BS EN ISO 18104:2014

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Health informatics. Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems

Published By	Publication Date	Number of Pages
BSI	2014	42

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Categories: 35.240.80 - IT applications in health care technology, BSI

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Description

This International Standard specifies the characteristics of two categorial structures, with the overall aim of supporting interoperability in the exchange of meaningful information between information systems in respect of nursing diagnoses and nursing actions. Categorial structures for nursing diagnoses and nursing actions support interoperability by providing common frameworks with which to

analyse the features of different terminologies, including those of other healthcare disciplines, and to establish the nature of the relationship between them,^[³^]–[⁸^]
develop terminologies for representing nursing diagnoses and nursing actions,^[⁹^]–[¹²^]
develop terminologies that are able to be related to each other,^[³^{] [}⁸^{] [}¹³^] and
establish relationships between terminology models, information models and ontologies in the nursing domain.^[¹⁴^]–[¹⁶^]

There is early evidence that the categorial structures can be used as a framework for analysing nursing practice^[¹⁷^] and for developing nursing content of electronic record systems.^[¹⁸^{] [}¹⁹^]

This International Standard is applicable to the following user groups:

developers of terminologies that include nursing diagnosis and nursing action concepts;
developers of categorial structures and terminologies for other healthcare domains, to support clarification of any relationship to or overlap with nursing concepts;
developers of models for health information management systems such as electronic health records and decision support systems, to describe the expected content of terminological value domains for particular attributes and data elements in the information models;
developers of information systems that require an explicit system of concepts for internal organization, data warehouse management or middleware services;
developers of software for natural language processing, to facilitate harmonization of their output with coding systems.

It is not intended for use by clinical nurses without health informatics expertise. However, Annex C provides an introduction to categorial structures to assist those without health informatics expertise to contribute to its development, review, implementation and evaluation.

NOTE 1 Although the scope of testing and review of the first edition of this International Standard has been limited to nursing, the two categorial structures have features in common with the more general framework for clinical findings [ISO/TS 22789 and the domain-specific categorial structure for surgical procedures (ISO 1828)^[²⁰^] as well as with the WHO ICHI].^[²^] The standard may therefore inform development of other general and domain-specific categorial structures in healthcare.

Topics considered outside the scope of this International Standard include

complete categorial structures that would cover all the potential details that could appear in expressions of nursing diagnoses and nursing actions,
a detailed terminology of nursing diagnoses or nursing actions,
a “state model” for diagnoses or actions — for example, provisional diagnosis or absent diagnosis, planned action or action not to be done — see Annex A,
diagnoses made and actions undertaken by nurses working in other professional roles — see Annex B — and
knowledge relationships such as causal relationships between concepts — see Annex B.

NOTE 2 Throughout the main body of this International Standard, where terms such as nursing diagnosis and nursing action are used, these refer to representation of these concepts in electronic systems, not to the professional activity of making a diagnosis or performing an action.

