LOINC Panel Details 55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0

10186-5 Identifying information Narrative Observed

Fully-Specified Name

Component: Identifying information
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Identifying information Observ

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Información identificativa:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR	Spanish (Argentina)	información identificatoria:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
fr-BE	French (Belgium)	Informations identification:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Informazione identificante:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Идентифицирующая информация:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	标识信息:发现:时间点:^患者:叙述型:观察法 Synonyms: 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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法身份信息;身份标识信息;身份证明信息;身份证件信息

11288-8 Arrival time documented

Fully-Specified Name

Component: Arrival time documented
Property: ClockTime
Time: Pt
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: Arrival time documented Clock time

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.48

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hora de llegada documentada:Hora del reloj:Punto temporal:^ Paciente:Cuantitativo:
es-AR	Spanish (Argentina)	hora de llegada documentada:tiempo:punto en el tiempo:^paciente:cuantitativo:
it-IT	Italian (Italy)	Ora di arrivo documentata:ClockTime:Pt:^Paziente:Qn: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Ora paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Tempo de visita documentada:Tempo:Pt:^Paciente:Qn: Synonyms: Point in time; Random; Quantitative; QNT; Quant; Quan; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Прибытие время документировано:ClockTime:ТчкВрм:^Пациент:Колич: Synonyms: Время, измеренное при помощи хронометра (часов) Количественный Точка во времени;Момент
zh-CN	Chinese (China)	文档记录的到达时间:时钟时间:时间点:^患者:定量型: Synonyms: ED 医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺已记载的到达时间;已记录的到达时间急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间时间(如秒);时间(如秒数) 钟表时间

Example Units

Unit	Source
{clock_time}	Example UCUM Units

11459-5 Transport mode EMS system

Fully-Specified Name

Component: Transport mode
Property: Type
Time: Pt
System: EMS system
Scale: Nom
Method

Additional Names

Short Name: Transport mode EMS Sys

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.63

Normative Answer List LL483-9

Answer	Code	Answer ID
Ground ambulance	10	LA9315-8
Helicopter ambulance	20	LA9316-6
Fixed-wing air ambulance	30	LA9317-4
Ambulance, not otherwise specified	40	LA9318-2
Walk-in following transport via private transportation	50	LA9319-0
Walk-in following transport via public transportation	60	LA9320-8
Walk-in following nonambulance, law enforcement transport	70	LA9321-6
Walk-in, not otherwise specified	80	LA9322-4
Other mode of transport	88	LA9323-2
Unknown mode of transport	99	LA9324-0

Member of these Panels

LOINC	Long Common Name
81898-9	Composite triage and nursing note - recommended IHE set
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	TRANSPORT MODE:tipo:punto en el tiempo:sistema de servicio médico de urgencias:Nominal:
es-MX	Spanish (Mexico)	Modo de transporte:Tipo:Punto temporal:Sistema EMS:Nominal:
it-IT	Italian (Italy)	Trasporto, modo:Tipo:Pt:Servizi Medici di Emergenza, sistema:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Modalità di trasporto Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Modo de transporte:Tipo:Pt:Sistema EMS:Nom: Synonyms: Typ; Point in time; Random; EMS Sys; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Транспортировка режим:Тип:ТчкВрм:Скорая медицинская помощь система:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	运输方式:类型:时间点:急救医疗服务系统:名义型: Synonyms: ED EMS 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型急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统;急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统急诊医疗服务急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间紧救医疗服务运输（输送、运送）方式（模式）

11319-1 Ambulance transport unit [Identifier] EMS system

Fully-Specified Name

Component: Ambulance transport unit
Property: ID
Time: Pt
System: EMS system
Scale: Nom
Method

Additional Names

Short Name: Ambulance transport unit EMS Sys

Basic Attributes

Class: ADMIN.ID
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.66

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Unidad de transporte de ambulancia:ID:Punto temporal:Sistema EMS:Nominal:
es-AR	Spanish (Argentina)	unidad de transporte del servicio de emergencias médicas:intradérmico:punto en el tiempo:sistema de servicio médico de urgencias:Nominal:
it-IT	Italian (Italy)	Unità di trasporto in ambulanza:ID:Pt:Servizi Medici di Emergenza, sistema:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Unidade de Ambulância:ID:Pt:Sistema EMS:Nom: Synonyms: Identifier; Ident; Point in time; Random; EMS Sys; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Скорая медицинская помощь транспорт единица:ID:ТчкВрм:Скорая медицинская помощь система:Ном: Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	救护车运输单位:标识符:时间点:急救医疗服务系统:名义型: Synonyms: EMS 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急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统;急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统急诊医疗服务救护车运送单位时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的紧救医疗服务行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.标识号（识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码）识别识别符

11318-3 Ambulance transport agency EMS system

Fully-Specified Name

Component: Ambulance transport agency
Property: ID
Time: Pt
System: EMS system
Scale: Nom
Method

Additional Names

Short Name: Ambulance transport agency EMS Sys

Basic Attributes

Class: ADMIN.ID
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.66

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Agencia de transporte de ambulancias:ID:Punto temporal:Sistema EMS:Nominal:
es-AR	Spanish (Argentina)	oficina de transporte del servicio de emergencias médicas:intradérmico:punto en el tiempo:sistema de servicio médico de urgencias:Nominal:
it-IT	Italian (Italy)	Agenzia di trasporto in ambulanza:ID:Pt:Servizi Medici di Emergenza, sistema:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Agência de Ambulância:ID:Pt:Sistema EMS:Nom: Synonyms: Identifier; Ident; Point in time; Random; EMS Sys; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Скорая медицинская помощь транспорт ведомство:ID:ТчкВрм:Скорая медицинская помощь система:Ном: Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	救护车运输机构:标识符:时间点:急救医疗服务系统:名义型: Synonyms: EMS 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急救医疗服务（Emergency Medical Service，Emergency Medical Services，EMS）急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统;急救医疗服务（EMS 服务、急诊医学服务、急诊服务、急救服务、急症室服务、EMS、急诊医学、急诊、急救、急症室）系统急诊医疗服务救护车运送机构时刻;随机;随意;瞬间标志标志符标识标识;身份标识符;身份标识标识符标识符（Identifier，ID）皮下皮下的皮内皮内（Intradermal，ID）皮内的皮层内皮层内的真皮下真皮下的真皮内的紧救医疗服务行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.标识号（识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码）识别识别符

11293-8 Type of Referral source

Fully-Specified Name

Component: Class
Property: Type
Time: Pt
System: Referral source
Scale: Nom
Method

Additional Names

Short Name: Referral Source Class

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL484-7

Answer	Code	Answer ID
Self-referral	10	LA9325-7
EMS transport decision	20	LA9326-5
Practitioner or health care facility referral	30	LA9327-3
Internal facility referral or transfer	40	LA9328-1
Law enforcement referral	50	LA9329-9
Acute care hospital transfer	60	LA9330-7
Other health care facility transfer	70	LA9331-5
Other	88	LA46-8

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Clase:Tipo:Punto temporal:Fuente de referencia:Nominal:
es-AR	Spanish (Argentina)	clase:tipo:punto en el tiempo:fuente de duración:Nominal:
it-IT	Italian (Italy)	Classe:Tipo:Pt:Fonte del rinvio:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Classe:Tipo:Pt:Fonte de referência:Nom: Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Класс:Тип:ТчкВрм:Направление источник:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	分类:类型:时间点:转诊来源:名义型: Synonyms: ED 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型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部族;种类;等;类;类别;级;纲;组时刻;随机;随意;瞬间源转诊（转诊介绍、转介、送交、转送、转诊介绍信）来源;转诊介绍来源;转诊介绍信来源

46239-0 Chief complaint+Reason for visit Narrative

Term Description

This term is used to record the patient's chief complaint (the patient's own description) and/or the reason for the patient's visit (the provider's description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Chief complaint+Reason for visit
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Chief complaint+Reason for visit

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 2.19
Last Updated: Version 2.63
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Queja principal + Motivo de la visita:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BE	French (Belgium)	Plainte principale+raison de visite:Observation:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Disturbo principale+Motivo dell'incontro:Osservazione:Pt:^Paziente:Nar: Synonyms: Anamnesi Disturbo primario Disturbo primario e Motivo dell''incontro Lamenta Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	belangrijkste klacht + reden voor bezoek:bevinding:moment:^patiënt:tekstueel:
pt-BR	Portuguese (Brazil)	Reclamação à chefia+Motivo da visita:Achado:Pt:^Paciente:Nar: Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU	Russian (Russian Federation)	Основная жалоба+Причина визита:Находка:ТчкВрм:^Пациент:Опис: Synonyms: Описательный Причина визита Проблема;Заболевание Точка во времени;Момент
zh-CN	Chinese (China)	主诉+就诊原因:发现:时间点:^患者:叙述型: Synonyms: 主诉+就诊理由;主诉+就医原因;主诉+访视原因关于就诊的理由;关于就诊（就医、访视）的原因;就诊原因;就诊理由;就医原因;访视原因;就医理由;访视理由医疗服务对象;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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉时刻;随机;随意;瞬间病史与体格检查

11371-2 Initial visit for chief complaint

Fully-Specified Name

Component: Initial visit for chief complaint
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Initial visit for chief complaint

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.29

Normative Answer List LL485-4

Answer	Code	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	1	LA33-6
No (chief complaint attributable to illness or injury, but this is not the initial encounter)	2	LA9334-9
Other (chief complaint not attributable to illness or injury)	8	LA9335-6

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Visita inicial para la queja principal:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	primera visita por el motivo de consulta:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Visita iniziale per disturbo principale:Tipo:Pt:^Paziente:Nom: Synonyms: Anamnesi Disturbo primario Lamenta paziente Punto nel tempo (episodio) Visita iniziale per disturbo primario
pt-BR	Portuguese (Brazil)	Visita inicial para reclamação à chefia:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Первоначальный визит по основная жалоба:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Проблема;Заболевание Точка во времени;Момент
zh-CN	Chinese (China)	针对主诉的初始就诊:类型:时间点:^患者:名义型: Synonyms: 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型控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉时刻;随机;随意;瞬间病史与体格检查针对主诉的初始（初期、最初、初次）就诊（就医）

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11283-9 Acuity assessment [Function] at First encounter

Fully-Specified Name

Component: Acuity assessment
Property: Fcn
Time: Enctr^frst
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Acuity assess 1st enctr

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Change Reason: Previous Releases: Changed answer list from "Normative" to "Preferred" to fit the current LOINC model.;
Common Test Rank Get Info: 241

Preferred Answer List LL486-2

Answer	Code	Answer ID
Requires immediate evaluation or treatment	10	LA9336-4
Requires prompt evaluation or treatment	20	LA9337-2
Time to evaluation or treatment not critical	30	LA9338-0
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	99	LA4489-6

Member of these Panels

LOINC	Long Common Name
81898-9	Composite triage and nursing note - recommended IHE set
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Evaluación de la agudeza:Fcn:Encuentro^PrimerValor:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	evaluación de la agudeza:función:duración del primer encuentro:^paciente:ordinal o cuantitativo:
it-IT	Italian (Italy)	Acutezza, valutazione:Fcn:Enctr^primo:^Paziente:Nom: Synonyms: Clinico Funzione Incontro;Appuntamento paziente Valutazione di acutezza
nl-NL	Dutch (Netherlands)	vaststelling acute karakter:functie:ontmoeting^eerste:^patiënt:nominaal:
pt-BR	Portuguese (Brazil)	Avaliação de acuidade:Fcn:Enctr^frst:^Paciente:Nom: Synonyms: ; Acuity assess; Function; Encounter; 1st; Nominal
ru-RU	Russian (Russian Federation)	Острота оценка:Функц:Встрч^первый:^Пациент:Ном: Synonyms: Встреча Номинальный;Именной Функция
zh-CN	Chinese (China)	病情危急程度评估:功能:就医过程持续时间^第一:^患者:名义型: Synonyms: 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医疗服务对象;客户;病人;病患;病号;超系统 - 病人就医;就医过程病情（疾病）危急（剧烈、严重、危及、紧急）程度评估（评价、估计、估价、评论、估定、估算）第一个;第一次;首个;首次评价;估计;估价;评论;估定;估算

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11454-6 Responsiveness assessment at First encounter

Fully-Specified Name

Component: Responsiveness assessment
Property: Fcn
Time: Enctr^frst
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Responsiveness assessment 1st enctr

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL487-0

Answer	Code	Answer ID
Alert	1	LA9340-6
Verbal response	2	LA9341-4
Painful response	3	LA9342-2
Unresponsive Copyright http://snomed.info/sct ID:422768004 unresponsive (finding)	4	LA9343-0

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	evaluación de la respuesta:función:duración del primer encuentro:^paciente:ordinal:
es-MX	Spanish (Mexico)	Evaluación de la capacidad de respuesta:Fcn:Encuentro^PrimerValor:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Reattività, valutazione:Fcn:Enctr^primo:^Paziente:Ord: Synonyms: Funzione Incontro;Appuntamento paziente Status funzionale (es., Glasgow) Valutazione della reattività
pt-BR	Portuguese (Brazil)	Avaliação de responsabilidade:Fcn:Enctr^frst:^Paciente:Ord: Synonyms: Encounter; 1st; Ql; Ordinal; QL; Qualitative; Qual; Screen; Funct; Func
ru-RU	Russian (Russian Federation)	Ответная реакция оценка:Функц:Встрч^первый:^Пациент:Пор: Synonyms: Встреча Порядковый Функция
zh-CN	Chinese (China)	反应性评估:功能:就医过程持续时间^第一:^患者:序数型: Synonyms: FCN 体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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 - 病人响应性评估（评价、估计、估价、评论、估定、估算）就医;就医过程第一个;第一次;首个;首次评价;估计;估价;评论;估定;估算

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11324-1 Glasgow coma score eye opening at First encounter

Fully-Specified Name

Component: Glasgow coma score.eye opening
Property: Fcn
Time: Enctr^frst
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS eye 1st enctr

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL488-8

Answer	Code	Score	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	1	1	LA137-2
Opens eyes in response to painful stimulation	2	2	LA9345-5
Opens eyes in response to verbal stimulation	3	3	LA9346-3
Opens eyes spontaneously	4	4	LA9347-1
Not assessed	8		LA9348-9

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Puntaje de coma de Glasgow. Apertura de ojos:Fcn:Encuentro^PrimerValor:^ Paciente:Ordinal:
es-AR	Spanish (Argentina)	puntaje de Glasgow.apertura ocular:función:duración del primer encuentro:^paciente:cuantitativo:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.apertura occhi:Fcn:Enctr^primo:^Paziente:Ord: Synonyms: Apertura occhi in punteggio del coma di Glasgow Funzione Incontro;Appuntamento Occhio in punteggio del coma di Glasgow paziente Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.глаза открывание:Функц:Встрч^первый:^Пациент:Пор: Synonyms: Встреча Итог Порядковый Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.睁眼:功能:就医过程持续时间^第一:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.眼睛;格拉斯哥昏迷得分.眼睛;格拉斯哥昏迷评分.眼睛 GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.睁眼;格拉斯哥昏迷得分.睁眼;格拉斯哥昏迷评分.睁眼体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人就医;就医过程目;眼;眼部第一个;第一次;首个;首次

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11326-6 Glasgow coma score verbal at First encounter

Fully-Specified Name

Component: Glasgow coma score.verbal
Property: Fcn
Time: Enctr^frst
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS verbal 1st enctr

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL489-6

Answer	Code	Score	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	1		LA137-2
Nonspecific sounds	2	1	LA9350-5
non-infant: Inappropriate words; non-verbal infant: Cries to pain, screams to pain	3	2	LA9351-3
non-infant: Confused conversation or speech; non-verbal infant: Irritable cries	4	3	LA9352-1
non-infant: Oriented and appropriate speech; non-verbal infant: Coos and babbles	5	4	LA9353-9

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Puntuación de coma de Glasgow verbal:Fcn:Encuentro^PrimerValor:^ Paciente:Ordinal:
es-AR	Spanish (Argentina)	puntaje de Glasgow.respuesta verbal:función:duración del primer encuentro:^paciente:cuantitativo:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.verbale:Fcn:Enctr^primo:^Paziente:Ord: Synonyms: Funzione Incontro;Appuntamento paziente Punteggio verbale del coma di Glasgow Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.вербалика:Функц:Встрч^первый:^Пациент:Пор: Synonyms: Встреча Итог Порядковый Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.言语:功能:就医过程持续时间^第一:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.言语;格拉斯哥昏迷得分.言语;格拉斯哥昏迷评分.言语;格拉斯哥昏迷分值.语言体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人就医;就医过程第一个;第一次;首个;首次

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11325-8 Glasgow coma score motor at First encounter

Fully-Specified Name

Component: Glasgow coma score.motor
Property: Fcn
Time: Enctr^frst
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS motor 1st enctr

