ASTM_E_2553_-_07_2013.pdf

Designation:E255307(Reapproved 2013)An American National StandardStandard Guide forImplementation of a Voluntary Universal HealthcareIdentification System1This standard is issued under the fixed designation E2553;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This document describes the implementation principlesneeded to create a Voluntary Universal Healthcare Identifica-tion(VUHID)system.The purpose of this system is to enableunambiguous identification of individuals in order to facilitatethe delivery of healthcare.1.2 The VUHID system should be dedicated exclusively tothe needs and functions of healthcare.1.3 The VUHID system is designed to represent no,or atleast minimal,increased risk to healthcare privacy and security.1.4 The system should be as cost-effective as possible.1.5 The system must be created and maintained in a way toprovide sustained benefit to healthcare.1.6 The system should be designed and implemented in amanner that ensures that it can operate indefinitely.1.7 This standard does not purport to address all of thesafety concerns,if any,associated with its use.It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determine the applica-bility of regulatory limitations prior to use.2.Referenced Documents2.1 ASTM Standards:2E1714 Guide for Properties of a Universal Healthcare Iden-tifier(UHID)2.2 Other Standard:AIIM Standard PDF417 Bar-coding3.Terminology3.1 Acronyms:3.1.1 2Dtwo dimensional3.1.2 CDOcare delivery organization3.1.3 EMPIenterprise master patient index3.1.4 MOmanaging organization3.1.5 OVIDopen voluntary healthcare identifier3.1.6 PVIDprivate voluntary healthcare identifier3.1.7 VUHIDvoluntary universal healthcare identification4.Summary of Guide4.1 The VUHID facility described in this guide is respon-sible for issuing unique personal healthcare identifiers to anycooperating EMPI facility(defined below)upon receipt of anauthenticated request.The issued identifiers must be consistentwith Guide E1714 and,as appropriate,would consist of bothopen OVIDs(Open Voluntary Healthcare Identifiers)as wellas PVIDs(Private Voluntary Healthcare Identifiers).Thisdocument will refer to any identifier issued by the VUHID,whether OVID or PVID,as a VUHID identifier.OVIDs areused to provide linkage of healthcare information for circum-stances where the identity of the associated person is meant tobe freely accessible.PVIDs(which exist in various privacyclasses)permit linkage of various healthcare data items wherethe identity of the associated individual is not meant to bepublicly available.4.2 The VUHID system should be created as a securehigh-availability server on the Internet which communicatesexclusively with cooperating EMPI facilities using securecommunication techniques.The VUHID facility issues identi-fiers and is responsible for maintaining policies and proceduresrelating to various classes of PVIDs.It does not store patientidentification,demographic information,or clinical informa-tion and for this reason does not represent a security or privacyvulnerability.(See Section 12 for a description of how thisapproach is implemented when issuing a new identifier.)TheVUHID facility should receive requests for information relat-ing to a given identifier and distribute those requests to allcooperating EMPI facilities in order to fulfill the informationsharing goals associated with unambiguous patient identifica-tion.4.3 The identifiers issued by the VUHID facility can beused,consistent with the policy established for each identifierclass,by all of the participating healthcare facilities interacting1This guide is under the jurisdiction of ASTM Committee E31 on HealthcareInformatics and is the direct responsibility of Subcommittee E31.35 on HealthcareData Analysis.Current edition approved March 1,2013.Published March 2013.Originallyapproved in 2007.Last previous edition approved in 2007 as E255307.DOI:10.1520/E2553-07R13.2For referenced ASTM standards,visit the ASTM website,www.astm.org,orcontact ASTM Customer Service at serviceastm.org.For Annual Book of ASTMStandards volume information,refer to the standards Document Summary page onthe ASTM website.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 with a cooperating EMPI to facilitate storage,linkage,andexchange within that system.4.4 The VUHID facility should be controlled by a managingorganization that is dedicated exclusively to the benefit of thehealthcare industry.5.Significance and Use5.1 This standard describes a proposal to provide unambigu-ous personal identification for any patient who requests it.Intodays world of specialized healthcare and mobile patients it istypical for