Modeling a terminology-based electronic nursing record system: An object-oriented approach

Hyeoun-Ae Park, InSook Cho, NamSoo Byeun
2007 International Journal of Medical Informatics  
Electronic nursing record Nursing terminology application a b s t r a c t Objective: The aim of this study was to present our perspectives on healthcare information analysis at a conceptual level and the lessons learned from our experience with the development of a terminology-based enterprise electronic nursing record system -which was one of components in an EMR system at a tertiary teaching hospital in Korea -using an object-oriented system analysis and design concept. Methods: To ensure a
more » ... stematic approach and effective collaboration, the department of nursing constituted a system modeling team comprising a project manager, systems analysts, user representatives, an object-oriented methodology expert, and healthcare informaticists (including the authors). A rational unified process (RUP) and the Unified Modeling Language were used as a development process and for modeling notation, respectively. Results: From the scenario and RUP approach, user requirements were formulated into use case sets and the sequence of activities in the scenario was depicted in an activity diagram. The structure of the system was presented in a class diagram. Conclusion: This approach allowed us to identify clearly the structural and behavioral states and important factors of a terminology-based ENR system (e.g., business concerns and system design concerns) according to the viewpoints of both domain and technical experts. (N. Byeun). electronic nursing record, data collected at the point of care can be used to assist nursing care at all levels of aggregation. As in an electronic patient record (EPR) system, the electronic nursing record has the ability to capture clinical information and represent it using controlled terminology, which is widely recognized as a necessity [1] . Nursing terminology has seen much progress in recent decades. Several national and international nursing organizations have identified a need for standardized terminology to facilitate the description, comparison, and communication of nursing-care activities across settings, population groups, and countries [2] . The recent trend toward developing a more 1386-5056/$ -see front matter
doi:10.1016/j.ijmedinf.2006.07.005 pmid:17018263 fatcat:kp4ue4qc45fz3cydydwatjegq4