Development and Validation of Archetypes for Nursing Problems in Breast Cancer Patients / 대한의료정보학회지

OBJECTIVE: Archetypes as structured models of clinical content are considered to be the key broker between the reference models and terminology. This study developed and validated archetypes for nursing problems with breast cancer patients. METHODS: Archetypes were developed with the focuses and characterizing categories to describe the nursing problems identified from the perioperative nursing records of breast cancer patients, a literature review and experts' survey. The archetypes were validated by experts and applied to the clinical cases. RESULTS: Forty seven focuses and 22 characterizing categories of nursing problems were identified. Forty five archetypes, except for the symptoms of URI and vital signs, could be grouped into 16 different types. The symptoms of URI and vital signs were modeled by a combination of other archetypes. The experts' evaluation and application to clinical cases demonstrated the validity of the archetypes developed. CONCLUSION: Archetypes for nursing problems developed in this study can ensure interoperability and contribute to the exchange and sharing of the high quality structured data and information.

Strategic Approach for Standardization on Ubiqitous Healthcare System / 대한의료정보학회지

BACKGROUND: As ubiquitous computing is being introduced in the health care sector due to increase in elderly population and chronic patients, development in sensoring and wireless communication technologies, information technology infrastructure and computerization of health care facilities, the concept of ubiquitous health is also being introduced. In order to vitalize and spread the ubiqiutous health, standardization of related information technology must be preceded anything else. OBJECTIVE: The objective of this study is to review status of standaridization and standard adoption in domestic and international ubiquitous health care, and propose scope of standardization, a list of nessessary standards, and strategic approaches to develop standards based on the review. METHODS: We reviewed components of ubiquitous health care system, scope of standardization in technology, application cases, and status of standard aoption based on literature search. Status of standardization of related information technology in health care domain was reviewed by domestic and international activities of related standard development organizations. Based on these review results, scope of standardization and strategic approaches to develop standards for the domestic ubiquitous health were developed and modified after consultation of expert panel. RESULTS: Status of health care information standardization is in the early stage and information technology for ubiquitous health is in the exploratory stage in Korea. Accrodingly, it is proposed to develop standards for computerization of health care facilities, health information exchange, point-of-care bio-signal measurement, smart cards, and sensor technology in order by taking different approaches such as adopt or adapt international standards or develop domestic standards and introduce them as international standards according to possession of corresponding technology by domestic vendors and maturity of dometic vendors.