Version 2.78

80288-4 Level of consciousness

Observation Required in Panel

Optional

Fully-Specified Name

Component
Level of consciousness
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Level of consciousness

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
4381

Preferred Answer List LL3828-2

Answer Code Score Answer ID
Confused LA6560-2
Lethargic LA25161-3
Obtunded LA25162-1
Stuporous LA25163-9
Unresponsive Copyright http://snomed.info/sct ID:422768004 unresponsive (finding) LA9343-0
Alert LA9340-6

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nivel de consciencia:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Livello di coscienza:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Уровень сознания:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 意识水平:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 程度 等级 级 级别 自觉性;意识程度

80289-2 Temporal orientation panel

Observation Required in Panel

Optional

Fully-Specified Name

Component
Temporal orientation panel
Property
-
Time
Pt
System
Neurologic system
Scale
-
Method

Additional Names

Panel Name
Short Name
Temporal orientation Pnl

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.56
Order vs. Observation
Subset
Panel Type
Convenience group

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Panel de orientación temporal:-:Punto temporal:Sistema neurológico:-:
it-IT Italian (Italy) Orientamento temporale panel:-:Pt:Apparato neurologico:-:
Synonyms: Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo Sistema nervoso
zh-CN Chinese (China) 时间定向组套:-:时间点:神经系统:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 时间定向(时空定向、时间导向、时间定位)组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病史与体格检查 组 组合 组合医嘱 组合类 组套

80290-0 Temporal orientation - person

Observation Required in Panel

Optional

Fully-Specified Name

Component
Temporal orientation - person
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Temporal orientation - person

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Orientación temporal - persona:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Orientamento temporale-persona:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 时间定向 - 人员:发现:时间点:^患者:序数型:
Synonyms: 人 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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 时间定向(时空定向、时间导向、时间定位) - 人员(人物、人) 病史与体格检查

80291-8 Temporal orientation - place

Observation Required in Panel

Optional

Fully-Specified Name

Component
Temporal orientation - place
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Temporal orientation - place

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Orientación temporal - lugar:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Orientamento temporale-luogo:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 时间定向 - 地点:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 时间定向(时空定向、时间导向、时间定位) - 地点(位置、地方) 病史与体格检查

80292-6 Temporal orientation - time

Observation Required in Panel

Optional

Fully-Specified Name

Component
Temporal orientation - time
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Temporal orientation - time

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Orientación temporal - tiempo:Tipo:Punto temporal:^ Paciente:Ordinal:
fr-CA French (Canada) Orientation temporelle:Observation:Temps ponctuel:^Patient:Ordinal:
Synonyms: Orientation dans le temps
it-IT Italian (Italy) Orientamento temporale-tempo:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 时间定向 - 时间:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 时间(如秒);时间(如秒数) 时间定向(时空定向、时间导向、时间定位) - 时间 病史与体格检查

80293-4 Temporal orientation assessment [Interpretation]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Temporal orientation assessment
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Temporal orientation assessessment Imp

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Preferred Answer List LL3816-7

Answer Code Score Answer ID
Within Defined Limits LA25085-4
Other, Nursing judgment: LA46-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación de la orientación temporal:Interpretación:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Orientamento temporale-valutazione:Imp:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 时间定向评估:印象: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 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 历史纪录与体格检查 历史纪录与体格检查小节 时刻;随机;随意;瞬间 时间定向(时空定向、时间导向、时间定位)评估(评价、估计、估价、评论、估定、估算) 病史与体格检查 评价;估计;估价;评论;估定;估算

80294-2 Level of arousal

Observation Required in Panel

Optional

Fully-Specified Name

Component
Level of arousal
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Level of arousal

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
2891

Preferred Answer List LL3830-8

Answer Code Score Answer ID
Opens eyes spontaneously LA9347-1
Arouses to voice LA25177-9
Arouses to touch/gentle shaking LA25175-3
Arouses to repeated stimulation LA25174-6
Arouses to vigorous stimulation LA25176-1
Arouses to pain LA25173-8
Unresponsive Copyright http://snomed.info/sct ID:422768004 unresponsive (finding) LA9343-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Nivel de excitación:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Livello di eccitazione:Osservazione:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 唤醒级别:发现: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 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 程度 等级 级 级别 醒程度;警醒度;警醒程度;觉醒水准;唤醒水平;觉醒水平;唤醒度;唤醒等级;唤醒程度

80295-9 Speech clarity

Observation Required in Panel

Optional

Fully-Specified Name

Component
Speech clarity
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Speech clarity

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Preferred Answer List LL3831-6

