ASTM E1239-2004(2010) 电子医疗记录EHR系统的预约/挂号、接收、出院和转院R-ADT系统的表示标准实施规程
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【英文标准名称】:StandardPracticeforDescriptionofReservation/Registration-Admission,Discharge,Transfer(R-ADT)SystemsforElectronicHealthRecord(EHR)Systems
【原文标准名称】:电子医疗记录EHR系统的预约/挂号、接收、出院和转院R-ADT系统的表示标准实施规程
【标准号】:ASTME1239-2004(2010)
【标准状态】:现行
【国别】:美国
【发布日期】:2004
【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】:(Practice)
【标准水平】:()
【中文主题词】:
【英文主题词】:Admissions;Bedcontrol;Clinicallaboratoryinformationmanagementsystem(CLIMS);Communications;Computerizedclinicallaboratorysystems;Diagnosis;Dischargedata;EHRS(electronichealthrecordsystem);Emergencymedicalservices(EMS);Inpatienthe
【摘要】:Background:Effectivehealthcaredeliveryrequiresanefficientinformationbase.AstandarddescriptionisneededregardingthecapabilitiesofRegistration-Admission,Discharge,Transfer(R-ADT)Systemsinbothautomatedhospitalandambulatorycareinformationsystems.Thispracticeisintendednotonlytoprovideacommonexplanationoftheminimuminformationelementsrequiredinsuchsystems,thusaugmentingthosealreadypublished,butalsotoprovidethebasisforfuturepatientdatainterchangeformats.ThispracticehasbeendevelopedtoserveasauniformminimumdescriptionofR-ADTfunctionalcomponentsthatshouldbecommoninallsystemsandusedinbothtransportablegeneralpurposeandcustomdevelopedsystems.Thisdescriptionrequiresacceptanceofthepremiseregardingtheneedforlogicalintegrationofconceptsinsystemsdevelopment.Intheintegratedsystemsconcept,theR-ADTfunctionisthefoundationmoduleforallpatientinformationandcommunicationamongalldepartments,anditisusedininitiatingserviceswithinthepatientcaresetting.AcommonR-ADTsysteminahospitalenablesalldepartmentstostreamlinetheinitiationandtrackingoftheservicestheyprovidetopatients;italsoprovidesanopportunityforaccuratetrackingofpatientmovementthroughoutahospitalstay,forinstance,andthelinkageofinpatientandoutpatientservices.Itisalsothesystemwhichprovidesallinpatientcensus-relatedadministrativereports.Likewise,anR-ADTcomponentinanEnterpriseArchitecturecapturestheinitialpatientdemographicprofilefortheEHRandissubsequentlyaccessedinpostinganindividual''sclinicaldata,forinquiryregardingthatclinicaldataandforlinkagetofinancialrecords.ItisanintegralpartoftheEHRfunction.Itmayalsobelinkedtoothersystemswhichprovidepatientcareinformationmanagementcapabilities.Aregistrationsystemiscapableofprovidingtheinitialinformationcaptureforallhealthcarefacilities;anADTsubsystemcanprovidecommonadmittingdataforalldepartmentsinhospitalsandotherinpatientfacilities.EstablishingastandarddescriptionofalogicalR-ADTprocessmodelisusefulbecausethatstandardwillbecomeareferenceforotherdocumentsdescribingtheotherfunctionalsubsystemsusedinpatientcareinformationsystems.Itisunderstoodthataminimumsetofinformationelementsmustbeinitiallycaptureduponregistrationandthenusedforallsubsequentambulatoryorinpatientcare;thesubsequentminimumsetofadmittingelementsisthenusedtodriveorinitiateadditionalservicesforpatientsthrougheachsubsystem.WithastandardminimumR-ADTcomponentdefinition,standardsforconstituentsubsystemscannowbecoordinatedanddevelopedthroughreferencetothismodel.Thisdescriptionshouldbeusedbyvendorsandsubsystemdesignerswhoneedtodeveloptheirsystemsinacoordinatedandintegratedwaysothateachsubsystemwillcontributemodularlywithoverallsystemsplanningfortheuserorganization.Suchmodularitywillaidmanagementwhoareassignedtoevaluateeachsystemandsubsysteminordertoassessthepotentialofexistingtechnologytoprovidetheneededpatientcareinformationmanagementsystemscapabilities.Use8212;ThispracticeiswrittenassumingthatthehealthcarefacilitywillhaveseveraloptionsforgainingtheR-ADTcapabilityandmayeitheracquireasystemfromacommercialvendorordesignanintegratedin-housesystemwhichmaybeacomponentofanambulatorycarepracticeorahospitalinformationsystem.Manyofthecharacteristicsofexistingvendorsystemsareconventionalandcaninteroperate;thecarefacilitymaysimplyneedtoidentifywhetherornottheofferedfeaturesmeetitsneeds.Beyondthegeneralcapabili.......
