ASTM_F_1629_-_95_2002.pdf

Designation:F 1629 95(Reapproved 2002)Standard Guide forEstablishing Operating Emergency Medical Services andManagement Information Systems,or Both1This standard is issued under the fixed designation F 1629;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(e)indicates an editorial change since the last revision or reapproval.1.Scope1.1 The Emergency Medical Services Management Infor-mation System(EMS-MIS)serves as a framework for themanagement and linkage of data documenting the completeemergency episode from onset through the pre-hospital,emer-gency department,and hospital phases to final discharge.Thisdocument establishes a standard guideline for the planning,development,and maintenance of an EMS-MIS framework,including linkage among pre-hospital,hospital,and otherpublic safety or government agencies.The resultant EMS-MISshould be capable of monitoring the compliance of an EMSsystem with its established system standards,and provide anobjective basis upon which different EMS systems can becomparatively evaluated.1.2 EMS-MIS Goals:1.2.1 To manage data regarding response to a medicalemergency.1.2.2 To provide a process for obtaining and documentingobjective,reliable data.1.2.3 To provide information that can be used to affectoperational changes in an EMS system leading to the deliveryof better quality emergency medical care.1.2.4 To provide information to guide the rational invest-ment of local,state,and national resources to improve andmaintain EMS.1.3 This guide will standardize data needed for decisionmaking at various levels of the EMS system,and offersuggestions as to the appropriate use of this information.1.4 This guide comments on several possible configurationsfor information flow and data processing,recognizing that noone configuration is best suited to all circumstances.1.5 This guide focuses on pre-hospital medical activities,including emergency responses,scheduled transports,and allinterinstitutional transfers.1.6 This guide addresses EMS-MIS techniques applicable tothe internal operations of outpatient and inpatient facilities aswell as pre-hospital care providers.1.7 This guide will not address specialized data systems andapplications such as trauma registries,but will allow forinterfacing with such applications.1.8 This guide will not address computer-aided dispatch(CAD)systems,nor system status management(SSM)appli-cations,but will allow for interfacing with such applications.2.Referenced Documents2.1 ASTM Standards:E 622 Guide for Developing Computerized Systems2E 623 Guidelines for Developing Functional Requirementsfor Computerized Laboratory Systems3E 624 Guide for Developing Implementation Designs forComputerized Systems3E 625 Guide for Training Users of Computerized Systems2E 627 Guide for Documenting Computerized Systems2E 730 Guide for Developing Functional Designs for Com-puterized Systems3E 1113 Guide for Project Definition for Computerized Sys-tems3E 1239 Guide for Description of Reservation/Registration-Admission,Discharge,Transfer(R-ADT)Systems forElectronic Health Record(EHR)Systems4E 1384 Guide for Content and Structure of an ElectronicHealth Record(EHR)4F 1177 Terminology Relating to Emergency Medical Ser-vices53.Terminology3.1 Standard EMS terminology is referenced in Terminol-ogy F 1177.Definition of individual data elements is given in5.3 and 5.4.3.2 Definitions of Terms Specific to This Standard:3.2.1 Continuing Medical Education(CME)refers to datathat identify all continuing medical education activity com-pleted by an EMT in the system.3.2.2 Data Flow Diagram(DFD)Diagram that partitionssystem business functions into a series of events that enhances1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.03 onOrganization/Management.Current edition approved Sept.10,1995.Published October 1995.2Discontinued;see 1999 Annual Book of ASTM Standards,Vol 14.01.3Discontinued;see 1993 Annual Book of ASTM Standards,Vol 14.01.4Annual Book of ASTM Standards,Vol 14.01.5Annual Book of ASTM Standards,Vol 13.02.1Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959,United States.analysis and clarifies the purpose,events,and functions thattake place for each process.3.2.3 Emergency Medical Services Management Informa-tion System(EMS-MIS)a framework for the managementand linkage of data documenting the complete emergencyepisode from onset through the pre-hospital,emergency de-partment,and hospital phases to final discharge.3.2.4 Patient Care Record(PCR)refers to the data ele-ments described in 5.3 which are to be completed by each PSOfor every patient who is treated or transported,or both.3.2.5 Provider Service Organization(PSO)any publicservice or commercial organization that utilizes providers