An example is archetypes of nursing problems for breast cancer patients developed and tested in Korea. While the importance of developing a detailed clinical model for nursing has been addressed by nurse informaticists, there are only a few reports on this topic in nursing literature. However, the efforts in these approaches so far have been limited to the domain of medical knowledge. Several different approaches have been used in the development of agreed data structures IMH Clinical Elements from Intermountain Healthcare as part of Detailed Clinical Models, ISO 13606 Archetypes, Clinical Templates Scotland, Clinical Contents Models, HL7 templates, and Detailed Clinical Model instances. A value set, in turn, represents a uniquely identifiable set of valid concept representations of an attribute. An attribute is a qualifier that represents a data entity in more detail, and is associated with possible values. An entity is a core or focus concept of a data element. DCMs consist of entity-attribute-value triplets. A DCM is a relatively small, standalone information model designed to express a clinical concept in a standardized and reusable manner. Agreed data structures may be referred to under many different names, such as detailed clinical models (DCMs), clinical element models, generic templates, care information models, clinical content models, clinical templates, archetypes, clinical fragments, general purpose information components, and more. That is, irrespective of which sets of Reference Models and Terminologies are adopted, structured clinical data are needed to achieve high-level semantic interoperability. Therefore, to ensure high-level semantic interoperability, it is necessary to have an agreed clinical data structure which can link reference models and terminologies. Clinical terminology systems – such as the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and SNOMED CT – facilitate the entry and analysis of healthcare data, but are also difficult for use in clinical practice due to the great variation in the scope and granularity of clinical terminologies. However, they are too general to use in clinical practice. Reference models such as HL7 CDA (Clinical Document Architecture), the openEHR Reference Model, and the ISO reference terminology model for nursing are high-level logical models that permit the mapping of corresponding parts of information structures between systems. Agreed clinical data structure definitions.

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