4.1 Many U.S. healthcare and health information systems leaders believe that electronic health information systems that include computer-based patient records will improve health care. To achieve this goal these systems will need to protect individual privacy of patient data, provide appropriate access, and use adequate data security measures. Sound information policies and practices must be in place prior to the wide-scale deployment of health information systems. Strong enforceable privacy policies must shape the development and implementation of these systems.4.2 The purposes of patient records are to document the course of the patient's illness or health status during each encounter and episode of care; to furnish documentary evidence of the course of the patient's health evaluation, treatment and change in condition; to document an individual's health status; to provide data for preventive care; to document communication between the practitioner responsible for the patient's care and any other healthcare practitioner who contributes to the patient's care; to assist in protecting the legal interest of the patient, the health care facility and the responsible practitioner; to provide continuity of care; to provide data to substantiate insurance claims; to provide a basis for evaluating the adequacy and appropriateness of care; and to provide data for use in continuing education and research.4.3 Health information is a broad concept. It includes all information related to an individual's physical and mental health, the provision of health care generally, and payment for health care. The patient record is a major component of the health information system. The creation of electronic databases and communication protocols to transfer data between systems presents new opportunities to implement more effective systems for health information, to enhance patient care, reduce the cost of health care, and improve patient outcomes. National standards guide all that have responsibilities for records and information systems containing person identifiable health data and information.4.4 This guide also acknowledges the large and growing list of health information databases already in existence. These databases have been assembled to pay for services rendered (insurance), to validate the appropriate use of patient services (utilization management), to support policy (national levels), to gather data for research/tracking of specific problems (registries—such as tumor, trauma, birth defects, mental health case management), to prevent the spread of disease (required reporting of communicable diseases such as tuberculosis, gonorrhea, AIDS), and to respond to new uses which are proposed each year.4.5 National standards delineating principles and practices in the areas of confidentiality, privacy, access, and data security will provide a guide for policy, law, and systems development and a base for standards for electronic health information regardless of its location.1.1 This guide covers the principles for confidentiality, privacy, access, and security of person identifiable health information. The focus of this standard is computer-based systems; however, many of the principles outlined in this guide also apply to health information and patient records that are not in an electronic format. Basic principles and ethical practices for handling confidentiality, access, and security of health information are contained in a myriad of federal and state laws, rules and regulations, and in ethical statements of professional conduct. The purpose of this guide is to synthesize and aggregate into a cohesive guide the principles that underpin the development of more specific standards for health information and to support the development of policies and procedures for electronic health record systems and health information systems.1.2 This guide includes principles related to:  SectionPrivacy 7Confidentiality 8Collection, Use, and Maintenance 9Ownership 10Access 11Disclosure/Transfer of Data 12Data Security 13Penalties/Sanctions 14Education 151.3 This guide does not address specific technical requirements. It is intended as a base for development of more specific standards.

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5.1 The slip hazard from aggressive contaminants on walkway surfaces is often found in commercial and industrial (not including construction) settings including fresh fruits and vegetables open display areas, manufacturing processes, food preparation and processing areas, rendering operations, transportation and cargo handling activities, petroleum drilling platforms, and other similar environments.5.2 Ladder rungs, steps and other similar means of access and egress should be considered as walkway surfaces in slip-resistance analyses in commercial and industrial (not including construction) environments where aggressive contaminants are determined to be a factor.1.1 This guide is intended to assist in the selection of walking surfaces and treatments where the foreseeable presence of aggressive contaminants produces the danger of a slip and fall injury events in commercial and industrial (not including construction) environments, for persons wearing appropriate footwear.1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

