DIN EN ISO 18104:2014-05

This International Standard specifies the characteristics of two categorical structures; the overall aim is supporting the interoperability in the exchange of meaningful information between information systems in respect of nursing diagnoses and nursing actions. Categorical structures for nursing diagnoses and nursing actions support interoperability by providing common frameworks with which to: a) analyze the features of different terminologies, including those of other healthcare disciplines, and to establish the nature of the relationship between them, b) develop terminologies for representing nursing diagnoses and nursing actions, c) develop terminologies that are able to be related to each other, and d) establish relationships between terminology models, information models and ontologies in the nursing domain. There is early evidence that the categorical structures can be used as a framework for analyzing nursing practice and for developing nursing content of electronic record systems. This International Standard is applicable to the following user groups: - developers of terminologies that include nursing diagnosis and nursing action concepts; - developers of categorical 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 categorical structures to assist those without health informatics expertise to contribute to its development, review, implementation and evaluation. The body responsible for this standard is NA 063-07-03 AA "Terminologie" ("Terminology") at DIN.