Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record

SCOPE
1.1 This Practice is intended to assemble a logical occupational/environmental health view of the already defined general structure and vocabulary for the Electronic Health Record (EHR) and to suggest the ways in which this view can be used to support employee health assessments and other healthcare delivered at the work site. This view is consistent with the ANSI/ADA Clinical Concept Data Model 2005, which identified the major data entities that will need to be involved. This view would complement other views addressed in other settings of care for the employee and could logically either request other EHR data or deliver to other practitioner requesters record systems portions of occupational/environmental health data that have been recorded at the work site. This practice does not deal with the specific implementation of the content and it also does not either suggest or recommend implementation techniques. Likewise, it does not suggest standards of care. These functions are dealt with in other domains.

General Information

Status
Historical
Publication Date
14-Nov-2005
Current Stage
Ref Project

Relations

Buy Standard

Standard
ASTM E2473-05 - Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record
English language
20 pages
sale 15% off
Preview
sale 15% off
Preview

Standards Content (Sample)


NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
An American National Standard
Designation: E2473 – 05
Standard Practice for the
Occupational/Environmental Health View of the Electronic
Health Record
This standard is issued under the fixed designation E2473; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope E1715 Practice forAn Object-Oriented Model for Registra-
tion, Admitting, Discharge, and Transfer (RADT) Func-
1.1 This Practice is intended to assemble a logical
tions in Computer-Based Patient Record Systems
occupational/environmental health view of the already defined
E1744 Practice for View of Emergency Medical Care in the
general structure and vocabulary for the Electronic Health
Electronic Health Record
Record (EHR) and to suggest the ways in which this view can
E1762 Guide for Electronic Authentication of Health Care
be used to support employee health assessments and other
Information
healthcare delivered at the work site. This view is consistent
E1869 Guide for Confidentiality, Privacy,Access, and Data
withtheANSI/ADAClinicalConceptDataModel2005,which
Security Principles for Health Information Including Elec-
identified the major data entities that will need to be involved.
tronic Health Records
This view would complement other views addressed in other
E1986 Guide for Information Access Privileges to Health
settings of care for the employee and could logically either
Information
request other EHR data or deliver to other practitioner request-
E1987 Guide for Individual Rights Regarding Health Infor-
er’s record systems portions of occupational/environmental
mation
health data that have been recorded at the work site. This
E1988 Guide for Training of Persons who have Access to
practice does not deal with the specific implementation of the
Health Information
content and it also does not either suggest or recommend
E2017 Guide for Amendments to Health Information
implementation techniques. Likewise, it does not suggest
E2066 Guide for Validation of Laboratory Information
standards of care. These functions are dealt with in other
Management Systems
domains.
E2084 Specification forAuthentication of Healthcare Infor-
2. Referenced Documents
mation Using Digital Signatures
E2085 Guide on Security Framework for Healthcare Infor-
2.1 ASTM Standards:
mation
E1239 PracticeforDescriptionofReservation/Registration-
E2086 Guide for Internet and Intranet Healthcare Security
Admission, Discharge, Transfer (R-ADT) Systems for
E2145 Practice for Information Modeling
Electronic Health Record (EHR) Systems
E2147 Specification forAudit and Disclosure Logs for Use