Answer Code Score Answer ID
Appropriate for developmental age LA25186-0
Coherent LA25181-1
Slurred LA25185-2
Rambling LA25184-5
Limited enunciation Copyright http://snomed.info/sct ID:424650008 limited enunciation (finding) LA25183-7
Incoherent LA25182-9

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Claridad del habla:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) trasparenza dell'articolazione:Osservazione:Pt:^Paziente:Nom:
Synonyms: Chiarezza nell''articolazione del discorso Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 言语清晰度:发现: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 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 清晰度;澄明度;澄清度 病史与体格检查 语音;说话能力;说话;说话方式;言谈;口语;演说;演讲;讲话;致辞 语音清晰度;讲话清晰度

80296-7 Patient Mood

Term Description

The preferred answers for reporting patient mood are the SNOMED CT codes in the hierarchy under the parent SCT code for Mood Finding.
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Mood
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Pt Mood

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL1631-2

Answer Code Score Answer ID
Interested LA16651-4
Sad LA16652-2
Frightened LA16653-0
Alert LA9340-6
Excited LA16654-8
Ashamed LA16655-5
Upset LA16656-3
Happy LA16657-1
Strong LA14974-2
Nervous LA16658-9
Guilty LA16659-7
Energetic LA16660-5
Scared LA16661-3
Calm LA16662-1
Miserable LA16663-9
Jittery LA16664-7
Cheerful LA16665-4
Active LA16666-2
Proud LA16667-0
Afraid LA16668-8
Joyful LA16669-6
Lonely LA16670-4
Mad LA16671-2
Fearless LA16672-0
Disgusted LA16673-8
Delighted LA16674-6
Blue LA15553-3
Daring LA16675-3
Gloomy LA16676-1
Lively LA16677-9

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Estado animico:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Umore:Osservazione:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 情绪:发现: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 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 心情;心境 时刻;随机;随意;瞬间 病史与体格检查

80297-5 Patient Memory

Observation Required in Panel

Optional

Fully-Specified Name

Component
Memory
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Pt Memory

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
12218

Preferred Answer List LL3833-2

Answer Code Score Answer ID
Long-term memory intact Copyright http://snomed.info/sct ID:247587007 Long-term memory within normal limits (finding) LA25189-4
Long-term memory poor Copyright http://snomed.info/sct ID:247588002 Poor long-term memory (finding) LA25188-6
Short-term memory intact Copyright http://snomed.info/sct ID:247590001 Short-term memory within normal limits (finding) LA25191-0
Short-term memory poor Copyright http://snomed.info/sct ID:247592009 Poor short-term memory (finding) LA25190-2

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Recuerdo:Hallazgo:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Memoria:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Memoria:Osservazione:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 记忆:发现: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 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 记忆力

80298-3 Ability to concentrate

Observation Required in Panel

Optional

Fully-Specified Name

Component
Ability to concentrate
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Ability to concentrate

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Preferred Answer List LL3835-7

Answer Code Score Answer ID
No difficulty concentrating LA25192-8
Poor Concentration Copyright http://snomed.info/sct ID:26329005 Poor concentration (finding) LA25193-6
Difficulty concentrating LA25194-4
Unable to concentrate Copyright http://snomed.info/sct ID:60032008 Unable to concentrate (finding) LA25195-1

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Capacidad para concentrarse:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Capacità di concentrazione:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 集中注意力的能力:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 浓缩 浓缩制剂 浓缩物 病史与体格检查 集中注意力(全神贯注、集中心思、专心、集中注意、专注、集中精力、聚精会神)的能力

80299-1 Ability to direct attention

Observation Required in Panel

Optional

Fully-Specified Name

Component
Ability to direct attention
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Ability to direct attention

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Preferred Answer List LL3836-5

Answer Code Score Answer ID
Difficulty directing attention Copyright http://snomed.info/sct ID:288773008 Difficulty directing attention (finding) LA25196-9
Directs attention Copyright http://snomed.info/sct ID:288771005 Does direct attention (finding) LA25197-7
Does not direct attention Copyright http://snomed.info/sct ID:288772003 Does not direct attention (finding) LA25198-5
Unable to direct attention Copyright http://snomed.info/sct ID:288770006 Unable to direct attention (finding) LA25199-3

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Capacidad para dirigir la atención:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Capacità di attenzione diretta:Osservazione:Pt:^Paziente:Ord:
Synonyms: Esame obbiettivo Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 引导注意力的能力:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 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 引导(指引、指导、指示、管理、监督、控制、管控)注意力(注意、专心、留心、专注、关注)的能力 时刻;随机;随意;瞬间 病史与体格检查

