The development of the nursing observation master file.
An observation by the nursing, symptom views by the doctor and result of examinations can be said to be terms expressing a patient status. We collected names of nursing observation items and result notation terms in bottom up from real practice. We performed Structuring and standardization of "an observation item name" and "the result notation" with 8 step method. This master transcribes an observation result in 1 to 1 for an observation name. On this account we put it as another item when result notation is different to the same observation name. Collected terms are 1,653 cases with a set of an observation item name and the result notation.
Watanabe
Chitose
C
Saitama City Hospital, Saitama, Japan.
Tsuru
Satoko
S
Uchiyma
Makiko
M
Okamine
Eiko
E
Takada
Aya
A
Inoue
Kikumi
K
Asada
Miwa
M
Dannoue
Hideo
H
D019992:Databases as Topic; D006801:Humans; D009736:Nursing Process; D009737:Nursing Records / Q000592:standards*; D019370:Observation; D009626:Terminology as Topic