Term Description

The System Lupus International Collaborating Clinics (SLICC)/American College of Rheumatology (ARC) Damage Index for Systemic Lupus Erythematosus is a method that physician investigators use to determine the extent of permanent damage to various body organs or organ systems due to lupus or to the treatment thereof. This method is widely used and allows the physician to determine if a person has had any nonreversible changes (i.e., damage) to organ systems. These changes have occurred since a person is being diagnosed with lupus, are not related to active inflammation, and are ascertained via a clinical assessment. Also, unless stated otherwise, these changes must be present for at least six months prior to the assessment. The SLICC /ARC Damage Index is a cumulative index that records damage that occurs in individuals with lupus, regardless of whether the damage can be definitively attributed to lupus or is due to another cause, such as a comorbid condition. Prior to completing this protocol, the PhenX Skin, Bone, Muscle and Joint Working Group (WG) notes that investigators must first confirm the presence of lupus in respondents. This can be done via the PhenX measure Autoimmune Diseases Related to Type 1 Diabetes. This measure uses one question to determine the presence of various autoimmune diseases (including lupus) in respondents or their children.

Reference Information

TypeSourceReference
ArticleConsensus measures for Phenotypes and ExposuresGladman, D., Ginzler, E., Goldsmith, C., Fortin, P., Liang, M., Urowitz, M., Bacon, P., Bombardieri, S., Hanly, J., Hay, E., Isenberg, D., Jones, J., Kalunian, K., Maddison, P., Nived, O., Petri, M., Richter, M., Sanchez-Guerrero, J., Snaith, M., Sturfelt, G., Symmons, D., & Zoma, A. (1996). The Development and Initial Validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index for Systemic Lupus Erythematosus Arthritis & Rheumatism, 39(3), 363-369.399
ArticleConsensus measures for Phenotypes and ExposuresAlarcon, G. S., Roseman, J. M., McGwin, G., Jr., Uribe, A., Bastian, H. M., Fessler, B. J., Baethge, B. A., Friedman, A. W., & Reveille, J. D.; the LUMINA Study Group. (2004). Systemic lupus erythmatosis in three ethnic groups. XX. Damage as a predictor of further damage. Rheumatology, 43, 202-205.
ArticleConsensus measures for Phenotypes and ExposuresDanila, M. I., Pons-Estel, G. J. Zhang, J., Vila, L. M., Reveille, J. D., & Alarcon, G. S. (2009). Renal damage is the most important predictor of mortality within the damage index: data from LUMINA LXIV, a multiethnic US cohort Rheumatology, 48, 542-545.
CitationConsensus measures for Phenotypes and ExposuresLupus in Minorities: Nature versus Nurture (LUMINA) study glossary. Available by contacting one of the study investigators, Dr. Graciela S. Alarcon or Dr. John Reveille.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
64392-4PhenX - systemic lupus erythematosus protocol 171001
Indent66608-1Ocular (either eye, by clinical assessment) Any cataract ever
Indent66609-9Ocular (either eye, by clinical assessment) Retinal change or optic atrophy
Indent66610-7Neuropsychiatric Cognitive impairment (e.g., memory deficit, difficulty with calculation, poor concentration, difficulty in spoken or written language, impaired performance level) or major psychosis
Indent66611-5Neuropsychiatric Cognitive impairment (e.g., memory deficit, difficulty with calculation, poor concentration, difficulty in spoken or written language, impaired performance level) or major psychosis
Indent66612-3Neuropsychiatric Cerebrovascular accident ever (score 2 if > 1)
Indent66613-1Neuropsychiatric Cranial or peripheral neuropathy (excluding optic)
Indent66614-9Neuropsychiatric Transverse myelitis
Indent66615-6Renal Estimated or measured glomerular filtration rate <50%
Indent66616-4Renal Proteinuria > = 3.5 gm/24 hours
Indent66617-2Renal End-stage renal disease (regardless of dialysis or transplantation)
Indent66618-0Pulmonary Pulmonary hypertension (right ventricular prominence, or loud P2)
Indent66619-8Pulmonary Pulmonary fibrosis (physical and radiograph)
Indent66620-6Pulmonary Shrinking lung (radiograph)
Indent66621-4Pulmonary Pleural fibrosis (radiograph)
Indent66622-2Pulmonary Pulmonary infarction (radiograph)
Indent66623-0Cardiovascular Angina or coronary artery bypass
Indent66624-8Cardiovascular Myocardial infarction ever (score 2 if >I)
Indent66625-5Cardiovascular Cardiomyopathy (ventricular dysfunction)
Indent66626-3Cardiovascular Valvular disease (diastolic, murmur, or systolic murmur >3/6)
Indent66627-1Cardiovascular Pericarditis for 6 months, or pericardiectomy
Indent66628-9Peripheral vascular Claudication for 6 months
Indent66662-8Peripheral vascular Minor tissue loss (pulp space)
Indent66663-6Peripheral vascular Significant tissue loss ever (e.g., loss of digit or limb) (score 2 if >1 site)
Indent66664-4Peripheral vascular Venous thrombosis with swelling, ulceration, or venous stasis
Indent66665-1Gastrointestinal Infarction or resection of bowel below duodenum, spleen, liver, or gall bladder ever, for cause any (score 2 if > 1)
Indent66666-9Gastrointestinal Mesenteric insufficiency
Indent66667-7Gastrointestinal Chronic peritonitis
Indent66668-5Gastrointestinal Stricture or upper gastrointestinal tract surgery ever
Indent66669-3Musculoskeletal Muscle atrophy or weakness
Indent66670-1Musculoskeletal Deforming or erosive arthritis (including reducible deformities, excluding avascular necrosis)
Indent66671-9Musculoskeletal Osteoporosis with fracture or vertebral collapse (excluding avascular necrosis)
Indent66672-7Musculoskeletal Avascular necrosis (score 2 if > 1 )
Indent66673-5Musculoskeletal Osteomyelitis
Indent66674-3Skin Scarring chronic alopecia
Indent66675-0Skin Extensive scarring or panniculum other than scalp and pulp space
Indent66676-8Skin Skin ulceration (excluding thrombosis) for >6 months
Indent66677-6Premature gonadal failure
Indent66678-4Diabetes (regardless of treatment)
Indent66679-2Malignancy (exclude dysplasia) (score 2 if > 1 site)