80300-7 Cranial nerve assessment panel

Observation Required in Panel

Optional

Fully-Specified Name

Component
Cranial nerve assessment panel
Property
-
Time
Pt
System
Nerves.cranial
Scale
-
Method

Additional Names

Panel Name
Short Name
CN assessment Pnl

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.56
Order vs. Observation
Subset
Panel Type
Convenience group

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Panel de evaluación de pares craneales:-:Punto temporal:Nervios craneales:-:
it-IT Italian (Italy) Valutazione del nervo cranico panel:-:Pt:Nervi.cranici:-:
Synonyms: Nervi cranici Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo
zh-CN Chinese (China) 颅神经评估组套:-:时间点:神经类.颅:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病史与体格检查 组 组合 组合医嘱 组合类 组套 评价;估计;估价;评论;估定;估算 颅神经(脑神经)评估(评价、估计、估价、评论、估定、估算)组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80301-5 Olfactory nerve (CNI) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Olfactory nerve (CNI) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN I exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio olfatorio (CNI):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo olfattivo (CNI) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo olfattivo Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 嗅神经 (颅神经 I) 检查:发现:时间点:神经类.颅:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 嗅神经(嗅觉神经、第一脑神经) (CNI) 检查;嗅神经 (CNI) 检查;嗅神经检查;嗅觉神经检查 时刻;随机;随意;瞬间 病史与体格检查 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80302-3 Oculomotor+trochlear+abducens nerves (CN III+IV+VI) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Oculomotor+trochlear+abducens nerves (CN III+IV+VI) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN III+IV+VI exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen oculomotor + troclear + nervios abducens (CN III + IV + VI):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Oculomotore+trocleare+nervi abducenti (CN III+IV+VI) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame obbiettivo Esame oculomotore, trocleare e nervi abducenti (CN Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 动眼神经+滑车神经+外展神经 (颅神经 III+IV+VI) 检查:发现:时间点:神经类.颅:序数型:
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 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 动眼神经(眼球运动神经、第三脑神经)+滑车神经(滑車神经、第四脑神经)+外展神经(外旋神经、外展肌肉神经、第六脑神经) (CN III+IV+VI) 检查;颅神经 III+IV+VI 检查;动眼神经+滑车神经+外展神经 (CN III+IV+VI) 检查;动眼+滑车+外展神经 (颅神经 III+IV+VI) 检查 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 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80303-1 Trigeminal nerve (CN V) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Trigeminal nerve (CN V) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN V exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio trigémino (CN V):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo trigemino (CN V) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 三叉神经 (颅神经 V) 检查:发现:时间点:神经类.颅:序数型:
Synonyms: V 型 三叉神经(第五脑神经) (CN V) 检查 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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80304-9 Facial nerve (CN VII) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Facial nerve (CN VII) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN VII exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio facial (CN VII):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo faciale (CN VII) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 面神经 (颅神经 VII) 检查:发现:时间点:神经类.颅:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 面神经(颜面神经、面部神经、第七脑神经) (CN VII) 检查 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80305-6 Vestibulocochlear nerve (CN VIII) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Vestibulocochlear nerve (CN VIII) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN VIII exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio vestibulococlear (CN VIII):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo vestibulo-cocleare (CN VIII) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo statoacustico Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 前庭蜗神经 (颅神经 VIII) 检查:发现:时间点:神经类.颅:序数型:
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 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 前庭蜗神经(位听神经、前庭耳蜗神经、听前庭神经、第八脑神经) (CN VIII) 检查 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 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80306-4 Glossopharyngeal nerve (CN IX) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Glossopharyngeal nerve (CN IX) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN IX exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio glosofaríngeo (CN IX):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo glossofaringeo (CN IX) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo glossofaringeo Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 舌咽神经 (颅神经 IX) 检查:发现:时间点:神经类.颅:序数型:
Synonyms: Ⅸ 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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 舌咽神经(舌喉神经、第九脑神经) (CN IX) 检查 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80307-2 Vagus nerve (CN X) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Vagus nerve (CN X) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN X exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio vago (CN X):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo vago (CNX) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 迷走神经 (颅神经 X) 检查:发现:时间点:神经类.颅:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 迷走神经(第十脑神经) (CN X) 检查 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80308-0 Accessory nerve (CN XI) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Accessory nerve (CN XI) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN XI exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio accesorio (CN XI):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo accessorio (CN XI) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 副神经 (颅神经 XI) 检查:发现:时间点:神经类.颅:序数型:
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 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 副神经(辅神经、第十一脑神经) (CN XI) 检查 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 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80309-8 Hypoglossal nerve (CN XII) exam

