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.
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.
Authors: S Bakken; J J Cimino; R Haskell; R Kukafka; C Matsumoto; G K Chan; S M Huff Journal: J Am Med Inform Assoc Date: 2000 Nov-Dec Impact factor: 4.497
Authors: Clement J McDonald; Stanley M Huff; Jeffrey G Suico; Gilbert Hill; Dennis Leavelle; Raymond Aller; Arden Forrey; Kathy Mercer; Georges DeMoor; John Hook; Warren Williams; James Case; Pat Maloney Journal: Clin Chem Date: 2003-04 Impact factor: 8.327
Authors: Bonnie L Westra; Kay S Lytle; Luann Whittenburg; Mischa Adams; Samira Ali; Meg Furukawa; Stephanie Hartleben; Mary Hook; Steve Johnson; Sarah Collins Rossetti; Tess Theresa Settergren Journal: J Am Med Inform Assoc Date: 2020-11-01 Impact factor: 4.497