ED History and Physical Examination Data Set DEEDS 55177-0

LOINC Code

LOINC code

55177-0

name

ED History and Physical Examination Data Set DEEDS

status

ACTIVE

Fully-Specified Name

component

ED History and Physical Examination Data

property

time

Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.

system

^Patient

scale

Set = Set: Used for clinical attachments

method

DEEDS

Additional Names

short name

ED H&P Exam Data DEEDS

Basic Attributes

class

PANEL.ED

type

2 Clinical

Panel Components

11368-8	Illness or injury onset date and time
11374-6	Injury incident description Narrative
11373-8	Injury cause
11376-1	Injury location
11372-0	Injury associated activity
11375-3	Injury intent
11457-9	Safety equipment used
10160-0	History of Medication use Narrative
48766-0	Information source
10154-3	Chief complaint Narrative - Reported
29299-5	Reason for visit Narrative
56817-0	Presenting problem
10164-2	History of Present illness Narrative
56818-8	Problem description [Identifier]
56819-6	Problem prior evaluation
56865-9	Problem diagnostic considerations
56820-4	Problem context
56821-2	Problem exacerbating factors
38211-9	Pain initiating event Narrative - Reported
55258-8	Problem alleviating factors Narrative
38210-1	Pain alleviating factors - Reported
56822-0	Problem response to therapy
56823-8	Problem quality or description
32419-4	Pain quality
56824-6	Problem location
38204-4	Pain primary location - Reported
38205-1	Pain radiation
56825-3	Problem time course
38206-9	Pain temporal pattern - Reported
56826-1	Problem frequency
38203-6	Speed of pain onset - Reported
56827-9	Symptom duration during occurrences or episodes
38207-7	Pain duration - Reported
56866-7	Onset of painful contractions
56828-7	Time contractions became regular
56829-5	Time membranes ruptured
55259-6	Time last ate solid food
55260-4	Time last drank liquid
56830-3	Limitations in obtaining history
56831-1	Problem associated signs and symptoms
11450-4	Problem list - Reported
11348-0	History of Past illness Narrative
11323-3	General health - Reported
11338-1	History of Major illnesses and injuries Narrative
10162-6	History of pregnancies Narrative
48765-2	Allergies and adverse reactions Document
44939-7	History of Adverse drug reaction Narrative
11382-9	Medication allergy - Reported
10167-5	History of Surgical procedures Narrative
46239-0	Chief complaint+Reason for visit Narrative
11336-5	History of Hospitalization Narrative
10156-8	History of Childhood diseases Narrative
11346-4	History of Outpatient visits Narrative
46264-8	History of medical device use
10155-0	History of allergies, reported
11334-0	History of Growth+Development Narrative
11370-4	Immunization status - Reported
11369-6	History of Immunization Narrative
11458-7	Clostridium tetani immunization status
55261-2	Rabies virus immunization status
55262-0	Influenza virus immunization status
55263-8	Bordetella pertussis immunization status
55264-6	Hepatitis A virus immunization status
55265-3	Measles virus status
55266-1	Haemophilus influenzae B immunization status
55267-9	Human papilloma virus immunization status
55268-7	Rotavirus immunization status
55269-5	Neisseria meningitidis immunization status
55270-3	Streptococcus pneumoniae polyvalent immunization status
55271-1	Streptococcus pneumoniae conjugated immunization status
55272-9	Corynebacterium diphtheriae immunization status
55273-7	Polio virus immunization status
55274-5	Varicella zoster virus status
55275-2	Hepatitis B virus status
55276-0	Hepatitis C virus status
55277-8	HIV status
55278-6	Rubella virus status
55279-4	Cytomegalovirus status
11320-9	Feeding and dietary status Narrative - Reported
47420-5	Functional status assessment note
11332-4	History of Cognitive function Narrative
29762-2	Social history Narrative
11380-3	Marital status and living arrangements Narrative - Reported
11294-6	Current employment Narrative - Reported
11340-7	History of Occupation Narrative
10161-8	History of Occupational exposure Narrative
55280-2	Military service Narrative
11330-8	History of Alcohol use Narrative
11287-0	Alcoholic drinks per drinking day - Reported
11286-2	Alcohol binge episodes per month - Reported
44940-5	Alcoholic drinks per week - Reported
11366-2	History of Tobacco use Narrative
8663-7	Cigarettes smoked current (pack per day) - Reported
8664-5	Cigarettes smoked total (pack per year) - Reported
