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NSG658 Clinical Data Standards

Lead Faculty: Dr. Mary Kracun

Course Description

Standards of clinical and nursing data and information are explored as related to clinical systems design. Factors discussed include principles of interoperability, record preservation, security, confidentiality, and transportability of records. Terminology systems presented include SNOMED-CT, ICNP, NANDA, CCC. Students explore care delivery through nursing practice across multiple care settings.

Learning Outcomes

  • Describe and apply standards and nomenclature to facilitate care coordination such as SNOMED-CT, LOINC, ICD, CPT, and HLL7 CCD.
  • Include national and international approved terminology systems in the design of information systems that support nursing practice.
  • Articulate the advantages and challenges of representing nursing and other clinical phenomena in an electronic database.
  • Incorporate data standards into the design of clinical applications that support nursing practice.
  • Design data representation systems that adhere to national data and interoperability standards.
  • Create policies and procedures for the implementation of health information technology in nursing practice to comply with legal, ethical, and regulatory requirements.