Designation:E1986−09(Reapproved2013)AnAmericanNationalStandardStandardGuideforInformationAccessPrivilegestoHealthInformation1ThisstandardisissuedunderthefixeddesignationE1986;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(´)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope*1.1Thisguidecoverstheprocessofgrantingandmaintain-ingaccessprivilegestohealthinformation.Itdirectlyad-dressesthemaintenanceofconfidentialityofpersonal,provider,andorganizationaldatainthehealthcaredomain.Itaddressesawiderangeofdataanddataelementsnotalltraditionallydefinedashealthcaredata,butallelementalintheprovisionofdatamanagement,dataservices,andadministra-tiveandclinicalhealthcareservices.Inaddition,thisguideaddressesspecificrequirementsforgrantingaccessprivilegestopatient-specifichealthinformationduringhealthemergen-cies.1.2Thisguideisbasedonlong-termexistingandestab-lishedprofessionalpracticesinthemanagementofhealthcareadministrativeandclinicaldata.Healthcaredata,andspecifi-callyhealthcarerecords(alsoreferredtoasmedicalrecordsorpatientrecords),aregenerallymanagedundersimilarprofes-sionalpracticesthroughouttheUnitedStates,essentiallyre-gardlessofspecificvariationsinlocal,regional,state,andfederallawsregardingrulesandrequirementsfordataandrecordmanagement.1.3Thisguideappliestoallindividuals,groups,organizations,data-users,data-managers,andpublicandpri-vatefirms,companies,agencies,departments,bureaus,service-providers,andsimilarentitiesthatcollectindividual,group,andorganizationaldatarelatedtohealthcare.1.4Thisguideappliestoallcollection,use,management,maintenance,disclosure,andaccessofallindividual,group,andorganizationaldatarelatedtohealthcare.1.5Thisguidedoesnotattempttoaddressspecificlegisla-tiveandregulatoryissuesregardingindividual,group,andorganizationalrightstoprotectionofprivacy.1.6Thisguidecoversallmethodsofcollectiona...