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL490-4

Answer	Code	Score	Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value)	1		LA137-2
Adult: Extensor posturing in response to painful stimulation; infant or child: Abnormal extension (decerebrate)	2	1	LA9355-4
Adult: Flexor posturing in response to painful stimulation; infant or child: Abnormal flexion (decorticate)	3	2	LA9356-2
Adult: General withdrawal in response to painful stimulation; infant or child: Withdraws to pain	4	3	LA9357-0
Adult: Localization of painful stimulation; infant or child: Withdraws to touch	5	4	LA9358-8
Adult: Obeys commands with appropriate motor response; infant or child: Normal spontaneous movement	6	5	LA9359-6

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Puntuación de coma de Glasgow motor:Fcn:Encuentro^PrimerValor:^ Paciente:Ordinal:
es-AR	Spanish (Argentina)	puntaje de Glasgow.respuesta motriz:función:duración del primer encuentro:^paciente:cuantitativo:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.motorio:Fcn:Enctr^primo:^Paziente:Ord: Synonyms: Funzione Incontro;Appuntamento paziente Punteggio motorio del coma di Glasgow Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.моторика:Функц:Встрч^первый:^Пациент:Пор: Synonyms: Встреча Итог Порядковый Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.运动:功能:就医过程持续时间^第一:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.运动;格拉斯哥昏迷得分.运动;格拉斯哥昏迷评分.运动体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人就医;就医过程第一个;第一次;首个;首次

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11378-7 Systolic blood pressure at First encounter

Fully-Specified Name

Component: Intravascular systolic
Property: Pres
Time: Enctr^frst
System: Arterial system
Scale: Qn
Method

Additional Names

Short Name: BP sys 1st enctr

Basic Attributes

Class: BP.MOLEC
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 2379

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Sistólica intravascular:Pres:Encuentro^PrimerValor:Sistema arterial:Cuantitativo:
es-AR	Spanish (Argentina)	sistólico intravascular:presión:duración del primer encuentro:sistema arterial:cuantitativo:
fr-CA	French (Canada)	Intravasculaire systolique:Pression:Rencontre^première:Système artériel:Quantitatif:
it-IT	Italian (Italy)	Sistolica intravascolare:Pres:Enctr^primo:Sistema arterioso:Qn: Synonyms: Incontro;Appuntamento Pressione Pressione arteriosa - molecolare
nl-NL	Dutch (Netherlands)	intravasculaire systolische bloeddruk:druk:ontmoeting^eerste:arterieel vaatstelsel:kwantitatief:
pt-BR	Portuguese (Brazil)	Intravascular sistólica:Pres:Enctr^frst:Sistema arterial:Qn: Synonyms: ; BP sys; Pressure; Encounter; 1st; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; BLOOD PRESSURE MEASUREMENTS.MOLEC; BLOOD PRESSURE MEASUREMENTS.MOLEC; BP systolic; Blood pressure systolic; Sys BP; SBP
ru-RU	Russian (Russian Federation)	Интраваскулярный систолический:Давл:Встрч^первый:Артериальная система:Колич: Synonyms: Встреча Давление Количественный
zh-CN	Chinese (China)	血管内心脏收缩期:压力或压强:就医过程持续时间^第一:动脉系统:定量型: Synonyms: 压力;压强可用数量表示的;定量性;数值型;数量型;连续数值型标尺就医;就医过程特殊血压;血压.分子型;血压指标.分子型第一个;第一次;首个;首次血管内收缩期;血管内心缩期血管内的

Example Units

Unit	Source
mm[Hg]	Example UCUM Units

11377-9 Diastolic blood pressure at First encounter

Fully-Specified Name

Component: Intravascular diastolic
Property: Pres
Time: Enctr^frst
System: Arterial system
Scale: Qn
Method

Additional Names

Short Name: BP dias 1st enctr

Basic Attributes

Class: BP.MOLEC
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 2378

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Diastólica intravascular:Pres:Encuentro^PrimerValor:Sistema arterial:Cuantitativo:
es-AR	Spanish (Argentina)	diastólico intravascular:presión:duración del primer encuentro:sistema arterial:cuantitativo:
fr-CA	French (Canada)	Intravasculaire diastolique:Pression:Rencontre^première:Système artériel:Quantitatif:
it-IT	Italian (Italy)	Diastolica intravascolare:Pres:Enctr^primo:Sistema arterioso:Qn: Synonyms: Incontro;Appuntamento Pressione Pressione arteriosa - molecolare
nl-NL	Dutch (Netherlands)	intravasculaire diastolische bloeddruk:druk:ontmoeting^eerste:arterieel vaatstelsel:kwantitatief:
pt-BR	Portuguese (Brazil)	Intravascular diastólica:Pres:Enctr^frst:Sistema arterial:Qn: Synonyms: ; BP dias; Dias; Diast; Pressure; Encounter; 1st; Art sys; Quantitative; QNT; Quant; Quan; IV; Intravenous; Diastoli; BLOOD PRESSURE MEASUREMENTS.MOLEC; BLOOD PRESSURE MEASUREMENTS.MOLEC; Blood pressure diastolic; BP diastolic; Dias BP; DBP
ru-RU	Russian (Russian Federation)	Интраваскулярный диастолический:Давл:Встрч^первый:Артериальная система:Колич: Synonyms: Внутрисосудистый диастолический Встреча Давление Количественный
zh-CN	Chinese (China)	血管内心脏舒张期:压力或压强:就医过程持续时间^第一:动脉系统:定量型: Synonyms: 压力;压强可用数量表示的;定量性;数值型;数量型;连续数值型标尺就医;就医过程特殊血压;血压.分子型;血压指标.分子型第一个;第一次;首个;首次血管内心舒期;血管内舒张期血管内的

Example Units

Unit	Source
mm[Hg]	Example UCUM Units

11328-2 Heart rate at First encounter

Fully-Specified Name

Component: Heart rate
Property: NRat
Time: Enctr^frst
System: Arterial system
Scale: Qn
Method

Additional Names

Short Name: Heart rate 1st enctr
Consumer Name Alpha Get Info: First Heart rate in Encounter

Basic Attributes

Class: HRTRATE.ATOM
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.42

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Ritmo cardiaco:NRat:Encuentro^PrimerValor:Sistema arterial:Cuantitativo:
es-AR	Spanish (Argentina)	latido cardíaco:índice numérico:duración del primer encuentro:sistema arterial:cuantitativo:
it-IT	Italian (Italy)	Frequenza cardiaca:NRat:Enctr^primo:Sistema arterioso:Qn: Synonyms: Frequenza cardiaca - atomica Incontro;Appuntamento Indice numerico
nl-NL	Dutch (Netherlands)	hartslagfrequentie:aantal/tijd:ontmoeting^eerste:arterieel vaatstelsel:kwantitatief:
pt-BR	Portuguese (Brazil)	Frequência cardíaca:NRat:Enctr^frst:Sistema arterial:Qn: Synonyms: ; nRate; Number rate; Count/time; Encounter; 1st; Art sys; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.ATOM; HEART RATE.ATOM
ru-RU	Russian (Russian Federation)	Частота сердечных сокращений:КолСкор:Встрч^первый:Артериальная система:Колич: Synonyms: Встреча Количественный Количество скорость
zh-CN	Chinese (China)	心率:计数型速率:就医过程持续时间^第一:动脉系统:定量型: Synonyms: 一般心率单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺就医;就医过程心搏率;心跳速率第一个;第一次;首个;首次速度

Example Units

Unit	Source
{beats}/min	Example UCUM Units

11291-2 Respiratory rate at First encounter

Fully-Specified Name

Component: Breaths
Property: NRat
Time: Enctr^frst
System: Respiratory system
Scale: Qn
Method

Additional Names

Short Name: Resp rate 1st enctr

Basic Attributes

Class: RESP.TIMED.MOLEC
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.44

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Respiraciones:NRat:Encuentro^PrimerValor:Sistema respiratorio:Cuantitativo:
es-AR	Spanish (Argentina)	respiraciones:índice numérico:duración del primer encuentro:^paciente:cuantitativo:
it-IT	Italian (Italy)	Respiri:NRat:Enctr^primo:Apparato respiratorio:Qn: Synonyms: Incontro;Appuntamento Indice numerico Respiratorio - cronometrato - molecolare
pt-BR	Portuguese (Brazil)	Respirações:NRat:Enctr^frst:^Paciente:Qn: Synonyms: ; nRate; Number rate; Count/time; Encounter; 1st; Quantitative; QNT; Quant; Quan; RESPIRATORY; Respiratory rate
ru-RU	Russian (Russian Federation)	Дыхание:КолСкор:Встрч^первый:Дыхательная система:Колич: Synonyms: Встреча Количественный Количество скорость
zh-CN	Chinese (China)	呼吸:计数型速率:就医过程持续时间^第一:呼吸系统:定量型: Synonyms: 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸呼吸类呼吸类指标呼吸类指标.定时型.分子型;定时型特殊呼吸类指标;定时型特殊呼吸系统类指标呼吸系统呼吸系统类呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）就医;就医过程第一个;第一次;首个;首次

Example Units

Unit	Source
{breaths}/min	Example UCUM Units

11289-6 Body temperature at First encounter

Fully-Specified Name

Component: Body temperature
Property: Temp
Time: Enctr^frst
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: Bdy temp 1st enctr

Basic Attributes

Class: BDYTMP.ATOM
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 156

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Temperatura corporal:Temperatura:Encuentro^PrimerValor:^ Paciente:Cuantitativo:
es-AR	Spanish (Argentina)	temperatura corporal:temperatura:duración del primer encuentro:^paciente:cuantitativo:
fr-CA	French (Canada)	Température corporelle:Température:Rencontre^première:^Patient:Quantitatif:
fr-FR	French (France)	Température corporelle:Température:Consultation 1:Patient:Numérique:
it-IT	Italian (Italy)	Temperatura corporea:Temp:Enctr^primo:^Paziente:Qn: Synonyms: Incontro;Appuntamento paziente Temperatura Temperatura del corpo - atomica
nl-NL	Dutch (Netherlands)	lichaamstemperatuur:temperatuur:ontmoeting^eerste:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Temperatura corpórea:Temp:Enctr^frst:^Paciente:Qn: Synonyms: ; Bdy temp; Encounter; 1st; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY TEMPERATURE.ATOM; BODY TEMPERATURE.ATOM
ru-RU	Russian (Russian Federation)	Температура тела:Темп:Встрч^первый:^Пациент:Колич: Synonyms: Встреча Количественный Температура
zh-CN	Chinese (China)	体温:温度:就医过程持续时间^第一:^患者:定量型: Synonyms: 一般体温体温医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺就医;就医过程物体第一个;第一次;首个;首次身体温度

Example Units

Unit	Source
Cel;[degF]	Example UCUM Units

11449-6 Pregnancy status - Reported

Term Description

Patient's pregnancy status (e.g., pregnant, not pregnant), as reported by the patient or the patient's proxy.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Pregnancy status
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: Reported

Additional Names

Short Name: Pregnancy status Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Change Reason: 10/2016: Added term description and example answer list; Updated Property to Find to align with similar terms
Order vs. Observation: Observation
Common Test Rank Get Info: 4559

Example Answer List LL4129-4

Answer	Code	Score	Answer ID
Pregnant			LA15173-0
Not pregnant			LA26683-5
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
68991-9	Epidemiologically important information for public health reporting panel
47245-6	HIV treatment form Document
89543-3	Laboratory ask at order entry panel

Language Variants Get Info

Tag	Language	Translation
de-AT	German (Austria)	Synonyms: Schwangerschafts-Status
es-AR	Spanish (Argentina)	estado de embarazo:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:informado
es-MX	Spanish (Mexico)	Estado de embarazo:Tipo:Punto temporal:^ Paciente:Nominal:Reported
it-IT	Italian (Italy)	Gravidanza, stato:Osservazione:Pt:^Paziente:Nom:Riportato Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) Stato gravidico
nl-NL	Dutch (Netherlands)	zwangerschapsstatus:bevinding:moment:^patiënt:nominaal:rapportage
pt-BR	Portuguese (Brazil)	Estado de gravidez:Imp:Pt:^Paciente:Nom:Relatado Synonyms: Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal; Gestation; Gravida; Gestations; Pregnancies
ru-RU	Russian (Russian Federation)	Беременность статус:Находка:ТчкВрм:^Пациент:Ном:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	妊娠状态:发现:时间点:^患者:名义型:报告法 Synonyms: 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;结论怀孕;怀孕期;妊娠期怀孕状态;妊娠状况;妊娠情况时刻;随机;随意;瞬间状况;情况病史与体格检查

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11368-8 Illness or injury onset date and time

Fully-Specified Name

Component: Illness or injury onset date and time
Property: TmStp
Time: Pt
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: Illness or injury onset date and time

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 273

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
68991-9	Epidemiologically important information for public health reporting panel
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
62863-6	PhenX domain - Infectious diseases and immunity
81959-9	Public health laboratory ask at order entry panel
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Fecha y hora de aparición de la enfermedad o lesión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
es-AR	Spanish (Argentina)	fecha/hora del inicio de la enfermedad/aparición de la lesión traumática:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
fr-CA	French (Canada)	Condition médicale date et heure du début:Estampille temporelle:Temps ponctuel:^Patient:Quantitatif:
fr-BE	French (Belgium)	Condition médicale date et heure du début:Estampille temporelle:Temps ponctuel:^Patient:Quantitatif:
it-IT	Italian (Italy)	Malattia o lesione, data e ora insorgenza:TmStp:Pt:^Paziente:Qn: Synonyms: Anamnesi Data e ora comparsa malattia o lesione paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
pt-BR	Portuguese (Brazil)	Data e tempo do inicio da doença ou lesão:TmStp:Pt:^Paciente:Qn: Synonyms: Time stamp; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Заболевание или травма начало дата и время:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата и время начала заболевания или травмы Количественный Точка во времени;Момент
zh-CN	Chinese (China)	疾病或损伤起始日期与时间:时间戳:时间点:^患者:定量型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人印时戳;时标;时间戳(日期与时间);时间标记;计时标记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可用数量表示的;定量性;数值型;数量型;连续数值型标尺日子;几号日期与时间;日期及时间;日期时间时刻;随机;随意;瞬间时间(如秒);时间(如秒数) 疾病或损伤起始（开始、发病、发生、发作、开端、肇始）日期与时间;疾病或损伤发病日期与时间;疾病或损伤起病日期与时间;疾病或损伤发作日期与时间;疾病或损伤开始日期与时间;疾病或损伤初起日期与时间病史与体格检查

