HITECH has defined 3 levels of interoperability (foundational, structural, and semantic). In this assignment, you will explore 2 areas that are crucial for achieving semantic interoperability: standardized nursing languages/terminologies (SNL/SNT) and the standards for transferring clinical and administrative data between organizations (HL7, FHIR, ISO).
Part 1
There are more than 12 standardized terminologies and classification systems recognized in the field of nursing. Each terminology and classification system has its own purpose, structure, and even language. Trying to integrate all these terminologies and classification systems into one EHR has resulted in a major barrier to semantic interoperability.Part 1
In this assignment, you will explore 2 standardized terminologies and classification systems (Note: This is not an all-inclusive list). You will examine the reasons each was created, its intended use, and why each poses a problem when integrating with other terminologies.
Search for recent articles pertaining to standardized nursing terminologies and interoperability.
Select 2 standardized terminologies from the following list:
NIC (Nursing Interventions Classification)
NOC (Nursing Outcomes Classification)
The Omaha System
CCC (Clinical Care Classification System)
PNDS (Introduction to the Perioperative Nursing Data Set)
ICNP (International Classification for Nursing Practice)
NANDA (North American Nursing Diagnosis Association)
Select 2 standardized terminologies from the following list:
For your assignment, you must:
-Identify which component(s) of nursing practice each terminology supports.
-Explain the rationale for each terminology’s development.
-Identify essential characteristics of each terminology, explaining how the characteristics relate to its function.
-Describe any overlaps between the 2 terminologies that may become problematic when integrating into a single system (for example, if the term DOA in one system represents Date of Admission but in another Dead on Arrival; or one uses pressure sores, but another uses pressure ulcers or bed sores or decubitus ulcers, these could all cause conflict with each other).
Explain why these terminologies are both barriers and enablers to
interoperability.
-Explain how the following are being used as a bridge to support semantic interoperability (provide at least 1 example for each):
LOINC (Logical Observation Identifiers, Names, and Codes)
SNOMED-CT (Systematic Nomenclature of Medicine-Clinical Terms)
-Explain why there is a need for the EHR to capture nursing-specific data.
Part 2
Another area of interoperability is a computer system’s ability to speak with other systems using the same language to exchange patient information, test results, images, etc.
Research regulatory requirements and standards that govern the interoperability of data exchange in health information technologies on The Office of the National Coordinator for Health Information Technology (ONC) website.
Explain the following standards:
-Health Level 7 (HL7)
-International Organization for Standardization (ISO)
-Fast Healthcare Interoperability Resources (FHIR)
Explain what each one is and how they are used to facilitate interoperability
(provide at least 1 example for each.).For your assignment, you must:
Discuss why standardization is critical to interoperability.
