Appl Clin Inform 2011; 02(03): 317-330
DOI: 10.4338/ACI-2010-12-RA-0076
Research Article
Schattauer GmbH

An Empiric Analysis of Omaha System Targets

K. Monsen
1   University of Minnesota School of Nursing
,
G. Melton-Meaux
2   University of Minnesota Medical School
4   University Of Minnesota Institute for Health Informatics
,
J. Timm
3   Washington County Minnesota Department of Public Health and Environment
,
B. Westra
1   University of Minnesota School of Nursing
4   University Of Minnesota Institute for Health Informatics
,
M. Kerr
1   University of Minnesota School of Nursing
,
N. Raman
4   University Of Minnesota Institute for Health Informatics
,
O. Farri
4   University Of Minnesota Institute for Health Informatics
,
C. Hart
1   University of Minnesota School of Nursing
,
K. Martin
5   Martin Associates
› Author Affiliations
Further Information

Correspondence to:

Karen A. Monsen, PhD, RN
Assistant Professor
University Of Minnesota School of Nursing
5–160 Weaver-Densford Hall
Minneapolis, MN 55455
Phone: 612–624–0490   
Fax: 612–625–7091   

Publication History

received: 21 March 2011

accepted: 15 June 2011

Publication Date:
16 December 2017 (online)

 

Summary

Interface terminologies used in electronic health records must be re-evaluated and revised to reflect current health care practice and knowledge. To enable future revisions of the Omaha System Intervention Scheme, investigators evaluated formal semantic structure of target terms and concept duplication of problem and target terms. Using linguistic principles and qualitative analysis, five themes were found. A multidimensional formal semantic structure for the intervention target term was proposed. Concept duplication was examined for 16 problem-target matches. Clinical data enabled assessment of the validity of a proposed formal semantic structure and concept duplication. Recommendations are suggested for future development of the Omaha System Intervention Scheme.


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Conflicts of interest

The authors are informatics specialists with expertise in use of the Omaha System in education and research. All authors declare no conflict of interest in the preparation of this manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the authors’ employers.

  • References

  • 1 Markle Connecting for Health Collaborative.. Achieving the health IT objectives of ARRA: A framework for “Meaningful Use” and “Certified or Qualified” EHR [Internet]. 2009 [cited 2010 Dec 30] Available from: http://markle.org/downloadable_assets/20090430_meaningful_use.pdf.
  • 2 Martin KS, Monsen KA, Bowles KH. The Omaha System and meaningful use: Applications for practice, education, and research. Comput Inform Nurs 2011; 29: 52-58.
  • 3 Blumenthal D. Launching HITECH. N Engl J Med 2010; 362 (05) 382-385.
  • 4 Westra BL, Delaney CW, Konicek D, Keenan G. Nursing standards to support the electronic health record. Nurs Outlook 2008; 56 (05) 258-266.
  • 5 Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH. A model for evaluating interface terminologies. J Am Med Inform Assoc 2008; 15 (01) 65-76.
  • 6 American Nurses Association.. ANA recognized terminologies and data element sets. [Cited 2010 Dec 30] Available from: http://www.nursingworld.org/npii/terminologies.htm.
  • 7 McCloskey JC, Bulechek GM. Nursing Interventions Classification (NIC). 4th Ed. St. Louis: Mosby; 2007
  • 8 International Classification for Nursing Practice (ICNP) 2011.. Available from: http://www.icn.ch/pillarsprograms/international-classification-for-nursing-practicer/.
  • 9 Saba V. Clinical Care Classification (CCC) System Manual: A Guide to Nursing Documentation. New York: Springer; 2006
  • 10 Martin KS. The Omaha System: A key to practice, documentation, and information management. Reprinted 2nd ed. Omaha, NE: Health Connections Press; 2005
  • 11 Farri O, Monsen KA, Westra BL, Melton G. Analysis of free text with Omaha System Targets in Community-Based Care to Inform Practice and Terminology Development. Applied Clinical Informatics 2011; 2: 304-316.
  • 12 Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH. Interface terminologies: Facilitating direct entry of clinical data into electronic health record systems. J Am Med Inform Assoc 2006; 13 (03) 277-288.
  • 13 Monsen KA, Westra BL, Yu F, Ramadoss VK, Kerr MJ. Intervention data management for effectiveness research: Comparing inductive and deductive approaches. Res Nurs Health 2009; 32 (06) 647-656.
  • 14 Monsen KA, Banerjee A, Das P. Discovering client and intervention patterns in home visiting data. West J Nurs Res 2010; 83: 1031-1054.
  • 15 Monsen KA, Westra BL, Oancea SC, Yu F, Kerr MJ. Comparing approaches for linking home care interventions and hospitalization outcomes for frail and non-frail elderly clients. Res Nurs Health 2011; 34: 160-168.
  • 16 Martin KS, Scheet NJ. The Omaha System: Applications for community health nursing. Philadelphia: WB Saunders; 1992
  • 17 Melton GB, Westra BL, Raman N, Monsen KA, Kerr MJ, Hart CH, Solomon DA, Timm JE. Informing standard development and understanding user needs with Omaha System signs and symptoms text entries in community-based care settings. AMIA Annu Symp Proc 2010: 512-516.
  • 18 Powerwrite.. Understanding parts of speech and sentences. [Cited 2010 Dec 30] Available from: http://fac web.furman.edu/~moakes/Powerwrite/partspeech.htm.

