ASTM_E_2538_-_06_2011.pdf

Designation:E253806(Reapproved 2011)An American National StandardStandard Practice forDefining and Implementing Pharmacotherapy InformationServices within the Electronic Health Record(EHR)Environment and Networked Architectures1This standard is issued under the fixed designation E2538;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 applies to the process of defining anddocumenting the capabilities,logical data sources,and path-ways of data exchange regarding pharmacotherapy informationservices within a given network architecture serving a set ofhealthcare constituents.1.2 This practice is not a technical implementation standardbut,rather,describes how the implementation methods andtechniques can be used to coordinate pharmacotherapy serviceslogically within an electronic health record(EHR)systemsenvironment involving participating organizations and sitesconnected by a networked communication system.1.3 This practice covers the content of the nodes and arcs ofthe resulting logical network involving EHR,pharmacy,andclinical laboratory-capable sites.This practice also considersthe various purposes and organizational arrangements forcoordinating pharmacotherapy services within the networkboundaries and the considerations for connections amongexternal networks.1.4 This practice refers to other standards for conventionswithin various data domains,such as pharmacy systems,clinical laboratory information management systems(CLIMS),and EHR systems,and for messaging conventions.1.5 This practice is intended to outline how integration ofpharmacy,CLIMS,and EHR information systems can beundertaken to result in a transparent pharmacotherapy clinicaldecision support environment,regardless of the underlyingimplementation architecture,by describing the logical interop-erability of information domains as facilitated by informationand communications technology(ICT).1.6 This practice is directed at pharmacists,clinicalpharmacologists,clinical laboratorians,information systemmanagers,and information systems vendors for use in planningand implementing coordinated pharmacotherapy servicesthrough effective dialog.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: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 InformaticsE1633 Specification for Coded Values Used in the ElectronicHealth RecordE1714 Guide for Properties of a Universal Healthcare Iden-tifier(UHID)E1715 PracticeforAnObject-OrientedModelforRegistration,Admitting,Discharge,and Transfer(RADT)Functions 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 RecordsE1985 Guide for User Authentication and AuthorizationE1986 Guide for Information Access Privileges to HealthInformation1This 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 June 2011.Originallyapproved in 2006.Last previous edition approved in 2006 as E2538 06.DOI:10.1520/E2538-06R11.2For 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 E1987 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 Infor