Henry, Suzanne Bakken; Mead, Charles N

Table 3

Example of Application of Conceptual Graph Schema to Nursing Activity Concepts

a. Simplified conceptual graph schema for a nursing activity concept

[activity]-
- (has initiator) → [{MD, skilled profesional, paraprofessional, patient, caregiver, self}]
- (has provider) → [{MD, skilled professional, paraprofessional, patient, caregiver, self}]
- (has recipient) → [{patient, family, formal caregiver, informal caregiver, skilled professional, paraprofessional}]
- (has delivery mode) → [{assess, teach, provide, manage}]
- (has response) → [{verbalizes understanding, provides return demonstration, initiates service}]

b. Instantiation of the schema with terms from a nursing note

Obtained medical history. Taught insulin injection. Return demonstration by patient. Dressed wound per MD order. Placed call to Meals on Wheels for initiation of services.

[medical history]-
- (has provider) → [home care nurse]
- (has recipient) → [patient]
- (has delivery mode) → [assess]*
[insulin injection]-
- (has provider) → [home care nurse]
- (has recipient) → [patient]
- (has delivery mode) → [teach]
- (has response) → [provides return demonstration]**
[wound dressing]-
- (has initiator) → [MD]
- (has provider) → [home care nurse]
- (has recipient) → [patient]
- (has delivery mode) → [provide]
[service request]-
- (has provider) → [home care nurse]
- (has recipient) → [Meals on Wheels]
- (has delivery mode) → [manage]
- (has response) → [initiated services]

↵* It is assumed that an underlying model to support synonomy exists that would allow correct linkage of the term “obtained” with the delivery mode “assess.”
↵** It is anticipated that concepts linked to the “has response” relation will most often themselves be expressed via a “response conceptual graph” schema similar—but not necessarily identical—to the activity schema presented above.

Nursing Classification Systems

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