title: Standardized mapping of nursing assessments across 59 U.S. military treatment facilities.
abstract: OBJECTIVE
  Create an interoperable set of nursing flowsheet assessment measures within military treatment facility electronic health records using the 3M Healthcare Data Dictionary (HDD).
  
  
  METHODS
  The project comprised three phases: 1) discovery included an in-depth analysis of the Essentris data to be mapped in the HDD; 2) mapping encompassed the creation of standard operating procedures, mapping heuristics, and the development of mapping tools; and 3) quality assurance incorporated validation of mappings using inter-rater agreement.
  
  
  RESULTS
  Of 569,073 flowsheet concepts, 92% were mapped to the HDD. Of these, 31.5% represented LOINC concepts, 15% represented SNOMED CT and 1% represented both. 52.5% were mapped to HDD concepts with no standardized terminology representations.
  
  
  CONCLUSIONS
  Nursing flowsheet data can be mapped to standard terminologies but there is not the breadth of coverage necessary to represent nursing assessments. Future work is necessary to develop a standard information model for the nursing process.
authors.affiliation: 3M Health Information Systems, Inc. Murray, UT, USA.
authors.forename: Tiffany L
authors.initials: TL
authors.lastname: Harman
authors.forename: Rachael A
authors.initials: RA
authors.lastname: Seeley
authors.forename: Ivete M
authors.initials: IM
authors.lastname: Oliveira
authors.forename: Amy
authors.initials: A
authors.lastname: Sheide
authors.forename: Tosh
authors.initials: T
authors.lastname: Kartchner
authors.forename: R Dean
authors.initials: RD
authors.lastname: Woolstenhulme
authors.forename: Patricia S
authors.initials: PS
authors.lastname: Wilson
authors.forename: Lee Min
authors.initials: LM
authors.lastname: Lau
authors.forename: Susan A
authors.initials: SA
authors.lastname: Matney
mesh_terms: D006772:Hospitals, Military; D006801:Humans; D039703:Logical Observation Identifiers Names and Codes; D058749:Military Facilities; D009730:Nursing Assessment / Q000145:classification / Q000592:standards*; D009737:Nursing Records / Q000145:classification / Q000592:standards*; D039061:Systematized Nomenclature of Medicine; D014481:United States; D018875:Vocabulary, Controlled