ASTM E1239-04(2010)
Standard Practice for Description of Reservation/Registration-Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems

Standard No.

ASTM E1239-04(2010)

Release Date

2004

Published By

American Society for Testing and Materials (ASTM)

Status

Withdraw 2017-01

Latest

ASTM E1239-04(2010)

Scope

Background:

Effective health care delivery requires an efficient information base. A standard description is needed regarding the capabilities of Registration-Admission, Discharge, Transfer (R-ADT) Systems in both automated hospital and ambulatory care information systems. This practice is intended not only to provide a common explanation of the minimum information elements required in such systems, thus augmenting those already published ^, but also to provide the basis for future patient data interchange formats. This practice has been developed to serve as a uniform minimum description of R-ADT functional components that should be common in all systems and used in both transportable general purpose and custom developed systems. This description requires acceptance of the premise regarding the need for logical integration of concepts in systems development. In the integrated systems concept, the R-ADT function is the foundation module for all patient information and communication among all departments, and it is used in initiating services within the patient care setting. A common R-ADT system in a hospital enables all departments to streamline the initiation and tracking of the services they provide to patients; it also provides an opportunity for accurate tracking of patient movement throughout a hospital stay, for instance, and the linkage of inpatient and outpatient services. It is also the system which provides all inpatient census-related administrative reports. Likewise, an R-ADT component in an Enterprise Architecture captures the initial patient demographic profile for the EHR and is subsequently accessed in posting an individual's clinical data, for inquiry regarding that clinical data and for linkage to financial records. It is an integral part of the EHR function. It may also be linked to other systems which provide patient care information management capabilities.

A registration system is capable of providing the initial information capture for all health care facilities; an ADT subsystem can provide common admitting data for all departments in hospitals and other inpatient facilities. Establishing a standard description of a logical R-ADT process model is useful because that standard will become a reference for other documents describing the other functional subsystems used in patient care information systems. It is understood that a minimum set of information elements must be initially captured upon registration and then used for all subsequent ambulatory or inpatient care; the subsequent minimum set of admitting elements is then used to drive or initiate additional services for patients through each subsystem. With a standard minimum R-ADT component definition, standards for constituent subsystems can now be coordinated and developed through reference to this model. This description should be used by vendors and subsystem designers who need to develop their systems in a coordinated and integrated way so that each subsystem will contribute modularly with overall systems planning for the user organization. Such modularity will aid management who are assigned to evaluate each system and subsystem in order to assess the potential of existing technology to provide the needed patient care information management systems capabilities.

Use8212;This practice is written assuming that the health care facility will have several options for gaining the R-ADT capability and may either acquire a system from a commercial vendor or design an integrated in-house system which may be a component of an ambulatory care practice or a hospital information system. Many of the characteristics of existing vendor systems are conventional and can interoperate; the care facility may simply need to identify whether or not the offered features meet its needs. Beyond the general capabili.......

ASTM E1239-04(2010) Referenced Document

• ASTM E1384 Standard Guide for Content and Structure of the Electronic Health Record (EHR)
• ASTM E1633 Standard Specification for Coded Values Used in the Electronic Health Record*， 2024-04-19 Update
• ASTM E1714 Standard Guide for Properties of a Universal Healthcare Identifier (UHID)*， 2024-04-19 Update
• ASTM E1715 Standard Practice for An Object-Oriented Model for Registration, Admitting, Discharge, and Transfer (RADT) Functions in Computer-Based Patient Record Systems
• ASTM E1869 Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
• ISO 3166 Codes for the representation of namens of countries
• ISO 5218 Information interchange; Representation of human sexes
• ISO 639 Code for individual languages and language groups

ASTM E1239-04(2010) history

• 2004 ASTM E1239-04(2010) Standard Practice for Description of Reservation/Registration-Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems
• 2004 ASTM E1239-04 Standard Practice for Description of Reservation/Registration-Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems
• 2000 ASTM E1239-00 Standard Guide for Description of Reservation/Registration-Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems