Development of a compositional terminology model for nursing orders.
OBJECTIVE
Develop a compositional terminology model for nursing orders that would conform to the existing standard health level seven (HL7) messaging standard for clinical orders. Develop and evaluate the set of attributes needed for a pre-coordinated concept for a single nursing order, using a replicable three-step modeling process.


RESULTS
A terminology model for nursing orders was developed using empirical data. The model was validated against nursing research and standards literature, and evaluated using 609 nursing orders that were successfully mapped to the structure. The representative services came from 20 Intermountain Health Care (IHC) hospitals, demonstrating the generalizability of the model and its attributes across many care settings.
Matney
Susan
S
Intermountain Health Care and University of Phoenix, Salt Lake City, UT, USA. susan.matney@ihc.com
Dent
Catherine
C
Rocha
Roberto A
RA
D006282:Health Personnel; D006801:Humans; D016294:Models, Nursing; D009729:Nursing; D009732:Nursing Care / Q000592:standards; D009737:Nursing Records; D005791:Patient Care / Q000592:standards*; D011787:Quality of Health Care; D009626:Terminology as Topic; D018875:Vocabulary, Controlled