Professional Documents
Culture Documents
8. OMAHA SYSTEM Home Care, Public Diagnoses, Interventions, and Comprehensive practice and
Omaha System Health, and Outcomes documentation tool that can be
Currently Recognized Community used by multidisciplinary health
care practitioners in any setting
from the time of client admission
to discharge. Omaha System
includes an assessment
component (Problem
Classification Scheme), an
intervention component
(Intervention Scheme), and an
outcomes component (Problem
Rating Scale for Outcomes)
9. PCDS Acute Care Diagnoses, Interventions, and *Includes terms and codes for
Patient Care Data Set Outcomes patient problems, therapeutic
Retired goals, and patient care orders.
10. PNDS Perioperative Diagnoses, Interventions and Describes perioperative nursing
Perioperative Nursing Data Set Outcomes practice with a sub-set of terms
Currently Recognized that specifically describe
perioperative nursing diagnoses,
nursing interventions, and
patient outcomes in surgical
settings from pre-admission until
discharge.
Multidisciplinary Terminologies
11. ABCCodes Nursing and Other Interventions Terminology that describes
ABC Codes alternative medicine, nursing
Currently Recognized and other integrative healthcare
interventions. Includes type of
provider and recognized level of
licensed practitioner by state.
12. LOINC® Nursing and Other Outcome and Assessments Set of universal names and ID
Logical Observation Identifiers codes for identifying laboratory
Names and Codes and clinical test results which can
Currently Recognized be used to describe laboratory
and clinical results when store in
computer databases or
transmitted in electronic
messages. The clinical portion of
the LOINC database includes
entries for vital signs,
hemodynamics, intake/output,
EKG, obstetric ultrasound,
cardiac echo, urologic imaging,
gastroendoscopic procedures,
pulmonary ventilator
management, selected survey
instruments, and other clinical
observations.
13. SNOMED CT Nursing and Other Diagnoses, Interventions, and Core terminology that provides a
Systematic Nomenclature of Outcomes common language that enables a
Medicine Clinical Terms consistent way of capturing,
Currently Recognized sharing and aggregating health
data across specialties and sites
of care.
*Saba, Virgina and McCormick, Kathleen (2006). Essentials of Nursing Informatics. Philippines: McGraw-Hill Companies, Inc.