ED History and Physical Examination Data Set DEEDS   55177-0

LOINC Code


LOINC code55177-0
nameED History and Physical Examination Data Set DEEDS
statusACTIVE

Fully-Specified Name

componentED History and Physical Examination Data
property-
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.
system^Patient
scaleSet  =  Set:  Used for clinical attachments
methodDEEDS

Additional Names

short nameED H&P Exam Data DEEDS

Basic Attributes

classPANEL.ED
type2  Clinical

Panel Components

11368-8Illness or injury onset date and time
11374-6Injury incident description Narrative
11373-8Injury cause
11376-1Injury location
11372-0Injury associated activity
11375-3Injury intent
11457-9Safety equipment used
10160-0History of Medication use Narrative
48766-0Information source
10154-3Chief complaint Narrative - Reported
29299-5Reason for visit Narrative
56817-0Presenting problem
10164-2History of Present illness Narrative
56818-8Problem description [Identifier]
56819-6Problem prior evaluation
56865-9Problem diagnostic considerations
56820-4Problem context
56821-2Problem exacerbating factors
38211-9Pain initiating event Narrative - Reported
55258-8Problem alleviating factors Narrative
38210-1Pain alleviating factors - Reported
56822-0Problem response to therapy
56823-8Problem quality or description
32419-4Pain quality
56824-6Problem location
38204-4Pain primary location - Reported
38205-1Pain radiation
56825-3Problem time course
38206-9Pain temporal pattern - Reported
56826-1Problem frequency
38203-6Speed of pain onset - Reported
56827-9Symptom duration during occurrences or episodes
38207-7Pain duration - Reported
56866-7Onset of painful contractions
56828-7Time contractions became regular
56829-5Time membranes ruptured
55259-6Time last ate solid food
55260-4Time last drank liquid
56830-3Limitations in obtaining history
56831-1Problem associated signs and symptoms
11450-4Problem list - Reported
11348-0History of Past illness Narrative
11323-3General health - Reported
11338-1History of Major illnesses and injuries Narrative
10162-6History of pregnancies Narrative
48765-2Allergies and adverse reactions Document
44939-7History of Adverse drug reaction Narrative
11382-9Medication allergy - Reported
10167-5History of Surgical procedures Narrative
46239-0Chief complaint+Reason for visit Narrative
11336-5History of Hospitalization Narrative
10156-8History of Childhood diseases Narrative
11346-4History of Outpatient visits Narrative
46264-8History of medical device use
10155-0History of allergies, reported
11334-0History of Growth+Development Narrative
11370-4Immunization status - Reported
11369-6History of Immunization Narrative
11458-7Clostridium tetani immunization status
55261-2Rabies virus immunization status
55262-0Influenza virus immunization status
55263-8Bordetella pertussis immunization status
55264-6Hepatitis A virus immunization status
55265-3Measles virus status
55266-1Haemophilus influenzae B immunization status
55267-9Human papilloma virus immunization status
55268-7Rotavirus immunization status
55269-5Neisseria meningitidis immunization status
55270-3Streptococcus pneumoniae polyvalent immunization status
55271-1Streptococcus pneumoniae conjugated immunization status
55272-9Corynebacterium diphtheriae immunization status
55273-7Polio virus immunization status
55274-5Varicella zoster virus status
55275-2Hepatitis B virus status
55276-0Hepatitis C virus status
55277-8HIV status
55278-6Rubella virus status
55279-4Cytomegalovirus status
11320-9Feeding and dietary status Narrative - Reported
47420-5Functional status assessment note
11332-4History of Cognitive function Narrative
29762-2Social history Narrative
11380-3Marital status and living arrangements Narrative - Reported
11294-6Current employment Narrative - Reported
11340-7History of Occupation Narrative
10161-8History of Occupational exposure Narrative
55280-2Military service Narrative
11330-8History of Alcohol use Narrative
11287-0Alcoholic drinks per drinking day - Reported
11286-2Alcohol binge episodes per month - Reported
44940-5Alcoholic drinks per week - Reported
11366-2History of Tobacco use Narrative
8663-7Cigarettes smoked current (pack per day) - Reported