Correspondence to:

Karen A. Monsen, PhD, RN
Assistant Professor
University Of Minnesota School of Nursing
5–160 Weaver-Densford Hall
Minneapolis, MN 55455
Phone: 612–624–0490   
Fax: 612–625–7091   

  • References

  • 1 Markle Connecting for Health Collaborative.. Achieving the health IT objectives of ARRA: A framework for “Meaningful Use” and “Certified or Qualified” EHR [Internet]. 2009 [cited 2010 Dec 30] Available from: http://markle.org/downloadable_assets/20090430_meaningful_use.pdf.
  • 2 Martin KS, Monsen KA, Bowles KH. The Omaha System and meaningful use: Applications for practice, education, and research. Comput Inform Nurs 2011; 29: 52-58.
  • 3 Blumenthal D. Launching HITECH. N Engl J Med 2010; 362 (05) 382-385.
  • 4 Westra BL, Delaney CW, Konicek D, Keenan G. Nursing standards to support the electronic health record. Nurs Outlook 2008; 56 (05) 258-266.
  • 5 Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH. A model for evaluating interface terminologies. J Am Med Inform Assoc 2008; 15 (01) 65-76.
  • 6 American Nurses Association.. ANA recognized terminologies and data element sets. [Cited 2010 Dec 30] Available from: http://www.nursingworld.org/npii/terminologies.htm.
  • 7 McCloskey JC, Bulechek GM. Nursing Interventions Classification (NIC). 4th Ed. St. Louis: Mosby; 2007
  • 8 International Classification for Nursing Practice (ICNP) 2011.. Available from: http://www.icn.ch/pillarsprograms/international-classification-for-nursing-practicer/.
  • 9 Saba V. Clinical Care Classification (CCC) System Manual: A Guide to Nursing Documentation. New York: Springer; 2006
  • 10 Martin KS. The Omaha System: A key to practice, documentation, and information management. Reprinted 2nd ed. Omaha, NE: Health Connections Press; 2005
  • 11 Farri O, Monsen KA, Westra BL, Melton G. Analysis of free text with Omaha System Targets in Community-Based Care to Inform Practice and Terminology Development. Applied Clinical Informatics 2011; 2: 304-316.
  • 12 Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH. Interface terminologies: Facilitating direct entry of clinical data into electronic health record systems. J Am Med Inform Assoc 2006; 13 (03) 277-288.
  • 13 Monsen KA, Westra BL, Yu F, Ramadoss VK, Kerr MJ. Intervention data management for effectiveness research: Comparing inductive and deductive approaches. Res Nurs Health 2009; 32 (06) 647-656.
  • 14 Monsen KA, Banerjee A, Das P. Discovering client and intervention patterns in home visiting data. West J Nurs Res 2010; 83: 1031-1054.
  • 15 Monsen KA, Westra BL, Oancea SC, Yu F, Kerr MJ. Comparing approaches for linking home care interventions and hospitalization outcomes for frail and non-frail elderly clients. Res Nurs Health 2011; 34: 160-168.
  • 16 Martin KS, Scheet NJ. The Omaha System: Applications for community health nursing. Philadelphia: WB Saunders; 1992
  • 17 Melton GB, Westra BL, Raman N, Monsen KA, Kerr MJ, Hart CH, Solomon DA, Timm JE. Informing standard development and understanding user needs with Omaha System signs and symptoms text entries in community-based care settings. AMIA Annu Symp Proc 2010: 512-516.
  • 18 Powerwrite.. Understanding parts of speech and sentences. [Cited 2010 Dec 30] Available from: http://fac web.furman.edu/~moakes/Powerwrite/partspeech.htm.