E1340 GuideforRapid Prototyping of InformationSystems
in Health Information Systems
E1384 Practice for Content and Structure of the Electronic
E2171 Practice for Rating-Scale Measures Relevant to the
Health Record (EHR)
Electronic Health Record
E1578 Guide for Laboratory Information Management Sys-
2.2 ANSI/IEEE Standards:
tems (LIMS)
ANSI/IEEE 610.2 Standard Glossary of ComputerApplica-
E1633 Specification for Coded Values Used in the Elec-
tions Terminology
tronic Health Record
ANSI/IEEE 610.5 Standard Glossary of Information Man-
E1714 Guide for Properties of a Universal Healthcare
agement Terminology
Identifier (UHID)
ANSI/IEEE 610.12 Standard Glossary of Software Engi-
neering Terminology
ANSI/IEEE 729 Fundamental Terms in Software Engineer-
This practice is under the jurisdiction ofASTM Committee E31 on Healthcare
ing
Informatics and is the direct responsibility of Subcommittee E31.25 on Healthcare
Data Management, Security, Confidentiality, and Privacy.
Current edition approved July 17, 2006. Published December 2005. DOI:
10.1520/E2473-05.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Withdrawn. The last approved version of this historical standard is referenced
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM on www.astm.org.
Standards volume information, refer to the standard’s Document Summary page on Available fromAmerican National Standards Institute (ANSI), 25 W. 43rd St.,
the ASTM website. 4th Floor, New York, NY 10036.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
E2473 – 05
ANSI/IEEE 830 Software Requirements Specification ANSI X3.172 American National Dictionary for Informa-
ANSI/IEEE 1058 Software Project Management Plans tion Systems
ANSI/ADA TR 1039 2005 Clinical Content Data Model
ANSI/IEEE 1062 Recommended Practice for Software Re-
quirements ANSI/ADA 1000.0 Introduction, Model Architecture, and
ANSI/IEEE 1063 Software User Documentation Specification Framework
ANSI/ADA 1000.1 Individual Identification
ANSI/IEEE 1073 Framework and Overview
ANSI/ADA 1000.2 Codes and Nomenclature
ANSI/IEEE 1073.2 Application Profile Framework and
Overview ANSI/ADA 1000.3 Individual Characteristics
ANSI/IEEE 1073.3.1 Transport Profile ANSI/ADA 1000.4 Population Characteristics
ANSI/ADA 1000.5 Organization
ANSI/IEEE 1073.4.1 Physical Layer-Cable Connected
ANSI/IEEE 1074 Standard for Developing Life Cycle Pro- ANSI/ADA 1000.6 Location
cesses ANSI/ADA 1000.7 Communication
ANSI/IEEE 1074.1 Guide for Developing Life Cycle Pro- ANSI/ADA 1000.8 Healthcare Event
cesses ANSI/ADA 1000.9 Health Materiel
ANSI/IEEE 1220 Standard for Application and Manage- ANSI/ADA 1000.10 Health Services
ment of the System Engineering Process
ANSI/ADA 1000.11 Health Service Resources
ANSI/IEEE 1233 Guide to Preparing System Requirements
ANSI/ADA 1000.12 Population Health Facts
Specifications ANSI/ADA 1000.13 Patient Health Facts
ANSI/IEEE 1320.1 Standard for Conceptual Modeling
ANSI/ADA 1000.14 Health Condition Diagnosis
Language—Syntax and Semantics for IDEF0
ANSI/ADA 1000.15 Health Service Plan
ANSI/IEEE 1320.2 Standard for Conceptual Modeling
ANSI/ADA 1000.16 Patient Health Service
Language—Syntax and Semantics for IDEF1X97 (IDEF
ANSI/ADA 1000.17 Clinical Investigation
Object)
ANSI/ADA 1000.18 Comments Subject Area
ANSI/IEEE 1362 Guide for Information Technology—
DICOM Supplement 15 Visible Light Image, Anatomic
System Definition—Concept of Operations Document
Frame of Reference, Accession and Specimen for Endos-
ANSI/IEEE 1490 Guide to Project Management Body of
copy, Microscopy, and Photography
Knowledge
CEN ENV 1613 Medical Informatics—Messages for the
ANSI/IEEE 1498 Trial Use Standard for Information
Exchange of Laboratory Information
Technology—Software LifeCycle Processes—Software
CEN ENV 1614 Healthcare Informatics—Structure for No-
Development: Acquirer—Supplier Agreement
menclature, Classification and Coding of Properties in
ANSI/IEEE 12207.0 Standard for Information
