Embedded structures and representation of nursing knowledge

M. R. Harris, J. R. Graves, Harold Solbrig, P. L. Elkin, Christopher Chute

Research output: Contribution to journalArticle

Abstract

Nursing Vocabulary Summit participants were challenged to consider whether reference terminology and information models might be a way to move toward better capture of data in electronic medical records. A requirement of such reference models is fidelity to representations of domain knowledge. This article discusses embedded structures in three different approaches to organizing domain knowledge: Scientific reasoning, expertise, and standardized nursing languages. The concept of pressure ulcer is presented as an example of the various ways lexical elements used in relation to a specific concept are organized across systems. Different approaches to structuring information - The clinical information system, minimum data sets, and standardized messaging formats - Are similarly discussed. Recommendations include identification of the polyhierarchies and categorical structures required within a reference terminology, systematic evaluations of the extent to which structured information accurately and completely represents domain knowledge, and modifications or extensions to existing multidisciplinary efforts.

Original languageEnglish (US)
Pages (from-to)539-549
Number of pages11
JournalJournal of the American Medical Informatics Association
Volume7
Issue number6
Publication statusPublished - 2000
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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