ASTM E1869-2004(2010) 包括基于电子健康记录的健康信息数据安全信息规则、通路、隐私和机密性的标准指南
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【英文标准名称】:StandardGuideforConfidentiality,Privacy,Access,andDataSecurityPrinciplesforHealthInformationIncludingElectronicHealthRecords
【原文标准名称】:包括基于电子健康记录的健康信息数据安全信息规则、通路、隐私和机密性的标准指南
【标准号】:ASTME1869-2004(2010)
【标准状态】:现行
【国别】:美国
【发布日期】:2004
【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】:(Guide)
【标准水平】:()
【中文主题词】:
【英文主题词】:computer-basedpatientrecords;health;securityprinciplesofpatientrecords
【摘要】:ManyU.S.healthcareandhealthinformationsystemsleadersbelievethatelectronichealthinformationsystemsthatincludecomputer-basedpatientrecordswillimprovehealthcare.Toachievethisgoalthesesystemswillneedtoprotectindividualprivacyofpatientdata,provideappropriateaccess,anduseadequatedatasecuritymeasures.Soundinformationpoliciesandpracticesmustbeinplacepriortothewide-scaledeploymentofhealthinformationsystems.Strongenforceableprivacypoliciesmustshapethedevelopmentandimplementationofthesesystems.Thepurposesofpatientrecordsaretodocumentthecourseofthepatient''sillnessorhealthstatusduringeachencounterandepisodeofcare;tofurnishdocumentaryevidenceofthecourseofthepatient''shealthevaluation,treatmentandchangeincondition;todocumentanindividual''shealthstatus;toprovidedataforpreventivecare;todocumentcommunicationbetweenthepractitionerresponsibleforthepatient''scareandanyotherhealthcarepractitionerwhocontributestothepatient''scare;toassistinprotectingthelegalinterestofthepatient,thehealthcarefacilityandtheresponsiblepractitioner;toprovidecontinuityofcare;toprovidedatatosubstantiateinsuranceclaims;toprovideabasisforevaluatingtheadequacyandappropriatenessofcare;andtoprovidedataforuseincontinuingeducationandresearch.Healthinformationisabroadconcept.Itincludesallinformationrelatedtoanindividual''sphysicalandmentalhealth,theprovisionofhealthcaregenerally,andpaymentforhealthcare.Thepatientrecordisamajorcomponentofthehealthinformationsystem.Thecreationofelectronicdatabasesandcommunicationprotocolstotransferdatabetweensystemspresentsnewopportunitiestoimplementmoreeffectivesystemsforhealthinformation,toenhancepatientcare,reducethecostofhealthcare,andimprovepatientoutcomes.Nationalstandardsguideallthathaveresponsibilitiesforrecordsandinformationsystemscontainingpersonidentifiablehealthdataandinformation.Thisguidealsoacknowledgesthelargeandgrowinglistofhealthinformationdatabasesalreadyinexistence.Thesedatabaseshavebeenassembledtopayforservicesrendered(insurance),tovalidatetheappropriateuseofpatientservices(utilizationmanagement),tosupportpolicy(nationallevels),togatherdataforresearch/trackingofspecificproblems(registriessuchastumor,trauma,birthdefects,mentalhealthcasemanagement),topreventthespreadofdisease(requiredreportingofcommunicablediseasessuchastuberculosis,gonorrhea,AIDS),andtorespondtonewuseswhichareproposedeachyear.Nationalstandardsdelineatingprinciplesandpracticesintheareasofconfidentiality,privacy,access,anddatasecuritywillprovideaguideforpolicy,law,andsystemsdevelopmentandabaseforstandardsforelectronichealthinformationregardlessofitslocation.1.1Thisguidecoverstheprinciplesforconfidentiality,privacy,access,andsecurityofpersonidentifiablehealthinformation.Thefocusofthisstandardiscomputer-basedsystems;however,manyoftheprinciplesoutlinedinthisguidealsoapplytohealthinformationandpatientrecordsthatarenotinanelectronicformat.Basicprinciplesandethicalpracticesforhandlingconfidentiality,access,andsecurityofhealthinformationarecontainedinamyriadoffederalandstatelaws,rulesandregulations,andinethicalstatementsofprofessionalconduct.Thepurposeofthisguideistosynthesizeandaggregateintoacohesiveguidetheprinciplesthatunderpinthedevelopmentofmorespecificstandardsforhealthinformationandtosupportthedevelopmentofpoliciesandproceduresforelectronichealthrecordsystemsandhealthinformationsystems.
