School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA.
Logica, Salt Lake City, Utah, USA.
J Am Med Inform Assoc. 2023 Oct 19;30(11):1858-1864. doi: 10.1093/jamia/ocad131.
Health Level 7®'s (HL7) Fast Healthcare Interoperability Resources® (FHIR®) is leading new efforts to make data available to healthcare clinicians, administrators, and leaders. Standardized nursing terminologies were developed to enable nursing's voice and perspective to be visible within the healthcare data ecosystem. The use of these SNTs has been shown to improve care quality and outcomes, and to provide data for knowledge discovery. The role of SNTs in describing assessments and interventions and measuring outcomes is unique in health care, and synergistic with the purpose and goals of FHIR. FHIR acknowledges nursing as a discipline of interest and yet the use of SNTs within the FHIR ecosystem is rare. The purpose of this article is to describe FHIR, SNTs, and the potential for synergy in the use of SNTs with FHIR. Toward improving understanding how FHIR works to transport and store knowledge and how SNTs work to convey meaning, we provide a framework and examples of SNTs and their coding for use within FHIR solutions. Finally, we offer recommendations for the next steps to advance FHIR-SNT collaboration. Such collaboration will advance both nursing specifically and health care in general, and most importantly, improve population health.
健康信息交换第七层标准（Health Level 7®'s，HL7）的快速医疗互操作性资源（Fast Healthcare Interoperability Resources®，FHIR®）正在引领新的努力，旨在使医疗临床医生、管理人员和领导者能够获得数据。标准化护理术语学的开发使护理的声音和观点在医疗保健数据生态系统中可见。使用这些 SNTs 已被证明可以提高护理质量和结果，并为知识发现提供数据。SNTs 在描述评估和干预措施以及衡量结果方面在医疗保健中的作用是独特的，与 FHIR 的目的和目标是协同的。FHIR 承认护理是一个感兴趣的学科，但在 FHIR 生态系统中很少使用 SNTs。本文的目的是描述 FHIR、SNTs 以及在 FHIR 中使用 SNTs 实现协同的潜力。为了更好地理解 FHIR 如何传输和存储知识，以及 SNTs 如何传达意义，我们提供了一个框架和 SNTs 及其编码的示例，用于 FHIR 解决方案。最后，我们提出了推进 FHIR-SNT 合作的下一步建议。这种合作将推进护理专业和整个医疗保健的发展，最重要的是，提高人口健康水平。