Observation Required in Panel

Optional

Fully-Specified Name

Component
Hypoglossal nerve (CN XII) exam
Property
Find
Time
Pt
System
Nerves.cranial
Scale
Ord
Method

Additional Names

Panel Name
Short Name
CN XII exam

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3837-3

Answer Code Score Answer ID
Pass LA10392-1
Fail LA25389-0

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Examen del nervio hipogloso (CN XII):Tipo:Punto temporal:Nervios craneales:Ordinal:
it-IT Italian (Italy) Nervo ipoglosso (CN XII) esame:Osservazione:Pt:Nervi.cranici:Ord:
Synonyms: Esame del nervo Esame obbiettivo Nervi cranici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 舌下神经 (颅神经 XII) 检查:发现:时间点:神经类.颅:序数型:
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 依次型;分类顺序型;定性的;序数型(或称等级型);性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 历史纪录与体格检查 历史纪录与体格检查小节 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 舌下神经(第十二脑神经) (CN XII) 检查 颅神经类;颅神经;神经类(神经).颅;脑神经类;脑神经

80310-6 Pupil assessment panel

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil assessment panel
Property
-
Time
Pt
System
Pupil
Scale
-
Method

Additional Names

Panel Name
Short Name
Pupil assessment Pnl

Basic Attributes

Class
PANEL.H&P
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.56
Order vs. Observation
Subset
Panel Type
Convenience group

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Panel de evaluación de alumnos:-:Punto temporal:Alumno:-:
it-IT Italian (Italy) Valutazione pupilla panel:-:Pt:Pupilla:-:
Synonyms: Punto nel tempo (episodio) Set di prescrizione per anamnesi e esame obiettivo Valutazione della pupilla
zh-CN Chinese (China) 瞳孔评估组套:-:时间点:瞳孔:-:
Synonyms: 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.病史与体格检查小节;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).历史纪录与体格检查;医嘱组.历史纪录与体格检查小节;医嘱组.病史与体格检查;历史纪录与体格检查医嘱组;历史纪录与体格检查医嘱组类;历史纪录与体格检查小节医嘱组;历史纪录与体格检查小节医嘱组类;病史与体格检查医嘱组;病史与体格检查医嘱组类;病史与体格检查小节医嘱组;病史与体格检查小节医嘱组类 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 历史纪录与体格检查 历史纪录与体格检查小节 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 病史与体格检查 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)评估(评价、估计、估价、评论、估定、估算) 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)评估(评价、估计、估价、评论、估定、估算)组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 组 组合 组合医嘱 组合类 组套 评价;估计;估价;评论;估定;估算

8641-3 Left eye Pupil diameter Manual

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil diameter
Property
Len
Time
Pt
System
Eye.left
Scale
Qn
Method
Manual

Additional Names

Panel Name
Short Name
L eye Pupil diam Manual

Basic Attributes

Class
EYE
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.68

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) diámetro de pupila:longitud:punto en el tiempo:ojo.izquierdo:cuantitativo:manual
es-MX Spanish (Mexico) Diámetro de la pupila:Len:Punto temporal:Ojo izquierdo:Cuantitativo:Manual
it-IT Italian (Italy) Pupilla, diametro:Len:Pt:Occhio.sinistro:Qn:Manuale
Synonyms: Diametro di pupilla Lunghezza Occhio Occhio Sinistro Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Diâmetro da pupila:Comprimento:Pt:Olho.esquerdo:Qn:Manual
Synonyms: ; Pupil diam; Diam; DIA; Length; Point in time; Random; Eye-L; Eye-L; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Quantitative; QNT; Quant; Quan; Manl
ru-RU Russian (Russian Federation) Зрачок диаметр:Дл:ТчкВрм:Глаз.левый:Колич:Ручной
Synonyms: Длина Количественный Точка во времени;Момент
zh-CN Chinese (China) 瞳孔直径:长度:时间点:眼睛.左侧:定量型:手工方法
Synonyms: L LT 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 向左 向左侧 实验室手工方法;手工;手工法;手工类实验室方法;手工类方法;手工类检验方法 左 左侧(Left,LT,L) 左侧眼睛;左眼 左向 左边 时刻;随机;随意;瞬间 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)直径 长;长短

Example Units

Unit Source
mm Example UCUM Units

8643-9 Right eye Pupil diameter Manual

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil diameter
Property
Len
Time
Pt
System
Eye.right
Scale
Qn
Method
Manual

