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http://dx.doi.org/10.5391/JKIIS.2012.22.4.468

Design of Knowledge Model of Nursing Diagnosis based on Ontology  

Lee, In-Keun (경북대학교 의료정보학과)
Kim, Hwa-Sun (대구한의대학교 IT의료산업학과)
Lee, Sung-Hee (경북대학교 간호학과)
Publication Information
Journal of the Korean Institute of Intelligent Systems / v.22, no.4, 2012 , pp. 468-475 More about this Journal
Abstract
Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.
Keywords
medical information; ontology; nursing diagnosis; nursing process; NANDA; SNOMED-CT;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 곽연식, 조훈, 김인숙, 김종효, 민원기, 의료정보학의 입문, 비아이티 출판사, 2000.
2 HIMSS, "22nd Annual HIMSS Leadership Survery," Available: http://www.himss.org/2011survey/healthcareCIO_final.asp, 2011, May 9, 2012.
3 S.H. Han, M.H. Lee, S.G. Kim, J.Y. Jeong, and B.N. Lee, "Implementation of Medical Information Exchange System Based on EHR Standard," Healthcare Informatics Research, vol.16, no.4, pp.281-289, 2010.   DOI
4 H.H. Kim, K.-W. Cho, H.S. Kim, J.-S. Kim, J.H. Kim, S.P. Han, C.B. Park, S. Kim, and Y.M. Chae, "New Integrated Information System for Pusan National University Hospital," Healthcare Informatics Research, vol.17, no.1, pp.67-75, 2011.   DOI
5 H.J. Ryu, W.S. Kim, J.H. Lee, S.W. Min, S.J. Kim, Y.S. Lee, Y.H. Lee, S.W. Nam, G.S. Eo, S.G. Seo, and M.H. Nam, "Asan Medical Information System for Healthcare Quality Improvement," Healthcare Informatics Research, vol.16, no.3, pp.191-197, 2010.   DOI
6 SNOMED-CT, Available: http://www.ihtsdo.org/snomed-ct, [Accessed: May 5, 2011]
7 T. Benson, Principles of Health Interoperability HL7 and SNOMED, Springer Lonon, 2010.
8 ICD, Available: http://www.who.int/classifications/icd/en, May 5, 2012.
9 CPT, Available: http://www.ama-assn.org/ama/pub/category/3113.html, May 5, 2012.
10 LOINC, http://loinc.org, [Accessed: May 5, 2012]
11 G.v. Krogh, C. Dale, and D. Naden, "A framework for integrating NANDA, NIC, and NOC terminology in electronic patient records," Journal of Nursing Scholarship, vol.37, no.3, pp.275-281, 2005.   DOI
12 NANDA, Available: http://www.nanda.org, May 5, 2012.
13 NIC, Available: http://www.nursing.uiowa.edu/excellence/nursing_knowledge/clinical_effectiveness/nic.htm, May 5, 2012.
14 NOC, Available: http://www.nursing.uiowa.edu/cncce/nursing-outcomes-classification-overview, May 16, 2012.
15 E. Lee and H. Park, "Korean Nurses' Experiences: The Influence of NNN (NANDA-I, NIC, NOC) Terminologies on Nursing Workflow," AMIA Annu Symposium Proceedings, p. 1083, 2008.
16 A.G. Perez, M.F. Lopez, and O. Corcho, Ontological Engineering, Springer, 2005.
17 J.H. Kim, J.H. Lee, H.A. Park, H.W. Choi, and M.K. Kim, "Development of Ontology for Nursing Statement", 2005년 대한의료정보학회 추계학술대회 논문집, pp. 63-66, 2005.
18 H. Kim, M.R. Harris, G.K. Savova, and C.G. Chute, "The First Step Toward Data Reuse: Disambiguating Concept Representation of the Locally Developed ICU Nursing Flowsheets," Computers Informatics Nursing, vol. 26, no. 5, pp. 282-289, 2008.   DOI
19 M.A. Din, S.S. Abidi, and B. Jafarpour, "Ontology based modeling and execution of Nursing Care Plans and Practice Guidelines," Studies in Health Technology and Informatics, vol. 160, pp. 1104-1108, 2010.
20 N.R. Hardiker, "Logical ontology for mediating between nursing intervention terminology systems," Methods of Information in Medicine, vol. 42, pp. 265-270, 2003.
21 N.R. Hardiker, "Mediating between nursing intervention terminology systems," Proceedings of the AMIA Symposium, pp. 239-243, 2001.
22 R. Cornet, "Definitions and Qualifiers in SNOMED CT," Methods of Information in Medicine, vol.48, pp. 178-183, 2009.   DOI
23 F. Baader, D. Calvanese, D.L. McGuinness, D. Nardi, and P.F. Patel-Schneider, The Description Logic Handbook (Theory, Implementation, and Applications) , 2nd ed., Cambridge University Press, Cambridge, UK, 2003.
24 ICNP, Available: http://www.icn.ch/pillarsprograms/international-classification-for-nursing-practice-icnpr, April 10, 2012.
25 OWL Web Ontology Language Guide, Available: http://www.w3.org/TR/owl-guide, April 10, 2012.
26 Defining N-ary Relations on the Semantic Web, Available: http://www.w3.org/TR/2006/NOTE-swbp-n-aryRelations-20060412, May 10, 2012.
27 SPARQL, Available: http://www.w3.org/TR/rdf-sparql-query, April 10, 2012.