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Documenting 'what nurses do'--moving beyond coding and classification

C N Mead1, S B Henry

  • 1School of Nursing and Graduate Group in Medical Information Science, University of California San Francisco, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium
|January 1, 1997
PubMed
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This study explores using semantic markup to analyze nursing notes, determining if

Area of Science:

  • Medical Informatics
  • Nursing Informatics
  • Knowledge Representation

Background:

  • Knowledge representation techniques often rely on domain-specific 'sublanguages'.
  • Nursing documentation frequently uses general, 'everyday' language, challenging sublanguage applicability.
  • The unique linguistic characteristics of nursing notes require investigation for knowledge representation.

Purpose of the Study:

  • To investigate the applicability of sublanguage-based knowledge representation to nursing documentation.
  • To determine if nursing documentation constitutes a 'sublanguage' through semantic markup.
  • To assess the feasibility of representing the knowledge within nursing notes.

Main Methods:

  • Proposing a novel approach using semantic markup of nursing notes.

Related Experiment Videos

  • Applying this approach to analyze the linguistic features of nursing documentation.
  • Conducting an initial feasibility study to evaluate the proposed method.

    • Main Results:

    • The study presents results from an initial feasibility assessment.
    • Findings will indicate the viability of semantic markup for nursing knowledge representation.
    • Early outcomes will shed light on the 'sublanguage' characteristics of nursing notes.

    Conclusions:

    • Semantic markup offers a potential strategy for knowledge representation in nursing.
    • The feasibility of applying sublanguage approaches to nursing documentation requires further study.
    • This research addresses the challenge of representing nursing knowledge from 'everyday' language.