WPCwZ sx/%g#U Nc % 0: ^ w 4  $ m& 0c= 1u 72 0wG 0 0H 0 0 0c 0> 0D- 1q 72, 04 0V 1 72 1 72N 0U 0~ 0DS 0 0z 0Z 07 0 0 0 0 0C[ 0 0o 0= 0 0 0 0W! 0" 0@" 0# 0# 0$ 0q% 06& 0& 0' 0s( 0<*) 0zf)UB* 0"+ 0- 00 0L3 06 08 0; 02> 0@ 1UC 7 CU2DUL>6DU6tDU,DGD 0F 0NFFGH:IN4K4K6K 0U+J (_23  ` &<<DL&23  ..  2( 4 <DL2  *;+J (_22   #DL#23  ..  2( 4 <DL2  *8+J (_21    DL 23  ..  2( 4 <DL2  *5+J (_20  h DDL23  ..  2( 4 <DL2  *2+J (_19   L23  ..  2( 4 <DL2  */+J (_18    L23  ..  2( 4 <DL2  * (_1723  Ԁ*DJ (_16   ," <DL,23  Ԁ  2( 4 <DL2  *AJ (_15   ) <DL)23  Ԁ  2( 4 <DL2  *>J (_14  ` &<<DL&23  Ԁ  2( 4 <DL2  *;J (_13   #DL#23  Ԁ  2( 4 <DL2  *8J (_12    DL 23  Ԁ  2( 4 <DL2  *5J (_11  h DDL23  Ԁ  2( 4 <DL2  *2J (_10   L23  Ԁ  2( 4 <DL2  (/J &_9    L23  Ԁ  2( 4 <DL2  ( &_823  (DJ &_7   ," <DL,23   2( 4 <DL2  (AJ &_6   ) <DL)23   2( 4 <DL2  (>J &_5  ` &<<DL&23   2( 4 <DL2  (;J &_4   #DL#23   2( 4 <DL2  (8J &_3    DL 23   2( 4 <DL2  (5J &_2  h DDL23   2( 4 <DL2  (2J &_1   L23   2( 4 <DL2  &/J $_    L23   2( 4 <DL2  <:Default Para(#$?? ,     W>\  `*Times New RomanTTW        XXXW>\  `*Times New RomanTTW ,     \  `*Times New RomanTT< :Outline001_15+ 4 <DL5AM(\ Y`SymbolA23  SK\  `&Times New RomanSAM(\ Y`SymbolA..SK\  `&Times New RomanS5+ 4 <DL5< :Outline001_2   /%` ` <DL/KL<6X9`(Courier NewK23  SK\  `&Times New RomanSKL<6X9`(Courier NewK..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_3   ," <DL,GJKr`WingdingsG23  SK\  `&Times New RomanSGJKr`WingdingsG..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_4  4 ) <DL)AM(\ Y`SymbolA23  SK\  `&Times New RomanSAM(\ Y`SymbolA..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_5   &hhDL&KL<6X9`(Courier NewK23  SK\  `&Times New RomanSKL<6X9`(Courier NewK..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_6   #DL#GJKr`WingdingsG23  SK\  `&Times New RomanSGJKr`WingdingsG..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_7  <  DL AM(\ Y`SymbolA23  SK\  `&Times New RomanSAM(\ Y`SymbolA..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_8   ppLKL<6X9`(Courier NewK23  SK\  `&Times New RomanSKL<6X9`(Courier NewK..SK\  `&Times New RomanS  2( 4 <DL2  < :Outline001_9   LGJKr`WingdingsG23  SK\  `&Times New RomanSGJKr`WingdingsG..SK\  `&Times New RomanS  2( 4 <DL2  ?@ABCDEF 359=AEIMQ1PoPoPoHGKr`Wingdings\  `&Times New Roman<6X9`(Courier New(\ Y`Symbol = 'USUS.,  _&&:(# XXOCRHIPAAPrivacy  NN;(#December3,2002 r   RevisedApril4,_2003#XXR# _6)&4Hyperlink            (O$http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=56&phttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=27&pThttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=27&http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=27&p_search_text=&p_new_search=1fhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7E(-2$ !USUS.,  &c$""0  d Level 1 Level 2 Level 3 Level 4 Level 5(-2$ !USUS.,  (-2$ !USUS.,  ($'dxd[\]^_C<< c  'USUS.,   @ XXK %#X#KXXK8##XXXKXW#KXXXX##9%#KXKX#K#K #KXXK #KXKXO#KXXK#KXKXCRHI#KXXK#KXKXPAA#KXXK#KXKXPrivacy   @  @ #KXXKb#KXKXKK:%##KXXK#KXKXDecember3,2002 r  @  @  @   #KXXK.#KXKXRevisedApril3,2003 4  @  @   ?+ ` hp x %#?