LOINC Names Get Info

Fully-Specified Name
PhenX - systemic lupus erythematosus protocol 171001:-:Pt:^Patient:-:PhenX
Long Common Name
PhenX - systemic lupus erythematosus protocol 171001
Short Name
Lupus SLE proto

Part Model Get Info

  • Component
    PhenX - systemic lupus erythematosus protocol 171001
    LP116304-9
    • Analyte
      PhenX - systemic lupus erythematosus protocol 171001
      LP116304-9
      • Component Numerator
        PhenX - systemic lupus erythematosus protocol 171001
        LP116304-9
        • Component Numerator Core
          PhenX - systemic lupus erythematosus protocol 171001
          LP116304-9
        • 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
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    PhenX
    LP95333-8

Survey Question

PX171001

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.; 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

LOINCLong Common Name
62896-6PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)PhenX - συστηματικός ερυθηματώδης λύκος πρωτόκολλο 171001:-:Pt:^Ασθενής:-:PhenX
Synonyms: - PANEL.PHENX PHENX PhenX - συστηματικός ερυθηματώδης λύκος πρωτόκολλο 171001 Pt Ασθενής
es-MXSpanish (Mexico)PhenX - protocolo de lupus eritematoso sistémico 171001:-:Punto temporal:^ Paciente:-:PhenX
it-ITItalian (Italy)PhenX - lupus eritematoso sistemico, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)PhenX - системная красная волчанка протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CNChinese (China)PhenX - 系统性红斑狼疮方案 171001:-:时间点:^患者:-:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 PhenX - 全身性红斑狼疮方案 171001;Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;systemic lupus erythematosus;SLE;系统性红斑狼疮;全身性红斑狼疮 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.PhenX;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).PhenX;Consensus measures for Phenotypes and eXposures;PhenX;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;PhenX 医嘱组 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 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 组 组合 组合医嘱 组合类 组套

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=64392-4
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/64392-4