Representing Outcomes for Nursing

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard for observations
Final
Production
Feedback Requested
No
Free
N/A
Standard for observation values
Final
Production
Feedback Requested
No
Free
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • Other ANA-recognized terminologies should be mapped to LOINC® for comparison across health systems and/or transmission.
  • Use LOINC® if the outcome is a measurement.
  • Use SNOMED CT® if the outcome is an observed assessment that a patient state has improved.  In addition, when the outcome is recorded as an assertion (e.g., normotensive, afebrile, etc.) the terminology to be used is SNOMED CT®. 
  • See LOINC projects in the Interoperability Proving Ground.
  • For more information about observations and observation values, see Appendix II for an informational resource developed by the Health IT Standards Committee. 
  • Feedback requested

Comment

Regenstrief - Comment

We concur with the recommendations for use of LOINC and SNOMED CT.