Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/27720 http://dx.doi.org/10.1197/jamia.M1085 |
Resumo: | Objective: Since 1999, the Nursing Terminology Summits have promoted the development, evaluation, and use of reference terminology for nursing and its integration into comprehensive health care data standards. the use of such standards to represent nursing knowledge, terminology, processes, and information in electronic health records will enhance continuity of care, decision support, and the exchange of comparable patient information. As part of this activity, working groups at the 2001, 2002, and 2003 Summit Conferences examined how to represent nursing information in the Health Level 7 (HL7) Reference Information Model (RIM).Design: the working groups represented the nursing process as a dynamic sequence of phases, each containing information specific to the activities of the phase. They used Universal Modeling Language (UML) to represent this domain knowledge in models. An Activity Diagram was used to create a dynamic model of the nursing process. After creating a structural model of the information used at each stage of the nursing process, the working groups mapped that information to the HL7 RIM. They used a hierarchical structure for the organization of nursing knowledge as the basis for a hierarchical model for Findings about the patient. the modeling and mapping reported here were exploratory and preliminary not exhaustive or definitive. the intent was to evaluate the feasibility of representing some types of nursing information consistently with HL7 standards.Measurements: the working groups conducted a small-scale validation by testing examples of nursing terminology against the HL7 RIM class Observation.Results: It was feasible to map patient information from the proposed models to the RIM class Observation. Examples illustrate the models and the mapping of nursing terminology to the HL7 RIM.Conclusion: It is possible to model and map nursing information into the comprehensive health care information model, the HL7 RIM. These models must evolve and undergo further validation by clinicians. the integration of nursing information, terminology, and processes in information models is a first step toward rendering nursing information machine-readable in electronic patient records and messages. An eventual practical result, after much more development, would be to create computable, structured information for nursing documentation. |
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Goossen, William TFOzbolt, Judy G.Coenen, AmyPark, Hyeoun-AeMead, CharlesEhnfors, MargaretaMarin, Heimar F. [UNIFESP]Acquest Res & DevVanderbilt UnivUniv IowaICN GenevaUniv WisconsinSeoul Natl UnivHL7 Modeling & Methodol Tech CommOracle CorpUniv OrebroUniversidade Federal de São Paulo (UNIFESP)Johns Hopkins Univ2016-01-24T12:37:07Z2016-01-24T12:37:07Z2004-05-01Journal of the American Medical Informatics Association. Philadelphia: Hanley & Belfus Inc, v. 11, n. 3, p. 186-194, 2004.1067-5027http://repositorio.unifesp.br/handle/11600/27720http://dx.doi.org/10.1197/jamia.M108510.1197/jamia.M1085WOS:000221546700005Objective: Since 1999, the Nursing Terminology Summits have promoted the development, evaluation, and use of reference terminology for nursing and its integration into comprehensive health care data standards. the use of such standards to represent nursing knowledge, terminology, processes, and information in electronic health records will enhance continuity of care, decision support, and the exchange of comparable patient information. As part of this activity, working groups at the 2001, 2002, and 2003 Summit Conferences examined how to represent nursing information in the Health Level 7 (HL7) Reference Information Model (RIM).Design: the working groups represented the nursing process as a dynamic sequence of phases, each containing information specific to the activities of the phase. They used Universal Modeling Language (UML) to represent this domain knowledge in models. An Activity Diagram was used to create a dynamic model of the nursing process. After creating a structural model of the information used at each stage of the nursing process, the working groups mapped that information to the HL7 RIM. They used a hierarchical structure for the organization of nursing knowledge as the basis for a hierarchical model for Findings about the patient. the modeling and mapping reported here were exploratory and preliminary not exhaustive or definitive. the intent was to evaluate the feasibility of representing some types of nursing information consistently with HL7 standards.Measurements: the working groups conducted a small-scale validation by testing examples of nursing terminology against the HL7 RIM class Observation.Results: It was feasible to map patient information from the proposed models to the RIM class Observation. Examples illustrate the models and the mapping of nursing terminology to the HL7 RIM.Conclusion: It is possible to model and map nursing information into the comprehensive health care information model, the HL7 RIM. These models must evolve and undergo further validation by clinicians. the integration of nursing information, terminology, and processes in information models is a first step toward rendering nursing information machine-readable in electronic patient records and messages. An eventual practical result, after much more development, would be to create computable, structured information for nursing documentation.Acquest Res & Dev, NL-2396 HC Koudekerk Aan Den Rijn, NetherlandsVanderbilt Univ, Nashville, TN USAUniv Iowa, Iowa City, IA USAICN Geneva, Geneva, SwitzerlandUniv Wisconsin, Milwaukee, WI 53201 USASeoul Natl Univ, Seoul, South KoreaHL7 Modeling & Methodol Tech Comm, Ann Arbor, MI USAOracle Corp, Redwood Shores, CA USAUniv Orebro, S-70130 Orebro, SwedenUniversidade Federal de São Paulo, São Paulo, BrazilJohns Hopkins Univ, Sch Nursing, Baltimore, MD USAUniv Iowa, Coll Nursing, Iowa City, IA 52242 USAUniversidade Federal de São Paulo, EPM, São Paulo, BrazilWeb of Science186-194engHanley & Belfus IncJournal of the American Medical Informatics AssociationDevelopment of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Modelinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/277202022-07-08 10:51:13.973metadata only accessoai:repositorio.unifesp.br:11600/27720Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-07-08T13:51:13Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
