Version 2.77

11368-8 Illness or injury onset date and time

Fully-Specified Name

Component
Illness or injury onset date and time
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Illness or injury onset date and time

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Common Test Rank Get Info
273

Member of these Panels

LOINC Long Common Name
78000-7 Case notification panel [CDC.PHIN]
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
68991-9 Epidemiologically important information for public health reporting panel
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
62863-6 PhenX domain - Infectious diseases and immunity
81959-9 Public health laboratory ask at order entry panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha y hora de aparición de la enfermedad o lesión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) fecha/hora del inicio de la enfermedad/aparición de la lesión traumática:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
fr-BE French (Belgium) Condition médicale date et heure du début:Estampille temporelle:Temps ponctuel:^Patient:Quantitatif:
fr-CA French (Canada) Condition médicale date et heure du début:Estampille temporelle:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Malattia o lesione, data e ora insorgenza:TmStp:Pt:^Paziente:Qn:
Synonyms: Anamnesi Data e ora comparsa malattia o lesione paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Data e tempo do inicio da doença ou lesão:TmStp:Pt:^Paciente:Qn:
Synonyms: Time stamp; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Заболевание или травма начало дата и время:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Дата и время начала заболевания или травмы Количественный Точка во времени;Момент
zh-CN Chinese (China) 疾病或损伤起始日期与时间:时间戳:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 日子;几号 日期与时间;日期及时间;日期时间 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 疾病或损伤起始(开始、发病、发生、发作、开端、肇始)日期与时间;疾病或损伤发病日期与时间;疾病或损伤起病日期与时间;疾病或损伤发作日期与时间;疾病或损伤开始日期与时间;疾病或损伤初起日期与时间 病史与体格检查

11374-6 Injury incident description Narrative

Fully-Specified Name

Component
Injury incident description
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Injury incident description

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descripción del incidente de la lesión:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) descripción del evento que causó la lesión traumática:hallazgo:punto en el tiempo:^paciente:Narrativo:
it-IT Italian (Italy) Lesione, descrizione incidente:Osservazione:Pt:^Paziente:Nar:
Synonyms: Descrizione incidente lesivo Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Травма инцидент описание:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описание обстоятельств травмы Описательный Точка во времени;Момент
zh-CN Chinese (China) 损伤事件描述:发现:时间点:^患者:叙述型:
Synonyms: ED 伤害事件描述;受伤事件描述;损伤意外事件描述;损伤偶然事件描述;损伤事故描述;损伤事件说明 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 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

11373-8 Injury cause

Fully-Specified Name

Component
Injury cause
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Injury cause

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.27

Example Answer List LL4936-2

Answer Code Score Answer ID
Animal bite LA17118-3
Device related LA28743-5
Disease related LA28744-3
Human bite LA28745-0
Insect bite LA28746-8
Moisture related LA28747-6
Pressure point related LA28748-4
Self inflicted LA28749-2
Shearing force injury LA28750-0
Trauma LA17058-1

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
39135-9 Wound assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Causa de la lesión:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR Spanish (Argentina) causa de la lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
it-IT Italian (Italy) Lesione, causa:Tipo:Pt:^Paziente:Nom:
Synonyms: Causa di lesione;Causa di ferita Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Causa de lesão:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Травма причина:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Причина травмы Точка во времени;Момент
zh-CN Chinese (China) 损伤原因:类型:时间点:^患者:名义型:
Synonyms: ED 伤害原因;损害原因;受伤原因 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 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

11376-1 Injury location

Fully-Specified Name

Component
Injury location
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Injury location

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.34

Example Answer List LL1051-3

Answer Code Score Answer ID
Home LA14084-0
Residential institution LA14085-7
School LA14086-5
Public institution LA14087-3
Sports or recreational area LA14088-1
Street or highway LA14089-9
Trade or service area LA14090-7
Industrial or construction area LA14091-5
Farm LA14092-3
Unspecified LA14093-1

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) localización de lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Ubicación de la lesión:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Lesione, posizione:Tipo:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Posizione della lesione;Posizione della ferita Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Localização da lesão:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Травма локализация:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 损伤地点:类型:时间点:^患者:名义型:
Synonyms: ED 伤害地点;受伤地点;损伤位置(地点、定位、地方、地理位置、工作地点、场所);损伤发生地;损伤发生场所 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 地点;场所;部位;定位;地方 型 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

11372-0 Injury associated activity

Fully-Specified Name

Component
Injury associated activity
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Injury associated activity

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.70
Change Reason
Release 2.70: ANSWER_LIST_TYPE: The NORMATIVE binding was for a specific use-case. This binding is applied in the context of the associated panel (collection).; AnswerListId: Updated answer list to include additional examples. ;

Normative Answer List LL495-3

Answer Code Score Answer ID
Sports 10 LA9373-7
Leisure 20 LA9374-5
Paid work 30 LA9375-2
Unpaid work 40 LA9376-0
Educational activity 50 LA9377-8
Vital activity 60 LA9378-6
Other specified activity 88 LA9379-4
Unknown activity 99 LA9380-2

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) actividad asociada a la lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Actividad asociada a lesiones:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Lesione, attività associata:Tipo:Pt:^Paziente:Nom:
Synonyms: Attività associata a lesione;Attività associata a Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Lesão associada à atividade:Tipo:Pt:^Paciente:Nom:
Synonyms: Movements; Typ; Point in time; Random; Nominal; Assoc; Actvty; Activ; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Травма связанная деятельность:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Деятельность, связанная с травмой Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 与损伤相关联的活动:类型:时间点:^患者:名义型:
Synonyms: ED 与损伤相关的活动;损伤相关的活动;与损伤(伤害、损害、受伤)相关联的活动 关联的 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 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 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 有联系的 活动 相关的

11375-3 Injury intent

Fully-Specified Name

Component
Injury intent
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Injury intent

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.34

Example Answer List LL1052-1

Answer Code Score Answer ID
Unintentional LA14094-9
Intentional self-inflicted confirmed LA14095-6
Intentional self-inflicted suspected LA14096-4
Assault confirmed LA14097-2
Assault suspected LA14098-0
Legal intervention LA14099-8
Undetermined LA14100-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) intento de lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Intención de lesión:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Lesione, intento:Tipo:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Intento lesivo paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Lesão intencional:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Травма намерение:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Преднамеренность повреждения Точка во времени;Момент
zh-CN Chinese (China) 损伤意图:类型:时间点:^患者:名义型:
Synonyms: ED 伤害意图;受伤意图;损伤目的 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 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 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

11457-9 Safety equipment used

Fully-Specified Name

Component
Safety equipment used
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Safety equipment used

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.63
Change Reason
Updated Answer list type from "NORMATIVE" to "EXAMPLE" since this concept is not bound to the existing answer list.

Example Answer List LL496-1

Answer Code Score Answer ID
Shoulder belt 010 LA9381-0
Lap belt 020 LA9382-8
Seat belt, not otherwise specified 030 LA9383-6
Driver's front air bag 040 LA9384-4
Passenger's front air bag 050 LA9385-1
Front air bag, not otherwise specified 060 LA9386-9
Side air bag 070 LA9387-7
Air bag, not otherwise specified 080 LA9388-5
Child safety seat 090 LA9389-3
Helmet 100 LA9390-1
Eye protection 110 LA9391-9
Protective clothing 120 LA9392-7
Personal flotation device 130 LA9393-5
Other protective gear 888 LA9394-3

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Equipo de seguridad utilizado:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR Spanish (Argentina) equipo de seguridad utililzado:tipo:punto en el tiempo:^paciente:Nominal:
it-IT Italian (Italy) Dispositivi di sicurezza usati:Tipo:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Uso de equipamento de segurança:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Защитное устройство использовано:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 所使用的安全装备:类型:时间点:^患者:名义型:
Synonyms: ED 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 安全设备;安全器具;保护装置;安全用品 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 所使用的安全设备;所使用的安全器具;所使用的保护装置;所使用的安全用品;已使用的安全装备;所采用的安全装备 时刻;随机;随意;瞬间

10160-0 History of Medication use Narrative

Term Description

History of medication use defines a patient's current medications and history of pertinent medications. This term may also include a patient's prescription and dispense history.
Source: Regenstrief LOINC

Fully-Specified Name

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

Additional Names

Short Name
Hx of Medication use

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
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
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
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
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
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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
de-DE German (Germany) Medikationsanamnese:Anamnese:Zeitpunkt:^Patient:Freitext:
es-AR Spanish (Argentina) antecedentes de consumo de medicaciones:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Uso de medicación:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Utilsation médications:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Uso di farmaci:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) medicijngebruik:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese geneesmiddelen
ru-RU Russian (Russian Federation) История лекарственный препарат употребления:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Лекарственный анамнез Описательный Точка во времени;Момент
zh-CN Chinese (China) 用药史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

48766-0 Information source

Term Description

The information or data source may be a person, organization, information system, reference to some other data object, etc.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Information source
Property
Type
Time
Pt
System
{system}
Scale
Nom
Method

Additional Names

Short Name
Source of info

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.21
Last Updated
Version 2.73
Order vs. Observation
Both
Common Test Rank Get Info
6489

Example Answer List LL3678-1

Externally Defined
Yes
Code System
CDC-PHIN
Code System OID
1.3.6.1.4.1.12009.10.1.2313
Link to External List
https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.3036

Member of these Panels

LOINC Long Common Name
78000-7 Case notification panel [CDC.PHIN]
85735-9 Congenital rubella case report panel
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
71531-8 ESRD hospitalization panel
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
88028-6 Tobacco use panel

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Informationsquelle:Typ:Zeitpunkt:{System}:Nominal:
es-MX Spanish (Mexico) Fuente de información:Tipo:Punto temporal:{sistema}:Nominal:
it-IT Italian (Italy) Fonte informativa:Tipo:Pt:{system}:Nom:
Synonyms: Documentazione miscellanea Miscellanea Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Информация источник:Тип:ТчкВрм:{система}:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 信息来源:类型:时间点:{系统}:名义型:
Synonyms: {体系} 信息源;信息源头;资讯来源;信源;资讯源 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 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 源

10154-3 Chief complaint Narrative - Reported

Term Description

Chief complaint records the patient's primary complaint (the patient's own description).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Chief complaint
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Chief complaint Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63

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
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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
82811-1 Nurse summary note - recommended sections
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress note - recommended C-CDA R2.0 and R2.1 sections
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) motivo de consulta principal:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Queja principal:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
fr-BE French (Belgium) Plainte principale:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Disturbo principale:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Disturbo primario Lamenta Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) belangrijkste klacht:bevinding:moment:^patiënt:tekstueel:rapportage
ru-RU Russian (Russian Federation) Основная жалоба:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Проблема;Заболевание Точка во времени;Момент
zh-CN Chinese (China) 主诉:发现:时间点:^患者:叙述型:报告法
Synonyms: 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 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 控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉 时刻;随机;随意;瞬间 病史与体格检查

29299-5 Reason for visit Narrative

Term Description

This section records the patient's reason for their visit (the provider's description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Reason for visit
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Reason for visit

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.63

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
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
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Razón de la visita:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) motivo de la consulta:hallazgo:punto en el tiempo:^paciente:Narrativo:
fr-BE French (Belgium) Raison de consultation:Observation:Temps ponctuel:^Patient:Narratif:
fr-CA French (Canada) Raison de visite:Observation:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Motivo della visita:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) reden voor bezoek:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Motivo da visita:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Причина визит:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Причина визита Точка во времени;Момент
zh-CN Chinese (China) 关于就诊的原因:发现:时间点:^患者:叙述型:
Synonyms: 关于就诊的理由;关于就诊(就医、访视)的原因;就诊原因;就诊理由;就医原因;访视原因;就医理由;访视理由 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 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

56817-0 Presenting problem

Fully-Specified Name

Component
Presenting problem
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Presenting problem

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Presentando problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema presente:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Problema apresentado:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Присутствующая проблема:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 提出问题:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

10164-2 History of Present illness Narrative

Term Description

History of present illness describes the history related to the reason for a given procedure. It contains the historical details leading up to and pertaining to the patient's current complaint or reason for seeking medical care. Because history of present illness can include past surgical history and other procedures, the Procedure History section may be included under the History of Present Illness section or it may stand alone as its own section.
Source: Regenstrief LOINC

Fully-Specified Name

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

Additional Names

Short Name
Hx of Pres illness

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
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
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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
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
de-DE German (Germany) Anamnese der aktuellen Krankheit:Anamnese:Zeitpunkt:^Patient:Freitext:
es-MX Spanish (Mexico) Enfermedad presente:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de la enfermedad actual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT Italian (Italy) Malattia attuale:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) huidige ziekte:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
zh-CN Chinese (China) 现有疾病:历史记录:时间点:^患者:叙述型:
Synonyms: 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 现病史;目前疾病;当前疾病;现病 病史与体格检查

56818-8 Problem description [Identifier]

Fully-Specified Name

Component
Problem description
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem description

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Common Test Rank Get Info
10868

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Descripción del problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Descrizione del problema:Prid:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Presenza o Identità Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Descrição do problema:Ident:Pt:^Paciente:Nom:
Synonyms: Identity or presence; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема описание:ПрИд:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN Chinese (China) 问题描述:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: ED 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 存在;存在与否;特征标识;身份;身份标识 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 问题说明 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

56819-6 Problem prior evaluation

Fully-Specified Name

Component
Problem prior evaluation
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem prior evaluation

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación previa del problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, precedente valutazione:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Precedente valutazione del problema Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Avaliação prévia do problema:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; Eval; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема предыдущая эвалюация:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 问题既往评价:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 既往的问题评价 时刻;随机;随意;瞬间 评估 评定 鉴定 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

56865-9 Problem diagnostic considerations

Fully-Specified Name

Component
Problem diagnostic considerations
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem diagnostic considerations

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Example Answer List LL5156-6

Answer Code Score Answer ID
Clinical signs and symptoms of DVT 3 LA29587-5
Alternative diagnosis less likely than pulmonary embolism 3 LA29588-3
Immobilization at least 3 days OR surgery in the previous 4 weeks LA29589-1
Prior PE or DVT LA29585-9
Hemoptysis 1 LA29583-4
Malignancy with treatment within 6 months or palliative 1 LA29590-9

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
89544-1 Pulmonary Embolism Rule-out Criteria panel PERC
89694-4 Pulmonary Embolism Severity Index panel [PESI]
89549-0 Revised Geneva Score panel
89546-6 Wells pulmonary embolism risk calculator panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Consideraciones de diagnóstico de problemas:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, considerazioni diagnostiche:Prid:Pt:^Paziente:Nom:
Synonyms: Considerazioni diagnostiche sul problema Emergenza (DEEDS - Data Elements for Emergency Dep paziente Presenza o Identità Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Considerações de diagnóstico problema:Ident:Pt:^Paciente:Nom:
Synonyms: Identity or presence; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема диагностические соображения:ПрИд:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN Chinese (China) 问题诊断考虑事项:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: ED 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 存在;存在与否;特征标识;身份;身份标识 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 问题诊断事项 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

56820-4 Problem context

Fully-Specified Name

Component
Problem context
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem context

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Contexto del problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Contesto del problema:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Contexto do problema:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема контекст:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 问题语境:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 问题上下文;问题背景;问题语言环境 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

56821-2 Problem exacerbating factors

Fully-Specified Name

Component
Problem exacerbating factors
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem exacerbating factors

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Factores que agravan el problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, fattori esacerbanti:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Fattori esacerbanti il problema Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Fatores de agravamento do problema:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема усиливающие факторы:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 问题加剧因素:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 恶化因素;加剧因素 时刻;随机;随意;瞬间 问题恶化因素;问题加重因素 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

38211-9 Pain initiating event Narrative - Reported

Fully-Specified Name

Component
Pain initiating event
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Pain initiating event Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.40

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evento que inicia el dolor:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR Spanish (Argentina) PAIN INITIATING EVENT:hallazgo:punto en el tiempo:^PATIENT:Narrativo:informado
it-IT Italian (Italy) Dolore, evento scatenante:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Evento scatenante il dolore Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Evento inicial da dor:Achado:Pt:^Paciente:Nar:Relatado
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Боль провоцирующее событие:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN Chinese (China) 疼痛起始事件:发现:时间点:^患者:叙述型:报告法
Synonyms: 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 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 疼;痛;痛苦;悲痛;苦恼 疼痛初始事件;疼痛启动事件;疼痛开始事件 病史与体格检查

55258-8 Problem alleviating factors Narrative

Fully-Specified Name

Component
Problem alleviating factors
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Problem alleviating factors

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Factores que alivian el problema:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Problema, fattori allevianti:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Fattori che alleviano il problema Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Problema fatores de alívio:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Проблема облегчающие факторы:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 问题缓解因素:发现:时间点:^患者:叙述型:
Synonyms: 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 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 问题减轻因素;问题缓和因素 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

38210-1 Pain alleviating factors - Reported

Fully-Specified Name

Component
Pain alleviating factors
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Pain alleviating factors Reported

Basic Attributes

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

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Factores que alivian el dolor:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) PAIN ALLEVIATING FACTORS:hallazgo:punto en el tiempo:^PATIENT:Nominal:informado
it-IT Italian (Italy) Dolore, fattori allevianti:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Fattori di alleviaizone del dolore Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Fatores de alívio da dor:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Боль облегчающие факторы:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 疼痛缓解因素:发现:时间点:^患者:名义型:报告法
Synonyms: 减缓疼痛的因素;疼痛减缓因素;减轻痛苦的因素;痛苦减轻因素 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

56822-0 Problem response to therapy

Fully-Specified Name

Component
Problem response to therapy
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem response to therapy

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Problema de respuesta a la terapia:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, risposta a terapia:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio) Risposta del problema alla terapia
pt-BR Portuguese (Brazil) Problema resposta à terapia:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема ответ на терапию:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 针对治疗的问题反应:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 针对治疗的问题响应 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

56823-8 Problem quality or description

Fully-Specified Name

Component
Problem quality or description
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem quality or description

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Calidad o descripción del problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, qualità o descrizione:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio) Qualità o descrizione del problema
pt-BR Portuguese (Brazil) Problema de qualidade ou descrição:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема качество или описание:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 问题性质或描述:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 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 问题性质或说明 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

32419-4 Pain quality

Fully-Specified Name

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

Additional Names

Short Name
Pain quality

Basic Attributes

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

Example Answer List LL4459-5

Answer Code Score Answer ID
Ache LA27491-2
Burning LA25279-3
Cramping LA27492-0
Crushing pain LA27493-8
Dull LA12709-4
Intermittent LA24760-3
Phantom limb LA27496-1
Piercing LA27497-9
Pressure LA27498-7
Pruritus LA27499-5
Sharp LA12708-6
Shock-like electrical pain LA27501-8
Stabbing LA27502-6
Tearing pain LA27503-4
Throbbing LA27505-9

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Calidad del dolor:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR Spanish (Argentina) calidad del dolor:hallazgo:punto en el tiempo:^paciente:Nominal:
it-IT Italian (Italy) Dolore, qualità:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Qualità del dolore
pt-BR Portuguese (Brazil) Qualidade da dor:Achado:Pt:^Paciente:Nom:
Synonyms: ; Pain character; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Боль характер:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (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

56824-6 Problem location

Fully-Specified Name

Component
Problem location
Property
Anat
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem location

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ubicación del problema:Anat:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Sede del problema:Anat:Pt:^Paziente:Nom:
Synonyms: Anatomia Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Problema de Localização:#N/A:Pt:^Paciente:Nom:
Synonyms: Anatomy; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема локализация:Анат:ТчкВрм:^Пациент:Ном:
Synonyms: Анатомия Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 问题位置:解剖学:时间点:^患者:名义型:
Synonyms: ED 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 地点;场所;部位;定位;地方 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 解剖;解剖结构 问题位置(部位、定位) 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

38204-4 Pain primary location - Reported

Fully-Specified Name

Component
Pain primary location
Property
Anat
Time
Pt
System
*
Scale
Nom
Method
Reported

Additional Names

Short Name
Pain primary location Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73
Common Test Rank Get Info
1785

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Localización primaria del dolor:Anat:Punto temporal:*:Nominal:Reported
es-AR Spanish (Argentina) PAIN PRIMARY LOCATON:anatomía:punto en el tiempo:*:Nominal:informado
it-IT Italian (Italy) Dolore, sede primaria:Anat:Pt:*:Nom:Riportato
Synonyms: Anamnesi Anatomia Punto nel tempo (episodio) Sede primaria del dolore
pt-BR Portuguese (Brazil) Local da dor primária:Anat:Pt:*:Nom:Relatado
Synonyms: Anatomy; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Боль основная локализация:Анат:ТчкВрм:*:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Анатомия Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 疼痛原发位置:解剖学:时间点:*:名义型:报告法
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 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 地点;场所;部位;定位;地方 时刻;随机;随意;瞬间 疼;痛;痛苦;悲痛;苦恼 疼痛原发位置(部位、定位) 病史与体格检查 解剖;解剖结构

38205-1 Pain radiation

Term Description

Pattern spreading from focus to other sites, how pain moves.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pain radiation
Property
Find
Time
Pt
System
*
Scale
Nom
Method

Additional Names

Short Name
Pain radiation

Basic Attributes

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

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Radiación del dolor:Tipo:Punto temporal:*:Nominal:
es-AR Spanish (Argentina) PAIN RADIATION:hallazgo:punto en el tiempo:*:Nominal:
it-IT Italian (Italy) Dolore, irradiazione:Osservazione:Pt:*:Nom:
Synonyms: Anamnesi Irradiazione del dolore Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Radiação da dor:Achado:Pt:*:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Боль распространение:Находка:ТчкВрм:*:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 疼痛放射:发现:时间点:*: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 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 疼痛辐射 病史与体格检查 辐射;放射治疗;放疗;放射疗法;辐射治疗

56825-3 Problem time course

Fully-Specified Name

Component
Problem time course
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Problem time course

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Curso de tiempo de problemas:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Problema nel corso del tempo:TmStp:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Problema curso do tempo:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема период актуальности:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 问题时间过程:时间戳: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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 时间(如秒);时间(如秒数) 问题时程;问题时间进程;问题时序 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

38206-9 Pain temporal pattern - Reported

Fully-Specified Name

Component
Pain temporal pattern
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Pain temporal pattern Reported

Basic Attributes

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

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Patrón temporal de dolor:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) PAIN TEMPORAL PATTERN:hallazgo:punto en el tiempo:^PATIENT:Nominal:informado
it-IT Italian (Italy) Dolore, profilo temporale:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Profilo temporale del dolore Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Padrão de dor temporal:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Боль временной паттерн:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 疼痛时间模式:发现:时间点:^患者:名义型:报告法
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 疼痛模式(模式特征、特征模式、图谱、式样) 病史与体格检查

56826-1 Problem frequency

Fully-Specified Name

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

Additional Names

Short Name
Problem frequency

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.50

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Frecuencia del problema:NRat:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Frequenza del problema:NRat:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Indice numerico paziente Punto nel tempo (episodio)
pt-BR Portuguese (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-RU Russian (Russian Federation) Проблема частота:КолСкор:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (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

Unit Source
{#}/d; {#}/wk; {#}/mo Example UCUM Units

38203-6 Speed of pain onset - Reported

Fully-Specified Name

Component
Speed of pain onset
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Additional Names

Short Name
Speed of pain onset Reported

Basic Attributes

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

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Velocidad de aparición del dolor:Tipo:Punto temporal:^ Paciente:Ordinal:Reported
es-AR Spanish (Argentina) SPEED OF PAIN ONSET:hallazgo:punto en el tiempo:^PATIENT:ordinal:informado
it-IT Italian (Italy) Velocità di insorgenza del dolore:Osservazione:Pt:^Paziente:Ord:Riportato
Synonyms: Anamnesi Comparsa del dolore Osservazione paziente Punto nel tempo (episodio) Velocità di comparsa del dolore
pt-BR Portuguese (Brazil) Rapidez no aparecimento de dor:Achado:Pt:^Paciente:Ord:Relatado
Synonyms: Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen
ru-RU Russian (Russian Federation) Темп боль начало:Находка:ТчкВрм:^Пациент:Пор:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Порядковый Темп возникновения боли Точка во времени;Момент
zh-CN Chinese (China) 疼痛发作速度: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(开始、发病、发生、起始、开端、肇始)速度 疼痛发作(开始、发病、发生、起始、开端、肇始);疼痛突然发作 病史与体格检查

56827-9 Symptom duration during occurrences or episodes

Fully-Specified Name

Component
Symptom duration during occurrences or episodes
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Sym dur during occurrences or episodes

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Duración de los síntomas durante ocurrencias o episodios:Tiempo:Punto temporal:^ Paciente:Cuantitativo:
fr-FR French (France) Durée des symptomes:Temps:Ponctuel:Patient:Numérique:
it-IT Italian (Italy) Sintomo, durata durante eventi o episodi:Tempo:Pt:^Paziente:Qn:
Synonyms: Durata del sintomo Durata di sintomi durante eventi o episodi Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Tempo (e.g. secondi)
pt-BR Portuguese (Brazil) Duração dos sintomas durante ocorrência ou episódio:Tempo:Pt:^Paciente:Qn:
Synonyms: ; Sym dur during occurrences or episodes; Durat; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Симптом продолжительность в течение проявлений или эпизодов:Время:ТчкВрм:^Пациент:Колич:
Synonyms: Время (в т.ч. в секундах) Количественный Точка во времени;Момент
zh-CN Chinese (China) 发生期间或患病期间的症状持续时间:时间: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 发生(出现)期间或患病(发作)期间的症状持续时间(持续时长、时长、时间长度、时间、时间长短、为时、为期、历时、延续时间、持久时间、持续期);发生或患病期间的症状持续时间 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 征兆;征候;症候;病症;表征 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 持续时长;时长;时间长度;为时;为期;历时;延续时间;持久时间 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 症状持续时间(持续时长、时长、时间长度、时间、时间长短、为时、为期、历时、延续时间、持久时间、持续期);症状的持续时间

38207-7 Pain duration - Reported

Fully-Specified Name

Component
Pain duration
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Pain duration Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73
Common Test Rank Get Info
7961

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Duración del dolor:Tiempo:Punto temporal:^ Paciente:Cuantitativo:Reported
es-AR Spanish (Argentina) PAIN DURATION:tiempo:punto en el tiempo:^PATIENT:cuantitativo:informado
it-IT Italian (Italy) Dolore, durata:Tempo:Pt:^Paziente:Qn:Riportato
Synonyms: Anamnesi Durata del dolore paziente Punto nel tempo (episodio) Tempo (e.g. secondi)
pt-BR Portuguese (Brazil) Duração da dor:Tempo:Pt:^Paciente:Qn:Relatado
Synonyms: Durat; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Боль продолжительность:Время:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Время (в т.ч. в секундах) Количественный Точка во времени;Момент
zh-CN Chinese (China) 疼痛持续时间:时间:时间点:^患者:定量型:报告法
Synonyms: 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 持续时长;时长;时间长度;为时;为期;历时;延续时间;持久时间 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 疼;痛;痛苦;悲痛;苦恼 疼痛持续时间(持续时长、时长、时间长度、时间、时间长短、为时、为期、历时、延续时间、持久时间、持续期) 病史与体格检查

Example Units

Unit Source
min;h;d Example UCUM Units

56866-7 Onset of painful contractions

Fully-Specified Name

Component
Onset of painful contractions
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Onset of painful contractions

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Inicio de contracciones dolorosas:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Comparsa di contrazioni dolorose:TmStp:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Início das contracções dolorosas:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Начало болезненных схваток:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 疼痛性收缩的发作:时间戳: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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 疼痛性收缩的发作(开始、发病、发生、起始、开端、肇始);充满痛苦的收缩的发作;引起疼痛的收缩的发作

56828-7 Time contractions became regular

Fully-Specified Name

Component
Time contractions became regular
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Time contractions became regular

