Nursing Informatics' Contribution to One Health.

Objectives: To summarise contemporary knowledge in nursing informatics related to education, practice, governance and research in advancing One Health.

Methods: This descriptive study combined a theoretical and an empirical approach. Published literature on recent advancements and areas of interest in nursing informatics was explored.

Semantic Cross-Mapping Execution of Data in the Perinatal Registry of the Netherlands.

Introduction: The electronically submitted data from midwives and hospitals to the Netherlands perinatal registry vary significantly in their data definitions, and electronic message versions. The purpose of this article is to describe the semantic cross-mapping tool and execution procedure to prepare the data for statistical analysis.

Methods: requirements analysis, design, development and testing.

Informatics Competencies in Connected Health: Annotated Bibliography.

In this book it is of course impossible to be complete on all competencies publications, or all relevant subjects. For that reason the Post Conference Team decided to have some pages of the book reserved for annotations. An annotation is seen as a short reference to another topic or publication, not included in this book, and a brief motivation from one of us, why this might be of interest to the readers.

Information Architecture for Perinatal Registration in the Netherlands.

In the Netherlands, the perinatal registry has undergone significant changes in the past decades. The purpose of this article is to describe the current health care information architecture for the national perinatal registry, including how the national data set is arranged and how electronic messages are used to submit data. We provide implications for women's health care providers based on the creation and implementation of the Dutch perinatal registry system.

Strategies for Leveraging Interoperable Health Information Exchange Systems Among Healthcare Communities.

The panel will share international Health Information Exchange (HIE) projects to improve quality and lower costs in healthcare communities (i.e. hospitals, clinician practices, and aged care facilities).

Strategic Deployment of Clinical Models.

The selection, implementation, and certification of electronic health records (EHR) could benefit from the required use of one of the established clinical model approaches. For the lifelong record of data about individuals, issues arise about the permanence and preservation of data during or even beyond a lifetime. Current EHR do not fully adhere to pertinent standards for clinical data, where it is known for some 20 plus years that standardization of health data is a cornerstone for patient safety, interoperability, data retrieval for various purposes and the lifelong preservation of such data.

Checking the Quality of Detailed Clinical Models: Instrument Application.

Background: The exchange of clinical data between electronic health records is a challenge and need flexible models that adapt to clinical needs. Detailed Clinical Models (DCM) are used for this purpose, however, what is their quality? This paper's objective is to report on the application of an existing instrument to determine DCM quality.

Methods: A selection of 9 DCMs about oncology care was tested using the 'Quality Metrics for DCM'.

Detailed clinical models: representing knowledge, data and semantics in healthcare information technology.

Objectives: This paper will present an overview of the developmental effort in harmonizing clinical knowledge modeling using the Detailed Clinical Models (DCMs), and will explain how it can contribute to the preservation of Electronic Health Records (EHR) data.

Methods: Clinical knowledge modeling is vital for the management and preservation of EHR and data. Such modeling provides common data elements and terminology binding with the intention of capturing and managing clinical information over time and location independent from technology.

Continuity of care with HL7 v3 care record for oncology nursing.

Unlabelled: The Clinical Data Ware House needs to meet three functions: reporting quality indicators, clinical research, and continuity of care. This paper reports on one function, namely the development and testing of data exchange for continuity of nursing care for oncology patients. The proof of principle was carried out using system analysis, requirements setting, system design, system development and experiment with the application of Health Level 7 version 3 Care Record electronic message.

Representing the Glasgow Coma Scale in IT: Proper Specification is Required for Assessment Scales.

In healthcare a huge amount of assessment scales and score systems are in use to abbreviate and summarize the results of clinical observations to interpret a patient's condition in a valid and reliable manner. It is challenging to convey the information in a semantic interoperable form to other systems. A bad approach would be to invent individual models for each of them.

Exchanging care records using HL7 V3 care provision messages.

Objective: This paper describes Health Level 7 (HL7) V.3 Care Transfer, Care Record Query, and Care Record messages. This is the core of the Care Provision Domain in the HL7 standard which became normative at the end of 2012 and is an American National Standards Institute (ANSI)-approved HL7 standard.

