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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