【中国标准分类号】:C07
【国际标准分类号】:35_240_80
【页数】:9P.;A4
【正文语种】:英语
【原文标准名称】:包括基于电子健康记录的健康信息数据安全信息规则、通路、隐私和机密性的标准指南
【标准号】:ASTME1869-2004(2010)
【标准状态】:现行
【国别】:美国
【发布日期】:2004
【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】:(Guide)
【标准水平】:()
【中文主题词】:
【英文主题词】:computer-basedpatientrecords;health;securityprinciplesofpatientrecords
【摘要】:ManyU.S.healthcareandhealthinformationsystemsleadersbelievethatelectronichealthinformationsystemsthatincludecomputer-basedpatientrecordswillimprovehealthcare.Toachievethisgoalthesesystemswillneedtoprotectindividualprivacyofpatientdata,provideappropriateaccess,anduseadequatedatasecuritymeasures.Soundinformationpoliciesandpracticesmustbeinplacepriortothewide-scaledeploymentofhealthinformationsystems.Strongenforceableprivacypoliciesmustshapethedevelopmentandimplementationofthesesystems.Thepurposesofpatientrecordsaretodocumentthecourseofthepatient''sillnessorhealthstatusduringeachencounterandepisodeofcare;tofurnishdocumentaryevidenceofthecourseofthepatient''shealthevaluation,treatmentandchangeincondition;todocumentanindividual''shealthstatus;toprovidedataforpreventivecare;todocumentcommunicationbetweenthepractitionerresponsibleforthepatient''scareandanyotherhealthcarepractitionerwhocontributestothepatient''scare;toassistinprotectingthelegalinterestofthepatient,thehealthcarefacilityandtheresponsiblepractitioner;toprovidecontinuityofcare;toprovidedatatosubstantiateinsuranceclaims;toprovideabasisforevaluatingtheadequacyandappropriatenessofcare;andtoprovidedataforuseincontinuingeducationandresearch.Healthinformationisabroadconcept.Itincludesallinformationrelatedtoanindividual''sphysicalandmentalhealth,theprovisionofhealthcaregenerally,andpaymentforhealthcare.Thepatientrecordisamajorcomponentofthehealthinformationsystem.Thecreationofelectronicdatabasesandcommunicationprotocolstotransferdatabetweensystemspresentsnewopportunitiestoimplementmoreeffectivesystemsforhealthinformation,toenhancepatientcare,reducethecostofhealthcare,andimprovepatientoutcomes.Nationalstandardsguideallthathaveresponsibilitiesforrecordsandinformationsystemscontainingpersonidentifiablehealthdataandinformation.Thisguidealsoacknowledgesthelargeandgrowinglistofhealthinformationdatabasesalreadyinexistence.Thesedatabaseshavebeenassembledtopayforservicesrendered(insurance),tovalidatetheappropriateuseofpatientservices(utilizationmanagement),tosupportpolicy(nationallevels),togatherdataforresearch/trackingofspecificproblems(registriessuchastumor,trauma,birthdefects,mentalhealthcasemanagement),topreventthespreadofdisease(requiredreportingofcommunicablediseasessuchastuberculosis,gonorrhea,AIDS),andtorespondtonewuseswhichareproposedeachyear.Nationalstandardsdelineatingprinciplesandpracticesintheareasofconfidentiality,privacy,access,anddatasecuritywillprovideaguideforpolicy,law,andsystemsdevelopmentandabaseforstandardsforelectronichealthinformationregardlessofitslocation.1.1Thisguidecoverstheprinciplesforconfidentiality,privacy,access,andsecurityofpersonidentifiablehealthinformation.Thefocusofthisstandardiscomputer-basedsystems;however,manyoftheprinciplesoutlinedinthisguidealsoapplytohealthinformationandpatientrecordsthatarenotinanelectronicformat.Basicprinciplesandethicalpracticesforhandlingconfidentiality,access,andsecurityofhealthinformationarecontainedinamyriadoffederalandstatelaws,rulesandregulations,andinethicalstatementsofprofessionalconduct.Thepurposeofthisguideistosynthesizeandaggregateintoacohesiveguidetheprinciplesthatunderpinthedevelopmentofmorespecificstandardsforhealthinformationandtosupportthedevelopmentofpoliciesandproceduresforelectronichealthrecordsystemsandhealthinformationsystems.
【中国标准分类号】:C07
【国际标准分类号】:35_240_80
【页数】:9P.;A4
【正文语种】:英语
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