title: Developing Standardized Physiologic Assessments.
abstract: A terminology for nursing assessments does not exist to support exchange of information and research. A team of nurse informaticts collaborated to create a standard for medical/surgical assessment terms coded in LOINC and SNOMED CT. Nursing assessments represented 106 observation (50% new LOINC), and 348 Values (20% New SNOMED CT) organized into fifteen panels (86% new LOINC).
authors.affiliation: Intermountain Healthcare.
authors.forename: Susan A
authors.initials: SA
authors.lastname: Matney
authors.affiliation: Cedar-Sinai Health System.
authors.forename: Theresa Tess
authors.initials: TT
authors.lastname: Settergren
authors.affiliation: University of Minnesota.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Westra
authors.affiliation: University of Minnesota.
authors.forename: Lisiane
authors.initials: L
authors.lastname: Pruinelli
mesh_terms: D006801:Humans; D039703:Logical Observation Identifiers Names and Codes; D009730:Nursing Assessment / Q000379:methods*; D048108:Nursing Informatics; D000072917:Standardized Nursing Terminology; D039061:Systematized Nomenclature of Medicine