【中国标准分类号】:C07
【国际标准分类号】:35_240_80
【页数】:13P.;A4
【正文语种】:英语
【原文标准名称】:电子医疗记录EHR系统的预约/挂号、接收、出院和转院R-ADT系统的表示标准实施规程
【标准号】:ASTME1239-2004(2010)
【标准状态】:现行
【国别】:美国
【发布日期】:2004
【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】:(Practice)
【标准水平】:()
【中文主题词】:
【英文主题词】:Admissions;Bedcontrol;Clinicallaboratoryinformationmanagementsystem(CLIMS);Communications;Computerizedclinicallaboratorysystems;Diagnosis;Dischargedata;EHRS(electronichealthrecordsystem);Emergencymedicalservices(EMS);Inpatienthe
【摘要】:Background:Effectivehealthcaredeliveryrequiresanefficientinformationbase.AstandarddescriptionisneededregardingthecapabilitiesofRegistration-Admission,Discharge,Transfer(R-ADT)Systemsinbothautomatedhospitalandambulatorycareinformationsystems.Thispracticeisintendednotonlytoprovideacommonexplanationoftheminimuminformationelementsrequiredinsuchsystems,thusaugmentingthosealreadypublished,butalsotoprovidethebasisforfuturepatientdatainterchangeformats.ThispracticehasbeendevelopedtoserveasauniformminimumdescriptionofR-ADTfunctionalcomponentsthatshouldbecommoninallsystemsandusedinbothtransportablegeneralpurposeandcustomdevelopedsystems.Thisdescriptionrequiresacceptanceofthepremiseregardingtheneedforlogicalintegrationofconceptsinsystemsdevelopment.Intheintegratedsystemsconcept,theR-ADTfunctionisthefoundationmoduleforallpatientinformationandcommunicationamongalldepartments,anditisusedininitiatingserviceswithinthepatientcaresetting.AcommonR-ADTsysteminahospitalenablesalldepartmentstostreamlinetheinitiationandtrackingoftheservicestheyprovidetopatients;italsoprovidesanopportunityforaccuratetrackingofpatientmovementthroughoutahospitalstay,forinstance,andthelinkageofinpatientandoutpatientservices.Itisalsothesystemwhichprovidesallinpatientcensus-relatedadministrativereports.Likewise,anR-ADTcomponentinanEnterpriseArchitecturecapturestheinitialpatientdemographicprofilefortheEHRandissubsequentlyaccessedinpostinganindividual''sclinicaldata,forinquiryregardingthatclinicaldataandforlinkagetofinancialrecords.ItisanintegralpartoftheEHRfunction.Itmayalsobelinkedtoothersystemswhichprovidepatientcareinformationmanagementcapabilities.Aregistrationsystemiscapableofprovidingtheinitialinformationcaptureforallhealthcarefacilities;anADTsubsystemcanprovidecommonadmittingdataforalldepartmentsinhospitalsandotherinpatientfacilities.EstablishingastandarddescriptionofalogicalR-ADTprocessmodelisusefulbecausethatstandardwillbecomeareferenceforotherdocumentsdescribingtheotherfunctionalsubsystemsusedinpatientcareinformationsystems.Itisunderstoodthataminimumsetofinformationelementsmustbeinitiallycaptureduponregistrationandthenusedforallsubsequentambulatoryorinpatientcare;thesubsequentminimumsetofadmittingelementsisthenusedtodriveorinitiateadditionalservicesforpatientsthrougheachsubsystem.WithastandardminimumR-ADTcomponentdefinition,standardsforconstituentsubsystemscannowbecoordinatedanddevelopedthroughreferencetothismodel.Thisdescriptionshouldbeusedbyvendorsandsubsystemdesignerswhoneedtodeveloptheirsystemsinacoordinatedandintegratedwaysothateachsubsystemwillcontributemodularlywithoverallsystemsplanningfortheuserorganization.Suchmodularitywillaidmanagementwhoareassignedtoevaluateeachsystemandsubsysteminordertoassessthepotentialofexistingtechnologytoprovidetheneededpatientcareinformationmanagementsystemscapabilities.Use8212;ThispracticeiswrittenassumingthatthehealthcarefacilitywillhaveseveraloptionsforgainingtheR-ADTcapabilityandmayeitheracquireasystemfromacommercialvendorordesignanintegratedin-housesystemwhichmaybeacomponentofanambulatorycarepracticeorahospitalinformationsystem.Manyofthecharacteristicsofexistingvendorsystemsareconventionalandcaninteroperate;thecarefacilitymaysimplyneedtoidentifywhetherornottheofferedfeaturesmeetitsneeds.Beyondthegeneralcapabili.......
【中国标准分类号】:C07
【国际标准分类号】:35_240_80
【页数】:13P.;A4
【正文语种】:英语
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