Additional Names

Panel Name
Short Name
R eye Pupil diam Manual

Basic Attributes

Class
EYE
Type
Clinical
First Released
Version 1.0h(3)
Last Updated
Version 2.68

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) diámetro de pupila:longitud:punto en el tiempo:ojo.derecho:cuantitativo:manual
es-MX Spanish (Mexico) Diámetro de la pupila:Len:Punto temporal:Ojo derecho:Cuantitativo:Manual
it-IT Italian (Italy) Pupilla, diametro:Len:Pt:Occhio.destro:Qn:Manuale
Synonyms: Diametro di pupilla Lunghezza Occhio Occhio Destro Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Diâmetro da pupila:Comprimento:Pt:Olho.direito:Qn:Manual
Synonyms: ; Pupil diam; Diam; DIA; Length; Point in time; Random; Eye-R; Eye-R; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Quantitative; QNT; Quant; Quan; Manl
ru-RU Russian (Russian Federation) Зрачок диаметр:Дл:ТчкВрм:Глаз.правый:Колич:Ручной
Synonyms: Длина Количественный Точка во времени;Момент
zh-CN Chinese (China) 瞳孔直径:长度:时间点:眼睛.右侧:定量型:手工方法
Synonyms: R RT 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 右 右侧(Right,R,RT) 右侧的 右侧眼睛;右眼 右向 右向的 右边 右边的 向右 向右的 实验室手工方法;手工;手工法;手工类实验室方法;手工类方法;手工类检验方法 时刻;随机;随意;瞬间 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)直径 长;长短

Example Units

Unit Source
mm Example UCUM Units

79815-7 Right pupil Pupillary response

Term Description

This term was developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE).
Source: Regenstrief LOINC

Part Descriptions

LP200609-8   Pupillary response
Examination of pupillary response to light includes evaluating whether each eye individually reacts as well as the response of each eye in relation to the other. Source: Regenstrief LOINC

LP203650-9   EYE.PX.NEI
Developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE). Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupillary response
Property
Find
Time
Pt
System
Pupil.right
Scale
Nom
Method

Additional Names

Panel Name
Short Name
R pupil Pupillary resp

Basic Attributes

Class
EYE.PX.NEI
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.68
Order vs. Observation
Observation

Preferred Answer List LL3762-3

Answer Code Score Answer ID
Reactive to light 1 LA25441-9
Sluggishly reactive to light 2 LA24899-9
Not reactive to light 3 LA25442-7
Reactive to accomodation 4 LA25443-5
Not reactive to accomodation 5 LA25444-3
Other, Specify: OTH LA46-8

Member of these Panels

LOINC Long Common Name
79897-5 Eye Physical findings panel
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Respuesta pupilar:Tipo:Punto temporal:Pupila derecha:Nominal:
it-IT Italian (Italy) Risposta pupillare:Osservazione:Pt:Pupilla.destra:Nom:
Synonyms: Concetti di esami fisici oculistici NEI eyeGENE Occhio Oftalmologia - risultati di esami clinici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 瞳孔反应:发现:时间点:瞳孔.右侧:名义型:
Synonyms: Eye physical findings;眼.体格检查所见;眼科.体格检查所见;眼科学与验光变量.体格检查所见;眼科学与验光指标.体格检查所见;眼部体格检查所见;眼部检查所见 R RT 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 右 右侧(Right,R,RT) 右侧的 右向 右向的 右边 右边的 向右 向右的 时刻;随机;随意;瞬间 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.体格检查体格检查(查体、PX).NEI;NEI eyeGENE''s eye physical exam concepts;NEI eyeGENE 体格检查(查体、PX)概念 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳).右侧 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)遇光之收缩反应;瞳孔收缩反应;瞳孔对光反射;瞳孔响应;瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)反应(对光反射、对光反应、反射、光反射、光反应、收缩反应、响应)

79899-1 Left pupil Pupillary response

Term Description

This term was developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE).
Source: Regenstrief LOINC

Part Descriptions

LP200609-8   Pupillary response
Examination of pupillary response to light includes evaluating whether each eye individually reacts as well as the response of each eye in relation to the other. Source: Regenstrief LOINC

LP203650-9   EYE.PX.NEI
Developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE). Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupillary response
Property
Find
Time
Pt
System
Pupil.left
Scale
Nom
Method

Additional Names

Panel Name
Short Name
L pupil Pupillary resp

Basic Attributes

Class
EYE.PX.NEI
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.68
Order vs. Observation
Observation

Preferred Answer List LL3762-3

Answer Code Score Answer ID
Reactive to light 1 LA25441-9
Sluggishly reactive to light 2 LA24899-9
Not reactive to light 3 LA25442-7
Reactive to accomodation 4 LA25443-5
Not reactive to accomodation 5 LA25444-3
Other, Specify: OTH LA46-8

