:
Synonyms: - Anat H&P.HX Nom Pt Ασθενής Σωματικό σημείο
es-MXSpanish (Mexico)Sitio del cuerpo:Anat:Punto temporal:^ Paciente:Nominal:
fr-CAFrench (Canada)Site du corps:Anatomie:Temps ponctuel:^Patient:Nominal:
fr-BEFrench (Belgium)Site corporel:Anatomie:Temps ponctuel:^Patient:Nominal:
it-ITItalian (Italy)Sito anatomico:Anat:Pt:^Paziente:Nom:
Synonyms: Anamnesi Anatomia paziente Punto nel tempo (episodio) Sito corporeo
pt-BRPortuguese (Brazil)Local do corpo:Anat:Pt:^Paciente:Nom:
Synonyms: ; Bdy site; Anatomy; Point in time; Random; Nominal; bod; Bodies
ru-RURussian (Russian Federation)Тело локализация:Анат:ТчкВрм:^Пациент:Ном:
Synonyms: Анатомия Номинальный;Именной Точка во времени;Момент Часть тела;Анатомическая область
zh-CNChinese (China)身体部位:解剖学:时间点:^患者:名义型:
Synonyms: 位点;位置 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 物体 病史与体格检查 解剖;解剖结构

20228-3 Anatomic part Laterality

Term Description

Directional terms for body location that describes the position of structures relative to the body midline.

Fully-Specified Name

Component
Laterality
Property
Type
Time
Pt
System
Anatomic part.*
Scale
Nom
Method

Basic Attributes

Class
CARD.US
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.81 (MIN)
Change Reason
Release 2.81: DefinitionDescription: Nursing CMT member request to add description;
Order vs. Observation
Observation
Common Test Rank Get Info
2260

Example Answer List LL3803-5

AnswerCodeScoreAnswer ID
LeftLA4585-1
RightLA4306-2
BilateralLA25377-5
UnilateralLA25378-3

Member of these Panels

LOINCLong Common Name
72369-2Body site identification panel
100203-9Knee Society Score post-op panel [Knee Society Score]
100159-3Knee Society Score pre-op panel [Knee Society Score]
72283-5Nail assessment panel
38212-7Pain assessment panel
111805-8Pain Body Site Identification Panel
72284-3Skin assessment panel
39135-9Wound assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Πλευρικότητα:Type:Pt:Ανατομικό μέρος.*:Nom:
Synonyms: * CARD.US Nom Pt Type Ανατομικό μέρος.* Πλευρικότητα
es-MXSpanish (Mexico)Lateralidad:Tipo:Punto temporal:Parte anatómica. *:Nominal:
es-ARSpanish (Argentina)lateralidad:tipo:punto en el tiempo:parte anatómica.*:cuantitativo:
it-ITItalian (Italy)Lateralità:Tipo:Pt:Parte anatomica.*:Nom:
Synonyms: Ecografia cardiaca Parte anatomica Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Lateralidade:Tipo:Pt:Parte anatômica.*:Nom:
Synonyms: Typ; Point in time; Random; Nominal; Cardiology
ru-RURussian (Russian Federation)Латеральность:Тип:ТчкВрм:Анатомическая область.*:Ном:
Synonyms: Латерализация Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)偏侧性:类型:时间点:解剖学组成部分.*: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 型 对一侧面的偏重;偏向一侧状态;偏利;边利性;侧性;一侧优势;偏重;一侧化 心脏病学 心脏病学.超声;心脏超声 时刻;随机;随意;瞬间 解剖学组成部分;解剖学部分;解剖学部分.*

56826-1 Problem frequency

Fully-Specified Name

Component
Problem frequency
Property
NRat
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINCLong Common Name
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Συχνότητα προβλήματος:NRat:Pt:^Ασθενής:Qn:
Synonyms: - ED NRat Pt Qn Ασθενής Πρόβλημα Συχνότητα Συχνότητα προβλήματος
es-MXSpanish (Mexico)Frecuencia del problema:NRat:Punto temporal:^ Paciente:Cuantitativo:
it-ITItalian (Italy)Frequenza del problema:NRat:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Indice numerico paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Problema de freqüência:#N/A:Pt:^Paciente:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RURussian (Russian Federation)Проблема частота:КолСкор:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CNChinese (China)问题频率:计数型速率:时间点:^患者:定量型:
Synonyms: ED 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 急诊科 急诊科(DEEDS)变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科(急诊科系统代码之数据元素)变量;急诊科(急诊科系统代码之数据元素)指标;急诊科(美国CDC急诊科系统代码之数据元素)指标;急诊科指标 急诊科(Emergency Department,ED) 急诊部 时刻;随机;随意;瞬间 问题频度;问题发生频率;问题出现频率 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

Example Units

UnitSource
{#}/d; {#}/wk; {#}/moExample UCUM Units

38208-5 Pain severity - Reported

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73 (MIN)
Change Reason
Release 2.70: AnswerListId: Added example answer list;
Common Test Rank Get Info
2217

Example Answer List LL1014-1

AnswerCodeScoreAnswer ID
0 - No pain0LA19102-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - worst imaginable pain10LA21948-7

Member of these Panels

LOINCLong Common Name
97887-4Core Outcome Measures Index for the Back [COMI]
97327-1Core Outcome Measures Index for the Neck [COMI]
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel
97339-6Pain severity and Body site panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σφοδρότητα πόνου:Εύρεση:Pt:^Ασθενής:Ord:Αναφερόμενη
Synonyms: - H&P.HX Ord Pt Αναφερόμενη Ασθενής Εύρεση Σφοδρότητα πόνου
es-ARSpanish (Argentina)PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:ordinal:informado
es-MXSpanish (Mexico)Severidad del dolor:Tipo:Punto temporal:^ Paciente:Ordinal:Reported
it-ITItalian (Italy)Dolore, gravità:Osservazione:Pt:^Paziente:Ord:Riportato
Synonyms: Anamnesi Gravità del dolore Osservazione paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Intensidade da dor:Achado:Pt:^Paciente:Ord:Relatado
Synonyms: Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen
ru-RURussian (Russian Federation)Боль выраженность:Находка:ТчкВрм:^Пациент:Пор:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Порядковый Точка во времени;Момент
zh-CNChinese (China)疼痛严重程度:发现:时间点:^患者:序数型:报告法
Synonyms: 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 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.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 疼;痛;痛苦;悲痛;苦恼 疼痛严重度;疼痛严重性 病史与体格检查

38221-8 Pain severity Wong-Baker FACES pain rating scale

Term Description

The Wong-Baker FACES Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0, "No hurt" to a crying face at 10 "Hurts worst". The patient must choose the face that best describes how they are feeling.- Wikipedia

Reference Information

TypeSourceReference
CitationWikipediaCopyright Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.Coté, Charles J.; Jerrold Lerman, I. David Todres (2009). A practice of anesthesia for infants and children. Elsevier Health Sciences. p. 940. ISBN 978-1-4160-3134-5.

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported.Wong-Baker FACES pain rating scale

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.27 (MIN)

Member of these Panels

LOINCLong Common Name
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σφοδρότητα πόνου:Εύρεση:Pt:^Ασθενής:Ord:Αναφερθείσα.Κλίμακα Βαθμολόγησης Πόνου Wong-Baker FACES
Synonyms: - H&P.HX Ord Pt Αναφερθείσα.Κλίμακα Βαθμολόγησης Πόνου Wong-Baker FACES Αναφερόμενη Ασθενής Εύρεση Σφοδρότητα πόνου
es-ARSpanish (Argentina)PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:ordinal:REPORTED.WONG-BAKER FACES PAIN RATING SCALE
es-MXSpanish (Mexico)Severidad del dolor:Tipo:Punto temporal:^ Paciente:Ordinal:Reported.Wong-Baker FACES pain rating scale
it-ITItalian (Italy)Dolore, gravità:Osservazione:Pt:^Paziente:Ord:Riportato.scala di Wonb-Baker di valutazione del dolore con le FACCE
Synonyms: Anamnesi Gravità del dolore Osservazione paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Intensidade da dor:Achado:Pt:^Paciente:Ord:Relatado.FACES Wong-Baker escala de avaliação da dor
Synonyms: Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Wong-Baker FACES Scale; Wong-Baker FACES Scale
zh-CNChinese (China)疼痛严重程度:发现:时间点:^患者:序数型:报告法.Wong-Baker 面部表情疼痛评定量表
Synonyms: 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 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.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 报告法 - Wong-Baker FACES 疼痛评定量表;报告法 - Wong-Baker FACES 面部表情疼痛评定量表;报告法 - Wong-Baker 面部表情疼痛评定量表;报告法.Wong-Baker FACES 疼痛评定量表;报告法.Wong-Baker FACES 面部表情疼痛评定量表 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛严重度;疼痛严重性 病史与体格检查