PDF Catalog

PDF Pages	PDF Title
4	Foreword
6	Foreword
7	Introduction
9	Section sec_1 1 Scope
10	Section sec_2 Section sec_3 Section sec_3.1 Section sec_3.1.1 Section sec_3.1.2 Section sec_3.1.3 2 Normative references 3 Terms and definitions 3.1 General
11	Section sec_3.1.4 Section sec_3.1.5 Section sec_3.1.6 Section sec_3.1.7 Section sec_3.1.8 Section sec_3.1.9
12	Section sec_3.2 Section sec_3.2.1 Section sec_3.2.2 Section sec_3.2.3 Section sec_3.2.4 Section sec_3.2.5 Section sec_3.2.6 Section sec_3.2.7 3.2 Categories of healthcare entities for nursing diagnoses
13	Section sec_3.2.8 Section sec_3.2.9 Section sec_3.3 Section sec_3.3.1 Section sec_3.3.2 Section sec_3.3.3 Section sec_3.3.4 Section sec_3.3.5 Section sec_3.3.6 3.3 List of authorized representation relations for nursing diagnoses
14	Section sec_3.3.7 Section sec_3.3.8 Section sec_3.3.9 Section sec_3.4 Section sec_3.4.1 Section sec_3.4.2 Section sec_3.4.3 Section sec_3.4.4 Section sec_3.4.5 3.4 Categories of healthcare entities for nursing actions
15	Section sec_3.5 Section sec_3.5.1 Section sec_3.5.2 Section sec_3.5.3 Section sec_3.5.4 Section sec_3.5.5 Section sec_4 3.5 List of authorized representation relations for nursing actions 4 Categorial structures — Conformance principles
16	Section sec_5 5 Categorial structure for representing nursing diagnoses
17	Figure fig_1 Section sec_6 6 Categorial structure for representing nursing actions
18	Figure fig_2
19	Annex sec_A Annex sec_A.1 Annex sec_A.1.1 Annex sec_A.1.2 Annex sec_A.1.3 Annex A (informative) Summary of changes to ISO 18104:2003
20	Annex sec_A.1.4 Annex sec_A.1.5
21	Annex sec_A.1.6 Annex sec_A.1.7 Annex sec_A.1.8
22	Annex sec_A.2 Annex sec_A.2.1 Annex sec_A.2.2 Annex sec_A.2.3 Annex sec_A.2.4
23	Annex sec_A.2.5 Annex sec_A.2.6 Annex sec_A.3 Annex sec_A.3.1 Annex sec_A.3.2 Annex sec_A.3.3
24	Annex sec_A.3.4
25	Annex sec_B Annex sec_B.1 Annex sec_B.1.1 Annex sec_B.1.2 Annex B (informative) Nursing diagnosis and nursing actions in context
26	Annex sec_B.1.3 Annex sec_B.1.4 Annex sec_B.2
27	Annex sec_B.3 Annex sec_B.4 Annex sec_B.4.1
28	Annex sec_B.4.2
29	Annex sec_B.5
30	Annex sec_B.6 Annex sec_B.6.1 Annex sec_B.6.2
32	Annex sec_C Annex sec_C.1 Annex C (informative) Guidance notes for using categorial structures
33	Annex sec_C.2 Annex sec_C.2.1 Annex sec_C.2.2
34	Annex sec_C.2.3
36	Reference ref_1 Reference ref_2 Reference ref_3 Reference ref_4 Reference ref_5 Reference ref_6 Reference ref_7 Reference ref_8 Reference ref_9 Reference ref_10 Reference ref_11 Reference ref_12 Reference ref_13 Reference ref_14 Reference ref_15 Reference ref_16 Bibliography
37	Reference ref_17 Reference ref_18 Reference ref_19 Reference ref_20 Reference ref_21 Reference ref_22 Reference ref_23 Reference ref_24 Reference ref_25 Reference ref_26 Reference ref_27 Reference ref_28 Reference ref_29 Reference ref_30 Reference ref_31 Reference ref_32 Reference ref_33 Reference ref_34 Reference ref_35 Reference ref_36
38	Reference ref_37 Reference ref_38 Reference ref_39

Additional information

Status	Withdrawn
Title	Health informatics. Categorial structures for representation of nursing diagnoses and nursing actions in terminological systems
Replaces	BS EN ISO 18104:2003
Publisher	BSI
Committee	IST/35
Pages	42
Publication Date	2014-02-28
Withdrawn Date	2023-12-19
Replaced By	BS EN ISO 18104:2023
ISBN	978 0 580 74903 2
Standard Number	BS EN ISO 18104:2014
Identical National Standard Of	ISO 18104:2014, EN ISO 18104:2014
Descriptors	Harmonization, Health services, Electronic equipment and components, Nursing, Terminology, Medical equipment, Data processing, Information retrieval, Data transfer, Information exchange, Conformity, Computer applications, Information handling
ICS Codes	35.240.80 - IT applications in health care technology

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