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX161301010201	PX161301_AIDS_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010202	PX161301_AIDS_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010203	PX161301_AIDS_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010301	PX161301_Arthritis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010302	PX161301_Arthritis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010303	PX161301_Arthritis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010401	PX161301_Asthma_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010402	PX161301_Asthma_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010403	PX161301_Asthma_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010501	PX161301_Bronchitis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010502	PX161301_Bronchitis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010503	PX161301_Bronchitis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010601	PX161301_Cancer_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010602	PX161301_Cancer_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010603	PX161301_Cancer_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010701	PX161301_Chlamydia_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010702	PX161301_Chlamydia_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010703	PX161301_Chlamydia_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010801	PX161301_Diabetes_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010802	PX161301_Diabetes_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010803	PX161301_Diabetes_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301010901	PX161301_Dizziness_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301010902	PX161301_Dizziness_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301010903	PX161301_Dizziness_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011001	PX161301_Emphysema_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011002	PX161301_Emphysema_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011003	PX161301_Emphysema_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011101	PX161301_Epilepsy_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011102	PX161301_Epilepsy_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011103	PX161301_Epilepsy_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011201	PX161301_Eye_Problem_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011202	PX161301_Eye_Problem_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011203	PX161301_Eye_Problem_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011301	PX161301_Fainting_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011302	PX161301_Fainting_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011303	PX161301_Fainting_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011401	PX161301_Headaches_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011402	PX161301_Headaches_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011403	PX161301_Headaches_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011501	PX161301_Glaucoma_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011502	PX161301_Glaucoma_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011503	PX161301_Glaucoma_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011601	PX161301_Gonorrhea_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011602	PX161301_Gonorrhea_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011603	PX161301_Gonorrhea_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011701	PX161301_HearingImpairment_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011702	PX161301_HearingImpairment_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011703	PX161301_HearingImpairment_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011801	PX161301_HeartCondition_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011802	PX161301_HeartCondition_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011803	PX161301_HeartCondition_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301011901	PX161301_Hemodialysis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301011902	PX161301_Hemodialysis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301011903	PX161301_Hemodialysis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012001	PX161301_Herpes_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012002	PX161301_Herpes_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012003	PX161301_Herpes_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012101	PX161301_HighBloodCholesterol_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012102	PX161301_HighBloodCholesterol_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012103	PX161301_HighBloodCholesterol_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012201	PX161301_HighBloodPressure_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012202	PX161301_HighBloodPressure_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012203	PX161301_HighBloodPressure_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012301	PX161301_Hypoglycemia_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012302	PX161301_Hypoglycemia_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012303	PX161301_Hypoglycemia_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012401	PX161301_Jaundice_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012402	PX161301_Jaundice_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012403	PX161301_Jaundice_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012501	PX161301_KidneyDisease_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012502	PX161301_KidneyDisease_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012503	PX161301_KidneyDisease_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012601	PX161301_LowBloodPressure_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012602	PX161301_LowBloodPressure_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012603	PX161301_LowBloodPressure_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012701	PX161301_MentalRetardation_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012702	PX161301_MentalRetardation_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012703	PX161301_MentalRetardation_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012801	PX161301_ChestPain_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012802	PX161301_ChestPain_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012803	PX161301_ChestPain_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301012901	PX161301_Palpitations_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301012902	PX161301_Palpitations_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301012903	PX161301_Palpitations_Date_Of_OnsetYear
https://www.phenxtoolkit.org	PX161301013001	PX161301_Unconsciousness_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013002	PX161301_Unconsciousness_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013003	PX161301_Unconsciousness_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013101	PX161301_RheumaticFever_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013102	PX161301_RheumaticFever_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013103	PX161301_RheumaticFever_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013201	PX161301_Rheumatism_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013202	PX161301_Rheumatism_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013203	PX161301_Rheumatism_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013301	PX161301_Seizures_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013302	PX161301_Seizures_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013303	PX161301_Seizures_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013401	PX161301_ShortnessOfBreath_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013402	PX161301_ShortnessOfBreath_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013403	PX161301_ShortnessOfBreath_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013501	PX161301_StomachLiverIntestinal_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013502	PX161301_StomachLiverIntestinal_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013503	PX161301_StomachLiverIntestinal_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013601	PX161301_Syphilis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013602	PX161301_Syphilis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013603	PX161301_Syphilis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013701	PX161301_Tuberculosis_Date_Of_OnsetMonth
https://www.phenxtoolkit.org	PX161301013702	PX161301_Tuberculosis_Date_Of_OnsetDay
https://www.phenxtoolkit.org	PX161301013703	PX161301_Tuberculosis_Date_Of_OnsetYear
https://www.phenxtoolkit.org	PX161301013801	PX161301_Tumor_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013802	PX161301_Tumor_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013803	PX161301_Tumor_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301013901	PX161301_Thyroid_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301013902	PX161301_Thyroid_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301013903	PX161301_Thyroid_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301014001	PX161301_UrinaryTractInfection_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301014002	PX161301_UrinaryTractInfection_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161301014003	PX161301_UrinaryTractInfection_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161301014102	PX161301_Other_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161301014103	PX161301_Other_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161601020102	PX161601_Health_Problem1_Date_Month
https://www.phenxtoolkit.org	PX161601040102	PX161601_Chicken_Pox_Date_Month
https://www.phenxtoolkit.org	PX161601040602	PX161601_Pneumonia_Date_Month
https://www.phenxtoolkit.org	PX161601040603	PX161601_Pneumonia_Date_Day
https://www.phenxtoolkit.org	PX161601040604	PX161601_Pneumonia_Date_Year
https://www.phenxtoolkit.org	PX161602010301	PX161602_Arthritis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161602010302	PX161602_Arthritis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161602010303	PX161602_Arthritis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161602010501	PX161602_Bronchitis_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161602010502	PX161602_Bronchitis_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161602010503	PX161602_Bronchitis_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161602014001	PX161602_UrinaryTractInfection_Date_Of_Onset_Month
https://www.phenxtoolkit.org	PX161602014002	PX161602_UrinaryTractInfection_Date_Of_Onset_Day
https://www.phenxtoolkit.org	PX161602014003	PX161602_UrinaryTractInfection_Date_Of_Onset_Year
https://www.phenxtoolkit.org	PX161602070201	PX161602_Pneumonia_Date_Month
https://www.phenxtoolkit.org	PX161602070202	PX161602_Pneumonia_Date_Day
https://www.phenxtoolkit.org	PX161602070203	PX161602_Pneumonia_Date_Year

11374-6 Injury incident description Narrative

Fully-Specified Name

Component: Injury incident description
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Injury incident description

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
86345-6	U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Descripción del incidente de la lesión:Tipo:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	descripción del evento que causó la lesión traumática:hallazgo:punto en el tiempo:^paciente:Narrativo:
it-IT	Italian (Italy)	Lesione, descrizione incidente:Osservazione:Pt:^Paziente:Nar: Synonyms: Descrizione incidente lesivo Emergenza (DEEDS - Data Elements for Emergency Dep Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Травма инцидент описание:Находка:ТчкВрм:^Пациент:Опис: Synonyms: Описание обстоятельств травмы Описательный Точка во времени;Момент
zh-CN	Chinese (China)	损伤事件描述:发现:时间点:^患者:叙述型: Synonyms: ED 伤害事件描述;受伤事件描述;损伤意外事件描述;损伤偶然事件描述;损伤事故描述;损伤事件说明医疗服务对象;客户;病人;病患;病号;超系统 - 病人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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间

11373-8 Injury cause

Fully-Specified Name

Component: Injury cause
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Injury cause

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Example Answer List LL4936-2

Answer	Code	Score	Answer ID
Animal bite			LA17118-3
Device related			LA28743-5
Disease related			LA28744-3
Human bite			LA28745-0
Insect bite			LA28746-8
Moisture related			LA28747-6
Pressure point related			LA28748-4
Self inflicted			LA28749-2
Shearing force injury			LA28750-0
Trauma			LA17058-1

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
39135-9	Wound assessment panel

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Causa de la lesión:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	causa de la lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Lesione, causa:Tipo:Pt:^Paziente:Nom: Synonyms: Causa di lesione;Causa di ferita Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Causa de lesão:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Травма причина:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Причина травмы Точка во времени;Момент
zh-CN	Chinese (China)	损伤原因:类型:时间点:^患者:名义型: Synonyms: ED 伤害原因;损害原因;受伤原因分类型应答;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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间

11376-1 Injury location

Fully-Specified Name

Component: Injury location
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Injury location

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.34

Example Answer List LL1051-3

Answer	Code	Score	Answer ID
Home			LA14084-0
Residential institution			LA14085-7
School			LA14086-5
Public institution			LA14087-3
Sports or recreational area			LA14088-1
Street or highway			LA14089-9
Trade or service area			LA14090-7
Industrial or construction area			LA14091-5
Farm			LA14092-3
Unspecified			LA14093-1

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Ubicación de la lesión:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	localización de lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Lesione, posizione:Tipo:Pt:^Paziente:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Posizione della lesione;Posizione della ferita Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Localização da lesão:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Травма локализация:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	损伤地点:类型:时间点:^患者:名义型: Synonyms: ED 伤害地点;受伤地点;损伤位置（地点、定位、地方、地理位置、工作地点、场所）;损伤发生地;损伤发生场所分类型应答;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医疗服务对象;客户;病人;病患;病号;超系统 - 病人地点;场所;部位;定位;地方型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间

11372-0 Injury associated activity

Fully-Specified Name

Component: Injury associated activity
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Injury associated activity

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.70
Change Reason: Release 2.70: ANSWER_LIST_TYPE: The NORMATIVE binding was for a specific use-case. This binding is applied in the context of the associated panel (collection).; AnswerListId: Updated answer list to include additional examples. ;

Normative Answer List LL495-3

Answer	Code	Answer ID
Sports	10	LA9373-7
Leisure	20	LA9374-5
Paid work	30	LA9375-2
Unpaid work	40	LA9376-0
Educational activity	50	LA9377-8
Vital activity	60	LA9378-6
Other specified activity	88	LA9379-4
Unknown activity	99	LA9380-2

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Actividad asociada a lesiones:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	actividad asociada a la lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Lesione, attività associata:Tipo:Pt:^Paziente:Nom: Synonyms: Attività associata a lesione;Attività associata a Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Lesão associada à atividade:Tipo:Pt:^Paciente:Nom: Synonyms: Movements; Typ; Point in time; Random; Nominal; Assoc; Actvty; Activ; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Травма связанная деятельность:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Деятельность, связанная с травмой Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	与损伤相关联的活动:类型:时间点:^患者:名义型: Synonyms: ED 与损伤相关的活动;损伤相关的活动;与损伤（伤害、损害、受伤）相关联的活动关联的分类型应答;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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间有联系的活动相关的

11375-3 Injury intent

Fully-Specified Name

Component: Injury intent
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Injury intent

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.34

Example Answer List LL1052-1

Answer	Code	Score	Answer ID
Unintentional			LA14094-9
Intentional self-inflicted confirmed			LA14095-6
Intentional self-inflicted suspected			LA14096-4
Assault confirmed			LA14097-2
Assault suspected			LA14098-0
Legal intervention			LA14099-8
Undetermined			LA14100-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Intención de lesión:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	intento de lesión traumática:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	Lesione, intento:Tipo:Pt:^Paziente:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep Intento lesivo paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Lesão intencional:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Травма намерение:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Преднамеренность повреждения Точка во времени;Момент
zh-CN	Chinese (China)	损伤意图:类型:时间点:^患者:名义型: Synonyms: ED 伤害意图;受伤意图;损伤目的分类型应答;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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

11457-9 Safety equipment used

Fully-Specified Name

Component: Safety equipment used
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Safety equipment used

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.63
Change Reason: Updated Answer list type from "NORMATIVE" to "EXAMPLE" since this concept is not bound to the existing answer list.

Example Answer List LL496-1

Answer	Code	Answer ID
Shoulder belt	010	LA9381-0
Lap belt	020	LA9382-8
Seat belt, not otherwise specified	030	LA9383-6
Driver's front air bag	040	LA9384-4
Passenger's front air bag	050	LA9385-1
Front air bag, not otherwise specified	060	LA9386-9
Side air bag	070	LA9387-7
Air bag, not otherwise specified	080	LA9388-5
Child safety seat	090	LA9389-3
Helmet	100	LA9390-1
Eye protection	110	LA9391-9
Protective clothing	120	LA9392-7
Personal flotation device	130	LA9393-5
Other protective gear	888	LA9394-3

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	equipo de seguridad utililzado:tipo:punto en el tiempo:^paciente:Nominal:
es-MX	Spanish (Mexico)	Equipo de seguridad utilizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Dispositivi di sicurezza usati:Tipo:Pt:^Paziente:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Uso de equipamento de segurança:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	Защитное устройство использовано:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	所使用的安全装备:类型:时间点:^患者:名义型: Synonyms: ED 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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型安全设备;安全器具;保护装置;安全用品急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部所使用的安全设备;所使用的安全器具;所使用的保护装置;所使用的安全用品;已使用的安全装备;所采用的安全装备时刻;随机;随意;瞬间

48766-0 Information source

Term Description

The information or data source may be a person, organization, information system, reference to some other data object, etc.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Information source
Property: Type
Time: Pt
System: {system}
Scale: Nom
Method

Additional Names

Short Name: Source of info

Basic Attributes

Class: DOC.MISC
Type: Clinical
First Released: Version 2.21
Last Updated: Version 2.73
Order vs. Observation: Both
Common Test Rank Get Info: 6489

Example Answer List LL3678-1

Externally Defined: Yes
Code System: CDC-PHIN
Code System OID: 1.3.6.1.4.1.12009.10.1.2313
Link to External List: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.3036

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
85735-9	Congenital rubella case report panel
48769-4	Continuity of Care panel
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
71531-8	ESRD hospitalization panel
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
88028-6	Tobacco use panel

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Informationsquelle:Typ:Zeitpunkt:{System}:Nominal:
es-MX	Spanish (Mexico)	Fuente de información:Tipo:Punto temporal:{sistema}:Nominal:
it-IT	Italian (Italy)	Fonte informativa:Tipo:Pt:{system}:Nom: Synonyms: Documentazione miscellanea Miscellanea Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Информация источник:Тип:ТчкВрм:{система}:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	信息来源:类型:时间点:{系统}:名义型: Synonyms: {体系} 信息源;信息源头;资讯来源;信源;资讯源分类型应答;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型文档.其他;杂项类文档;其他文档时刻;随机;随意;瞬间杂项;杂项类;杂项试验源

10154-3 Chief complaint Narrative - Reported

Term Description

Chief complaint records the patient's primary complaint (the patient's own description).
Source: Regenstrief LOINC

Fully-Specified Name

Component: Chief complaint
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Reported

Additional Names

Short Name: Chief complaint Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
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
82811-1	Nurse summary note - recommended sections
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Queja principal:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR	Spanish (Argentina)	motivo de consulta principal:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Plainte principale:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT	Italian (Italy)	Disturbo principale:Osservazione:Pt:^Paziente:Nar:Riportato Synonyms: Anamnesi Disturbo primario Lamenta Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	belangrijkste klacht:bevinding:moment:^patiënt:tekstueel:rapportage
ru-RU	Russian (Russian Federation)	Основная жалоба:Находка:ТчкВрм:^Пациент:Опис:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Проблема;Заболевание Точка во времени;Момент
zh-CN	Chinese (China)	主诉:发现:时间点:^患者:叙述型:报告法 Synonyms: 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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型控诉;申诉;指控;不平;牢骚;委屈;意见;怨言;病痛;主诉时刻;随机;随意;瞬间病史与体格检查

10164-2 History of Present illness Narrative

Term Description

History of present illness describes the history related to the reason for a given procedure. It contains the historical details leading up to and pertaining to the patient's current complaint or reason for seeking medical care. Because history of present illness can include past surgical history and other procedures, the Procedure History section may be included under the History of Present Illness section or it may stand alone as its own section.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Present illness
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Pres illness

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.63
Change Reason: Previous Releases: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision;

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Anamnese der aktuellen Krankheit:Anamnese:Zeitpunkt:^Patient:Freitext:
es-MX	Spanish (Mexico)	Enfermedad presente:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de la enfermedad actual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT	Italian (Italy)	Malattia attuale:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	huidige ziekte:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: anamnese
zh-CN	Chinese (China)	现有疾病:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间现病史;目前疾病;当前疾病;现病病史与体格检查

11450-4 Problem list - Reported

Fully-Specified Name

Component: Problem list
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: Reported

Additional Names

Short Name: Problem list Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 9889

Member of these Panels

LOINC	Long Common Name
57082-0	Antepartum record panel
69459-6	Care record summary panel
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2	Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4	Continuity of Care panel
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82811-1	Nurse summary note - recommended sections
82308-8	Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2	Oncology plan of care and summary - recommended CDA set
74449-0	Patient plan of care - recommended IHE set
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Problemliste:Befund:Zeitpunkt:^Patient:Nominal:Berichtet
es-AR	Spanish (Argentina)	lista de problemas:hallazgo:punto en el tiempo:^paciente:Nominal:informado
es-MX	Spanish (Mexico)	Lista de problemas:Tipo:Punto temporal:^ Paciente:Nominal:Reported
fr-BE	French (Belgium)	Liste de problèmes:Observation:Temps ponctuel:^Patient:Nominal:Rapporté
fr-CA	French (Canada)	Liste des problèmes:Observation:Temps ponctuel:^Patient:Nominal:Rapporté
it-IT	Italian (Italy)	Lista dei problemi:Osservazione:Pt:^Paziente:Nom:Riportato Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	probleemlijst:bevinding:moment:^patiënt:nominaal:rapportage
pt-BR	Portuguese (Brazil)	Lista de problemas:Achado:Pt:^Paciente:Nom:Relatado Synonyms: Finding; Findings; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Проблем список:Находка:ТчкВрм:^Пациент:Ном:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Номинальный;Именной Список проблем Точка во времени;Момент
zh-CN	Chinese (China)	问题列表:发现:时间点:^患者:名义型:报告法 Synonyms: 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问题目录;问题清单难题;困难;棘手问题;麻烦;乱子;疑难问题;疑难

11348-0 History of Past illness Narrative

Term Description

History of past illness describes the history related to their current complaints, problems, or diagnoses.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Past illness
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Past illness

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.63
Change Reason: Previous Releases: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision;

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
92576-8	Maternal discharge summary - recommended IHE set
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Anamnese früherer Krankheiten:Anamnese:Zeitpunkt:^Patient:Freitext:
es-MX	Spanish (Mexico)	Enfermedad pasada:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de enfermedades pasadas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Anamnèse. Maladies antérieures:Hx:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Malattie pregresse:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi Malattie passate paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	ziektegeschiedenis:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: anamnese
ru-RU	Russian (Russian Federation)	История предыдущих заболеваний:Hx:ТчкВрм:^Пациент:Опис: Synonyms: Анамнез заболеваний История Описательный Точка во времени;Момент
zh-CN	Chinese (China)	既往病史:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型既往疾病史;既往疾病历史时刻;随机;随意;瞬间病史与体格检查

