Development of a compositional terminology model for nursing orders

Aim: Develop a compositional terminology model for nursing orders that would conform to the existing standard health level seven (HL7) messaging standard for clinical orders. Develop and evaluate the set of attributes needed for a pre-coordinated concept for a single nursing order, using a replicabl...

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Bibliographic Details
Published in:International journal of medical informatics (Shannon, Ireland) Ireland), 2004-08, Vol.73 (7), p.625-630
Main Authors: Matney, Susan, Dent, Catherine, Rocha, Roberto A
Format: Article
Language:English
Subjects:
Controlled medical terminologies
Health Personnel
Healthcare standards
Humans
Models, Nursing
Nursing
Nursing Care - standards
Nursing orders
Nursing Records
Nursing terminologies
Patient Care - standards
Provider order entry (POE)
Quality of Health Care
Terminology as Topic
Vocabulary, Controlled
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Summary:Aim: Develop a compositional terminology model for nursing orders that would conform to the existing standard health level seven (HL7) messaging standard for clinical orders. Develop and evaluate the set of attributes needed for a pre-coordinated concept for a single nursing order, using a replicable three-step modeling process. Results: A terminology model for nursing orders was developed using empirical data. The model was validated against nursing research and standards literature, and evaluated using 609 nursing orders that were successfully mapped to the structure. The representative services came from 20 Intermountain Health Care (IHC) hospitals, demonstrating the generalizability of the model and its attributes across many care settings.
ISSN:1386-5056
1872-8243
DOI:10.1016/j.ijmedinf.2004.04.006