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Las contracciones de tiempo se volvieron regulares:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ora contrazioni sono diventate regolari:TmStp:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Tempo de contrações tornou-se regular:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Время схватки стали регулярными:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 收缩变得规律的时间:时间戳: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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 收缩变得规律(正常、规则、整齐)的时间 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数)

56829-5 Time membranes ruptured

Fully-Specified Name

Component
Time membranes ruptured
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Time membranes ruptured

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tiempo de ruptura de membranas:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ora rottura membrane:TmStp:Pt:^Paziente:Qn:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Tempo de ruptura de membranas:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Время плодный пузырь разрыв:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 胎膜破裂时间:时间戳: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 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 时间(如秒);时间(如秒数) 破膜时间;破水时间

55259-6 Time last ate solid food

Fully-Specified Name

Component
Time last ate solid food
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Time last ate solid food

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) La última vez que comió alimentos sólidos:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ora ultima volta che ha mangiato cibi solidi:TmStp:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Hora da última refeição de alimentos sólidos:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Время последний приём твёрдой пищи:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 最后进食固体食物的时间:时间戳:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 最后吃固体食物的时间;固体食物的最后进食时间 病史与体格检查

55260-4 Time last drank liquid

Fully-Specified Name

Component
Time last drank liquid
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Time last drank liquid

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hora de la última vez que bebió líquido:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ora ultima volta che ha bevuto liquidi:TmStp:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Hora da última bebida líquida:#N/A:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; Liquids
ru-RU Russian (Russian Federation) Время последний приём жидкостей:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 最后饮用液体的时间:时间戳:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 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 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 最后喝进液体的时间;最后饮入液体的时间;液体的最后饮用时间 病史与体格检查

56830-3 Limitations in obtaining history

Fully-Specified Name

Component
Limitations in obtaining history
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Limitations in obtaining history

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Limitaciones en la obtención del historial:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Limitazioni nell'ottenere anamnesi:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Limitações na obtenção de histórico:Achado:Pt:^Paciente:Nom:
Synonyms: Finding; Findings; Point in time; Random; Nominal; Hx; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Ограничения в получении истории:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Ограничения при сборе анамнеза Точка во времени;Момент
zh-CN Chinese (China) 历史获取方面的限制:发现:时间点:^患者:名义型:
Synonyms: ED 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 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 在获取历史方面的限制;获取历史方面的限制;在历史获取方面的限制;历史获取方面的局限;病史获取方面的限制 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

56831-1 Problem associated signs and symptoms

Fully-Specified Name

Component
Problem associated signs and symptoms
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Problem associated signs+symptoms

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Common Test Rank Get Info
6800

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Signos y síntomas asociados al problema:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Problema, sintomi e segni associati:Osservazione:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio) Sintomi e segni associati al problema
pt-BR Portuguese (Brazil) Problemas associados a sinais e sintomas:Achado:Pt:^Paciente:Nom:
Synonyms: ; Problem associated signs+symptoms; Finding; Findings; Point in time; Random; Nominal; Assoc; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Проблема связанные признаки и симптомы:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 与问题相关联的症状与体征:发现:时间点:^患者:名义型:
Synonyms: ED 与问题相关联的体征与症状;与问题相关的症状与体征;问题相关症状与体征 关联的 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 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 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 有联系的 症状类 相关的 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

11450-4 Problem list - Reported

Fully-Specified Name

Component
Problem list
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Problem list Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Common Test Rank Get Info
9889

Member of these Panels

LOINC Long Common Name
57082-0 Antepartum record panel
69459-6 Care record summary panel
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
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
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
74449-0 Patient plan of care - recommended IHE set
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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
de-DE German (Germany) Problemliste:Befund:Zeitpunkt:^Patient:Nominal:Berichtet
es-MX Spanish (Mexico) Lista de problemas:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) lista de problemas:hallazgo:punto en el tiempo:^paciente:Nominal:informado
fr-BE French (Belgium) Liste de problèmes:Observation:Temps ponctuel:^Patient:Nominal:Rapporté
fr-CA French (Canada) Liste des problèmes:Observation:Temps ponctuel:^Patient:Nominal:Rapporté
it-IT Italian (Italy) Lista dei problemi:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) probleemlijst:bevinding:moment:^patiënt:nominaal:rapportage
pt-BR Portuguese (Brazil) Lista de problemas:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Проблем список:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Список проблем Точка во времени;Момент
zh-CN Chinese (China) 问题列表:发现:时间点:^患者:名义型:报告法
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 病史与体格检查 问题目录;问题清单 难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

11348-0 History of Past illness Narrative

Term Description

History of past illness describes the history related to their current complaints, problems, or diagnoses.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Past illness
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Past illness

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
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
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
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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
92576-8 Maternal discharge summary - recommended IHE set
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
de-DE German (Germany) Anamnese früherer Krankheiten:Anamnese:Zeitpunkt:^Patient:Freitext:
es-MX Spanish (Mexico) Enfermedad pasada:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de enfermedades pasadas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE French (Belgium) Anamnèse. Maladies antérieures:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Malattie pregresse:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi Malattie passate paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) ziektegeschiedenis:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) История предыдущих заболеваний:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: Анамнез заболеваний История Описательный Точка во времени;Момент
zh-CN Chinese (China) 既往病史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 既往疾病史;既往疾病历史 时刻;随机;随意;瞬间 病史与体格检查

11323-3 General health - Reported

Term Description

Information about the current health status of the patient.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
General health
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
General health Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
48769-4 Continuity of Care panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
74293-2 Oncology plan of care and summary - recommended CDA set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) estado general de salud:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Salud general:Tipo:Punto temporal:^ Paciente:Nominal:Reported
it-IT Italian (Italy) Salute generale:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Общее состояние здоровья:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 总体健康:发现:时间点:^患者:名义型:报告法
Synonyms: 一般健康;大体健康 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 病史与体格检查

11338-1 History of Major illnesses and injuries Narrative

Fully-Specified Name

Component
Major illnesses and injuries
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Enfermedades y lesiones graves:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de enfermedades y lesiones traumáticas importantes:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE French (Belgium) Anamnèse. Maladies majeures et blessures:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Principali malattie e lesioni:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История основных заболеваний и травм:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный 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:叙述型:
Synonyms: 主要疾病与损伤历史;主要疾病与受伤史 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

10162-6 History of pregnancies Narrative

Fully-Specified Name

Component
History of pregnancies
Property
Hx
Time
Pt
System
Reproductive system
Scale
Nar
Method

Additional Names

Short Name
Pregnancies Hx

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63
Change Reason
Previous Releases: Changed 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
81898-9 Composite triage and nursing note - recommended IHE set
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Anamnese früherer Schwangerschaften:Anamnese:Zeitpunkt:Reproduktionssystem:Freitext:
es-MX Spanish (Mexico) Historia de embarazos:Hx:Punto temporal:Sistema reproductivo:Narrativo:
es-AR Spanish (Argentina) antecedentes de embarazos:hallazgo:punto en el tiempo:sistema reproductor:Narrativo:informado
fr-BE French (Belgium) Anamnèse grossesses:Hx:Temps ponctuel:Système reproducteur:Narratif:
it-IT Italian (Italy) Storia di gravidanze:Hx:Pt:Apparato riproduttivo:Nar:
Synonyms: Anamnesi Apparato riproduttore Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) zwangerschapshistorie:voorgeschiedenis:moment:voortplantingsstelsel:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) История беременностей:Hx:ТчкВрм:Репродуктивная система:Опис:
Synonyms: Акушерский анамнез История Описательный Точка во времени;Момент
zh-CN Chinese (China) 妊娠史:历史记录:时间点:生殖系统: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 怀孕;怀孕期;妊娠期;妊娠类;妊娠(复数) 怀孕史;妊娠历史 时刻;随机;随意;瞬间 病史与体格检查

48765-2 Allergies

Term Description

Contains a list and description of any allergies or adverse reactions pertinent to current or past medical history. At a minimum this section should contain currently active and any relevant historical allergies and adverse reactions.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Allergies &or adverse reactions
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method

Additional Names

Short Name
Allergies &or adverse reactions Doc

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.21
Last Updated
Version 2.73
Change Reason
Previous Releases: Edited Component part from "Allergies, adverse reactions, alerts" to "Allergies &or adverse reactions." We removed the word "alerts" because it was potentially confusing by implying that it may contain other kinds of warnings (as a arbitrary example: public health disease outbreak notifications) when in fact it was always intended to be the typical "allergies" section.;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
57082-0 Antepartum record 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
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
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
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
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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
de-DE German (Germany) Allergien und unerwünschte Wirkungen:Befund:Zeitpunkt:^Patient:Dokument:
es-MX Spanish (Mexico) Alergias y reacciones adversas:Tipo:Punto temporal:^ Paciente:Documento:
it-IT Italian (Italy) Allergie &o reazioni avverse:Osservazione:Pt:^Paziente:Doc:
Synonyms: Allergie e reazioni avverse Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) allergieën en/of allergische reacties:bevinding:moment:^patiënt:document:
ru-RU Russian (Russian Federation) Аллергии &или неблагоприятные реакции:Находка:ТчкВрм:^Пациент:Док:
Synonyms: Документ Точка во времени;Момент
zh-CN Chinese (China) 变态反应和或不良反应:发现:时间点:^患者:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 变态反应与不良反应 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 过敏反应;过敏

44939-7 History of Adverse drug reaction Narrative

Term Description

Adverse drug events that includes any clinical manifestation that is undesired, unintended, or unexpected that is consequent to and caused by the administration of medications.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Adverse drug reaction
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Adverse drug rxn

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.56
Change Reason
Changed Component from "History of adverse drug reaction" to "Adverse drug reaction" and Property from "Find" to "Hx" per 8/2015 Clinical LOINC Committee decision
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reacción adversa al medicamento:Hx:Punto temporal:^ Paciente:Narrativo:
es-ES Spanish (Spain) Reacción adversa al medicamento:Antecedente:Punto temporal:^paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Réactions secondaires médicaments:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Reazioni farmacologiche avverse:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de reações adversas a drogas:Achado:Pt:^Paciente:Nar:
Synonyms: ; Adverse drug reaction Hx; Finding; Findings; Point in time; Random; Narrative; Report; Rxn; React; Drugs
ru-RU Russian (Russian Federation) История и неблагоприятная на лекарство реакция:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: Анамнез и неблагоприятные реакции на лекарства История Наркотик Описательный Точка во времени;Момент
zh-CN Chinese (China) 药物不良反应史:历史记录:时间点:^患者:叙述型:
Synonyms: React Rxn 不良药物反应史 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 响应 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 药物类

11382-9 Medication allergy - Reported

Fully-Specified Name

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

Additional Names

Short Name
Medication allergy Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.27

Example Answer List LL5328-1

Answer Code Score Answer ID
Aspirin LA26702-3
Iodine LA30119-4
Naproxen, ketoprofen or other non-steroidal LA14348-9
Penicillin LA28487-9
Sulfa drugs LA30118-6

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
69459-6 Care record summary panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) alergia a la medicación:antecedentes:punto en el tiempo:^paciente:Nominal:informado
es-MX Spanish (Mexico) Alergia a medicamentos:Hx:Punto temporal:^ Paciente:Nominal:Reported
fr-BE French (Belgium) Allergies médicaments:Hx:Temps ponctuel:^Patient:Nominal:Rapporté
fr-CA French (Canada) Médicaments allergie:Histoire:Temps ponctuel:^Patient:Nominal:Rapporté
it-IT Italian (Italy) Allergia ai farmaci:Hx:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Alergia a medicação:Hx:Pt:^Paciente:Nom:Relatado
Synonyms: History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Лекарственный препарат аллергия:Hx:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация История Лекарственная аллергия;Медикаментозная аллергия Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 药物变态反应:历史记录:时间点:^患者:名义型:报告法
Synonyms: Clem 的变态原分类 Clem 的变态反应分类 Clem 的过敏原分类 Clem 的过敏反应分类 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 药物过敏反应;药物过敏 过敏反应

10167-5 History of Surgical procedures Narrative

Fully-Specified Name

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

Additional Names

Short Name
Hx of Surg proc

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
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;
Common Test Rank Get Info
18927

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
81898-9 Composite triage and nursing note - recommended IHE set
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Procedimientos quirúrgicos:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de procedimientos quirúrgicos:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-CA French (Canada) Antécédents chirurgicaux:Histoire:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Procedure chirurgiche:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) chirurgische ingrepen:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese operaties
zh-CN Chinese (China) 外科手术操作项目类:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

46239-0 Chief complaint+Reason for visit Narrative

Term Description

This term is used to record the patient's chief complaint (the patient's own description) and/or the reason for the patient's visit (the provider's description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Chief complaint+Reason for visit
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Chief complaint+Reason for visit

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.19
Last Updated
Version 2.63
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
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
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
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Queja principal + Motivo de la visita:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Plainte principale+raison de visite:Observation:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Disturbo principale+Motivo dell'incontro:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Disturbo primario Disturbo primario e Motivo dell''incontro Lamenta Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) belangrijkste klacht + reden voor bezoek:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Reclamação à chefia+Motivo da visita:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Основная жалоба+Причина визита:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Причина визита Проблема;Заболевание Точка во времени;Момент
zh-CN Chinese (China) 主诉+就诊原因:发现:时间点:^患者:叙述型:
Synonyms: 主诉+就诊理由;主诉+就医原因;主诉+访视原因 关于就诊的理由;关于就诊(就医、访视)的原因;就诊原因;就诊理由;就医原因;访视原因;就医理由;访视理由 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 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 控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉 时刻;随机;随意;瞬间 病史与体格检查

11336-5 History of Hospitalization Narrative

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

10156-8 History of Childhood diseases Narrative

Fully-Specified Name

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

Additional Names

Short Name
Hx of Childhood diseases

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Enfermedades de la infancia:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de enfermedades durante la infancia:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE French (Belgium) Anamnèse. Maladies d'enfant:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Malattie infantili:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История детских болезней:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: Анамнез детских болезней История Описательный Точка во времени;Момент
zh-CN Chinese (China) 儿童疾病史:历史记录:时间点:^患者:叙述型:
Synonyms: 儿童疾病历史;童年疾病史;幼年疾病史;幼年病史 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

11346-4 History of Outpatient visits Narrative

Fully-Specified Name

Component
Outpatient visits
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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 2.63
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consultas ambulatorias:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Visitas ambulatorias:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Visite paziente esterno:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi visite paziente ambulatoriale
nl-NL Dutch (Netherlands) poliklinische bezoeken:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
zh-CN Chinese (China) 门诊就诊类:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

46264-8 History of medical device use

Term Description

History of medical device (medical equipment) use defines a patient's implanted and external medical devices and equipment that their health status depends on, as well as any pertinent equipment or device history. This term is also used to itemize any pertinent current or historical durable medical equipment (DME) used to help maintain the patient's health status. All pertinent equipment relevant to the diagnosis, care, and treatment of a patient should be included.
Source: Regenstrief LOINC

Fully-Specified Name

Component
History of medical device use
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
Hx medical device use

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.19
Last Updated
Version 2.67
Change Reason
Previous Releases: Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
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
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
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2 Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82811-1 Nurse summary note - recommended 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
de-DE German (Germany) Anamnese zum Einsatz von Medizinprodukten:Befund:Zeitpunkt:{Setting}:Dokument:{Funktion}
es-MX Spanish (Mexico) Historial de uso de dispositivos médicos:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Storia di uso di dispositivi medici:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione miscellanea Miscellanea Osservazione Punto nel tempo (episodio) Ruolo non specificato Strumento medico
nl-NL Dutch (Netherlands) voorgeschiedenis van gebruik van hulpmiddel:bevinding:moment:{instelling}:document:{rol}
pt-BR Portuguese (Brazil) Histórico da utilização dos dispositivos médicos:Achado:Pt:{Fixação}:Doc:{Fornecedor}
Synonyms: ; Medical device use Hx; Finding; Findings; Point in time; Random
zh-CN Chinese (China) 医疗装置使用史:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 医疗器材;医疗设备;医疗卫生器材 医疗装置使用历史;医学装置使用史;医疗器材使用史;医疗设备使用史;医疗卫生器材使用史 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 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 未加明确说明的角色 杂项;杂项类;杂项试验

10155-0 History of allergies, reported

Fully-Specified Name

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

Additional Names

Short Name
Hx of Allergies

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72062-3 Medication allergies panel [ESRD]

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de alergias:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Alergias:Hx:Punto temporal:^ Paciente:Narrativo:
fr-CA French (Canada) Allergies:Histoire:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Allergie:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) allergieën:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) Аллергии:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 变态反应:历史记录:时间点:^患者:叙述型:
Synonyms: 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 过敏反应;过敏

11334-0 History of Growth+Development Narrative

Fully-Specified Name

Component
Growth+Development
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de crecimiento+desarrollo:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Crecimiento + Desarrollo:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Croissance et développement:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Crescita+Sviluppo:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi Crescita e Sviluppo paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История роста+Развития:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: Анамнез роста и развития История Описательный Точка во времени;Момент
zh-CN Chinese (China) 生长发育史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 生长发育历史;生长+发育史;生长与发育史 病史与体格检查

11370-4 Immunization status - Reported

Fully-Specified Name

Component
Immunization status
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Immunization status Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.63

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) estado de inmunización:hallazgo:punto en el tiempo:^paciente:Nominal:informado
it-IT Italian (Italy) Immunizzazione, stato:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Stato di immunizzazione
nl-NL Dutch (Netherlands) status inentingen:bevinding:moment:^patiënt:nominaal:rapportage
Synonyms: vaccinatie
ru-RU Russian (Russian Federation) Иммунизация статус:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 疫苗接种状态:发现:时间点:^患者:名义型:报告法
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

11369-6 History of Immunization Narrative

Term Description

History of immunizations defines a patient's immunization status for the context and use case of the document type. Often included is current immunization status and possibly the entire immunization history.
Source: Regenstrief LOINC

Fully-Specified Name

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

Additional Names

Short Name
Hx of Immunization

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 immunizations" to "Immunization", 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
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
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
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
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
de-DE German (Germany) Impfanamnese:Anamnese:Zeitpunkt:^Patient:Freitext:
de-AT German (Austria) Synonyms: Immunisierungsstatus
es-AR Spanish (Argentina) antecedente de inmunización:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Inmunización:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Immunisations:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Immunizzazioni:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) inenting:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese vaccinatie
ru-RU Russian (Russian Federation) История иммунизаций:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 疫苗接种史:历史记录:时间点:^患者:叙述型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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

11458-7 Clostridium tetani immunization status

Fully-Specified Name

Component
Clostridium tetani immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
C tetani immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.34

Example Answer List LL940-8

Answer Code Score Answer ID
Complete - all required doses have been received to meet the requirements for a particular vaccine group. LA13421-5
On schedule - person is not overdue for a given dose in the series. Includes a person too young to start the series. LA13422-3
Overdue - person is late getting the next dose in the series. LA13423-1
Too old - cannot complete the series because the latest age for receiving dose has passed. LA13424-9
Immune LA27183-5
Contraindicated LA4216-3
Not Recommended LA4695-8

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Tetanus Immunstatus
es-MX Spanish (Mexico) Estado de vacunación contra Clostridium tetani:Hx:Punto temporal:^ Paciente:Nominal:
es-AR Spanish (Argentina) estado de inmunización contra el Clostridium tetani:antecedentes:punto en el tiempo:^paciente:Nominal:
fr-FR French (France) Clostridium tetani statut immunitaire:Histoire:Ponctuel:Patient:Résultat nominal:
it-IT Italian (Italy) Clostridium tetani, status immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Status immunizzazione clostridium tetani Storia;Anamnesi
nl-NL Dutch (Netherlands) Clostridium tetani immunisatie status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Clostridium tetani condição de imunização:Hx:Pt:^Paciente:Nom:
Synonyms: ; C tetani immunization status; Tet; Tetanus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Clostridium tetani иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 破伤风梭菌疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: Tet;强痉;强直;破伤风;破伤风梭状芽孢杆菌;破伤风梭状芽胞杆菌;破伤风症;破伤风芽孢梭菌 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 破伤风免疫接种状态;破伤风梭状芽孢杆菌免疫接种状态;破伤风梭状芽胞杆菌免疫接种状态;破伤风症免疫接种状态;破伤风芽孢梭菌免疫接种状态;破伤风梭菌免疫接种状态

55261-2 Rabies virus immunization status

Fully-Specified Name

Component
Rabies virus immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
RABV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32755-7 Rabies virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra el virus de la rabia:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Rabbia, stato immunizzazione virus:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi Virus della rabbia
pt-BR Portuguese (Brazil) Raiva vírus estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; RAcV immunization status; Lyssavirus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Бешенство вирус иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 狂犬病病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: RABV;儿犬病;恐水病;狂犬病;狂犬病毒;麻痹型狂犬病 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 免疫接种历史;免疫史;接种史;免疫接种史 免疫接种状态;接种状态;预防接种状态;疫苗接种状况;RABV;儿犬病;恐水病;狂犬病;狂犬病毒;麻痹型狂犬病 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

55262-0 Influenza virus immunization status

Fully-Specified Name

Component
Influenza virus immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
FLUV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32757-3 Influenza virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra el virus de la influenza:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Influenza virus, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Stato di immunizzazione dal virus dell''influenza Storia;Anamnesi Virus dell''influenza
nl-NL Dutch (Netherlands) Influenzavirus immunisatiestatus:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Influenza vírus estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; FLUV immunization status; Influ; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Грипп вирус иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 流感病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: FLUV;Influ;列性感冒病毒;流行性感冒病毒 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 流感病毒接种状态;流感病毒疫苗接种状态;流感病毒预防接种状态;流感病毒免疫接种状况 状况;情况 病史与体格检查

55263-8 Bordetella pertussis immunization status

Fully-Specified Name

Component
Bordetella pertussis immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
B pert immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra Bordetella pertussis:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Bordetella pertussis, status immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Status immunizzazione Bordetella pertussis Storia;Anamnesi
nl-NL Dutch (Netherlands) Bordetella pertussis immunisatie status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese bordetella pertussis immunisatie status kinkhoest vaccinatie
pt-BR Portuguese (Brazil) Bordetella pertussis estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; B pert immunization status; B pertussis; Whooping cough; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Bordetella pertussis иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 百日咳博德特菌疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 百日咳;百日咳博德特氏菌;胎咳;鸡咳 百日咳博德特菌(百日咳博德特氏菌)接种(预防接种、疫苗接种)状态;百日咳博德特菌预防接种状态;百日咳博德特菌疫苗接种状况

55264-6 Hepatitis A virus immunization status

Fully-Specified Name

Component
Hepatitis A virus immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
HAV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32762-3 Hepatitis A virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra el virus de la hepatitis A:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Epatite A virus , stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Stato immunizzazione del virus Epatite A Storia;Anamnesi Virus dell''epatite A
nl-NL Dutch (Netherlands) Hepatitis A virus immunisatie status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Hepatite A vírus estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; HAV immunization status; Hep A; History; Point in time; Random; Nominal; Hepatit; Hepatis
ru-RU Russian (Russian Federation) Гепатит A вирус иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 甲型肝炎病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: A 型 HAV;Hep A;甲型肝炎;甲肝;甲肝病毒;肝炎病毒 A 型 传染性肝炎 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 甲型肝炎病毒免疫状态;甲型肝炎病毒接种状态;甲型肝炎病毒免疫接种状态 病史与体格检查 肝

55265-3 Measles virus status

Fully-Specified Name

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

Additional Names

Short Name
MeV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32756-5 Measles virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del virus del sarampión:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Morbillo, stato virus:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato virus morbillo Storia;Anamnesi Virus di morbillo
pt-BR Portuguese (Brazil) Sarampo vírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; MeV status; Msls; Rubeola; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Корь вирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 麻疹病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: MeV;Msls;风疹;麻疹 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 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 状况;情况 病史与体格检查 麻疹病毒(MeV)状态;麻疹病毒状况;麻疹病毒情况

55266-1 Haemophilus influenzae B immunization status

Fully-Specified Name

Component
Haemophilus influenzae B immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
HIB immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de inmunización contra Haemophilus influenzae B:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Haemophilus influenzae B, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
nl-NL Dutch (Netherlands) Haemophilus influenzae B immunisatie status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Haemophilus influenzae B estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; HIB immunization status; Haem influ B; H influenza; H influenzae; H flu; History; Point in time; Random; Nominal; Influ; Haemoph
ru-RU Russian (Russian Federation) Haemophilus influenzae B иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 流感嗜血杆菌 B 型疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: B 型 免疫接种历史;免疫史;接种史;免疫接种史 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 嗜血杆菌属 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 流感嗜血杆菌 B 流感嗜血杆菌 B 型接种状态;流感嗜血杆菌 B 型预防接种状态;流感嗜血杆菌 B 型疫苗接种状况 状况;情况 病史与体格检查

55267-9 Human papilloma virus immunization status

Fully-Specified Name

Component
Human papilloma virus immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
HPV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de inmunización contra el virus del papiloma humano:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Papilloma virus umano, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
nl-NL Dutch (Netherlands) Humaan papillomavirus immunisatiestatus:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Papiloma vírus humano estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; HPV immunization status; Human papillomavirus; Genital warts; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Вирус папилломы человека иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 人乳头瘤病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: HPV;人乳头瘤病毒(Human papilloma virus,HPV);人类乳头瘤病毒;生殖器疣 人乳头瘤病毒(HPV)疫苗接种(免疫接种、接种、免疫)状态;人乳头瘤病毒免疫状态;人乳头瘤病毒接种状态;人乳头瘤病毒免疫接种状态 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

55268-7 Rotavirus immunization status

Fully-Specified Name

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

Additional Names

Short Name
RV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra rotavirus:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Rotavirus, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
pt-BR Portuguese (Brazil) Rotavírus estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; RV immunization status; ROTAV; Rotaviurs; Rotaviral; Rota virus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Ротавирус иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 轮状病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: ROTAV;RV 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 轮状病毒(ROTAV、RV)疫苗接种状态;轮状病毒免疫接种状态;轮状病毒接种状态;轮状病毒预防接种状态;轮状病毒疫苗接种状况

55269-5 Neisseria meningitidis immunization status

Fully-Specified Name

Component
Neisseria meningitidis immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
N men immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra Neisseria meningitidis:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Neisseria meningitidis, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
pt-BR Portuguese (Brazil) Neisseria meningitidis estado de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; N men immunization status; Meningitis; Meningococcal meningitis; N menigitidis; N meningitidis; Meningo; Meningococcus; History; Point in time; Random; Nominal; Mening; Meningid
ru-RU Russian (Russian Federation) Neisseria meningitidis иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 脑膜炎奈瑟菌疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 流脑;流行性脑脊髓膜炎;脑膜炎双球菌;脑膜炎双球菌性脑膜炎;脑膜炎奈瑟氏双球菌;脑膜炎奈瑟氏球菌;脑膜炎奈瑟氏菌;脑膜炎球菌;脑膜炎球菌性脑膜炎 状况;情况 病史与体格检查 脑膜炎奈瑟菌接种状态;脑膜炎奈瑟菌免疫接种状态;脑膜炎奈瑟菌预防接种状态;脑膜炎奈瑟菌疫苗接种状况

