Version 2.77

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Back+Spine
Scale
Nom
Method
NEMSIS

Additional Names

Short Name
Phys find Back+Spine NEMSIS

Survey Question

Text
The assessment findings associated with the patient spine (Cervical, Thoracic, Lumbar, and Sacral) and back exam.
Source
EExam.14

Normative Answer List: LL1812-8

Source: NEMSIS
Code System
NEMSIS
Code System OID
2.16.840.1.113883.17.3.5.34
Answer Code Score Answer ID
Abrasion 3514001 LA7410-9
Avulsion 3514003 LA18220-6
Bleeding controlled 3514005 LA17208-2
Bleeding uncontrolled 3514007 LA17209-0
Burn, blistering 3514009 LA18221-4
Burn, charring 3514011 LA18222-2
Burn, redness 3514013 LA18223-0
Burn, white/waxy 3514015 LA18224-8
Deformity 3514017 LA18225-5
Foreign body 3514019 LA18226-3
Laceration 3514025 LA7452-1
NormalCopyright http://snomed.info/sct ID:17621005 Normal (qualifier value) 3514027 LA6626-1
Not done 3514029 LA6630-3
Pain 3514031 LA7460-4
Pain with range of motion 3514033 LA17256-1
Puncture/stab wound 3514035 LA17214-0
Tenderness costovertebral angle (CVA) 3514041 LA17257-9
Tenderness midline spinous process 3514043 LA17258-7
Tenderness paraspinous 3514045 LA17259-5
Gunshot wound 3514047 LA17212-4
Crush injury 3514049 LA17229-8
Swelling 3514051 LA22440-4
Contusion 3514053 LA7423-2
Tenderness 3514055 LA17709-9

Basic Attributes

Class
NEMSIS
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.50

Member of these Panels

LOINC Long Common Name
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) Hallazgos físicos:Tipo:Punto temporal:Espalda + Columna Vertebral:Nominal:NEMSIS
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Schiena+Spina dorsale:Nom:NEMSIS
Synonyms: National EMS Information System data - dati del Si Osservazione Punto nel tempo (episodio) Schiena e Spina dorsale
zh-CN Chinese (China) 体格检查发现:发现:时间点:背部+脊椎:名义型:NEMSIS
Synonyms: National Emergency Medical Services Information System;美国国家急救医疗服务信息系统;国家急救医疗服务信息系统;全国急救医疗服务信息系统;全美急救医疗服务信息系统 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 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 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 背 背部+脊椎(脊柱、脊骨、椎骨) 脊柱;脊骨;脊髓;椎骨

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=67532-2