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CC BY-NC-ND 4.0 · Yearb Med Inform 2023; 32(01): 036-047
DOI: 10.1055/s-0043-1768746
Special Section: Informatics for One Health
Working Group Contributions

Representation of Environmental Concepts Associated with Health Impacts in Computer Standardized Clinical Terminologies

Lorraine J. Block   *
1   University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada
,
Erika Lozada-Perezmitre
2   Benemerita Universidad Autonoma de Puebla, Nursing Faculty BUAP, Puebla, México
,
Hwayoung Cho
3   University of Florida, Gainesville, Florida, United States
,
Shauna Davies
4   University of Regina, Regina, Saskatchewan, Canada
,
Jisan Lee
5   Department of Nursing, Gangneung-Wonju National University, Wonju, Republic of Korea
,
Zerina Lokmic-Tomkins
6   School of Nursing and Midwifery, Monash University, 10 Chancellors Walk, Clayton, Melbourne, Victoria 3800, Australia
,
Laura-Maria Peltonen
7   University of Turku and Turku University Hospital, Turku, Finland
,
Lisiane Pruinelli
8   University of Florida, Gainesville, FL, USA
,
Lisa Reid
9   Flinders University, Adelaide, South Australia, Australia
,
Jiyoun Song
10   University of Pennsylvania School of Nursing, Philadelphia, PA, USA
,
Maxim Topaz
11   Columbia University & VNS Health, New York, New York, United States
,
Hanna von Gerich
12   University of Turku, Department of Nursing Science, Turku University Hospital, Finland
,
Pankaj Vyas
13   University of Arizona, College of Nursing, Tucson, AZ, United States
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Summary

Objective: To evaluate the representation of environmental concepts associated with health impacts in standardized clinical terminologies.

Methods: This study used a descriptive approach with methods informed by a procedural framework for standardized clinical terminology mapping. The United Nations Global Indicator Framework for the Sustainable Development Goals and Targets was used as the source document for concept extraction. The target terminologies were the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and the International Classification for Nursing Practice (ICNP). Manual and automated mapping methods were utilized. The lists of candidate matches were reviewed and iterated until a final mapping match list was achieved.

Results: A total of 119 concepts with 133 mapping matches were added to the final SNOMED CT list. Fifty-three (39.8%) were direct matches, 37 (27.8%) were narrower than matches, 35 (26.3%) were broader than matches, and 8 (6%) had no matches. A total of 26 concepts with 27 matches were added to the final ICNP list. Eight (29.6%) were direct matches, 4 (14.8%) were narrower than, 7 (25.9%) were broader than, and 8 (29.6%) were no matches.

Conclusion: Following this evaluation, both strengths and gaps were identified. Gaps in terminology representation included concepts related to cost expenditures, affordability, community engagement, water, air and sanitation. The inclusion of these concepts is necessary to advance the clinical reporting of these environmental and sustainability indicators. As environmental concepts encoded in standardized terminologies expand, additional insights into data and health conditions, research, education, and policy-level decision-making will be identified.

Keywords

Nursing informatics - environmental health - standardized nursing terminology - systematized nomenclature of medicine - artificial intelligence

* first co-author




Publication History

Article published online:
26 December 2023

© 2023. IMIA and Thieme. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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