55270-3 Streptococcus pneumoniae polyvalent immunization status

Fully-Specified Name

Component
Streptococcus pneumoniae polyvalent immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
S pneum polyvalent immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de inmunización polivalente contra Streptococcus pneumoniae:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Streptococcus pneumoniae polivalente, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
pt-BR Portuguese (Brazil) Streptococcus pneumoniae polivalente estado de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; S pneum polyvalent immunization status; S pneumo; S pneumoniae; Pneumococcal; Pneumococ; Spn; Pneumococcal pneumonia; Pneumococcus; History; Point in time; Random; Nominal; Pneuovax; Pneumovax; Strep; Strept; Pneumon; Pneumo; Pneumonia; Pneu
ru-RU Russian (Russian Federation) Streptococcus pneumoniae поливалентный иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 肺炎链球菌多价疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 球菌肺炎;肺双;肺炎双球菌;肺炎球菌;肺链;链球菌肺炎 病史与体格检查 肺炎链球菌多价疫苗免疫接种状态;肺炎链球菌多价疫苗接种状态;肺炎链球菌多价疫苗预防接种状态;肺炎链球菌多价疫苗接种状况;肺炎球菌多价疫苗接种状态

55271-1 Streptococcus pneumoniae conjugated immunization status

Fully-Specified Name

Component
Streptococcus pneumoniae conjugated immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
S pneum conjugated immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de inmunización conjugado con Streptococcus pneumoniae:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Streptococcus pneumoniae coniugato, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
pt-BR Portuguese (Brazil) Streptococcus pneumoniae conjugado estado de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; S pneum conjugated immunization status; S pneumo; S pneumoniae; Pneumococcal; Pneumococ; Spn; Pneumococcal pneumonia; Pneumococcus; History; Point in time; Random; Nominal; Prevnar; Strep; Strept; Pneumon; Pneumo; Pneumonia; Pneu
ru-RU Russian (Russian Federation) Streptococcus pneumoniae конъюгированный иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 肺炎链球菌结合疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 球菌肺炎;肺双;肺炎双球菌;肺炎球菌;肺链;链球菌肺炎 病史与体格检查 肺炎链球菌结合疫苗免疫接种状态;肺炎链球菌结合疫苗接种状态;肺炎链球菌结合疫苗预防接种状态;肺炎链球菌结合疫苗接种状况;肺炎球菌结合疫苗接种状态

55272-9 Corynebacterium diphtheriae immunization status

Fully-Specified Name

Component
Corynebacterium diphtheriae immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
C diphtheriae immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de inmunización contra Corynebacterium diphtheriae:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Corynebacterium diphtheriae, status immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi
nl-NL Dutch (Netherlands) Corynebacterium diphtheriae immunisatiestatus:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese vaccinatie
pt-BR Portuguese (Brazil) Corynebacterium diphtheriae estado de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; C diphtheriae immunization status; Diptheria; Diphtheria; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Corynebacterium diphtheriae иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 白喉棒状杆菌疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 白喉 白喉棒状杆菌接种状态;白喉棒状杆菌免疫接种状态;白喉免疫接种状态

55273-7 Polio virus immunization status

Fully-Specified Name

Component
Polio virus immunization status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
PV immunization status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32765-6 Polio virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de vacunación contra el virus de la poliomielitis:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Polio virus, stato immunizzazione:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato di immunizzazione Storia;Anamnesi Virus poliomielitico
pt-BR Portuguese (Brazil) Polio vírus estágio de imunização:#N/A:Pt:^Paciente:Nom:
Synonyms: ; PV immunization status; Poliovirus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Полиомиелита вирус иммунизация статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Статус иммунизации Точка во времени;Момент
zh-CN Chinese (China) 脊髓灰质炎病毒疫苗接种状态:历史记录:时间点:^患者:名义型:
Synonyms: PV;小儿麻痹症病毒;小儿麻痹病毒;脊灰病毒 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 免疫接种历史;免疫史;接种史;免疫接种史 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 接种状态;免疫接种状态;预防接种状态;疫苗接种状况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 脊髓灰质炎病毒免疫接种状态;脊髓灰质炎病毒接种状态;脊髓灰质炎病毒预防接种状态;脊髓灰质炎病毒疫苗接种状况;小儿麻痹症病毒疫苗接种状态;脊灰病毒疫苗接种状态

55274-5 Varicella zoster virus status

Term Description

Includes immunization, history of disease, or results of testing
Source: Regenstrief LOINC

Fully-Specified Name

Component
Varicella zoster virus status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
VZV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
10305

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32750-8 Varicella zoster virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del virus de la varicela zóster:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Virus varicella zoster:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi Virus della varicella zoster
nl-NL Dutch (Netherlands) varicella-zostervirus status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese Varicella zoster virus Varicella zoster virus status
pt-BR Portuguese (Brazil) Varicella zoster vírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; VZV status; Shingles; Chicken pox; Human herpesvirus 3; HHV-3; Chickenpox; Herpes zoster; VZ; Chicken pox virus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Varicella zoster вирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 水痘带状疱疹病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: HHV-3;VZ;VZV;人类疱疹病毒 3 型;人类疱疹病毒 III 型;带状疱疹;水痘;水痘带状疱疹;水痘病毒;Varicella zoster virus;水痘-带状疱疹病毒 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 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 状况;情况 病史与体格检查

55275-2 Hepatitis B virus status

Term Description

Includes immunization, history of disease, or results of testing
Source: Regenstrief LOINC

Fully-Specified Name

Component
Hepatitis B virus status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
HBV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
11597

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32752-4 Hepatitis B virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del virus de la hepatitis B:Hx:Punto temporal:^ Paciente:Nominal:
fr-FR French (France) Hépatite B virus statut sérologique:Histoire:Ponctuel:Patient:Résultat nominal:
it-IT Italian (Italy) Epatite B virus, stato:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi HBV paziente Punto nel tempo (episodio) Stato del virus Epatite B Storia;Anamnesi
nl-NL Dutch (Netherlands) Hepatitis B-virus status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Hepatite B vírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; HBV status; HepB; Hep B; History; Point in time; Random; Nominal; Hepatit; Hepatis
ru-RU Russian (Russian Federation) Гепатит B вирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 乙型肝炎病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: B 型 HBV 状态;Hep B 状态;乙型肝炎状态;乙肝状态;乙肝病毒状态;肝炎病毒 B 型状态 HBV;Hep B;乙型肝炎;乙肝;乙肝病毒;肝炎病毒 B 型 传染性肝炎 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 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 状况;情况 病史与体格检查 肝

55276-0 Hepatitis C virus status

Fully-Specified Name

Component
Hepatitis C virus status
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
HCV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
9625

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32754-0 Hepatitis C virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del virus de la hepatitis C:Hx:Punto temporal:^ Paciente:Nominal:
fr-FR French (France) Hépatite C virus statut sérologique:Histoire:Ponctuel:Patient:Résultat nominal:
it-IT Italian (Italy) Epatite C virus, stato:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato del virus Epatite C Storia;Anamnesi Virus dell''epatite C
nl-NL Dutch (Netherlands) Hepatitis C-virus status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Hepatite C vírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; HCV status; Hep C; History; Point in time; Random; Nominal; Hepatit; Hepatis
ru-RU Russian (Russian Federation) Гепатит C вирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 丙型肝炎病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: C 型;丙;丙型 HCV 状态;Hep C 状态;丙型肝炎状态;丙肝状态;丙肝病毒状态;肝炎病毒 C 型状态 HCV;Hep C;丙型肝炎;丙肝;丙肝病毒;肝炎病毒 C 型 传染性肝炎 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 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 状况;情况 病史与体格检查 肝

55277-8 HIV status

Fully-Specified Name

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

Additional Names

Short Name
HIV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de VIH:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) HIV, stato:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stato HIV Storia;Anamnesi
pt-BR Portuguese (Brazil) HIV estado:#N/A:Pt:^Paciente:Nom:
Synonyms: AIDS; Human immunodeficiency virus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) HIV статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: ВИЧ История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) HIV 状态:历史记录:时间点:^患者:名义型:
Synonyms: AIDS;AIDS 病毒;人类免疫缺陷病毒;人类免疫缺陷病毒(Human immunodeficiency virus,HIV);爱滋病;艾滋病;艾滋病病毒;获得性免疫缺陷综合征;获得性免疫缺陷综合征(Acquired Immure Deficiency Syndrome,AIDS,艾滋病) 人类免疫缺陷病毒状态;AIDS 病毒状态;艾滋病病毒状态 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 状况;情况 病史与体格检查

55278-6 Rubella virus status

Term Description

Includes immunization, history of disease, or results of testing
Source: Regenstrief LOINC

Fully-Specified Name

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

Additional Names

Short Name
RUBV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
3742

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG32766-4 Rubella virus

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado del virus de la rubéola:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Rosolia, stato:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi Virus della rosolia
pt-BR Portuguese (Brazil) Rubéola vírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; RUNV status; RUBV; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Краснуха вирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 风疹病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: RUBV 传染毒;传染毒素;滤过性病原体;病毒类;过滤性病原体 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 状况;情况 病史与体格检查 风疹病毒状况;风疹病毒情况

55279-4 Cytomegalovirus status

Fully-Specified Name

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

Additional Names

Short Name
CMV status

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
16274

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado de citomegalovirus:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Citomegalovirus, status:Hx:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Status citomegalovirus Storia;Anamnesi
nl-NL Dutch (Netherlands) Cytomegalovirus status:voorgeschiedenis:moment:^patiënt:nominaal:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Citomegalovírus estágio:#N/A:Pt:^Paciente:Nom:
Synonyms: ; CMV status; Cytomgal; Cytomegalo virus; History; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Цитомегаловирус статус:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 巨细胞病毒状态:历史记录:时间点:^患者:名义型:
Synonyms: CMV 状态 CMV;涎腺病毒;细胞巨化病毒;细胞肥大病毒 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 状况;情况 病史与体格检查

11320-9 Feeding and dietary status Narrative - Reported

Fully-Specified Name

Component
Feeding and dietary status
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Feeding and dietary status Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) estado alimenticio y nutricional:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Estado alimentario y dietético:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
fr-BE French (Belgium) Alimentation et status diététique:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Alimentazione e stato nutrizionale:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Кормление и диета статус:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN Chinese (China) 喂养与膳食状态:发现:时间点:^患者:叙述型:报告法
Synonyms: 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 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 喂养(喂食、饲喂、饲养、供给、给食、进食、摄食、哺育、哺乳)与膳食状况;喂养与膳食情况;进食与膳食状态;喂养与饮食状态 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

47420-5 Functional status assessment note

Term Description

Functional status assessment describes the patient's status of normal functioning at the time a care record was created. Functional statuses include information regarding the patient relative to ambulatory ability, mental status or competency, activities of daily living (ADLs) (i.e. bathing, dressing, feeding, grooming), home/living situation having an effect on the health status of the patient, ability to care for self, social activity (i.e. issues with social cognition, participation with friends and acquaintances other than family members), occupation activity (i.e. activities partly or directly related to working), housework or volunteering, family and home responsibilities or activities related to home and family, communication ability (i.e. issues with speech, writing or cognition required for communication), and perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Functional status assessment note
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
Functional status note

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.19
Last Updated
Version 2.67
Change Reason
Previous Releases: Based on Clinical LOINC Committee approval on 2/17/2012, "note" was added to the Component as the Kind of Document.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.;
Order vs. Observation
Both
HL7® Attachment Structure
No IG exists

Member of these Panels

LOINC Long Common Name
81898-9 Composite triage and nursing note - recommended IHE set
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
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
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
74449-0 Patient plan of care - recommended IHE set
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

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Funktionelle Statusbeurteilung - Notiz:Befund:Zeitpunkt:{Setting}:Dokument:{Funktion}
es-MX Spanish (Mexico) Nota de evaluación del estado funcional:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Stato funzionale, nota di valutazione:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Nota di valutazione dello stato funzionale Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NL Dutch (Netherlands) beoordeling van functioneren:bevinding:moment:{instelling}:document:{rol}
zh-CN Chinese (China) 功能状态评估记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 功能(机能)状态(状况、情况)(评价、估计、估价、评论、估定、估算)记录;功能状况评估记录;功能情况评估记录 功能状况;功能情况 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 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 状况;情况 笔记;按语;注释;说明;票据;单据;证明书 评价;估计;估价;评论;估定;估算

11332-4 History of Cognitive function Narrative

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

Fully-Specified Name

Component
Cognitive function
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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 2.63
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
82811-1 Nurse summary note - recommended sections

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de la función cognitiva:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Función cognitiva:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Funzione cognitiva:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) cognitieve functie:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
zh-CN Chinese (China) 认知功能:历史记录:时间点:^患者:叙述型:
Synonyms: FCN 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 认知机能

29762-2 Social history Narrative

Term Description

The Social history section contains data defining the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Social history
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Social Hx

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.63

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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
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
de-DE German (Germany) Sozialanamnese:Befund:Zeitpunkt:^Patient:Freitext:
es-MX Spanish (Mexico) Historia social:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes sociales:hallazgo:punto en el tiempo:^paciente:Narrativo:
fr-BE French (Belgium) Histoire sociale:Observation:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Storia sociale:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) sociale geschiedenis:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Histórico social:Achado:Pt:^Paciente:Nar:
Synonyms: ; Social Hx; Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Социальная история:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Социальный анамнез Точка во времени;Момент
zh-CN Chinese (China) 社会史:发现:时间点:^患者:叙述型:
Synonyms: 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 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 社会历史

11380-3 Marital status and living arrangements Narrative - Reported

Fully-Specified Name

Component
Marital status and living arrangements
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Marital status+living arrang

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.48

HL7® Attributes

HL7® Field ID
PID-16

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado civil y arreglos de vivienda:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR Spanish (Argentina) estado civil y situación habitacional:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE French (Belgium) Status marital et mode de vie:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Stato civile e tenore di vita:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Семейное положение и жилищные условия:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN Chinese (China) 婚姻状况与生活安排:发现:时间点:^患者:叙述型:报告法
Synonyms: 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 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 在世;生存着的;有生命的;在活动中;没死 婚姻状态;婚否;婚姻情况 婚姻状态与生活安排;婚姻情况与生活安排 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

11294-6 Current employment Narrative - Reported

Fully-Specified Name

Component
Current employment
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Current employment Reported

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.66

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) empleo actual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Empleo actual:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
fr-BE French (Belgium) Emploi actuel:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Impiego attuale:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Amministrativo Dati demografici del paziente Lavoro attuale Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Текущая занятость:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Занятость в настоящее время Описательный Точка во времени;Момент
zh-CN Chinese (China) 当前职位:发现:时间点:^患者:叙述型:报告法
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 时刻;随机;随意;瞬间 目前工作;现任;现职;当前职业;当前工作;当前就职;当前(目前)就业(聘用、雇佣、从业、应聘)情况 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)

11340-7 History of Occupation Narrative

Part Descriptions

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

Fully-Specified Name

Component
Occupation
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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 2.66
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ocupación:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes laborales:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT Italian (Italy) Occupazione:Hx:Pt:^Paziente:Nar:
Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) beroep:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) Род занятости:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 职业:历史记录:时间点:^患者:叙述型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 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 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)

10161-8 History of Occupational exposure Narrative

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

Fully-Specified Name

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

Additional Names

Short Name
Hx of Occupational exposure

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de exposición en el ámbito laboral:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Exposición ocupacional:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Expositions professionnelles:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Esposizioni professionali:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История факторов рабочей среды воздействия:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 职业暴露史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 曝光 病史与体格检查 职业暴露历史 辐照

55280-2 Military service Narrative

Fully-Specified Name

Component
Military service
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Military service

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Servicio militar:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Servizio militare:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Serviço militar:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Военная служба:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 兵役:发现:时间点:^患者:叙述型:
Synonyms: 兵役状况;兵役情况;现役;服兵役;服役期;兵役制度;从军;当兵;参军 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 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

11330-8 History of Alcohol use Narrative

Fully-Specified Name

Component
Alcohol use
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de consumo de alcohol:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Consumo de alcohol:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Uso di alcol:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) alcoholgebruik:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: alcoholgebruik anamnese
ru-RU Russian (Russian Federation) Употребление алкоголя:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 酒精使用:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

11287-0 Alcoholic drinks per drinking day - Reported

Fully-Specified Name

Component
Alcoholic drinks per drinking D
Property
NRat
Time
1D
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Alcoholic drinks/drinking D Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Common Test Rank Get Info
1144

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) tragos con alcohol por día de consumo:índice numérico:1 día:^paciente:cuantitativo:informado
es-MX Spanish (Mexico) Bebidas alcohólicas por consumo D:NRat:1D:^ Paciente:Cuantitativo:Reported
it-IT Italian (Italy) Bevande alcoliche al giorno:NRat:1 gg:^Paziente:Qn:Riportato
Synonyms: 1 giorno; 1 die Anamnesi Drink alcolici al giorno;Unità alcoliche al giorno Indice numerico paziente
nl-NL Dutch (Netherlands) alcoholconsumpties per dag met alcoholgebruik:aantal/tijd:1 dag:^patiënt:kwantitatief:rapportage
Synonyms: 1D alcohol consumpties per D met alcohol gebruik
pt-BR Portuguese (Brazil) Bebidas alcóolicas bebidas por dia:NRat:1D:^Paciente:Qn:Relatado
Synonyms: ; Alcoholic drinks/drinking day; nRate; Number rate; Count/time; 1 day; 24 hours; 24HR; 24H; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Алкогольные напитки в злоупотребление день:КолСкор:1 день:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость
zh-CN Chinese (China) 每个饮酒日的酒精饮料杯数:计数型速率:1天:^患者:定量型:报告法
Synonyms: 1日;24.0小时;24小时;一天;一日;二十四小时 Rh;Rhesus;恒河猴;猕猴;罗猴 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) 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 每个饮酒日的酒精饮料杯数(标准杯数、标准饮酒单位数、标准饮酒量、份数、量);每个饮酒日的酒精饮料量 病史与体格检查

Example Units

Unit Source
/d Example UCUM Units
#drinks/day REGENSTRIEF

11286-2 Alcohol binge episodes per month - Reported

Fully-Specified Name

Component
Alcohol binge episodes per M
Property
NRat
Time
1Mo
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Alcohol binge episodes/M Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) episodios de consumo compulsivo de alcohol:índice numérico:1 minuto:^paciente:cuantitativo:informado
es-MX Spanish (Mexico) Episodios de atracones de alcohol por M:NRat:1Mes:^ Paciente:Cuantitativo:Reported
it-IT Italian (Italy) Episodi di consumo eccessivo di alcol al mese:NRat:1Mese:^Paziente:Qn:Riportato
Synonyms: 1 mese Anamnesi Episodi di sbronza al mese Indice numerico paziente
pt-BR Portuguese (Brazil) Episódios de bebedeiras ou embriaguez?????:NRat:1Mo:^Paciente:Qn:Relatado
Synonyms: ; Alcohol binge episodes/month; nRate; Number rate; Count/time; 1 month; 30 days; Quantitative; QNT; Quant; Quan; Alc
ru-RU Russian (Russian Federation) Алкоголь злоупотребление эпизодов в месяц:КолСкор:1 месяц:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость
zh-CN Chinese (China) 每个月的酗酒事件:计数型速率:1个月:^患者:定量型:报告法
Synonyms: 30天;30日;一个月;三十天;三十日 M 型 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) 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 每个月的疯狂饮酒事件;每个月的酒精狂饮事件;每个月的酒精放纵事件;每个月的酒精不节制事件;每个月的放纵狂饮事件;每个月的放纵大喝事件 病史与体格检查

Example Units

Unit Source
{#}/mo Example UCUM Units

44940-5 Alcoholic drinks per week - Reported

Term Description

Self reported usual or average number of standard alcoholic drinks the person consumes per week.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Alcoholic drinks per W
Property
NRat
Time
1W
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Alcoholic drinks per W Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.48
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Bebidas alcohólicas por W:NRat:1Semana:^ Paciente:Cuantitativo:Reported
it-IT Italian (Italy) Bevande alcoliche a settimana:NRat:1 sett:^Paziente:Qn:Riportato
Synonyms: 1 settimana Anamnesi Drink alcolici a settimana;Unità alcoliche a setti Indice numerico paziente
nl-NL Dutch (Netherlands) alcoholconsumpties per week:aantal/tijd:1 week:^patiënt:kwantitatief:rapportage
Synonyms: 1wk alcohol consumpties per W
pt-BR Portuguese (Brazil) Drinks alcóolicos por semana:NRat:1W:^Paciente:Qn:Relatado
Synonyms: ; Alcoholic drinks/week; nRate; Number rate; Count/time; 1 week; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Алкогольные напитки в неделю:КолСкор:1 неделя:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость
zh-CN Chinese (China) 每星期的酒精饮料杯数:计数型速率:1星期:^患者:定量型:报告法
Synonyms: 1周;一周;一星期 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) 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 每星期(每周、每个星期、每个礼拜、每礼拜)的酒精饮料杯数(标准杯数、标准饮酒单位数、标准饮酒量、份数、量);每周的酒精饮料;每周的酒精饮料量;每星期的酒精饮料量;每礼拜的酒精饮料 病史与体格检查

Example Units

Unit Source
{#}/wk Example UCUM Units

11366-2 History of Tobacco use Narrative

Fully-Specified Name

Component
Tobacco use status
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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 2.58
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

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88028-6 Tobacco use panel

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:Narrativo:informado
es-MX Spanish (Mexico) Estado de consumo de tabaco:Hx:Punto temporal:^ Paciente:Narrativo:
fr-CA French (Canada) Habitudes tabagiques:Histoire:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Status d'uso del tabacco:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) tabaksgebruik:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
zh-CN Chinese (China) 烟草使用状况:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

8663-7 Cigarettes smoked current (pack per day) - Reported

Fully-Specified Name

Component
Cigarettes smoked.current (pack per day)
Property
NRat
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Cigs smoked (pack/day) nRate Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
3283

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88028-6 Tobacco use panel

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Cigarrillos fumados corriente (paquete por día):NRat:Punto temporal:^ Paciente:Cuantitativo:Reported
es-AR Spanish (Argentina) cigarrillos fumados.actualmente (paquetes por día):número:punto en el tiempo:^paciente:cuantitativo:informado
it-IT Italian (Italy) Sigarette fumate.corrente (pacchetti al giorno):NRat:Pt:^Paziente:Qn:Riportato
Synonyms: Anamnesi Indice numerico paziente Punto nel tempo (episodio) Sigarette correntemente fumate (pacchetti al giorn
nl-NL Dutch (Netherlands) sigarettengebruik actueel (pakjes per dag):aantal/tijd:moment:^patiënt:kwantitatief:rapportage
pt-BR Portuguese (Brazil) Cigarros fumados.atual (maços por dia):NRat:Pt:^Paciente:Qn:Relatado
Synonyms: ; Cigarettes smoked (pack/day); nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Сигарет выкуривается.текущий (пачек в день):КолСкор:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 所抽香烟.当前 (每天包数):计数型速率:时间点:^患者:定量型:报告法
Synonyms: 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) 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 所抽(吸、抽吸)香烟(卷烟、纸烟).当前 (每天盒数);当前每日所吸香烟包数;当前每天所抽香烟盒数 日;昼;白天;周几;星期几 时刻;随机;随意;瞬间 病史与体格检查

Example Units

Unit Source
{#}/d Example UCUM Units

8664-5 Cigarettes smoked total (pack per year) - Reported

Fully-Specified Name

Component
Cigarettes smoked.total (pack per year)
Property
NRat
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Cigs smoked (pack/year) nRate Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.48

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Cigarrillos fumados total (paquete por año):NRat:Punto temporal:^ Paciente:Cuantitativo:Reported
es-AR Spanish (Argentina) cigarrillos fumados.total (paquetes por año):número:punto en el tiempo:^paciente:cuantitativo:informado
it-IT Italian (Italy) Sigarette fumate.totale (pacchetti all'anno):NRat:Pt:^Paziente:Qn:Riportato
Synonyms: Anamnesi Indice numerico paziente Punto nel tempo (episodio) Totale sigarette fumate (pacchetti all''anno)
nl-NL Dutch (Netherlands) sigarettengebruik totaal (pakjes per jaar):aantal/tijd:moment:^patiënt:kwantitatief:rapportage
pt-BR Portuguese (Brazil) Cigarros fumados.total (maços por ano):NRat:Pt:^Paciente:Qn:Relatado
Synonyms: ; Cigarettes smoked (pack/year); nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan; Tot; Totl
ru-RU Russian (Russian Federation) Сигарет выкуривается.общий (пачек в год):КолСкор:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 所抽香烟.总计 (每年包数):计数型速率:时间点:^患者:定量型:报告法
Synonyms: 全体数量 全部 共计 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) 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 总 总和 总数 总量 总额 所抽(吸、抽吸)香烟(卷烟、纸烟).总计 (每年盒数);每年所抽香烟总盒数;每年所吸香烟总包数 时刻;随机;随意;瞬间 汇总 病史与体格检查

Example Units

Unit Source
{#}/a Example UCUM Units

11342-3 History of Other nonmedical drug use Narrative

Fully-Specified Name

Component
Other nonmedical drug use
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

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:Narrativo:informado
es-MX Spanish (Mexico) Uso de otras drogas no médicas:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Utilisation de drogues nonmédicales:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Altro uso non medico di droghe:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) overig drugsgebruik:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
ru-RU Russian (Russian Federation) История немедикаментозных лекарств употребления:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Наркотик Описательный 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:叙述型:
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 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 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 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

56832-9 Type of substance abused

Fully-Specified Name

Component
Substance abused
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Type of substance abused

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.66

Example Answer List LL5221-8

Answer Code Score Answer ID
Alcohol LA28139-6
Illegal drugs LA29718-6
Prescription drugs LA29719-4

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
91393-9 Opioid risk tool panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Sustancia abusada:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Sostanza abusata:Tipo:Pt:^Paziente:Nom:
Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Substâncias de Abuso:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal; Subs; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Вещество злоупотребляемое:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 所滥用的物质:类型:时间点:^患者:名义型:
Synonyms: ED 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 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 所滥用的药物;所滥用的药品 时刻;随机;随意;瞬间 质

82589-3 Highest level of education

Part Descriptions

LP72877-1   Highest level of education
The highest level of education attained. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Highest level of education
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Highest level of educ

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.73
Change Reason
Removed the Method of Reported
Order vs. Observation
Observation
Common Test Rank Get Info
294

Normative Answer List LL7-6

Answer Code Score Answer ID
No schooling 1 LA35-1
8th grade/less 2 LA36-9
9-11 grades 3 LA37-7
High school 4 LA38-5
Technical or trade school 5 LA39-3
Some college 6 LA40-1
Bachelor's degree 7 LA41-9
Graduate degree 8 LA42-7

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45969-3 Deprecated MDS background information at admission form - version 2.0
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) El mas alto nivel de educación:Hx:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Livello più elevato di istruzione:Hx:Pt:^Paziente:Ord:
Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) Уровень образования:Hx:ТчкВрм:^Пациент:Пор:
Synonyms: История Порядковый Точка во времени;Момент
zh-CN Chinese (China) 文化程度:历史记录:时间点:^患者:序数型:
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;史;病史 教育程度;教育水平;教育等级;受教育程度 时刻;随机;随意;瞬间 程度 等级 级 级别 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)

11350-6 History of Sexual behavior Narrative

Fully-Specified Name

Component
Sexual behavior
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de conducta sexual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Comportamiento sexual:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Comportement sexuel:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Comportamento sessuale:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История полового поведения:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Половой анамнез Точка во времени;Момент
zh-CN Chinese (China) 性行为史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 性行为历史 时刻;随机;随意;瞬间 病史与体格检查

10182-4 History of Travel Narrative

Fully-Specified Name

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

Additional Names

Short Name
Hx of Travel

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
89543-3 Laboratory ask at order entry panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Viaje:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR Spanish (Argentina) antecedentes de viajes realizados:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT Italian (Italy) Viaggio:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
zh-CN Chinese (China) 旅行:历史记录:时间点:^患者:叙述型:
Synonyms: 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 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

11344-9 History of Other social factors Narrative

Fully-Specified Name

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

Additional Names

Short Name
Other social factors Hx

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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de otros factores sociales:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Otros factores sociales:Hx:Punto temporal:^ Paciente:Narrativo:
fr-BE French (Belgium) Anamnèse. Autres facteurs sociaux:Hx:Temps ponctuel:^Patient:Narratif:
it-IT Italian (Italy) Altri fattori sociali:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) История других социальных факторов:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 其他社会因素史:历史记录:时间点:^患者:叙述型:
Synonyms: 其他的 其他社会因素历史 其它 其它的 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 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 另外的 时刻;随机;随意;瞬间 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-MX Spanish (Mexico) Historia de enfermedades de miembros de la familia:Hx:Punto temporal:^ Miembro de la familia:Narrativo:
es-AR Spanish (Argentina) antecedentes de enfermedades en miembros familiares:hallazgo:punto en el tiempo:familia:Narrativo:informado
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

10187-3 Review of systems Narrative - Reported

Term Description

The Review of systems section contains a relevant collection of symptoms and functions systematically gathered by a clinician. It includes symptoms the patient is currently experiencing, some of which were not elicited during the history of present illness, as well as a potentially large number of pertinent negatives, for example, symptoms that the patient denied experiencing.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Review of systems
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Reported

Additional Names

Short Name
Review of systems

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.63

Member of these Panels

LOINC Long Common Name
69459-6 Care record summary panel
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
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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
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
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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) revisión de sistemas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
es-MX Spanish (Mexico) Revisión de sistemas:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
fr-BE French (Belgium) Revue des systèmes:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT Italian (Italy) Esame di apparati:Osservazione:Pt:^Paziente:Nar:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) beoordeling van systemen:bevinding:moment:^patiënt:tekstueel:rapportage
ru-RU Russian (Russian Federation) Исследование по системам:Находка:ТчкВрм:^Пациент:Опис:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN Chinese (China) 系统评审:发现:时间点:^患者:叙述型:报告法
Synonyms: 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 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 系统回顾;系统审核

56872-5 Constitutional symptoms Narrative

Fully-Specified Name

Component
Constitutional symptoms
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Constitutional symptoms

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas constitucionales:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Sintomi costituzionali:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Sintomas constitucionais:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Конституциональные симптомы:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 全身症状:发现:时间点:^患者:叙述型:
Synonyms: 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 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 症状类

8672-8 History of Nervous system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Neurologic system
Scale
Nar
Method

Additional Names

Short Name
Hx of Neurologic disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema neurológico:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema neurológico:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato neurologico:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Sistema nervoso Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de sintomas & doenças:Achado:Pt:Sistema Neurológico:Nar:Relatado
Synonyms: ; Sx & diseases Hx; Finding; Findings; Point in time; Random; Narrative; Report
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:神经系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

11358-9 History of Psychiatric disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Psychiatric
Scale
Nar
Method

Additional Names

Short Name
Hx of Psychiatric disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Psiquiátrico:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:psiquiátrico:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Psichiatrico:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:精神病学: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

10170-9 History of Endocrine system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Endocrine system
Scale
Nar
Method

Additional Names

Short Name
Hx of Endocrine disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema endocrino:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema endocrino:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato endocrino:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:内分泌系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

10172-5 History of Hematologic system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Hematologic system
Scale
Nar
Method

Additional Names

Short Name
Hx of Hematologic disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema hematológico:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema hematológico:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Sistema ematopoietico:Nar:
Synonyms: Anamnesi Apparato ematopoietico Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:造血系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 血液学/凝血 血液性

11352-2 History of Allergenic and Immunologic disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Allergic & Immunologic
Scale
Nar
Method

Additional Names

Short Name
Hx of Allergy+Immunologic disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:alérgico e inmunológico:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Alérgico e inmunológico:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Allergico & immunologico:Nar:
Synonyms: Allergico e Immunologico Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:变态反应系统与免疫系统:叙述型:
Synonyms: 免疫 免疫性的 免疫的 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 变应原系统与免疫系统;过敏原系统与免疫系统;过敏反应系统与免疫系统 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 症状和疾病 症状类

56836-0 History of Blood transfusion Narrative

Reference Information

Type Source Reference
Webcontent Integrating the Healthcare EnterpriseCopyright Copyright © 2009 IHE International.