Clinical Laboratory Sciences
Technology—Software Life Cycle Processes
CEN EN 12017 Medical Informatics Vocabulary (MIVoc)
ANSI/IEEE 12207.1 Guide for Information Technology—
CEN EN 12264 Categorical Structures of Systems of
Software Life Cycle Processes—Life Cycle Data
Concepts—Model for Representation of Semantics
ANSI/IEEE 12207.2 Guide for Information Technology—
(MOSE)
Software Life Cycle Processes—Implementation Consid-
Internet RFC 1521 N. Borenstein, N Freed MIME [Multi-
erations
purpose Internet Mail Extensions] Purpose: Mechanisms
IEEE P1157.1 Trial Use Standard for Healthcare Data
for Specifying and Designating the Format of Internet
Interchange—Information Model Methods
Message Bodies Bellcore Innosoft Sep 1993
2.3 ANSI/HL7 Standards:
ANSI X12
ANSI/HL7 Interface Standard v2.4
CLSI AUTO1-A Laboratory Automation: Specimen
HL7 Message Development Framework v 3.0 Jan 1997
Container/Specimen Carrier
2.4 ISO Standards:
CLSI AUTO2-A Laboratory Automation: Bar codes for
ISO/IEC TR 9789 Information Technology—Guidelines for
Specimen Container Identification
the Organization and Representation of Data Elements for
CLSI AUTO3-A Laboratory Automation: Communications
Data Interchange—Coding Methods and Principles
with Automated Clinical Laboratory Systems, Instru-
ISO 12200 Computer Applications in Terminology—
ments, Devices and Information Systems
Machine-Readable Terminology Interchange Format
CLSI AUTO4-A Laboratory Automation: Systems Opera-
(MARTIF)—Negotiated Interchange
tional Requirements, Characteristics and Information El-
ISO 12620 Computer Applications in Terminology—Data ements
Categories
CLSI AUTO5-A Laboratory Automation: Electromechani-
ISO IS 12207 Information Technology-Software Life Cycle
cal Interfaces
Processes ANSI/ CLSI ASTP2 Point of Care In-vitro Diagnostic
ISO IS 15188 Project Management Guidelines for Termi-
Testing
nology Standardization
ANSI/CLSI GP19 Laboratory Instruments and Data Man-
ISO WD 15288 System Life Cycle Processes agement Systems: Design of Software User Interfaces and
ISO 15440 Guide for Life Cycle Processes Software Systems Validation, Operations and Mainte-
2.5 Other Standards: nance
E2473 – 05
CLSILIS-3A(priorASTME792) GuideforProcurementof 3.2.20 NCVHS—National Committee on Vital and Health
a Clinical Laboratory Information Management System Statistics
(CLIMS) 3.2.21 NIOSH—National Institute for Occupational Safety
CLSI LIS-5A(priorASTM E1238) Specification for Trans- and Health
ferring Clinical Observations Between Independent Com- 3.2.22 NPF—National Provider File
puter Systems 3.2.23 NPI—National Provider Identifier
CLSI LIS-1A (prior ASTM E1381) Specification for Low 3.2.24 NPS—National Provider System
Level Protocol to Transfer Messages Between Clinical 3.2.25 OSHA—OccupationalSafetyandHealthAdministra-
Laboratory Instruments and Computer Systems tion
CLSI LIS-2A(priorASTM E1394) Specification for Trans- 3.2.26 POC—Point-of-Care
ferring Information Between Clinical Instruments and 3.2.27 POCT—Point-of-Care Testing
Computer Systems 3.2.28 PPO—Preferred Provider Organization
CLSI LIS-7A(priorASTM E1466) Specification for Use of 3.2.29 SSAN—Social SecurityAccount Number (also SSN)
Bar Codes on Specimen Tubes in the Clinical Laboratory 3.2.30 UMLS—Unified Medical Language System
CLSI LIS-8A (prior ASTM E1639) Guide for Functional 3.2.31 VHA—Veteran’s Health Administration
Requirements of Clinical Laboratory Information Man- 3.2.32 VistA—VHA Information Systems Technology Ar-
agement Systems chitecture
CLSI LIS-9A (prior ASTM E2118) Guide for Coordination
4. Significance and Use
of Clinical Laboratory Services Within the Electronic
4.1 This practice is directed at defining the application of
Health record Environment and Networked Architectures
existing conventions for the structure and content of EHR
IUPAC/IFCC Silver Book: Compendium of Terminology
systems used to support healthcare practitioners in a workplace
and Nomenclature of Properties in Clinical Laboratory
