![]() Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy. N the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103. Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. **Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).Ĭonfidentiality code total order hierarchy: Normal (N) is less protective than V and R, and subsumes all other protection levels (i.e., M, L, and U). Privacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. Usage Note: The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers. Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy. ![]() "Moderate" confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.Ĭonfidentiality code total order hierarchy: Moderate (M) is less protective than V, R, and N, and subsumes all other protection levels (i.e., L and U).Įxamples: Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account to health oversight authorities to a hospital patient directory to worker compensation, disability, property and casualty or life insurers and to personal health record systems, consumer-controlled devices, social media accounts and online Apps or for marketing purposes Privacy policies mandating moderate levels of protection, which preempt less protective privacy policies. May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject. Usage Note: The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy. The discloser may have obligations to comply with policies dictating the methods for de-identification.Ĭonfidentiality code total order hierarchy: Low (L) is less protective than V, R, N, and M, and subsumes U. This metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. The level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.Įxample: Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk. Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking.
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