ASTM E1633-02a

Standard Specification for Coded Values Used in the Electronic Health Record

SCOPE
1.1 This specification covers the identification of the lexicons to be used for the data elements identified in Appendix X1 of Guide E 1384. It is intended to unify the representations for: (1) primary record of care data elements, (2) the data elements identified in other standard statistical data sets, (3) data elements used in other healthcare data message exchange format standards, or (4) in data gathering forms for this purpose, and (5) in data derived from these elements in order that data recorded in the course of patient care be exchangeable and be the source of accurate statistical and resource management data. This specification is applicable to all paper and automated systems.

General Information

• Status: Historical
• Publication Date: 09-Nov-2002
• ICS: 35.240.30 - IT applications in information, documentation and publishing
• Technical Committee: E31 - Healthcare Informatics
• Drafting Committee: E31.25 - Healthcare Data Management, Security, Confidentiality, and Privacy

Relations

• Replaces: ASTM E1633-02 - Standard Specification for Coded Values Used in the Electronic Health Record
• Effective Date: 10-Nov-2002
• Replaced By: ASTM E1633-07 - Standard Specification for Coded Values Used in the Electronic Health Record
• Effective Date: 15-Jul-2007

Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
An American National Standard
Designation: E 1633 – 02a
Standard Specification for
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Coded Values Used in the Electronic Health Record
This standard is issued under the fixed designation E 1633; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope ISO 3166 Names of Countries
ISO 5218 Representation of Human Sexes
1.1 This specification covers the identification of the lexi-
ISO 8601 Representation Dates
constobeusedforthedataelementsidentifiedinAppendixX1
2.4 Other Standards:
of Guide E 1384. It is intended to unify the representations for:
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HL-7 Health Industry Level 7 Interface Standards
(1) primary record of care data elements, (2) the data elements
identified in other standard statistical data sets, (3) data
3. Terminology
elements used in other healthcare data message exchange
3.1 Acronyms: Acronyms:
format standards, or (4) in data gathering forms for this
3.1.1 NCHS—National Center for Health Statistics
purpose, and (5) in data derived from these elements in order
3.1.2 NCVHS—National Committee for Vital and Health
thatdatarecordedinthecourseofpatientcarebeexchangeable
Statistics
and be the source of accurate statistical and resource manage-
3.1.3 NOS—not otherwise specified
ment data. This specification is applicable to all paper and
automated systems.
4. Significance and Use
2. Referenced Documents 4.1 Purpose—The approval of Guide E 1384, concerned
with the structure and content of the computer-based patient
2.1 ASTM Standards:
record, now includes a formal indexing of data elements and a
E 1238 Specification for Transferring Clinical Observations
2 cataloging of the minimal essential value set for these ele-
Between Independent Computer Systems
ments. Indexing of these data elements with a unique identifier
E 1239 Guide for Description of Reservation/
keyed to its position in the logical structure ofAppendix X1 of
Registration—Admission, Discharge, Transfer (R-ADT)
2
Guide E 1384 now provides a means of cataloging the value
Systems forAutomated Patient Care Information Systems
sets representing each data element (see Guide E 1384).
E 1384 Guide for Content and Structure of the Electronic
2 Specification E 1238, coordinated with Guide E 1239, de-
Health Record (EHR)
scribes conventions for representing many of the data values
E 1715 Practice for an Object-Oriented Model for Registra-
for data elements that are included in the more comprehensive
tion, Admitting, Discharge, and Transfer (RADT) Func-
2 listing in Guide E 1384. A comprehensive listing of all of the
tions in Computer-Based Record Systems
value sets associated with Guide E 1384 has not yet been
E 1744 Guide for View of Emergency Medical Care in the
2 assembled. This specification begins to catalog the representa-
Computer-Based Patient Record
3 tion conventions for a number of these elements and in
2.2 ANSI Standards:
particular to list the coded values. It is important that this
ANS X3.50 Representation of Date and Time
catalog consider the traditionally assigned representations for
ANS X3.51 Representation of Common Units
3 each of these elements, and it must resolve differences in a
2.3 ISO Standards:
manner that introduces systematics and consistency into the
ISO 639 Names of Languages
representation.The catalog must establish both a global frame-
ISO 2955 Representation of SI Units
work consistent with international standardization and with
long-term growth, while at the same time maximizing familiar
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This specification is under the jurisdiction of ASTM Committee E31 on or traditional representations. This standard has been devel-
Healthcare Informatics and is the direct responsibility of Subcommittee E31.25 on
oped with input from many organizations, including govern-
Healthcare Management, Security, Confidentiality, and Privacy.
ment agencies and other standards bodies and professional
Current edition approved Nov. 10, 2002. Published February 2003. Originally
approved in 1996. Last previous edition approved in 2002 E 1633–02.
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Annual Book of ASTM Standards, Vol 14.01.
3 4
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E 1633 – 02a
associations, and as a result of the effort to achieve consistency
14001.A021 Mode of Arrival (5.2.29)
14001.A030 Nature of Injury (5.2.30)
and comprehensive
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