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Due to an ageing society, it can be expected that less nursing personnel willbe responsible for an increasing number of patients in the future. One way toaddress this challenge is to provide system-based support for nursing personnelin creating, executing, and adapting patient care processes. In care practice,these processes are following the general care process definition andindividually specified according to patient-specific data as well as diagnosesand guidelines from the NANDA, NIC, and NOC (NNN) standards. In addition,adaptations to running patient processes become necessary frequently and are tobe conducted by nursing personnel including NNN knowledge. In order to providesemi-automatic support for design and adaption of care processes, aformalization of NNN knowledge is indispensable. This technical report presentsthe NNN formalization that is developed targeting at goals such ascompleteness, flexibility, and later exploitation for creating and adaptingpatient care processes. The formalization also takes into consideration anextensive evaluation of existing formalization standards for clinicalguidelines. The NNN formalization as well as its usage are evaluated based oncase study FATIGUE.

The NNN Formalization: Review and Development of Guideline Specification in the Care Domain