Standard Terminology for Healthcare Informatics

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.

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Status
Historical
Publication Date
14-Jul-2007
Current Stage
Ref Project

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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.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
Designation: E2457 − 07 AnAmerican National Standard
Standard Terminology for
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Healthcare Informatics
This standard is issued under the fixed designation E2457; 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.
1. Scope* E1384 Practice for Content and Structure of the Electronic
Health Record (EHR)
1.1 This terminology is intended to name and document the
E1633 SpecificationforCodedValuesUsedintheElectronic
principal concepts, and their associated terms, that are utilized
Health Record
in the healthcare information domain and all of its specialized
E1762 Guide for Electronic Authentication of Health Care
subdomains. It is applicable to all areas of healthcare about
Information
which information is kept or utilized. It is intended to comple-
E1869 Guide for Confidentiality, Privacy, Access, and Data
ment and utilize those concepts already identified by other
SecurityPrinciplesforHealthInformationIncludingElec-
national and international standards bodies. It will identify
tronic Health Records
alternate accepted terms for the same concept and its elected
E1985 Guide for User Authentication and Authorization
term. Its terms are intended to clarify and simplify usage in the
E1986 Guide for Information Access Privileges to Health
dialog and documentation about the concepts, processes and
Information
data that are used to schedule, conduct and manage all phases
E1987 Guide for Individual Rights Regarding Health Infor-
ofhealthcare.Thiscommonusagewillimprovethequalityand
mation
management of all facets of healthcare by means of explicit
E2087 Specification for Quality Indicators for Controlled
information used in referring to each of these facets. These
Health Vocabularies
health informatics terms have been collected here specifically
E2147 Specification for Audit and Disclosure Logs for Use
in order to facilitate the consistent use of common concepts in
in Health Information Systems
informatics standards development and use throughout health-
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2.2 CEN Standards:
care.Aseparate process from this standard that is described in
EN-12017 Medical Informatics Vocabulary (MIVoc)
ISO 15188 will manage the approval of biomedical and
EN-12264 Categorical Structure of Syntax of Concepts—
healthcare terms.
Model for Representation of Semantics (MOSE)
1.2 This standard does not purport to address all of the
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2.3 ISO Standards:
safety concerns, if any, associated with its use. It is the
ISO 704 Principles and Methods of Terminology
responsibility of the user of this standard to establish appro-
ISO/DIS 860 International Harmonization of Concepts and
priate safety and health practices and determine the applica-
Terms
bility of regulatory limitations prior to use.
ISO/DIS 1087-1 Terminology—Vocabulary—Part 1 Theory
and Application
2. Referenced Documents
ISO/DIS 1087-2 Terminology—Vocabulary—Part 2 Com-
2
2.1 ASTM Standards:
puter Applications
E1239 Practice for Description of Reservation/Registration-
ISO 2382/4 Information Technology—Vocabulary—
Admission, Discharge, Transfer (R-ADT) Systems for
Organization of Data
Electronic Health Record (EHR) Systems
ISO 10241 Terminology—Standards Representation and
E1284 Guide for Construction of a Clinical Nomenclature
Layout
for Support of Electronic Health Records
ISO 12200 Terminology—Computer Applications—
Machine Readable Terminology Interchange Format
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ISO/IEC 12207 Life Cycle Processes
This terminology is under the jurisdiction of ASTM Committee E31 on
Healthcare Informatics and is the direct responsibility of Subcommittee E31.35 on
ISO 12620 Terminology—Computer Applications—Data
Healthcare Data Analysis.
Categories
Current edition approved July 15, 2007. Published August 2007. Originally
approved in 2006. Last previous edition approved in 2006 as E2457 – 06. DOI:
10.1520/E2457-07.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from European Committee for Standardization (CEN), 36 rue de
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Stassart, B-1050, Brussels, Belgium, http://www.cenorm.be.
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Standards volume information, refer to the standard’s Document Summary page on Available fromAmerican National Standards Institute (ANSI), 25 W. 43rd St.,
the ASTM website. 4th Floor, New York, NY 10036, http://www.ansi.org.
*A Summary of Changes section appears at the end of this standard
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
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E2457 − 07
ISO 15188 Project Management Guidelines forTerm
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