LOINC
Version 2.73

62888-3PhenX - international travel history protocol 161201Trial

Status Information

Status
Trial

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.
Source: Regenstrief LOINC

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 [CMS Assessment] {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.

Fully-Specified Name

Component
PhenX - international travel history protocol 161201
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
International travel hx proto

Survey Question

Source
PX161201

Basic Attributes

Class
PANEL.PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.67
Change Reason
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

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.

Member of these Panels

LOINC Long Common Name
62863-6 PhenX domain - Infectious diseases and immunity

Language Variants Get Info

zh-CNChinese (China)
PhenX - 国际旅行史方案 161201:-:时间点:^患者:-:PhenX
it-ITItalian (Italy)
PhenX - storia viaggi internazionali, protocollo:-:Pt:^Paziente:-:PhenX
ru-RURussian (Russian Federation)
PhenX - международное путешествие история протокол:-:ТчкВрм:^Пациент:-:PhenX
es-MXSpanish (Mexico)
PhenX - protocolo de historial de viajes internacionales 161201:-:Punto temporal:^ Paciente:-:PhenX

LOINC FHIR® API Example - CodeSystem and Questionnaire Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62888-3 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/62888-3