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5.1 Users of this practice must determine for themselves whether the practices described meet the requirements of local or national authorities regulating asbestos or other fibrous hazards.5.2 Variations of this practice have been described by the Asbestos Research Council in Great Britain (8), the Asbestos International Association (AIA) (RTM 1) (9), NIOSH 7400, OSHA (Reference Method ID 160), and ISO 8672. Where the counting rules of these methods differ, this is noted in the text.5.3 Advantages5.3.1 The technique is specific for fibers. PCM is a fiber counting technique that excludes non-fibrous particles from the analysis.5.3.2 The technique is inexpensive, but requires specialized knowledge to carry out the analysis for total fiber counts, at least in so far as the analyst is often required under regulations to have taken a specific training course (for example, NIOSH 582, or equivalent).5.3.3 The analysis is quick and can be performed on-site for rapid determination of the concentrations of airborne fibers.5.3.4 The procedure provides for a discriminate counting technique that can be used to estimate the percentage of counted fibers that may be asbestos.5.4 Limitations5.4.1 The main limitation of PCM is that fibers are not identified. All fibers within the specified dimensional range are counted. Differential fiber counting may sometimes be used to discriminate between asbestos fibers and fibers of obviously different morphology, such as cellulose and glass fiber. In most situations, differential fiber counting cannot be used to adequately differentiate asbestos from non-asbestos fibers for purposes of compliance with regulations without additional positive identification. If positive identification of asbestos is required, this must be performed by polarized light or electron microscopy techniques, using a different portion of the filter.5.4.2 A further limitation is that the smallest fibers visible by PCM are about 0.2 µm in diameter, while the finest asbestos fibers may be as small as 0.02 µm in diameter.5.4.3 Where calculation of fiber concentration provides a result exceeding the regulatory standard, non-compliance is assumed unless it can be proven that the fibers counted do not belong to a member or members of the group of fibers regulated by that standard.1.1 This practice2 describes the determination of the concentration of fibers, expressed as the number of such fibers per millilitre of air, using phase contrast microscopy and optionally transmission electron microscopy to evaluate particulate material collected on a membrane filter in the breathing zone of an individual or by area sampling in a specific location. This practice is based on the core procedures provided in the International Organization for Standardization (ISO) Standard ISO 8672(1)3, the National Institute for Occupational and Health (NIOSH) Manual of Analytical Methods, NIOSH 7400 (2), and the Occupational Safety and Health Administration (OSHA) Method ID 160 (3). This practice indicates the important points where these methods differ, and provides information regarding the differences. However, selecting portions of procedures from different published methods generally requires a user to report that they have used a modification to a method rather than claim they have used the method as written. This practice further gives guidance on how differential counting techniques may be used to indicate where a population of fibers may be asbestos.1.2 The practice is used for routine determination of an index of occupational exposure to airborne fibers in mines, quarries, or other locations where ore may be processed or handled. The method gives an index of airborne fiber concentration. The method provides an estimate of the fraction of counted fibers that may be asbestos. This practice should be used in conjunction with electron microscopy (See Appendix X1) for assistance in identification of fibers.1.3 This practice specifies the equipment and procedures for sampling the atmosphere in the breathing zone of an individual and for determining the number of fibers accumulated on a filter membrane during the course of an appropriately-selected sampling period. The method may also be used to sample the atmosphere in a specific location in a mine or in a room of a building (area sampling).1.4 The ideal working range of this practice extends from 100 fibers/mm2 to 1300 fibers/mm2 of filter area. For a 1000-L air sample, this corresponds to a concentration range from approximately 0.04 to 0.5 fiber/mL (or fiber/cm3). Lower and higher ranges of fiber concentration can be measured by reducing or increasing the volume of air collected. However, when this practice is applied to personal sampling in mines and quarries, the level of total suspended particulate may impose an upper limit to the volume of air that can be sampled if the filters produced are to be of appropriate particulate loading for fiber counting.1.5 Users should determine their own limit of detection using the procedure in Practice D6620. For reference, the NIOSH 7400 method gives the limit of detection as 7 fibers/mm2 of filter area. For a 1000-L air sample, this corresponds to a limit of detection of 0.0027 fiber/mL (or fiber/cm3). For OSHA ID 160 the limit of detection is given as 5.5 fibers/mm2 of filter area. For a 1000-L air sample, this corresponds to a limit of detection of 0.0022 fiber/mL (or fiber/cm3).1.6 If this practice yields a fiber concentration that does not exceed one-half the permissible exposure limit or threshold limit value for the particular regulated fiber variety, no further action may be necessary. If the fiber concentration exceeds one-half of the regulated permissible exposure limit or threshold limit value for the particular regulated fiber variety, it is necessary to examine the data to determine if more than 50 % of the counted fibers are thinner than 1.0 μm, or thicker but with an appearance of asbestos (curvature, splayed ends, or the appearance of a bundle).1.7 The mounting medium used in this practice has a refractive index of approximately 1.45. Fibers with refractive indices in the range of 1.4 to 1.5 will exhibit reduced contrast, and may be difficult to detect.1.8 Fibers less than approximately 0.2 µm in diameter may not be detected by this practice. (4)1.9 This standard may involve hazardous materials, operations, and equipment. This standard does not purport to address all of the safety problems associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see Section 7.

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1.1 This fire-test-response standard is applicable to door assemblies for use in walls to retard the passage of fire (see .).1.2 This fire-test-response standard determines the ability of door assemblies to function as a fire-resistive barrier during a standard fire endurance test. Such a test meth shall not be construed as determining the suitability of door assemblies for continued use after their exposure to fire.1.3 This fire-test-response standard is intended to evaluate the ability of a door assembly to remain in an opening during a predetermined test exposure, which when required by is then followed by the application of a hose stream (see ).1.4 The hose stream test used in this test method is not designed to be representative of an actual hose stream used by a fire department during fire suppression efforts.1.5 The fire exposure is not representative of all fire conditions, which vary with changes in the amount, nature, and distribution of the fire loading, ventilation, compartment size and configuration, and heat characteristics of the compartment. It does, however, provide a relative measure of fire endurance of door assemblies under specified fire exposure conditions.1.6 Any variation from the tested construction or test conditions will possibly change the performance characteristics of door assembly.1.7 This fire-test-response standard does not provide the following:1.7.1 The fire endurance of door assemblies constructed of materials other than those tested.1.7.2 A temperature limit on the unexposed surface of the door assembly, although the temperatures are measured and recorded.1.7.3 A limit on the number of openings allowed in glazed areas or of the number and size of lateral openings between the door and frame.1.7.4 A measurement of smoke or products of combustion that pass through the door assembly.1.7.5 A measurement of smoke, toxic gases, or other products of combustion generated by the door assembly.Note 1The information in and may be important in determining the fire hazard or fire risk of door assemblies under actual fire conditions. This information may be determined by other suitable fire test methods. For example, flame spread and smoke development may be determined by Test Method E 84.This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.1.8 This standard is used to measure and describe the response of materials, products, or assemblies to heat and flame under controlled conditions, but does not by itself incorporate all factors required for fire hazard or fire risk assessment of the materials, products, or assemblies under actual fire conditions1.9 This test method references notes and footnotes which provide explanatory material. These notes and footnotes (excluding those in tables and figures) shall not be considered as requirements of this test method.1.10 The values stated in either inch-pound units or SI units are to be regarded separately as standard. The values stated in each system may not be exact equivalents; therefore, each system shall be used independently of the other. Combining values from the two systems may result in nonconformance with the standard.

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