Nursing Process Model Mapped to Health Level 7 Reference Information Model
The nursing profession generates a large number of documents, and despite a number of terminology standards in existence, lack of interoperability in process and data structure still persists. The purpose of carrying out this study was to develop an integrated, comprehensive structure of nursing process as a domain information model which could be suitable for message development which potentially can be used when implementing clinical information software. We present phases of nursing process modeling, followed by mapping the resultant model to the HL7 Reference Information Model, generating a nursing domain message information model. Also, reviewing the Clinical Document Architecture in relation to the nursing process, we present our proposal for changes required to its object model for better support of nursing documents.
Health Level Seven Org. [Accessed on 16th March 2018]. Available from: http://www.hl7.org/implement/standards/index.cfm?ref=nav.
Reference Information Model Health Level Seven Org. [Accessed on 16th March 2018]. Available from: http://www.hl7.org/implement/standards/rim.cfm.
Domain Message Information Model Health Level Seven Org. [Accessed on 16th March 2018]. Available from: http://wiki.hl7.org/index.php?title=Domain_Message_Information_Model.
Clinical Document Architecture Health Level Seven Org. [Accessed on 16th March 2018]. Available from: http://wiki.hl7.org/index.php?title=CDA_R3_Project_Editing.
Internasional N. Nursing Diagnosis Definition and Classification 2012–2014. Editor Herdman, TH, editor Bahasa Indonesia Ester, M Jakarta: EGC. 2012.
Moorhead S, Johnson M, Maas ML, Swanson E. Nursing Outcomes Classification (NOC)-E-Book: Measurement of Health Outcomes: Elsevier Health Sciences; 2018.
Danko A, Kennedy R, Haskell R, Androwich IM, Button P, Correia CM, et al. Modeling nursing interventions in the act class of HL7 RIM Version 3. Journal of biomedical informatics. 2003;36(4-5):294-303.
Kim HS, Cho H. Health level 7 development framework for medication administration. CIN: Computers, informatics, nursing. 2009;27(5):307-17.
Vittorini P, Tarquinio A, di Orio F. XML technologies for the Omaha System: A data model, a Java tool and several case studies supporting home healthcare. Computer methods and programs in biomedicine. 2009;93(3):297-312.
Ioanna P. Nursing documentation and recording systems of nursing care. Health Science Journal. 2007;1(4).
Goossen W, editor Sending electronic nursing discharge messages using the HL7 v3 Care Provision standard. Nursing Informatics; 2009.
Hübner U, Flemming D, Heitmann KU, Oemig F, Thun S, Dickerson A, et al., editors. The need for standardised documents in continuity of care: results of standardising the eNursing summary. MedInfo; 2010.
Helleman J, Goossen WT. Modeling nursing care in health level 7 reference information model. CIN: Computers, Informatics, Nursing. 2003;21(1):37-45.
Goossen WT, Ozbolt JG, Coenen A, Park H-A, Mead C, Ehnfors M, et al. Development of a provisional domain model for the nursing process for use within the Health Level 7 reference information model. Journal of the American medical informatics association. 2004;11(3):186-94.
The Omaha System [Accessed on 16th March 2018]. Available from: http://www.omahasystem.org/.
The North American Nursing Diagnosis Association [Accessed on 16th March 2018]. Available from: http://www.nanda.org/.
INTERNATIONAL CLASSIFICATION FOR NURSING PRACTICE [Accessed on 16th March 2018]. Available from: http://www.icn.ch/what-we-do/international-classification-for-nursing-practice-icnpr/.
Refined Message Information Model Designer Current [Accessed on 16th March 2018]. Available from: https://gforge.hl7.org/gf/project/visio-rmim-desi/frs/.
RoseTree [Accessed on 16th March 2018]. Available from: https://gforge.hl7.org/gf/project/rose-tree/frs/.
Whittenburg L, Meetim A, editors. Electronic Nursing Documentation: Patient Care Continuity Using the Clinical Care Classification System (CCC). Nursing Informatics; 2016.
Corbin JM. A nursing model for chronic illness management based upon the trajectory framework. Research and Theory for Nursing Practice. 1991;5(3):155.