Standardized mapping of nursing assessments across 59 U.S. military treatment facilities.
| Autor: | Harman TL; 3M Health Information Systems, Inc. Murray, UT, USA., Seeley RA, Oliveira IM, Sheide A, Kartchner T, Woolstenhulme RD, Wilson PS, Lau LM, Matney SA |
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| Jazyk: | angličtina |
| Zdroj: | AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2012; Vol. 2012, pp. 331-9. Date of Electronic Publication: 2012 Nov 03. |
| Abstrakt: | Objective: Create an interoperable set of nursing flowsheet assessment measures within military treatment facility electronic health records using the 3M Healthcare Data Dictionary (HDD). Design: The project comprised three phases: 1) discovery included an in-depth analysis of the Essentris data to be mapped in the HDD; 2) mapping encompassed the creation of standard operating procedures, mapping heuristics, and the development of mapping tools; and 3) quality assurance incorporated validation of mappings using inter-rater agreement. Results: Of 569,073 flowsheet concepts, 92% were mapped to the HDD. Of these, 31.5% represented LOINC concepts, 15% represented SNOMED CT and 1% represented both. 52.5% were mapped to HDD concepts with no standardized terminology representations. Conclusions: Nursing flowsheet data can be mapped to standard terminologies but there is not the breadth of coverage necessary to represent nursing assessments. Future work is necessary to develop a standard information model for the nursing process. |
| Databáze: | MEDLINE |
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