title |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
spellingShingle |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model Goossen, William TF |
title_short |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
title_full |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
title_fullStr |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
title_full_unstemmed |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
title_sort |
Development of a provisional domain model for the nursing process for use within the Health Level 7 Reference Information Model |
author |
Goossen, William TF |
author_facet |
Goossen, William TF Ozbolt, Judy G. Coenen, Amy Park, Hyeoun-Ae Mead, Charles Ehnfors, Margareta Marin, Heimar F. [UNIFESP] |
author_role |
author |
author2 |
Ozbolt, Judy G. Coenen, Amy Park, Hyeoun-Ae Mead, Charles Ehnfors, Margareta Marin, Heimar F. [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.institution.none.fl_str_mv |
Acquest Res & Dev Vanderbilt Univ Univ Iowa ICN Geneva Univ Wisconsin Seoul Natl Univ HL7 Modeling & Methodol Tech Comm Oracle Corp Univ Orebro Universidade Federal de São Paulo (UNIFESP) Johns Hopkins Univ |
dc.contributor.author.fl_str_mv |
Goossen, William TF Ozbolt, Judy G. Coenen, Amy Park, Hyeoun-Ae Mead, Charles Ehnfors, Margareta Marin, Heimar F. [UNIFESP] |
description |
Objective: Since 1999, the Nursing Terminology Summits have promoted the development, evaluation, and use of reference terminology for nursing and its integration into comprehensive health care data standards. the use of such standards to represent nursing knowledge, terminology, processes, and information in electronic health records will enhance continuity of care, decision support, and the exchange of comparable patient information. As part of this activity, working groups at the 2001, 2002, and 2003 Summit Conferences examined how to represent nursing information in the Health Level 7 (HL7) Reference Information Model (RIM).Design: the working groups represented the nursing process as a dynamic sequence of phases, each containing information specific to the activities of the phase. They used Universal Modeling Language (UML) to represent this domain knowledge in models. An Activity Diagram was used to create a dynamic model of the nursing process. After creating a structural model of the information used at each stage of the nursing process, the working groups mapped that information to the HL7 RIM. They used a hierarchical structure for the organization of nursing knowledge as the basis for a hierarchical model for Findings about the patient. the modeling and mapping reported here were exploratory and preliminary not exhaustive or definitive. the intent was to evaluate the feasibility of representing some types of nursing information consistently with HL7 standards.Measurements: the working groups conducted a small-scale validation by testing examples of nursing terminology against the HL7 RIM class Observation.Results: It was feasible to map patient information from the proposed models to the RIM class Observation. Examples illustrate the models and the mapping of nursing terminology to the HL7 RIM.Conclusion: It is possible to model and map nursing information into the comprehensive health care information model, the HL7 RIM. These models must evolve and undergo further validation by clinicians. the integration of nursing information, terminology, and processes in information models is a first step toward rendering nursing information machine-readable in electronic patient records and messages. An eventual practical result, after much more development, would be to create computable, structured information for nursing documentation. |
publishDate |
2004 |
dc.date.issued.fl_str_mv |
2004-05-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T12:37:07Z |
dc.date.available.fl_str_mv |
2016-01-24T12:37:07Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Journal of the American Medical Informatics Association. Philadelphia: Hanley & Belfus Inc, v. 11, n. 3, p. 186-194, 2004. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/27720 http://dx.doi.org/10.1197/jamia.M1085 |
dc.identifier.issn.none.fl_str_mv |
1067-5027 |
dc.identifier.doi.none.fl_str_mv |
10.1197/jamia.M1085 |
dc.identifier.wos.none.fl_str_mv |
WOS:000221546700005 |
identifier_str_mv |
Journal of the American Medical Informatics Association. Philadelphia: Hanley & Belfus Inc, v. 11, n. 3, p. 186-194, 2004. 1067-5027 10.1197/jamia.M1085 WOS:000221546700005 |
url |
http://repositorio.unifesp.br/handle/11600/27720 http://dx.doi.org/10.1197/jamia.M1085 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Journal of the American Medical Informatics Association |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
186-194 |
dc.publisher.none.fl_str_mv |
Hanley & Belfus Inc |
publisher.none.fl_str_mv |
Hanley & Belfus Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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|
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1802764152968577024 |