2.2 External Domains

Domains Defined by Reference to External Terminologies
Domain name for External Reference | Concept ID | Source Terminology | Defining expression | Definition
--- | --- | --- | --- | ---
ABCcodes | E0 |  |  | Five character alphabetic codes fit into current claims processing software or onto standard paper claim forms. ABC Codes give business parity to licensed CAM and nurse providers who file claims to insurance companies. .
CCI | E2 |  |  | CCI - Canadian Classification of Health Interventions, developed to accompany ICD-10-CA, maintained by CIHI (Canadian Institute for Health Information). For example: sections 3.AA-3.BZ Diagnostic Imaging Interventions on the Nervous System 3.AN.^ ^.^ ^ Diagnostic Imaging Interventions on the Brain 3.AN.40. ^ ^ Magnetic Resonance Imaging, Brain Incudes: That for meninges, ventricles, cerebellum, brain stem, cisterna [of brain], posterior fossa MRI, brain 3.AN.40.VA without contrast 3.AN.40.VC following intravenous injection of contrast 3.AN.40.VZ following percutaneous injection of contrast CIHI Toronto Attn: Director of Standards 90 Eglinton Avenue, Suite 300 Toronto, Ontario Canada M4P 2Y3 Phone: (416) 481.2002 Fax: (416) 481-2950 www.cihi.ca
CSAID | E1 |  |  | Nature of injury (NOI) codes, which are part of the Work Injury or Disease Information coding system (CAN/CSA-Z795-96 - R2003). The CSA code set includes 3 parts: Nature of injury (NOI), body part (BP), side of body (SB). For example: NOI - Cut or laceration Injury = 03400BP - Upper Arm body part = 31100SOB - Left Side of Body = L The Body Part codes are qualified by the Side of Body codes code system, to be more precise in specifying the location of the injury being coded. Code set is maintained by the Canadian Standards Association (CSA). set is maintained by the Canadian Standards Association (CSA). The Canadian Standards Association 5060 Spectrum Way Mississauga, Ontario Canada L4W 5N6 Phone: (416) 747-4000 1-800-463-6727 Fax: (416) 747-2473
HPC | E5 |  |  | The Healthcare Common Procedure Coding System (HCPCS) contains alpha-numeric codes used to identify those coding categories not included in the American Medical Association's CPT-4 codes (such as supplies) For example: E1093 - Wheelchair wide w/ foot rest Common Name - HCPCS Related Names, Versions, and Synonyms - Health Care Financing Administration Common Procedure Coding System Authoring/Maintenance Authority - US Health Care Financing Administration Coverage - Medical and Surgical Procedures, Supplies and Services License Fee(s) - Please review detailed description. Intended Use - Billing and claims processing for medical and surgical services and supplies Other Uses - Update Frequency - Generally, once a year.
I9C | E6 |  |  | International Classification of Diseases revision 9, with Clinical Modifications (ICD 9 CM)
ICD-10-CA | E3 |  |  | Canadian Coding Standards ICD-10 CA. These standards are a compilation of international rules of coding as established by the World Health Organization (International Classification of Diseases, 10th Revision, Volume 2) and the Diagnosis Typing Standard developed to denote case complexity for application in Canadian facilities. For example: L40 PsoriasisL40.0 Psoriasis vulgarisNummular psoriasisPlaque psoriasisL40.1 Generalized pustular psoriasisImpetigo herpetiformisVon ZumbuschaTMs diseaseL40.2 Acrodermatitis continuaL40.3 Pustulosis palmaris et plantarisL40.4 Guttate psoriasisL40.5* Arthropathic psoriasis (M07.0-M07.3*)(M09.0*)L40.8 Other psoriasisErythroderma psoraticumErythrodermic psoriasisFlexural psoriasisL40.9 Psoriasis unspecified They are maintained by CIHI (Canadian Institute for Health Information). CIHI Toronto Attn: Director of Standards 90 Eglinton Avenue, Suite 300 Toronto, Ontario Canada M4P 2Y3 Phone: (416) 481.2002 Fax: (416) 481-2950 www.cihi.ca
IETF3066 | E18 |  |  | from OID registry
ISO3166-2 | E8 |  |  | Three character country codes
LN | E9 |  |  | Logical Observation Identifier Names and Codes (LOINC)
MDC | E7 |  |  | The nomenclature relates primarily to vital signs monitoring, but also includes semantics of other medical devices that are commonly used in acute care settings. There are multiple coding partitions each of which has a systematic name consisting of a set of base concepts and differentiating criteria.
MEDCIN | E10 |  |  | MEDCIN contains more than 175,000 clinical data elements arranged in a hierarchy, with each item having weighted links to relevant diagnoses. The clinical data elements are organized into six basic termtypes designed to accommodate information relevant to a clinical encounter. The basic termtypes in MEDCIN's terminological hierarchy are as follows: Symptoms History Physical Examination Tests Diagnoses Therapy Within this basic structure, MEDCIN terms are further organized in a ten level terminological hierarchy, supplemented by an optional, multi-hierarchical diagnostic index. For example, the symptom of "difficulty breathing" is placed in the terminological hierarchy as a subsidiary (or "child") finding of "pulmonary symptoms," although the presence (or absence) of difficulty breathing can related to conditions as diverse as myocardial infarction, bronchitis, pharyngeal foreign bodies, asthma, pulmonary embolism, etc. MEDCIN's diagnostic index provides more than 800 such links for difficulty breathing.