Fully-Specified Name

Component
Blood transfusion
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Blood transfusion

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Change Reason
Previous Releases: Removed "History of" from Component and changed Property from "Find" to "Hx" per 8/2015 Clinical LOINC Committee decision;
Common Test Rank Get Info
10793

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
57083-8 Labor and Delivery record panel
92576-8 Maternal discharge summary - recommended IHE set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Transfusión de sangre:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Trasfusione di sangue:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) bloedtransfusie:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Histórico de transfusões sanguíneas:Achado:Pt:^Paciente:Nar:
Synonyms: ; Hx blood transfusion; Finding; Findings; Point in time; Random; Narrative; Report; Tx
ru-RU Russian (Russian Federation) История крови переливания:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент Трансфузионный анамнез
zh-CN Chinese (China) 输血:历史记录:时间点:^患者:叙述型:
Synonyms: 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 注入 灌输 病史与体格检查 血;全血 血库成分 - 输血 输注 输液 输血史;血液输注 输血法

56837-8 History of Neoplastic disease Narrative

Fully-Specified Name

Component
Neoplastic disease
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Neoplastic disease

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.56
Change Reason
Removed "History of" from Component and changed Property from "Find" to "Hx" per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Enfermedad neoplásica:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Malattie neoplastiche:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico de doenças neoplásicas:Achado:Pt:^Paciente:Nar:
Synonyms: ; Hx neoplastic disease; Finding; Findings; Point in time; Random; Narrative; Report; Dis
ru-RU Russian (Russian Federation) История неопластических заболеваний:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Онкологический анамнез Описательный Точка во времени;Момент
zh-CN Chinese (China) 肿瘤病史:历史记录:时间点:^患者:叙述型:
Synonyms: 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 疾 病 病史与体格检查 症 肿瘤性疾病史;肿瘤性疾病历史

56838-6 History of Infectious disease Narrative

Reference Information

Type Source Reference
Webcontent Integrating the Healthcare EnterpriseCopyright Copyright © 2009 IHE International.

Fully-Specified Name

Component
Infectious disease
Property
Hx
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Hx of Infectious disease

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.63
Change Reason
Previous Releases: Removed "History of" from Component and changed Property from "Find" to "Hx" per 8/2015 Clinical LOINC Committee decision;

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Enfermedad infecciosa:Hx:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Malattia infettiva:Hx:Pt:^Paziente:Nar:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL Dutch (Netherlands) besmettelijke ziekte:voorgeschiedenis:moment:^patiënt:tekstueel:
Synonyms: anamnese
pt-BR Portuguese (Brazil) Histórico de doenças infecciosas:Achado:Pt:^Paciente:Nar:
Synonyms: ; Hx infectious disease; Finding; Findings; Point in time; Random; Narrative; Report; Dis
ru-RU Russian (Russian Federation) Инфекционная болезнь:Hx:ТчкВрм:^Пациент:Опис:
Synonyms: История Описательный Точка во времени;Момент
zh-CN Chinese (China) 传染病:历史记录:时间点:^患者:叙述型:
Synonyms: 传染性疾病 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 疾 病 病史与体格检查 症

11357-1 History of Integumentary system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Integumentary system
Scale
Nar
Method

Additional Names

Short Name
Hx of Integumentary disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema tegumentario:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema tegumentario:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato tegumentario:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:皮肤系统: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 外皮系统 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

10178-2 History of Skin disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Skin
Scale
Nar
Method

Additional Names

Short Name
Hx of Skin disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:piel:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Piel:Narrativo:
fr-CA French (Canada) Symptômes et maladies:Histoire:Temps ponctuel:Peau:Narratif:
Synonyms: Antécédents médicaux
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Pelle:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:皮肤: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 皮;肤;表皮

11353-0 History of Breasts disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Breasts
Scale
Nar
Method

Additional Names

Short Name
Hx of Brsts disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Pechos:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:mamas:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Mammelle:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Seni Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:乳腺类:叙述型:
Synonyms: 乳腺(复数);乳房;乳房(复数);乳腺;乳腺(乳房) 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 症状和疾病 症状类

10171-7 History of Eyes disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Eyes
Scale
Nar
Method

Additional Names

Short Name
Hx of Eyes disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Ojos:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:ojos:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Occhi:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:眼睛类: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 眼睛(复数);目;眼;眼睛;眼部

11354-8 History of Ears and Nose and Sinuses and Mouth and Throat disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Ears & Nose & Sinuses & Mouth & Thr
Scale
Nar
Method

Additional Names

Short Name
Hx of ENSMT disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) oídos, nariz, senos paranasales, boca y fauces:hallazgo:punto en el tiempo:EARS & NOSE & SINUSES & MOUTH & THR:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Oídos, nariz, senos nasales, boca y trombocitopenia:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Orecchie & naso & seni & bocca & gola:Nar:
Synonyms: Anamnesi Orecchie e Naso e Seni e Bocca e Gola Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:耳与鼻与附鼻窦类与口与咽喉:叙述型:
Synonyms: 副鼻窦类(副鼻窦、鼻窦、鼻窦类、窦、窦类);窦(复数);窦道(复数);附鼻窦(复数) 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 嘴 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 耳 & 鼻 & 附鼻窦类(副鼻窦、鼻窦、鼻窦类、窦、窦类) & 口 & 咽喉;耳+鼻+鼻窦+口+咽喉;耳与鼻与鼻窦与口与咽喉;耳朵 & 鼻子 & 鼻窦 & 口 & 咽喉;耳朵+鼻子+鼻窦+口+咽喉;耳朵与鼻子与鼻窦与口与咽喉;耳、鼻、附鼻窦类、口与咽喉 鼻部

10169-1 History of Ear disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Ear
Scale
Nar
Method

Additional Names

Short Name
Hx of Ear disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Oreja:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:oído:Narrativo:informado
fr-CA French (Canada) Symptômes et maladies:Histoire:Temps ponctuel:Oreille:Narratif:
Synonyms: Antécédents médicaux
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Orecchio:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:耳: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 耳朵;耳部

10174-1 History of Nose disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Nose
Scale
Nar
Method

Additional Names

Short Name
Hx of Nose disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Nariz:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:nariz:Narrativo:informado
fr-CA French (Canada) Symptômes et maladies:Histoire:Temps ponctuel:Nez:Narratif:
Synonyms: Antécédents médicaux
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Naso:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:鼻: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 鼻部

10168-3 History of Cardiovascular system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Cardiovascular system
Scale
Nar
Method

Additional Names

Short Name
Hx of CVS disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato cardiovascular:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema cardiovascular:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato cardiovascolare:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Sistema cardiovascolare Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:心血管系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

10175-8 History of Oral cavity disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Oral cavity
Scale
Nar
Method

Additional Names

Short Name
Hx of Oral cavity disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:cavidad oral:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Cavidad oral:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Cavità orale:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:口腔: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 口;嘴 时刻;随机;随意;瞬间 洞 病史与体格检查 症状和疾病 症状类 空腔 窝

10177-4 History of Respiratory system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Respiratory system
Scale
Nar
Method

Additional Names

Short Name
Hx of Respiratory disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema respiratorio:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato respiratorio:Narrativo:informado
fr-CA French (Canada) Symptômes et maladies:Histoire:Temps ponctuel:Système respiratoire:Narratif:
Synonyms: Antécédents médicaux
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato respiratorio:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:呼吸系统: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 呼吸道标本(样品、样本);呼吸系统标本(样品、样本) 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

11355-5 History of Gastrointestinal system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Gastrointestinal system
Scale
Nar
Method

Additional Names

Short Name
Hx of GI disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato digestivo:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema gastrointestinal:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato gastrointestinale:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:胃肠道系统: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 时刻;随机;随意;瞬间 消化系统;消化道系统 病史与体格检查 症状和疾病 症状类

11356-3 History of Genitourinary systems disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Genitourinary systems
Scale
Nar
Method

Additional Names

Short Name
Hx of GU disorders

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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistemas genitourinarios:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparatos genitourinarios:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparati genito urinari:Nar:
Synonyms: Anamnesi Apparati genito-urinari Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:泌尿生殖系统类: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 时刻;随机;随意;瞬间 泌尿生殖系统(复数);泌尿生殖系统(泌尿生殖、生殖泌尿、生殖泌尿系统、泌尿生殖道、生殖泌尿道);泌尿生殖;生殖泌尿;生殖泌尿系统;泌尿生殖道;生殖泌尿道 病史与体格检查 症状和疾病 症状类

10176-6 History of Reproductive system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Reproductive system
Scale
Nar
Method

Additional Names

Short Name
Hx of Reproductive disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema reproductivo:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema reproductor:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato riproduttivo:Nar:
Synonyms: Anamnesi Apparato riproduttore Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:生殖系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

10181-6 History of Urinary tract disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Urinary tract
Scale
Nar
Method

Additional Names

Short Name
Hx of Urinary disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:vías urinarias:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Tracto urinario:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Tratto urinario:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:尿路: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 时刻;随机;随意;瞬间 泌尿道 病史与体格检查 症状和疾病 症状类

10176-6 History of Reproductive system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Reproductive system
Scale
Nar
Method

Additional Names

Short Name
Hx of Reproductive disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema reproductivo:Narrativo:
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema reproductor:Narrativo:informado
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato riproduttivo:Nar:
Synonyms: Anamnesi Apparato riproduttore Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:生殖系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

56871-7 History of Gynecologic system disorders

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Gynecologic system
Scale
Nar
Method

Additional Names

Short Name
Hx of Gynecologic system disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.63
Change Reason
Removed "History of" from Component and changed Property from "Find" to "Hx" per 8/2015 Clinical LOINC Committee decision.; Corrected spelling of "system" in "Gynecologic sytem".

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema ginecológico:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato ginecologico:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
pt-BR Portuguese (Brazil) Histórico dos sintomas e doenças:Achado:Pt:Sistema ginecológico:Nar:
Synonyms: ; Sx & diseases Hx; Finding; Findings; Point in time; Random; Narrative; Report
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:妇科系统: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 妇科学系统 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

49033-4 Menstrual History - Reported

Fully-Specified Name

Component
Menstrual History
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Menstrual Hx Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.21
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
3461

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Historia menstrual:Tipo:Punto temporal:^ Paciente:Nominal:Reported
fr-BE French (Belgium) Histoire menstruelle:Observation:Temps ponctuel:^Patient:Nominal:Rapporté
Synonyms: Anamnèse cycles ovariens
it-IT Italian (Italy) Storia Mestruale:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Storia dei cicli mestruali
pt-BR Portuguese (Brazil) Histórico menstrual:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: ; Menstrual Hx; Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Менструальная история:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Менструальный анамнез Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 月经史:发现:时间点:^患者:名义型:报告法
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 病史与体格检查

8678-5 Menstrual status - Reported

Fully-Specified Name

Component
Menstrual status
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Menstrual status Reported

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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado menstrual:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) estado menstrual:hallazgo:punto en el tiempo:^paciente:Nominal:informado
it-IT Italian (Italy) Stato mestruale:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Estado menstrual:Achado:Pt:^Paciente:Nom:Relatado
Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Менструальный статус:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 月经状态:发现:时间点:^患者:名义型:报告法
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 月经状况;月经情况 状况;情况 病史与体格检查

8659-5 Birth control method - Reported

Fully-Specified Name

Component
Birth control method
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Birth control method Reported

Basic Attributes

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

Example Answer List LL353-4

Answer Code Score Answer ID
Condom 1 LA6523-0
Oral contraceptive pill 2 LA6524-8
Injectable/implantable hormone 3 LA6525-5
Diaphragm/cervical cap 4 LA6526-3
Intrauterine device 5 LA6527-1
Vasectomy/tubal ligation/hysterectomy 6 LA6528-9

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
47245-6 HIV treatment form Document

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Método anticonceptivo:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-ES Spanish (Spain) metodo de control de natalidad:Tipo:Punto temporal:^paciente:Nom:Informado
es-AR Spanish (Argentina) método anticonceptivo:tipo:punto en el tiempo:^paciente:Nominal:informado
it-IT Italian (Italy) Metodo anticoncezionale:Tipo:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Metodo di controllo delle nascite paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Método de controle de natalidade:Tipo:Pt:^Paciente:Nom:Relatado
Synonyms: ; Method of; Meth; Typ; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Контрацепция метод:Тип:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 节育方法:类型:时间点:^患者:名义型:报告法
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 方;法;办法;方式 时刻;随机;随意;瞬间 病史与体格检查 节制生育方法;计划生育方法;生育控制方法;避孕方法

8665-2 Last menstrual period start date

Fully-Specified Name

Component
Date last menstrual period
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
LMP Start date

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
902

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
89543-3 Laboratory ask at order entry panel
49087-0 Maternal screen clinical predictors panel
62896-6 PhenX domain - Skin, bone, muscle and joint
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
86347-2 U.S. standard certificate of live birth - recommended 2003 revision set
86346-4 U.S. standard report of fetal death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Datum letzte Monatsblutung:Datum:Zeitpunkt:^Patient:Quantitativ:
de-AT German (Austria) Synonyms: Menses Startdatum
es-MX Spanish (Mexico) Fecha del último período menstrual:Fecha:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) fecha del último período menstrual:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:informado
fr-FR French (France) Date des dernières règles:Date:Ponctuel:Patient:Numérique:
fr-CA French (Canada) Date des dernières menstruations:Date:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Data ultimo ciclo mestruale:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) datum van laatste menstruatie:datum:moment:^patiënt:kwantitatief:
pt-BR Portuguese (Brazil) Data do último período menstrual:TmStp:Pt:^Paciente:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; LMP
ru-RU Russian (Russian Federation) Дата последнего менструального периода:Дата:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Son adet tarihi:Tarih:Zmlı:^Hasta:Kant:
zh-CN Chinese (China) 末次月经周期日期:日期:时间点:^患者:定量型:
Synonyms: 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 日子;几号 时刻;随机;随意;瞬间 最后一次月经周期日期;最后月经周期日期;末次经期日期 末次月经;末次月经期;末次月经日期;未次月经时间;最后一次月经期;最后一次月经 末次月经期 病史与体格检查

Example Units

Unit Source
{date} Example UCUM Units

56833-7 Pregnancy related history Narrative

Fully-Specified Name

Component
Pregnancy related history
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Pregnancy related history

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Historia relacionada con el embarazo:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Gravidanza, storia relativa:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Storia relativa a gravidanza
pt-BR Portuguese (Brazil) Gravidez história relacionada:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report; Gestation; Gravida; Gestations; Pregnancies
ru-RU Russian (Russian Federation) Беременность связанная история:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Акушерский анамнез Описательный Точка во времени;Момент
zh-CN Chinese (China) 妊娠相关病史:发现:时间点:^患者:叙述型:
Synonyms: 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 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 怀孕;怀孕期;妊娠期 怀孕相关病史;妊娠相关历史;妊娠相关史 时刻;随机;随意;瞬间 病史与体格检查

11778-8 Delivery date Estimated

Term Description

Delivery date for patient selected by practitioner using all pertinent information.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Delivery date
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method
Clinical.estimated

Additional Names

Short Name
Deliv date Clin est

Basic Attributes

Class
OB.US
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
1168

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
49087-0 Maternal screen clinical predictors panel
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
60687-1 Test of Infant Motor Performance Version 5.1

Member of these Groups Get Info

LOINC Group Group Name
LG50114-4 Delivery dateDate^Patient

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Entbindungstermin:Datum:Zeitpunkt:^Patient:Quantitativ:Klinisch.geschätzt
es-MX Spanish (Mexico) Fecha de entrega:Fecha:Punto temporal:^ Paciente:Cuantitativo:Clinical.estimated
es-AR Spanish (Argentina) fecha de parto:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:clínico.estimado
it-IT Italian (Italy) Data del parto:Data:Pt:^Paziente:Qn:Clinico.stimato
Synonyms: Clinico.stima Ecografia ostetrica paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) aterme datum:datum:moment:^patiënt:kwantitatief:klinische schatting
Synonyms: à terme datum; uitgerekende datum
pt-BR Portuguese (Brazil) Data provável do parto:TmStp:Pt:^Paciente:Qn:Clinicamente.estimado
Synonyms: Due date; Date of confinement; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; Clin est; Est; estimation; OBSTERICAL.ULTRASOUND; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics; EDC; EDD
ru-RU Russian (Russian Federation) Роды дата:Дата:ТчкВрм:^Пациент:Колич:Клинический.оценочный
Synonyms: Дата родов Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Doğum tarihi:Tarih:Zmlı:^Hasta:Kant:Klinik.hesaplanmış
Synonyms: Klinik.tahmini Travay tarihi
uk-UA Ukrainian (Ukraine) Дата пологів:Дата:МоментЧасу:^Пацієнт:Кількісно:Клінічний.розрахунковий
Synonyms: AOEObservation; Clin est; Date of confinement; Deliv date; Due date; EDC; EDD; Est; estimation; Gyn; Gynecology; OB; ObGyn; OBSTERICAL; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics; Point in time; QNT; Quan; Quant; Quantitative; Random
zh-CN Chinese (China) 分娩日期:日期:时间点:^患者:定量型:临床.估计法
Synonyms: EDD Estimated delivery date 交货日期;交货期;落货期;投送日期 产科 产科.超声;产科.超声.印象与测量指标;产科学.超声;产科学.超声.印象与测量指标;产科学检查与测量指标.超声.印象与测量指标;产科学超声印象与测量指标 产科学 估计的分娩日期 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 胎龄估计法;孕龄估计法 预估的分娩日期 预计的分娩日期

11996-6 [#] Pregnancies

Term Description

Total number of times the patient has been pregnant including the present pregnancy
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pregnancies
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Pregnancies

Basic Attributes

Class
OB.US
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
3386

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
86636-8 Family planning report - FPAR 2.0 set
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
49087-0 Maternal screen clinical predictors panel
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Embarazos:Num:Punto temporal:^ Paciente:Cuantitativo:Reported
es-AR Spanish (Argentina) embarazos:número:punto en el tiempo:^paciente:cuantitativo:informado
it-IT Italian (Italy) Gravidanze:Num:Pt:^Paziente:Qn:Riportato
Synonyms: Ecografia ostetrica Numero (conta) paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) zwangerschappen:aantal:moment:^patiënt:kwantitatief:rapportage
pt-BR Portuguese (Brazil) Gravidezes:Num:Pt:^Paciente:Qn:Relatado
Synonyms: Gestation; Gravida; Gestations; Pregnancy; Number; Count; Cnt; Point in time; Random; Quantitative; QNT; Quant; Quan; OBSTERICAL.ULTRASOUND; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics
ru-RU Russian (Russian Federation) Беременности:Кол:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 妊娠:数量(计数):时间点:^患者:定量型:报告法
Synonyms: 个数;数量;数量或计数(非负整数);计数 产科 产科.超声;产科.超声.印象与测量指标;产科学.超声;产科学.超声.印象与测量指标;产科学检查与测量指标.超声.印象与测量指标;产科学超声印象与测量指标 产科学 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 怀孕;怀孕期;妊娠期;妊娠类;妊娠(复数) 时刻;随机;随意;瞬间

Example Units

Unit Source
{#} Example UCUM Units

11977-6 [#] Parity

Term Description

Total number of times the uterus has been emptied of viable offspring.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Parity
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Parity

Basic Attributes

Class
OB.US
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
3102

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
86636-8 Family planning report - FPAR 2.0 set
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
49087-0 Maternal screen clinical predictors panel
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Paridad:Num:Punto temporal:^ Paciente:Cuantitativo:Reported
es-AR Spanish (Argentina) número de partos:número:punto en el tiempo:^paciente:cuantitativo:informado
fr-BE French (Belgium) Parité:Nombre:Temps ponctuel:^Patient:Quantitatif:Rapporté
it-IT Italian (Italy) Parità:Num:Pt:^Paziente:Qn:Riportato
Synonyms: Ecografia ostetrica Numero (conta) paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) pariteit:aantal:moment:^patiënt:kwantitatief:rapportage
pt-BR Portuguese (Brazil) Paridade:Num:Pt:^Paciente:Qn:Relatado
Synonyms: Para; Number; Count; Cnt; Point in time; Random; Quantitative; QNT; Quant; Quan; OBSTERICAL.ULTRASOUND; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics
ru-RU Russian (Russian Federation) Количество детей:Кол:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество Точка во времени;Момент
zh-CN Chinese (China) 奇偶性:数量(计数):时间点:^患者:定量型:报告法
Synonyms: 个数;数量;数量或计数(非负整数);计数 产次;奇偶;经产状况 产科 产科.超声;产科.超声.印象与测量指标;产科学.超声;产科学.超声.印象与测量指标;产科学检查与测量指标.超声.印象与测量指标;产科学超声印象与测量指标 产科学 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间

Example Units

Unit Source
{#} Example UCUM Units

10181-6 History of Urinary tract disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Urinary tract
Scale
Nar
Method

Additional Names

Short Name
Hx of Urinary disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:vías urinarias:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Tracto urinario:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Tratto urinario:Nar:
Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:尿路: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 时刻;随机;随意;瞬间 泌尿道 病史与体格检查 症状和疾病 症状类

55281-0 Number of fetuses

Fully-Specified Name

Component
Fetuses
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
# Fetuses

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
3607

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fetos:Num:Punto temporal:^ Paciente:Cuantitativo:
fr-BE French (Belgium) Foetus:Nombre:Temps ponctuel:^Patient:Quantitatif:
fr-CA French (Canada) Fœtus:Nombre:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Feti:Num:Pt:^Paziente:Qn:
Synonyms: Anamnesi Numero (conta) paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) foetussen:aantal:moment:^patiënt:kwantitatief:
pt-BR Portuguese (Brazil) Fetos:#N/A:Pt:^Paciente:Qn:
Synonyms: Fetal; Number; Count; Cnt; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Плоды:Кол:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Количество Точка во времени;Момент
tr-TR Turkish (Turkey) Fetuslar:Say:Zmlı:^Hasta:Kant:
uk-UA Ukrainian (Ukraine) Плоди:Чисельність:МоментЧасу:^Пацієнт:Кількісно:
Synonyms: Cnt; Count; Fetal; Gyn; Gynecology; H+P; H+P.HX; Number; OB; ObGyn; Obstetrics; P prime; Point in time; QNT; Quan; Quant; Quantitative; Random
zh-CN Chinese (China) 多个胎儿:数量(计数):时间点:^患者:定量型:
Synonyms: 个数;数量;数量或计数(非负整数);计数 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 多胞胎;胎(复数);胎儿;胎儿(复数) 时刻;随机;随意;瞬间 病史与体格检查

Example Units

Unit Source
{#} Example UCUM Units

56834-5 Fetal Narrative Movement

Fully-Specified Name

Component
Movement
Property
Find
Time
Pt
System
^Fetus
Scale
Nar
Method

Additional Names

Short Name
Fet Movement

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Movimiento:Hallazgo:Punto temporal:^Feto:Narrativo:
es-MX Spanish (Mexico) Movimiento:Tipo:Punto temporal:^ Feto:Narrativo:
it-IT Italian (Italy) Movimento:Osservazione:Pt:^feto:Nar:
Synonyms: Anamnesi Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Movimento:Achado:Pt:^Feto:Nar:
Synonyms: Finding; Findings; Point in time; Random; Fet; Fetal; Narrative; Report
ru-RU Russian (Russian Federation) Движение:Находка:ТчкВрм:^Плод:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 运动:发现:时间点:^胎儿:叙述型:
Synonyms: 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 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 活动;动作;举动;运行;移动 病史与体格检查 胎;超系统 - 胎儿

56835-2 Viability of current pregnancy Narrative

Fully-Specified Name

Component
Viability of current pregnancy
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Viability of current pregnancy