11342-3	History of Other nonmedical drug use Narrative
56832-9	Type of substance abused
82589-3	Highest level of education
11350-6	History of Sexual behavior Narrative
10182-4	History of Travel Narrative
11344-9	History of Other social factors Narrative
10157-6	History of family member diseases Narrative
10187-3	Review of systems Narrative - Reported
56872-5	Constitutional symptoms Narrative
8672-8	History of Nervous system disorders Narrative
11358-9	History of Psychiatric disorders Narrative
10170-9	History of Endocrine system disorders Narrative
10172-5	History of Hematologic system disorders Narrative
11352-2	History of Allergenic and Immunologic disorders Narrative
56836-0	History of Blood transfusion Narrative
56837-8	History of Neoplastic disease Narrative
56838-6	History of Infectious disease Narrative
11357-1	History of Integumentary system disorders Narrative
10178-2	History of Skin disorders Narrative
11353-0	History of Breasts disorders Narrative
10171-7	History of Eyes disorders Narrative
11354-8	History of Ears and Nose and Sinuses and Mouth and Throat disorders Narrative
10169-1	History of Ear disorders Narrative
10174-1	History of Nose disorders Narrative
10168-3	History of Cardiovascular system disorders Narrative
10175-8	History of Oral cavity disorders Narrative
10177-4	History of Respiratory system disorders Narrative
11355-5	History of Gastrointestinal system disorders Narrative
11356-3	History of Genitourinary systems disorders Narrative
10176-6	History of Reproductive system disorders Narrative
10181-6	History of Urinary tract disorders Narrative
10176-6	History of Reproductive system disorders Narrative
56871-7	History of Gynecologic system disorders
49033-4	Menstrual History - Reported
8678-5	Menstrual status - Reported
8659-5	Birth control method - Reported
8665-2	Last menstrual period start date
56833-7	Pregnancy related history Narrative
11778-8	Delivery date Estimated
11996-6	[#] Pregnancies
11977-6	[#] Parity
10181-6	History of Urinary tract disorders Narrative
55281-0	Number of fetuses
56834-5	Fetal Narrative Movement
56835-2	Viability of current pregnancy Narrative
11449-6	Pregnancy status - Reported
55282-8	Date symptoms of pregnancy first noted
10173-3	History of Musculoskeletal system disorders Narrative
29545-1	Physical findings Narrative
9272-6	1 minute Apgar Score
9274-2	5 minute Apgar Score
9271-8	10 minute Apgar Score
10210-3	Physical findings of General status Narrative
56839-4	Acuity assessment Narrative
8716-3	Vital signs
38208-5	Pain severity - Reported
38214-3	Pain severity [Score] Visual analog score
38221-8	Pain severity Wong-Baker FACES pain rating scale
38215-0	Pain severity total [Score] FLACC
56840-2	Pain severity verbal numeric scale [Score]
56840-2	Pain severity verbal numeric scale [Score]
38212-7	Pain assessment panel
56842-8	Chronic pain assessment Narrative
44971-0	Capillary refill [Time]
59408-5	Oxygen saturation in Arterial blood by Pulse oximetry
3151-8	Inhaled oxygen flow rate
55283-6	Fetal Heart rate
8897-1	QRS complex Ventricles by EKG
55284-4	Blood pressure systolic and diastolic
8478-0	Mean blood pressure
8462-4	Diastolic blood pressure
8480-6	Systolic blood pressure
8893-0	Heart rate Peripheral artery by palpation
44969-4	Heart rate rhythm palpation
8867-4	Heart rate
9279-1	Respiratory rate
8310-5	Body temperature
29463-7	Body weight
3141-9	Body weight Measured
8302-2	Body height
9269-2	Glasgow coma score total
9267-6	Glasgow coma score eye opening
9270-0	Glasgow coma score verbal
9268-4	Glasgow coma score motor
55285-1	Glasgow coma score special circumstances
55286-9	Physical exam by body areas
10199-8	Physical findings of Head Narrative
32432-7	Physical findings of Face
32446-7	Physical findings of Lip
32469-9	Physical findings of Scalp
11411-6	Physical findings of Neck Narrative
44965-2	Jugular vein distention --head raised 30 degrees
11391-0	Physical findings of Chest Narrative
11392-8	Physical findings of Chest wall Narrative
10193-1	Physical findings of Breasts Narrative
11387-8	Physical findings of Axilla Narrative
10200-4	Physical findings of Heart Narrative
10207-9	Physical findings of Thorax and Lungs Narrative
10191-5	Physical findings of Abdomen Narrative
11403-3	Physical findings of Groin Narrative
10204-6	Physical findings of Pelvis Narrative
11400-9	Physical findings of Genitalia Narrative
11402-5	Physical findings of Male genitalia Narrative