Member of these Panels

LOINC Long Common Name
79897-5 Eye Physical findings panel
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Respuesta pupilar:Tipo:Punto temporal:Pupila izquierda:Nominal:
it-IT Italian (Italy) Risposta pupillare:Osservazione:Pt:Pupilla.sinistra:Nom:
Synonyms: Concetti di esami fisici oculistici NEI eyeGENE Occhio Oftalmologia - risultati di esami clinici Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 瞳孔反应:发现:时间点:瞳孔.左侧:名义型:
Synonyms: Eye physical findings;眼.体格检查所见;眼科.体格检查所见;眼科学与验光变量.体格检查所见;眼科学与验光指标.体格检查所见;眼部体格检查所见;眼部检查所见 L LT 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 向左 向左侧 左 左侧(Left,LT,L) 左向 左边 时刻;随机;随意;瞬间 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.体格检查体格检查(查体、PX).NEI;NEI eyeGENE''s eye physical exam concepts;NEI eyeGENE 体格检查(查体、PX)概念 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳).左侧 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)遇光之收缩反应;瞳孔收缩反应;瞳孔对光反射;瞳孔响应;瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)反应(对光反射、对光反应、反射、光反射、光反应、收缩反应、响应)

80312-2 Pupil shape [Shape] of Right pupil

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil shape
Property
Shape
Time
Pt
System
Pupil.right
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Pupil shape Shape R pupil

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.68
Order vs. Observation
Observation

Preferred Answer List LL3839-9

Answer Code Score Answer ID
Dilated LA19576-0
Cat eye LA25222-3
Pinpoint LA25223-1
Irregular LA19583-6
Round LA24884-1
Teardrop LA25226-4

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Forma de la pupila:Forma:Punto temporal:Pupila derecha:Nominal:
it-IT Italian (Italy) Forma della pupilla:Forma:Pt:Pupilla.destra:Nom:
Synonyms: Esame obbiettivo Punto nel tempo (episodio)
zh-CN Chinese (China) 瞳孔形状:形状:时间点:瞳孔.右侧:名义型:
Synonyms: R RT 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 右 右侧(Right,R,RT) 右侧的 右向 右向的 右边 右边的 向右 向右的 形;外形;形态 时刻;随机;随意;瞬间 病史与体格检查 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳).右侧 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)形状(形态、外形、样子、状况、情况)

80311-4 Pupil shape [Shape] of Left pupil

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil shape
Property
Shape
Time
Pt
System
Pupil.left
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Pupil shape Shape L pupil

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.68
Order vs. Observation
Observation

Preferred Answer List LL3839-9

Answer Code Score Answer ID
Dilated LA19576-0
Cat eye LA25222-3
Pinpoint LA25223-1
Irregular LA19583-6
Round LA24884-1
Teardrop LA25226-4

Member of these Panels

LOINC Long Common Name
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Forma de la pupila:Forma:Punto temporal:Pupila izquierda:Nominal:
it-IT Italian (Italy) Forma della pupilla:Forma:Pt:Pupilla.sinistra:Nom:
Synonyms: Esame obbiettivo Punto nel tempo (episodio)
zh-CN Chinese (China) 瞳孔形状:形状:时间点:瞳孔.左侧:名义型:
Synonyms: L LT 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 向左 向左侧 左 左侧(Left,LT,L) 左向 左边 形;外形;形态 时刻;随机;随意;瞬间 病史与体格检查 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳).左侧 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)形状(形态、外形、样子、状况、情况)

29081-7 Right eye Pupil motoric

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil motoric
Property
Prid
Time
Pt
System
Eye.right
Scale
Nom
Method

Additional Names

Panel Name
Short Name
R eye Pupil motoric

Basic Attributes

Class
EYE.PX
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.68

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) pupila motora:presencia o identidad:punto en el tiempo:ojo.derecho:Nominal:
es-MX Spanish (Mexico) Alumno motoric:Tipo:Punto temporal:Ojo derecho:Nominal:
it-IT Italian (Italy) Pupilla motoria:Prid:Pt:Occhio.destro:Nom:
Synonyms: Occhio Occhio Destro Oftalmologia - risultati di esami clinici Presenza o Identità Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Pupilas motoras:Ident:Pt:Olho.direito:Nom:
Synonyms: Identity or presence; Point in time; Random; Eye-R; Eye-R; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Nominal
ru-RU Russian (Russian Federation) Зрачок моторика:ПрИд:ТчкВрм:Глаз.правый:Ном:
Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN Chinese (China) 瞳孔肌肉运动:存在与否或特征标识:时间点:眼睛.右侧:名义型:
Synonyms: Eye physical findings;眼.体格检查所见;眼科.体格检查所见;眼科学与验光变量.体格检查所见;眼科学与验光指标.体格检查所见;眼部体格检查所见;眼部检查所见 R RT 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 右 右侧(Right,R,RT) 右侧的 右侧眼睛;右眼 右向 右向的 右边 右边的 向右 向右的 存在;存在与否;特征标识;身份;身份标识 时刻;随机;随意;瞬间 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)自主性肌肉运动