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Viabilidad del embarazo actual:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Fattibilità della gravidanza attuale:Osservazione:Pt:^Paziente:Nar:
Synonyms: Anamnesi Osservazione paziente Possibilità di sopravvivenza della gravidanza attu Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Viabilidade da gravidez atual:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report; Gestation; Gravida; Gestations; Pregnancies
ru-RU Russian (Russian Federation) Жизнеспособность текущей беременности:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 当前妊娠的成活性:发现:时间点:^患者:叙述型:
Synonyms: 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 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 当前怀孕的成活性 怀孕;怀孕期;妊娠期 时刻;随机;随意;瞬间 病史与体格检查

11449-6 Pregnancy status - Reported

Term Description

Patient's pregnancy status (e.g., pregnant, not pregnant), as reported by the patient or the patient's proxy.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pregnancy status
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
Reported

Additional Names

Short Name
Pregnancy status Reported

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.73
Change Reason
10/2016: Added term description and example answer list; Updated Property to Find to align with similar terms
Order vs. Observation
Observation
Common Test Rank Get Info
4559

Example Answer List LL4129-4

Answer Code Score Answer ID
Pregnant LA15173-0
Not pregnant LA26683-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
68991-9 Epidemiologically important information for public health reporting panel
47245-6 HIV treatment form Document
89543-3 Laboratory ask at order entry panel

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Schwangerschafts-St.
es-MX Spanish (Mexico) Estado de embarazo:Tipo:Punto temporal:^ Paciente:Nominal:Reported
es-AR Spanish (Argentina) estado de embarazo:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:informado
it-IT Italian (Italy) Gravidanza, stato:Osservazione:Pt:^Paziente:Nom:Riportato
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Stato gravidico
nl-NL Dutch (Netherlands) zwangerschapsstatus:bevinding:moment:^patiënt:nominaal:rapportage
pt-BR Portuguese (Brazil) Estado de gravidez:Imp:Pt:^Paciente:Nom:Relatado
Synonyms: Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal; Gestation; Gravida; Gestations; Pregnancies
ru-RU Russian (Russian Federation) Беременность статус:Находка:ТчкВрм:^Пациент:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 妊娠状态:发现:时间点:^患者:名义型:报告法
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 怀孕;怀孕期;妊娠期 怀孕状态;妊娠状况;妊娠情况 时刻;随机;随意;瞬间 状况;情况 病史与体格检查

55282-8 Date symptoms of pregnancy first noted

Fully-Specified Name

Component
Date symptoms of pregnancy first noted
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Date symptoms of pregnancy 1st noted

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fecha en que se notaron por primera vez los síntomas del embarazo:Fecha:Punto temporal:^ Paciente:Cuantitativo:
fr-FR French (France) Date du 1er symptome de grossesse:Date:Ponctuel:Patient:Numérique:
it-IT Italian (Italy) Data sintomi di gravidanza notati per la prima volta:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Data da observação dos sintomas da primeira gravidez:#N/A:Pt:^Paciente:Qn:
Synonyms: ; Date symptoms of pregnancy 1st noted; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; Gestation; Gravida; Gestations; Pregnancies
ru-RU Russian (Russian Federation) Дата симптомы беременности впервые отмечены:Дата:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Точка во времени;Момент
zh-CN Chinese (China) 妊娠症状首次记录日期:日期:时间点:^患者:定量型:
Synonyms: 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 妊娠症状首次提及日期 怀孕;怀孕期;妊娠期 日子;几号 时刻;随机;随意;瞬间 病史与体格检查 症状类

10173-3 History of Musculoskeletal system disorders Narrative

Fully-Specified Name

Component
Symptoms & diseases
Property
Hx
Time
Pt
System
Musculoskeletal system
Scale
Nar
Method

Additional Names

Short Name
Hx of Musculoskeletal disorders

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 1.0i
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
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema musculoesquelético:Narrativo:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema musculoesquelético:Narrativo:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato muscolo-scheletrico:Nar:
Synonyms: Anamnesi Apparato muscolo scheletrico Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:肌肉骨骼系统: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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类 肌肉-骨骼系统

29545-1 Physical findings Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.63

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
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
81245-3 Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
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
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:^Paciente:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:^患者: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

9272-6 1 minute Apgar Score

Fully-Specified Name

Component
Score^1M post birth
Property
Fcn
Time
Pt
System
^Patient
Scale
Qn
Method
Apgar

Additional Names

Short Name
1M Apgar Score

Basic Attributes

Class
NEONAT
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Change Reason
We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Order vs. Observation
Observation
Common Test Rank Get Info
5867

Member of these Panels

LOINC Long Common Name
48334-7 1 minute Apgar panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Puntuación ^1 M después del nacimiento:Fcn:Punto temporal:^ Paciente:Cuantitativo:Apgar
es-AR Spanish (Argentina) puntaje^1 minuto después del nacimiento:función:punto en el tiempo:^paciente:ordinal:Apgar
it-IT Italian (Italy) Punteggio^1Minuto post nascita:Fcn:Pt:^Paziente:Qn:Apgar
Synonyms: 1 minuto dopo la nascita Funzione Misurazioni neonatali paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) score^1 min na de geboorte:functie:moment:^patiënt:kwantitatief:Apgar
zh-CN Chinese (China) 评分^在出生之后1分钟:功能:时间点:^患者:定量型:阿普伽新生儿评分法
Synonyms: 1Min之后于出生;1Min之后于给予出生;1分钟之后于出生;1分钟之后于给予出生;在出生之后1Min;在给予出生之后1Min;在给予出生之后1分钟 Apgar 新生儿评分;Apgar 新生儿评分法;阿普伽新生儿评分 XXX刺激 - 在...之后 之后于... 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在...以后 在后 新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分 时刻;随机;随意;瞬间

Example Units

Unit Source
{score} Example UCUM Units

9274-2 5 minute Apgar Score

Fully-Specified Name

Component
Score^5M post birth
Property
Fcn
Time
Pt
System
^Patient
Scale
Qn
Method
Apgar

Additional Names

Short Name
5M Apgar Score

Basic Attributes

Class
NEONAT
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Change Reason
We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Order vs. Observation
Observation
Common Test Rank Get Info
5864

Member of these Panels

LOINC Long Common Name
48333-9 5 minute Apgar panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
62863-6 PhenX domain - Infectious diseases and immunity
86347-2 U.S. standard certificate of live birth - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Score^5 Minuten nach Geburt:Funktion:Zeitpunkt:^Patient:Quantitativ:Apgar-Score
es-MX Spanish (Mexico) Puntuación ^5 M después del nacimiento:Fcn:Punto temporal:^ Paciente:Cuantitativo:Apgar
es-AR Spanish (Argentina) puntaje^5 minutos después del nacimiento:función:punto en el tiempo:^paciente:ordinal:Apgar
it-IT Italian (Italy) Punteggio^5Minuti post nascita:Fcn:Pt:^Paziente:Qn:Apgar
Synonyms: 5 minuti dopo la nascita Funzione Misurazioni neonatali paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) score^5 min na geboorte:functie:moment:^patiënt:kwantitatief:Apgar
Synonyms: 5M na de geboorte
zh-CN Chinese (China) 评分^在出生之后5分钟:功能:时间点:^患者:定量型:阿普伽新生儿评分法
Synonyms: 5Min之后于出生;5Min之后于给予出生;5分钟之后于出生;5分钟之后于给予出生;在出生之后5Min;在给予出生之后5Min;在给予出生之后5分钟 Apgar 新生儿评分;Apgar 新生儿评分法;阿普伽新生儿评分 XXX刺激 - 在...之后 之后于... 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在...以后 在后 新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分 时刻;随机;随意;瞬间

Example Units

Unit Source
{score} Example UCUM Units

9271-8 10 minute Apgar Score

Fully-Specified Name

Component
Score^10M post birth
Property
Fcn
Time
Pt
System
^Patient
Scale
Qn
Method
Apgar

Additional Names

Short Name
10M Apgar Score

Basic Attributes

Class
NEONAT
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.48
Change Reason
We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
48332-1 10 minute Apgar panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
86347-2 U.S. standard certificate of live birth - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Score^10 Minuten nach Geburt:Funktion:Zeitpunkt:^Patient:Quantitativ:Apgar-Score
es-MX Spanish (Mexico) Puntuación ^10 M después del nacimiento:Fcn:Punto temporal:^ Paciente:Cuantitativo:Apgar
es-AR Spanish (Argentina) puntaje^10 minutos después del nacimiento:función:punto en el tiempo:^paciente:ordinal:Apgar
it-IT Italian (Italy) Punteggio^10Minuti post nascita:Fcn:Pt:^Paziente:Qn:Apgar
Synonyms: 10 minuti dopo la nascita Funzione Misurazioni neonatali paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) score^10 min na de geboorte:functie:moment:^patiënt:kwantitatief:Apgar
zh-CN Chinese (China) 评分^在出生之后10分钟:功能:时间点:^患者:定量型:阿普伽新生儿评分法
Synonyms: 10Min之后于出生;10分钟之后于出生;在出生之后10Min Apgar 新生儿评分;Apgar 新生儿评分法;阿普伽新生儿评分 XXX刺激 - 在...之后 之后于... 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在...以后 在后 新生儿;新生儿阿普伽;新生儿阿普伽评分;阿普伽新生儿评分 时刻;随机;随意;瞬间

Example Units

Unit Source
{score} Example UCUM Units

10210-3 Physical findings of General status Narrative

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

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
General status
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find General status

Basic Attributes

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

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

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:estado general:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Estatus general:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Stato generale:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Estado geral:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Общий статус:Опис:Наблюдённый
Synonyms: Общее состояние Описательный Точка во времени;Момент
zh-CN Chinese (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

56839-4 Acuity assessment Narrative

Fully-Specified Name

Component
Acuity assessment
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Acuity assess

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación de la agudeza:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Acutezza, valutazione:Osservazione:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio) Valutazione di acutezza
nl-NL Dutch (Netherlands) vaststelling acute karakter:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Avaliação da acuidade:Achado:Pt:^Paciente:Nar:
Synonyms: ; Acuity assess; Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Острота оценка:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 病情危急程度评估:发现:时间点:^患者:叙述型:
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 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 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 时刻;随机;随意;瞬间 病史与体格检查 病情(疾病)危急(剧烈、严重、危及、紧急)程度评估(评价、估计、估价、评论、估定、估算) 评价;估计;估价;评论;估定;估算

8716-3 Vital signs

Term Description

The Vital signs section includes blood pressure, body temperature, heart rate, and respiratory rate. It may also include other clinical findings, such as height, weight, body mass index, head circumference, and pulse oximetry. In particular, notable vital signs or physical findings such as the most recent, maximum and/or minimum, baseline, or relevant trends may be included.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Vital signs
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Vital signs

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
576

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
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
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
92575-0 Labor and delivery admission history and physical - recommended IHE set
57083-8 Labor and Delivery record panel
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
82811-1 Nurse summary note - recommended sections
82308-8 Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2 Oncology plan of care and summary - recommended CDA set
72225-6 Progress note - recommended C-CDA R1.1 sections
81216-4 Progress 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
de-DE German (Germany) Vitalparameter:Befund:Zeitpunkt:^Patient:Freitext:Beobachtet
es-MX Spanish (Mexico) Signos vitales:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:signos vitales:Narrativo:observado
fr-BE French (Belgium) Signes vitaux:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Segni vitali:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) vitale functies:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sinais vitais:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Жизненно важные функции:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 生命体征:发现:时间点:^患者:叙述型:观察法
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 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 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 时刻;随机;随意;瞬间 生命体征类;生命征象 病史与体格检查 观测法

38208-5 Pain severity - Reported

Fully-Specified Name

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

Additional Names

Short Name
Pain severity Reported

Basic Attributes

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

Example Answer List LL1014-1

Answer Code Score Answer ID
0 - no pain 0 LA19102-5
1 1 LA6112-2
2 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0
6 6 LA10138-8
7 7 LA10139-6
8 8 LA10140-4
9 9 LA10141-2
10 - worst imaginable pain 10 LA21948-7

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Severidad del dolor:Tipo:Punto temporal:^ Paciente:Ordinal:Reported
es-AR Spanish (Argentina) PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:ordinal:informado
it-IT Italian (Italy) Dolore, gravità:Osservazione:Pt:^Paziente:Ord:Riportato
Synonyms: Anamnesi Gravità del dolore Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intensidade da dor:Achado:Pt:^Paciente:Ord:Relatado
Synonyms: Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen
ru-RU Russian (Russian Federation) Боль выраженность:Находка:ТчкВрм:^Пациент:Пор:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Порядковый Точка во времени;Момент
zh-CN Chinese (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

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

Additional Names

Short Name
Pain severity Score VAS

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.73
Common Test Rank Get Info
5584

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Severidad del dolor:Puntaje:Punto temporal:^ Paciente:Cuantitativo:Reported.visual analog score
es-AR Spanish (Argentina) PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:cuantitativo:informe.escala visual análoga
it-IT Italian (Italy) Dolore, gravità:Punteggio:Pt:^Paziente:Qn:Riportato.scala analogico visiva
Synonyms: Anamnesi Gravità del dolore paziente Punto nel tempo (episodio)
pt-BR Portuguese (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-CN Chinese (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

Unit Source
{score} Example UCUM Units

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
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation WikipediaCopyright 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.

Fully-Specified Name

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

Additional Names

Short Name
Pain severity Wong-Baker FACES Scale

Basic Attributes

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

Member of these Panels

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

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Severidad del dolor:Tipo:Punto temporal:^ Paciente:Ordinal:Reported.Wong-Baker FACES pain rating scale
es-AR Spanish (Argentina) PAIN SEVERITY:hallazgo:punto en el tiempo:^PATIENT:ordinal:REPORTED.WONG-BAKER FACES PAIN RATING SCALE
it-IT Italian (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-BR Portuguese (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-CN Chinese (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

38215-0 Pain severity total [Score] FLACC

Reference Information

Type Source Reference
Article NCBI PubMed Merkel 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
Citation Regenstrief Institute Development 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

Fully-Specified Name

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

Additional Names

Short Name
Pain severity total Score FLACC

Basic Attributes

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

Member of these Panels

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

Example Units

Unit Source
{score} Example UCUM Units

56840-2 Pain severity verbal numeric scale [Score]

Fully-Specified Name

Component
Pain severity verbal numeric scale
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Pain severity verbal numeric scale Score

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Escala numérica verbal de gravedad del dolor:Puntaje:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Dolore, scala numerica verbale gravità:Punteggio:Pt:^Paziente:Qn:
Synonyms: Anamnesi Gravità del dolore paziente Punto nel tempo (episodio) Scala numerica verbale di gravità del dolore
pt-BR Portuguese (Brazil) Intensidade da dor em escala numérica verbal:Achado:Pt:^Paciente:Qn:
Synonyms: Finding; Findings; Point in time; Random; Quantitative; QNT; Quant; Quan
zh-CN Chinese (China) 疼痛严重程度语言数字量表:评分:时间点:^患者:定量型:
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 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 疼痛严重度语言数字量表;疼痛严重性语言数字量表;疼痛严重程度语言(言语)数字(数字化、数值化、数字型、数值型)量表 病史与体格检查

Example Units

Unit Source
{score} Example UCUM Units

56840-2 Pain severity verbal numeric scale [Score]

Fully-Specified Name

Component
Pain severity verbal numeric scale
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Pain severity verbal numeric scale Score

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Escala numérica verbal de gravedad del dolor:Puntaje:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Dolore, scala numerica verbale gravità:Punteggio:Pt:^Paziente:Qn:
Synonyms: Anamnesi Gravità del dolore paziente Punto nel tempo (episodio) Scala numerica verbale di gravità del dolore
pt-BR Portuguese (Brazil) Intensidade da dor em escala numérica verbal:Achado:Pt:^Paciente:Qn:
Synonyms: Finding; Findings; Point in time; Random; Quantitative; QNT; Quant; Quan
zh-CN Chinese (China) 疼痛严重程度语言数字量表:评分:时间点:^患者:定量型:
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 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 疼痛严重度语言数字量表;疼痛严重性语言数字量表;疼痛严重程度语言(言语)数字(数字化、数值化、数字型、数值型)量表 病史与体格检查

Example Units

Unit Source
{score} Example UCUM Units

38212-7 Pain assessment panel

Fully-Specified Name

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

Additional Names

Short Name
Pain Assessment Pnl

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.13
Last Updated
Version 2.69
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
57083-8 Labor and Delivery record panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Panel de evaluación del dolor:-:Punto temporal:^ Paciente:-:
es-AR Spanish (Argentina) PAIN ASSESSMENT PANEL:-:punto en el tiempo:^PATIENT:-:
it-IT Italian (Italy) Dolore, panel valutazione:-:Pt:^Paziente:-:
Synonyms: Panel valutazione del dolore paziente Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo Valutazione del dolore
nl-NL Dutch (Netherlands) pijn vaststellingspanel:-:moment:^patiënt:-:
pt-BR Portuguese (Brazil) Avaliação da dor painel:-:Pt:^Paciente:-:
Synonyms: ; Pain Assessment Pnl; Point in time; Random; Pan; Panl
ru-RU Russian (Russian Federation) Боль оценка панель:-:ТчкВрм:^Пациент:-:
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) 疼痛评估组套:-: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 疼;痛;痛苦;悲痛;苦恼 疼痛评估(评价、估计、估价、评论、估定、估算) 疼痛评估(评价、估计、估价、评论、估定、估算)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) 病史与体格检查 组 组合 组合医嘱 组合类 组套 评价;估计;估价;评论;估定;估算

56842-8 Chronic pain assessment Narrative

Fully-Specified Name

Component
Chronic pain assessment
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Chronic pain assessment

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación del dolor crónico:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Dolore cronico, valutazione:Osservazione:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio) Valutazione del dolore Valutazione del dolore cronico
pt-BR Portuguese (Brazil) Avaliação de dor crônica:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Хроническая боль оценка:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 慢性疼痛评估:发现:时间点:^患者:叙述型:
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 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 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 慢性痛 慢性痛评估(评价、估计、估价、评论、估定、估算) 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

44971-0 Capillary refill [Time]

Term Description

Monitors blood flow to tissue and dehydration
Source: Regenstrief LOINC

Fully-Specified Name

Component
Capillary refill
Property
Time
Time
Pt
System
{Body site}
Scale
Qn
Method
Observed

Additional Names

Short Name
Capillary refill Time

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.70

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81671-0 Tissue perfusion assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Relleno capilar:Tiempo:Punto temporal:{Body site}:Cuantitativo:Observed
it-IT Italian (Italy) Riempimento capillare:Tempo:Pt:{Parte del corpo}:Qn:Osservato
Synonyms: Esame obbiettivo Punto nel tempo (episodio) Refill capillare Tempo (e.g. secondi)
pt-BR Portuguese (Brazil) Carga capilar:Tempo:Pt:{Local do corpo}:Qn:Observado
Synonyms: CRT; Point in time; Random; Quantitative; QNT; Quant; Quan; Observ
ru-RU Russian (Russian Federation) Капиллярное наполнение:Время:ТчкВрм:{Тело область}:Колич:Наблюдённый
Synonyms: Время (в т.ч. в секундах) Количественный Точка во времени;Момент
zh-CN Chinese (China) 毛细血管再充盈:时间:时间点:{身体部位}:定量型:观察法
Synonyms: {部位} 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 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 毛细血管再充盈情况 物体 病史与体格检查 观测法 身体部位

Example Units

Unit Source
s Example UCUM Units

59408-5 Oxygen saturation in Arterial blood by Pulse oximetry

Part Descriptions

LP21258-6   Oxygen saturation
Oxygen saturation (sO2) is defined as the ratio of oxyhemoglobin to "active" hemoglobin (oxyhemoglobin + deoxyhemoglobin). Some say the term oxygen saturation has been erroneously redefined with a denominator of "total" instead of "active" hemoglobin, an ambiguity that can sometimes create confusion when viewing reported values from different instruments (Anesth Analg. 2007 Dec;105(6 Suppl):S5-9.) Oxygen saturation is commonly measured by blood gas analyzers and pulse oximetry. Source: Regenstrief LOINC

Reference Information

Type Source Reference
Mapping Guidance Regenstrief Help Functional oxygen saturation (SO2) Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Fully-Specified Name

Component
Oxygen saturation
Property
MFr
Time
Pt
System
BldA
Scale
Qn
Method
Pulse oximetry

Additional Names

Short Name
SaO2 % BldA PulseOx

Basic Attributes

Class
PULM
Type
Clinical
First Released
Version 2.32
Last Updated
Version 2.73
Common Test Rank Get Info
79

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
74293-2 Oncology plan of care and summary - recommended CDA set
55415-4 Oxygen saturation and therapy panel
43146-0 Oxygen saturation device panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group Group Name
LG33051-0 Oxygen saturation|MFr|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Sauerstoffsättigung:Massenfraktion:Zeitpunkt:Blut arteriell:Quantitativ:Pulsoximetrie
Synonyms: O2-Sättigung
es-MX Spanish (Mexico) Saturación de oxígeno:Sr.:Punto temporal:BldA:Cuantitativo:Pulse oximetry
es-ES Spanish (Spain) Saturación de Oxígeno:Fracción de masa:Punto temporal:Sangre arterial:Qn:Oximetría de pulso
Synonyms: Cuantitativo
fr-BE French (Belgium) Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif:Oxymétrie pulsée
Synonyms: O2 SatO2
fr-CA French (Canada) Saturation en oxygène:Fraction de masse:Temps ponctuel:Sang artériel:Quantitatif:Oxymétrie pulsée
it-IT Italian (Italy) Saturazione dell'ossigeno:MFr:Pt:Sangue art:Qn:Pulsossimetria
Synonyms: Frazione di massa Gestione ventilazione polmonare Punto nel tempo (episodio) Sangue arterioso
nl-NL Dutch (Netherlands) zuurstofverzadiging:massafractie:moment:arterieel bloed:kwantitatief:pulsoxymetrie
Synonyms: zuurstofsaturatiemeting
pl-PL Polish (Poland) Wysycenie tlenem:frakcja masowa:punkt w czasie:krew tętnicza:ilościowy:pulsoksymetria
pt-BR Portuguese (Brazil) Saturação de Oxigênio::Pt:SgArt:Qn:Oximetria de pulso
ru-RU Russian (Russian Federation) Кислородом сатурация:МассДол:ТчкВрм:КрА:Колич:Пульсоксиметрия
Synonyms: Количественный Кровь артериальная Массовая доля Насыщение кислородом Оксигемометрия;Гемоксиметрия Точка во времени;Момент
tr-TR Turkish (Turkey) Oksijen satürasyonu:KütlFr:Zmlı:KanArt:Kant:Puls oksimetri
Synonyms: Oksijen doymuşluğu
zh-CN Chinese (China) 氧饱和度:质量分数:时间点:动脉全血:定量型:脉搏血氧定量法
Synonyms: MFr O2;tO2;总氧;氧气 SaO2 动脉血 动脉血O2饱和度 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 肺部测量指标与呼吸机管理 脉搏血氧测定法;脉搏血氧定量;脉搏血氧测定;脉搏血氧仪 血氧测定法 饱和 饱和状态 饱和程度

Example Units

Unit Source
% Example UCUM Units

3151-8 Inhaled oxygen flow rate

Term Description

Liters per minute of oxygen used for masks that have a volume per minute
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Mapping Guidance Regenstrief Help Inhaled oxygen flow rate is the liters per minute of oxygen inhaled. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Fully-Specified Name

Component
Oxygen inhaled
Property
VRat
Time
Pt
System
Inhl gas
Scale
Qn
Method

Additional Names

Short Name
Inhaled O2 flow rate
Consumer Name Alpha Get Info
Inhaled oxygen

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 1.0
Last Updated
Version 2.73
Common Test Rank Get Info
2478

Example Answer List LL737-8

Answer Code Score Answer ID
Room air LA11849-9
1 liter/min LA11850-7
2 liters/min LA11851-5
3 liters/min LA11852-3
4 liters/min LA11853-1
5 liters/min LA11854-9
6 liters/min LA11855-6

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
100847-3 Gas and ammonia panel - Arterial blood
93685-6 Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0 Gas and Carbon monoxide panel - Arterial blood
24343-6 Gas and Carbon monoxide panel - Blood
24342-8 Gas and Carbon monoxide panel - Capillary blood
24344-4 Gas and Carbon monoxide panel - Venous blood
99548-0 Gas and electrolytes panel - Arterial blood
24336-0 Gas panel - Arterial blood
51974-4 Gas panel - Arterial cord blood
24338-6 Gas panel - Blood
24337-8 Gas panel - Capillary blood
51973-6 Gas panel - Mixed venous blood
24339-4 Gas panel - Venous blood
51972-8 Gas panel - Venous cord blood
55415-4 Oxygen saturation and therapy panel
62611-9 PhenX domain - Respiratory
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: O2-Zufuhr
de-DE German (Germany) Sauerstoff inhaliert:Volumenrate:Zeitpunkt:Inhalat:Quantitativ:
es-MX Spanish (Mexico) Oxigeno inhalado:VRat:Punto temporal:Gas inhl:Cuantitativo:
es-AR Spanish (Argentina) oxígeno inhalado:índice de volumen:punto en el tiempo:gas inhalado:cuantitativo:
fr-BE French (Belgium) Oxygène inspiré:Taux volumique:Temps ponctuel:Gaz inhalé:Quantitatif:
Synonyms: O2
fr-FR French (France) Oxygène inhalé:Volume/Temps:Ponctuel:Gaz inhalé:Numérique:
fr-CA French (Canada) Oxygène inhalé:Taux volumique:Temps ponctuel:Gaz inhalé:Quantitatif:
it-IT Italian (Italy) Ossigeno inalato:VRat:Pt:Gas inalati:Qn:
Synonyms: Clinico Gas inalati Punto nel tempo (episodio) Tasso di Volume
nl-NL Dutch (Netherlands) ingeademde zuurstof:volume/tijd:moment:geïnhaleerd gas:kwantitatief:
Synonyms: ingeademde O2
pt-BR Portuguese (Brazil) Oxigênio inalado:VRat:Pt:Gas inalado:Qn:
Synonyms: ; Inhaled O2; tO2; vRate; Volume rate; Flow; Point in time; Random; IhG; Inhaled Gas; Inspired; Quantitative; QNT; Quant; Quan; Gases
ru-RU Russian (Russian Federation) Кислород вдыхаемый:ОбСк:ТчкВрм:Ингал газ:Колич:
Synonyms: Количественный Объемная скорость Точка во времени;Момент
tr-TR Turkish (Turkey) Oksijen soln alınan:HcmOran:Zmlı:Soln gaz:Kant:
zh-CN Chinese (China) 所吸入的氧气:体积速率:时间点:吸入的气体:定量型:
Synonyms: O2;tO2;总氧;氧气 体积速率(单位时间);单位时间内体积的变化速率;流量 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 吸入气;吸入气体;吸入的空气 所吸入的氧;已吸入的氧气 时刻;随机;随意;瞬间 气 气体类 空气

Example Units

Unit Source
L/min Example UCUM Units
L/min REGENSTRIEF

55283-6 Fetal Heart rate

Fully-Specified Name

Component
Heart rate
Property
NRat
Time
Pt
System
^Fetus
Scale
Qn
Method

Additional Names

Short Name
Fet Heart rate
Consumer Name Alpha Get Info
Heart rate

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.73
Common Test Rank Get Info
2568

