【英文标准名称】:StandardPracticeforAnObject-OrientedModelforRegistration,Admitting,Discharge,andTransfer(RADT)FunctionsinComputer-BasedPatientRecordSystems
【原文标准名称】:计算机病人记录系统中挂号、住院、出院和转院(RADT)功能的目标模块的标准实施规程
【标准号】:ASTME1715-2001(2008)
【标准状态】:现行
【国别】:美国
【发布日期】:2001
【实施或试行日期】:
【发布单位】:美国材料与试验协会(US-ASTM)
【起草单位】:E31.25
【标准类型】:(Practice)
【标准水平】:()
【中文主题词】:
【英文主题词】:electronichealthrecord(EHR);objectmodeling;registration,admitting,discharge,andtransfer(RADT);reservation;Clinicallaboratoryinformationmanagementsystem(CLIMS);Computer-basedpatientrecord(CPR);Healthcaredeliverymodels;Object-orie
【摘要】:RADTObjectModelasaBasisforCommunication8212;TheRADTobjectmodelisthefirstmodelusedtocreateacommonlibraryofconsistententities(objects)andtheirattributesintheterminologyofobjectanalyticalmodelsasappliedtothehealthcaredomain.Theseobjectmodelscanbeusedtoconstructandrefinestandardsrelatingtohealtcareinformationanditsmanagement.SincetheRADTobjectmodelunderpinsthedesignandimplementationofspecificsystems,itprovidestheframeworkforestablishingthesystematicsofmanagingobservationsmadeduringhealthcare.Theobservationsrecordedduringhealthcarenotonlybecomethebasisformanaginganindividual''shealthcarebypractitionersbutarealsousedforresearchandresourcemanagement.Theydefinethecommonlanguageforabstractingandcodifyingobservations.TheinconsistencyandincompletenessofthedatarecordedinpaperrecordsiswellknownandhasbeennotedbytheInstituteofMedicine''sstudy(4).TheabilitytobuildtherecommendedEHRbeginswithRADT,asnotedinPracticeE1239.AmoredetailedspecificationoftheRADTprocessanditsspecificfunctionaldomainshallbeginwithaformalmodel.Furthermore,followingagreementontheinitialmodel,thatmodelshallevolveasknowledgeaccumulatesandtheinitialviewofthehealthcaredomainextendstoothersocialandpsychologicprocessesthatlinkhealthcarewithotherfunctionaldomainsofsociety.Themanagementoflifelongcasesofcare,suchasthoseofbirthdefectsinnewborns,willinvolveinteractionswithsocialworkandeducationalfunctionaldomainsofexperience.Ithasbeenrecognizedforsometime(5)thatax201C;healthcareteam,x201D;inthebroadersense,isinvolvedindealingwiththesecomplexcases.TheRADTmodelisthecoretolinkingthesefunctionaldomainstogetherinatransparentway.Forthatreason,theobjectterminologyisusedtoenablethemostglobalviewandvernacularthatwillfacilitatecommunicationamongtechnicalspecialtiesthatparticipateinmanagingsomeaspectofhealthcareorthatbuildsystemstomanagetherequiredinformation.CommonTerminologyasaBasisforEducation8212;Theuseofmodelsandtheirassociatedterminologyimpliesthateducationofthehealthcarepractitionersshallincorporatethisviewtoasignificantextent.Whileadetailedspecificationofsystemsrequiresextensivelexiconsofcarefullydefinedterms,amoreunderstandableterminologyshallevolvefortheprocessofeducatingpractitionersduringtheirformaleducationaswellascontinuingtoeducatecurrentpractionersconcerninghowthisnewtechnologycanbeintegratedwiththeirexistingpractices.Thischallengehasyettobemet,buttheobjectsandmodelingconceptspresentedhereareintendedtobenamedwiththemostintuitivetitlesinordertopromoteclearunderstandingduringtheiruseininstruction.Nevertheless,relatingtheseobjectsandtheirpropertiestoeverydaypracticeremainsasignificantchallenge,forboththeimplementorsofsystemsandeducators.Theperspectivescatalogedherecanbeusedinthecreationofsystemdocumentationandcurricularepresentedinavarietyofmedia.1.1ThispracticeisintendedtoamplifyPracticeE1239andtocomplementPracticeE1384bydetailingtheobjectsthatmakeupthereservation,registration,admitting,discharge,andtransfer(RADT)functionaldomainofthecomputer-basedrecordofcare(CPR).AsidentifiedinPracticeE1239,thisdomainisseminaltoallpatientrecordandancillarysystemfunctions,includingmessagingfunctionsu......
【中国标准分类号】:C07
【国际标准分类号】:35_240_80
【页数】:32P.;A4
【正文语种】:英语