Adopting Nutrition Care Process Terminology at the National Level: The Norwegian Experience in Evaluating Compatibility with International Statistical Classification of Diseases and Related Health Problems, 10th Revision, and the Existing Norwegian Coding System

Published:April 22, 2018DOI:
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      Advances in information technology have accelerated the use of electronic health records and activities in terminology mapping. Dietitians need to be knowledgeable about the capabilities of different terminologies to effectively capture nutrition care data. If nutrition care is not reflected in the health care system, our professional contributions will not be visible. Data documenting nutrition care needs to be visible at the patient care level, in health care records, as well as in the statistics used by decision makers at health care institutions on national and international levels. It will be increasingly important for dietitians to participate in international collaborations among health care professionals pursuing common goals.
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        • Jenkins M.
        • Myers E.
        • Charney P.
        • Escott-Stump S.
        American Dietetic Association's Standardized Nutrition Language: Project logic model and current status.
        Stud Health Technol Inform. 2006; 122: 710-714
        • Writing Group of the Nutrition Care Process/Standardized Language Committee
        Nutrition Care Process part II: Using the International Dietetics and Nutrition Terminology to document the Nutrition Care Process.
        J Am Diet Assoc. 2008; 108: 1287-1293
      1. World Health Organization. International Classification of Diseases. Published 2016. Accessed February 15, 2016.

      2. World Health Organization. International Classification of Functioning, Disability and Health. Accessed February 15, 2016.

      3. International Health Terminology Standards Development Organisation. SNOMED-CT: The Global Language of Healthcare. Published 2016. Accessed February 15, 2016.

      4. McDonald C, Huff S, Deckard J, Holck K, Abhyankar S, Vreeman D. Logical Observation Identifiers Names and Codes (LOINC) Users' Guide. Published 2015. Accessed February 15, 2016.

        • NANDA International
        Nursing Diagnoses: 2015–2017 Definitions and Classification.
        10th ed. John Wiley & Sons, West Sussex, UK2014
      5. Bulechek G. Butcher H. Dochterman J. Wagner C. Nursing Interventions Classification (NIC). 6th ed. Elsevier Mosby, St Louis, MO2013
        • Moorhead S.
        • Johnson M.
        • Maas M.
        Nursing Outcomes Classification (NOC): Measurement of Health Outcomes.
        5th ed. Elsevier Mosby, St Louis, MO2013
        • Martin K.
        The Omaha System: A Key to Practice, Documenation, and Information Management.
        Health Connections Press, Omaha, NE2005
      6. Centers for Medicare and Medicaid Services. OASIS-C1/ICD-10 Version Guidance Manual. Published 2015. Accessed February 15, 2016.

      7. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Published 2014. Accessed February 2016.

      8. World Health Organization. History of the Development of the ICD. Published 2016. Accessed January 7, 2017.

      9. Madden R, Sykes C, Ustun T. World Health Organization Family of International Classifications: Definition, Scope, and Purpose. Published 2007. Accessed January 7, 2018.

      10. ICHI Alpha 2015: International Classification of Health Interventions. Published 2015. Accessed January 7, 2018.

      11. Classification. Farlex Partner Medical Dictionary. Accessed January 7, 2017.

        • de Jesus E.H.
        Cognitive ability patterns and nurses' clinical decision making.
        Stud Health Technol Inform. 2006; 122: 91-94
        • Jenicek M.
        The hard art of soft science: Evidence-based medicine, reasoned medicine or both?.
        J Eval Clin Pract. 2006; 12: 410-419
        • Molinar L.S.
        • Childers A.F.
        • Hoggle L.
        • Kent S.
        • Porter H.
        • Rusnak S.
        Informatics Initiatives at the Academy of Nutrition and Dietetics.
        J Acad Nutr Diet. 2017; 117: 1293-1301
        • Popoutsakis C.
        • Orrevall Y.
        The use of a standardized language among dietitians in Europe: Results and conclusions from a questionnaire by EFAD PPC.
        Dietistaktuelt. 2012; 21: 34-36
      12. Academy of Nutrition and Dietetics. Electronic Nutrition Care Process Terminology (eNCPT). Published 2015. Accessed January 2016.

      13. Norwegian Directorate of Health. NCMP, NCSP or NCRP, classification of medical, surgical and radiological procedures. Published 2016. Accessed November 15, 2016.