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
100230-2 Routine prenatal assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ritmo cardiaco:NRat:Punto temporal:^ Feto:Cuantitativo:
it-IT Italian (Italy) Frequenza cardiaca:NRat:Pt:^feto:Qn:
Synonyms: Anamnesi Indice numerico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) hartslagfrequentie:aantal/tijd:moment:^foetus:kwantitatief:
pt-BR Portuguese (Brazil) Frequência cardíaca:#N/A:Pt:^Feto:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Fet; Fetal; Quantitative; QNT; Quant; Quan; Pulse; Heart beat
ru-RU Russian (Russian Federation) Частота сердечных сокращений:КолСкор:ТчкВрм:^Плод:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 心率:计数型速率:时间点:^胎儿:定量型:
Synonyms: 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) 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 心搏率;心跳速率 时刻;随机;随意;瞬间 病史与体格检查 胎;超系统 - 胎儿 速度

Example Units

Unit Source
{beats}/min Example UCUM Units

8897-1 QRS complex Ventricles by EKG

Fully-Specified Name

Component
QRS complex
Property
NRat
Time
Pt
System
Heart.ventricles
Scale
Qn
Method
EKG

Additional Names

Short Name
QRS Complex nRate Hrt ventrs EKG

Basic Attributes

Class
HRTRATE.MOLEC
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
1895

Member of these Panels

LOINC Long Common Name
34534-8 12 lead EKG panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Complejo QRS:NRat:Punto temporal:Ventrículos del corazón:Cuantitativo:EKG
es-AR Spanish (Argentina) complejo QRS:índice numérico:punto en el tiempo:corazón.ventrículos:cuantitativo:electrocardiograma
it-IT Italian (Italy) QRS, complesso:NRat:Pt:Cuore.ventricoli:Qn:ECG
Synonyms: Elettrocardiogramma (ECG) Frequenza cardiaca - molecolare Indice numerico Punto nel tempo (episodio) Ventricoli cardiaci
pt-BR Portuguese (Brazil) Complexo QRS:NRat:Pt:Coração.ventrículos:Qn:ECG
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Vents; Ventricular; Hrt; Cardiac; Quantitative; QNT; Quant; Quan; Electrocardiogram; Electrocardiograph; ECG; Compx; HEART RATE.MOLEC; HEART RATE.MOLEC
ru-RU Russian (Russian Federation) QRS комплекс:КолСкор:ТчкВрм:Сердце.желудочки:Колич:ЭКГ
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) QRS 复合波:计数型速率:时间点:心脏.心室类:定量型:心电图
Synonyms: EKG 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 复合体 心 心动电流图 心动电流图;心电图(Electrocardiogram,EKG);心电图仪;心电图描记器;心电图机;心电图机(Electrocardiograph);心电描记器 心动电流图描记器 心动电流描记器 心电图(Electrocardiogram,Electrocardiograph,EKG) 心电图仪 心电图描记器 心电图机 心电图机(Electrocardiograph,EKG) 心电图记录仪 心电描记器 心电机 心电记录仪 心脏.心室(复数);心.室(复数);心.心室(复数);心室(复数);心脏.室(复数) 时刻;随机;随意;瞬间 特殊心率

55284-4 Blood pressure systolic and diastolic

Term Description

This term is intended as a section header for various blood pressure measurements (e.g., systolic, diastolic). LOINC discourages the reporting of two numbers, such as systolic and diastolic blood pressure (e.g., "120/80"), in one observation. They should be reported as two separate variables, systolic (LOINC 8480-6) and diastolic (LOINC 8462-4).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Blood pressure systolic & diastolic
Property
-
Time
Pt
System
Arterial system
Scale
-
Method

Additional Names

Short Name
BP sys/dias

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.44

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Presión arterial sistólica y diastólica:-:Punto temporal:Sistema arterial:-:
fr-BE French (Belgium) Tension artérielle systolique & diastolique:-:Temps ponctuel:Système artériel:-:
fr-CA French (Canada) Tension artérielle systolique & diastolique:-:Temps ponctuel:Système artériel:-:
it-IT Italian (Italy) Pressione sanguigna sistolica & diastolica:-:Pt:Sistema arterioso:-:
Synonyms: Pressione arteriosa - atomica Pressione sanguigna sistolica e diastolica Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) systolische en diastolische bloeddruk:-:moment:arterieel vaatstelsel:-:
pt-BR Portuguese (Brazil) Pressão sanguínea sistólica & diastólica:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP sys/dias; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; Dias; Diastoli; Diast; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM
ru-RU Russian (Russian Federation) Артериальное давление систолическое & диастолическое:-:ТчкВрм:Артериальная система:-:
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) 收缩期与舒张期血压:-:时间点:动脉系统:-:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压强 多重;多重型;多重标尺类型;多重精度类型 心脏收缩期与心脏舒张期血压;心收缩期与心舒张期血压 时刻;随机;随意;瞬间 血;全血

8478-0 Mean blood pressure

Fully-Specified Name

Component
Intravascular mean
Property
Pres
Time
Pt
System
Arterial system
Scale
Qn
Method

Additional Names

Short Name
BP mean

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
327

Member of these Panels

LOINC Long Common Name
35094-2 Blood pressure panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
96789-3 Sequential Organ Failure Assessment SOFA
34566-0 Vital signs with method details panel
34565-2 Vital signs, weight and height panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group Group Name
LG33057-7 Intravascular mean|Pres|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Mittlerer Blutdruck
de-DE German (Germany) Intravaskulärer Mittelwert:Druck:Zeitpunkt:Arterielles System:Quantitativ:
es-MX Spanish (Mexico) Media intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
es-AR Spanish (Argentina) media intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
it-IT Italian (Italy) Media intravascolare:Pres:Pt:Sistema arterioso:Qn:
Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intravascular média:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP mean; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; Average; Avg; IV; Intravenous; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; Blood pressure mean; MBP
ru-RU Russian (Russian Federation) Интраваскулярный средний:Давл:ТчкВрм:Артериальная система:Колич:
Synonyms: Внутрисосудистый средний Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 血管内平均值:压力或压强:时间点:动脉系统:定量型:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压力;压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 血管内均值 血管内的

Example Units

Unit Source
mm[Hg] Example UCUM Units
mm Hg REGENSTRIEF

8462-4 Diastolic blood pressure

Fully-Specified Name

Component
Intravascular diastolic
Property
Pres
Time
Pt
System
Arterial system
Scale
Qn
Method

Additional Names

Short Name
BP dias

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Change Reason
Release 2.69: UnitsAndRange: Added missing delimiter;
Common Test Rank Get Info
2

Member of these Panels

LOINC Long Common Name
43152-8 Blood pressure device panel
35094-2 Blood pressure panel
39294-4 Children's preventive health services attachment Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7 HEDIS 2020 Value Sets
96068-2 HEDIS MY 2020 Value Sets
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9 PhenX domain - Respiratory
100230-2 Routine prenatal assessment panel
55417-0 Short blood pressure panel
81671-0 Tissue perfusion assessment panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group Group Name
LG33056-9 Intravascular diastolic|Pres|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Intravaskulär diastolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
de-AT German (Austria) Synonyms: Blutdruck diastolisch
es-AR Spanish (Argentina) diastólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
es-MX Spanish (Mexico) Diastólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
fr-CA French (Canada) Intravasculaire diastolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT Italian (Italy) Diastolica intravascolare:Pres:Pt:Sistema arterioso:Qn:
Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) intravasculaire diastolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR Portuguese (Brazil) Intravascular diastólica:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP dias; Dias; Diast; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; Diastoli; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; Blood pressure diastolic; BP diastolic; Dias BP; DBP
ru-RU Russian (Russian Federation) Интраваскулярный диастолический:Давл:ТчкВрм:Артериальная система:Колич:
Synonyms: Внутрисосудистый диастолический Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 血管内心脏舒张期:压力或压强:时间点:动脉系统:定量型:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压力;压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 血管内心舒期;血管内舒张期 血管内的

Example Units

Unit Source
mm[Hg] Example UCUM Units
mm Hg REGENSTRIEF

8480-6 Systolic blood pressure

Fully-Specified Name

Component
Intravascular systolic
Property
Pres
Time
Pt
System
Arterial system
Scale
Qn
Method

Additional Names

Short Name
BP sys

Basic Attributes

Class
BP.ATOM
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
3

Member of these Panels

LOINC Long Common Name
35094-2 Blood pressure panel
39294-4 Children's preventive health services attachment Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94137-7 HEDIS 2020 Value Sets
96068-2 HEDIS MY 2020 Value Sets
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
62611-9 PhenX domain - Respiratory
89694-4 Pulmonary Embolism Severity Index panel [PESI]
100230-2 Routine prenatal assessment panel
55417-0 Short blood pressure panel
81671-0 Tissue perfusion assessment panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group Group Name
LG33053-6 Intravascular systolic|Pres|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Intravaskulär systolisch:Druck:Zeitpunkt:Arterielles System:Quantitativ:
de-AT German (Austria) Synonyms: Blutdruck systolisch
es-MX Spanish (Mexico) Sistólica intravascular:Pres:Punto temporal:Sistema arterial:Cuantitativo:
es-AR Spanish (Argentina) sistólico intravascular:presión:punto en el tiempo:sistema arterial:cuantitativo:
fr-CA French (Canada) Intravasculaire systolique:Pression:Temps ponctuel:Système artériel:Quantitatif:
it-IT Italian (Italy) Sistolica intravascolare:Pres:Pt:Sistema arterioso:Qn:
Synonyms: Pressione Pressione arteriosa - atomica Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) intravasculaire systolische bloeddruk:druk:moment:arterieel vaatstelsel:kwantitatief:
pt-BR Portuguese (Brazil) Intravascular sistólica:Pres:Pt:Sistema arterial:Qn:
Synonyms: ; BP sys; Pressure; Point in time; Random; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; BLOOD PRESSURE MEASUREMENTS.ATOM; BLOOD PRESSURE MEASUREMENTS.ATOM; BP systolic; Blood pressure systolic; Sys BP; SBP
ru-RU Russian (Russian Federation) Интраваскулярный систолический:Давл:ТчкВрм:Артериальная система:Колич:
Synonyms: Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 血管内心脏收缩期:压力或压强:时间点:动脉系统:定量型:
Synonyms: 一般血压;血压.原子型;血压指标.原子型 压力;压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 血管内收缩期;血管内心缩期 血管内的

Example Units

Unit Source
mm[Hg] Example UCUM Units
mm Hg REGENSTRIEF

8893-0 Heart rate Peripheral artery by palpation

Fully-Specified Name

Component
Heart rate
Property
NRat
Time
Pt
System
Peripheral artery
Scale
Qn
Method
Palpation

Additional Names

Short Name
Heart rate Periph a Palpation
Consumer Name Alpha Get Info
Heart rate

Basic Attributes

Class
HRTRATE.MOLEC
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
10016

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Member of these Groups Get Info

LOINC Group Group Name
LG33055-1 Heart rate|NRat|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ritmo cardiaco:NRat:Punto temporal:Arteria periférica:Cuantitativo:Palpation
es-AR Spanish (Argentina) latido cardíaco:índice numérico:punto en el tiempo:arteria periférica:cuantitativo:palpación
it-IT Italian (Italy) Frequenza cardiaca:NRat:Pt:Arteria periferica:Qn:Palpazione
Synonyms: Frequenza cardiaca - molecolare Indice numerico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) hartslagfrequentie:aantal/tijd:moment:perifere arterie:kwantitatief:palpatie
pt-BR Portuguese (Brazil) Frequência cardíaca:NRat:Pt:Artéria periferal:Qn:Palpação
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Periph a; Art; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.MOLEC; HEART RATE.MOLEC
zh-CN Chinese (China) 心率:计数型速率:时间点:外周动脉:定量型:触诊法
Synonyms: 切脉;切脉法;切诊;切诊法;扪诊;扪诊法;按诊;按诊法;摸;摸法;触;触诊 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 周围 周围动脉;周边动脉 周围的 周缘 周缘的 周边 周边的 外周的 外围 外围的 外部 外部的 心搏率;心跳速率 时刻;随机;随意;瞬间 末梢 末梢的 特殊心率 边缘 边缘的 速度

Example Units

Unit Source
{beats}/min Example UCUM Units

44969-4 Heart rate rhythm palpation

Fully-Specified Name

Component
Heart rate rhythm
Property
Type
Time
Pt
System
XXX
Scale
Nom
Method
Palpation

Additional Names

Short Name
Heart rate rhythm Palpation

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.38
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Ritmo cardíaco:Tipo:Punto temporal:No especificado:Nominal:Palpation
it-IT Italian (Italy) Frequenza cardiaca, ritmo:Tipo:Pt:XXX:Nom:Palpazione
Synonyms: Esame obbiettivo Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Ritmo de Frequência cardíaca:Tipo:Pt:XXX:Nom:Palpação
Synonyms: Typ; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Nominal; Pulse; Heart beat
zh-CN Chinese (China) 心率节律:类型:时间点:XXX:名义型:触诊法
Synonyms: 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 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 切脉;切脉法;切诊;切诊法;扪诊;扪诊法;按诊;按诊法;摸;摸法;触;触诊 历史纪录与体格检查 历史纪录与体格检查小节 型 心搏率;心跳速率 心搏率节律;心跳速率节律 时刻;随机;随意;瞬间 病史与体格检查 速度

8867-4 Heart rate

Fully-Specified Name

Component
Heart rate
Property
NRat
Time
Pt
System
XXX
Scale
Qn
Method

Additional Names

Short Name
Heart rate
Consumer Name Alpha Get Info
Heart rate

Basic Attributes

Class
HRTRATE.ATOM
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.73
Common Test Rank Get Info
18

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
62611-9 PhenX domain - Respiratory
89544-1 Pulmonary Embolism Rule-out Criteria panel PERC
89694-4 Pulmonary Embolism Severity Index panel [PESI]
89549-0 Revised Geneva Score panel
55417-0 Short blood pressure panel
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel
89546-6 Wells pulmonary embolism risk calculator panel

Member of these Groups Get Info

LOINC Group Group Name
LG33055-1 Heart rate|NRat|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Herzfrequenz:Anzahl pro Zeit:Zeitpunkt:XXX:Quantitativ:
de-AT German (Austria) Synonyms: Puls
es-MX Spanish (Mexico) Ritmo cardiaco:NRat:Punto temporal:No especificado:Cuantitativo:
es-AR Spanish (Argentina) latido cardíaco:índice numérico:punto en el tiempo:XXX:cuantitativo:
it-IT Italian (Italy) Frequenza cardiaca:NRat:Pt:XXX:Qn:
Synonyms: Frequenza cardiaca - atomica Indice numerico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) hartslagfrequentie:aantal/tijd:moment:XXX:kwantitatief:
pt-BR Portuguese (Brazil) Frequência cardíaca:NRat:Pt:XXX:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.ATOM; HEART RATE.ATOM
ru-RU Russian (Russian Federation) Частота сердечных сокращений:КолСкор:ТчкВрм:XXX:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 心率:计数型速率:时间点:XXX:定量型:
Synonyms: 一般心率 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 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 心搏率;心跳速率 时刻;随机;随意;瞬间 速度

Example Units

Unit Source
{beats}/min;{counts/min} Example UCUM Units
bpm REGENSTRIEF

9279-1 Respiratory rate

Fully-Specified Name

Component
Breaths
Property
NRat
Time
Pt
System
Respiratory system
Scale
Qn
Method

Additional Names

Short Name
Resp rate

Basic Attributes

Class
RESP.ATOM
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
12

Member of these Panels

LOINC Long Common Name
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
80346-0 Nursing physiologic assessment panel
74293-2 Oncology plan of care and summary - recommended CDA set
62611-9 PhenX domain - Respiratory
89694-4 Pulmonary Embolism Severity Index panel [PESI]
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group Group Name
LG33054-4 Breaths|NRat|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Atemfrequenz:Anzahl pro Zeit:Zeitpunkt:Respiratorisches System:Quantitativ:
de-AT German (Austria) Synonyms: Atemfrequenz
es-MX Spanish (Mexico) Respiraciones:NRat:Punto temporal:Sistema respiratorio:Cuantitativo:
es-AR Spanish (Argentina) respiraciones:índice numérico:punto en el tiempo:aparato respiratorio:cuantitativo:
it-IT Italian (Italy) Respiri:NRat:Pt:Apparato respiratorio:Qn:
Synonyms: Indice numerico Punto nel tempo (episodio) Respiratorio - atomico
pt-BR Portuguese (Brazil) Respirações:NRat:Pt:Sistema Respiratório:Qn:
Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Respiratory rate
ru-RU Russian (Russian Federation) Дыхание:КолСкор:ТчкВрм:Дыхательная система:Колич:
Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN Chinese (China) 呼吸:计数型速率:时间点:呼吸系统:定量型:
Synonyms: 一般呼吸类指标;一般呼吸系统类指标;呼吸类指标.原子型 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 呼吸 呼吸类 呼吸类指标 呼吸系统 呼吸系统类 呼吸道标本(样品、样本);呼吸系统标本(样品、样本) 时刻;随机;随意;瞬间

Example Units

Unit Source
{breaths}/min;{counts/min} Example UCUM Units
/MIN REGENSTRIEF

8310-5 Body temperature

Fully-Specified Name

Component
Body temperature
Property
Temp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Body temperature
Consumer Name Alpha Get Info
Body Temperature

Basic Attributes

Class
BDYTMP.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Common Test Rank Get Info
49

Member of these Panels

LOINC Long Common Name
35095-9 Body temperature panel
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3 Gas and ammonia panel - Arterial blood
93685-6 Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0 Gas and Carbon monoxide panel - Arterial blood
24343-6 Gas and Carbon monoxide panel - Blood
24342-8 Gas and Carbon monoxide panel - Capillary blood
24344-4 Gas and Carbon monoxide panel - Venous blood
99548-0 Gas and electrolytes panel - Arterial blood
24336-0 Gas panel - Arterial blood
51974-4 Gas panel - Arterial cord blood
24338-6 Gas panel - Blood
24337-8 Gas panel - Capillary blood
51973-6 Gas panel - Mixed venous blood
24339-4 Gas panel - Venous blood
51972-8 Gas panel - Venous cord blood
75885-4 IEEE 11073 Rosetta panel
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
62611-9 PhenX domain - Respiratory
89694-4 Pulmonary Embolism Severity Index panel [PESI]
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5 Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group Group Name
LG33052-8 Body temperature|Temp|Pt|Chal:None

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Körpertemperatur:Temperatur:Zeitpunkt:^Patient:Quantitativ:
de-AT German (Austria) Synonyms: Körpertemperatur
es-MX Spanish (Mexico) Temperatura corporal:Temperatura:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) temperatura corporal:temperatura:punto en el tiempo:^paciente:cuantitativo:
fr-BE French (Belgium) Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
fr-FR French (France) Température corporelle:Température:Ponctuel:Patient:Numérique:
fr-CA French (Canada) Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Temperatura corporea:Temp:Pt:^Paziente:Qn:
Synonyms: paziente Punto nel tempo (episodio) Temperatura Temperatura del corpo - atomica
nl-NL Dutch (Netherlands) lichaamstemperatuur:temperatuur:moment:^patiënt:kwantitatief:
pt-BR Portuguese (Brazil) Temperatura corpórea:Temp:Pt:^Paciente:Qn:
Synonyms: ; Bdy temp; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY TEMPERATURE.ATOM; BODY TEMPERATURE.ATOM
ru-RU Russian (Russian Federation) Температура тела:Темп:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Температура Точка во времени;Момент
tr-TR Turkish (Turkey) Vücut sıcaklığı:Scklk:Zmlı:^Hasta:Kant:
zh-CN Chinese (China) 体温:温度:时间点:^患者:定量型:
Synonyms: 一般体温 体温 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 物体 身体温度

Example Units

Unit Source
Cel Example UCUM Units
Deg C REGENSTRIEF

29463-7 Body weight

Reference Information

Type Source Reference
Citation Regenstrief LOINC Stice, E., Telch, C. F., Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(2), 123-31.

Fully-Specified Name

Component
Body weight
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Weight

Basic Attributes

Class
BDYWGT.ATOM
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
44

Member of these Panels

LOINC Long Common Name
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
93478-6 Busulfan area under the curve panel - Plasma
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
86636-8 Family planning report - FPAR 2.0 set
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
55405-5 Heart failure tracking panel
75885-4 IEEE 11073 Rosetta panel
100203-9 Knee Society Score post-op panel [Knee Society Score]
100159-3 Knee Society Score pre-op panel [Knee Society Score]
89543-3 Laboratory ask at order entry panel
49087-0 Maternal screen clinical predictors panel
87825-6 National Trauma Data Standard - version 2018 set
98133-2 Osteoporosis Index of Risk panel
98139-9 Osteoporosis Risk Assessment Instrument
98146-4 Osteoporosis Self-Assessment Tool
93149-3 PhenX - bone age protocol 220301
62787-7 PhenX domain - Diabetes
62755-4 PhenX domain - Neurology
62812-3 PhenX domain - Physical activity and physical fitness
62710-9 PhenX domain - Psychiatric
62611-9 PhenX domain - Respiratory
63067-3 PhenX domain - Speech and hearing
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma
97782-7 Spine Tango Surgery 2017
81232-1 Supersaturation panel - 24 hour Urine
54127-6 US Surgeon General family health portrait [USSG-FHT]
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
55418-8 Weight and Height tracking panel

Member of these Groups Get Info

LOINC Group Group Name
LG34372-9 Body weight|Mass|Pt|^Patient

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Körpergewicht
de-DE German (Germany) Körpergewicht:Masse:Zeitpunkt:^Patient:Quantitativ:
es-MX Spanish (Mexico) Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:
es-ES Spanish (Spain) Peso corporal:Masa:Punto temporal:^paciente:Qn:
Synonyms: Cuantitativo
es-AR Spanish (Argentina) peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:
fr-BE French (Belgium) Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:
Synonyms: Poids
fr-FR French (France) Poids corporel:Masse:Ponctuel:Patient:Numérique:
fr-CA French (Canada) Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Peso corporeo:Massa:Pt:^Paziente:Qn:
Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichaamsgewicht:massa:moment:^patiënt:kwantitatief:
pl-PL Polish (Poland) Masa ciała:masa:punkt w czasie:^pacjent:ilościowy:
Synonyms: Ciężar Masa ciała
pt-BR Portuguese (Brazil) Peso corpóreo:Massa:Pt:^Paciente:Qn:
Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
ru-RU Russian (Russian Federation) Масса тела:Масса:ТчкВрм:^Пациент:Колич:
Synonyms: Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:
uk-UA Ukrainian (Ukraine) Вага тіла:Маса:МоментЧасу:^Пацієнт:Кількісно:
Synonyms: AOEObservation; Bdy weight; bod; Bodies; BODY WEIGHT.ATOM; Point in time; QNT; Quan; Quant; Quantitative; Random; Wt
zh-CN Chinese (China) 体重:质量:时间点:^患者:定量型:
Synonyms: 一般体重;一般身体重量;身体重量.原子型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 标本重量;重 物体 身体重量 重量

Example Units

Unit Source
[lb_av];kg Example UCUM Units
lb REGENSTRIEF

3141-9 Body weight Measured

Fully-Specified Name

Component
Body weight
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method
Measured

Additional Names

Short Name
Weight Measured

Basic Attributes

Class
BDYWGT.ATOM
Type
Clinical
First Released
Version 1.0
Last Updated
Version 2.73
Order vs. Observation
Both
Common Test Rank Get Info
115

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
18584-3 Body weight at ambulance transport Set
52416-5 Body weight Set
39294-4 Children's preventive health services attachment Set
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
45981-8 Deprecated MDS full assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2 Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0 Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8 Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6 Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0 Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1 Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6 Deprecated Minimum Data Set - version 3.0
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
75885-4 IEEE 11073 Rosetta panel
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
62297-7 PhenX - weight - measured weight protocol 021501
62263-9 PhenX domain - Nutrition and dietary supplements
62611-9 PhenX domain - Respiratory
100230-2 Routine prenatal assessment panel
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
43143-7 Weighing device panel

Member of these Groups Get Info

LOINC Group Group Name
LG34372-9 Body weight|Mass|Pt|^Patient

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Körpergewicht:Masse:Zeitpunkt:^Patient:Quantitativ:Gemessen
de-AT German (Austria) Synonyms: Körpergewicht
es-MX Spanish (Mexico) Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:Measured
es-AR Spanish (Argentina) peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:medido
fr-BE French (Belgium) Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré
Synonyms: Poids
fr-FR French (France) Poids corporel:Masse:Ponctuel:Patient:Numérique:Résultat mesuré
fr-CA French (Canada) Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré
it-IT Italian (Italy) Peso corporeo:Massa:Pt:^Paziente:Qn:Misurato
Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichaamsgewicht:massa:moment:^patiënt:kwantitatief:meting
pt-BR Portuguese (Brazil) Peso corpóreo:Massa:Pt:^Paciente:Qn:Mensurado
Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
ru-RU Russian (Russian Federation) Масса тела:Масса:ТчкВрм:^Пациент:Колич:Измеренный
Synonyms: Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:Ölçülmüş
zh-CN Chinese (China) 体重:质量:时间点:^患者:定量型:测量法
Synonyms: 一般体重;一般身体重量;身体重量.原子型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 标本重量;重 测定法;量度法;量测法 物体 身体重量 重量

Example Units

Unit Source
[lb_av];kg Example UCUM Units
lb REGENSTRIEF

8302-2 Body height

Fully-Specified Name

Component
Body height
Property
Len
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Body height

Basic Attributes

Class
BDYHGT.ATOM
Type
Clinical
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Common Test Rank Get Info
46

Member of these Panels

LOINC Long Common Name
58446-6 Creatinine 24H renal clearance adjusted for body surface area panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70300-9 ESRD dialysis adequacy panel
86636-8 Family planning report - FPAR 2.0 set
75885-4 IEEE 11073 Rosetta panel
100203-9 Knee Society Score post-op panel [Knee Society Score]
100159-3 Knee Society Score pre-op panel [Knee Society Score]
89543-3 Laboratory ask at order entry panel
87825-6 National Trauma Data Standard - version 2018 set
74293-2 Oncology plan of care and summary - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
93149-3 PhenX - bone age protocol 220301
62812-3 PhenX domain - Physical activity and physical fitness
97782-7 Spine Tango Surgery 2017
54127-6 US Surgeon General family health portrait [USSG-FHT]
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0 Vital signs with method details panel
72513-5 Vital signs with smoking status and pain scale [VSP]
34565-2 Vital signs, weight and height panel
67795-5 Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1 Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
55418-8 Weight and Height tracking panel

Member of these Groups Get Info

LOINC Group Group Name
LG34373-7 Body height|Len|Pt|^Patient

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Körpergröße:Länge:Zeitpunkt:^Patient:Quantitativ:
de-AT German (Austria) Synonyms: Körpergröße
es-MX Spanish (Mexico) Peso corporal:Len:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:
fr-BE French (Belgium) Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:
fr-FR French (France) Taille du patient:Longueur:Ponctuel:Patient:Numérique:
fr-CA French (Canada) Stature:Longueur:Temps ponctuel:^Patient:Quantitatif:
it-IT Italian (Italy) Altezza corporea:Len:Pt:^Paziente:Qn:
Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichaamslengte:afmeting:moment:^patiënt:kwantitatief:
Synonyms: lengte
pt-BR Portuguese (Brazil) Estatura:Comprimento:Pt:^Paciente:Qn:
Synonyms: ; Bdy height; Body length; Axial length; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY HEIGHT(LENGTH).ATOM; BODY HEIGHT(LENGTH).ATOM
ru-RU Russian (Russian Federation) Рост:Дл:ТчкВрм:^Пациент:Колич:
Synonyms: Длина Количественный Тело высота Точка во времени;Момент
zh-CN Chinese (China) 身高:长度:时间点:^患者:定量型:
Synonyms: 一般体长;一般身高;一般身高(长度);体长.原子型;身高(长度).原子型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 物体 身体长度;身体高度;身长 身高;身长;身体高度 长;长短

Example Units

Unit Source
[in_us];cm;m Example UCUM Units
INCH(S) REGENSTRIEF

9269-2 Glasgow coma score total

Fully-Specified Name

Component
Glasgow coma score.total
Property
Fcn
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
GCS total

