Interface or Reference Terminology?
Some terminologies are used for clinical documentation, while others function as a background terminology, or one that takes terms from clinical documentation and behind the scenes maps them to a common concept to allow data aggregation when different terminologies are used. Mapping, as explained on page 292, often does not result in an exact match.
The diagram below is a simplified graphic intended to assist you in understanding the different functions of minimum data sets, interface and reference terminologies.
Abbreviations Used in The Diagram
NMDS - Nursing Minimum Data Set
NMMDS - Nursing Management Minimum Data Set|
NANDA - North American Nursing Diagnosis Association I
NIC - Nursing Intervention Classification
NOC - Nursing Outcome Classification
Omaha - Omaha System
HHCC - Home Health Care Classification (Georgetown System)
PtCareDSet - Patient Care Data Set
PNDS - Perioperative Nursing Data Set
ICNP - International Classification of Nursing Practice
SNOMED - Systematized Nomenclature of Medicine - Reference Terminology
LOINC - Logical Observation Identifiers Names & Codes
UMLS - Unified Medical Language System. (Page 281)
For a description of each of the ANA Recognized Languages see Chapter 17 in 3rd edtion of the text.
Created June 11, 2009
