ASTM_E_2473_-_05_2011.pdf

Designation:E247305(Reapproved 2011)An American National StandardStandard Practice for theOccupational/Environmental Health View of the ElectronicHealth Record1This standard is issued under the fixed designation E2473;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 Practice is intended to assemble a logicaloccupational/environmental health view of the already definedgeneral structure and vocabulary for the Electronic HealthRecord(EHR)and to suggest the ways in which this view canbe used to support employee health assessments and otherhealthcare delivered at the work site.This view is consistentwith theANSI/ADAClinical Concept Data Model 2005,whichidentified the major data entities that will need to be involved.This view would complement other views addressed in othersettings of care for the employee and could logically eitherrequest other EHR data or deliver to other practitioner request-ers record systems portions of occupational/environmentalhealth data that have been recorded at the work site.Thispractice does not deal with the specific implementation of thecontent and it also does not either suggest or recommendimplementation techniques.Likewise,it does not suggeststandards of care.These functions are dealt with in otherdomains.2.Referenced Documents2.1 ASTM Standards:2E1239 Practice for Description of Reservation/Registration-Admission,Discharge,Transfer(R-ADT)Systems forElectronic Health Record(EHR)SystemsE1340 Guide for Rapid Prototyping of Information SystemsE1384 Practice for Content and Structure of the ElectronicHealth Record(EHR)E1578 Guide for Laboratory Information Management Sys-tems(LIMS)E1633 Specification for Coded Values Used in the ElectronicHealth RecordE1714 Guide for Properties of a Universal Healthcare Iden-tifier(UHID)E1715 Practice for An Object-Oriented Model for Registra-tion,Admitting,Discharge,and Transfer(RADT)Func-tions in Computer-Based Patient Record SystemsE1744 Practice for View of Emergency Medical Care in theElectronic Health RecordE1762 Guide for Electronic Authentication of Health CareInformationE1869 Guide for Confidentiality,Privacy,Access,and DataSecurity Principles for Health Information Including Elec-tronic Health RecordsE1986 Guide for Information Access Privileges to HealthInformationE1987 Guide for Individual Rights Regarding Health Infor-mation(Withdrawn 2007)3E1988 Guide for Training of Persons who have Access toHealth Information(Withdrawn 2007)3E2017 Guide for Amendments to Health InformationE2066 Guide for Validation of Laboratory Information Man-agement SystemsE2084 Specification for Authentication of Healthcare Infor-mation Using Digital Signatures(Withdrawn 2009)3E2085 Guide on Security Framework for Healthcare Infor-mation(Withdrawn 2009)3E2086 Guide for Internet and Intranet Healthcare Security(Withdrawn 2009)3E2145 Practice for Information ModelingE2147 Specification for Audit and Disclosure Logs for Usein Health Information SystemsE2171 Practice for Rating-Scale Measures Relevant to theElectronic Health Record2.2 ANSI/IEEE Standards:4ANSI/IEEE 610.2 Standard Glossary of Computer Applica-tions TerminologyANSI/IEEE 610.5 Standard Glossary of Information Man-agement Terminology1This practice is under the jurisdiction of ASTM Committee E31 on HealthcareInformatics and is the direct responsibility of Subcommittee E31.25 on HealthcareData Management,Security,Confidentiality,and Privacy.Current edition approved May 1,2011.Published May 2011.Originallyapproved in 2005.Last previous edition approved in 2005 as E2473 05.DOI:10.1520/E2473-05R11.2For 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.3The last approved version of this historical standard is referenced onwww.astm.org.4Available from American National Standards Institute(ANSI),25 W.43rd St.,4th Floor,New York,NY 10036,http:/www.ansi.org.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 ANSI/IEEE 610.12 Standard Glossary of Software Engi-neering TerminologyANSI/IEEE 729 Fundamental Terms in Software Engineer-ingANSI/IEEE 830 Software Requirements SpecificationANSI/IEEE 1058 Software Project Management PlansANSI/IEEE 1062 Recommended Practice for Software Re-quirementsANSI/IEEE 1063 Software User DocumentationANSI/IEEE 1073 Framework and OverviewANSI/IEEE 1073.2 Application Profile Framework andOverviewANSI/IEEE 1073.3.1 Transport ProfileANSI/IEEE 1073.4.1 Physical Layer-Cable ConnectedANSI/IEEE 1074 Standard for Developing Life Cycle Pro-cessesANSI/IEEE 1074.1 Guide for Developing Life Cycle Pro-cessesANSI