NAICS | E13 |  |  | North American Industry Classification System(NAICS) for the United States, a new economic classification system that replaces the 1987 Standard Industrial Classification (SIC) for statistical purposes. NAICS is a system for classifying establishments by type of economic activity. Its purposes are: (1) to facilitate the collection, tabulation, presentation, and analysis of data relating to establishments, and (2) to promote uniformity and comparability in the presentation of statistical data describing the economy. NAICS will be used by Federal statistical agencies that collect or publish data by industry.
NDA | E11 |  |  | The terminology consists of standardized terms and codes for patient problems or life processes expressed as nursing diagnoses. These data elements would be classified by HL7 as "observations". The taxonomy is multi-axial. It consists of 12 domains and 36 classes. All domains and classes are defined. There are 7 axes with definitions for each. Each nursing diagnosis consists of: a concept label or term expressed as a noun or a noun phrase; a definition of the term; a set of defining characteristics (signs and symptoms) of the diagnostic term; an approved list of modifiers of the term; a set of risk factors with definitions; and a set of related factors (or etiologies) for the term. The system preserves semantics by having robust review procedures and policies to ensure against semantic drift in the meanings of the encoded terms over time. NANDA as an organization is committed to updating the terminology on a regular biannual basis. NANDA has been in existence since 1973 and is thus the oldest developer of standardized language in nursing. Most other nursing language systems use many of the older NANDA terms in their vocabularies. The express purpose of the organization is to develop a comprehensive standardized nursing language that captures the conclusions that nurses make based on observations - in effect, the nursing diagnoses. The work is a continuing effort and diagnoses are revised, retired or added bi-annually. The codes are simple integers and are not linked to each other. If a diagnostic term is retired, the code is also retired. If a new diagnosis is added a new code is given to that term. If a diagnostic term is revised, the code is kept intact but the date of the revision is published alongside the term. Domains and classes are not coded.
NMMDS | E14 |  |  | The NMMDS is the minimum set of items of information with uniform definitions and categories concerning the specific dimension of the context of patient care delivery. It represents the minimum data used to support the management and administration of patient/nursing care delivery across all types of settings. The NMMDS is composed of seventeen (17) data elements organized into three categories: environment, nurse resources, and financial resources. See Tables 1-3 for the elements and related definitions organized by each categories. The NMMDS most appropriately focuses at the first level of accountability for patient/client/family/community nursing care: this may be the delivery unit, service, or center of excellence level. The NMMDS supports numerous constructed variables as well as aggregation of data at the unit, institution, network, and system, etc levels. This minimum data set provides the structure for the collection of uniform information that influences quality of patient care, directly and indirectly.
NUBC-UB92 | E12 |  |  | National Uniform Billing Council, UB 92
PNDS | E16 |  |  | The PNDS provides standardized terms and codes for patient problems/nursing diagnoses, nursing interventions including actual or expected (goal) outcomes. The PNDS provides standardized terms and codes for nursing diagnoses (a subset of NANDA), nursing interventions and outcomes. The outcomes and interventions are in a relational database. The PNDS intervention and outcome statements are attached in an Access Database. The NANDA diagnoses in the PNDS have already been registered by HL7.
RC | E17 |  |  | Clinical Terms Version 3 contains over 200,000 coded concepts arranged in a sub-type hierarchical structure. Top level hierarchy sections: Disorders Findings Morphology Surgical procedures Regimes & therapies Investigations Stages & scales Occupations Organisms Units Drugs Appliances & equipment
RCFB | E19 |  |  | The Read Codes Four Byte Set consists of 4 alphanumeric characters. This version contains approximately 40,000 codes arranged in a hierarchical structure. Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs
RCV2 | E20 |  |  | The Read Codes Version 2 contains over 70,000 coded concepts arranged in a hierarchical structure. Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs

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Last Published: 03/27/2006 3:35 AM

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