        • Dhombres F.
        • Bodenreider O.
        Interoperability between phenotypes in research and healthcare terminologies—Investigating partial mappings between HPO and SNOMED CT.
        J Biomed Semantics. 2016; 7: 3
        • Kim T.Y.
        • Coenen A.
        Toward harmonising WHO International Classifications: A nursing perspective.
        Inform Health Soc Care. 2011; 36: 35-49
        • Bodenreider O.
        Issues in mapping LOINC laboratory tests to SNOMED CT.
        AMIA Annu Symp Proc. 2008; : 51-55
        • Vikström A.
        • Skånér Y.
        • Strender L.E.
        • Nilsson G.H.
        Mapping the categories of the Swedish primary health care version of ICD-10 to SNOMED CT concepts: Rule development and intercoder reliability in a mapping trial.
        BMC Med Inform Decis Mak. 2007; 7: 9
        • Brammen D.
        • Dewenter H.
        • Heitmann K.U.
        • et al.
        Mapping Equivalence of German emergency department medical record concepts with SNOMED CT after implementation with HL7 CDA.
        Stud Health Technol Inform. 2017; 243: 175-179
        • Nikiema J.N.
        • Jouhet V.
        • Mougin F.
        Integrating cancer diagnosis terminologies based on logical definitions of SNOMED CT concepts.
        J Biomed Inform. 2017; 74: 46-58
        • Lougheed M.D.
        • Thomas N.J.
        • Wasilewski N.V.
        • Morra A.H.
        • Minard J.P.
        Use of SNOMED CT® and LOINC® to standardize terminology for primary care asthma electronic health records.
        J Asthma. 2017; : 1-11
        • Reich C.
        • Ryan P.B.
        • Stang P.E.
        • Rocca M.
        Evaluation of alternative standardized terminologies for medical conditions within a network of observational healthcare databases.
        J Biomed Inform. 2012; 45: 689-696
        • Ivory C.H.
        Mapping perinatal nursing process measurement concepts to standard terminologies.
        Comput Inform Nurs. 2016; 34: 312-320
        • Thoresen L.
        • Mellin Olsen T.
        • Kristiansen I.
        • Gharagozlian S.
        • Stove Lorentzen S.
        Kodeverk for Kliniske Ernæringsfysiologer; Nutrition Care Process (NCP) og Nutrition Care Process Terminology (NCPT).
        Norwegian Directory of Health (Helse Directoratet) KEFF (Klinisk Ernæringsfysiologers Forening tilsluttet forskerforbundet), Norway2015
        • Merabti T.
        • Abdoune H.
        • Letord C.
        • Sakji S.
        • Joubert M.
        • Darmoni S.J.
        Mapping the ATC classification to the UMLS metathesaurus: Some pragmatic applications.
        Stud Health Technol Inform. 2011; 166: 206-213
        • Kim T.Y.
        • Coenen A.
        • Hardiker N.
        • Bartz C.C.
        Representation of nursing terminologies in UMLS.
        AMIA Annu Symp Proc. 2011; 2011: 709-714
        • Vizine-Goetz D.
        • Hickey C.
        • Houghton A.
        • Thompson R.
        Vocabulary mapping for terminology services.
        J Digital Inform. 2004; 4
        • Choi J.
        • Jenkins M.L.
        • Cimino J.J.
        • White T.M.
        • Bakken S.
        Toward semantic interoperability in home health care: Formally representing OASIS items for integration into a concept-oriented terminology.
        J Am Med Inform Assoc. 2005; 12: 410-417
      14. Health Informatics—Principles of Mapping Between Terminological Systems. International Organization for Standardization, Geneva, Switzerland2014
        • Gäbler G.J.
        • Coenen M.
        • Bolleurs C.
        • et al.
        Toward harmonization of the Nutrition Care Process Terminology and the International Classification of Functioning, Disability and Health-Dietetics: Results of a mapping exercise and implications for nutrition and dietetics practice and research.
        J Acad Nutr Diet. 2018; 118: 13-20.e13
        • Swan W.I.
        • Vivanti A.
        • Hakel-Smith N.A.
        • et al.
        Nutrition care process and model update: Toward realizing people-centered care and outcomes management.
        J Acad Nutr Diet. 2017; 117: 2003-2014