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Health Insurance Portability and Accountability Act (HIPAA)


  1. Applicability
  2. Definitions
  3. Technical Safeguards

§ 164.302 Applicability

A covered entity must comply with the applicable standards, implementation specifications, and requirements of this subpart with respect to electronic protected health information.

§ 164.304 Definitions

As used in this subpart, the following terms have the following meanings:

Access means the ability or the means necessary to read, write, modify, or communicate data/information or otherwise use any system resource. (This definition applies to “access” as used in this subpart, not as used in subpart E of this part.)

Administrative safeguards are administrative actions, and policies and procedures, to manage the selection, development, implementation, and maintenance of security measures to protect electronic protected health information and to manage the conduct of the covered entity's workforce in relation to the protection of that information.

Authentication means the corroboration that a person is the one claimed.

Availability means the property that data or information is accessible and useable upon demand by an authorized person.

Confidentiality means the property that data or information is not made available or disclosed to unauthorized persons or processes.

Encryption means the use of an algorithmic process to transform data into a form in which there is a low probability of assigning meaning without use of a confidential process or key.

Facility means the physical premises and the interior and exterior of a building(s).

Information system means an interconnected set of information resources under the same direct management control that shares common functionality. A system normally includes hardware, software, information, data, applications, communications, and people.

Integrity means the property that data or information have not been altered or destroyed in an un authorized manner.

Malicious software means software, for example, a virus, designed to damage or disrupt a system.

Password means confidential authentication information composed of a string of characters.

Physical safeguards are physical measures.


§ 164.312 Technical Safeguards

A covered entity must, in accordance with §164.306: (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in §164.308(a)(4). (2) Implementation specifications: (i) Unique user identification (Required). Assign a unique name and/or number for identifying and tracking user identity.

All users of Noterro have a unique username (email address).

(ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

Physical Security

Closed circuit televisions and 24x7x365 onsite security teams vigilantly protect our data centers. Military-grade pass card access and biometric finger scan units provide even further security.

Regulated Climate Control

Your servers will always be kept at the optimal temperature for performance. Our heating ventilation air conditioning (HVAC) systems have full particle filtering and humidity control. The climate within each of our data centers is maintained according to ASHRAE Guidelines.

Uninterrupted Power

Our on-site, diesel-powered generators and uninterruptible power systems (UPS) deliver redundant power if a critical incident occurs. We regularly test our infrastructure to perform as designed in the event of an emergency. And we back it all up with our 100% Power SLA and 100% Network Uptime SLA.

Total NOC Support

While the majority of data center sites are network neutral, we have our own on-site NOC (Network Operations Center), managing 13,000 route miles of fiber around the world. This network is supported by engineers and Level III system administrators that deliver support 24x7x365.

iii) Automatic logoff (Addressable). Implement electronic procedures that terminate an electronic session after a predetermined time of inactivity.

Noterro has automatic logoff features. After an extended period of time, a the user will be notified when they have been automatically logged off.

(iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

Noterro uses encryption techniques to secure data.

(b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

Noterro uses logs, along with tracking user activity for security auditing.

(c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

Only authorized Noterro users have the ability to change information. The user is able to download copies of completed notes to their own computer to maintain their own records if they choose.

(2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner. (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

Noterro requires authentication before access is granted to health information.

(e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

All communication is encrypted using 256-bit SSL for transmission.

(2) Implementation specifications: (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

After a clinical note has been finalized and saved, it is not possible to modify or delete that clinical note. However, an addendum may be added to that note.

(ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

Noterro uses encryption techniques to secure data.




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