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Mapping Perinatal Nursing Process Measurement Concepts to Standard Terminologies
1Author Affiliation: School of Nursing, Vanderbilt University, Nashville, Tennessee.
Computers, Informatics, Nursing : CIN
|April 16, 2016
Summary
Standardizing perinatal nursing data is crucial for practice and research. SNOMED-CT and LOINC contain most essential perinatal nursing process elements, supporting their use in electronic health records.
Area of Science:
- Nursing Informatics
- Health Data Standardization
- Perinatal Care
Background:
- Standard terminologies are essential for data-driven practice and research.
- Perinatal nursing data standardization is currently needed.
- Existing paper-based tools require integration into electronic systems.
Purpose of the Study:
- To determine the presence of 76 key perinatal nursing process elements within four standard terminologies.
- To evaluate the suitability of standard terminologies for electronic health record (EHR) integration in perinatal nursing.
Main Methods:
- A paper-based perinatal nursing process measurement tool with 76 elements was utilized.
- Elements were manually mapped to four American Nurses Association-recognized standard terminologies (SNOMED-CT, LOINC, ICNP, CCC) using browsers.
- A five-member expert panel validated all mapping findings.
Main Results:
- SNOMED-CT contained the highest proportion of elements (83%, n=63).
- LOINC (28%, n=21), ICNP (34%, n=26), and CCC (15%, n=11) contained fewer elements.
- SNOMED-CT and LOINC are recommended for perinatal nursing data capture in EHRs.
Conclusions:
- SNOMED-CT and LOINC effectively incorporate essential perinatal nursing process elements.
- These terminologies can support perinatal nursing practice within EHR systems.
- Terminology mapping is a foundational step for integrating paper-based nursing tools into electronic formats.
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