Content coverage of SNOMED-CT toward the ICU nursing flowsheets and the acuity indicators

Hyeoneui Kim, Marcelline R. Harris, Guergana Savova, Christopher G. Chute

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Nursing flowsheets contain discrete and detailed patient data that can be reused in various clinical decisions including patient acuity estimation. To be reused, patient data should be represented consistently and unambiguously with standardized terminologies. This study investigated the domain completeness of SNOMED-CT toward the ICU nursing flowsheets and the acuity indicators used at Mayo Clinic. We first paraphrased the terms and the semantic relations appeared in the source materials into short clinical statement. Then, the entire prepared statement was mapped to SNOMED-CT and validated by expert reviewers. SNOMED-CT provided complete matches and partial matches to 78.13% and 14.1% of the flowsheets statements respectively. It provided complete matches and partial matches to 60.8% and 39.2% of the acuity statements respectively. The average observed agreement among the reviewers ran around 85%. Lack of appropriate terms was the major cause of the incomplete matches with the flowshee statements. Majority of the incomplete matches with the statements from the acuity indicators were caused by limitations in the concept models.

Original languageEnglish (US)
Title of host publicationConsumer-Centered Computer-Supported Care for Healthy People - Proceedings of NI 2006
Subtitle of host publicationThe 9th International Congress on Nursing Informatics
PublisherIOS Press
Pages722-726
Number of pages5
ISBN (Print)158603622X, 9781586036225
StatePublished - Jan 1 2006
Externally publishedYes
Event9th International Congress on Nursing Informatics, NI 2006 - Seoul, Korea, Republic of
Duration: Jun 9 2006Jun 21 2006

Publication series

NameStudies in Health Technology and Informatics
Volume122
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other9th International Congress on Nursing Informatics, NI 2006
CountryKorea, Republic of
CitySeoul
Period6/9/066/21/06

Keywords

  • Nursing Informatics
  • SNOMED-CT

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Kim, H., Harris, M. R., Savova, G., & Chute, C. G. (2006). Content coverage of SNOMED-CT toward the ICU nursing flowsheets and the acuity indicators. In Consumer-Centered Computer-Supported Care for Healthy People - Proceedings of NI 2006: The 9th International Congress on Nursing Informatics (pp. 722-726). (Studies in Health Technology and Informatics; Vol. 122). IOS Press.