38214-3 Pain severity [Score] Visual analog score

Fully-Specified Name

Component
Pain severity
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
Reported.visual analog score

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.82 (MIN)
Common Test Rank Get Info
5584

Member of these Panels

LOINCLong Common Name
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σφοδρότητα πόνου:Βαθμολογία:Pt:^Ασθενής:Qn:Αναφερθείσα.οπτική αναλογική βαθμολογία
Synonyms: - H&P.HX Pt Qn Αναφερθείσα.οπτική αναλογική βαθμολογία Αναφερόμενη Ασθενής Βαθμολογία Οπτικά Σφοδρότητα πόνου
es-ARSpanish (Argentina)PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:cuantitativo:informe.escala visual análoga
es-MXSpanish (Mexico)Severidad del dolor:Puntaje:Punto temporal:^ Paciente:Cuantitativo:Reported.visual analog score
it-ITItalian (Italy)Dolore, gravità:Punteggio:Pt:^Paziente:Qn:Riportato.scala analogico visiva
Synonyms: Anamnesi Gravità del dolore paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Intensidade da dor:Achado:Pt:^Paciente:Qn:Relatado.escala visual analógica
Synonyms: Finding; Findings; Point in time; Random; Quantitative; QNT; Quant; Quan; VAS
zh-CNChinese (China)疼痛严重程度:评分:时间点:^患者:定量型:报告法.视觉模拟评分法
Synonyms: 分值;得分;分数 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.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 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 报告法 - VAS;报告法 - VAS 法;报告法 - 视觉模拟评分;报告法 - 视觉模拟评分法;报告法.VAS;报告法.VAS 法;报告法.视觉模拟评分 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛严重度;疼痛严重性 病史与体格检查 目视方法;目视法;目视类实验室方法;目视类方法;目视类检验方法;肉眼观察方法;肉眼观察类方法;肉眼观察类检验方法

Example Units

UnitSource
{score}Example UCUM Units

80340-3 Nonpharmacologic intervention for pain

Fully-Specified Name

Component
Nonpharmacologic intervention for pain
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL3852-2

AnswerCodeScoreAnswer ID
Massage Copyright http://snomed.info/sct ID:387854002 Massage physiotherapy (regime/therapy)LA25338-7
Aromatherapy Copyright http://snomed.info/sct ID:394615007 Aromatherapy (regime/therapy)LA25339-5
Heat therapy Copyright http://snomed.info/sct ID:266694003 Heat therapy (procedure)LA25340-3
Cold therapy Copyright http://snomed.info/sct ID:182660006 Cold therapy (regime/therapy)LA25341-1
Birthing ballLA25342-9
Aqua K PadLA25343-7
BraceLA19765-9
CorsetLA25345-2
BreathingLA25346-0
Decreased Environmental StimuliLA25347-8
DistractionLA25348-6
ElevationLA25349-4
ExerciseLA22651-6
Guided Imagery Copyright http://snomed.info/sct ID:228565006 Imagery technique (regime/therapy)LA25351-0
ImmobilizeLA25352-8
MusicLA25353-6
RepositionLA25354-4
RelaxationLA25355-1
RestLA25356-9
TENS UnitLA25357-7
WalkingLA11834-1

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Μη φαρμακευτική παρέμβαση για τον πόνο:Type:Pt:^Ασθενής:Nom:
Synonyms: - CLIN Nom Pt Type Ασθενής Μη φαρμακευτική παρέμβαση για τον πόνο
es-MXSpanish (Mexico)Intervención no farmacológica para el dolor:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Intervento non farmacologico per il dolore:Tipo:Pt:^Paziente:Nom:
Synonyms: Clinico paziente Punto nel tempo (episodio)
zh-CNChinese (China)疼痛的非药物性干预:类型: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 型 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛的非药物性(非药物、非药学、非药理学)干预(干预措施、措施、介入、治疗措施);非药物性(非药物、非药学、非药理学)疼痛干预(干预措施、措施、介入、治疗措施)

38213-5 FLACC pain assessment panel

Term Description

The Faces, Legs, Activity, Arms, Cry, and Consolability (FLACC) scale is a behavioral pain assessment scale that can be used with non/preverbal patients (young children). The original FLACC was revised to include additional specific descriptors and parent-identified expressions or behaviors representing pain in cognitively impaired children. Zero, one, or two points are assigned to each of the five categories. The total score ranges from zero to ten. Total scores reflect behavioral indicators of distress severity, but should not be used, in and of themselves, to guide medication decision-making.