29762-2 Social history Narrative

Term Description

The Social history section contains data defining the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Social history
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Social Hx

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2	Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4	Continuity of Care panel
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Sozialanamnese:Befund:Zeitpunkt:^Patient:Freitext:
es-AR	Spanish (Argentina)	antecedentes sociales:hallazgo:punto en el tiempo:^paciente:Narrativo:
es-MX	Spanish (Mexico)	Historia social:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BE	French (Belgium)	Histoire sociale:Observation:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Storia sociale:Osservazione:Pt:^Paziente:Nar: Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	sociale geschiedenis:bevinding:moment:^patiënt:tekstueel:
pt-BR	Portuguese (Brazil)	Histórico social:Achado:Pt:^Paciente:Nar: Synonyms: ; Social Hx; Finding; Findings; Point in time; Random; Narrative; Report
ru-RU	Russian (Russian Federation)	Социальная история:Находка:ТчкВрм:^Пациент:Опис: Synonyms: Описательный Социальный анамнез Точка во времени;Момент
zh-CN	Chinese (China)	社会史:发现:时间点:^患者:叙述型: Synonyms: 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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查社会历史

11380-3 Marital status and living arrangements Narrative - Reported

Fully-Specified Name

Component: Marital status and living arrangements
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Reported

Additional Names

Short Name: Marital status+living arrang

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.48

HL7^® Attributes

HL7^® Field ID: PID-16

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Estado civil y arreglos de vivienda:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR	Spanish (Argentina)	estado civil y situación habitacional:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Status marital et mode de vie:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT	Italian (Italy)	Stato civile e tenore di vita:Osservazione:Pt:^Paziente:Nar:Riportato Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Семейное положение и жилищные условия:Находка:ТчкВрм:^Пациент:Опис:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN	Chinese (China)	婚姻状况与生活安排:发现:时间点:^患者:叙述型:报告法 Synonyms: 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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型在世;生存着的;有生命的;在活动中;没死婚姻状态;婚否;婚姻情况婚姻状态与生活安排;婚姻情况与生活安排时刻;随机;随意;瞬间状况;情况病史与体格检查

11294-6 Current employment Narrative - Reported

Fully-Specified Name

Component: Current employment
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Reported

Additional Names

Short Name: Current employment Reported

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.66

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Empleo actual:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR	Spanish (Argentina)	empleo actual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Emploi actuel:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT	Italian (Italy)	Impiego attuale:Osservazione:Pt:^Paziente:Nar:Riportato Synonyms: Amministrativo Dati demografici del paziente Lavoro attuale Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Текущая занятость:Находка:ТчкВрм:^Пациент:Опис:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Занятость в настоящее время Описательный Точка во времени;Момент
zh-CN	Chinese (China)	当前职位:发现:时间点:^患者:叙述型:报告法 Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间目前工作;现任;现职;当前职业;当前工作;当前就职;当前（目前）就业（聘用、雇佣、从业、应聘）情况行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

11340-7 History of Occupation Narrative

Part Descriptions

LP133724-7 Occupation
The type of work done by the subject during his or her working life. Source: Regenstrief LOINC

Fully-Specified Name

Component: Occupation
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Occupation

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.66
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Ocupación:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes laborales:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT	Italian (Italy)	Occupazione:Hx:Pt:^Paziente:Nar: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	beroep:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: anamnese
ru-RU	Russian (Russian Federation)	Род занятости:Hx:ТчкВрм:^Пациент:Опис: Synonyms: История Описательный Точка во времени;Момент
zh-CN	Chinese (China)	职业:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间行业;工作;业务;专业行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

11330-8 History of Alcohol use Narrative

Fully-Specified Name

Component: Alcohol use
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Alcohol use

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Changed Component from "History of alcohol use" to "Alcohol use", Property from "Find" to "Hx" and removed Method of "Reported" per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Consumo de alcohol:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de consumo de alcohol:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT	Italian (Italy)	Uso di alcol:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	alcoholgebruik:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: alcoholgebruik anamnese
ru-RU	Russian (Russian Federation)	Употребление алкоголя:Hx:ТчкВрм:^Пациент:Опис: Synonyms: История Описательный Точка во времени;Момент
zh-CN	Chinese (China)	酒精使用:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型喝酒;饮酒;酒精饮用;喝酒情况;饮酒情况;酒精饮用情况;酒精使用情况时刻;随机;随意;瞬间病史与体格检查

11287-0 Alcoholic drinks per drinking day - Reported

Fully-Specified Name

Component: Alcoholic drinks per drinking D
Property: NRat
Time: 1D
System: ^Patient
Scale: Qn
Method: Reported

Additional Names

Short Name: Alcoholic drinks/drinking D Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.73
Common Test Rank Get Info: 1144

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Bebidas alcohólicas por consumo D:NRat:1D:^ Paciente:Cuantitativo:Reported
es-AR	Spanish (Argentina)	tragos con alcohol por día de consumo:índice numérico:1 día:^paciente:cuantitativo:informado
it-IT	Italian (Italy)	Bevande alcoliche al giorno:NRat:1 gg:^Paziente:Qn:Riportato Synonyms: 1 giorno; 1 die Anamnesi Drink alcolici al giorno;Unità alcoliche al giorno Indice numerico paziente
nl-NL	Dutch (Netherlands)	alcoholconsumpties per dag met alcoholgebruik:aantal/tijd:1 dag:^patiënt:kwantitatief:rapportage Synonyms: 1D alcohol consumpties per D met alcohol gebruik
pt-BR	Portuguese (Brazil)	Bebidas alcóolicas bebidas por dia:NRat:1D:^Paciente:Qn:Relatado Synonyms: ; Alcoholic drinks/drinking day; nRate; Number rate; Count/time; 1 day; 24 hours; 24HR; 24H; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Алкогольные напитки в злоупотребление день:КолСкор:1 день:^Пациент:Колич:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость
zh-CN	Chinese (China)	每个饮酒日的酒精饮料杯数:计数型速率:1天:^患者:定量型:报告法 Synonyms: 1日;24.0小时;24小时;一天;一日;二十四小时 Rh;Rhesus;恒河猴;猕猴;罗猴医疗服务对象;客户;病人;病患;病号;超系统 - 病人单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 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可用数量表示的;定量性;数值型;数量型;连续数值型标尺每个饮酒日的酒精饮料杯数（标准杯数、标准饮酒单位数、标准饮酒量、份数、量）;每个饮酒日的酒精饮料量病史与体格检查

Example Units

Unit	Source
/d	Example UCUM Units
#drinks/day	REGENSTRIEF

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX510201020000	PX510201_How_Many_Drinks_When_Drinking

11286-2 Alcohol binge episodes per month - Reported

Fully-Specified Name

Component: Alcohol binge episodes per M
Property: NRat
Time: 1Mo
System: ^Patient
Scale: Qn
Method: Reported

Additional Names

Short Name: Alcohol binge episodes/M Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.50

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Episodios de atracones de alcohol por M:NRat:1Mes:^ Paciente:Cuantitativo:Reported
es-AR	Spanish (Argentina)	episodios de consumo compulsivo de alcohol:índice numérico:1 minuto:^paciente:cuantitativo:informado
it-IT	Italian (Italy)	Episodi di consumo eccessivo di alcol al mese:NRat:1Mese:^Paziente:Qn:Riportato Synonyms: 1 mese Anamnesi Episodi di sbronza al mese Indice numerico paziente
pt-BR	Portuguese (Brazil)	Episódios de bebedeiras ou embriaguez?????:NRat:1Mo:^Paciente:Qn:Relatado Synonyms: ; Alcohol binge episodes/month; nRate; Number rate; Count/time; 1 month; 30 days; Quantitative; QNT; Quant; Quan; Alc
ru-RU	Russian (Russian Federation)	Алкоголь злоупотребление эпизодов в месяц:КолСкор:1 месяц:^Пациент:Колич:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость
zh-CN	Chinese (China)	每个月的酗酒事件:计数型速率:1个月:^患者:定量型:报告法 Synonyms: 30天;30日;一个月;三十天;三十日 M 型医疗服务对象;客户;病人;病患;病号;超系统 - 病人单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 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可用数量表示的;定量性;数值型;数量型;连续数值型标尺每个月的疯狂饮酒事件;每个月的酒精狂饮事件;每个月的酒精放纵事件;每个月的酒精不节制事件;每个月的放纵狂饮事件;每个月的放纵大喝事件病史与体格检查

Example Units

Unit	Source
{#}/mo	Example UCUM Units

11366-2 History of Tobacco use Narrative

Fully-Specified Name

Component: Tobacco use status
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Tobacco use

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.58
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision; Changed Component from "Tobacco use" to clarify meaning as the status of tobacco use, not the type of tobacco used

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88028-6	Tobacco use panel

Member of these Groups Get Info

LOINC Group	Group Name
LG41856-2	Smoking-related terms

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Estado de consumo de tabaco:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de tabquismo:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-CA	French (Canada)	Habitudes tabagiques:Histoire:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Status d'uso del tabacco:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	tabaksgebruik:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: anamnese
zh-CN	Chinese (China)	烟草使用状况:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间烟草使用（烟草吸食、吸烟、抽烟、用烟）状况（状态、情况）烟草吸食;吸烟;抽烟;用烟状况;情况病史与体格检查

8663-7 Cigarettes smoked current (pack per day) - Reported

Fully-Specified Name

Component: Cigarettes smoked.current (pack per day)
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: Reported

Additional Names

Short Name: Cigs smoked (pack/day) nRate Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.73
Common Test Rank Get Info: 3283

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88028-6	Tobacco use panel

Member of these Groups Get Info

LOINC Group	Group Name
LG41856-2	Smoking-related terms

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	cigarrillos fumados.actualmente (paquetes por día):número:punto en el tiempo:^paciente:cuantitativo:informado
es-MX	Spanish (Mexico)	Cigarrillos fumados corriente (paquete por día):NRat:Punto temporal:^ Paciente:Cuantitativo:Reported
it-IT	Italian (Italy)	Sigarette fumate.corrente (pacchetti al giorno):NRat:Pt:^Paziente:Qn:Riportato Synonyms: Anamnesi Indice numerico paziente Punto nel tempo (episodio) Sigarette correntemente fumate (pacchetti al giorn
nl-NL	Dutch (Netherlands)	sigarettengebruik actueel (pakjes per dag):aantal/tijd:moment:^patiënt:kwantitatief:rapportage
pt-BR	Portuguese (Brazil)	Cigarros fumados.atual (maços por dia):NRat:Pt:^Paciente:Qn:Relatado Synonyms: ; Cigarettes smoked (pack/day); nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RU	Russian (Russian Federation)	Сигарет выкуривается.текущий (пачек в день):КолСкор:ТчкВрм:^Пациент:Колич:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	所抽香烟.当前 (每天包数):计数型速率:时间点:^患者:定量型:报告法 Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 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可用数量表示的;定量性;数值型;数量型;连续数值型标尺所抽（吸、抽吸）香烟（卷烟、纸烟）.当前 (每天盒数);当前每日所吸香烟包数;当前每天所抽香烟盒数日;昼;白天;周几;星期几时刻;随机;随意;瞬间病史与体格检查

Example Units

Unit	Source
{#}/d	Example UCUM Units

8664-5 Cigarettes smoked total (pack per year) - Reported

Fully-Specified Name

Component: Cigarettes smoked.total (pack per year)
Property: NRat
Time: Pt
System: ^Patient
Scale: Qn
Method: Reported

Additional Names

Short Name: Cigs smoked (pack/year) nRate Reported

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.48

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Member of these Groups Get Info

LOINC Group	Group Name
LG41856-2	Smoking-related terms

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	cigarrillos fumados.total (paquetes por año):número:punto en el tiempo:^paciente:cuantitativo:informado
es-MX	Spanish (Mexico)	Cigarrillos fumados total (paquete por año):NRat:Punto temporal:^ Paciente:Cuantitativo:Reported
it-IT	Italian (Italy)	Sigarette fumate.totale (pacchetti all'anno):NRat:Pt:^Paziente:Qn:Riportato Synonyms: Anamnesi Indice numerico paziente Punto nel tempo (episodio) Totale sigarette fumate (pacchetti all''anno)
nl-NL	Dutch (Netherlands)	sigarettengebruik totaal (pakjes per jaar):aantal/tijd:moment:^patiënt:kwantitatief:rapportage
pt-BR	Portuguese (Brazil)	Cigarros fumados.total (maços por ano):NRat:Pt:^Paciente:Qn:Relatado Synonyms: ; Cigarettes smoked (pack/year); nRate; Number rate; Count/time; Point in time; Random; Quantitative; QNT; Quant; Quan; Tot; Totl
ru-RU	Russian (Russian Federation)	Сигарет выкуривается.общий (пачек в год):КолСкор:ТчкВрм:^Пациент:Колич:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	所抽香烟.总计 (每年包数):计数型速率:时间点:^患者:定量型:报告法 Synonyms: 全体数量全部共计医疗服务对象;客户;病人;病患;病号;超系统 - 病人单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 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可用数量表示的;定量性;数值型;数量型;连续数值型标尺总总和总数总量总额所抽（吸、抽吸）香烟（卷烟、纸烟）.总计 (每年盒数);每年所抽香烟总盒数;每年所吸香烟总包数时刻;随机;随意;瞬间汇总病史与体格检查

Example Units

Unit	Source
{#}/a	Example UCUM Units

11342-3 History of Other nonmedical drug use Narrative

Fully-Specified Name

Component: Other nonmedical drug use
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Other nonmedical drug use

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Uso de otras drogas no médicas:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de consumo de otras drogas de uso no terapéutico:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Anamnèse. Utilisation de drogues nonmédicales:Hx:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Altro uso non medico di droghe:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
nl-NL	Dutch (Netherlands)	overig drugsgebruik:voorgeschiedenis:moment:^patiënt:tekstueel: Synonyms: anamnese
ru-RU	Russian (Russian Federation)	История немедикаментозных лекарств употребления:Hx:ТчкВрм:^Пациент:Опис: Synonyms: История Наркотик Описательный Точка во времени;Момент
zh-CN	Chinese (China)	其他非医用毒品使用史:历史记录:时间点:^患者:叙述型: Synonyms: 其他的其他非医用毒品使用历史;其他非药用毒品使用史其它其它的别的医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型另外的时刻;随机;随意;瞬间毒品毒品;麻醉药;麻醉品;麻药;兴奋剂;药品毒品类病史与体格检查药品类药物药物（毒品、麻醉药、麻醉品、麻药、兴奋剂、药品）使用（利用、服用）药物类

82589-3 Highest level of education

Part Descriptions

LP72877-1 Highest level of education
The highest level of education attained. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component: Highest level of education
Property: Hx
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: Highest level of educ

Basic Attributes

Class: ADMIN.PATIENT.DEMOG
Type: Clinical
First Released: Version 2.58
Last Updated: Version 2.73
Change Reason: Removed the Method of Reported
Order vs. Observation: Observation
Common Test Rank Get Info: 294

Normative Answer List LL7-6

Answer	Code	Answer ID
No schooling	1	LA35-1
8th grade/less	2	LA36-9
9-11 grades	3	LA37-7
High school	4	LA38-5
Technical or trade school	5	LA39-3
Some college	6	LA40-1
Bachelor's degree	7	LA41-9
Graduate degree	8	LA42-7

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45969-3	Deprecated MDS background information at admission form - version 2.0
99192-7	Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
93025-5	Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
98154-8	SARS-CoV-2-related socioeconomic questionnaire for adults

Member of these Groups Get Info

LOINC Group	Group Name
LG51306-5	SDOH

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	El mas alto nivel de educación:Hx:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Livello più elevato di istruzione:Hx:Pt:^Paziente:Ord: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU	Russian (Russian Federation)	Уровень образования:Hx:ТчкВрм:^Пациент:Пор: Synonyms: История Порядковый Точка во времени;Момент
zh-CN	Chinese (China)	文化程度:历史记录: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;史;病史教育程度;教育水平;教育等级;受教育程度时刻;随机;随意;瞬间程度等级级级别行政;管理;施行;执行;经营行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX651201040000	PX651201_EatingWeightPatterns_Adult_Education

11350-6 History of Sexual behavior Narrative

Fully-Specified Name

Component: Sexual behavior
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Sexual behavior

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Comportamiento sexual:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de conducta sexual:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Anamnèse. Comportement sexuel:Hx:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Comportamento sessuale:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU	Russian (Russian Federation)	История полового поведения:Hx:ТчкВрм:^Пациент:Опис: Synonyms: История Описательный Половой анамнез Точка во времени;Момент
zh-CN	Chinese (China)	性行为史:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型性行为历史时刻;随机;随意;瞬间病史与体格检查

10182-4 History of Travel Narrative

Fully-Specified Name

Component: Travel
Property: Hx
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Hx of Travel

