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Developing Standardized Physiologic Assessments
Susan A Matney1, Theresa Tess Settergren2, Bonnie Westra3
1Intermountain Healthcare.
Studies in Health Technology and Informatics
|June 23, 2016
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).
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