Puzzle Pieces The Omaha System: Solving the Clinical Data-Information Puzzle
 
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Welcome to the Omaha System Web site!

The Omaha System is a research-based, comprehensive practice and documentation standardized taxonomy designed to describe client care. The Omaha System is summarized in the Overview, and includes an assessment component (Problem Classification Scheme), a care plan/services component (Intervention Scheme), and an evaluation component (Problem Rating Scale for Outcomes).

Users: Users represent the continuum of care and are increasingly diverse. More than 22,000 multidisciplinary clinicians use Omaha System point-of-care software in the United States and other countries. The number and type of computer software vendors who offer Omaha System clinical information systems continue to grow.

Book and Case Studies: For details about the Omaha System, see Martin KS. (2005). The Omaha System: A Key to Practice, Documentation, and Information Management (Reprinted 2nd ed.). Omaha, NE: Health Connections Press. List price is $59.95; to purchase directly from the author click here. Included in the book are descriptions of use in practice, education, and research settings; a User’s Guide; references; research; and 18 case studies. This Web site summarizes the Omaha System and includes 9 additional case studies. Case studies are an invaluable tool when learning to use the Omaha System, for refreshing skills, and for evaluating interrater reliability among users.

Copyright: The Omaha System terms, definitions, and codes have existed in the public domain since 1975. Therefore the terms, definitions, and codes are not held under copyright. They are available for use without permission from the publisher or the developers, and without a licensing fee. However, the terms and structure must be used as published and accompanied by a reliable source (2005 book or Web site). Other sections of the book are held under copyright by Health Connections Press. For more information, refer to the book, or contact Health Connections Press.

Recognition/Electronic Health Records: The American Nurses Association recognized the Omaha System as a standardized terminology to support nursing practice in 1992. In 2014, the Omaha System was selected to be used in EHRs for community settings in Minnesota, the first state to recommend ANA-recognized point-of-care terminologies be used in all health care EHRs. The Omaha System became a member of the Alliance for Nursing Informatics in 2009. It meets US Department of Health and Human Services interoperability standards for EHRs, having passed the Healthcare Information Technology Standards Panel (HITSP) Tier 2 criteria for Use Cases in 2007. Additionally, it is integrated into the National Library of Medicine’s Metathesaurus; CINAHL; ABC Codes; NIDSEC; Logical Observation Identifiers, Names, and Codes (LOINC®); and SNOMED CT®. It is registered (recognized) by Health Level Seven (HL7®), and is congruent with the reference terminology model for the International Organization for Standardization (ISO).

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