Representing nursing practice in EMR/EHRs

Conference paper

Hovenga, Evelyn. (2024). Representing nursing practice in EMR/EHRs. In Strudwick, Gillian, Hardiker, Nicholas R., Rees, Glynda, Cook, Robyn and Lee, Young Ji (Ed.). 16th International Conference on Nursing Informatics. University of Manchester, Manchester, United Kingdom 28 - 31 Jul 2024 Amsterdam, The Netherlands: IOS Press. pp. 295-299 https://doi.org/10.3233/SHTI240156
AuthorsHovenga, Evelyn
TypeConference paper
Abstract

Objective:
Review of the ISO 18104 technical standard for a Nursing Categorial structure to best represent nursing practice in EMR/EHRs and digital health ecosystems.

Methods:
Application of ISO standard review guidelines in consultation with ISO member stakeholders.

Results:
Comprehensive views of the nursing practice knowledge domain are presented as mindmaps. Groups of patients can now be identified using the ‘type of subject of care’ category. The collaborative role of nurses is now recognized. This high level structured information model recognises nursing diagnosis, nursing actions and nurse sensitive outcomes relative to other categories and sub-categories known to influence nursing actions and nurse sensitive outcomes.

Discussion:
This nursing practice framework reflects the nursing process. It supports conceptual and logical analysis of patient journey related nursing practice.

Conclusion:
This updated categorial structure is a good fit with today’s information technologies. Its adoption enables the value of nursing services provided to be demonstrated.

Keywordscategorial structure; nursing data; semantic interoperability; clinical models; terminology
Year2024
PublisherIOS Press
ISSN0926-9630
1879-8365
Digital Object Identifier (DOI)https://doi.org/10.3233/SHTI240156
PubMed ID39049271
Scopus EID2-s2.0-85199591956
Open accessPublished as ‘gold’ (paid) open access
Publisher's version
License
File Access Level
Open
Book titleInnovation in applied nursing informatics
Page range295-299
ISBN9781643685274
Output statusPublished
Publication dates
Online2024
Publication process dates
Deposited30 May 2025
Additional information

© 2024 The Authors.

This article is published online with Open Access by IOS Press and distributed under the terms of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/).

Place of publicationAmsterdam, The Netherlands
Washington, D. C.
SeriesStudies in health technology and informatics ; volume 315
EditorsStrudwick, Gillian, Hardiker, Nicholas R., Rees, Glynda, Cook, Robyn and Lee, Young Ji
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