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DOI: 10.4338/ACI-2011-01-RA-0007
Development and Validation of Detailed Clinical Models for Nursing Problems in Perinatal care
Correspondence to:
Publication History
Received:
15 January 2011
Accepted:
04 May 2011
Publication Date:
16 December 2017 (online)
Summary
Objectives: The aims of this study were to develop detailed clinical models (DCMs) for nursing problems related to perinatal care and to test the applicability of these detailed clinical models. Methods: First, we extracted entities of nursing problems by analyzing nursing-problem statements from nursing records, reviewing the literature, and interviewing nurse experts. Second, we extracted attributes and possible values needed to describe the entities in more detail by again analyzing nursing statements, reviewing the literature, and consulting nurse experts. Third, DCMs were modeled by linking each entity with possible attributes with value sets and optionalities. Fourth, entities, attributes and value sets in the DCMs were mapped to the International Classification for Nursing Practice (ICNP) version 2. Finally, DCMs were validated by consulting a group of experts and by applying them to real clinical data and nursing care scenarios published in the literature. The adequacy of the entities, attributes, value sets, and optionalities of the attributes were validated.
Results: Fifty-eight entities were identified, 41 entities from nursing records, 12 entities from literature review and 5 entities from nurse experts. Sixty-five attributes with values were identified, 25 attributes from nursing records, 34 attributes from literature review, and 6 attributes from nurse experts. In total 58 DCMs were developed and validated.
Conclusions: The DCMs developed in this study can ensure that electronic health records contain meaningful and valid information, and support the semantic interoperability of nursing information.
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Conflict of Interest
All of the authors of this work hereby declare that there were no conflicts of interest or any other relationships that could have inappropriately influenced this study.
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References
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- 3 Kalra D. Semantic interoperability deployment and research roadmap. EU workshops in Brussels 2007.
- 4 ISO 18104:2003. Health informatics –integration of a reference terminology model for nursing.. International Organization for Standardization, Geneva, Switzerland.
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- 6 ISO/CEN/Working Draft 13972 Health Informatics –quality criteria and methodology for detailed clinical models draft materials.. International Organization for Standardization, Geneva, Switzerland and the European Committee for Standardization, Brussels, Belgium.
- 7 Oniki T. Clinical element models at Intermountain Healthcare. Paper presented at the EHR Symposium in Seoul 2008.
- 8 openEHR Foundation.. openEHR clinical archetypes [cited 2010 May 26]; Available from: http://www.openehr.org/knowledge
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- 10 Center for Interoperable EHR CiEHR.. Clinical Contents Manager. Seoul, Korea, Web documents [cited 2010 November 26]; Available from: http:// www. Clinicalcontentsmodel.org/main.php
- 11 Health Level 7.. Normative Edition of the HL7 Standards 2010. Ann Arbor, HL7 international. [cited 2010 November 21]; Available from: http://www.hl7.org
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- 13 Kooij van der J, Goossen WTF, Goossen-Baremans ATM, Plaisier N. Evaluation of documents that integrate knowledge, terminology and information models. In: Park HA, Murray P, Delaney C, (Eds). Consumer-centered computer-supported care for healthy people. Proceedings of NI2006. Amsterdam etc. IOS Press; Stud Health Technol Inform, 2006. 122 519-522.
- 14 Hovenga E, Garde S, Heard S. Nursing constraint models for electronic health records: a vision for domain knowledge governance. Int J Med Inform 2005; 74: 886-898.
- 15 Min YH, Park HA. Development and validation of archetypes for nursing problem in breast cancer patients. J Korean Soc Med Inform 2009; 15: 393-401.
- 16 ISO/TS 22789:2010. Health informatics –conceptual framework for patient findings and problems in terminologies. International Organization for Standardization, Geneva, Switzerland.
- 17 ISO 21090:2011. Health informatics –harmonized data types for information interchange. International Organization for Standaradization, Geneva, Switzerland.
- 18 Kang YM. et al. A case of aplastic anemia in pregnancy refractory to platelet transfusion. Korean J Obstet Gynecol 2006; 49: 182-187.
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Correspondence to:
-
References
- 1 Joint Initiative for Global Standards Harmonization [cited 2011 March 2]; A available from: http://www.skmtglossary.org
- 2 Elkin PL. et al. Aequus communis sententia: defining levels of interoperability. Stud Health Technol Inform 2007; 129: 725-729.
- 3 Kalra D. Semantic interoperability deployment and research roadmap. EU workshops in Brussels 2007.
- 4 ISO 18104:2003. Health informatics –integration of a reference terminology model for nursing.. International Organization for Standardization, Geneva, Switzerland.
- 5 Goossen WTF, Goossen-Baremans AT, Zel van der M. Detailed clinical models: a review. Healthc Inform Res 2010; 12, 16 (Suppl. 04) 201-214.
- 6 ISO/CEN/Working Draft 13972 Health Informatics –quality criteria and methodology for detailed clinical models draft materials.. International Organization for Standardization, Geneva, Switzerland and the European Committee for Standardization, Brussels, Belgium.
- 7 Oniki T. Clinical element models at Intermountain Healthcare. Paper presented at the EHR Symposium in Seoul 2008.
- 8 openEHR Foundation.. openEHR clinical archetypes [cited 2010 May 26]; Available from: http://www.openehr.org/knowledge
- 9 Hoy D, Hardiker NR, McNicoll IT, Westwell P. A feasibility study on clinical templates for the national health service in Scotland. Stud Health Technol Inform 2007; 129: 770-774.
- 10 Center for Interoperable EHR CiEHR.. Clinical Contents Manager. Seoul, Korea, Web documents [cited 2010 November 26]; Available from: http:// www. Clinicalcontentsmodel.org/main.php
- 11 Health Level 7.. Normative Edition of the HL7 Standards 2010. Ann Arbor, HL7 international. [cited 2010 November 21]; Available from: http://www.hl7.org
- 12 Goossen WTF. Using detailed clinical models to bridge the gap between clinicians and HIT. In: De Clercq, E et al. (Eds). Collaborative patient centered eHealth. Proceedings of the HIT@Healthcare 2008. Amsterdam: IOS press; 3-10.
- 13 Kooij van der J, Goossen WTF, Goossen-Baremans ATM, Plaisier N. Evaluation of documents that integrate knowledge, terminology and information models. In: Park HA, Murray P, Delaney C, (Eds). Consumer-centered computer-supported care for healthy people. Proceedings of NI2006. Amsterdam etc. IOS Press; Stud Health Technol Inform, 2006. 122 519-522.
- 14 Hovenga E, Garde S, Heard S. Nursing constraint models for electronic health records: a vision for domain knowledge governance. Int J Med Inform 2005; 74: 886-898.
- 15 Min YH, Park HA. Development and validation of archetypes for nursing problem in breast cancer patients. J Korean Soc Med Inform 2009; 15: 393-401.
- 16 ISO/TS 22789:2010. Health informatics –conceptual framework for patient findings and problems in terminologies. International Organization for Standardization, Geneva, Switzerland.
- 17 ISO 21090:2011. Health informatics –harmonized data types for information interchange. International Organization for Standaradization, Geneva, Switzerland.
- 18 Kang YM. et al. A case of aplastic anemia in pregnancy refractory to platelet transfusion. Korean J Obstet Gynecol 2006; 49: 182-187.
- 19 Knoche A, Selzer C, Smolley K. Methods of stimulating the onset of labor: an exploration of maternal satisfaction. J Midwifery Women’s Health 2008; 53: 381-387.