setting. In addition to supporting the capture of data on
Sciences
encounters and of periodic patient health assessments con-
IUPAC/IFCC Properties and Units in Clinical Laboratory
ducted during the time the employee is at work, this document
Sciences X Properties and Units in General Clinical
also recognizes the interaction of care rendered over a lifetime
Chemistry
and when not at work with that due to the work environment
IUPAC/IFCC Properties and Units in Clinical Laboratory
that is delivered on the work site, either for care events that
Sciences XII Properties and Units in Clinical Pharmacol-
have occupational significance or for surveillance of potential
ogy and Toxicology
health conditions that may result from the work or living
3. Terminology
environment. This document recognizes not only the privacy
3.1 Definition: and confidentiality of records that are kept in the work setting
3.1.1 case—an Occupational/Environmental Health event but also the need to be able to interchange data from the
in which one or more individuals and locations are found to workplace record with health records in other settings in order
exhibit measurements of environmental stressors that are at to fully support employee and environmental health.
variance with criteria that define normative states. 4.2 Occupational Health Programs:
3.2 Acronyms: 4.2.1 Most occupational health programs are oriented, first,
3.2.1 CAP—College of American Pathologists to any regular surveillance for observations associated with
3.2.2 CDC—Centers for Disease Control and Prevention, potentially adverse health conditions known to attend environ-
Dept. of Health and Human Services mental stressors that may be present in either the workplace or
3.2.3 CDSS—Clinical Decision Support Systems the living environment and, second, to care and documentation
3.2.4 CLIMS—Clinical Laboratory Information Manage- ofanyillnessorinjuryincurredduringtheworkdayatthework
ment System site or in other living environments. Each of these activities
3.2.5 CLSI—Clinical and Laboratory Standards Institute requires recording data for the care record that is a subset of
3.2.6 CPR—Computer-based Patient Record that regularly required for care in other more extensive
3.2.7 DHHS—Department of Health and Human Services ambulatory and inpatient care settings. It also requires relating
3.2.8 EC—Electronic Commerce the events occurring in either the work place or the living
3.2.9 EDI—Electronic Data Interchange environment to those observed healthcare data.
3.2.10 EHR—Electronic Health Record 4.2.2 This practice is intended to identify the most fre-
3.2.11 EPA—Environmental Protection Agency quently used of the general data elements which are more
3.2.12 HIN—Health Information Network completely documented in Practice E1384 and Specification
3.2.13 IDS—Integrated Delivery Systems E1633. Thus, this description constitutes a “view” of the more
3.2.14 ISA—Information Systems Architecture comprehensive set of data that might be captured in a general
3.2.15 LAS—Laboratory Automation System ambulatory care encounter. If the conventions given in this
3.2.16 LIMS—Laboratory Information Management Sys- document are adhered to, the data will ensure a record that is
tem portable to any other setting and the record will be interoper-
3.2.17 MDSS—Management Decision Support System able with other standards conformant systems, regardless of
3.2.18 MCO—Managed Care Organization their implementation techniques. Fig. 1 shows the inter-
3.2.19 MPI—Master Person/Patient Index relationships of the basic information domains that support
E2473 – 05
FIG. 1 Occupational/Environmental Health Information Subdomains
Occupational/Environmental Health programs within health- defined to be that informational record that identifies a specific
care. The Ca
...

Questions, Comments and Discussion

Ask us and Technical Secretary will try to provide an answer. You can facilitate discussion about the standard in here.