Helleman Jop, Goossen William T F
Acquest Consutancy, Koudekerk aan den Rijn, The Netherlands.
Comput Inform Nurs. 2003 Jan-Feb;21(1):37-45. doi: 10.1097/00024665-200301000-00012.
This article describes the attempt that was made to fit nursing knowledge into the Reference Information Model developed by Health Level 7 (HL 7 RIM). A part of nursing knowledge concerning pressure ulcer was used to show the possibilities of modeling nursing knowledge, terminology, and information in the Health Level 7 Reference Information Model. The purpose of this modeling work was to allow the integration of nursing information in electronic patient records and to ensure the interoperability and exchange of nursing information. Based on earlier reviews of pressure ulcer literature, an overview was made of relevant variables, coding, and information required for nursing care for pressure ulcer. Next, a use case was made and followed by modeling the required information in the Unified Modeling Language. It is possible to integrate nursing knowledge, terminology, and information requirements in the Health Level 7 Reference Information Model.
本文描述了将护理知识纳入由卫生信息标准化组织（HL 7）开发的参考信息模型的尝试。一部分关于压疮的护理知识被用于展示在卫生信息标准化组织参考信息模型中对护理知识、术语和信息进行建模的可能性。这项建模工作的目的是使护理信息能够整合到电子病历中，并确保护理信息的互操作性和交换。基于对压疮文献的早期综述，对压疮护理所需的相关变量、编码和信息进行了概述。接下来，创建了一个用例，随后使用统一建模语言对所需信息进行建模。将护理知识、术语和信息需求整合到卫生信息标准化组织参考信息模型中是可行的。
