ASTM E1633-07
(Specification)Standard Specification for Coded Values Used in the Electronic Health Record
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.
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Standards Content (Sample)
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An American National Standard
Designation: E 1633 – 07
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 (´) indicates an editorial change since the last revision or reapproval.
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1. Scope* 2.3 ISO Standards:
ISO 639 Names of Languages
1.1 This specification covers the identification of the lexi-
ISO 2955 Representation of SI Units
constobeusedforthedataelementsidentifiedinAppendixX1
ISO 3166 Names of Countries
of Guide E 1384. It is intended to unify the representations for:
ISO 5218 Representation of Human Sexes
(1) primary record of care data elements, (2) the data elements
ISO 8601 Representation Dates
identified in other standard statistical data sets, (3) data
2.4 Other Standards:
elements used in other healthcare data message exchange
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HL-7 Health Industry Level 7 Interface Standards
format standards, or (4) in data gathering forms for this
purpose, and (5) in data derived from these elements in order
3. Terminology
thatdatarecordedinthecourseofpatientcarebeexchangeable
3.1 Acronyms: Acronyms:
and be the source of accurate statistical and resource manage-
3.1.1 NCHS—National Center for Health Statistics
ment data. This specification is applicable to all paper and
3.1.2 NCVHS—National Committee for Vital and Health
automated systems.
Statistics
2. Referenced Documents 3.1.3 NOS—not otherwise specified
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2.1 ASTM Standards:
4. Significance and Use
E 1238 Specification for Transferring Clinical Observations
3 4.1 Purpose—The approval of Guide E 1384, concerned
Between Independent Computer Systems
with the structure and content of the computer-based patient
E 1239 Practice for Description of Reservation/
record, now includes a formal indexing of data elements and a
Registration-Admission, Discharge, Transfer (R-ADT)
cataloging of the minimal essential value set for these ele-
Systems for Electronic Health Record (EHR) Systems
ments. Indexing of these data elements with a unique identifier
E 1384 Practice for Content and Structure of the Electronic
keyed to its position in the logical structure ofAppendix X1 of
Health Record (EHR)
Guide E 1384 now provides a means of cataloging the value
E 1715 Practice for An Object-Oriented Model for Regis-
sets representing each data element (see Guide E 1384).
tration,Admitting, Discharge, and Transfer (RADT) Func-
Specification E 1238, coordinated with Guide E 1239, de-
tions in Computer-Based Patient Record Systems
scribes conventions for representing many of the data values
E 1744 PracticeforViewofEmergencyMedicalCareinthe
for data elements that are included in the more comprehensive
Electronic Health Record
4 listing in Guide E 1384. A comprehensive listing of all of the
2.2 ANSI Standards:
value sets associated with Guide E 1384 has not yet been
ANS X3.50 Representation of Date and Time
assembled. This specification begins to catalog the representa-
ANS X3.51 Representation of Common Units
tion conventions for a number of these elements and in
particular to list the coded values. It is important that this
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This specification is under the jurisdiction of ASTM Committee E31 on
catalog consider the traditionally assigned representations for
Healthcare Informatics and is the direct responsibility of Subcommittee E31.25 on
each of these elements, and it must resolve differences in a
Healthcare Data Management, Security, Confidentiality, and Privacy.
manner that introduces systematics and consistency into the
Current edition approved July 15, 2007. Published August 2007. Originally
approved in 1996. Last previous edition approved in 2002 E 1633–02a. representation.The catalog must establish both a global frame-
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Withdrawn.
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*A Summary of Changes section appears at the end of this standard.
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E1633–07
or traditional representations. This standard has been dev
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