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
89543-3	Laboratory ask at order entry panel

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Viaje:Hx:Punto temporal:^ Paciente:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de viajes realizados:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
it-IT	Italian (Italy)	Viaggio:Hx:Pt:^Paziente:Nar: Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia;Anamnesi
zh-CN	Chinese (China)	旅行:历史记录:时间点:^患者:叙述型: Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型旅游;出行;长途行走;游历时刻;随机;随意;瞬间病史与体格检查

10157-6 History of family member diseases Narrative

Term Description

History of family member diseases is a report of health information, including medical, genetic, environmental, and lifestyle factors, pertaining to the patient and his or her genetic relatives (living or deceased). The family history information is used to determine possible or relevant health risk factors that may have a potential impact on the patient's healthcare risk profile.
Source: Regenstrief LOINC

Fully-Specified Name

Component: History of family member diseases
Property: Hx
Time: Pt
System: ^Family member
Scale: Nar
Method

Additional Names

Short Name: Family member diseases Hx

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Change Reason: Previous Releases: Changed Property from "Find" to "Hx", removed Method of "Reported" and corrected System from Family to ^Family member to align with existing family history terms and to represent family member as a Super System per 8/2015 Clinical LOINC Committee decision;
Common Test Rank Get Info: 9825

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
81898-9	Composite triage and nursing note - recommended IHE set
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2	Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4	Continuity of Care panel
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
35089-2	History and physical panel
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
82308-8	Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2	Oncology plan of care and summary - recommended CDA set
35090-0	Patient history
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Historia de enfermedades de miembros de la familia:Hx:Punto temporal:^ Miembro de la familia:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de enfermedades en miembros familiares:hallazgo:punto en el tiempo:familia:Narrativo:informado
fr-BE	French (Belgium)	Anamnèse. Maladies dans la famille:Hx:Temps ponctuel:^membre de famille:Narratif:
fr-CA	French (Canada)	Antécédents familiaux:Histoire:Temps ponctuel:^membre de famille:Narratif:
it-IT	Italian (Italy)	Storia di malattie di membri familiari:Hx:Pt:^membro della famiglia:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Storia di malattie di membri della famiglia Storia;Anamnesi
nl-NL	Dutch (Netherlands)	geschiedenis van ziekte binnen de familie:voorgeschiedenis:moment:^familielid:tekstueel: Synonyms: anamnese ziekte in familieanamnese
ru-RU	Russian (Russian Federation)	История член семьи заболевания:Hx:ТчкВрм:^семьи член:Опис: Synonyms: История Описательный Семейный анамнез заболеваний Точка во времени;Момент
zh-CN	Chinese (China)	家族成员疾病史:历史记录:时间点:^家庭成员:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型家人;家族成员;超系统 - 家庭成员家庭家族成员病史;家属疾病史;家属病史;家庭成员疾病史;家庭成员病史时刻;随机;随意;瞬间病史与体格检查

10187-3 Review of systems Narrative - Reported

Term Description

The Review of systems section contains a relevant collection of symptoms and functions systematically gathered by a clinician. It includes symptoms the patient is currently experiencing, some of which were not elicited during the history of present illness, as well as a potentially large number of pertinent negatives, for example, symptoms that the patient denied experiencing.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Review of systems
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Reported

Additional Names

Short Name: Review of systems

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
69459-6	Care record summary panel
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8	Discharge summary - recommended C-CDA R1.1 sections
81219-8	Discharge summary - recommended C-CDA R2.0 sections
81218-0	Discharge summary - recommended C-CDA R2.1 sections
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Revisión de sistemas:Tipo:Punto temporal:^ Paciente:Narrativo:Reported
es-AR	Spanish (Argentina)	revisión de sistemas:hallazgo:punto en el tiempo:^paciente:Narrativo:informado
fr-BE	French (Belgium)	Revue des systèmes:Observation:Temps ponctuel:^Patient:Narratif:Rapporté
it-IT	Italian (Italy)	Esame di apparati:Osservazione:Pt:^Paziente:Nar:Riportato Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	beoordeling van systemen:bevinding:moment:^patiënt:tekstueel:rapportage
ru-RU	Russian (Russian Federation)	Исследование по системам:Находка:ТчкВрм:^Пациент:Опис:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Описательный Точка во времени;Момент
zh-CN	Chinese (China)	系统评审:发现:时间点:^患者:叙述型:报告法 Synonyms: 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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查系统回顾;系统审核

10171-7 History of Eyes disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Eyes
Scale: Nar
Method

Additional Names

Short Name: Hx of Eyes disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Ojos:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:ojos:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Occhi:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:眼睛类:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类眼睛(复数);目;眼;眼睛;眼部

11354-8 History of Ears and Nose and Sinuses and Mouth and Throat disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Ears & Nose & Sinuses & Mouth & Thr
Scale: Nar
Method

Additional Names

Short Name: Hx of ENSMT disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Oídos, nariz, senos nasales, boca y trombocitopenia:Narrativo:
es-AR	Spanish (Argentina)	oídos, nariz, senos paranasales, boca y fauces:hallazgo:punto en el tiempo:EARS & NOSE & SINUSES & MOUTH & THR:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Orecchie & naso & seni & bocca & gola:Nar: Synonyms: Anamnesi Orecchie e Naso e Seni e Bocca e Gola Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:耳与鼻与附鼻窦类与口与咽喉:叙述型: Synonyms: 副鼻窦类（副鼻窦、鼻窦、鼻窦类、窦、窦类）;窦（复数）;窦道（复数）;附鼻窦（复数）历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型嘴时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类耳 & 鼻 & 附鼻窦类（副鼻窦、鼻窦、鼻窦类、窦、窦类） & 口 & 咽喉;耳+鼻+鼻窦+口+咽喉;耳与鼻与鼻窦与口与咽喉;耳朵 & 鼻子 & 鼻窦 & 口 & 咽喉;耳朵+鼻子+鼻窦+口+咽喉;耳朵与鼻子与鼻窦与口与咽喉;耳、鼻、附鼻窦类、口与咽喉鼻部

10168-3 History of Cardiovascular system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Cardiovascular system
Scale: Nar
Method

Additional Names

Short Name: Hx of CVS disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
80346-0	Nursing physiologic assessment panel

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema cardiovascular:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato cardiovascular:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato cardiovascolare:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Sistema cardiovascolare Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:心血管系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

10177-4 History of Respiratory system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Respiratory system
Scale: Nar
Method

Additional Names

Short Name: Hx of Respiratory disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema respiratorio:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato respiratorio:Narrativo:informado
fr-CA	French (Canada)	Symptômes et maladies:Histoire:Temps ponctuel:Système respiratoire:Narratif: Synonyms: Antécédents médicaux
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato respiratorio:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:呼吸系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型呼吸道标本（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症状和疾病症状类

11355-5 History of Gastrointestinal system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Gastrointestinal system
Scale: Nar
Method

Additional Names

Short Name: Hx of GI disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema gastrointestinal:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparato digestivo:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato gastrointestinale:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:胃肠道系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间消化系统;消化道系统病史与体格检查症状和疾病症状类

11356-3 History of Genitourinary systems disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Genitourinary systems
Scale: Nar
Method

Additional Names

Short Name: Hx of GU disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistemas genitourinarios:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:aparatos genitourinarios:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparati genito urinari:Nar: Synonyms: Anamnesi Apparati genito-urinari Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:泌尿生殖系统类:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间泌尿生殖系统（复数）;泌尿生殖系统（泌尿生殖、生殖泌尿、生殖泌尿系统、泌尿生殖道、生殖泌尿道）;泌尿生殖;生殖泌尿;生殖泌尿系统;泌尿生殖道;生殖泌尿道病史与体格检查症状和疾病症状类

10176-6 History of Reproductive system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Reproductive system
Scale: Nar
Method

Additional Names

Short Name: Hx of Reproductive disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema reproductivo:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema reproductor:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato riproduttivo:Nar: Synonyms: Anamnesi Apparato riproduttore Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:生殖系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

10181-6 History of Urinary tract disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Urinary tract
Scale: Nar
Method

Additional Names

Short Name: Hx of Urinary disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Tracto urinario:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:vías urinarias:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Tratto urinario:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:尿路:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间泌尿道病史与体格检查症状和疾病症状类

10173-3 History of Musculoskeletal system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Musculoskeletal system
Scale: Nar
Method

Additional Names

Short Name: Hx of Musculoskeletal disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema musculoesquelético:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema musculoesquelético:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato muscolo-scheletrico:Nar: Synonyms: Anamnesi Apparato muscolo scheletrico Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:肌肉骨骼系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类肌肉－骨骼系统

11357-1 History of Integumentary system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Integumentary system
Scale: Nar
Method

Additional Names

Short Name: Hx of Integumentary disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema tegumentario:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema tegumentario:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato tegumentario:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:皮肤系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型外皮系统时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

10178-2 History of Skin disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Skin
Scale: Nar
Method

Additional Names

Short Name: Hx of Skin disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Piel:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:piel:Narrativo:informado
fr-CA	French (Canada)	Symptômes et maladies:Histoire:Temps ponctuel:Peau:Narratif: Synonyms: Antécédents médicaux
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Pelle:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:皮肤:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类皮;肤;表皮

11353-0 History of Breasts disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Breasts
Scale: Nar
Method

Additional Names

Short Name: Hx of Brsts disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Pechos:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:mamas:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Mammelle:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Seni Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:乳腺类:叙述型: Synonyms: 乳腺（复数）;乳房;乳房（复数）;乳腺;乳腺（乳房）历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

8672-8 History of Nervous system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Neurologic system
Scale: Nar
Method

Additional Names

Short Name: Hx of Neurologic disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema neurológico:Narrativo:informado
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema neurológico:Narrativo:
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato neurologico:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Sistema nervoso Storia;Anamnesi
pt-BR	Portuguese (Brazil)	Histórico de sintomas & doenças:Achado:Pt:Sistema Neurológico:Nar:Relatado Synonyms: ; Sx & diseases Hx; Finding; Findings; Point in time; Random; Narrative; Report
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:神经系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

11358-9 History of Psychiatric disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Psychiatric
Scale: Nar
Method

Additional Names

Short Name: Hx of Psychiatric disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Psiquiátrico:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:psiquiátrico:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Psichiatrico:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:精神病学:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

10170-9 History of Endocrine system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Endocrine system
Scale: Nar
Method

Additional Names

Short Name: Hx of Endocrine disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema endocrino:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema endocrino:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Apparato endocrino:Nar: Synonyms: Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:内分泌系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

10172-5 History of Hematologic system disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Hematologic system
Scale: Nar
Method

Additional Names

Short Name: Hx of Hematologic disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Sistema hematológico:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema hematológico:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Sistema ematopoietico:Nar: Synonyms: Anamnesi Apparato ematopoietico Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:造血系统:叙述型: Synonyms: 历史;史;病史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叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类血液学/凝血血液性

11352-2 History of Allergenic and Immunologic disorders Narrative

Fully-Specified Name

Component: Symptoms & diseases
Property: Hx
Time: Pt
System: Allergic & Immunologic
Scale: Nar
Method

Additional Names

Short Name: Hx of Allergy+Immunologic disorders

Basic Attributes

Class: H&P.HX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.56
Change Reason: Removed "History of" from Component, changed Property from "Find" to "Hx", and removed "Reported" Method per 8/2015 Clinical LOINC Committee decision

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Síntomas y enfermedades:Hx:Punto temporal:Alérgico e inmunológico:Narrativo:
es-AR	Spanish (Argentina)	antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:alérgico e inmunológico:Narrativo:informado
it-IT	Italian (Italy)	Sintomi & malattie:Hx:Pt:Allergico & immunologico:Nar: Synonyms: Allergico e Immunologico Anamnesi Punto nel tempo (episodio) Sintomi e malattie Storia;Anamnesi
zh-CN	Chinese (China)	症状与疾病:历史记录:时间点:变态反应系统与免疫系统:叙述型: Synonyms: 免疫免疫性的免疫的历史;史;病史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变应原系统与免疫系统;过敏原系统与免疫系统;过敏反应系统与免疫系统叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查症状和疾病症状类

29545-1 Physical findings Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
92575-0	Labor and delivery admission history and physical - recommended IHE set
57083-8	Labor and Delivery record panel
92574-3	Labor and delivery summary - recommended IHE set
82315-3	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0	Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
74449-0	Patient plan of care - recommended IHE set
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections
72225-6	Progress note - recommended C-CDA R1.1 sections
81216-4	Progress note - recommended C-CDA R2.0 and R2.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:^patiënt:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:^Paciente:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:^患者:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10210-3 Physical findings of General status Narrative

Term Description

Physical findings (of general status) describes general observations and readily observable attributes of the patient, including affect and demeanor, apparent age compared to actual age, gender, ethnicity, nutritional status based on appearance, body build and habitus (e.g., muscular, cachectic, obese), developmental or other deformities, gait and mobility, personal hygiene, evidence of distress, and voice quality and speech.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: General status
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find General status

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
72231-4	Consultation note - recommended C-CDA R1.1 sections
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0	History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
59843-3	Procedure note - recommended C-CDA R1.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Estatus general:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:estado general:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Stato generale:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Estado geral:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Общий статус:Опис:Наблюдённый Synonyms: Общее состояние Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:一般状态:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型大体状态;普通状态;总体状态时刻;随机;随意;瞬间病史与体格检查观测法

8893-0 Heart rate Peripheral artery by palpation

Fully-Specified Name

Component: Heart rate
Property: NRat
Time: Pt
System: Peripheral artery
Scale: Qn
Method: Palpation

Additional Names

Short Name: Heart rate Periph a Palpation
Consumer Name Alpha Get Info: Heart rate

Basic Attributes

Class: HRTRATE.MOLEC
Type: Clinical
First Released: Version 1.0h(3)
Last Updated: Version 2.73
Common Test Rank Get Info: 10016

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Member of these Groups Get Info

LOINC Group	Group Name
LG33055-1	Heart rate\|NRat\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	latido cardíaco:índice numérico:punto en el tiempo:arteria periférica:cuantitativo:palpación
es-MX	Spanish (Mexico)	Ritmo cardiaco:NRat:Punto temporal:Arteria periférica:Cuantitativo:Palpation
it-IT	Italian (Italy)	Frequenza cardiaca:NRat:Pt:Arteria periferica:Qn:Palpazione Synonyms: Frequenza cardiaca - molecolare Indice numerico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	hartslagfrequentie:aantal/tijd:moment:perifere arterie:kwantitatief:palpatie
pt-BR	Portuguese (Brazil)	Frequência cardíaca:NRat:Pt:Artéria periferal:Qn:Palpação Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Periph a; Art; Quantitative; QNT; Quant; Quan; Pulse; Heart beat; HEART RATE.MOLEC; HEART RATE.MOLEC
zh-CN	Chinese (China)	心率:计数型速率:时间点:外周动脉:定量型:触诊法 Synonyms: 切脉;切脉法;切诊;切诊法;扪诊;扪诊法;按诊;按诊法;摸;摸法;触;触诊单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺周围周围动脉;周边动脉周围的周缘周缘的周边周边的外周的外围外围的外部外部的心搏率;心跳速率时刻;随机;随意;瞬间末梢末梢的特殊心率边缘边缘的速度

Example Units

Unit	Source
{beats}/min	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	149562	MDC_PALPATION_HEART_RATE

9279-1 Respiratory rate

Fully-Specified Name

Component: Breaths
Property: NRat
Time: Pt
System: Respiratory system
Scale: Qn
Method

Additional Names

Short Name: Resp rate

Basic Attributes

Class: RESP.ATOM
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Common Test Rank Get Info: 12

Member of these Panels

LOINC	Long Common Name
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
75885-4	IEEE 11073 Rosetta panel
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
87825-6	National Trauma Data Standard - version 2018 set
80346-0	Nursing physiologic assessment panel
74293-2	Oncology plan of care and summary - recommended CDA set
62611-9	PhenX domain - Respiratory
89694-4	Pulmonary Embolism Severity Index panel [PESI]
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33054-4	Breaths\|NRat\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Atemfrequenz:Anzahl pro Zeit:Zeitpunkt:Respiratorisches System:Quantitativ:
de-AT	German (Austria)	Synonyms: Atemfrequenz
es-AR	Spanish (Argentina)	respiraciones:índice numérico:punto en el tiempo:aparato respiratorio:cuantitativo:
es-MX	Spanish (Mexico)	Respiraciones:NRat:Punto temporal:Sistema respiratorio:Cuantitativo:
it-IT	Italian (Italy)	Respiri:NRat:Pt:Apparato respiratorio:Qn: Synonyms: Indice numerico Punto nel tempo (episodio) Respiratorio - atomico
pt-BR	Portuguese (Brazil)	Respirações:NRat:Pt:Sistema Respiratório:Qn: Synonyms: ; nRate; Number rate; Count/time; Point in time; Random; Lungs; Breathing; RS; Quantitative; QNT; Quant; Quan; Respiratory rate
ru-RU	Russian (Russian Federation)	Дыхание:КолСкор:ТчкВрм:Дыхательная система:Колич: Synonyms: Количественный Количество скорость Точка во времени;Момент
zh-CN	Chinese (China)	呼吸:计数型速率:时间点:呼吸系统:定量型: Synonyms: 一般呼吸类指标;一般呼吸系统类指标;呼吸类指标.原子型单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 可用数量表示的;定量性;数值型;数量型;连续数值型标尺呼吸呼吸类呼吸类指标呼吸系统呼吸系统类呼吸道标本（样品、样本）;呼吸系统标本（样品、样本）时刻;随机;随意;瞬间

