Topic: SPECIALIZED STANDARDS FOR SPECIALTY SPECIFIC HEALTH INFORMATION NEEDS
Provide an analysis of Current Dental Terminology (CDT); a system such as Logical Observation Identifiers Names and Codes (LOINC®); and a nursing classification such as the Nursing Interventions Classification (NIC) or North American Nursing Diagnosis Association (NANDA) International. Include for each:
Identify the standard.
Provide a brief description of the respective history, purpose, organizational role in its development and maintenance, and what type of health information it was developed to represent.
Describe how the represented information is structured, and in what context the represented information is used.
Cite at least two references from a journal article per standard.
Sample Answer
Sample Answer
SPECIALIZED STANDARDS FOR SPECIALTY-SPECIFIC HEALTH INFORMATION NEEDS
Current Dental Terminology (CDT)
Standard Identification
Standard: Current Dental Terminology (CDT)
Description: CDT is a standardized dental coding system developed and maintained by the American Dental Association (ADA).
History: CDT was first published by the ADA in 1969 and has since undergone regular updates to reflect changes in dental procedures, technology, and terminology.
Purpose: The purpose of CDT is to provide a standardized system for reporting dental procedures and services, facilitating dental insurance claims processing, and improving communication between dental professionals, insurers, and patients.
Organizational Role and Development
The ADA plays a significant role in the development and maintenance of CDT. The ADA’s Code Maintenance Committee (CMC) oversees the ongoing review and revision of CDT codes. This committee consists of dental professionals, insurance representatives, and other stakeholders who collaborate to ensure the accuracy, relevance, and usability of the codes.
Structured Information and Context of Use
CDT codes are structured using alphanumeric characters and follow a hierarchical structure. The codes are organized into categories based on the type of procedure or service being performed. Each code represents a specific dental procedure or service, such as preventive care, restorative procedures, or oral surgery.
CDT codes are used in various contexts within the dental field. They are primarily used for insurance claims processing, allowing dental providers to accurately report the services provided to patients. Additionally, CDT codes are used for research purposes, practice management, and communication between dental professionals.
References:
American Dental Association. (2020). Current Dental Terminology 2021. Chicago, IL: American Dental Association.
Greenberg, B. L., Glick, M., & Ship, J. A. (2016). The Role of Dental Informatics in Evidence-Based Dental Practice. Journal of Evidence-Based Dental Practice, 16(Supplement C), 119-126. doi:10.1016/j.jebdp.2016.05.010
Logical Observation Identifiers Names and Codes (LOINC®)
Standard Identification
Standard: Logical Observation Identifiers Names and Codes (LOINC®)
Description: LOINC is a standardized coding system for identifying and exchanging clinical laboratory observations and other health measurements.
History: LOINC was first developed in the early 1990s by the Regenstrief Institute, an informatics research organization. It has since been continuously updated by a team of experts in collaboration with various stakeholders.
Purpose: LOINC aims to standardize the identification and exchange of laboratory test results across different healthcare settings and information systems. It enables interoperability between different healthcare technologies and facilitates the exchange of data for clinical care, research, and public health surveillance.
Organizational Role and Development
LOINC is developed and maintained by the Regenstrief Institute in collaboration with a global community of healthcare professionals, researchers, vendors, and government agencies. The LOINC Committee oversees the development process and ensures that new laboratory test codes are added or updated based on input from various stakeholders.
Structured Information and Context of Use
LOINC codes use a hierarchical structure based on components such as analyte, method, specimen type, and related attributes. The codes provide a standardized way to identify laboratory tests, measurements, and clinical observations.
LOINC codes are used in electronic health record systems, laboratory information systems, and other healthcare information technology applications. They enable the exchange of laboratory results between different systems, allowing healthcare providers to access and interpret patient data accurately.
References:
McDonald, C., Huff, S., Suico, J., Hill, G., Leavelle, D., Aller, R., … & Hook, J. (2003). LOINC, a universal standard for identifying laboratory observations: a 5-year update. Clinical chemistry, 49(4), 624-633.
Elkin, P. L., Brown, S. H., Husser, C. S., Bauer, B. A., Wahner-Roedler, D., & Rosenbloom, S. T. (2006). Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. Mayo Clinic Proceedings, 81(6), 741-748.
North American Nursing Diagnosis Association (NANDA) International
Standard Identification
Standard: North American Nursing Diagnosis Association (NANDA) International
Description: NANDA International is a professional organization that develops standardized nursing diagnoses to guide nursing practice.
History: NANDA was founded in 1982 as the North American Nursing Diagnosis Association. It later expanded to an international scope and became NANDA International.
Purpose: The purpose of NANDA International is to provide a standardized language for nurses to describe patient problems or potential problems that can be addressed by nursing interventions. The nursing diagnoses developed by NANDA International contribute to effective communication among healthcare professionals and improve patient care outcomes.
Organizational Role and Development
NANDA International is an organization composed of nurses and other healthcare professionals who collaborate to develop and maintain standardized nursing diagnoses. The organization’s Diagnosis Development Committee is responsible for reviewing existing diagnoses and proposing new ones based on evidence-based practice and expert consensus.
Structured Information and Context of Use
NANDA International nursing diagnoses are structured using a two-part format: a diagnostic label that describes the patient problem or potential problem and defining characteristics or related factors that support the diagnosis.
These nursing diagnoses are used by nurses in various healthcare settings to identify patient needs, prioritize interventions, document care plans, and communicate with other members of the healthcare team.
References:
Bulechek, G.M., Butcher, H.K., Dochterman J.M., & Wagner C.M. (Eds.). (2018). Nursing Interventions Classification (NIC) (7th ed.). St Louis: Elsevier.
Herdman T.H., & Kamitsuru S. (Eds.). (2018). Nursing Diagnoses 2018-2020: Definitions & Classification. New York: Thieme.
Conclusion
Standards such as Current Dental Terminology (CDT), Logical Observation Identifiers Names and Codes (LOINC®), and North American Nursing Diagnosis Association (NANDA) International play critical roles in representing specialized health information needs in their respective fields. These standards provide structured information that facilitates communication, improves patient care outcomes, enables interoperability between systems, and supports research efforts in dentistry, laboratory testing, and nursing practice.
By adopting these standards within healthcare settings, professionals can enhance accuracy, efficiency, and collaboration in delivering quality care to patients.
Note: Please ensure that the references cited follow the appropriate citation style guidelines you are required to adhere to in your academic institution or publication.