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Change Reason
We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Common Test Rank Get Info
1036

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
96789-3 Sequential Organ Failure Assessment SOFA

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Puntaje de coma de Glasgow total:Fcn:Punto temporal:^ Paciente:Cuantitativo:
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.total:función:punto en el tiempo:^paciente:ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.totale:Fcn:Pt:^Paziente:Qn:
Synonyms: Funzione paziente Punteggio totale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.итог:Функц:ТчкВрм:^Пациент:Колич:
Synonyms: Итог Количественный Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷评分.总计:功能:时间点:^患者:定量型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.总和;格拉斯哥昏迷得分.总分;格拉斯哥昏迷分值.总计 体格功能;体格检查功能;功能;躯体功能;身体功能 全体数量 全部 共计 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 总 总和 总数 总量 总额 时刻;随机;随意;瞬间 汇总

Example Units

Unit Source
{score} Example UCUM Units

9267-6 Glasgow coma score eye opening

Fully-Specified Name

Component
Glasgow coma score.eye opening
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS eye

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
2970

Normative Answer List LL355-9

Answer Code Score Answer ID
No eye opening 1 1 LA6553-7
Eye opening to pain 2 2 LA6554-5
Eye opening to verbal command 3 3 LA6555-2
Eyes open spontaneously 4 4 LA6556-0

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Puntaje de coma de Glasgow. Apertura de ojos:Fcn:Punto temporal:^ Paciente:Ordinal:
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.apertura ocular:función:punto en el tiempo:^paciente:ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.apertura occhi:Fcn:Pt:^Paziente:Ord:
Synonyms: Apertura occhi in punteggio del coma di Glasgow Funzione Occhio in punteggio del coma di Glasgow paziente Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.глаза открывание:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.睁眼:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.眼睛;格拉斯哥昏迷得分.眼睛;格拉斯哥昏迷评分.眼睛 GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.睁眼;格拉斯哥昏迷得分.睁眼;格拉斯哥昏迷评分.睁眼 体格功能;体格检查功能;功能;躯体功能;身体功能 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 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 目;眼;眼部

9270-0 Glasgow coma score verbal

Fully-Specified Name

Component
Glasgow coma score.verbal
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS verbal

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.27

Normative Answer List LL356-7

Answer Code Score Answer ID
No verbal response (>2 yrs); no vocal response (<=2 yrs) 1 1 LA6557-8
Incomprehensible sounds 2 2 LA6558-6
Inappropriate words 3 3 LA6559-4
Confused 4 4 LA6560-2
Oriented 5 5 LA6561-0

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Puntuación de coma de Glasgow verbal:Fcn:Punto temporal:^ Paciente:Ordinal:
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.respuesta verbal:función:punto en el tiempo:^paciente:ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.verbale:Fcn:Pt:^Paziente:Ord:
Synonyms: Funzione paziente Punteggio verbale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.вербалика:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.言语:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.言语;格拉斯哥昏迷得分.言语;格拉斯哥昏迷评分.言语;格拉斯哥昏迷分值.语言 体格功能;体格检查功能;功能;躯体功能;身体功能 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 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间

9268-4 Glasgow coma score motor

Fully-Specified Name

Component
Glasgow coma score.motor
Property
Fcn
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
GCS motor

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
2971

Normative Answer List LL357-5

Answer Code Score Answer ID
No motor response 1 1 LA6562-8
Extension to pain 2 2 LA6563-6
Flexion to pain 3 3 LA6564-4
Withdrawal from pain 4 4 LA6565-1
Localizing pain 5 5 LA6566-9
Obeys commands 6 6 LA6567-7

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4 Glasgow coma scale
75885-4 IEEE 11073 Rosetta panel
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Puntuación de coma de Glasgow motor:Fcn:Punto temporal:^ Paciente:Ordinal:
es-AR Spanish (Argentina) puntuación de la escala de coma de Glasgow.respuesta motriz:función:punto en el tiempo:^paciente:ordinal:
it-IT Italian (Italy) Punteggio del coma di Glasgow.motorio:Fcn:Pt:^Paziente:Ord:
Synonyms: Funzione paziente Punteggio motorio del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала.моторика:Функц:ТчкВрм:^Пациент:Пор:
Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN Chinese (China) 格拉斯哥昏迷分值.运动:功能:时间点:^患者:序数型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.运动;格拉斯哥昏迷得分.运动;格拉斯哥昏迷评分.运动 体格功能;体格检查功能;功能;躯体功能;身体功能 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 分值;分数;得分 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间

55285-1 Glasgow coma score special circumstances

Fully-Specified Name

Component
Glasgow coma score special circumstances
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
GCS special circumstances

Basic Attributes

Class
FUNCTION
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.27

Example Answer List LL1852-4

Answer Code Score Answer ID
Initial GCS has legitimate values without interventions such as intubation and sedation 3322003 LA17102-7
Eye obstruction prevents eye assessment 3322001 LA17103-5
Patient chemically sedated 3322007 LA17104-3
Patient chemically paralyzed 3322005 LA17105-0
Patient intubated 3322009 LA17106-8

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
84428-2 National EMS Information System - version 3 set
87825-6 National Trauma Data Standard - version 2018 set
89263-8 Special circumstances associated observations panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Circunstancias especiales del puntaje de coma de Glasgow:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Punteggio del coma di Glasgow, circostanze speciali:Tipo:Pt:^Paziente:Nom:
Synonyms: Circostanze speciali in punteggio del coma di Glas paziente Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала специальные обстоятельства:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Итог Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 格拉斯哥昏迷分值特殊情况:类型:时间点:^患者:名义型:
Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数特殊情况;格拉斯哥昏迷得分特殊情况;格拉斯哥昏迷评分特殊情况 体格功能;体格检查功能;功能;躯体功能;身体功能 分值;分数;得分 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

55286-9 Physical exam by body areas

Fully-Specified Name

Component
Physical examination by body areas
Property
-
Time
Pt
System
^Patient
Scale
Set
Method

Additional Names

Short Name
Physical exam by body areas

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.27
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Körperliche Untersuchung nach Körperbereichen:-:Zeitpunkt:^Patient:Set:
es-MX Spanish (Mexico) Examen físico por áreas corporales:-:Punto temporal:^ Paciente:Set:
it-IT Italian (Italy) Esame obiettivo per aree del corpo:-:Pt:^Paziente:Determinato:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Stabilito;Fissato
pt-BR Portuguese (Brazil) Exame físico de áreas do corpo:#N/A:Pt:^Paciente:Set:
Synonyms: ; Physical exam by body areas; Point in time; Random; bod; Bodies
ru-RU Russian (Russian Federation) Физикальное исследование по тело области:-:ТчкВрм:^Пациент:Множество:
Synonyms: Точка во времени;Момент Физикальное исследование по областям тела
zh-CN Chinese (China) 按身体区域的体格检查:-:时间点:^患者:集合型:
Synonyms: 临床信息附件集;临床信息附件集合;集;集合 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 按身体区域的查体 时刻;随机;随意;瞬间 物体 病史与体格检查

10199-8 Physical findings of Head Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Head
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Head

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cabeza:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cabeza:Narrativo:Observed
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Tête:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Testa:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:hoofd:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Crânio:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Skull; Brain; Intracranial; Cranium; Cranial; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Голова:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:头部: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 大脑;头;头壳;头的;头盖;头盖的;头盖骨;头部的;头颅;头颅内;头颅内的;头骨;脑;脑壳;脑的;颅;颅侧;颅的;颅骨;颅骨内;颅骨内的 时刻;随机;随意;瞬间 病史与体格检查 观测法

32432-7 Physical findings of Face

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Face
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Face

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cara:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cara:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Viso:Nom:Osservato
Synonyms: Esame obbiettivo Faccia Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Face:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Лицо:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:面部:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法 面;颜;颜面部;脸部;

32446-7 Physical findings of Lip

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Lip
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Lip

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Labio:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:labio:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Labbro:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Lábio:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Губа:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:嘴唇:名义型: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 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 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 唇 时刻;随机;随意;瞬间 病史与体格检查 观测法

32469-9 Physical findings of Scalp

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Scalp
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Scalp

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cuero cabelludo:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cuero cabelludo:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Cuoio capelluto:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:scalp:nominaal:observatie
Synonyms: behaarde hoofdhuid
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Couro cAceludo:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Скальп:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:头皮:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

11411-6 Physical findings of Neck Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Neck
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Neck

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cuello:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cuello:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Collo:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:hals:tekstueel:observatie
Synonyms: nek
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pescoço:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Шея:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:颈部: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 时刻;随机;随意;瞬间 病史与体格检查 观测法 颈

44965-2 Jugular vein distention --head raised 30 degrees

Fully-Specified Name

Component
Jugular vein distention^head raised 30 degrees
Property
Len
Time
Pt
System
^Patient
Scale
Qn
Method
Observed

Additional Names

Short Name
Jugular distention head up 30 deg

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.70
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
45033-8 Cardiovascular physiologic and EKG assessment panel
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Distensión de la vena yugular ^cabeza levantada 30 grados:Len:Punto temporal:^ Paciente:Cuantitativo:Observed
it-IT Italian (Italy) Vena giugulare, dilatazione^testa sollevata di 30 gradi:Len:Pt:^Paziente:Qn:Osservato
Synonyms: Dilatazione della vena giugulare Esame obbiettivo Lunghezza paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Distensão da veia jugular^cabeça erguida a 30 graus:Comprimento:Pt:^Paciente:Qn:Observado
Synonyms: ; Jugular distention; JVD; head up 30 deg; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; Observ; Venous; Ven
ru-RU Russian (Russian Federation) Яремная вена расширение^голова поднята под углом 30 градусов:Дл:ТчкВрм:^Пациент:Колич:Наблюдённый
Synonyms: Длина Количественный Точка во времени;Момент
zh-CN Chinese (China) 颈静脉怒张^头部上抬30度:长度:时间点:^患者:定量型:观察法
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 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 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 抬头30度 时刻;随机;随意;瞬间 病史与体格检查 观测法 长;长短 颈静脉扩张

Example Units

Unit Source
[in_i] Example UCUM Units

11391-0 Physical findings of Chest Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Chest
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Chest

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pecho:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:tórax:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Torace:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Petto Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:thorax:tekstueel:observatie
Synonyms: borst
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Tórax:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thorax; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Грудная клетка:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:胸部: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 时刻;随机;随意;瞬间 病史与体格检查 胸;胸廓;胸膛 观测法

11392-8 Physical findings of Chest wall Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Chest wall
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Chest wall

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pared del pecho:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:pared torácica:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Parete toracica:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Petto Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:thoraxwand:tekstueel:observatie
Synonyms: borst borstwand
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Parede torácica:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thorax; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Грудная стенка:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:胸壁: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 时刻;随机;随意;瞬间 病史与体格检查 胸;胸廓;胸膛 观测法

10193-1 Physical findings of Breasts Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Breasts
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Brsts

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:mamas:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pechos:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Mammelle:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Seni
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Mamas:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Brsts; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Молочные железы:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:乳腺类:叙述型:观察法
Synonyms: 乳腺(复数);乳房;乳房(复数);乳腺;乳腺(乳房) 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

11387-8 Physical findings of Axilla Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Axilla
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Axilla

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Axila:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:axila:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Ascella:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Axila:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Подмышечная ямка:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:腋窝: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 时刻;随机;随意;瞬间 病史与体格检查 腋;腋下;胳肢窝;夹肢窝 观测法

10200-4 Physical findings of Heart Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Heart
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Hrt

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:corazón:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Corazón:Narrativo:Observed
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Coeur:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Cuore:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Coração:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Hrt; Cardiac; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Сердце:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:心脏: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 心 时刻;随机;随意;瞬间 病史与体格检查 观测法

10207-9 Physical findings of Thorax and Lungs Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Thorax+Lungs
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Thorax+Lungs

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:tórax+pulmones:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Tórax + Pulmones:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Torace+Polmoni:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Torace e Polmoni
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Torax+Pulmões:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thoracic; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Грудная клетка+Лёгкие:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:胸腔+肺类: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 时刻;随机;随意;瞬间 病史与体格检查 胸;胸廓;胸部 胸腔+肺类(肺、肺脏、肺部);胸腔+肺部;胸+肺;胸与肺;胸腔与肺部 观测法

10191-5 Physical findings of Abdomen Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Abdomen
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Abd

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:abdomen:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Abdomen:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Addome:Nar:Osservato
Synonyms: Addome e Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:abdomen:tekstueel:observatie
Synonyms: buik
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Acdomen:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Acd; Acdominal; Acdo; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Живот:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:腹部: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 时刻;随机;随意;瞬间 病史与体格检查 腹;肚子 腹部(腹、肚子)+;腹部与 观测法

11403-3 Physical findings of Groin Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Groin
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Groin

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Ingle:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:ingle:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Inguine:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Virilha:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Пах:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:腹股沟: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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10204-6 Physical findings of Pelvis Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Pelvis
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Pelvis

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:pelvis:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pelvis:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Pelvi:Nar:Osservato
Synonyms: Bacino Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:bekken:tekstueel:observatie
Synonyms: pelvis
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pelve:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Pelvic; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Таз:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:盆腔: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 时刻;随机;随意;瞬间 病史与体格检查 盆腔(骨盆)+ 观测法 骨盆

11400-9 Physical findings of Genitalia Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Genitalia
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Genitalia

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Genitales:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:genitales:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Organi genitali:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Genitália:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Гениталии:Опис:Наблюдённый
Synonyms: Описательный Половые органы Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:生殖器: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 外生殖器;外阴部;生殖器(尤指外阴部);生殖器官 时刻;随机;随意;瞬间 病史与体格检查 观测法

11402-5 Physical findings of Male genitalia Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Genitalia.male
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Male genitalia

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Genitalia.male:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:genitales.masculinos:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Organi genitali.maschili:Nar:Osservato
Synonyms: Esame obbiettivo Organi genitali maschili Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Genitália.homem:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Male genitalia; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Гениталии.мужские:Опис:Наблюдённый
Synonyms: Мужские половые органы Описательный Половые органы Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:生殖器.男性: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 外生殖器.男性;外生殖器.雄性;外阴部.男性;外阴部.雄性;生殖器(尤指外阴部).男性;生殖器(尤指外阴部).雄性;生殖器.雄性;生殖器官.男性;生殖器官.雄性;男性外阴部;男性生殖器;雄性外阴部;雄性生殖器 外生殖器;外阴部;生殖器(尤指外阴部);生殖器官 时刻;随机;随意;瞬间 病史与体格检查 观测法

32465-7 Physical findings of Prostate

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Prostate
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Prostate

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Próstata:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:próstata:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Prostata:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:prostaat:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Próstata:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Prostatic; Prost; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Простата:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:前列腺:名义型: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 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 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 摄护腺 时刻;随机;随意;瞬间 病史与体格检查 观测法

11401-7 Physical findings of Female genitalia Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Genitalia.female
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Female genitalia

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Genitalia.female:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:genitales.femeninos:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Organi genitali.femminili:Nar:Osservato
Synonyms: Esame obbiettivo Organi genitali femminili Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Genitália.mulher:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Female genitalia; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Гениталии.женские:Опис:Наблюдённый
Synonyms: Женские половые органы Описательный Половые органы Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:生殖器.女性: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 外生殖器.女性;外生殖器.雌性;外阴部.女性;外阴部.雌性;女性外阴部;女性生殖器;生殖器(尤指外阴部).女性;生殖器(尤指外阴部).雌性;生殖器.雌性;生殖器官.女性;生殖器官.雌性;雌性外阴部;雌性生殖器 外生殖器;外阴部;生殖器(尤指外阴部);生殖器官 时刻;随机;随意;瞬间 病史与体格检查 观测法

32487-1 Physical findings of Vagina

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Vagina
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Vagina

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Vagina:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:vagina:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Vagina:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:vagina:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Vagina:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Влагалище:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:阴道:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32486-3 Physical findings of Uterus

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Uterus
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Uterus

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Útero:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:útero:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Utero:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:uterus:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Útero:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Uterine; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Матка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:子宫:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32423-6 Physical findings of Cervix

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Cvx
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Cvx

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.58

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:CVX:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cuello uterino:Nominal:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Col de l'utérus:Nominal:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Cvx:Nom:Osservato
Synonyms: Cervice uterina Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:cervix:nominaal:observatie
Synonyms: baarmoederhals
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Cervice:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Cervix; Genital tract; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Шейка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:子宫颈:名义型: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 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 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 宫颈;生殖道 时刻;随机;随意;瞬间 病史与体格检查 观测法

11388-6 Physical findings of Buttocks Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Buttocks
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Buttocks

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Nalgas:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:nalgas:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Natiche:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sedere
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Nadegas:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Ягодицы:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:臀部: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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10205-3 Physical findings of Rectum Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Rectum
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Rectum

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.73
Common Test Rank Get Info
11650

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Recto:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:recto:Narrativo:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Rectum:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Retto:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:rectum:tekstueel:observatie
Synonyms: endeldarm
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Reto:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Rectal; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Прямая кишка:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:直肠: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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10192-3 Physical findings of Back Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Back
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Back

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:dorso:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:atrás:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Schiena:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Costas:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Спина:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:背部: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 时刻;随机;随意;瞬间 病史与体格检查 背 观测法

32476-4 Physical findings of Spine

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Spine
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Spine

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Columna vertebral:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:columna vertebral:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Colonna vertebrale:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:wervelkolom:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Coluna:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Spinal Cord; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Позвоночник:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:脊椎:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 脊柱;脊骨;脊髓;椎骨 观测法

32462-4 Physical findings of Paraverteberal muscles

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Paravertebral muscles
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Paravertebral muscles

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Músculos paravertebrales:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:músculos paravertebrales:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Muscoli paravertebrali:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Músculos paravertebrais:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Паравертебральные мышцы:Ном:Наблюдённый
Synonyms: Номинальный;Именной Околопозвоночные мышцы Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:附脊肌:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

11404-1 Physical findings of Hand Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Hand
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Hand

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Mano:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:mano:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Mano:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Mão:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Кисть:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:手: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 手部 时刻;随机;随意;瞬间 病史与体格检查 观测法

32427-7 Physical findings of Digits

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Digits
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Digits

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:dedos:Nominal:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Dígitos:Nominal:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Dita:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Digitos:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Пальцы:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:手指或足趾:名义型: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 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 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 手指;手指或脚趾;指或趾;足趾 时刻;随机;随意;瞬间 病史与体格检查 观测法

56843-6 Physical findings of Nail bed Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Nail bed
Scale
Nar
Method

Additional Names

Short Name
Phys find Nail Bed

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cama de Clavos:Narrativo:
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Letto ungueale:Nar:
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Base da unha:Nar:
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Ungal nail; Nails; Narrative; Report
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Ногтевое ложе:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:甲床:叙述型:
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 指甲;指甲或趾甲;趾甲 时刻;随机;随意;瞬间 甲基质 病史与体格检查

11415-7 Physical findings of Wrist Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Wrist
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Wrist

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Muñeca:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:muñeca:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Polso:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Punho:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Carpal bones and joint; Carpal bone; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Запястье:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:腕部: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 时刻;随机;随意;瞬间 病史与体格检查 腕;腕关节;腕骨;手腕;手腕部 观测法

11398-5 Physical findings of Forearm Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Forearm
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Forearm

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Antebrazo:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:antebrazo:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Avambraccio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Antebraço:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Предплечье:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:前臂:叙述型:观察法
Synonyms: 下膊;小臂 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

11394-4 Physical findings of Elbow Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Elbow
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Elbow

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Codo:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:codo:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Gomito:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Cotovelo:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Olecranon; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Локоть:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:肘关节: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 时刻;随机;随意;瞬间 病史与体格检查 肘;肘部 观测法

11386-0 Physical findings of Upper arm Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Upper arm
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Upper arm

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Parte superior del brazo:Narrativo:Observed
es-AR Spanish (Argentina) brazo.superior:hallazgo:punto en el tiempo:ARM.UPPER:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Braccio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Braço:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Humerus; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Плечо:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:上臂:叙述型:观察法
Synonyms: Up 上的 上膊骨;肩;肱骨;膀 上边 上边的 上部 上部的 上部的(Upper,Up) 上面 上面的 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 在上面 在上面的 时刻;随机;随意;瞬间 病史与体格检查 观测法 较高 较高的

11413-2 Physical findings of Shoulder Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Shoulder
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Should

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Hombro:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:hombro:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Spalla:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Ombro:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Should; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Плечо:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:肩关节: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 时刻;随机;随意;瞬间 病史与体格检查 肩;肩胛;肩膀;肩角;肩部 观测法

11397-7 Physical findings of Foot Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Foot
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Ft

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Pie:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:pie:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Piede:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pé:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Ft; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Стопа:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:足部: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 时刻;随机;随意;瞬间 病史与体格检查 观测法 足;脚部;足部

32480-6 Physical findings of Toes

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Toes
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Toes

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Dedos de los pies:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:dedos de los pies:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Dita del piede:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Dedos do pé:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Distal metatarsals; Interphalangeal joints; Metatarsophalangeal joints; Phalanges; Toe; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Палец ноги:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:脚趾:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法 趾

11385-2 Physical findings of Ankle Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Ankle
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Ankle

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Tobillo:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:tobillo:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Caviglia:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Tornozelo:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Предплюсна:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:踝关节: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 时刻;随机;随意;瞬间 病史与体格检查 观测法 踝;踝部

11389-4 Physical findings of Calf Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Calf
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Calf

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Ternero:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:pantorrilla:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Polpaccio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Panturrilha:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Икра:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:腓肠: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 小腿肚;腓;腿肚子 时刻;随机;随意;瞬间 病史与体格检查 观测法

11407-4 Physical findings of Knee Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Knee
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Knee

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Rodilla:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:rodilla:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Ginocchio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:knie:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Joelho:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Kn; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Колено:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:膝关节: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 时刻;随机;随意;瞬间 病史与体格检查 膝;膝盖;膝部 观测法

11414-0 Physical findings of Thigh Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Thigh
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Thigh

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Muslo:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:muslo:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Coscia:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Coxa:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Femoral; Femur; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Бедро:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:大腿: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 大腿骨;股;股骨;髀 时刻;随机;随意;瞬间 病史与体格检查 观测法

11406-6 Physical findings of Hip Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Hip
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Hip

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Cadera:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:cadera:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Anca:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Quadril:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Тазобедренная область:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:髋关节: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 时刻;随机;随意;瞬间 病史与体格检查 观测法 髋部;髋骨

10197-2 Physical findings of Eye Narrative

Part Descriptions

LP7218-3   Eye
The "Eye" System in LOINC is a broad concept that includes all parts of the eye, including ocular fluid (aqueous and vitreous), cornea, and conjunctiva. Source: Regenstrief LOINC

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Eye
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Eye

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:ojo:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Ojo:Narrativo:Observed
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Oeil:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Occhio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:oog:tekstueel:observatie
Synonyms: oculus
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Olho:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Глаз:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:眼睛: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 时刻;随机;随意;瞬间 病史与体格检查 目;眼;眼部 观测法

56844-4 Intraocular pressure of Eye

Part Descriptions

LP7218-3   Eye
The "Eye" System in LOINC is a broad concept that includes all parts of the eye, including ocular fluid (aqueous and vitreous), cornea, and conjunctiva. Source: Regenstrief LOINC

LP96294-1   Intraocular pressure
Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine the IOP. IOP is an important aspect in the evaluation of patients at risk for glaucoma. Most tonometers are calibrated to measure pressure in millimeters of mercury (mmHg). Source: Regenstrief LOINC

Fully-Specified Name

Component
Intraocular pressure
Property
Pres
Time
Pt
System
Eye
Scale
Qn
Method

Additional Names

Short Name
IOP Eye

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Common Test Rank Get Info
5421

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Presión intraocular:Pres:Punto temporal:Ojo:Cuantitativo:
it-IT Italian (Italy) Pressione intraoculare:Pres:Pt:Occhio:Qn:
Synonyms: Esame obbiettivo Pressione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Pressão intra-ocular:Pres:Pt:Olho:Qn:
Synonyms: Point in time; Random; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Quantitative; QNT; Quant; Quan
ru-RU Russian (Russian Federation) Внутриглазное давление:Давл:ТчкВрм:Глаз:Колич:
Synonyms: Давление Количественный Точка во времени;Момент
zh-CN Chinese (China) 眼内压:压力或压强:时间点:眼睛:定量型:
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 历史纪录与体格检查 历史纪录与体格检查小节 压力;压强 压强 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 病史与体格检查 目;眼;眼部 眼压

Example Units

Unit Source
mm[Hg] Example UCUM Units

32424-4 Physical findings of Conjunctiva

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Conjunctiva
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Conjunctiva

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Conjuntiva:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:conjuntiva:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Congiuntiva:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Conjuntiva:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Конъюнктива:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:结膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 睛衣;眼球结膜;眼结膜 观测法

32425-1 Physical findings of Cornea

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Cornea
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Cornea

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Córnea:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:córnea:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Cornea:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Córnea:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Corneal; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Роговица:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:角膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 眼角膜 观测法

32429-3 Physical findings of Extraocular muscles

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Extraocular muscles
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Extraocular muscles

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:músculos extraoculares:Nominal:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Músculos extraoculares:Nominal:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Muscoli extraoculari:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Músculos extraoculares:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Внеглазные мышцы:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:眼外肌:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32431-9 Physical findings of Eye lid

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Eye lid
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Eye lid

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Párpado:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:párpado:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Occhio, palpebra:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Palpepra dell''occhio Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pálpebra:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Веко:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:眼睑:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 目;眼;眼部 眼皮;睑 观测法

32440-0 Physical findings of Iris

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Iris
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Iris

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Iris:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:iris:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Iride:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Íris:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Радужная оболочка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:虹膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32443-4 Physical findings of Lacrimal apparatus

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Lacrimal apparatus
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Lacrimal apparatus

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Aparato lagrimal:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:aparato lagrimal:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato lacrimale:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Aparelho lacrimal:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Слёзный аппарат:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:泪器:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32459-0 Physical findings of Optic lens

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Optic lens
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Optic lens

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Lente óptica:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:lente óptica:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Lenti ottiche:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Lente óptica:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Оптическая линза:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:晶状体:名义型:观察法
Synonyms: crystalline lens;lens;lens crystallina;光学透镜;光学镜片;眼球晶状体 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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32466-5 Physical findings of Pupil

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Pupil
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Pupil

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Alumno:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:pupila:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Pupilla:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:pupil:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pupila:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Зрачок:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:瞳孔:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 瞳仁;眸子;瞳人;光瞳;瞳 观测法

32468-1 Physical findings of Retina

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Retina
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Retina

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Retina:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:retina:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Retina:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Retina:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Сетчатка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:视网膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法 视衣

32471-5 Physical findings of Sclera

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Sclera
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Sclera

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Esclerótico:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:esclerótica:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Sclera:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:sclera:nominaal:observatie
Synonyms: harde oogrok
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Esclera:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Волосистая часть головы:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:巩膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

28631-0 Visual acuity study

Fully-Specified Name

Component
Visual acuity study
Property
Find
Time
Pt
System
^Patient
Scale
Doc
Method

Additional Names

Short Name
Visual acuity study

Basic Attributes

Class
DOC.MISC
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.67
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
26443-2 Clinical reports.non lab claims attachment
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
70947-7 General eye evaluation

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estudio de agudeza visual:Tipo:Punto temporal:^ Paciente:Documento:
es-AR Spanish (Argentina) estudio de la agudeza visual:hallazgo:punto en el tiempo:^paciente:Múltiple:*
it-IT Italian (Italy) Studio di acuità visiv:Osservazione:Pt:^Paziente:Doc:
Synonyms: Documentazione miscellanea Miscellanea Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Estudo de Acuidade Visual:Achado:Pt:^Paciente:Multi:*
Synonyms: Refraction; Finding; Findings; Point in time; Random
ru-RU Russian (Russian Federation) Зрение острота исследование:Находка:ТчкВрм:^Пациент:Док:
Synonyms: Документ Точка во времени;Момент
zh-CN Chinese (China) 视力检查:发现:时间点:^患者:文档型:
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 文档.其他;杂项类文档;其他文档 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 检查分析 研究;检查项目;调查;考察;研究项目;学习 考察 视力(视觉敏锐度)检查 视觉 视觉敏锐度 调查

