Developers and HIPAA

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Desktop application for Videodermatoscopy

Godo morning, We are an Italian software house and we would like to commercialize our software for Videodermatoscopy in USA. Before that we would be sure that our software is HIPPA compliant because it stores patient's health information such as: name, surname, address, phone number, information about health status and specific information about patient's diseasies, photos of the patient and its mole, therapies, etc.etc. ...more »

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Developers and HIPAA

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Teaching Hospitals and HIPAA Privacy

I work for a University medical school that employs physicians as faculty and who teach at the hospital. I would like to know more about how far the ability access patient's records for educational purposes reaches. For example, if a Radiologist faculty member treated several patients with interesting or notable conditions and wanted to use the films as a teaching guide for residents, then what guidance or protocols ...more »

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Developers and HIPAA

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does an online appointment scheduler need to abide by HIPAA?

I would like to know if I offer an online appointment scheduler to health care providers, would the system and I, as the programmer/manager need to abide by HIPAA or other related laws. Information included in the system would not be medical in nature; it would just be the clients name, appointment date and time, their email address and phone number. Possibly a credit card for deposits, but that's not the concern. The ...more »

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Developers and HIPAA

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When does a Patient Record(PR) become realized?

The topic came up in a planning session around the point in time when a PR becomes a PR. Let's say we are writing an app for first responders. If the user collects name, date of birth, and vital signs. Does the PR become legally protected as soon as the First name is collected, or is there some threshold of data size(fields, values, etc.) that indicates that the PR has been created in legal terms for HIPPA protection? ...more »

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Developers and HIPAA

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'Medical Info' field in attendance mobile app

We are working on a mobile app that tracks attendance for fitness instructors/martial arts schools. Instructors can create classes and save their students in them. Part of the data entered for a student includes a field called Med Info, which would be along the sorts "Has asthma" or "Allergic to peanuts" just to give general examples. This is done so instructors can be prepared and aware of any health conditions with ...more »

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Developers and HIPAA

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HIPAA and FHIR

The introduction of FHIR to the 2015 CEHRT has opened the door for 3rd party applications to receive patient health information directly from an EHR without an agreement in place between the health care provider or the EHR vendor. Even though the patient has selected it, shouldn't the 3rd party app be responsible for the protection of the patient's health information and be held to the same standards as the EHR vendor? ...more »

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Developers and HIPAA

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Birthweights/Ages

Certain pediatric tasks require fairly precise ages, for example when evaluating jaundice one must know a baby's age in hours. What precautions are required to ensure that a birthdate cannot be inferred by usage data from an app that automates some of these tasks? For example, if a nurse enters in that a baby is 8 hours old, it seems a birthdate could be identified if the time of the nurse/app interaction was known. ...more »

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Developers and HIPAA

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Implementations with external services & Testing

When implementing external services with clients (such as exposing an API to external clients), are there any HIPAA rules/regulations around testing the implementation in a non-prod environment before going live in production? Are there any concerns with PHI or security with testing an implementation (of say an API with an external client) directly in a production environment?

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Unencrypted Text without PHI?

Can a provider, or business associate acting on behalf of a provider, send an unencrypted text or email to a patient if the initial message does not contain protected health information and the patient requested the communication? If so, can the patient give the provider consent to use a third-party mailing service, even if the provider (or business associate of the provider) does not have a business associate agreement ...more »

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Developers and HIPAA

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Web app records meds, but not identifiable to patient.

I'm working on a free web application for use by healthcare providers that tracks the usage of antibiotics. I intend to make the application available to anyone as a tool without entering into any formal agreements. The tool would track such information as: facility census, medication name, dosage, date given, etc. patient age, gender, height, weight, etc. The tool would NOT use identifying information such as name, ...more »

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Developers and HIPAA

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Is a BAA required with SMS service

If my provider is communicating PHI and non-PHI with patients through a 3rd party SMS service, such as Twilio, would my provider be required to sign a BAA with an SMS service company or such a company be classified as a conduit? We are sending encrypted data to the SMS service which is then sending unencrypted SMSs to patients. Patients can then potentially respond to those SMSs via unencrypted SMS which would be directed ...more »

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