Example Units

Unit	Source
{breaths}/min;{counts/min}	Example UCUM Units
/MIN	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	151562	MDC_RESP_RATE
https://www.phenxtoolkit.org	PX090201050000	PX090201_Respiratory_Rate
https://www.phenxtoolkit.org	PX091401030000	PX091401_Respiratory_Cycles
https://www.phenxtoolkit.org	PX091402010000	PX091402_Respiratory_Cycles
https://www.phenxtoolkit.org	PX091403020000	PX091403_Respiratory_Depth_Comments
https://www.phenxtoolkit.org	PX091403030000	PX091403_Breathing_Pattern_Comments
https://www.phenxtoolkit.org	PX091403040000	PX091403_Breathing_Depth_Comments

8310-5 Body temperature

Fully-Specified Name

Component: Body temperature
Property: Temp
Time: Pt
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: Body temperature
Consumer Name Alpha Get Info: Body Temperature

Basic Attributes

Class: BDYTMP.ATOM
Type: Clinical
First Released: Version 1.0h(2)
Last Updated: Version 2.73
Common Test Rank Get Info: 49

Member of these Panels

LOINC	Long Common Name
35095-9	Body temperature panel
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
100847-3	Gas and ammonia panel - Arterial blood
93685-6	Gas and Carbon monoxide and Electrolytes panel - Arterial blood
24341-0	Gas and Carbon monoxide panel - Arterial blood
24343-6	Gas and Carbon monoxide panel - Blood
24342-8	Gas and Carbon monoxide panel - Capillary blood
24344-4	Gas and Carbon monoxide panel - Venous blood
99548-0	Gas and electrolytes panel - Arterial blood
24336-0	Gas panel - Arterial blood
51974-4	Gas panel - Arterial cord blood
24338-6	Gas panel - Blood
24337-8	Gas panel - Capillary blood
51973-6	Gas panel - Mixed venous blood
24339-4	Gas panel - Venous blood
51972-8	Gas panel - Venous cord blood
75885-4	IEEE 11073 Rosetta panel
84428-2	National EMS Information System - version 3 set
87825-6	National Trauma Data Standard - version 2018 set
74293-2	Oncology plan of care and summary - recommended CDA set
62611-9	PhenX domain - Respiratory
89694-4	Pulmonary Embolism Severity Index panel [PESI]
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
82611-5	Wearable device external physiologic monitoring panel

Member of these Groups Get Info

LOINC Group	Group Name
LG33052-8	Body temperature\|Temp\|Pt\|Chal:None

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpertemperatur:Temperatur:Zeitpunkt:^Patient:Quantitativ:
de-AT	German (Austria)	Synonyms: Körpertemperatur
es-AR	Spanish (Argentina)	temperatura corporal:temperatura:punto en el tiempo:^paciente:cuantitativo:
es-MX	Spanish (Mexico)	Temperatura corporal:Temperatura:Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Température corporelle:Température:Ponctuel:Patient:Numérique:
fr-BE	French (Belgium)	Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
fr-CA	French (Canada)	Température corporelle:Température:Temps ponctuel:^Patient:Quantitatif:
it-IT	Italian (Italy)	Temperatura corporea:Temp:Pt:^Paziente:Qn: Synonyms: paziente Punto nel tempo (episodio) Temperatura Temperatura del corpo - atomica
nl-NL	Dutch (Netherlands)	lichaamstemperatuur:temperatuur:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (Brazil)	Temperatura corpórea:Temp:Pt:^Paciente:Qn: Synonyms: ; Bdy temp; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY TEMPERATURE.ATOM; BODY TEMPERATURE.ATOM
ru-RU	Russian (Russian Federation)	Температура тела:Темп:ТчкВрм:^Пациент:Колич: Synonyms: Количественный Температура Точка во времени;Момент
tr-TR	Turkish (Turkey)	Vücut sıcaklığı:Scklk:Zmlı:^Hasta:Kant:
zh-CN	Chinese (China)	体温:温度:时间点:^患者:定量型: Synonyms: 一般体温体温医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间物体身体温度

Example Units

Unit	Source
Cel	Example UCUM Units
Deg C	REGENSTRIEF

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	150344	MDC_TEMP
https://www.phenxtoolkit.org	PX090201020000	PX090201_Body_Temperature

29463-7 Body weight

Reference Information

Type	Source	Reference
Citation	Regenstrief LOINC	Stice, E., Telch, C. F., Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(2), 123-31.

Fully-Specified Name

Component: Body weight
Property: Mass
Time: Pt
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: Weight

Basic Attributes

Class: BDYWGT.ATOM
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.73
Order vs. Observation: Observation
Common Test Rank Get Info: 44

Member of these Panels

LOINC	Long Common Name
58735-2	Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3	Alpha-1-Fetoprotein panel - Serum or Plasma
93478-6	Busulfan area under the curve panel - Plasma
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
86636-8	Family planning report - FPAR 2.0 set
49085-4	First and Second trimester integrated maternal screen panel
48798-3	First trimester maternal screen panel - Serum or Plasma
49086-2	First trimester maternal screen with nuchal translucency panel
55405-5	Heart failure tracking panel
75885-4	IEEE 11073 Rosetta panel
100203-9	Knee Society Score post-op panel [Knee Society Score]
100159-3	Knee Society Score pre-op panel [Knee Society Score]
89543-3	Laboratory ask at order entry panel
49087-0	Maternal screen clinical predictors panel
87825-6	National Trauma Data Standard - version 2018 set
98133-2	Osteoporosis Index of Risk panel
98139-9	Osteoporosis Risk Assessment Instrument
98146-4	Osteoporosis Self-Assessment Tool
93149-3	PhenX - bone age protocol 220301
62787-7	PhenX domain - Diabetes
62755-4	PhenX domain - Neurology
62812-3	PhenX domain - Physical activity and physical fitness
62710-9	PhenX domain - Psychiatric
62611-9	PhenX domain - Respiratory
63067-3	PhenX domain - Speech and hearing
48799-1	Second trimester penta maternal screen panel - Serum or Plasma
48800-7	Second trimester quad maternal screen panel - Serum or Plasma
35086-8	Second trimester triple maternal screen panel - Serum or Plasma
97782-7	Spine Tango Surgery 2017
81232-1	Supersaturation panel - 24 hour Urine
54127-6	US Surgeon General family health portrait [USSG-FHT]
74028-2	Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS
85353-1	Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
55418-8	Weight and Height tracking panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34372-9	Body weight\|Mass\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpergewicht:Masse:Zeitpunkt:^Patient:Quantitativ:
de-AT	German (Austria)	Synonyms: Körpergewicht
es-AR	Spanish (Argentina)	peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Peso corporal:Masa:Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Poids corporel:Masse:Ponctuel:Patient:Numérique:
fr-BE	French (Belgium)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif: Synonyms: Poids
fr-CA	French (Canada)	Poids:Masse:Temps ponctuel:^Patient:Quantitatif:
it-IT	Italian (Italy)	Peso corporeo:Massa:Pt:^Paziente:Qn: Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamsgewicht:massa:moment:^patiënt:kwantitatief:
pl-PL	Polish (Poland)	Masa ciała:masa:punkt w czasie:^pacjent:ilościowy: Synonyms: Ciężar Masa ciała
pt-BR	Portuguese (Brazil)	Peso corpóreo:Massa:Pt:^Paciente:Qn: Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
ru-RU	Russian (Russian Federation)	Масса тела:Масса:ТчкВрм:^Пациент:Колич: Synonyms: Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:
uk-UA	Ukrainian (Ukraine)	Вага тіла:Маса:МоментЧасу:^Пацієнт:Кількісно: Synonyms: AOEObservation; Bdy weight; bod; Bodies; BODY WEIGHT.ATOM; Point in time; QNT; Quan; Quant; Quantitative; Random; Wt
zh-CN	Chinese (China)	体重:质量:时间点:^患者:定量型: Synonyms: 一般体重;一般身体重量;身体重量.原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间标本重量;重物体身体重量重量

Example Units

Unit	Source
[lb_av];kg	Example UCUM Units
lb	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	68063	MDC_ATTR_PT_WEIGHT
https://www.phenxtoolkit.org	PX091501010200	PX091501_Sleep_Apnea_Weight
https://www.phenxtoolkit.org	PX091502060000	PX091502_Child_Weight_Pound
https://www.phenxtoolkit.org	PX120601190000	PX120601_Self_Reported_Weight
https://www.phenxtoolkit.org	PX130501200000	PX130501_Weight
https://www.phenxtoolkit.org	PX141001100000	PX141001_Weight
https://www.phenxtoolkit.org	PX150101010000	PX150101_Weight
https://www.phenxtoolkit.org	PX150203030000	PX150203_Weight
https://www.phenxtoolkit.org	PX151401030000	PX151401_Weight
https://www.phenxtoolkit.org	PX201501510000	PX201501_Weight
https://www.phenxtoolkit.org	PX220301260000	PX220301_Bone_Age_Patient_Weight
https://www.phenxtoolkit.org	PX221001070000	PX221001_MFHP_Weight
https://www.phenxtoolkit.org	PX230101390100	PX230101_PsychopathologyEatingDisorders_Weight
https://www.phenxtoolkit.org	PX230102430000	PX230102_PsychopathologyEatingDisordersInterview_Weight
https://www.phenxtoolkit.org	PX651201060000	PX651201_EatingWeightPatterns_Adult_Weight
https://www.phenxtoolkit.org	PX810401100000	PX810401_Standardisation_LungVolumeMeasurement_Subject_Weight
https://www.phenxtoolkit.org	PX120602190000	PX120602_EDDS5_Weight
https://www.phenxtoolkit.org	PX221201120000	PX221201_Growth_Chart_Current_Weight

9269-2 Glasgow coma score total

Fully-Specified Name

Component: Glasgow coma score.total
Property: Fcn
Time: Pt
System: ^Patient
Scale: Qn
Method

Additional Names

Short Name: GCS total

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Change Reason: We made an administrative decision to define the total scores from arious survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning
Common Test Rank Get Info: 1036

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4	Glasgow coma scale
75885-4	IEEE 11073 Rosetta panel
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
87825-6	National Trauma Data Standard - version 2018 set
96789-3	Sequential Organ Failure Assessment SOFA

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	puntuación de la escala de coma de Glasgow.total:función:punto en el tiempo:^paciente:ordinal:
es-MX	Spanish (Mexico)	Puntaje de coma de Glasgow total:Fcn:Punto temporal:^ Paciente:Cuantitativo:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.totale:Fcn:Pt:^Paziente:Qn: Synonyms: Funzione paziente Punteggio totale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.итог:Функц:ТчкВрм:^Пациент:Колич: Synonyms: Итог Количественный Точка во времени;Момент Функция
zh-CN	Chinese (China)	格拉斯哥昏迷评分.总计:功能:时间点:^患者:定量型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.总和;格拉斯哥昏迷得分.总分;格拉斯哥昏迷分值.总计体格功能;体格检查功能;功能;躯体功能;身体功能全体数量全部共计分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺总总和总数总量总额时刻;随机;随意;瞬间汇总

Example Units

Unit	Source
{score}	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	153728	MDC_SCORE_GLAS_COMA

9267-6 Glasgow coma score eye opening

Fully-Specified Name

Component: Glasgow coma score.eye opening
Property: Fcn
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS eye

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Common Test Rank Get Info: 2970

Normative Answer List LL355-9

Answer	Code	Score	Answer ID
No eye opening	1	1	LA6553-7
Eye opening to pain	2	2	LA6554-5
Eye opening to verbal command	3	3	LA6555-2
Eyes open spontaneously	4	4	LA6556-0

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4	Glasgow coma scale
75885-4	IEEE 11073 Rosetta panel
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
87825-6	National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	puntuación de la escala de coma de Glasgow.apertura ocular:función:punto en el tiempo:^paciente:ordinal:
es-MX	Spanish (Mexico)	Puntaje de coma de Glasgow. Apertura de ojos:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.apertura occhi:Fcn:Pt:^Paziente:Ord: Synonyms: Apertura occhi in punteggio del coma di Glasgow Funzione Occhio in punteggio del coma di Glasgow paziente Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.глаза открывание:Функц:ТчкВрм:^Пациент:Пор: Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.睁眼:功能:时间点:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.眼睛;格拉斯哥昏迷得分.眼睛;格拉斯哥昏迷评分.眼睛 GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.睁眼;格拉斯哥昏迷得分.睁眼;格拉斯哥昏迷评分.睁眼体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间目;眼;眼部

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	153730	MDC_SCORE_EYE_SUBSC_GLAS_COMA

9270-0 Glasgow coma score verbal

Fully-Specified Name

Component: Glasgow coma score.verbal
Property: Fcn
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS verbal

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.27

Normative Answer List LL356-7

Answer	Code	Score	Answer ID
No verbal response (>2 yrs); no vocal response (<=2 yrs)	1	1	LA6557-8
Incomprehensible sounds	2	2	LA6558-6
Inappropriate words	3	3	LA6559-4
Confused	4	4	LA6560-2
Oriented	5	5	LA6561-0

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4	Glasgow coma scale
75885-4	IEEE 11073 Rosetta panel
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
87825-6	National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	puntuación de la escala de coma de Glasgow.respuesta verbal:función:punto en el tiempo:^paciente:ordinal:
es-MX	Spanish (Mexico)	Puntuación de coma de Glasgow verbal:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.verbale:Fcn:Pt:^Paziente:Ord: Synonyms: Funzione paziente Punteggio verbale del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.вербалика:Функц:ТчкВрм:^Пациент:Пор: Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.言语:功能:时间点:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.言语;格拉斯哥昏迷得分.言语;格拉斯哥昏迷评分.言语;格拉斯哥昏迷分值.语言体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	153732	MDC_SCORE_SUBSC_VERBAL_GLAS_COMA

9268-4 Glasgow coma score motor

Fully-Specified Name

Component: Glasgow coma score.motor
Property: Fcn
Time: Pt
System: ^Patient
Scale: Ord
Method

Additional Names

Short Name: GCS motor

Basic Attributes

Class: FUNCTION
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Common Test Rank Get Info: 2971

Normative Answer List LL357-5

Answer	Code	Score	Answer ID
No motor response	1	1	LA6562-8
Extension to pain	2	2	LA6563-6
Flexion to pain	3	3	LA6564-4
Withdrawal from pain	4	4	LA6565-1
Localizing pain	5	5	LA6566-9
Obeys commands	6	6	LA6567-7

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
88677-0	German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
35088-4	Glasgow coma scale
75885-4	IEEE 11073 Rosetta panel
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
87825-6	National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	puntuación de la escala de coma de Glasgow.respuesta motriz:función:punto en el tiempo:^paciente:ordinal:
es-MX	Spanish (Mexico)	Puntuación de coma de Glasgow motor:Fcn:Punto temporal:^ Paciente:Ordinal:
it-IT	Italian (Italy)	Punteggio del coma di Glasgow.motorio:Fcn:Pt:^Paziente:Ord: Synonyms: Funzione paziente Punteggio motorio del coma di Glasgow Punto nel tempo (episodio) Status funzionale (es., Glasgow)
ru-RU	Russian (Russian Federation)	Glasgow кома шкала.моторика:Функц:ТчкВрм:^Пациент:Пор: Synonyms: Итог Порядковый Точка во времени;Момент Функция
zh-CN	Chinese (China)	格拉斯哥昏迷分值.运动:功能:时间点:^患者:序数型: Synonyms: FCN GCS;格拉斯哥昏迷分值;Glasgow coma score;格拉斯哥昏迷分数.运动;格拉斯哥昏迷得分.运动;格拉斯哥昏迷评分.运动体格功能;体格检查功能;功能;躯体功能;身体功能依次型;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;顺序型分值;分数;得分医疗服务对象;客户;病人;病患;病号;超系统 - 病人时刻;随机;随意;瞬间

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	153731	MDC_SCORE_MOTOR_SUBSC_GLAS_COMA

10199-8 Physical findings of Head Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Head
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Head

