Episode of care—nursing diagnosis (principal), code (NANDA 1997-98) N.N[{.N}{.N}{.N}{.N}]
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Nursing diagnosis—principal |
METEOR identifier: | 270220 |
Registration status: | Health, Standard 01/03/2005 |
Definition: | The principal nursing diagnosis, as represented by a code. |
Data element concept attributes | |
Identifying and definitional attributes | |
Data element concept: | Episode of care—nursing diagnosis |
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METEOR identifier: | 269673 |
Registration status: | Health, Standard 01/03/2005 |
Definition: | Nursing diagnosis is a clinical judgement about individual, family or community responses to actual or potential health problems/life processes. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. |
Context: | Enables analysis of information by diagnostic variables especially in relation to the development of outcome information, the goal of care and the nursing intervention. This metadata item and the metadata item nursing intervention have shown to be more predictive of resource use than client's functional status or medical diagnosis. |
Object class: | Episode of care |
Property: | Nursing diagnosis |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Nursing diagnosis code (NANDA 1997-98) N.N[{.N}{.N}{.N}{.N}] |
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METEOR identifier: | 270779 |
Registration status: | Health, Standard 01/03/2005 |
Definition: | The NANDA (1997-98) code set representing nursing diagnoses. |
Representational attributes | ||
Classification scheme: | North American Nursing Diagnosis Association (NANDA) Taxonomy 1997-1998 | |
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Representation class: | Code | |
Data type: | Number | |
Format: | N.N[{.N}{.N}{.N}{.N}] | |
Maximum character length: | 6 |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | Up to seven nursing diagnoses may be nominated, according to the following: 1. Nursing diagnosis most related to the principal reason for admission (one only) 2-6. Other nursing diagnoses of relevance to the current episode. |
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Collection methods: | In considering how nursing diagnosis could be implemented, agencies may opt to introduce systems transparent to the clinician if there is confidence that a direct and reliable transfer to NANDA codes can be made from information already in place. Agencies implementing new information systems should consider the extent to which these can facilitate practice and at the same time lighten the burden of documentation. Direct incorporation of the code set or automated mapping to it when the information is at a more detailed level are equally valid and viable options. |
Comments: | The Community Nursing Minimum Data Set - Australia (CNMDSA) Steering Committee considered information from users of the data in relation to this metadata item. Many users have found the taxonomy wanting in its ability to describe the full range of persons and conditions seen by community nurses in the Australian setting. In the absence of an alternative taxonomy with wide acceptance, the CNMDSA Steering Committee has decided to retain North American Nursing Diagnosis Association (NANDA). The University of Iowa has a written agreement with NANDA to expand the relevance of NANDA. The Australian Council of Community Nursing Services (ACCNS) has sought collaboration with a United States of America project at the University of Iowa which is seeking to refine, extend, validate and classify the NANDA taxonomy. |
Source and reference attributes | |
Submitting organisation: | Australian Council of Community Nursing Services |
Relational attributes | |
Related metadata references: | Is re-engineered from Nursing diagnosis, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.4 KB) No registration status |