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194  n  FOrMAL NurSING LANGuAGES



                                               Table 2
                       Standardized Terminologies With utility for Nursing Care
   F       Terminology       Contents           ANA    UMLS   HL7   SNOMED      Availability

           Nursing-Specific
           Clinical Care     Nursing diagnoses,   x    x      x     x           Public domain
           Classification 1  interventions, outcomes,
                             goals
           International     Nursing diagnoses,   x    x                        Public domain
           Classification of    interventions, outcomes
           Nursing Practice
           Omaha System      Problems, interventions,   x  x  x     x           Public domain
                             outcomes
           North American    Nursing diagnoses  x      x      x     x           License
           Nursing diagnosis
           Association Taxonomy
           Nursing Interventions   Nursing interventions  x  x  x   x           License
           Classification
           Nursing Outcomes   Patient/client outcomes  x  x   x     x           License
           Classification
           Patient Care data Set  Patient problems, care    x  x  x             Only at
                             goals, care orders                                 Vanderbilt
                                                                                university
           Perioperative Nursing   Nursing diagnoses,   x  x  x     x           License
           data Set          interventions, patient
                             outcomes
           Others
           Current Procedural   Medical services              x                 License
           Terminology Codes
           Logical Observation   Vital signs, obstetric   x  x  x   Laboratory   Copyrighted,
           Identifiers, Names,    measurements, clinical            LOINC only  but free for use
           and Codes         assessment scales, research
                             instruments, Nursing
                             Management Minimum
                             data Set
           SNOMEd Clinical    Md/rN diagnoses, health   x   x   x   x           License
           Terms             care interventions,
                             procedures, findings,
                             substances, organisms,
                             events
           1 Formerly the Home Health Care Classification.
           ANA, recognized by the American Nurses Association; uMLS, Included in unified Medical Language System; HL7,
           registered with Health Level 7; SNOMEd, Included in SNOMEd Clinical Terms.


           to  reuse  modeling  constructs  (Hardiker  &   LOINC) to a focus on developing and test-
           Bakken, 2004).                           ing of other formal conceptual structures for
              Over  the  last  three  decades,  research   organizing  collections  of  nursing  concepts
           related  to  formal  nursing  languages  has   of various data types. The last is still in the
           evolved  from  naming  and  organizing  the   formative stages but is essential for efficient
           major  concepts  of  the  nursing  domain  to   and reliable integration of nursing concepts
           integrating  nursing  concepts  into  larger   into  computer-based  systems  in  a  man-
           nursing-specific  (e.g.,  ICNP)  and  health   ner  that  supports  nursing  practice  as  well
           care  terminologies  (e.g.,  SNOMEd  CT  and   as  the  reuse  of  concepts  for  practice-based
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