Documenting 'what nurses do'--moving beyond coding and classification.
A variety of strategies for knowledge representation have been applied to the texts from a number of medical domains. Many of the techniques rely on the well-defined ways in which medical terms are used within a given domain, a phenomenon referred to as 'sublanguage.' Because much of nursing documentation involves the use of 'everyday' language, the viable application of sublanguage-based approaches to knowledge representation of nursing documentation is not a forgone conclusion. We propose an approach utilizing semantic markup of nursing notes as a strategy for determining whether the documentation of 'what nurses do' is a sublanguage Results of an initial feasibility study utilizing the approach are presented.
Mead
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School of Nursing and Graduate Group in Medical Information Science, University of California San Francisco, USA.
Henry
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D000043:Abstracting and Indexing; D005240:Feasibility Studies; D009732:Nursing Care / Q000145:classification*; D009737:Nursing Records; D009626:Terminology as Topic; D018875:Vocabulary, Controlled