#KXXK##XXXKXM#KXXXX K X) (#(#(#(#USUS.,  XXK#KXXKH##XXXKXg#KXXXXKXKX#K#K`cWGCz h p @X@E'##!  (#(#  (#(##KXXK##XXXKX-#KXXXXKXKX#Kr#K#KXXK##XXXKX#KXXXX @ KXKX#K8#K`dQA=x h p @XE!  8 \"USUS.,   @  8 \"USUS.,   @ http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.phphttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1 !USUS.,  ____ 8XXdd8_N_  __MINIMUMNECESSARY __  ____[45_CFR_Ԁ164.502(b),164.514(d)]_    _ Background __   ____  Theminimumnecessarystandard,akeyprotectionofthe_HIPAA_ԀPrivacyRule,__isderived Z  fromconfidentialitycodesandpracticesincommonusetoday.Itisbasedonsoundcurrent F  practicethatprotectedhealthinformationshouldnotbeusedordisclosedwhenitisnot 2t necessarytosatisfyaparticularpurposeorcarryoutafunction.Theminimumnecessary ` standardrequirescoveredentitiestoevaluatetheirpracticesandenhancesafeguardsasneededto  L  limitunnecessaryorinappropriateaccesstoanddisclosureofprotectedhealthinformation.The 8  PrivacyRulesrequirementsforminimumnecessaryaredesignedtobesufficientlyflexibleto $  accommodatethevariouscircumstancesofanycoveredentity.   __________ How_ԀtheRuleWorks    ___  ThePrivacyRulegenerallyrequirescoveredentitiestotakereasonablestepstolimitthe ~ useordisclosureof,andrequestsfor,protectedhealthinformationtotheminimumnecessaryto j accomplishtheintendedpurpose.Theminimumnecessarystandarddoesnotapplytothe V following: B Yc  0  Yc"0` (#(#  Disclosurestoorrequestsbyahealthcareproviderfortreatmentpurposes.Yc ݌\` (#` (# Ќ  0   (#(# Yc  0  Yc "0` (#(#  Disclosurestotheindividualwhoisthesubjectoftheinformation.Yc ! ݌4` (#` (# Ќ  0   (#(# Yc  0  Yc "0` (#(#  Usesordisclosuresmadepursuanttoanindividualsauthorization.Yc ( ݌ ` (#` (# Ќ  0   (#(# Yc  0  Yc "0` (#(#  UsesordisclosuresrequiredforcompliancewiththeHealthInsurancePortability   andAccountabilityAct(_HIPAA_)AdministrativeSimplificationRules.Yc 1 ݌!` (#` (# Ќ  0   (#(# Yc  0  Yc "0` (#(#  DisclosurestotheDepartmentofHealthandHumanServices(_HHS_)when f# disclosureofinformationisrequiredunderthePrivacyRuleforenforcement R$ purposes.Yc ݌>% ` (#` (# Ќ  0   (#(# Yc  0  Yc="0` (#(#  Usesordisclosuresthatarerequiredbyotherlaw.Yc=d݌'X"` (#` (# Ќ    Theimplementationspecificationsforthisprovisionrequireacoveredentitytodevelop (0!$ andimplementpoliciesandproceduresappropriateforitsownorganization,reflectingthe )"% entitysbusinesspracticesandworkforce.Whileguidancecannotanticipateeveryquestionor *#& factualapplicationoftheminimumnecessarystandardtoeachspecificindustrycontext,whereit +#' wouldbegenerallyhelpfulwewillseektoprovideadditionalclarificationonthisissueinthe  future.Inaddition,theDepartmentwillcontinuetomonitorthe_workability_Ԁoftheminimum  necessarystandardandconsiderproposingrevisions,whereappropriate,toensurethattheRule   doesnothindertimelyaccesstoqualityhealthcare.     UsesandDisclosuresof,andRequestsfor,ProtectedHealthInformation.Forusesof Z  protectedhealthinformation,thecoveredentityspoliciesandproceduresmustidentifythe F  personsorclassesofpersonswithinthecoveredentitywhoneedaccesstotheinformationto 2t carryouttheirjobduties,thecategoriesortypesofprotectedhealthinformationneeded,and ` conditionsappropriatetosuchaccess.Forexample,hospitalsmayimplementpoliciesthat  L  permitdoctors,nurses,orothersinvolvedintreatmenttohaveaccesstotheentiremedical 8  record,asneeded.Casebycasereviewofeachuseisnotrequired.Wheretheentiremedical $  recordisnecessary,thecoveredentityspoliciesandproceduresmuststatesoexplicitlyand   includeajustification.     