ASTM E2538-06 - 1.12.2006
 
1. Scope

1.1 This practice applies to the process of defining and documenting the capabilities, logical data sources, and pathways of data exchange regarding pharmacotherapy information services within a given network architecture serving a set of healthcare constituents.

1.2 This practice is not a technical implementation standard but, rather, describes how the implementation methods and techniques can be used to coordinate pharmacotherapy services logically within an electronic health record (EHR) systems environment involving participating organizations and sites connected by a networked communication system.

1.3 This practice covers the content of the nodes and arcs of the resulting logical network involving EHR, pharmacy, and clinical laboratory-capable sites. This practice also considers the various purposes and organizational arrangements for coordinating pharmacotherapy services within the network boundaries and the considerations for connections among external networks.

1.4 This practice refers to other standards for conventions within various data domains, such as pharmacy systems, clinical laboratory information management systems (CLIMS), and EHR systems, and for messaging conventions.

1.5 This practice is intended to outline how integration of pharmacy, CLIMS, and EHR information systems can be undertaken to result in a transparent pharmacotherapy clinical decision support environment, regardless of the underlying implementation architecture, by describing the logical interoperability of information domains as facilitated by information and communications technology (ICT).

1.6 This practice is directed at pharmacists, clinical pharmacologists, clinical laboratorians, information system managers, and information systems vendors for use in planning and implementing coordinated pharmacotherapy services through effective dialog.

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

E1239-04

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

E1340-05

Standard Guide for Rapid Prototyping of Information Systems

E1384-07

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

E1578-18

Standard Guide for Laboratory Informatics

E1633-08

Standard Specification for Coded Values Used in the Electronic Health Record

E2085-00a

Standard Guide on Security Framework for Healthcare Information (Withdrawn 2009)

E1714-07

Standard Guide for Properties of a Universal Healthcare Identifier (UHID)

E1762-95

Standard Guide for Electronic Authentication of Health Care Information

E1744-04

Standard Practice for View of Emergency Medical Care in the Electronic Health Record

E1715-01

Standard Practice for An Object-Oriented Model for Registration, Admitting, Discharge, and Transfer (RADT) Functions in Computer-Based Patient Record Systems

E1869-04

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

P110-

Proposed Guide to Assist in the Defining, Procuring, Installing, and Implementing of a Computerized Hospital Pharmacy System (Withdrawn 1988)

E2473-05

Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record

E2457-07

Standard Terminology for Healthcare Informatics

E2171-02

Standard Practice for Rating-Scale Measures Relevant to the Electronic Health Record

E1985-98

Standard Guide for User Authentication and Authorization

E1986-09

Standard Guide for Information Access Privileges to Health Information

E1987-98

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

E1988-98

Standard Guide for Training of Persons who have Access to Health Information (Withdrawn 2007)

E2017-99

Standard Guide for Amendments to Health Information

E2066-00

Standard Guide for Validation of Laboratory Information Management Systems

E2084-00

Standard Specification for Authentication of Healthcare Information Using Digital Signatures (Withdrawn 2009)

E2086-00

Standard Guide for Internet and Intranet Healthcare Security (Withdrawn 2009)

E2145-07

Standard Practice for Information Modeling

E2147-18

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