在 OpenEHR 原型中表示诊断和护理干预。
Representation of Diagnosis and Nursing Interventions in OpenEHR Archetypes.
机构信息
Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Department of Medicine, Centro Hospitalar Universitário do Porto, Porto, Portugal.
出版信息
Appl Clin Inform. 2021 Mar;12(2):340-347. doi: 10.1055/s-0041-1728706. Epub 2021 Apr 14.
OBJECTIVE
The study aimed to represent the content of nursing diagnosis and interventions in the openEHR standard.
METHODS
This is a developmental study with the models developed according to ISO 18104: 2014. The Ocean Archetype Editor tool from the openEHR Foundation was used.
RESULTS
Two archetypes were created; one to represent the nursing diagnosis concept and the other the nursing intervention concept. Existing archetypes available in the Clinical Knowledge Manager were reused in modeling.
CONCLUSION
The representation of nursing diagnosis and interventions based on the openEHR standard contributes to representing nursing care phenomena and needs in health information systems.
目的
本研究旨在以 openEHR 标准呈现护理诊断和干预内容。
方法
这是一项基于 ISO 18104:2014 标准开发模型的发展研究。使用来自 openEHR 基金会的 Ocean 原型编辑器工具。
结果
创建了两个原型，一个用于表示护理诊断概念，另一个用于表示护理干预概念。在建模中重用了 Clinical Knowledge Manager 中现有的可用原型。
结论
基于 openEHR 标准的护理诊断和干预表示有助于在健康信息系统中表示护理护理现象和需求。
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