Forroutineorrecurringrequestsanddisclosures,thepoliciesandproceduresmaybe   standardprotocolsandmustlimittheprotectedhealthinformationdisclosedorrequestedtothat ~ whichistheminimumnecessaryforthatparticulartypeofdisclosureorrequest.Individual j reviewofeachdisclosureorrequestisnotrequired. V   Fornonroutinedisclosuresandrequests,coveredentitiesmustdevelopreasonable .p criteriafordeterminingandlimitingthedisclosureorrequesttoonlytheminimumamountof \ protectedhealthinformationnecessarytoaccomplishthepurposeofanonroutinedisclosureor H request.Nonroutinedisclosuresandrequestsmustbereviewedonanindividualbasisin 4 accordancewiththesecriteriaandlimitedaccordingly.     Ofcourse,whereprotectedhealthinformationisdisclosedto,orrequestedby,healthcare  providersfortreatmentpurposes,theminimumnecessarystandarddoesnotapply.     ReasonableReliance.Incertaincircumstances,thePrivacyRulepermitsacoveredentity z" torelyonthejudgmentofthepartyrequestingthedisclosureastotheminimumamountof f# informationthatisneeded.Suchreliancemustbereasonableundertheparticularcircumstances R$ oftherequest.Thisrelianceispermittedwhentherequestismadeby: >%  Yc  0  Yc"0` (#(#  Apublicofficialoragencywhostatesthattheinformationrequestedisthe 'X" minimumnecessaryforapurposepermittedunder45_CFR_ԁ164.512oftheRule, (D # suchasforpublichealthpurposes(45_CFR_Ԁ164.512(b)).Yc݌(0!$` (#` (# Ќ  0   (#(# Yc  0  Yc"0` (#(#  Anothercoveredentity.Yc݌*#&` (#` (# Ќ  0  +#'(#(# Yc  0  Yc "0` (#(#  Aprofessionalwhoisaworkforcememberorbusinessassociateofthecovered  entityholdingtheinformationandwhostatesthattheinformationrequestedisthe  minimumnecessaryforthestatedpurpose.Yc ݌ ` (#` (# Ќ  0   (#(# Yc  0  Yck""0` (#(#  AresearcherwithappropriatedocumentationfromanInstitutionalReviewBoard   (_IRB_)orPrivacyBoard.Yck""݌ ` (#` (# Ќ    TheRuledoesnotrequiresuchreliance,however,andthecoveredentityalwaysretains ft discretiontomakeitsownminimumnecessarydeterminationfordisclosurestowhichthe R` standardapplies.__ >L       KXXXX$FrequentlyAskedQuestions$#XXXKX$#KXXXX $   L%0  ToseePrivacyRuleFAQs,clickthedesiredlinkbelow:6Y (#(# #XXXKXἆ%#KXXXX X#XXXKXk&# 4QsPO  5  PO  &PO&   6&P  7'KXXXX4S PO  5  FAQsonMinimumNecessary6%(PO9(  7 g(#XXXKX(#KXXXX      X#XXXKX )#dKXXXXd#XXXKXἃ)# X9%4 4 <DLX94W PO  5  PO  dKXXXXFAQsonALLPrivacyRuleTopics dPO-*   #XXXKXἜ*#KXXXX6*PO  7 [*dKXKXԀ  #KXXK+##XXXKX?+#maNFb8KKXXdXXd8<( ` hp x 44X<KXXXXKXKX(Y#KXXK"-##XXXKX-#KXXXXoucanalsogotod#XXXKXἉ-#4e 2 PO  5  PO  KXXXXhttp://_answers.hhs.gov_/cgibin/_hhs.cfg_/_php_/_enduser_/_std_alp.php_P-  #XXXKX].#KXXXX6-P  7 !%.dKXKX,#KXXK/0##XXXKXἶ/#KXXXXthen N\ select"PrivacyofHealthInformation/HIPAA"fromtheCategorydropdownlistand :H clicktheSearchbutton.d#XXXKX἖0#KXXXX)KXKX#Ku1#K &4   #K1##XX1#KXXXX$ #XXXKX]2#4R PO  5  O      |2O3      62P2  7 2$