ASTM E1987-98
(Guide)Standard Guide for Individual Rights Regarding Health Information (Withdrawn 2007)
Standard Guide for Individual Rights Regarding Health Information (Withdrawn 2007)
SCOPE
1.1 This guide outlines the rights of individuals, both patients and providers, regarding health information and recommends procedures for the exercise of those rights.
1.2 This guide is intended to amplify Guide E1869.
WITHDRAWN RATIONALE
This guide outlines the rights of individuals, both patients and providers, regarding health information and recommends procedures for the exercise of those rights.
Formerly under the jurisdiction of Committee E31 on Healthcare Informatics, this guide was withdrawn in September 2007 in accordance with section 10.5.3.1 of the Regulations Governing ASTM Technical Committees, which requires that standards shall be updated by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.
General Information
Standards Content (Sample)
NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
An American National Standard
Designation:E1987–98
Standard Guide for
Individual Rights Regarding Health Information
This standard is issued under the fixed designation E 1987; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope researcher, public health authority, instructor, employer, school
or university, health information service or other entity that
1.1 This guide outlines the rights of individuals, both
creates, receives, obtains, maintains uses or transmits health
patients and providers, regarding health information and rec-
information; a health oversight agency, a health information
ommends procedures for the exercise of those rights.
service organizations, or (2) that relates to the past, present, or
1.2 This guide is intended to amplify Guide E 1869.
future physical or metal health or condition of an individual,
2. Referenced Documents
theprovisionofhealthcaretoanindividual,orthepast,present
or future payments for the provision of health care to a
2.1 ASTM Standards:
protected individual; present or future payments for the provi-
E 1869 Guide for Confidentiality, Privacy,Access, and Data
sion of health care to a protected individual; and (3) that
Security Principles for Health Information Including
identifies the individual; with respect to which there is a
Computer-Based Patient Records
reasonable basis to believe that the information can be used to
3. Terminology
identify the individual. E 1869
3.1.6 information, n—data to which meaning is assigned,
3.1 Definitions:
according to context and assumed conventions. E 1869
3.1.1 access, n—the provision of an opportunity to ap-
3.1.7 informational privacy, n— (1) a state or condition of
proach, inspect, review, retrieve, store, communicate with, or
controlled access to personal information, (2) the ability of an
make use of health information system resources (for example,
individual to control the use and dissemination of information
hardware, software, systems or structure) or patient identifiable
that relates to himself or herself, (3) the individual’s ability to
data and information, or both. E 1869
control what information is available to various users and to
3.1.2 authorize, v—the granting to a user the right of access
limit redisclosures of information. E 1869
to specified data and information, a program, a terminal or a
3.1.8 privacy, n—the right of an individual to be left alone
process. E 1869
and to be protected against physical or psychological invasion
3.1.3 confidential, adj—status accorded to data or informa-
or misuse of their property. It includes freedom from instruc-
tion indicating that it is sensitive for some reason and needs to
tion or observation into one’s private affairs the right to
be protected against theft, disclosure, or improper use, or both,
maintain control over certain personal information, and the
and shall be disseminated only to authorized individual or
freedom to act without outside interference. E 1869
organizations with an approved need to know. Private infor-
3.2 Definitions of Terms Specific to This Standard:
mation which is entrusted to another with the confidence that
3.2.1 external disclosure, n—disclosure outside an organi-
unauthorized disclosure that will be prejudicial to the indi-
zation.
vidual will not occur. E 1869
3.2.2 internal disclosure, n—disclosure within an organiza-
3.1.4 disclose, v—as related to health care, to access,
tion.
release, transfer, or otherwise divulge protected health infor-
mation to an entity other than the individual who is the subject
4. Background
of such information E 1869
4.1 The health information in patient records documents the
3.1.5 health information, n—any information, whether oral
course of a patient’s illness and treatment during each episode
or recorded in any form or medium (1) that is created or
of care. It serves as an important means of communication
received by a healthcare provider; a health plan; health
between the physician, other healthcare professionals, and
subsequent caregivers.
This guide is under the jurisdiction of ASTM Committee E31 on Healthcare
4.2 Health information primarily supports the delivery of
Informatics and is the direct responsibility of Subcommittee E31.25 on Healthcare
patient care but is commonly used for health care payment,
Management, Security, Confidentiality, and Privacy.
research, public health, management and oversight purposes.
Current edition approved Oct. 10, 1998. Published November 1998.
Annual Book of ASTM Standards, Vol 14.01.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
E1987–98
Health information may migrate from the healthcare delivery circumstances under which it may be disclosed. Patients have
system to other business record systems (insurance, employ- the right to inspect and seek correction of their health infor-
ment, credit, etc.). In addition to health professionals, individu- mation. Information may be withheld from a patient only as
ally identifiable health information is available to many others provided by law or regulation or to prevent harm to the patient
not directly involved in patient care. or others who provided the information. Confidential health
4.3 Understanding and improving the performance of the information may be disclosed only as provided by law or
healthcare system requires reliable data to assess public health regulation or with written authorization from the patient or his
and patterns of illness and injury, identify unmet community legal representative.
healthcare needs, evaluate healthcare expenditures for inappro-
6.4 Procedures to Exercise Rights:
priate, unnecessary, or potentially harmful treatments, identify
6.4.1 Access to Information—Upon written request and
cost-effective methods and providers, and improve the quality
with reasonable notice, patients shall have access to health
of care in all healthcare settings.
information collected and maintained about them. Patients
shouldbepermittedtoreviewtheirrecordswithoutcharge.The
5. Significance and Use
provider or entity collecting or maintaining the information
5.1 Whiletheneedsoflegitimateusersshallbemet,patients
shall explain what information is collected, the purpose for
and providers shall be protected from unauthorized, inappro-
which it is collected, and the conditions under which it may be
priate, or unnecessary intrusion into the highly personal infor-
disclosed.
mation in their records. Besides diagnostic and treatment
6.4.2 Amendment of Health Information:—If disputing
information, health records may include details of a patient’s
documented health information, the patient or his legal repre-
family history, genetic testing, history of diseases and treat-
sentative shall discuss the issue with the healthcare provider
ments, history of drug use, sexual orientation and practices,
who made the entry in question. If the healthcare provider
testing for sexually transmitted diseases, and psychiatric dis-
agrees the entry contains an error, he should make the
orders. In addition, aggregate health information, across pa-
correcting entry in the patient’s record.
tients and patient populations, can be used to profile provider
6.4.3 If the responsible healthcare provider does not agree
practice patterns, quality of care, and outcomes.
thatacorrectioniswarranted,heshoulddiscussthematterwith
5.1.1 The provision of healthcare services requires that
the patient or his legal representative. The patient or his legal
patients provide
...
Questions, Comments and Discussion
Ask us and Technical Secretary will try to provide an answer. You can facilitate discussion about the standard in here.