29082-5 Left eye Pupil motoric

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil motoric
Property
Prid
Time
Pt
System
Eye.left
Scale
Nom
Method

Additional Names

Panel Name
Short Name
L eye Pupil motoric

Basic Attributes

Class
EYE.PX
Type
Clinical
First Released
Version 2.00
Last Updated
Version 2.68

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) pupila motora:presencia o identidad:punto en el tiempo:ojo.izquierdo:Nominal:
es-MX Spanish (Mexico) Alumno motoric:Tipo:Punto temporal:Ojo izquierdo:Nominal:
it-IT Italian (Italy) Pupilla motoria:Prid:Pt:Occhio.sinistro:Nom:
Synonyms: Occhio Occhio Sinistro Oftalmologia - risultati di esami clinici Presenza o Identità Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Pupilas motoras:Ident:Pt:Olho.esquerdo:Nom:
Synonyms: Identity or presence; Point in time; Random; Eye-L; Eye-L; Occular; Optic globe; Oculis; Eyeball; Ophthalmologic; Vision; Visual; Nominal
ru-RU Russian (Russian Federation) Зрачок моторика:ПрИд:ТчкВрм:Глаз.левый:Ном:
Synonyms: Номинальный;Именной Присутствие или Идентификация Точка во времени;Момент
zh-CN Chinese (China) 瞳孔肌肉运动:存在与否或特征标识:时间点:眼睛.左侧:名义型:
Synonyms: Eye physical findings;眼.体格检查所见;眼科.体格检查所见;眼科学与验光变量.体格检查所见;眼科学与验光指标.体格检查所见;眼部体格检查所见;眼部检查所见 L LT 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 向左 向左侧 存在;存在与否;特征标识;身份;身份标识 左 左侧(Left,LT,L) 左侧眼睛;左眼 左向 左边 时刻;随机;随意;瞬间 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)自主性肌肉运动

80313-0 Pupil assessment [Interpretation]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pupil assessment
Property
Imp
Time
Pt
System
Pupil
Scale
Ord
Method

Additional Names

Panel Name
Short Name
Pupil assessment Imp

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Preferred Answer List LL3816-7

Answer Code Score Answer ID
Within Defined Limits LA25085-4
Other, Nursing judgment: LA46-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación de alumnos:Interpretación:Punto temporal:Alumno:Ordinal:
it-IT Italian (Italy) Valutazione pupilla:Imp:Pt:Pupilla:Ord:
Synonyms: Esame obbiettivo Impressione/interpretazione di studio Punto nel tempo (episodio)
zh-CN Chinese (China) 瞳孔评估:印象:时间点:瞳孔:序数型:
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 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 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 历史纪录与体格检查 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 瞳仁;眸子;瞳人;光瞳;瞳 瞳孔(瞳仁、眸子、瞳人、光瞳、瞳)评估(评价、估计、估价、评论、估定、估算) 评价;估计;估价;评论;估定;估算

32459-0 Physical findings of Optic lens

Observation Required in Panel

Optional

Fully-Specified Name

Component
Physical findings
Property
Find
Time
Pt
System
Optic lens
Scale
Nom
Method
Observed

Additional Names

Panel Name
Short Name
Phys find Optic lens

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
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-AR Spanish (Argentina) hallazgos físicos:hallazgo:punto en el tiempo:lente óptica:Nominal:observado
es-MX Spanish (Mexico) Hallazgos físicos:Tipo:Punto temporal:Lente óptica:Nominal:Observed
it-IT Italian (Italy) Osservazioni fisiche:Osservazione:Pt:Lenti ottiche:Nom:Osservato
Synonyms: Esame obbiettivo Osservazione Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Achados físicos:Achado:Pt:Lente óptica:Nom:Observado
Synonyms: ; Phys find; Exam; Examination; Finding; Point in time; Random; Nominal; Observ
ru-RU Russian (Russian Federation) Физикальные находки:Находка:ТчкВрм:Оптическая линза:Ном:Наблюдённый
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 体格检查发现:发现:时间点:晶状体:名义型:观察法
Synonyms: crystalline lens;lens;lens crystallina;光学透镜;光学镜片;眼球晶状体 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 观测法

