The Omaha SystemThe Omaha System Web site

The Omaha System: A Key to Practice, Documentation, and Information Management, Reprinted 2nd Edition

By Karen S. Martin, RN, MSN, FAAN, Health Care Consultant, Martin Associates, Omaha, Nebraska



The Omaha System is a comprehensive, standardized terminology that exists in the public domain (open source). It is based on rigorous and extensive research. It consists of three integrated components: the Problem Classification Scheme (assessment), the Intervention Scheme (plans, pathways, and services), and the Problem Rating Scale for Outcomes (evaluation). It provides the structure, terms, and codes to document client needs and strengths, describe clinician interventions, and measure client outcomes with a best practices/evidence-based practice approach.

Initial Omaha System users included multidisciplinary staff members employed in home care, public health, and school health practice settings as well as some educators in the United States. Use has expanded to additional disciplines and to diverse case management and primary/long-term/acute care settings as well as various schools/universities in this and other countries. Approximately 9000 multidisciplinary clinicians, educators, and researchers use the Omaha System in point-of-care software globally.

The Omaha System provides a framework for integrating and sharing clinical data. It was designed to be computer-compatible from the onset. It facilitates interoperability among users and computer software developers, and has the potential for use in personal health records. It meets numerous national guidelines and regulations including the American Nurses Association, Joint Commission, CHAP, and SNOMED CT®.

See the book or the Omaha System web site for more details about the terms, definitions, and codes; case studies; users; integration/electronic health records; history; research; references; and listserv. The content and page numbers of the reprinted 2nd edition are identical to the original 2005 book with these exceptions: (a) the covers have been revised and include the new publisher’s name and logo, and (b) the copyright page has been updated to include the new ISBN #978-0-9825727-1-9.

Key Features

New to this Edition

Table of Contents