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ASTM E1902-02

Standard Guide for Management of the Confidentiality and Security of Dictation, Transcription, and Transcribed Health Records
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This specification covers management of the *confidentiality and security* of dictation, transcription, and transcribed health records to protect the documentation during its development, maintenance, transmission, storage, and retrieval.

The dictation security policies and procedures are presented in detail.

The transcription security policies and procedures are presented in detail.

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.
SDO ASTM: ASTM International
Document Number E1902
Publication Date June 10, 2002
Language en - English
Page Count 5
Revision Level 02
Supercedes
Committee E31.15
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