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Formerly under the jurisdiction of Committee E31 on Healthcare Informatics, this Specification was withdrawn in 2011 in accordance with section 10.5.3.1 of the Regulations Governing ASTM Technical Committees, which requires that standards shall be updated by the end of the eighth year since the last approval date.
1.1 This specification covers a broad description of certain steps that shall be taken by those involved in the processes of dictation and transcription of healthcare documentation to protect the documentation during its development, maintenance, transmission, storage, and retrieval. Variations or exceptions may be appropriate in special situations or because of particular contractual obligations, institutional policies and rules, or provisions of law or regulation.
1.2 Healthcare clients trust and expect that personal health information will be maintained in a confidential and secure manner. This specification has been developed for the purpose of protecting the confidentiality and security of all forms of dictation, transcription, and transcribed healthcare documentation.
1.3 This specification supports the patient's right to confidential, private, and secure healthcare documentation and identifies procedures for preventing breaches of these patient rights.
1.4 This specification seeks to identify certain dictation and transcription practices that may increase the risks of breaching confidentiality, infringing on privacy, and violating security of healthcare documentation.
2. Referenced Documents (purchase separately) The documents listed below are referenced within the subject standard but are not provided as part of the standard.
E1762 Guide for Electronic Authentication of Health Care Information
E1869 Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Computer-Based Patient Records
E1959 Guide for Requests for Proposals Regarding Medical Transcription Services for Healthcare Institutions
E1985 Guide for User Authentication and Authorization
E1986 Guide for Information Access Privileges to Health Information
E1988 Guide for Training of Persons who have Access to Health Information
E2017 Guide for Amendments to Health Information
E2084 Specification for Authentication of Healthcare Information Using Digital Signatures
E2085 Guide for Security Framework for Healthcare Information
E2147 Specification for Audit and Disclosure Logs for Use in Health Information Systems
E2184 Specification for Healthcare Document Formats
Other Documents45 CFR, Parts 160-164 Standards for Privacy of Individually Identifiable Health Information; U.S. Department of Health and Human Services, Office of the Secretary
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ASTM E1902-02, Standard Specification for Management of the Confidentiality and Security of Dictation, Transcription, and Transcribed Health Records (Withdrawn 2011), ASTM International, West Conshohocken, PA, 2002, www.astm.orgBack to Top