Pressure Ulcer

Approach and Rationale:

Health Factor Selection: We selected HFs around Pressure Injury to compare ANF conversion findings.
We broke down the Health factor statements into chunks that capture the action of what was being performed or requested. Also, we put into consideration that each chunk can exist on its own and still retain its original intent and clarity of meaning
After the chunking process, we can identify the topics of the ANF statement because they capture the action and are able to stand on their own.
We proceed to populate the ANF fields from the chunk data sets

Highlighted Example:

“Pressure Injury Stage1(intact skin; nonblanchable redness)#4”

ANF Fields	Modeler 1 (Jack)	2 (Adeolu)	3 (Everest)
ID	STAGE I #4	N/A	N/A
Time	1606344358	1607112828	2020-12-081100
SubjectOfRecord	Patient	patient	Patient
Author	Nurse	nurse	N/A
SubjectOfInformation	Patient	patient-116154003	Patient
AssociatedStatement	stage 1(intact skin; nonblanchable redness)#4	Stage I	N/A
Topic	Pressure Injury	Skin Assessment-225397006	Pressure Ulcer Stage
Type	Pressure Injury Performance	skin assessment performed-398166005	Performance
Circumstance	Performance Circumstance	performanceCircumstance	Intact, Nonblanchable Redness
Status	Completed-718312008	Completed-718312008	N/A
Result	1, inf	[1,inf]	4
HealthRisk			N/A
Participant	Nurse	Nurse	N/A
ReferenceRange			N/A
Timing	2020-12-90927	2020-12-90927	Not specified
Purpose	225397006\|363702006\|421076008	225397006\|363702006\|421076008	Not specified

Discussion: The modelers all approached documenting “Pressure Injury Stage1(intact skin; nonblanchable redness)#4” with some similarities and some differences. Modeler 1 populated the ID field with the Health factor title while the others were unable to determine the specificity of the field. The AssociatedStatement field was the most difficult for the modelers to determine with all having different answers (two of the modelers narrowed it to the same information but couldn’t specify whether to include more or less information).