Representing nursing assessment documentation with ICNP.
The purpose of this study was to identify key concepts and semantic relations necessary to represent standardized and local patient assessment items in an electronic documentation system and to evaluate the degree to which coverage of both are represented by ICNP. A total of 805 unique assessment concepts were identified. Forty-three percent had exact matches in ICNP, and an additional 20% had matches in the ICNP classified as narrower, broader or other.
Goldsmith
Denise M
DM
Brigham & Women's Hospital, Boston, MA, USA.
Kim
Hyeon-eui
HE
Choi
Jeeyae
J
Goldberg
Howard S
HS
Dykes
Patricia C
PC
D001900:Boston; D038622:Internationality; D009730:Nursing Assessment / Q000145:classification*; D048108:Nursing Informatics / Q000706:statistics & numerical data*; D009737:Nursing Records / Q000706:statistics & numerical data*; D012660:Semantics; D009626:Terminology as Topic; D018875:Vocabulary, Controlled