title: Milestones and Experiences of Standardized Documentation.
abstract: The purpose of this panel is to discuss milestones and experiences of a standardized nursing terminology for the documentation of nursing practice using Clinical Care Classification as an example. The aim is to describe the value of using the CCC as the standardized nursing terminology and framework for the multidisciplinary care plans and how its interoperability with SNOMED CT, LOINC, and other required terminologies can be used for the electronic health record systems. Further the aim is to discuss the advantages a multidisciplinary documentation system and how it impacts on nursing practice, management, and research as well as highlight the monitoring of nursing documentation. The target audience will enrich their understanding about the possibilities that a standardized multidisciplinary documentation is critical for future data analyses and datamining highlighting nursing practices.
authors.affiliation: University of Eastern Finland, Department of Health and Social Management, Kuopio, Finland.
authors.forename: Kaija
authors.initials: K
authors.lastname: Saranto
authors.affiliation: Uniformed Services University, Bethesda, MD, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Saba
authors.affiliation: Center for Patient Safety Research and Practice and the Center for Nursing Excellence at Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Dykes
authors.affiliation: University of Eastern Finland, Department of Health and Social Management, Kuopio, Finland.
authors.forename: Ulla-Mari
authors.initials: UM
authors.lastname: Kinnunen
authors.affiliation: University of Eastern Finland, Department of Health and Social Management, Kuopio, Finland.
authors.forename: Minna
authors.initials: M
authors.lastname: Mykkänen
mesh_terms: D003266:Continuity of Patient Care / Q000592:standards; D004282:Documentation / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards; D009732:Nursing Care / Q000592:standards; D048108:Nursing Informatics / Q000592:standards*; D009737:Nursing Records / Q000592:standards*; D017410:Practice Guidelines as Topic; D000072917:Standardized Nursing Terminology; D009626:Terminology as Topic; D018875:Vocabulary, Controlled