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Cabeza:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:cabeza:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Tête:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Testa:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:hoofd:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Crânio:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Skull; Brain; Intracranial; Cranium; Cranial; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Голова:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:头部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型大脑;头;头壳;头的;头盖;头盖的;头盖骨;头部的;头颅;头颅内;头颅内的;头骨;脑;脑壳;脑的;颅;颅侧;颅的;颅骨;颅骨内;颅骨内的时刻;随机;随意;瞬间病史与体格检查观测法

11411-6 Physical findings of Neck Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Neck
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Neck

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Cuello:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:cuello:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Collo:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:hals:tekstueel:observatie Synonyms: nek
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Pescoço:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Шея:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:颈部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法颈

11391-0 Physical findings of Chest Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Chest
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Chest

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Pecho:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:tórax:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Torace:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Petto Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:thorax:tekstueel:observatie Synonyms: borst
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Tórax:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thorax; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Грудная клетка:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:胸部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查胸;胸廓;胸膛观测法

11392-8 Physical findings of Chest wall Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Chest wall
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Chest wall

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Pared del pecho:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:pared torácica:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Parete toracica:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Petto Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:thoraxwand:tekstueel:observatie Synonyms: borst borstwand
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Parede torácica:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thorax; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Грудная стенка:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:胸壁:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查胸;胸廓;胸膛观测法

10193-1 Physical findings of Breasts Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Breasts
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Brsts

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Pechos:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:mamas:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Mammelle:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Seni
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Mamas:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Brsts; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Молочные железы:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:乳腺类:叙述型:观察法 Synonyms: 乳腺（复数）;乳房;乳房（复数）;乳腺;乳腺（乳房）体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

11387-8 Physical findings of Axilla Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Axilla
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Axilla

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Axila:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:axila:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Ascella:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Axila:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Подмышечная ямка:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:腋窝:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查腋;腋下;胳肢窝;夹肢窝观测法

10200-4 Physical findings of Heart Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Heart
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Hrt

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Corazón:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:corazón:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Coeur:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Cuore:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Coração:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Hrt; Cardiac; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Сердце:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:心脏:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型心时刻;随机;随意;瞬间病史与体格检查观测法

10207-9 Physical findings of Thorax and Lungs Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Thorax+Lungs
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Thorax+Lungs

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Tórax + Pulmones:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:tórax+pulmones:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Torace+Polmoni:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Torace e Polmoni
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Torax+Pulmões:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Thoracic; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Грудная клетка+Лёгкие:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:胸腔+肺类:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查胸;胸廓;胸部胸腔+肺类（肺、肺脏、肺部）;胸腔+肺部;胸+肺;胸与肺;胸腔与肺部观测法

10191-5 Physical findings of Abdomen Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Abdomen
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Abd

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Abdomen:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:abdomen:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Addome:Nar:Osservato Synonyms: Addome e Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:abdomen:tekstueel:observatie Synonyms: buik
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Acdomen:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Acd; Acdominal; Acdo; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Живот:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:腹部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查腹;肚子腹部（腹、肚子）+;腹部与观测法

11403-3 Physical findings of Groin Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Groin
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Groin

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Ingle:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:ingle:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Inguine:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Virilha:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Пах:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:腹股沟:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10204-6 Physical findings of Pelvis Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Pelvis
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Pelvis

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Pelvis:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:pelvis:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Pelvi:Nar:Osservato Synonyms: Bacino Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:bekken:tekstueel:observatie Synonyms: pelvis
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Pelve:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Pelvic; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Таз:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:盆腔:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查盆腔（骨盆）+ 观测法骨盆

11400-9 Physical findings of Genitalia Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Genitalia
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Genitalia

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Genitales:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:genitales:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Organi genitali:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Genitália:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Гениталии:Опис:Наблюдённый Synonyms: Описательный Половые органы Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:生殖器:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型外生殖器;外阴部;生殖器(尤指外阴部);生殖器官时刻;随机;随意;瞬间病史与体格检查观测法

11402-5 Physical findings of Male genitalia Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Genitalia.male
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Male genitalia

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Genitalia.male:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:genitales.masculinos:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Organi genitali.maschili:Nar:Osservato Synonyms: Esame obbiettivo Organi genitali maschili Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Genitália.homem:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Male genitalia; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Гениталии.мужские:Опис:Наблюдённый Synonyms: Мужские половые органы Описательный Половые органы Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:生殖器.男性:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型外生殖器.男性;外生殖器.雄性;外阴部.男性;外阴部.雄性;生殖器(尤指外阴部).男性;生殖器(尤指外阴部).雄性;生殖器.雄性;生殖器官.男性;生殖器官.雄性;男性外阴部;男性生殖器;雄性外阴部;雄性生殖器外生殖器;外阴部;生殖器(尤指外阴部);生殖器官时刻;随机;随意;瞬间病史与体格检查观测法

11401-7 Physical findings of Female genitalia Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Genitalia.female
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Female genitalia

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Genitalia.female:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:genitales.femeninos:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Organi genitali.femminili:Nar:Osservato Synonyms: Esame obbiettivo Organi genitali femminili Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Genitália.mulher:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Female genitalia; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Гениталии.женские:Опис:Наблюдённый Synonyms: Женские половые органы Описательный Половые органы Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:生殖器.女性:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型外生殖器.女性;外生殖器.雌性;外阴部.女性;外阴部.雌性;女性外阴部;女性生殖器;生殖器(尤指外阴部).女性;生殖器(尤指外阴部).雌性;生殖器.雌性;生殖器官.女性;生殖器官.雌性;雌性外阴部;雌性生殖器外生殖器;外阴部;生殖器(尤指外阴部);生殖器官时刻;随机;随意;瞬间病史与体格检查观测法

11388-6 Physical findings of Buttocks Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Buttocks
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Buttocks

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Nalgas:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:nalgas:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Natiche:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sedere
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Nadegas:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Ягодицы:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:臀部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10205-3 Physical findings of Rectum Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Rectum
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Rectum

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.73
Common Test Rank Get Info: 11650

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Recto:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:recto:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Rectum:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Retto:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:rectum:tekstueel:observatie Synonyms: endeldarm
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Reto:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Rectal; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Прямая кишка:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:直肠:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10192-3 Physical findings of Back Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Back
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Back

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:atrás:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:dorso:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Schiena:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Costas:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Спина:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:背部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查背观测法

11404-1 Physical findings of Hand Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Hand
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Hand

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Mano:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:mano:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Mano:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Mão:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Кисть:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:手:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型手部时刻;随机;随意;瞬间病史与体格检查观测法

11415-7 Physical findings of Wrist Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Wrist
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Wrist

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Muñeca:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:muñeca:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Polso:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Punho:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Carpal bones and joint; Carpal bone; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Запястье:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:腕部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查腕;腕关节;腕骨;手腕;手腕部观测法

11398-5 Physical findings of Forearm Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Forearm
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Forearm

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Antebrazo:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:antebrazo:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Avambraccio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Antebraço:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Предплечье:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:前臂:叙述型:观察法 Synonyms: 下膊;小臂体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

11394-4 Physical findings of Elbow Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Elbow
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Elbow

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Codo:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:codo:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Gomito:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Cotovelo:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Olecranon; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Локоть:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:肘关节:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查肘;肘部观测法

11386-0 Physical findings of Upper arm Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Upper arm
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Upper arm

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Parte superior del brazo:Narrativo:Observed
es-AR	Spanish (Argentina)	brazo.superior:hallazgo:punto en el tiempo:ARM.UPPER:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Braccio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Braço:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Humerus; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Плечо:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:上臂:叙述型:观察法 Synonyms: Up 上的上膊骨;肩;肱骨;膀上边上边的上部上部的上部的（Upper，Up）上面上面的体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型在上面在上面的时刻;随机;随意;瞬间病史与体格检查观测法较高较高的

11413-2 Physical findings of Shoulder Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Shoulder
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Should

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Hombro:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:hombro:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Spalla:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Ombro:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Should; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Плечо:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:肩关节:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查肩;肩胛;肩膀;肩角;肩部观测法

32448-3 Physical findings of Lower extremity

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Lower extremity
Scale: Nom
Method: Observed

Additional Names

Short Name: Phys find LE

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.07
Last Updated: Version 2.27

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:extremidad.inferior:Nominal:observado
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Extremidad baja:Nominal:Observed
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Estremità inferiore:Nom:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Membro inferior:Nom:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; LE; Leg; Extr; EXT; Nominal; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Нижняя конечность:Ном:Наблюдённый Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:下肢:名义型:观察法 Synonyms: 下下的下部低级低级的体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;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历史纪录与体格检查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肢;四肢腿;腿部观测法较低较低的

11397-7 Physical findings of Foot Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Foot
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Ft

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Pie:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:pie:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Piede:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Pé:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Ft; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Стопа:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:足部:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法足;脚部;足部

11385-2 Physical findings of Ankle Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Ankle
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Ankle

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Tobillo:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:tobillo:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Caviglia:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Tornozelo:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Предплюсна:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:踝关节:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法踝;踝部

11389-4 Physical findings of Calf Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Calf
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Calf

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Ternero:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:pantorrilla:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Polpaccio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Panturrilha:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Икра:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:腓肠:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型小腿肚;腓;腿肚子时刻;随机;随意;瞬间病史与体格检查观测法

11407-4 Physical findings of Knee Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Knee
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Knee

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Rodilla:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:rodilla:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Ginocchio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:knie:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Joelho:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Kn; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Колено:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:膝关节:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查膝;膝盖;膝部观测法

11414-0 Physical findings of Thigh Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Thigh
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Thigh

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Muslo:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:muslo:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Coscia:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Coxa:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Femoral; Femur; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Бедро:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:大腿:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型大腿骨;股;股骨;髀时刻;随机;随意;瞬间病史与体格检查观测法

11406-6 Physical findings of Hip Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Hip
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Hip

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Cadera:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:cadera:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Anca:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Quadril:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Тазобедренная область:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:髋关节:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法髋部;髋骨

11384-5 Physical examination by organ systems

Fully-Specified Name

Component: Physical examination by organ systems
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: Observed

Additional Names

Short Name: Physical exam by systems

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.29

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Examen físico por sistemas de órganos:Tipo:Punto temporal:^ Paciente:Nominal:Observed
es-AR	Spanish (Argentina)	examen físico por sistemas orgánicos:hallazgo:punto en el tiempo:^paciente:Nominal:observado
it-IT	Italian (Italy)	Esame obiettivo per sistemi di organi:Osservazione:Pt:^Paziente:Nom:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Exame físico de sistemas orgânicos:Achado:Pt:^Paciente:Nom:Observado Synonyms: ; Physical exam by systems; Finding; Findings; Point in time; Random; Nominal; Observ
ru-RU	Russian (Russian Federation)	Физикальное исследование по системам органов:Находка:ТчкВрм:^Пациент:Ном:Наблюдённый Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	按器官系统的体格检查:发现:时间点:^患者:名义型:观察法 Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;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;结论按器官系统的查体时刻;随机;随意;瞬间病史与体格检查观测法

10197-2 Physical findings of Eye Narrative

Part Descriptions

LP7218-3 Eye
The "Eye" System in LOINC is a broad concept that includes all parts of the eye, including ocular fluid (aqueous and vitreous), cornea, and conjunctiva. Source: Regenstrief LOINC

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Eye
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Eye

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Ojo:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:ojo:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Oeil:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Occhio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:oog:tekstueel:observatie Synonyms: oculus
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Olho:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Глаз:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:眼睛:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查目;眼;眼部观测法

11393-6 Physical findings of Ears and Nose and Mouth and Throat Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Ears & Nose & Mouth & Throat
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find ENMT

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Oídos, nariz, boca y garganta:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:oído y nariz y boca y garganta:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Orecchie & naso & bocca & gola:Nar:Osservato Synonyms: Esame obbiettivo Orecchie e Naso e Bocca e Gola Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Orelhas,Nariz, Boca e garganta:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; ENMT; Nos; Smell; Nasal; Oral; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Уши & нос & рот & горло:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:耳与鼻与口与咽喉:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型口+咽喉;口与咽喉咽喉部;喉部;颈前部;喉咙;嗓子嘴时刻;随机;随意;瞬间病史与体格检查耳+鼻+口+咽喉;耳与鼻与口与咽喉;耳朵 & 鼻子 & 口 & 咽喉;耳朵+鼻子+口+咽喉;耳朵与鼻子与口与咽喉;耳、鼻、口与咽喉观测法鼻部

10195-6 Physical findings of Ear Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Ear
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Ear

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Oreja:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:oído:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Oreille:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Orecchio:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:oor:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Orelha:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Otologic; Hearing; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Ухо:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:耳:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查耳朵;耳部观测法

10203-8 Physical findings of Nose Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Nose
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Nose

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Nariz:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:nariz:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Nez:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Naso:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:neus:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Nasal:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nos; Smell; Nasal; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Нос:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:鼻:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法鼻部

11390-2 Physical findings of Cardiovascular system Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Cardiovascular system
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find CVS

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Sistema cardiovascular:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:aparato cardiovascular:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Apparato cardiovascolare:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema cardiovascolare
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Sistema Cardiovascular:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; CVS; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Сердечно-сосудистая система:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:心血管系统:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10208-7 Physical findings of Vessels Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Vessels
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Vesl

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Buques:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:vasos:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Vasi sanguigni:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Vasos:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; ves; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Сосуды:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:血管类:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查血管（复数）;脉管;脉管（复数）;血管观测法

10198-0 Physical findings of Genitourinary tract Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Genitourinary tract
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find GU Tract

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Tracto genitourinario:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:vías genitourinarias:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Tratto genito urinario:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Tratto genito-urinario
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Trato Genitourinario:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; GU Tract; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Мочеполовой тракт:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:泌尿生殖道:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间生殖泌尿道病史与体格检查观测法

11410-8 Physical findings of Musculoskeletal system Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Musculoskeletal system
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Musculoskeletal

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Sistema musculoesquelético:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:sistema musculoesquelético:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Apparato muscolo-scheletrico:Nar:Osservato Synonyms: Apparato muscolo scheletrico Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Sistema musculoesqueletico:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Опорно-двигательный аппарат:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:肌肉骨骼系统:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查肌肉－骨骼系统观测法

10206-1 Physical findings of Skin Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Skin
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Skin

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Piel:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:piel:Narrativo:observado
fr-BE	French (Belgium)	Examen physique:Observation:Temps ponctuel:Peau:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Pelle:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichamelijke bevindingen:bevinding:moment:huid:tekstueel:observatie
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Pele:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Epidermis; Skn; Integument; Dermatologic; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Кожа:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:皮肤:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查皮;肤;表皮观测法

10202-0 Physical findings of Nervous system Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Neurologic system
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Neurologic

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Sistema neurológico:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:sistema neurológico:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Apparato neurologico:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema nervoso
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Sistema Neurológico:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Неврологическая система:Опис:Наблюдённый Synonyms: Нервная система Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:神经系统:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10190-7 Mental status Narrative

Term Description

Observations and evaluations related to a patient's psychological and mental competency and deficits including, but not limited to any of the following types of information: appearance, attitude, behavior/psychomotor, mood and affect, speech and language, thought process, thought content, perception, cognition, and insight and judgment.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Mental status
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Mental status

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.58

Member of these Panels

LOINC	Long Common Name
81222-2	Consultation note - recommended C-CDA R2.0 and R2.1 sections
81214-9	Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81242-0	Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7	Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8	Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81245-3	Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
81223-0	Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4	Transfer summary note - recommended C-CDA R2.0 sections
81614-0	Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Estado mental:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
es-AR	Spanish (Argentina)	estado mental:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
fr-BE	French (Belgium)	Status mental:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Stato mentale:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Психический статус:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	心理状况:发现:时间点:^患者:叙述型:观察法 Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间状况;情况病史与体格检查精神状态;心智状态;心理状态观测法

32473-1 Physical findings sensation

Fully-Specified Name

Component: Physical findings.sensation
Property: Find
Time: Pt
System: Neurologic system
Scale: Nom
Method: Reported

Additional Names

Short Name: Phys find sensation

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.07
Last Updated: Version 2.63

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	hallazgos físicos.sensación:hallazgo:punto en el tiempo:sistema neurológico:Nominal:informado
es-MX	Spanish (Mexico)	Hallazgos físicos sensación:Tipo:Punto temporal:Sistema neurológico:Nominal:Reported
it-IT	Italian (Italy)	Osservazioni fisiche.sensazioni:Osservazione:Pt:Apparato neurologico:Nom:Riportato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sensazioni derivanti da osservazioni fisiche Sistema nervoso
pt-BR	Portuguese (Brazil)	Achados físicos.sensibilidade:Achado:Pt:Sistema Neurológico:Nom:Relatado Synonyms: ; Phys find sensation; Exam; Examination; Finding; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Физикальные находки.чувствительность:Находка:ТчкВрм:Неврологическая система:Ном:Сообщенный Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Нервная система Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现.感觉:发现:时间点:神经系统:名义型:报告法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）.感觉;体格检查所见.感觉;查体发现.感觉;查体所见.感觉;体格检查发现.知觉体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;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历史纪录与体格检查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

