Published on January 25, 2005
SNOMED CT® Mappings to NANDA, NIC, and NOC
Now Licensed for Free Access Through National Library of Medicine
Nursing Mappings Add Critical Dimension for Improved Safety
and Quality of Patient Care Nursing Mappings Add Critical Dimension for
Improved Safety and Quality of Patient Care
Northfield, IL.—The College of
American Pathologists has licensed to the National Library of Medicine
(NLM) mappings from SNOMED CT to NANDA International (NANDA®) Taxonomy
II, Nursing Interventions Classification (NIC) Version 4, and Nursing
Outcomes Classification (NOC) Version 3. NLM will provide access through
its Unified Medical Language System® (UMLS®) Metathesaurus®,
a knowledge source containing biomedical concepts and terms from many
controlled vocabularies and classifications.
In 2005, each mapping will be available free-of-charge
to UMLS users who are licensed to use both SNOMED CT and the specific
nursing terminology involved. In the case of SNOMED CT, U.S. federal agencies,
state and local government agencies, territories, the District of Columbia,
and any public, for-profit and non-profit organization located, incorporated
and operating in the U.S. are covered by the U.S.-wide license announced
by the Secretary of Health and Human Services in July 2003. NANDA maintains
and owns the copyright to NANDA Taxonomy II. The Center for Nursing Classification
and Clinical Effectiveness maintains NIC and NOC. Elsevier Science, a
leading scientific publisher, owns the copyrights of both nursing classifications.
The mappings and SNOMED CT will continue to be available directly from
SNOMED International in the SNOMED CT Structure.
NANDA Taxonomy II provides nursing diagnostic concepts that identify
and code a patient's responses to health problems or life processes that
explain variance in patient outcomes that is different than the variance
explained by disease diagnoses. NIC encompasses nursing interventions
used in all clinical settings and is used at the point of care to document
care planning and nursing practice. NOC includes a comprehensive list
of nursing outcomes, which provides a measurable way to evaluate the effect
of nursing interventions on patient progress.
The SNOMED CT mappings of these leading nursing classifications will
broaden nurses' access to the terminologies necessary to consistently
and uniformly document nursing diagnoses, treatment and outcomes within
electronic health records (EHRs). Utilizing the SNOMED CT nursing mappings
will allow multiple, diverse practitioners access to comprehensive comparable
information that relates to and can improve patient outcomes with the
assurance that descriptions of diagnoses and treatments are represented
"The College has long held that by using a common approach to clinical
coding, the coordination and exchange of information is enhanced across
the continuum of care. Clinical care, decision support, and research,
in addition to patient safety initiatives, rely on the same information,"
said Mary Kass, MD, FCAP, president of the College of American Pathologists.
"SNOMED CT facilitates efficiency and interoperability between the
NANDA, NIC, and NOC mappings adding a critical dimension to the nursing
documentation systems at the point of care-where it is needed most. These
relationships help to increase the accuracy of clinical documentation
and communication thus reducing potential medical errors associated with
traditional paper records."
Developed in collaboration with the United Kingdom's National Health
Service, SNOMED CT's controlled healthcare terminology includes comprehensive
coverage of diseases, clinical findings, therapies, procedures and outcomes.
It provides the core general terminology for an electronic health record
(EHR), containing more than 357,000 concepts with unique meanings and
formal logic-based definitions organized into hierarchies. SNOMED CT is
considered to be the most comprehensive multilingual clinical reference
terminology available in the world.
The SNOMED Nursing Working Group, a working group of the SNOMED International
Editorial Board, consists of nursing experts from SNOMED and the international
nursing community. The group is responsible for specifying nursing requirements
within SNOMED and will ensure that the mappings between the NANDA diagnoses
concepts, the NIC intervention concepts and the NOC outcome concepts will
be appropriately maintained within SNOMED CT.
"These mappings can help to improve the communication across the
health care team that is essential to high quality health care. They will
also help NLM to ensure accurate representation of nursing concepts within
the UMLS," says Betsy Humphreys, Associate Director of NLM Library
Operations. "Use of mappings between SNOMED’s uniform clinical
language and nursing documentation systems should allow government and
private organizations to create and share health care data more effectively."
The National Library of Medicine, the world's largest library of the
health sciences, is part of the National Institutes of Health in Bethesda,
Md. The NLM is located on the World Wide Web at http://www.nlm.nih.gov.
The College of American Pathologists is a not-for-profit medical society
serving nearly 16,000 physician members and the laboratory community throughout
the world. It is the world’s largest association composed exclusively
of pathologists and is widely considered the leader in laboratory quality
assurance. The CAP is an advocate for high quality and cost-effective
patient care. The College is located on the World Wide Web at http://www.cap.org.
SNOMED International, a division of the College of American Pathologists,
is committed to the excellence of patient care through the delivery of
a dynamic and sustainable scientifically validated healthcare terminology
and infrastructure that enables clinicians, researchers and patients to
share health care knowledge worldwide, across clinical specialties and
sites of care.
NANDA International® (NANDA®) can be located on the World Wide
Web at http://www.nanda.org. The Center
for Nursing Classification and Clinical Effectiveness is located at http://www.nursing.uiowa.edu/cnc
and Elsevier Science can be found at http://www.elsevier.com.
For information regarding licensing the NIC and NOC languages that are
not included in the mapping tool, please contact Karen Delany at Elsevier
at 215-238-2223 or firstname.lastname@example.org
Kathleen Van Gorden
CAP Contact :