8664-5Cigarettes smoked total (pack per year) - Reported
11342-3History of Other nonmedical drug use Narrative
56832-9Type of substance abused
82589-3Highest level of education
11350-6History of Sexual behavior Narrative
10182-4History of Travel Narrative
11344-9History of Other social factors Narrative
10157-6History of family member diseases Narrative
10187-3Review of systems Narrative - Reported
56872-5Constitutional symptoms Narrative
8672-8History of Nervous system disorders Narrative
11358-9History of Psychiatric disorders Narrative
10170-9History of Endocrine system disorders Narrative
10172-5History of Hematologic system disorders Narrative
11352-2History of Allergenic and Immunologic disorders Narrative
56836-0History of Blood transfusion Narrative
56837-8History of Neoplastic disease Narrative
56838-6History of Infectious disease Narrative
11357-1History of Integumentary system disorders Narrative
10178-2History of Skin disorders Narrative
11353-0History of Breasts disorders Narrative
10171-7History of Eyes disorders Narrative
11354-8History of Ears and Nose and Sinuses and Mouth and Throat disorders Narrative
10169-1History of Ear disorders Narrative
10174-1History of Nose disorders Narrative
10168-3History of Cardiovascular system disorders Narrative
10175-8History of Oral cavity disorders Narrative
10177-4History of Respiratory system disorders Narrative
11355-5History of Gastrointestinal system disorders Narrative
11356-3History of Genitourinary systems disorders Narrative
10176-6History of Reproductive system disorders Narrative
10181-6History of Urinary tract disorders Narrative
10176-6History of Reproductive system disorders Narrative
56871-7History of Gynecologic system disorders
49033-4Menstrual History - Reported
8678-5Menstrual status - Reported
8659-5Birth control method - Reported
8665-2Last menstrual period start date
56833-7Pregnancy related history Narrative
11778-8Delivery date Estimated
11996-6[#] Pregnancies
11977-6[#] Parity
10181-6History of Urinary tract disorders Narrative
55281-0Number of fetuses
56834-5Fetal Narrative Movement
56835-2Viability of current pregnancy Narrative
11449-6Pregnancy status - Reported
55282-8Date symptoms of pregnancy first noted
10173-3History of Musculoskeletal system disorders Narrative
29545-1Physical findings Narrative
9272-61 minute Apgar Score
9274-25 minute Apgar Score
9271-810 minute Apgar Score
10210-3Physical findings of General status Narrative
56839-4Acuity assessment Narrative
8716-3Vital signs
38208-5Pain severity - Reported
38214-3Pain severity [Score] Visual analog score
38221-8Pain severity Wong-Baker FACES pain rating scale
38215-0Pain severity total [Score] FLACC
56840-2Pain severity verbal numeric scale [Score]
56840-2Pain severity verbal numeric scale [Score]
38212-7Pain assessment panel
56842-8Chronic pain assessment Narrative
44971-0Capillary refill [Time]
59408-5Oxygen saturation in Arterial blood by Pulse oximetry
3151-8Inhaled oxygen flow rate
55283-6Fetal Heart rate
8897-1QRS complex Ventricles by EKG
55284-4Blood pressure systolic and diastolic
8478-0Mean blood pressure
8462-4Diastolic blood pressure
8480-6Systolic blood pressure
8893-0Heart rate Peripheral artery by palpation
44969-4Heart rate rhythm palpation
8867-4Heart rate
9279-1Respiratory rate
8310-5Body temperature
29463-7Body weight
3141-9Body weight Measured
8302-2Body height
9269-2Glasgow coma score total
9267-6Glasgow coma score eye opening
9270-0Glasgow coma score verbal
9268-4Glasgow coma score motor
55285-1Glasgow coma score special circumstances
55286-9Physical exam by body areas
10199-8Physical findings of Head Narrative
32432-7Physical findings of Face
32446-7Physical findings of Lip
32469-9Physical findings of Scalp
11411-6Physical findings of Neck Narrative
44965-2Jugular vein distention --head raised 30 degrees
11391-0Physical findings of Chest Narrative
11392-8Physical findings of Chest wall Narrative
10193-1Physical findings of Breasts Narrative
11387-8Physical findings of Axilla Narrative
10200-4Physical findings of Heart Narrative
10207-9Physical findings of Thorax and Lungs Narrative
10191-5Physical findings of Abdomen Narrative
11403-3Physical findings of Groin Narrative
