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. 2017 Feb 10;2016:2072–2081.

Table 2:

Sources and item counts

# Data Sources # Items** Total Total Residence Total Living Situation Total Living Condition
A B C
Interface Terminology 1 The Omaha System: A Key to Practice, Documentation, and Information Management Second Edition40 28 27 0 28 11 1 16
2 Nursing Interventions Classifications (NIC)41 0 0 0 0 0 0 0
3 Nursing Outcomes Classifications (NOC)42 26 24 0 26 19 0 7
4 North American Nursing Diagnosis Association International Diagnoses: Definitions and Classifications (NANDA-I)43 34 22 0 34 14 1 19
5 Clinical Care Classification (CCC)44 6 4 0 6 2 2 2
6 Nursing Minimum Data Set (NMDS)45 6 0 0 6 5 1 0
7 Nursing Management Minimum Data Set (NMMDS)46 0 0 0 0 0 0 0
8 Outcome and Assessment Information Set (OASIS)47 3 3 0 3 0 3 0
Standard, Specification, Coding Terminology, Vocabulary 9 Meaningful Use Stage 248 0 0 0 0 0 0 0
10 2014 Electronic Health Record Certification Requirements49 0 0 0 0 0 0 0
11 IOM Report Social and Behavioral Domains35 6 0 0 6 6 0 0
12 openEHR50 *** 14 0 3 17 10 7 2
13 Systematized Nomenclature of Medicine--Clinical Terms (SNOMED CT) 51 402 402 34 436 265 62 109
14 Medical Subject Headings (MeSH) 52 17 5 1 18 15 2 1
15 Logical Observation Identifiers Names & Codes (LOINC®)53 4 4 7 11 8 3 0
16 Health Level 7 Version 3: Behavioral Health Model54 59 37 0 59 58 1 0
17 HL7 Fast Healthcare Interoperability Resources (FHIR)55 12 12 0 12 12 0 0
18 Public Health Information Network (PHIN) Vocabulary56 9 1 3 12 10 2 0
19 United States Board on Geographic Names (USBGN)57 * * * * * * *
Documentation Guideline 20 Occupational Therapy Practice Framework: Domain and Process (3rd Edition) (OT Framework)58 4 4 1 5 2 1 2
21 Uniform Terminology for Occupational Therapy (UTOT) 0 0 0 0 0 0 0
22 CMS Social Work Documentation Guidelines (CMSSWDG)59 0 0 0 0 0 0 0
23 Amer. Physical Therapy Assoc. Guidelines: Physical Therapy Documentation of Patient/Client Mgmt.58, 60 1 1 0 1 1 0 0
24 Medicare Rehab. Documentation Requirements (MRDR)61 0 0 0 0 0 0 0
Measure, Survey 25 PhenX Toolkit62, 63 32 32 3 35 25 3 7
26 Health Indicators Warehouse (HIW)64 34 1 11 45 20 1 24
27 Unites States Census 65 158 26 16 174 160 6 8
TOTAL 855 605 79 934 643 96 197
*

USBGN contains all national and international geographic location names.

**

# Items: A=Primary reviewer findings, B=Secondary reviewer confirmation of primary findings, C=Items added by secondary reviewer, i.e. items missed by primary reviewer.

***

Total Residence, Living Situation, Living condition counts not mutually exclusive for this source