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    ASTM E2344-04(2011)

    Standard Guide for Data Capture through the Dictation Process (Withdrawn 2020)

    Withdrawn Standard: ASTM E2344-04(2011) | Developed by Subcommittee: E31.15


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    Withdrawn Rationale:

    This guide identifies ways to improve the quality of healthcare documentation through the dictation process. This guide will assist dictating authors (physicians, physician assistants, nurses, therapists, and other healthcare professionals) in facilitating their use of dictation in the healthcare environment, that is, hospital, clinic, physician practice, or multi-campus healthcare system.

    Formerly under the jurisdiction of Committee E31 on Healthcare Informatics, this guide was withdrawn in January 2020 in accordance with section 10.6.3 of the Regulations Governing ASTM Technical Committees, which requires that standards shall be updated by the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. Scope

    1.1 This guide identifies ways to improve the quality of healthcare documentation through the dictation process. This guide will assist dictating authors (physicians, physician assistants, nurses, therapists, and other healthcare professionals) in facilitating their use of dictation in the healthcare environment, that is, hospital, clinic, physician practice, or multi-campus healthcare system.

    1.2 This guide will aid in the continuity of patient care, privacy and confidentiality issues, risk management issues, optimal coding for reimbursement, compliance with legislative and regulatory requirements, and turnaround time.

    1.3 The complexity of the language of medicine, the dynamics of the healthcare environment, and the sophistication of the dictation systems present a formidable challenge for dictating authors. This guide will facilitate a quality dictation message.

    1.4 This guide does not address the medical transcription process.

    1.5 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 requirements prior to use.



    2. Referenced Documents (purchase separately) The documents listed below are referenced within the subject standard but are not provided as part of the standard.

    ASTM Standards

    E1902 Specification for Management of the Confidentiality and Security of Dictation, Transcription, and Transcribed Health Records

    E2117 Guide for Identification and Establishment of a Quality Assurance Program for Medical Transcription

    E2184 Specification for Healthcare Document Formats


    Referencing This Standard
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    DOI: 10.1520/E2344-04R11

    Citation Format

    ASTM E2344-04(2011), Standard Guide for Data Capture through the Dictation Process (Withdrawn 2020), ASTM International, West Conshohocken, PA, 2011, www.astm.org

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