80314-8 Neurological assessment [Interpretation]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Neurological assessment
Property
Imp
Time
Pt
System
Neurologic system
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Neuro assessment Imp

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3816-7

Answer Code Score Answer ID
Within Defined Limits LA25085-4
Other, Nursing judgment: LA46-8

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Evaluación neurológica:Interpretación:Punto temporal:Sistema neurológico:Nominal:
it-IT Italian (Italy) Valutazione neurologica:Imp:Pt:Apparato neurologico:Nom:
Synonyms: Esame obbiettivo Impressione/interpretazione di studio Punto nel tempo (episodio) Sistema nervoso
ru-RU Russian (Russian Federation) Неврологическое исследование:Впчт:ТчкВрм:Неврологическая система:Ном:
Synonyms: Впечатление/интерпретация исследования Нервная система Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 神经病学评估:印象:时间点:神经系统: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 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 历史纪录与体格检查 历史纪录与体格检查小节 时刻;随机;随意;瞬间 病史与体格检查 神经学评估(评价、估计、估价、评论、估定、估算);神经系统评估;神经评估 神经病学的;神经学的;神经学;神经系统的;神经系统;神经的;神经 评价;估计;估价;评论;估定;估算

8681-9 History of Nervous system disorders

Observation Required in Panel

Optional

Fully-Specified Name

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

Additional Names

Panel Name
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
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) antecedentes de síntomas & enfermedades:hallazgo:punto en el tiempo:sistema neurológico:Nominal:informado
es-MX Spanish (Mexico) Síntomas y enfermedades:Hx:Punto temporal:Sistema neurológico:Nominal:
it-IT Italian (Italy) Sintomi & malattie:Hx:Pt:Apparato neurologico:Nom:
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:Nom:Relatado
Synonyms: ; Sx & diseases Hx; Finding; Findings; Point in time; Random; Nominal
zh-CN Chinese (China) 症状与疾病:历史记录:时间点:神经系统: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 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 时刻;随机;随意;瞬间 病史与体格检查 症状和疾病 症状类

80315-5 History of Surgical procedures of neurological system

Observation Required in Panel

Optional

Fully-Specified Name

Component
Surgical procedures of neurological system
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Panel Name
Short Name
Hx of Surg proc of neuro system

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.56
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
80346-0 Nursing physiologic assessment panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Procedimientos quirúrgicos del sistema neurológico.:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Interventi chirurgici del sistema neurologico:Hx:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio) Storia;Anamnesi
zh-CN Chinese (China) 神经系统外科手术操作:历史记录: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;史;病史 历史纪录与体格检查 历史纪录与体格检查小节 外科手术(外科学手术、手术)操作项目类(操作类、操作项目、操作) 时刻;随机;随意;瞬间 病史与体格检查 神经病学的;神经学的;神经学;神经系统的;神经系统;神经的;神经 神经系统外科手术(外科、手术、外科学手术、外科学)操作(操作项目)

35088-4 Glasgow coma scale

Term Description

The Glasgow Coma Scale is a neurological scale for assessing a person's level of consciousness, both for initial as well as continuing assessment. A patient is assessed against the criteria of the scale, and the resulting points give the Glasgow Coma Score (or GCS).
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Article NCBI PubMed Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81-4. Link to PubMed

Observation Required in Panel

Optional

Fully-Specified Name

Component
Glasgow coma scale
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Additional Names

Panel Name
Short Name
Glasgow coma scale

Basic Attributes

Class
PANEL.FUNCTION
Type
Clinical
First Released
Version 2.11
Last Updated
Version 2.73
Order vs. Observation
Order
Common Test Rank Get Info
3505
Panel Type
Panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) GLASGOW COMA SCORE:-:punto en el tiempo:^paciente:-:
es-MX Spanish (Mexico) Escala de coma de Glasgow:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Scala di Glasgow:-:Pt:^Paziente:-:
Synonyms: paziente Punto nel tempo (episodio) Set di prescrizione funzione Status funzionale (es., Glasgow)
ru-RU Russian (Russian Federation) Glasgow кома шкала:-:ТчкВрм:^Пациент:-:
Synonyms: Точка во времени;Момент Шкала комы Глазго
zh-CN Chinese (China) 格拉斯哥昏迷量表:-:时间点:^患者:-:
Synonyms: FCN GCS;Glasgow Coma Scale 体格功能;体格检查功能;功能;躯体功能;身体功能 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.身体功能;功能组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目);医嘱组.体格功能;医嘱组.体格检查功能;医嘱组.功能;医嘱组.躯体功能 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套