Implementation of a next-generation electronic nursing records system based on detailed clinical models and integration of clinical practice guidelines.

ABSTRACT:

Objectives

The purpose of this paper is to describe the components of a next-generation electronic nursing records system ensuring full semantic interoperability and integrating evidence into the nursing records system.

Methods

A next-generation electronic nursing records system based on detailed clinical models and clinical practice guidelines was developed at Seoul National University Bundang Hospital in 2013. This system has two components, a terminology server and a nursing documentation system.

Results

The terminology server manages nursing narratives generated from entity-attribute-value triplets of detailed clinical models using a natural language generation system. The nursing documentation system provides nurses with a set of nursing narratives arranged aroun

SUBMITTER: Min YH 

PROVIDER: S-EPMC3920043 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature