62888-3
PhenX - international travel history protocol 161201
Active
Term Description
From the Global Surveillance Network of the International Society of Travel Medicine (ISTM) and the Centers for Disease Control and Prevention (CDC), The GeoSentinel protocol is a self-reported questionnaire that collects information on a respondent's recent (within the last 6 months) and previous (within the last 5 years) travel history. It also provides a template for the clinician to use in assessing the exposure details. Updates to the date ranges within the protocol will need to be made to collect accurate data based on the start date of future studies. For Sections 2 and 3, if the respondent has more travel information than the allotted space allows, please collect that information as well.
Reference Information
| Type | Source | Reference |
|---|---|---|
| Citation | Consensus measures for Phenotypes and Exposures | International Society of Travel Medicine (ISTM) and the Centers for Disease Control and Prevention (CDC). 2008 GeoSentinel Questionnaire. Sections 1-5. |
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 62888-3 | PhenX - international travel history protocol 161201 | |||
| Indent46098-0 | Sex | |||
| Indent30525-0 | Age | R | a | |
| Indent46501-3 | Date assessment information completed | {mm/dd/yyyy} | ||
| Indent78746-5 | Country of birth [Location] | |||
| Indent66475-5 | Primary country of residency before age 10 | |||
| Indent66476-3 | Country of citizenship | |||
| Indent66477-1 | Country of Current Residence | |||
| Indent66478-9 | Immigrant | |||
| Indent66479-7 | If you were not born in USA, indicate as closely as possible the date you first arrived here: | |||
| Indent66396-3 | Trip number [PhenX] | |||
| Indent66397-1 | Country number | |||
| Indent66398-9 | History of Recent Travel - Trip Start Date | |||
| Indent66399-7 | History of Recent Travel - Trip End Date | |||
| Indent66400-3 | History of Previous Travel - Country 1 - Check if travelled to country this year. | |||
| Indent66401-1 | History of Previous Travel - Country 1 - Check if travelled to country last year. | |||
| Indent66402-9 | History of Previous Travel - Country 1 - Check if travelled to country two years ago. | |||
| Indent66403-7 | History of Previous Travel - Country 1 - Check if travelled to country three years ago. | |||
| Indent66404-5 | History of Previous Travel - Country 1 - Check if travelled to country four years ago. | |||
| Indent66405-2 | History of Previous Travel - Country 1 - Check if travelled to country five years ago. | |||
| Indent66406-0 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days this year | |||
| Indent66407-8 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days last year | |||
| Indent66408-6 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days two years ago | |||
| Indent66409-4 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days three years ago | |||
| Indent66410-2 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days four years ago | |||
| Indent66411-0 | History of Previous Travel - Country 1 - Stay was longer than 30 consecutive days five years ago | |||
| Indent66412-8 | Country of Exposure/Other | |||
| Indent66413-6 | Country of Exposure/Other - Country 1 | |||
| Indent66414-4 | More Specific Place of Exposure | |||
| Indent66415-1 | Reason for Travel Related to Current Illness (Check One) | 1..1 | ||
| Indent66416-9 | Risk Level Qualifier (Check One) | 1..1 | ||
| Indent66417-7 | Clinical Setting (Check One) | 1..1 | ||
| Indent66418-5 | Patient Type (Check One) | 1..1 | ||
| Indent66419-3 | Did the patient have a pre-travel encounter with a health care provider? (Check One) | |||
| Indent66420-1 | Main Presenting Symptoms (Check at least one symptom below, but include all symptoms that apply): Abnormal Lab Test | |||
| Indent66421-9 | Main Presenting Symptoms (Check at least one symptom below, but include all symptoms that apply): Asymptomatic Screening | |||
| Indent66422-7 | Main presenting symptom [PhenX] | 1..12 | ||
| Indent66427-6 | Main Presenting Symptoms If "Other," Specify: | |||
| Indent66428-4 | Working diagnosis number [PhenX] | |||
| Indent66429-2 | Working Diagnosis 1 Status (circle one) | 1..1 | ||
| Indent66430-0 | Check this box if patient was primarily diagnosed with an infection or disease that was acquired or existed at home prior to departure or which was acquired after travel but prior to the clinic visit. |
LOINC Names Get Info
- Fully-Specified Name
- PhenX - international travel history protocol 161201:
-: Pt: ^Patient: -: PhenX - Long Common Name
- PhenX - international travel history protocol 161201
- Short Name
- International travel hx proto
Part Model Get Info
- Component
- PhenX - international travel history protocol 161201
LP112484-3
- Analyte
- PhenX - international travel history protocol 161201
LP112484-3
- Component Numerator
- PhenX - international travel history protocol 161201
LP112484-3
- Component Numerator Core
- PhenX - international travel history protocol 161201
LP112484-3
- Component Numerator Core Suffix
- NULL
- Component Denominator
- NULL
- Component Denominator Core
- NULL
- Component Denominator Core Suffix
- NULL
- Challenge
- NULL
- Adjustment
- NULL
- Count
- NULL
- Property
- -
LP6769-6
- Time
- Pt
LP6960-1
- Time Core
- Pt
LP6960-1
- Time Modifier
- NULL
- System
- ^Patient
LP310005-6
- System Core
- NULL
- Super System
- Patient
LP6985-8
- Scale
- -
LP7747-1
- Method
- PhenX
LP95333-8
Survey Question
- PX161201
Basic Attributes
- Class
- PANEL.PHENX
- Type
- Clinical
- First Released
- Version 2.36
- Last Updated
- Version 2.81 (MIN)
- Change Reason
- Release 2.81: Status: Changing PhenX Concept from Status = Trial to Active; Previous Releases: Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Added the PhenX protocol ID to the Component to clearly define the protocol version for which this panel is based upon.
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 62863-6 | PhenX domain - Infectious diseases and immunity |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | PhenX - ιστορικό διεθνών ταξιδιών πρωτόκολλο 161201: Synonyms: - PANEL.PHENX PHENX PhenX - ιστορικό διεθνών ταξιδιών πρωτόκολλο 161201 Pt Ασθενής Ταξίδι |
| es-MX | Spanish (Mexico) | PhenX - protocolo de historial de viajes internacionales 161201: |
| it-IT | Italian (Italy) | PhenX - storia viaggi internazionali, protocollo: Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | PhenX - международное путешествие история протокол: Synonyms: Точка во времени; |
| zh-CN | Chinese (China) | PhenX - 国际旅行史方案 161201: Synonyms: Consensus measures for Phenotypes and eXposures; |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=62888-3 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/62888-3
LOINC Copyright
Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://