10204-6Physical findings of Pelvis Narrative
11400-9Physical findings of Genitalia Narrative
11402-5Physical findings of Male genitalia Narrative
32465-7Physical findings of Prostate
11401-7Physical findings of Female genitalia Narrative
32487-1Physical findings of Vagina
32486-3Physical findings of Uterus
32423-6Physical findings of Cervix
11388-6Physical findings of Buttocks Narrative
10205-3Physical findings of Rectum Narrative
10192-3Physical findings of Back Narrative
32476-4Physical findings of Spine
32462-4Physical findings of Paraverteberal muscles
11404-1Physical findings of Hand Narrative
32427-7Physical findings of Digits
56843-6Physical findings of Nail bed Narrative
11415-7Physical findings of Wrist Narrative
11398-5Physical findings of Forearm Narrative
11394-4Physical findings of Elbow Narrative
11386-0Physical findings of Upper arm Narrative
11413-2Physical findings of Shoulder Narrative
11397-7Physical findings of Foot Narrative
32480-6Physical findings of Toes
11385-2Physical findings of Ankle Narrative
11389-4Physical findings of Calf Narrative
11407-4Physical findings of Knee Narrative
11414-0Physical findings of Thigh Narrative
11406-6Physical findings of Hip Narrative
10197-2Physical findings of Eye Narrative
56844-4Intraocular pressure of Eye
32424-4Physical findings of Conjunctiva
32425-1Physical findings of Cornea
32429-3Physical findings of Extraocular muscles
32431-9Physical findings of Eye lid
32440-0Physical findings of Iris
32443-4Physical findings of Lacrimal apparatus
32459-0Physical findings of Optic lens
32466-5Physical findings of Pupil
32468-1Physical findings of Retina
32471-5Physical findings of Sclera
28631-0Visual acuity study
11393-6Physical findings of Ears and Nose and Mouth and Throat Narrative
10195-6Physical findings of Ear Narrative
32484-8Physical findings of Tympanic membrane
32421-0Physical findings of Auditory canal
10203-8Physical findings of Nose Narrative
32460-8Physical findings of Palate
32453-3Physical findings of Mouth
32478-0Physical findings of Teeth and gum
32483-0Physical findings of Tongue
56867-5Physical findings of Throat Narrative
32444-2Physical findings of Larynx
32482-2Physical findings of Tonsil
10201-2Physical findings of Mouth and Throat and Teeth Narrative
11390-2Physical findings of Cardiovascular system Narrative
10208-7Physical findings of Vessels Narrative
56845-1Pulse strength on exam Narrative
11412-4Physical findings of Respiratory system Narrative
11399-3Physical findings of Gastrointestinal system Narrative
10198-0Physical findings of Genitourinary tract Narrative
11410-8Physical findings of Musculoskeletal system Narrative
32455-8Physical findings of Muscle tone
10206-1Physical findings of Skin Narrative
10202-0Physical findings of Nervous system Narrative
10190-7Mental status Narrative
56876-6Physical findings of Primitive reflexes Narrative
56873-3Physical findings of Brain stem reflexes Narrative
32473-1Physical findings sensation
32452-5Physical findings of Motor function
10212-9Physical findings of Strength Narrative
10209-5Physical findings of Neurologic balance and Coordination Narrative
32433-5Physical findings of Gait
10194-9Physical findings of Neurologic deep tendon reflexes Narrative
32389-9Deep tendon reflex of Achilles
32390-7Deep tendon reflex of Biceps
32391-5Deep tendon reflex of Brachioradialis
32392-3Deep tendon reflex of Patellar
32393-1Deep tendon reflex of Triceps
32426-9Physical findings of Nerves.cranial
32385-7Babinski reflex
11451-2Psychiatric findings Narrative
11447-0Physical findings of Hematologic and Lymphatic and Immunologic System Narrative
32450-9Physical findings of Lymph node
29301-9Physical findings of Endocrine system
32441-8Physical findings of Joint
8703-1Physical findings of Extremities
42348-3Advance 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

55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1

History/Usage

first released
last updated2.27
last change typeMIN  - 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 © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, 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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