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 Code of Federal Regulations (Last Updated: November 8, 2024)
 Title 45 - Public Welfare
 Subtitle A - Department of Health and Human Services
 SubChapter D - Health Information Technology
 Part 170 - Health Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information Technology
 Subpart B - Standards and Implementation Specifications for Health Information Technology

  § 170.210 - Standards for health information technology to protect electronic health information created, maintained, and exchanged.  

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  • § 170.210 Standards for health information technology to protect electronic health information created, maintained, and exchanged.

    Cross Reference
    Link to an amendment published at 89 FR 1428, Jan. 9, 2024.
    Cross Reference

    The

    effective date of this amendment was corrected to read Mar. 11, 2024, at 89 FR 8548, Feb. 8, 2024.

    The Secretary adopts the following standards to protect electronic health information created, maintained, and exchanged:

    (a) Encryption and decryption of electronic health information.

    (1) [Reserved]

    (2) General. Any encryption algorithm identified by the National Institute of Standards and Technology (NIST) as an approved security function in Annex A of the Federal Information Processing Standards (FIPS) Publication 140–2, October 8, 2014 (incorporated by reference in § 170.299).

    (b) [Reserved]

    (c) Hashing of electronic health information.

    (1) [Reserved]

    (2) Standard. A hashing algorithm with a security strength equal to or greater than SHA–2 as specified by NIST in FIPS Publication 180–4 (August 2015) (incorporated by reference in § 170.299).

    (d) Record treatment, payment, and health care operations disclosures. The date, time, patient identification, user identification, and a description of the disclosure must be recorded for disclosures for treatment, payment, and health care operations, as these terms are defined at 45 CFR 164.501.

    (e) Record actions related to electronic health information, audit log status, and encryption of end-user devices.

    (1)

    (i) The audit log must record the information specified in sections 7.1.1 and 7.1.2 and 7.1.6 through 7.1.9 of the standard specified in § 170.210(h) and changes to user privileges when health IT is in use.

    (ii) The date and time must be recorded in accordance with the standard specified at § 170.210(g).

    (2)

    (i) The audit log must record the information specified in sections 7.1.1 and 7.1.7 of the standard specified at § 170.210(h) when the audit log status is changed.

    (ii) The date and time each action occurs in accordance with the standard specified at § 170.210(g).

    (3) The audit log must record the information specified in sections 7.1.1 and 7.1.7 of the standard specified at § 170.210(h) when the encryption status of electronic health information locally stored by health IT on end-user devices is changed. The date and time each action occurs in accordance with the standard specified at § 170.210(g).

    (f) Encryption and hashing of electronic health information. Any encryption and hashing algorithm identified by the National Institute of Standards and Technology (NIST) as an approved security function in Annex A of the FIPS Publication 140–2 (incorporated by reference in § 170.299).

    (g) Synchronized clocks. The date and time recorded utilize a system clock that has been synchronized following (RFC 5905) using any Network Time Protocol Version 4, (incorporated by reference in § 170.299)(NTP) standard.

    (h) Audit log content. ASTM E2147–18, (incorporated by reference in § 170.299).

    [75 FR 44649, July 28, 2010, as amended at 77 FR 54285, Sept. 4, 2012; 79 FR 54478, Sept. 11, 2014; 80 FR 62745, Oct. 16, 2015; 85 FR 25940, May 1, 2020; 85 FR 70082, Nov. 4, 2020; 89 FR 1428, Jan. 9, 2024]