Designation:E1902–02AnAmericanNationalStandardStandardSpecificationforManagementoftheConfidentialityandSecurityofDictation,Transcription,andTranscribedHealthRecords1ThisstandardisissuedunderthefixeddesignationE1902;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(e)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1Thisspecificationcoversabroaddescriptionofcertainstepsthatshallbetakenbythoseinvolvedintheprocessesofdictationandtranscriptionofhealthcaredocumentationtoprotectthedocumentationduringitsdevelopment,mainte-nance,transmission,storage,andretrieval.Variationsorex-ceptionsmaybeappropriateinspecialsituationsorbecauseofparticularcontractualobligations,institutionalpoliciesandrules,orprovisionsoflaworregulation.1.2Healthcareclientstrustandexpectthatpersonalhealthinformationwillbemaintainedinaconfidentialandsecuremanner.Thisspecificationhasbeendevelopedforthepurposeofprotectingtheconfidentialityandsecurityofallformsofdictation,transcription,andtranscribedhealthcaredocumenta-tion.1.3Thisspecificationsupportsthepatient’srighttoconfi-dential,private,andsecurehealthcaredocumentationandidentifiesproceduresforpreventingbreachesofthesepatientrights.1.4Thisspecificationseekstoidentifycertaindictationandtranscriptionpracticesthatmayincreasetherisksofbreachingconfidentiality,infringingonprivacy,andviolatingsecurityofhealthcaredocumentation.2.ReferencedDocuments2.1ASTMStandards:E1762GuideforElectronicAuthenticationofHealthCareInformation2E1869GuideforConfidentiality,Privacy,Access,andDataSecurityPrinciplesforHealthInformationIncludingComputer-BasedPatientRecords2E1959GuideforRequestsforProposalsRegardingMedi-calTranscriptionServicesforHealthcareInstitutions2E1985GuideforUserAuthenticationandAuthorization2E1986GuideforInformationAccessPrivilegestoHealthInformation2E1988GuideforTrainingofPersonswhohaveAccesstoHe...