Clinical modeling--a critical analysis.

Background: Modeling clinical processes (and their informational representation) is a prerequisite for optimally enabling and supporting high quality and safe care through information and communication technology and meaningful use of gathered information.

Objectives: The paper investigates existing approaches to clinical modeling, thereby systematically analyzing the underlying principles, the consistency with and the integration opportunity to other existing or emerging projects, as well as the correctness of representing the reality of health and health services.

Methods: The analysis is performed using an architectural framework for modeling real-world systems.

Clinical professional governance for detailed clinical models.

This chapter describes the need for Detailed Clinical Models for contemporary Electronic Health Systems, data exchange and data reuse. It starts with an explanation of the components related to Detailed Clinical Models with a brief summary of knowledge representation, including terminologies representing clinic relevant "things" in the real world, and information models that abstract these in order to let computers process data about these things. Next, Detailed Clinical Models are defined and their purpose is described.

Towards a model based electronic nursing record.

The electronic nursing record (ENR) as part of the larger electronic health record has been discussed for years. Its implementation is not that widespread as often considered. E.

Representing knowledge, data and concepts for EHRS using DCM.

With the move towards next generations of Electronic Health Record Systems (EHRS), the focus changes from administrative and data retrieval and data entry system capabilities towards clinical functions. The representation of the clinical knowledge and evidence base into EHRS becomes an important asset for health care, with its own challenges. Clinician's do want EHRS support but do not want to standardize care, they do want unified terminology and structured data entry but also free text.

Detailed clinical models: a review.

Objectives: Due to the increasing use of electronic patient records and other health care information technology, we see an increase in requests to utilize these data. A highly level of standardization is required during the gathering of these data in the clinical context in order to use it for analyses. Detailed Clinical Models (DCM) have been created toward this purpose and several initiatives have been implemented in various parts of the world to create standardized models.

Bridging the HL7 template - 13606 archetype gap with detailed clinical models.

The idea of two level modeling has been taken up in healthcare information systems development. There is ongoing debate which approach should be taken. From the premise that there is a lack of clinician's time available, and the need for semantic interoperability, harmonization efforts are important.

Sending electronic nursing discharge messages using the HL7 v3 Care Provision standard.

There is a growing need to exchange nursing related information electronically from one health care professional to another, crossing institutional, time and language boarders. Both continuity of care, care for populations, decision support and secondary use of patient data are valid uses of nursing information. Achieving electronic exchange of nursing information requires information analysis, modeling, standardization and deployment in electronic health systems.

Using detailed clinical models to bridge the gap between clinicians and HIT.

Two level object modelling has been introduced in recent health care IT standards, such as Health Level 7 version 3, CEN/ISO 13606 and OpenEHR. Generic functions of electronic health records and electronic messages can be developed in such a way that they become independent of the clinical data, but allow its data management. Clinical data are elicited from clinicians and modelled in the form of clinical statements or archetypes.

Patient-centered applications: use of information technology to promote disease management and wellness. A white paper by the AMIA knowledge in motion working group.

Advances in information technology (IT) enable a fundamental redesign of health care processes based on the use and integration of electronic communication at all levels. New communication technologies can support a transition from institution centric to patient-centric applications. This white paper defines key principles and challenges for designers, policy makers, and evaluators of patient-centered technologies for disease management and prevention.

ROC van Twente: nursing education in care and technology.

The ROC van Twente offers nursing education at the diploma level (MBO), and is innovating the program to include a major/minor structure for education about care and technology. In order to achieve this, a new position was created: the Master Docent, Care and Technology. The task of the master docent includes development of education for nursing about technology, multidisciplinary cooperation, and service to health care institutions among others.

Cross-mapping between three terminologies with the international standard nursing reference terminology model.

Purpose: The International Standards Organization's (ISO) International Standard IS 18104 should assist the nursing profession to integrate their terminologies into computer systems and healthcare reference terminologies. The purpose of this study is to cross-map between different terminologies; that is, to determine if concepts in one terminology are similar to concepts in another terminology.

Methods: The ISO standard was used to test the degree to which three terminologies could be cross-mapped to each other.