11393-6 Physical findings of Ears and Nose and Mouth and Throat Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Ears & Nose & Mouth & Throat
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find ENMT

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Oídos, nariz, boca y garganta:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:oído y nariz y boca y garganta:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Orecchie & naso & bocca & gola:Nar:Osservato
Synonyms: Esame obbiettivo Orecchie e Naso e Bocca e Gola Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Orelhas,Nariz, Boca e garganta:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; ENMT; Nos; Smell; Nasal; Oral; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Уши & нос & рот & горло:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:耳与鼻与口与咽喉: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 口+咽喉;口与咽喉 咽喉部;喉部;颈前部;喉咙;嗓子 嘴 时刻;随机;随意;瞬间 病史与体格检查 耳+鼻+口+咽喉;耳与鼻与口与咽喉;耳朵 & 鼻子 & 口 & 咽喉;耳朵+鼻子+口+咽喉;耳朵与鼻子与口与咽喉;耳、鼻、口与咽喉 观测法 鼻部

10195-6 Physical findings of Ear Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Ear
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Ear

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Oreja:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:oído:Narrativo:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Oreille:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Orecchio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:oor:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Orelha:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Otologic; Hearing; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Ухо:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:耳: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 时刻;随机;随意;瞬间 病史与体格检查 耳朵;耳部 观测法

32484-8 Physical findings of Tympanic membrane

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Tympanic membrane
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Tympanic Memb

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Membrana timpánica:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:membrana timpánica:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Membrana timpanica:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Membrana do timpano:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Tympanic Memb; Ear; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Барабанная перепонка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:鼓膜:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 耳膜 观测法

32421-0 Physical findings of Auditory canal

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Auditory canal
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Auditory canal

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Canal auditivo:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:conducto auditivo:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Canale uditivo:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Canal auditivo:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Слуховой проход:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:耳道:名义型:观察法
Synonyms: 传声管;听管;听道 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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10203-8 Physical findings of Nose Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Nose
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Nose

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:nariz:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Nariz:Narrativo:Observed
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Nez:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Naso:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:neus:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Nasal:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nos; Smell; Nasal; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Нос:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:鼻: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 时刻;随机;随意;瞬间 病史与体格检查 观测法 鼻部

32460-8 Physical findings of Palate

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Palate
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Palate

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Paladar:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:paladar:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Palato:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pálato:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Нёбо:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:上腭:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 硬腭;腭 观测法

32453-3 Physical findings of Mouth

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Mouth
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Mouth

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
39137-5 Oral assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Boca:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:boca:Nominal:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Bouche:Nominal:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Bocca:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:mond:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Boca:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Oral; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Рот:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:口:名义型: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 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 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 嘴 时刻;随机;随意;瞬间 病史与体格检查 观测法

32478-0 Physical findings of Teeth and gum

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Teeth and gum
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Teeth+gum

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
74029-0 Periodontal attachment - recommended CDA set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Dientes y encías:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:dientes y encía:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Denti e gengive:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Dentes e gengiva:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Teeth+gum; Teeth+gum; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Зубы и десны:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:牙齿与牙龈:名义型: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 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 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 时刻;随机;随意;瞬间 牙齿(复数);牙;牙(复数);牙齿;齿;齿(复数) 牙齿与齿龈 病史与体格检查 观测法

32483-0 Physical findings of Tongue

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Tongue
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Tongue

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Lengua:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:lengua:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Lingua:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:tong:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Língua:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Язык:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:舌:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 舌头;赤龙 观测法

56867-5 Physical findings of Throat Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Throat
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Throat

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Garganta:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Gola:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Garganta:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Горло:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:咽喉: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 咽喉部;喉部;颈前部;喉咙;嗓子 时刻;随机;随意;瞬间 病史与体格检查 观测法

32444-2 Physical findings of Larynx

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Larynx
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Larynx

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Laringe:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:laringe:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Laringe:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Laringe:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Гортань:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:喉部:名义型: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 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 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 喉 时刻;随机;随意;瞬间 病史与体格检查 观测法

32482-2 Physical findings of Tonsil

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Tonsil
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Tonsil

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Amígdala:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:amígdala:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Tonsille:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:tonsil:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Tonsila:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Миндалина:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:扁桃体:名义型: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 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 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 扁桃腺 时刻;随机;随意;瞬间 病史与体格检查 观测法

10201-2 Physical findings of Mouth and Throat and Teeth Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Mouth & Throat & Teeth
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Mouth+Throat+Teeth

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
39137-5 Oral assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:boca y garganta y dientes:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Boca, garganta y dientes:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Bocca & gola & denti:Nar:Osservato
Synonyms: Bocca e Gola e Denti Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Boca+garganta+dentes:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Oral; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Рот & горло & зубы:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:口与咽喉与牙齿: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 口+咽喉;口与咽喉 口+咽喉+牙齿;口与咽喉与牙齿;口、咽喉与牙齿 咽喉部;喉部;颈前部;喉咙;嗓子 嘴 时刻;随机;随意;瞬间 牙齿(复数);牙;牙(复数);牙齿;齿;齿(复数) 病史与体格检查 观测法

11390-2 Physical findings of Cardiovascular system Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Cardiovascular system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find CVS

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema cardiovascular:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:aparato cardiovascular:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato cardiovascolare:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema cardiovascolare
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema Cardiovascular:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; CVS; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Сердечно-сосудистая система:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:心血管系统: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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10208-7 Physical findings of Vessels Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Vessels
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Vesl

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:vasos:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Buques:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Vasi sanguigni:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Vasos:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; ves; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Сосуды:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:血管类: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 时刻;随机;随意;瞬间 病史与体格检查 血管(复数);脉管;脉管(复数);血管 观测法

56845-1 Pulse strength on exam Narrative

Fully-Specified Name

Component
Pulse strength on exam
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Pulse strength on exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Fuerza del pulso en el examen:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Impulso, forza in esame:Osservazione:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo Forza impulso in esame Osservazione paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Força do pulso no exame:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Пульс сила при исследовании:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 检查时的脉搏强度:发现:时间点:^患者:叙述型:
Synonyms: 体力;力;强度;浓度;规格;药品规格;药品规格或剂量 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 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 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 时刻;随机;随意;瞬间 病史与体格检查

11412-4 Physical findings of Respiratory system Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Respiratory system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Respiratory

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema respiratorio:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:aparato respiratorio:Narrativo:observado
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Système respiratoire:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato respiratorio:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:ademhalingsstelsel:tekstueel:observatie
Synonyms: systema respiratorium; ademhalingsstelsel
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema Respiratório:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Lungs; Breathing; RS; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Дыхательная система:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:呼吸系统: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 呼吸道标本(样品、样本);呼吸系统标本(样品、样本) 时刻;随机;随意;瞬间 病史与体格检查 观测法

11399-3 Physical findings of Gastrointestinal system Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Gastrointestinal system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find GI

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema gastrointestinal:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:aparato digestivo:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato gastrointestinale:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema gastrointestinal:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; GI; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Желудочно-кишечный тракт:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:胃肠道系统: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 时刻;随机;随意;瞬间 消化系统;消化道系统 病史与体格检查 观测法

10198-0 Physical findings of Genitourinary tract Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Genitourinary tract
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find GU Tract

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Tracto genitourinario:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:vías genitourinarias:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Tratto genito urinario:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Tratto genito-urinario
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Trato Genitourinario:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; GU Tract; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Мочеполовой тракт:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:泌尿生殖道: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 时刻;随机;随意;瞬间 生殖泌尿道 病史与体格检查 观测法

11410-8 Physical findings of Musculoskeletal system Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Musculoskeletal system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Musculoskeletal

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema musculoesquelético:Narrativo:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:sistema musculoesquelético:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato muscolo-scheletrico:Nar:Osservato
Synonyms: Apparato muscolo scheletrico Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema musculoesqueletico:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Опорно-двигательный аппарат:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:肌肉骨骼系统: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 时刻;随机;随意;瞬间 病史与体格检查 肌肉-骨骼系统 观测法

32455-8 Physical findings of Muscle tone

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Muscle tone
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Muscle tone

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL3843-1

Answer Code Score Answer ID
Muscle tone asymmetric Copyright http://snomed.info/sct ID:406146007 Asymmetric muscle tone (finding) LA25259-5
Decreased muscle tone Copyright http://snomed.info/sct ID:398151007 decreased muscle tone (finding) LA25260-3
Flaccid muscle Copyright http://snomed.info/sct ID:186611004 Flaccidity of muscle (finding) LA25261-1
Fluctuating muscle tone Copyright http://snomed.info/sct ID:250076001 fluctuating muscle tone (finding) LA25262-9
Rigor LA25263-7

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Tono muscular:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:tono muscular:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Tono muscolare:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Tônus muscular:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Мышечный тонус:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:肌肉张力:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 肌张力;肌紧张性 肌肉 观测法

10206-1 Physical findings of Skin Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Skin
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Skin

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:piel:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Piel:Narrativo:Observed
fr-BE French (Belgium) Examen physique:Observation:Temps ponctuel:Peau:Narratif:Observé
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Pelle:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:huid:tekstueel:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Pele:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Epidermis; Skn; Integument; Dermatologic; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Кожа:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:皮肤: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 时刻;随机;随意;瞬间 病史与体格检查 皮;肤;表皮 观测法

10202-0 Physical findings of Nervous system Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Neurologic system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Neurologic

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:sistema neurológico:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema neurológico:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato neurologico:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema nervoso
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema Neurológico:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Неврологическая система:Опис:Наблюдённый
Synonyms: Нервная система Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:神经系统: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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10190-7 Mental status Narrative

Term Description

Observations and evaluations related to a patient's psychological and mental competency and deficits including, but not limited to any of the following types of information: appearance, attitude, behavior/psychomotor, mood and affect, speech and language, thought process, thought content, perception, cognition, and insight and judgment.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Mental status
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Mental status

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.58

Member of these Panels

LOINC Long Common Name
81222-2 Consultation note - recommended C-CDA R2.0 and R2.1 sections
81214-9 Continuity of Care Document - 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
81245-3 Interval document - recommended CDP Set 1 R1.0 and 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

Tag Language Translation
es-MX Spanish (Mexico) Estado mental:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR Spanish (Argentina) estado mental:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
fr-BE French (Belgium) Status mental:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Stato mentale:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Психический статус:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 心理状况:发现:时间点:^患者:叙述型:观察法
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 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 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 时刻;随机;随意;瞬间 状况;情况 病史与体格检查 精神状态;心智状态;心理状态 观测法

56876-6 Physical findings of Primitive reflexes Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Primitive reflexes
Scale
Nar
Method

Additional Names

Short Name
Phys find Primitive reflexes

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Reflejos primitivos:Narrativo:
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Riflessi primitivi:Nar:
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Reflexos primitivos:Nar:
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Примитивные рефлексы:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:原始反射:叙述型:
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 时刻;随机;随意;瞬间 病史与体格检查

56873-3 Physical findings of Brain stem reflexes Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Brain stem reflexes
Scale
Nar
Method

Additional Names

Short Name
Phys find Brain stem reflexes

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Reflejos del tronco encefálico:Narrativo:
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Tronco cerebrale, riflessi:Nar:
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Riflessi troncoencefalici
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Reflexos do tronco cerebral:Nar:
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Cerebrum; Head; Cerebral; Intracranial; Narrative; Report
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Мозг ствол рефлексы:Опис:
Synonyms: Описательный Рефлексы ствола мозга Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:脑干反射:叙述型:
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 大脑;大脑的;头;头部;头颅内;头颅内的;脑的;脑;颅内;颅内的;颅骨内;颅骨内的 时刻;随机;随意;瞬间 病史与体格检查

32473-1 Physical findings sensation

Fully-Specified Name

Component
Physical findings.sensation
Property
Find
Time
Pt
System
Neurologic system
Scale
Nom
Method
Reported

Additional Names

Short Name
Phys find sensation

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.63

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos sensación:Tipo:Punto temporal:Sistema neurológico:Nominal:Reported
es-AR Spanish (Argentina) hallazgos físicos.sensación:hallazgo:punto en el tiempo:sistema neurológico:Nominal:informado
it-IT Italian (Italy) Osservazioni fisiche.sensazioni:Osservazione:Pt:Apparato neurologico:Nom:Riportato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sensazioni derivanti da osservazioni fisiche Sistema nervoso
pt-BR Portuguese (Brazil) Achados físicos.sensibilidade:Achado:Pt:Sistema Neurológico:Nom:Relatado
Synonyms: ; Phys find sensation; Exam; Examination; Finding; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Физикальные находки.чувствительность:Находка:ТчкВрм:Неврологическая система:Ном:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Нервная система Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现.感觉:发现:时间点:神经系统:名义型:报告法
Synonyms: 体格检查(查体、体检、身体检查、肉体检查)发现(所见).感觉;体格检查所见.感觉;查体发现.感觉;查体所见.感觉;体格检查发现.知觉 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 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 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 时刻;随机;随意;瞬间 病史与体格检查

32452-5 Physical findings of Motor function

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Motor function
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Motor function

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Función motora:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:función motriz:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Funzione motoria:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Função motora:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ; Funct; FCN; Func
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Двигательная функция:Ном:Наблюдённый
Synonyms: Моторная функция Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:运动功能:名义型:观察法
Synonyms: FCN 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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10212-9 Physical findings of Strength Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Strength
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Strength

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:fuerza:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Fuerza:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Forza:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Força:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Сила:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:力量:叙述型:观察法
Synonyms: 体力;力;强度;浓度;规格;药品规格;药品规格或剂量 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

10209-5 Physical findings of Neurologic balance and Coordination Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Neurologic balance+Coordination
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Balance+Coordination

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) equilibrio neurológico+coordinación:hallazgo:punto en el tiempo:NEUROLOGIC BALANCE+COORDINATION:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Equilibrio neurológico + Coordinación:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Equilibrio neurologico+Coordinazione:Nar:Osservato
Synonyms: Equilibrio neurologico e Coordinazione Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Balanço neurologico+Coordenação:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Неврология равновесие+Координация:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:神经平衡+协调: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 时刻;随机;随意;瞬间 病史与体格检查 神经学平衡 & 协调;神经学平衡+协调;神经学平衡与协调;神经平衡 & 协调;神经平衡与协调;神经病学平衡 & 协调;神经病学平衡+协调;神经病学平衡与协调 观测法

32433-5 Physical findings of Gait

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Gait
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Gait

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.73
Common Test Rank Get Info
5567

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel
89422-0 Timed Up and Go test and physical findings of gait panel CDC

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Paso:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:marcha:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Andatura:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Marcha:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Походка:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:步态:名义型: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 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 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 时刻;随机;随意;瞬间 步法 病史与体格检查 观测法

10194-9 Physical findings of Neurologic deep tendon reflexes Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Neurologic deep tendon reflexes
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Deep tendon reflexes

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0i
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) reflejos tendinosos profundos neurológicos:hallazgo:punto en el tiempo:NEUROLOGIC DEEP TENDON REFLEXES:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Reflejos tendinosos profundos neurológicos:Narrativo:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Riflessi neurologici tendine profondo:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Reflexos neurologicos profundos do tendão:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Неврология глубокие сухожильные рефлексы:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:神经深部腱反射: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 时刻;随机;随意;瞬间 病史与体格检查 神经学深部腱反射;神经病学深部腱反射 观测法

32389-9 Deep tendon reflex of Achilles

Fully-Specified Name

Component
Deep tendon reflex
Property
Find
Time
Pt
System
Achilles
Scale
Ord
Method
Observed

Additional Names

Short Name
DTR Achilles

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL2089-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
1+ LA11841-6
2+ LA11842-4
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo tendinoso profundo:Tipo:Punto temporal:Aquiles:Ordinal:Observed
es-AR Spanish (Argentina) reflejo tendinoso profundo:hallazgo:punto en el tiempo:aquiles:ordinal:observado
it-IT Italian (Italy) Riflesso tendineo profondo:Osservazione:Pt:Achille:Ord:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Tallone d''Achille
pt-BR Portuguese (Brazil) Intenso reflexo do tendão:Achado:Pt:Tendão de Aquiles:Ord:Observado
Synonyms: ; DTR; Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Observ
ru-RU Russian (Russian Federation) Глубокий сухожильный рефлекс:Находка:ТчкВрм:Ахиллов:Пор:Наблюдённый
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 深部腱反射:发现:时间点:跟腱:序数型:观察法
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 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 时刻;随机;随意;瞬间 病史与体格检查 脚跟;踵 观测法

32390-7 Deep tendon reflex of Biceps

Fully-Specified Name

Component
Deep tendon reflex
Property
Find
Time
Pt
System
Biceps
Scale
Ord
Method
Observed

Additional Names

Short Name
DTR Biceps

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL2089-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
1+ LA11841-6
2+ LA11842-4
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo tendinoso profundo:Tipo:Punto temporal:Bíceps:Ordinal:Observed
es-AR Spanish (Argentina) reflejo tendinoso profundo:hallazgo:punto en el tiempo:bíceps:ordinal:observado
it-IT Italian (Italy) Riflesso tendineo profondo:Osservazione:Pt:Bicipite:Ord:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intenso reflexo do tendão:Achado:Pt:Bíceps:Ord:Observado
Synonyms: ; DTR; Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Observ
ru-RU Russian (Russian Federation) Глубокий сухожильный рефлекс:Находка:ТчкВрм:Бицепс:Пор:Наблюдённый
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 深部腱反射:发现:时间点:二头肌:序数型:观察法
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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32391-5 Deep tendon reflex of Brachioradialis

Fully-Specified Name

Component
Deep tendon reflex
Property
Find
Time
Pt
System
Brachioradialis
Scale
Ord
Method
Observed

Additional Names

Short Name
DTR Brachioradialis

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL2089-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
1+ LA11841-6
2+ LA11842-4
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo tendinoso profundo:Tipo:Punto temporal:Braquiorradial:Ordinal:Observed
es-AR Spanish (Argentina) reflejo tendinoso profundo:hallazgo:punto en el tiempo:braquirradial:ordinal:observado
it-IT Italian (Italy) Riflesso tendineo profondo:Osservazione:Pt:Brachioradiale:Ord:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intenso reflexo do tendão:Achado:Pt:Braquiorradial:Ord:Observado
Synonyms: ; DTR; Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Observ
ru-RU Russian (Russian Federation) Глубокий сухожильный рефлекс:Находка:ТчкВрм:Плечелучевой:Пор:Наблюдённый
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 深部腱反射:发现:时间点:肱桡肌:序数型:观察法
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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32392-3 Deep tendon reflex of Patellar

Fully-Specified Name

Component
Deep tendon reflex
Property
Find
Time
Pt
System
Patellar
Scale
Ord
Method
Observed

Additional Names

Short Name
DTR Patellar

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL2089-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
1+ LA11841-6
2+ LA11842-4
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo tendinoso profundo:Tipo:Punto temporal:Rotuliano:Ordinal:Observed
es-AR Spanish (Argentina) reflejo tendinoso profundo:hallazgo:punto en el tiempo:rotuliano:ordinal:observado
it-IT Italian (Italy) Riflesso tendineo profondo:Osservazione:Pt:Rotuleo:Ord:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intenso reflexo do tendão:Achado:Pt:Patelar:Ord:Observado
Synonyms: ; DTR; Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Observ
ru-RU Russian (Russian Federation) Глубокий сухожильный рефлекс:Находка:ТчкВрм:Коленный:Пор:Наблюдённый
Synonyms: Коленный рефлекс Порядковый Точка во времени;Момент
zh-CN Chinese (China) 深部腱反射:发现:时间点:髌骨:序数型:观察法
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 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 时刻;随机;随意;瞬间 病史与体格检查 膝盖;膝盖骨;膝盖骨的;髌;髌的;髌骨的 观测法

32393-1 Deep tendon reflex of Triceps

Fully-Specified Name

Component
Deep tendon reflex
Property
Find
Time
Pt
System
Triceps
Scale
Ord
Method
Observed

Additional Names

Short Name
DTR Triceps

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Example Answer List LL2089-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
1+ LA11841-6
2+ LA11842-4
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo tendinoso profundo:Tipo:Punto temporal:Tríceps:Ordinal:Observed
es-AR Spanish (Argentina) reflejo tendinoso profundo:hallazgo:punto en el tiempo:tríceps:ordinal:observado
it-IT Italian (Italy) Riflesso tendineo profondo:Osservazione:Pt:Tricipite:Ord:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Intenso reflexo do tendão:Achado:Pt:Tríceps:Ord:Observado
Synonyms: ; DTR; Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; Observ
ru-RU Russian (Russian Federation) Глубокий сухожильный рефлекс:Находка:ТчкВрм:Трицепс:Пор:Наблюдённый
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 深部腱反射:发现:时间点:三头肌:序数型:观察法
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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32426-9 Physical findings of Nerves.cranial

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Nerves.cranial

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.56

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:nervios.craneales:Nominal:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Nervios craneales:Nominal:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Nervi.cranici:Nom:Osservato
Synonyms: Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Nervos.craniano:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
zh-CN Chinese (China) 体格检查发现:发现:时间点:神经类.颅:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

32385-7 Babinski reflex

Fully-Specified Name

Component
Babinski reflex
Property
Find
Time
Pt
System
Neurologic system
Scale
Nom
Method
Observed

Additional Names

Short Name
Babinski reflex

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.29

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Reflejo de Babinski:Tipo:Punto temporal:Sistema neurológico:Nominal:Observed
es-AR Spanish (Argentina) reflejo de Babinski:hallazgo:punto en el tiempo:sistema neurológico:Nominal:observado
it-IT Italian (Italy) Babinski, riflesso:Osservazione:Pt:Apparato neurologico:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Riflesso di Babinski Sistema nervoso
pt-BR Portuguese (Brazil) Reflexo Babinski:Achado:Pt:Sistema Neurológico:Nom:Observado
Synonyms: Finding; Findings; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Бабинский рефлекс:Находка:ТчкВрм:Неврологическая система:Ном:Наблюдённый
Synonyms: Нервная система Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 巴宾斯基反射:发现:时间点:神经系统:名义型:观察法
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 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 巴彬斯奇反射 时刻;随机;随意;瞬间 病史与体格检查 观测法

11451-2 Psychiatric findings Narrative

Fully-Specified Name

Component
Psychiatric findings
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
Observed

Additional Names

Short Name
Psychiatric findings

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) hallazgos psiquiátricos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
es-MX Spanish (Mexico) Hallazgos psiquiátricos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
fr-BE French (Belgium) Examen psychiatrique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT Italian (Italy) Osservazioni psichiatriche:Osservazione:Pt:^Paziente:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Психиатрические находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 精神病学发现:发现:时间点:^患者:叙述型:观察法
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 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 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 时刻;随机;随意;瞬间 病史与体格检查 精神病学所见 观测法

11447-0 Physical findings of Hematologic and Lymphatic and Immunologic System Narrative

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Hematologic+Lymphatic+Immunologic system
Scale
Nar
Method
Observed

Additional Names

Short Name
Phys find Hem+Lymph+Immun

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema hematológico + linfático + inmunológico:Narrativo:Observed
es-AR Spanish (Argentina) sistema hematológico+linfático+inmunológico:hallazgo:punto en el tiempo:HEMATOLOGIC+LYMPHATIC+IMMUNOLOGIC SYSTEM:Narrativo:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Sistema ematopoietico+Linfatico+Immunitario:Nar:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema ematopoietico e Linfatico e Immunitario
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistemas Hematológico+Linfático+Imunológico:Nar:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Hem+Lymph+Immun; Hem+Lymph+Immun; Narrative; Report; Observ; Hemato
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Кровь+Лимфатическая+Иммунная система:Опис:Наблюдённый
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:造血系统+淋巴系统+免疫系统: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 免疫 免疫性的 免疫的 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 时刻;随机;随意;瞬间 病史与体格检查 血液学/凝血 血液性 观测法 造血+淋巴+免疫系统;造血系统 & 淋巴系统 & 免疫系统;造血系统 & 淋巴组织 & 免疫系统;造血系统、淋巴系统及免疫系统;造血系统、淋巴组织及免疫系统;造血系统+淋巴组织+免疫系统

32450-9 Physical findings of Lymph node

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Lymph node
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find LN

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Ganglio linfático:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:ganglio linfático:Nominal:observado
fr-FR French (France) Localisation:Recherche:Ponctuel:Ganglion lymphatique:Résultat nominal:Observation
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Linfonodo:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichamelijke bevindingen:bevinding:moment:lymfeklier:nominaal:observatie
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Linfonodo:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; LN; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Лимфатический узел:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:淋巴结:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

29301-9 Physical findings of Endocrine system

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Endocrine system
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Endocrine

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.27

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Sistema endocrino:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:sistema endocrino:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Apparato endocrino:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Sistema Endocrino:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Эндокринная система:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:内分泌系统:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

32441-8 Physical findings of Joint

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Joint
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Joint

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.52
Change Reason
Changed from 111 IN in component; Changed system from xxx joint for conformance with LOINC/RadLex unified model.

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Articulación:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:articulación.XXX:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Articolazione:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:XXX articulação:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Misc; Miscellaneous; Unspecified; Other; Jnt; Nominal; Observ
zh-CN Chinese (China) 体格检查发现:发现:时间点:关节:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 观测法

8703-1 Physical findings of Extremities

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Extremities
Scale
Nom
Method
Observed

Additional Names

Short Name
Phys find Extremities

Basic Attributes

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

Member of these Panels

LOINC Long Common Name
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Extremidades:Nominal:Observed
es-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:extremidades:Nominal:observado
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Estremità:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Membros:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Limbs; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Конечности:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:四肢:名义型: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 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 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 时刻;随机;随意;瞬间 病史与体格检查 肢体;身体的附属肢体;附属肢体 观测法

42348-3 Advance directives

Term Description

Advance directives contains data defining the patient's direction of care and any reference to supporting documentation. The most recent and up-to-date directives are required, if known, and should be listed in as much detail as possible. Advance directives contains data such as the existence of living wills, healthcare proxies, and CPR and resuscitation status.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Advance directives
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Additional Names

Short Name
Advance directives

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.16
Last Updated
Version 2.67
Change Reason
Previous Releases: Based on Clinical LOINC Committee review at the Feb. 2016 meeting, this term represents a document containing information on a patient's advance directives and any supporting documentation, such as a living will. The term was revised to fit the current LOINC Document Ontology model.;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
57082-0 Antepartum record panel
69459-6 Care record summary panel
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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
71531-8 ESRD hospitalization panel
57083-8 Labor and Delivery record panel
92574-3 Labor and delivery summary - recommended IHE set
92576-8 Maternal discharge summary - recommended IHE set
82811-1 Nurse summary note - recommended sections
74449-0 Patient plan of care - recommended IHE set
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

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain
LG51615-9 Advance directives|ANYRole|ANYSetting

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Patientenverfügung:Ergebnis:Zeitpunkt:{Setting}:Dokument:{Typ des Autors}
Synonyms: Beachtliche und verbindliche Patientenverfügungen
es-MX Spanish (Mexico) Directivas avanzadas:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Dichiarazioni anticipate di trattamento:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato Testamenti biologici;Direttive anticipate
nl-NL Dutch (Netherlands) wilsverklaring:bevinding:moment:{instelling}:document:{rol}
pt-BR Portuguese (Brazil) Diretivas avançadas:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
zh-CN Chinese (China) 事前指示类:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 事前指示;事前意愿;事前要求;遗嘱;遗愿 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 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色