32465-7	Physical findings of Prostate
11401-7	Physical findings of Female genitalia Narrative
32487-1	Physical findings of Vagina
32486-3	Physical findings of Uterus
32423-6	Physical findings of Cervix
11388-6	Physical findings of Buttocks Narrative
10205-3	Physical findings of Rectum Narrative
10192-3	Physical findings of Back Narrative
32476-4	Physical findings of Spine
32462-4	Physical findings of Paraverteberal muscles
11404-1	Physical findings of Hand Narrative
32427-7	Physical findings of Digits
56843-6	Physical findings of Nail bed Narrative
11415-7	Physical findings of Wrist Narrative
11398-5	Physical findings of Forearm Narrative
11394-4	Physical findings of Elbow Narrative
11386-0	Physical findings of Upper arm Narrative
11413-2	Physical findings of Shoulder Narrative
11397-7	Physical findings of Foot Narrative
32480-6	Physical findings of Toes
11385-2	Physical findings of Ankle Narrative
11389-4	Physical findings of Calf Narrative
11407-4	Physical findings of Knee Narrative
11414-0	Physical findings of Thigh Narrative
11406-6	Physical findings of Hip Narrative
10197-2	Physical findings of Eye Narrative
56844-4	Intraocular pressure of Eye
32424-4	Physical findings of Conjunctiva
32425-1	Physical findings of Cornea
32429-3	Physical findings of Extraocular muscles
32431-9	Physical findings of Eye lid
32440-0	Physical findings of Iris
32443-4	Physical findings of Lacrimal apparatus
32459-0	Physical findings of Optic lens
32466-5	Physical findings of Pupil
32468-1	Physical findings of Retina
32471-5	Physical findings of Sclera
28631-0	Visual acuity study
11393-6	Physical findings of Ears and Nose and Mouth and Throat Narrative
10195-6	Physical findings of Ear Narrative
32484-8	Physical findings of Tympanic membrane
32421-0	Physical findings of Auditory canal
10203-8	Physical findings of Nose Narrative
32460-8	Physical findings of Palate
32453-3	Physical findings of Mouth
32478-0	Physical findings of Teeth and gum
32483-0	Physical findings of Tongue
56867-5	Physical findings of Throat Narrative
32444-2	Physical findings of Larynx
32482-2	Physical findings of Tonsil
10201-2	Physical findings of Mouth and Throat and Teeth Narrative
11390-2	Physical findings of Cardiovascular system Narrative
10208-7	Physical findings of Vessels Narrative
56845-1	Pulse strength on exam Narrative
11412-4	Physical findings of Respiratory system Narrative
11399-3	Physical findings of Gastrointestinal system Narrative
10198-0	Physical findings of Genitourinary tract Narrative
11410-8	Physical findings of Musculoskeletal system Narrative
32455-8	Physical findings of Muscle tone
10206-1	Physical findings of Skin Narrative
10202-0	Physical findings of Nervous system Narrative
10190-7	Mental status Narrative
56876-6	Physical findings of Primitive reflexes Narrative
56873-3	Physical findings of Brain stem reflexes Narrative
32473-1	Physical findings sensation
32452-5	Physical findings of Motor function
10212-9	Physical findings of Strength Narrative
10209-5	Physical findings of Neurologic balance and Coordination Narrative
32433-5	Physical findings of Gait
10194-9	Physical findings of Neurologic deep tendon reflexes Narrative
32389-9	Deep tendon reflex of Achilles
32390-7	Deep tendon reflex of Biceps
32391-5	Deep tendon reflex of Brachioradialis
32392-3	Deep tendon reflex of Patellar
32393-1	Deep tendon reflex of Triceps
32426-9	Physical findings of Nerves.cranial
32385-7	Babinski reflex
11451-2	Psychiatric findings Narrative
11447-0	Physical findings of Hematologic and Lymphatic and Immunologic System Narrative
32450-9	Physical findings of Lymph node
29301-9	Physical findings of Endocrine system
32441-8	Physical findings of Joint
8703-1	Physical findings of Extremities
42348-3	Advance directives

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

55168-9

Data Elements for Emergency Department Systems (DEEDS) Release 1.1

History/Usage

first released

last updated

2.27

last change type

MIN - change to field other than name

Related Names

Data Elements for Emergency Department Systems
DEEDS
ED H&P Exam Data
Emergency Department
EMERGENCY DEPARTMENT (DEEDS)
EMERGENCY DEPARTMENT (DEEDS) PANEL
Hx

Pan
Panel
Panl
PEA
Pnl
Point in time
Random

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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Clinical LP7787-7

Clinical terms not yet categorized LP248771-0