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
FLACC pain assessment panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.72 (MIN)
Change Reason
Release 2.72: DefinitionDescription: Updated to align with current description;
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38216-8 Pain severity Face FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.face
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
4749

Normative Answer List LL513-3

AnswerCodeScoreAnswer ID
No particular expression or smile00LA9588-0
Occasional grimace/frown, withdrawn or disinterested, appears sad or worried; or parent-identified expression11LA9589-8
Constant grimace or frown, frequent / constant quivering chin, clenched jaw, distressed-looking face, expression of fright or panic; or parent-identified expression22LA9590-6

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38217-6 Pain severity Legs FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.legs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
5502

Normative Answer List LL514-1

AnswerCodeScoreAnswer ID
Normal position or relaxed; usual tone and motion to limbs00LA9591-4
Uneasy, restless, tense, occasional tremors; or parent-identified behavior11LA9592-2
Kicking or legs drawn up, marked increase in spasticity, constant tremors or jerking; or parent-identified behavior22LA9593-0

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38218-4 Pain severity Activity FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.activity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69 (MIN)

Normative Answer List LL515-8

AnswerCodeScoreAnswer ID
Lying quietly, normal position, moves easily; regular, rhythmic respirations00LA9594-8
Squirming, shifting back and forth, tense or guarded movements; mildly agitated (e.g., head back and forth, aggression), shallow; splinting respirations, intermittent sighs; or parent-identified behavior11LA9595-5
Arched, rigid, or jerking; severe agitation; head banging; shivering (not rigors); breath holding, gasping or sharp intake of breaths, severe splinting; or parent-identified behavior22LA9596-3

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38219-2 Pain severity Cry FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.cry
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69 (MIN)

Normative Answer List LL516-6

AnswerCodeScoreAnswer ID
No cry/verbalization00LA9597-1
Moans or whimpers; occasional complaint; occasional verbal outburst or grunt; or parent-identified vocalization11LA9598-9
Crying steadily, screams or sobs; frequent complaints; repeated outbursts, constant grunting; or parent-identified vocalization22LA9599-7

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38220-0 Pain severity Consolability FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.consolability
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69 (MIN)

Normative Answer List LL517-4

AnswerCodeScoreAnswer ID
Content and relaxed00LA9600-3
Reassured by occasional touching, hugging, or being talked to; distractible; or parent-identified behavior11LA9601-1
Difficult to console or comfort; pushing away caregiver, resisting care or comfort measures; or parent-identified behavior22LA9602-9

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

38215-0 Pain severity total [Score] FLACC

Reference Information

TypeSourceReference
ArticleNCBI PubMedMerkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7. Link to PubMed
CitationRegenstrief InstituteDevelopment and origination: S. Merkel, MS, RN and T. Voepel-Lewis, MS, RN, S. Malviya, MD, at C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Pain severity.total
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
Observed.FLACC

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.82 (MIN)

Member of these Panels

LOINCLong Common Name
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
38212-7Pain assessment panel

Example Units

UnitSource
{score}Example UCUM Units

80317-1 Pain assessment [Interpretation]

Fully-Specified Name

Component
Pain Assessment
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
4563

Preferred Answer List LL3816-7

AnswerCodeScoreAnswer ID
Within Defined LimitsLA25085-4
Other, Nursing judgment:LA46-8

Member of these Panels

LOINCLong Common Name
38212-7Pain assessment panel

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Αξιολόγηση πόνου:Imp:Pt:^Ασθενής:Ord:
Synonyms: - H&P.PX Imp Ord Pt Αξιολόγηση Αξιολόγηση πόνου Ασθενής
es-MXSpanish (Mexico)Evaluación del dolor:Interpretación:Punto temporal:^ Paciente:Ordinal:
it-ITItalian (Italy)Dolore, valutazione:Imp:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio) Valutazione del dolore
ru-RURussian (Russian Federation)Боль оценка:Впчт:ТчкВрм:^Пациент:Пор:
Synonyms: Впечатление/интерпретация исследования Порядковый Точка во времени;Момент
zh-CNChinese (China)疼痛评估:印象:时间点:^患者:序数型:
Synonyms: 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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 历史纪录与体格检查 历史纪录与体格检查小节 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛评估(评价、估计、估价、评论、估定、估算) 病史与体格检查 评价;估计;估价;评论;估定;估算