作者:标准资料网 时间:2024-04-29 10:08:27   浏览:8424   来源:标准资料网

【英文标准名称】:StandardSpecificationforCodedValuesUsedintheElectronicHealthRecord
【原文标准名称】:编码值标准规范的电子健康记录中使用
【标准号】:ASTME1633-2008a
【标准状态】:现行
【国别】:美国
【发布日期】:2008
【实施或试行日期】:
【发布单位】:美国材料与试验协会(US-ASTM)
【起草单位】:E31.25
【标准类型】:(Specification)
【标准水平】:()
【中文主题词】:
【英文主题词】:Admissions;Automatedprimaryrecordofcare;Bedcontrol;Clinicalcodes/signs;Codedvalues;Communications(medicalapplications);Computerizedclinicallaboratorysystems;Computerizedsystems--specifications;Diagnosis;Digitaltransmission;Discharg
【摘要】:Purpose8212;TheapprovalofGuideE1384,concernedwiththestructureandcontentofthecomputer-basedpatientrecord,nowincludesaformalindexingofdataelementsandacatalogingoftheminimalessentialvaluesetfortheseelements.IndexingofthesedataelementswithauniqueidentifierkeyedtoitspositioninthelogicalstructureofAppendixX1ofGuideE1384nowprovidesameansofcatalogingthevaluesetsrepresentingeachdataelement(seeGuideE1384).SpecificationE1238,coordinatedwithGuideE1239,describesconventionsforrepresentingmanyofthedatavaluesfordataelementsthatareincludedinthemorecomprehensivelistinginGuideE1384.AcomprehensivelistingofallofthevaluesetsassociatedwithGuideE1384hasnotyetbeenassembled.Thisspecificationbeginstocatalogtherepresentationconventionsforanumberoftheseelementsandinparticulartolistthecodedvalues.Itisimportantthatthiscatalogconsiderthetraditionallyassignedrepresentationsforeachoftheseelements,anditmustresolvedifferencesinamannerthatintroducessystematicsandconsistencyintotherepresentation.Thecatalogmustestablishbothaglobalframeworkconsistentwithinternationalstandardizationandwithlong-termgrowth,whileatthesametimemaximizingfamiliarortraditionalrepresentations.Thisstandardhasbeendevelopedwithinputfrommanyorganizations,includinggovernmentagenciesandotherstandardsbodiesandprofessionalassociations,andasaresultoftheefforttoachieveconsistencyandcomprehensivenessamongthedatadealtwithbyvariousstandardsefforts.GeneralValues8212;Earlyinthecoordinationofhealthcareinformationstandardsaninformalbody,theHealthcareInformationStandardsCoordinatingCommittee(HISCC),identifiedcertaincommondataelementtypesandagreeduponconventionsforrepresentingthesedataelementtypesinastandardmanner.ThissetthestageforthedevelopmentofthevaluesetsfortheCODEDVALUEdatatype.Thestatusofthestandardnoncodeddatatypes,andtheirrepresentations,agreeduponbytheHISCCare:PersonNames8212;SpecificationE1238,GuideE1239,PracticeE1715,PracticeE1744,andHL-7usethesamerepresentationforAmericanandEuropeanforms.Addresses8212;CommonformatinSpecificationE1238,GuideE1239,PracticeE1715,andPracticeE1744..TelephoneNumbers8212;SpecificationE1238andGuideE1239currentlyusethesamerepresentationwithareacodeenclosedinparenthesesandcountrycodeprecedingtheparentheses.Dates8212;DateandtimerepresentedasANSX3.51-1986/ISO8601-1988withyearsinfourdigits;timenotseparatedfromdatebyx201C;Tx201D;aspermittedbyISO8601.Numbers8212;Numbersarerepresentedeitherasintegersorfixedpointnumbers;exponentialnotationnotpresentlyacceptedinSpecificationE1238,GuideE1239,orHL-7.UnitsofMeasurebyISO2955-1983orANSX3.50-86.