Physical findings of General status Narrative   10210-3

LOINC Code


LOINC code10210-3
namePhysical findings of General status Narrative
descriptionPhysical 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.
statusACTIVE

Fully-Specified Name

componentPhysical findings
propertyFind  =  Finding
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
systemGeneral status
scaleNar  =  Narrative:  Text narrative, such as the description of a microscopic part of a surgical papule test.
methodObserved

Additional Names

short namePhys find General status

Basic Attributes

classH&P.PX
type2  Clinical

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

Member of these Panels

72231-4Consultation note - recommended C-CDA R1.1 sections
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
55169-7Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55177-0ED History and Physical Examination Data Set DEEDS
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
72228-0History and physical note - recommended C-CDA R1.1 and R2.0 and R2.1 sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
59843-3Procedure note - recommended C-CDA R1.1 sections
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

History/Usage

first released
last updated2.63
last change typeMIN  - change to field other than name

Related Names

Exam
Examination
Finding
Findings
H+P
H+P.PX
Narrative
P prime
Phys find
Point in time
Random
Report

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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