Developers and HIPAA

Developers and HIPAA

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Health Information Systems and HIPAA Compliance

We're a non profit organisation seeking to deploy an open-source health management application for use. We classify as a Business Associate as we provide services for a health care provider under HIPAA. We urgently need to know what exactly are the requirements a health information system needs to meet in order to satisfy HIPAA. It would be helpful to know if there's some document or checklist to work with. We'd also ...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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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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When is PHI de-identified?

We have developed a platform to facilitate the scheduling of transport/rides for patients to provider appointments. The process works as follows. The provider logs into a secure site, to schedule a ride to an appointment for a patient. The platform, at the appropriate time, sends formation to a rider service provider (someone such as Lyft, Uber, etc..) to schedule the transport. The information provide the transport ...more »

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Developers and HIPAA

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Notifications

A NYS licensed facility providing addiction treatment services has been advised that when a patient has been referred for treatment by another entity (hospital, family agency, courts, etc.) notice that the patient has presented for treatment may not be given to the referring agency without the written permission of the patient. No other PHI would be provided other than the notification.

Is this true?

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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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Developers and HIPAA

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Which Dates are considered PHI?

Assuming all other identifiers are removed from the data, which dates are considered PHI? The de-identification standard for safe harbor indicates the following must be removed: "(C) All elements of dates (except year) for dates that are directly related to an individual, including birth date, admission date, discharge date, death date, and all ages over 89 and all elements of dates (including year) indicative of such ...more »

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Developers and HIPAA

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Connected Device Maintenance via App

A physician provides their patient with a medical device (like a CPAP or Glucose Meter). The company that created the medical device wants to monitor the maintenance of the machine. All of the information collected by the device that is sent to the physician is covered under a business associate agreement. Can the company that created the medical device receive information about the maintenance/operation of the device ...more »

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Developers and HIPAA

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EHR Continuity in Care

Private Practice Physicians have the opportunity by contracting with a large health care entity to get into electronic health records EHR. In wanting to satisfy the continuum of care one practice can see any treatment provided by another provider for their patient. They can access diagnostics within the health care entities network. All good things! My concern, though users sign off on a confidentiality agreement ...more »

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Developers and HIPAA

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PHI request through SMS from provider

I understand there is some ambiguity regarding providers communicating PHI with patients, and I'm having some trouble interpreting how it applies to me. My provider developed software to engage patients via unencrypted SMS. My provider's medical practitioners will determine a patient is in need of monitoring and will develop or reuse a workflows to regularly request defined PHI from patients--such as diastolic and systolic ...more »

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