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Programme
Areas ICNP® ICNP® Research & Development
ICNP® Collaborations
ICNP® Collaborations
World Health Organization (WHO)
- WHO Family of International Classifications (WHO-FIC)
- International Classification of Diseases (ICD – 11)
International Health Terminology Standards Development Organization (IHTSDO)
International Organisation for Standards (ISO)
International Nursing Minimum Data Set (i-NMDS)(September 2007)
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World Health Organization (WHO)
WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. http://www.who.int/about/en/
WHO Family of International Classifications (WHO-FIC)
The purpose of WHO-FIC is to promote the appropriate selection of classifications in the range of settings in the health field across the world. The basis for the WHO Family of International Classifications and the principles governing the admission of classifications are set out in the paper on the "WHO Family of International Classifications'. This paper also provides a protocol to those wishing to submit a classification for inclusion in the WHO-FIC. http://www.who.int/classifications/en/ICN has applied to the WHO FIC to have ICNP® recognized as a related terminology.
International Classification of Diseases (ICD – 11)
The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. It is used to classify diseases and other health problems recorded on many types of health and vital records including death certificates and health records. http://www.who.int/classifications/icd/en/index.htmlThe International Classification of Diseases (ICD-10) is currently under revision by the World Health Organization (WHO). WHO is developing a number of processes to facilitate participation in the review process by a range of stakeholders, including governments, professional societies, and advocacy organisations. ICN is represented on the working group for the revision of the Mental and Behavioural Disorders chapter of ICD-10. The timeline for the revision process is as follows: Completion of the Alpha draft version of ICD-11 is planned for 2010, followed by one year for commentary and consultation. The Beta draft version should be completed in 2011, followed by field trials, analysis of field trial data, and revision during the subsequent two years. The final version for public viewing should be completed in 2013, with approval by the World Health Assembly in 2014.
International Health Terminology Standards Development Organization (IHTSDO)
The IHTSDO is an international not-for-profit organization based in Denmark. IHTSDO acquires, owns and administers the rights to SNOMED CT and other health terminologies and related standards. The purpose of IHTSDO is to develop, maintain, promote and enable the uptake and correct use of its terminology products in health systems, services and products around the world, and undertake any or all activities incidental and conducive to achieving the purpose of the Association for the benefits the members. http://www.ihtsdo.org/about-ihtsdo/ (accessed 9 Sep 08) ICN is collaborating with the IHTSDO on issues related to the nursing domain of health care.
International Organisation for Standards (ISO)
ISO is the world's largest developer and publisher of International Standards. ISO is a network of the national standards institutes of 157 countries, one member per country, with a Central Secretariat in Geneva, Switzerland, that coordinates the system. ISO is a non-governmental organization that forms a bridge between the public and private sectors. http://www.iso.org/iso/about.htm
ICN is represented on ISO Technical Committee 215 U.S. Technical Advisory Group.
This initiative was undertaken by a group of experts within ISO Technical Committee 215 (Health Informatics) Working Group 3 (Health Concept Representation) under the collaborative leadership of the International Medical Informatics Association - Nursing Special Interest Group (IMIA-NI) and the International Council of Nurses (ICN). The title of the Standard, ‘Integration of a reference terminology model for nursing’, reflects an intention to move towards a more comprehensive terminology for health care.
This standard was approved by ISO in 2003. Further research is needed to test these reference terminology models. To facilitate the ongoing review of this ISO standard, this website provides a database of pertinent research and evaluation.
SEARCH FOR MODEL TESTING BY:
TO SUBMIT YOUR TESTING or RESEARCH
International Nursing Minimum Data Set (i-NMDS)(September 2007)
INTERNATIONAL NURSING MINIMUM DATA SET (i-NMDS)
What is the i-NMDS?
The i-NMDS includes the core, essential, minimum data elements to be collected in the course of providing nursing care. The i-NMDS provides a framework for collecting information to describe and examine nursing practice, nursing resources and selected healthcare problems. The i-NMDS was built on the efforts already underway in individual countries.
Why is the i-NMDS Important?
The contribution of nursing care and nurses is essential to health care globally. It is imperative that local, national and international health care infrastructures support the collection and reuse of nursing data. The i-NMDS as a key data set will support:
- Describing client health status, nursing interventions, care outcomes, and resource consumption related to nursing services
- Improving the performance of health care systems and the nurses working within these systems worldwide
- Enhancing the capacity of nursing and midwifery services
- Addressing the nursing shortage, inadequate working conditions, uneven distribution and inappropriate utilization of nursing personnel
- Focusing on the challenges as well as opportunities of global technological innovations
- Testing evidence-based practice improvements; and
- Contributing to improved public health
Defining i-NMDS Elements
The i-NMDS project is under the auspices of the International Council of Nurses (ICN) and the International Medical Informatics Association Nursing Informatics Special Interest Group (IMIA NI-SIG). Project work is also coordinated with international standards organizations and other stakeholders to assure harmonization of these efforts.
Building on the Nursing Minimum Data Set work of Werley and Lang (1988), the i-NMDS project has identified a framework with three categories of data elements: (a) setting; (b) patient demographics; (c) nursing care. Data elements are identified within each of the three categories.
1. Setting:
agency location, ownership of facility, country system of payment, clinical service type, care personnel (number, gender, training and education, full time equivalent for types of personnel), and ratio of patients to personnel. 2. Patient demographics: care episode start and stop dates, country of residence, clinical service type, discharge status, year of birth, gender, and reason for admission. 3. Nursing care: Nursing diagnoses, nursing interventions, patient outcomes, and intensity of care. Along with building on the work already underway in individual countries, the i-NMDS Project is intended to build on and use the International Classification for Nursing Practice (ICNP®), an ICN Programme. ICNP® concepts can be used to represent the i-NMDS nursing care elements: nursing diagnosis, intervention and outcome. Overall, the i-NMDS can be used to coordinate international data collection and analyses of relevant nursing information to support the description, study, and improvement of nursing practice.
How can you participate?
A number of countries have expressed interest in participating in the i-NMDS project. There is an effort to organize country-based project teams consisting of a representative of the ICN member national nurses association, a representative of IMIA-NI (if applicable), and other experts. Project teams are listed on the iNMDS web site: www.nursing.umn.edu/ICNP . The i-NMDS work is coordinated through the Center for Nursing Minimum Data Set Knowledge Discovery, located at the University of Minnesota School of Nursing, USA. The Centre, accredited by ICN as an ICNP® Research and Development Center, provides administrative and resource support for the advancement of the i-NMDS.
For Further Information:
Center for Nursing Minimum Data Set Knowledge Discovery
www.nursing.umn.edu/ICNP
or
Connie Delaney, Director
Bonnie Westra, Co-Director
International Council of Nurses
Amy Coenen
International Classification of Functioning, Disability and Health (WHO ICF)
The ICF is a classification of health and health-related domains. These domains are classified from body, individual and societal perspectives by means of two lists: a list of body functions and structure, and a list of domains of activity and participation. Since an individual’s functioning and disability occurs in a context, the ICF also includes a list of environmental factors. http://www.who.int/classifications/icf/en/
ICN is developing, in coordination with the WHO FIC Collaborating Center of the Netherlands, a pilot project for mapping ICNP® and ICF.
ICNP® represents nursing work and client outcomes. ICNP® is a unified nursing language system that facilitates the development and cross-mapping of local nursing terms and existing terminologies.
The American Nurses Association recognized seven nursing terminologies. http://www.nursingworld.org/npii/terminologies.htm
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