Version 2.78

103778-7 Facial expression

Form Coding Instructions

New "Facial expression" that is reusable Score of 0: Relaxed muscles--Restful face, neutral expression Score of 1: Grimace--Tight facial muscles, furrowed brow; chin, and jaw (negative facial expressions - nose, mouth, and brow)

Source: Nursing Knowledge Big Data Science Encoding-Modeling Workgroup

Fully-Specified Name

Component
Facial expression
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Facial expression

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.77
Last Updated
Version 2.78
Order vs. Observation
Both

Survey Question

Text
Facial expression

Normative Answer List LL6344-7

Answer Code Score Answer ID
Relaxed muscles--restful face, neutral expression LA33694-3 0 LA33694-3
Grimace--tight facial muscles, furrowed brow; chin, and jaw (negative facial expressions - nose, mouth, and brow) LA33695-0 1 LA33695-0

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)
103780-3 Pain assessment in advanced dementia PAINAD

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Espressione del viso:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Лица выражение:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 面部表情:发现: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 脸部表情;表情

101971-0 Cry

Fully-Specified Name

Component
Cry
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Cry

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL6345-4

Answer Code Score Answer ID
No cry 0 LA32300-8
Whimper 1 LA32301-6
Vigorous cry 2 LA32302-4

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Pianto:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 哭啼:发现: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

101970-2 Breathing patterns

Term Description

New "Breathing Pattern" that is reusable Score of 0: Relaxed--Usual pattern for this baby
Score of 1: Change in breathing--Indrawing, irregular, faster than usual, gagging, breath holding
Source: Regenstrief LOINC

Fully-Specified Name

Component
Breathing patterns
Property
Find
Time
Pt
System
Respiratory
Scale
Ord
Method

Additional Names

Short Name
Breath pat

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL5947-8

Answer Code Score Answer ID
Relaxed 0 LA32283-6
Change in breathing 1 LA33706-5

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Modelli di respirazione:Osservazione:Pt:Respiratorio:Ord:
Synonyms: Anamnesi Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 呼吸模式:发现:时间点:呼吸道: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 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 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

101972-8 State of arousal

Term Description

Score of 0: Sleeping/Awake--Quiet, peaceful, sleeping or alert and settles
Score of 1: Fussy--Alert, restless, and thrashing
Source: Regenstrief LOINC

Fully-Specified Name

Component
State of arousal
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
State of arousal
Display Name
State of arousal
Consumer Name Alpha Get Info
State of arousal

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL5952-8

Answer Code Score Answer ID
Sleeping 0 LA11864-8
Awake 0 LA33709-9
Fussy 1 LA33710-7

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Stato di eccitazione:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 觉醒状态:发现: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 州;邦;政府;国家;状况;情况 时刻;随机;随意;瞬间 病史与体格检查

101974-4 Arms

Term Description

Score of 0: Relaxed/Restrained--No muscular rigidity occasional random movements of arms
Score of 1: Flexed/Extended--Tense, straight arms, rigid and/or rapid extension, flexion
Source: Regenstrief LOINC

Fully-Specified Name

Component
Arms
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIPS

Additional Names

Short Name
Arms

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL6348-8

Answer Code Score Answer ID
Restrained 0 LA32285-1
Relaxed 0 LA32283-6
Flexed 1 LA33707-3
Extended 1 LA33708-1

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

101975-1 Legs

Fully-Specified Name

Component
Legs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIPS

Additional Names

Short Name
Legs

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL6342-1

Answer Code Score Answer ID
Relaxed/Restrained 0 LA33757-8
Flexed/Extended 1 LA33758-6

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

101973-6 Total score (0 to 7)

Term Description

Total score is the sum of points for the 6 parameters; the sum will be a minimum of zero (0) and a maximum of seven (7).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Total score (0 to 7)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Total score (0 to 7)
Display Name
Total score (0 to 7)
Consumer Name Alpha Get Info
Total score (0 to 7)

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL6349-6

Answer Code Score Answer ID
Sum the scores for the 6 observations LL6349-6 LA33711-5

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)

101951-2 NIPS assessment (interpretation)

Term Description

Interpretation of the total score:
Score 0 = no pain.
Score 1-3 = mild pain
Score 4-5 = moderate pain
Score 6-7 = severe pain
Limitation: A falsely low score may be seen in an infant who is too premature, ill to respond, or who is vented and receiving a paralyzing agent.
Source: Regenstrief LOINC

Fully-Specified Name

Component
NIPS Assessment
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
NIPS inter

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.75
Last Updated
Version 2.76
Order vs. Observation
Observation

Normative Answer List LL5953-6

Answer Code Score Answer ID
No pain LA131-5
Mild pain LA15111-0
Moderate pain LA135-6
Severe pain LA15109-4

Member of these Panels

LOINC Long Common Name
101967-8 Neonatal infant pain scale panel (NIPS)