ASTM E2457-07 - 15.7.2007
 
1. Scope

1.1 This terminology is intended to name and document the principal concepts, and their associated terms, that are utilized in the healthcare information domain and all of its specialized subdomains. It is applicable to all areas of healthcare about which information is kept or utilized. It is intended to complement and utilize those concepts already identified by other national and international standards bodies. It will identify alternate accepted terms for the same concept and its elected term. Its terms are intended to clarify and simplify usage in the dialog and documentation about the concepts, processes and data that are used to schedule, conduct and manage all phases of healthcare. This common usage will improve the quality and management of all facets of healthcare by means of explicit information used in referring to each of these facets. These health informatics terms have been collected here specifically in order to facilitate the consistent use of common concepts in informatics standards development and use throughout healthcare. A separate process from this standard that is described in ISO 15188 will manage the approval of biomedical and healthcare terms.

This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

 
2. Referenced Documents

E1384-07

Standard Practice for Content and Structure of the Electronic Health Record (EHR)

E1762-95

Standard Guide for Electronic Authentication of Health Care Information

E1869-04

Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records

E1284-97

Standard Guide for Construction of a Clinical Nomenclature for Support of Electronic Health Records (Withdrawn 2007)

E1239-04

Standard Practice for Description of Reservation/Registration-Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems

ISO/DIS 860

International Harmonization of Concepts and Terms

E1986-09

Standard Guide for Information Access Privileges to Health Information

ISO 704

Principles and Methods of Terminology

EN-12264

Categorical Structure of Syntax of Concepts--Model for Representation of Semantics (MOSE)

EN-12017

Medical Informatics Vocabulary (MIVoc)

E2147-18

Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems

E2087-00

Standard Specification for Quality Indicators for Controlled Health Vocabularies (Withdrawn 2009)

E1987-98

Standard Guide for Individual Rights Regarding Health Information (Withdrawn 2007)

E1985-98

Standard Guide for User Authentication and Authorization

ISO 12200

Terminology--Computer Applications--Machine Readable Terminology Interchange Format

ISO 15188

Project Management Guidelines for Terminology Interchange Format

ISO 12620

Terminology--Computer Applications--Data Categories

ISO/IEC 12207

Life Cycle Processes

ISO 10241

Terminology--Standards Representation and Layout

ISO 2382/4

Information Technology--Vocabulary--Organization of Data

ISO/DIS 1087-2

Terminology--Vocabulary--Part 2 Computer Applications

ISO/DIS 1087-1

Terminology--Vocabulary--Part 1 Theory and Application

E1633-08

Standard Specification for Coded Values Used in the Electronic Health Record