VA STANDARDS AND INTEROPERABILITY: NURSING TERMINOLOGY STANDARDS PROJECT

J P Systems performed terminology matching on 1,500 maps for the Office of the Chief Nursing Informatics Officer (OCNIO) Standardized Nursing Documentation Project.  This project provided guidance to VA project teams on data standards including the successful launch of the Federal Health Terminology Model initiative with active participation from a dozen federal agencies. We  defined standard terminologies for Nursing Flowsheets and a pressure ulcer risk assessment which establishes standardized  codes to enable interoperability among healthcare systems including CDS alerts. We mapped the identified VHA Nursing Domain terms for skin and wound care including nursing assessment, interventions, and patient outcomes to Clinical Care Classification (CCC) System terminology for skin integrity to include Care Components, Nursing Diagnosis, Nursing Intervention, Nursing Actions and Outcomes; mapping Clinical Care Classification System terminology for skin integrity to Systematized Nomenclature of Medicine--Clinical Terms (SNOMED CT).