ArticleJournal of the American Medical Informatics Association : JAMIA2015
Harmonizing and extending standards from a domain-specific and bottom-up approach: an example from development through use in clinical applications.
Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- The case for expressing nursing theories using ontologies.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Evaluating and Extending the Informed Consent Ontology for Representing Permissions from the Clinical Domain.Applied ontology · 2022Article
- The Utility of Different Data Standards to Document Adverse Drug Event Symptoms and Diagnoses: Mixed Methods Study.Journal of medical Internet research · 2021Article
- Expressiveness of an International Semantic Standard for Wound Care: Mapping a Standardized Item Set for Leg Ulcers to the Systematized Nomenclature of Medicine-Clinical Terms.JMIR medical informatics · 2021Article
- A refined methodology for validation of information models derived from flowsheet data and applied to a genitourinary case.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Visibility of Community Nursing Within an Administrative Health Classification System: Evaluation of Content Coverage.Journal of medical Internet research · 2019Article
- Automatic population of eMeasurements from EHR systems for inpatient falls.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Response To: Letter to The Editor - Comments on The Use of LOINC and SNOMED CT for Representing Nursing Data.International journal of nursing knowledge · 2018Article
- Validation and Refinement of a Pain Information Model from EHR Flowsheet Data.Applied clinical informatics · 2018Observational
- Modeling Flowsheet Data to Support Secondary Use.Computers, informatics, nursing : CIN · 2017Observational
- Embedding Nursing Interventions into the World Health Organization's International Classification of Health Interventions (ICHI).Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Mapping Perinatal Nursing Process Measurement Concepts to Standard Terminologies.Computers, informatics, nursing : CIN · 2016Article
- Expanding Interprofessional EHR Data in i2b2.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2016Article
- Feasibility of Representing Data from Published Nursing Research Using the OMOP Common Data Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- CKD as a Model for Improving Chronic Disease Care through Electronic Health Records.Clinical journal of the American Society of Nephrology : CJASN · 2015Article
- Health information technology data standards get down to business: maturation within domains and the emergence of interoperability.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Research Infrastructure for Collaborative Team Science: Challenges in Technology-Supported Workflows in and Across Laboratories, Institutions, and Geographies.Seminars in nephrology · 2015Review
- AMIA--Setting the Standard.Journal of the American Medical Informatics Association : JAMIA · 2015Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCurrently, the processes for harmonizing and extending standards by leveraging the knowledge within local documentation artifacts are not well described. We describe a collaborative project to develop common information models, terminology bindings, and term definitions based on nursing documentation systems, and carry the findings through to the adoption in standards development organizations (SDOs) and technical implementations in clinical applications. MATERIALS AND
methodsNursing flowsheet documents from six large organizations were analyzed to generate a common information model and terminologies that fully expressed documentation across all systems, and were sufficient for evidence-based decision support, reporting, and analysis.
resultsSignificant gaps in existing standards were identified. The models and terminologies were submitted to and incorporated by SDOs, are published, implemented, and now serving as a foundation for an eMeasure. DISCUSSION: There are few examples in the literature of success working through the standards development process from a bottom-up perspective. Subsequently, standards do not yet fully address the need for detailed clinical data that enables, for example, decision support as well as a range of reporting and analytic requirements. Recommendations from this project include transparent processes within SDOs, registries that make models and associated terminologies freely available, and coordinated governance processes.
conclusionWe demonstrated the feasibility of using documentation artifacts in a bottom-up approach to develop common models and sets of terms that are complete from the perspective of clinical implementation. Importantly, we demonstrated a process by which a community of practice can contribute to closing gaps in existing standards using SDO processes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.