10212-9 Physical findings of Strength Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Strength
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Strength

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Fuerza:Narrativo:Observed
es-AR	Spanish (Argentina)	hallazgos físicos:hallazgo:punto en el tiempo:fuerza:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Forza:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Força:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Сила:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:力量:叙述型:观察法 Synonyms: 体力;力;强度;浓度;规格;药品规格;药品规格或剂量体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查观测法

10209-5 Physical findings of Neurologic balance and Coordination Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Neurologic balance+Coordination
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Balance+Coordination

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Equilibrio neurológico + Coordinación:Narrativo:Observed
es-AR	Spanish (Argentina)	equilibrio neurológico+coordinación:hallazgo:punto en el tiempo:NEUROLOGIC BALANCE+COORDINATION:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Equilibrio neurologico+Coordinazione:Nar:Osservato Synonyms: Equilibrio neurologico e Coordinazione Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Balanço neurologico+Coordenação:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Неврология равновесие+Координация:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:神经平衡+协调:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查神经学平衡 & 协调;神经学平衡+协调;神经学平衡与协调;神经平衡 & 协调;神经平衡与协调;神经病学平衡 & 协调;神经病学平衡+协调;神经病学平衡与协调观测法

10194-9 Physical findings of Neurologic deep tendon reflexes Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Neurologic deep tendon reflexes
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Deep tendon reflexes

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0i
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Reflejos tendinosos profundos neurológicos:Narrativo:Observed
es-AR	Spanish (Argentina)	reflejos tendinosos profundos neurológicos:hallazgo:punto en el tiempo:NEUROLOGIC DEEP TENDON REFLEXES:Narrativo:observado
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Riflessi neurologici tendine profondo:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Reflexos neurologicos profundos do tendão:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Narrative; Report; Observ
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Неврология глубокие сухожильные рефлексы:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:神经深部腱反射:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查神经学深部腱反射;神经病学深部腱反射观测法

11451-2 Psychiatric findings Narrative

Fully-Specified Name

Component: Psychiatric findings
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method: Observed

Additional Names

Short Name: Psychiatric findings

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	hallazgos psiquiátricos:hallazgo:punto en el tiempo:^paciente:Narrativo:observado
es-MX	Spanish (Mexico)	Hallazgos psiquiátricos:Tipo:Punto temporal:^ Paciente:Narrativo:Observed
fr-BE	French (Belgium)	Examen psychiatrique:Observation:Temps ponctuel:^Patient:Narratif:Observé
it-IT	Italian (Italy)	Osservazioni psichiatriche:Osservazione:Pt:^Paziente:Nar:Osservato Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
ru-RU	Russian (Russian Federation)	Психиатрические находки:Находка:ТчкВрм:^Пациент:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	精神病学发现:发现:时间点:^患者:叙述型:观察法 Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查精神病学所见观测法

11447-0 Physical findings of Hematologic and Lymphatic and Immunologic System Narrative

Fully-Specified Name

Component: Physical findings
Property: Find
Time: Pt
System: Hematologic+Lymphatic+Immunologic system
Scale: Nar
Method: Observed

Additional Names

Short Name: Phys find Hem+Lymph+Immun

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	sistema hematológico+linfático+inmunológico:hallazgo:punto en el tiempo:HEMATOLOGIC+LYMPHATIC+IMMUNOLOGIC SYSTEM:Narrativo:observado
es-MX	Spanish (Mexico)	Hallazgos físicos:Tipo:Punto temporal:Sistema hematológico + linfático + inmunológico:Narrativo:Observed
it-IT	Italian (Italy)	Osservazioni fisiche:Osservazione:Pt:Sistema ematopoietico+Linfatico+Immunitario:Nar:Osservato Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio) Sistema ematopoietico e Linfatico e Immunitario
pt-BR	Portuguese (Brazil)	Achados físicos:Achado:Pt:Sistemas Hematológico+Linfático+Imunológico:Nar:Observado Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Hem+Lymph+Immun; Hem+Lymph+Immun; Narrative; Report; Observ; Hemato
ru-RU	Russian (Russian Federation)	Физикальные находки:Находка:ТчкВрм:Кровь+Лимфатическая+Иммунная система:Опис:Наблюдённый Synonyms: Описательный Точка во времени;Момент
zh-CN	Chinese (China)	体格检查发现:发现:时间点:造血系统+淋巴系统+免疫系统:叙述型:观察法 Synonyms: 体格检查（查体、体检、身体检查、肉体检查）发现（所见）;查体发现;查体所见体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标免疫免疫性的免疫的历史纪录与体格检查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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型时刻;随机;随意;瞬间病史与体格检查血液学/凝血血液性观测法造血+淋巴+免疫系统;造血系统 & 淋巴系统 & 免疫系统;造血系统 & 淋巴组织 & 免疫系统;造血系统、淋巴系统及免疫系统;造血系统、淋巴组织及免疫系统;造血系统+淋巴组织+免疫系统

29306-8 Surgery procedure

Fully-Specified Name

Component: Surgery procedure
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Surgery procedure

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.29

Member of these Panels

LOINC	Long Common Name
98249-6	Cancer pathology panel - Endometrial cancer specimen
84908-3	Cancer pathology panel - Prostate cancer
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
62863-6	PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	procedimiento quirúrgico:tipo:punto en el tiempo:^paciente:Nominal:
es-MX	Spanish (Mexico)	Procedimiento de cirugia:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Procedura chirurgica:Tipo:Pt:^Paziente:Nom: Synonyms: Esame obbiettivo Operazione chirurgica paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Procedimento cirúrgico:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Хирургическое вмешательство:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	外科手术操作:类型:时间点:^患者:名义型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标分类型应答;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小节型外科操作;手术操作;外科手术操作项目手术;外科;外科学;手术室操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间病史与体格检查

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX161602450400	PX161602_Surgery_1_Surgical_Procedure

11314-2 ED procedure result type

Fully-Specified Name

Component: ED procedure result type
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: ED procedure result type

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.27

Normative Answer List LL510-9

Answer	Code	Score	Answer ID
Numerous codes in the LOINC system that identify procedure results	LNProcRslt		LA9585-6

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Tipo de resultado del procedimiento de ED:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	tipo de resultado de procedimiento del servicio de emergencias:tipo:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	PS, tipo risultato procedura:Tipo:Pt:^Paziente:Nom: Synonyms: Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio) Tipo di risultato di procedura di Pronto Soccorso
pt-BR	Portuguese (Brazil)	PS tipo de resultado do procedimento:Tipo:Pt:^Paciente:Nom: Synonyms: Typ; Point in time; Random; Nominal; Emergency Department; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	ОЭП вмешательство результат тип:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	急诊科操作结果类型:类型:时间点:^患者:名义型: Synonyms: ED 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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型急诊操作结果类型;急诊科操作项目结果类型急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间

11313-4 ED procedure result observation [Interpretation]

Fully-Specified Name

Component: ED procedure result observation
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: ED procedure result observation Imp

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.50
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Observación del resultado del procedimiento de urgencias:Interpretación:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	observación de resultado de procedimiento del servicio de emergencias:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
it-IT	Italian (Italy)	PS, descrizione risultato procedura:Imp:Pt:^Paziente:Nom: Synonyms: Descrizione di esito di procedura di Pronto Soccor Emergenza (DEEDS - Data Elements for Emergency Dep Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	PS observação do resultado do procedimento:Imp:Pt:^Paciente:Nom: Synonyms: Interpretation; Interp; Impression; Impressions; Point in time; Random; Nominal; Emergency Department; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	ОЭП вмешательство результат наблюдение:Впчт:ТчкВрм:^Пациент:Ном: Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Процедура Точка во времени;Момент
zh-CN	Chinese (China)	急诊科操作结果观察:印象:时间点:^患者:名义型: Synonyms: ED 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医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释急诊操作结果观察;急诊科操作项目结果观察急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部操作;程序;手续;步骤;规程;程序流程时刻;随机;随意;瞬间

29549-3 Medication administered Narrative

Term Description

Medications administered defines medications and fluids administered during the procedure, excluding anesthetic medications. Medications administered for anesthesia are typically documented in the section on Anesthesia.
Source: Regenstrief LOINC

Fully-Specified Name

Component: Medication administered
Property: Type
Time: Pt
System: ^Patient
Scale: Nar
Method

Additional Names

Short Name: Medication administered

Basic Attributes

Class: H&P.PX
Type: Clinical
First Released: Version 2.03
Last Updated: Version 2.40

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81244-6	Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
59843-3	Procedure note - recommended C-CDA R1.1 sections
81217-2	Procedure note - recommended C-CDA R2.0 and R2.1 sections

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	medicación administrada:tipo:punto en el tiempo:^paciente:Narrativo:
es-MX	Spanish (Mexico)	Medicación administrada:Tipo:Punto temporal:^ Paciente:Narrativo:
fr-BE	French (Belgium)	Médicaments administrés:Type:Temps ponctuel:^Patient:Narratif:
fr-CA	French (Canada)	Médicaments administrés:Type:Temps ponctuel:^Patient:Narratif:
it-IT	Italian (Italy)	Farmaco somministrato:Tipo:Pt:^Paziente:Nar: Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Medicação administrada:Tipo:Pt:^Paciente:Nar: Synonyms: Typ; Point in time; Random; Narrative; Report
ru-RU	Russian (Russian Federation)	Лекарственный препарат введён:Тип:ТчкВрм:^Пациент:Опис: Synonyms: Лекарство введено Описательный Точка во времени;Момент
zh-CN	Chinese (China)	已施用的药物:类型:时间点:^患者:叙述型: Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标医疗服务对象;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小节叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型型处理用药.已施用的;处理用药.已服用的;处理用药.已给予的;处理用药物.已施用的;处理用药物.已服用的;处理用药物.已给予的;处理药物.已施用的;处理药物.已服用的;处理药物.已给予的;已施用的处理药物;已施用的治疗药物;已服用的处理药物;已服用的治疗药物;已给予的处理药物;已给予的治疗药物;治疗用药.已施用的;治疗用药.已服用的;治疗用药.已给予的;治疗用药物.已施用的;治疗用药物.已服用的;治疗用药物.已给予的;治疗药物.已服用的;治疗药物.已给予的;治疗药物.已施用的;治疗药物.已服用的;治疗药物. 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物所施用的药物;已使用的药物;已使用的处理用药;已使用的处理用药物;已使用的处理药物;已使用的治疗用药;已使用的治疗用药物;已使用的用药;已使用的药物处理;已使用的药物治疗;已使用的治疗药物时刻;随机;随意;瞬间病史与体格检查

11302-7 ED discharge disposition

Fully-Specified Name

Component: ED discharge disposition
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: ED dc dispo

Basic Attributes

Class: ED
Type: Clinical
First Released: Version 1.0j-a
Last Updated: Version 2.66
Change Reason: Previous Releases: ; Updated System from "?" to "^Patient" since this term is meant to represent the disposition of the patient at discharge from an emergency department.

Example Answer List LL1053-9

Answer	Code	Score	Answer ID
Discharged			LA14102-0
Transferred			LA14103-8
Eloped			LA14104-6
Left AMA			LA14105-3
Admitted			LA14106-1
Expired			LA10325-1
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)			LA4489-6

Member of these Panels

LOINC	Long Common Name
81898-9	Composite triage and nursing note - recommended IHE set
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81958-1	National Health Care Surveys report R1 - recommended CDA set
87825-6	National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Disposición de alta en urgencias:Tipo:Punto temporal:^ Paciente:Nominal:
es-AR	Spanish (Argentina)	disposición del servicio de emergencias:tipo:punto en el tiempo:?:Nominal:
it-IT	Italian (Italy)	PS, disposizione:Tipo:Pt:^Paziente:Nom: Synonyms: Disposizione di Pronto Soccorso Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Disposição do PS:Tipo:Pt:?:Nom: Synonyms: ; ED dispo; Typ; Point in time; Random; Nominal; Emergency Department; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU	Russian (Russian Federation)	ОЭП диспозиция:Тип:ТчкВрм:^Пациент:Ном: Synonyms: Выписка Номинальный;Именной Точка во времени;Момент
zh-CN	Chinese (China)	急诊科出院处置:类型:时间点:^患者:名义型: Synonyms: ED 允许...离开(医院、军队);(从监狱)释放出院安排分类型应答;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医疗服务对象;客户;病人;病患;病号;超系统 - 病人型处理;安排;布置急诊出院处置;急诊科出院处理;急诊科处置;急诊处置;急诊科处理急诊科急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标急诊科（Emergency Department，ED）急诊部时刻;随机;随意;瞬间

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

19010-8 Medication discharge (narrative)

Fully-Specified Name

Component: Medication.discharge
Property: Find
Time: Pt
System: ^Patient
Scale: Nar
Method

Basic Attributes

Class: ATTACH.MEDS
Type: Claims Attachments
First Released: Version 1.0l
Last Updated: Version 2.24

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1

Language Variants Get Info

Tag	Language	Translation
es-AR	Spanish (Argentina)	medicación.al alta:complejo:punto en el tiempo:^paciente:Narrativo:
fr-FR	French (France)	Traitement de sortie:Recherche:Ponctuel:Patient:Résultat textuel:
it-IT	Italian (Italy)	Farmaco.emissione:Osservazione:Pt:^Paziente:Nar: Synonyms: Allegato Allegato farmaci Osservazione paziente Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Medicação.alta médica:Achado:Pt:^Paciente:Nar: Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU	Russian (Russian Federation)	Лекарственный препарат.выбытие:Находка:ТчкВрм:^Пациент:Опис: Synonyms: Выписка Лекарственный препарат.при выписке из стационара Описательный Точка во времени;Момент
zh-CN	Chinese (China)	药物.出院:发现:时间点:^患者:叙述型: Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.药物处理;健康保险便携与责任法案信息附件.药物处理;健康保险便携与责任法案信息附件.药物治疗;药物处理HIPAA信息附件;药物处理信息附件;药物处理健康保险便携与责任法案信息附件信息附件;健康保险便携与责任法案信息附件;附件允许...离开(医院、军队);(从监狱)释放出院时的处理用药;出院时的处理用药物;出院时的处理药物;出院时的治疗用药;出院时的治疗用药物;出院时的治疗药物;出院时的药物;处理用药.出院;处理用药物.出院;处理药物.出院;治疗用药.出院;治疗用药物.出院;治疗药物.出院医疗服务对象;客户;病人;病患;病号;超系统 - 病人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;结论叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物时刻;随机;随意;瞬间药物;药物处理;用药;使用药物

49561-4 Payment diagnosis [identifier]

Fully-Specified Name

Component: Payment diagnosis
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Short Name: Payment Dx

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.22
Last Updated: Version 2.40

Example Answer List LL343-5

Externally Defined: Yes
Code System: I9C
Code System OID: 1.3.6.1.4.1.12009.10.1.2173
Link to External List

Member of these Panels

LOINC	Long Common Name
55169-7	Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Diagnóstico de pago:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi di pagamento:Prid:Pt:^Paziente:Nom: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Pagamento de diagnóstico:Ident:Pt:^Paciente:Nom: Synonyms: ; Payment Dx; Identity or presence; Point in time; Random; Nominal
ru-RU	Russian (Russian Federation)	Оплата диагноз:ПрИд:ТчкВрм:^Пациент:Ном: Synonyms: Диагноз для оплаты Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN	Chinese (China)	支付诊断:存在与否或特征标识:时间点:^患者:名义型: Synonyms: 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医疗服务对象;客户;病人;病患;病号;超系统 - 病人存在;存在与否;特征标识;身份;身份标识时刻;随机;随意;瞬间诊断结论;判断;结论

55169-7

Data Elements for Emergency Department Systems (DEEDS) Release 1.0

Active

10186-5 Identifying information Narrative Observed

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

11288-8 Arrival time documented

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Example Units

11459-5 Transport mode EMS system

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL483-9

Member of these Panels

Language Variants Get Info

Related Names

11319-1 Ambulance transport unit [Identifier] EMS system

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

11318-3 Ambulance transport agency EMS system

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

11293-8 Type of Referral source

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL484-7

Member of these Panels

Language Variants Get Info

Related Names

46239-0 Chief complaint+Reason for visit Narrative

Term Description

Fully-Specified Name

Additional Names

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

11371-2 Initial visit for chief complaint

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL485-4

Member of these Panels

Language Variants Get Info

Related Names

Third Party Copyright

11283-9 Acuity assessment [Function] at First encounter

Fully-Specified Name

Additional Names

Basic Attributes

Preferred Answer List LL486-2

Member of these Panels

Language Variants Get Info

Related Names

Third Party Copyright

11454-6 Responsiveness assessment at First encounter

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL487-0

Member of these Panels