ASTM International - ASTM E2473-05(2011)
Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record (Withdrawn 2020)
|Publication Date:||1 May 2011|
|ICS Code (IT applications in health care technology):||35.240.80|
significance And Use:
This practice is directed at defining the application of existing conventions for the structure and content of EHR systems used to support healthcare practitioners in a workplace setting. In... View More
This practice is directed at defining the application of existing conventions for the structure and content of EHR systems used to support healthcare practitioners in a workplace setting. In addition to supporting the capture of data on encounters and of periodic patient health assessments conducted during the time the employee is at work, this document also recognizes the interaction of care rendered over a lifetime and when not at work with that due to the work environment that is delivered on the work site, either for care events that have occupational significance or for surveillance of potential health conditions that may result from the work or living environment. This document recognizes not only the privacy and confidentiality of records that are kept in the work setting but also the need to be able to interchange data from the workplace record with health records in other settings in order to fully support employee and environmental health.
Occupational Health Programs:
Most occupational health programs are oriented, first, to any regular surveillance for observations associated with potentially adverse health conditions known to attend environmental stressors that may be present in either the workplace or the living environment and, second, to care and documentation of any illness or injury incurred during the workday at the work site or in other living environments. Each of these activities requires recording data for the care record that is a subset of that regularly required for care in other more extensive ambulatory and inpatient care settings. It also requires relating the events occurring in either the work place or the living environment to those observed healthcare data.
This practice is intended to identify the most frequently used of the general data elements which are more completely documented in Practice E1384 and Specification E1633. Thus, this description constitutes a "view" of the more comprehensive set of data that might be captured in a general ambulatory care encounter. If the conventions given in this document are adhered to, the data will ensure a record that is portable to any other setting and the record will be interoperable with other standards conformant systems, regardless of their implementation techniques. Fig. 1 shows the inter-relationships of the basic information domains that support Occupational/Environ
Reportable Data-Certain data about care events are required to be regularly reported to public authorities, state or federal. These include occupational illness or injury. These reportable data constellations are subsets of the occupational health "view" described here and do not include all of the attributes of the "view." Such "Reportable Data" are explicitly defined. These data can be composed into electronic messages for transmission to reporting authorities. While this "view" does not deal with the format of such messages, its constituent data elements provide the fields needed to compose such messages. For discussion of reportable data, consult Refs. (1, 2).
Health Surveillance Processes-Health Surveillance processes supporting Occupational/Environ
1.1 This Practice is intended to assemble a logical occupational/environ