ASTM_F_1652_-_95_2007.pdf

Designation:F165295(Reapproved 2007)Standard Guide forProviding Essential Data Needed in Advance for PrehospitalEmergency Medical Services1This standard is issued under the fixed designation F1652;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 guide covers the functional elements and datarecords of prehospital Health Status Information Services(HSIS)needed to provide individual health status data forHSIS subscribers.When an HSIS subscriber experiences amedical emergency and becomes an EMS patient,a prehospitalEMS care provider can rapidly access the individuals healthstatus data by means of telecommunications.Access to thisdata will enable the EMS provider to improve patientassessment,and thereby render more appropriate treatments.This will improve the EMS providers ability to stabilizetrauma and other emergency medical conditions,and to restoreand sustain vital functions,while avoiding treatments that mayaggravate the severity of the medical emergency because ofpreexisting conditions.1.2 In addition to improving on-site assessment,this guidewill facilitate improved on-line medical direction of prehospi-tal EMS care providers,particularly for persons experiencinglife threatening medical emergencies.1.3 Health status records provide a chronology of a personshealth/medical data,including past diagnosis and treatments.The data in these records provide a vital link between theperson experiencing a medical emergency,the EMS careprovider,and subsequent emergency services.In order toprovide the most informed care,EMS care providers andpersons providing EMS medical direction need to be aware ofthe injured or ill persons health status.1.4 This guide describes the minimum requirements forcompiling,updating,computerizing,and storing individualslongitudinal health status data in authorized repositories,so asto protect patient privacy and confidentiality.This guide alsodescribes requirements for providing authorized access andrapid transmittal of the data to attending EMS care providers inmedical emergencies.1.5 While this guide addresses data needed for prehospitalEMS,there is also a recognized essential,but largely unmetneed for similar patient health status records for emergencymedical care of patients in hospital emergency departments andin definitive medical care facilities.Many development proj-ects are in process to address this unmet need.2Whenavailable,such patient records are reviewed by attendingphysicians,in advance of hospital emergency medical care,toquickly access patient health status data that is needed forimproved patient assessment and treatment and avoidance oftreatments which may be contraindicated by preexisting con-ditions.1.5.1 Future changes to this guide will result in health statusinformation records for prehospital emergency medical careand analogous information systems for hospital emergencymedical care,harmonized with each other and with futurestandards for computerized longitudinal health care patientrecords(see Guides E1744 and F1629)which are beingdeveloped by ASTM Committee E31.1.5.2 This guide describes requirements that are based oncurrent ASTM medical informatics standards and will beupdated to harmonize with future versions of these rapidlyevolving standards.1.6 The scope of this guide includes harmonization of thedefinitions of prehospital emergency medical services data1This 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 Feb.1,2007.Published February 2007.Originallyapproved in 1995.Last previous edition approved in 2002 as F1652 95(2002).DOI:10.1520/F1652-95R07.2A number of projects are in process to develop such information systems.OneRef(1)3is the Trauma Care Information Management System project funded underthe Defense Technology Transfer Program that addresses health status data for bothprehospital and hospital emergency medical care.Another companion developmentproject(2),also funded under the Defense Technology Transfer Program,is theDevelopment of Interoperability Platforms for the National Health InformationSystem.In addition,in 1994 alone,the National Institute for Standards andTechnology awarded sixteen cooperative agreements totaling over$100M forapplied research in related medical informatics(3).It is expected that scheduledcompletion of these projects in three to five years will produce medical informaticsproducts and processes that will enter competition in the next decade for adoptionfor national healthcare use.Each of these major development projects will impact on the evolution ofcomputerized patient health status information data bases for prehospital andhospital em