yuk!  (I'm sorry I asked...)
I suppose that several fields could be added to every transaction to 
indicate whether the patient or the patient's legal representative had made 
some special request about disclosing information.  Or a general "privacy 
attachment" could be created to contain any conceivable special privacy 
request, and then a single flag in the main transaction could indicate 
"special privacy handling... see attachment".

-Chris

At 03:50 PM 8/3/01 -0500, Susan Warren wrote:
>That's a really good question, how exactly do we communicate these 
>situations with each other, and do we have to?  My first impression would 
>be that the individual would have the responsibility to make the same 
>request to anyone that would touch their PHI.  But that is quite a burden 
>on the idividual.  On the other hand, expecting all the covered entities 
>to communicate this request among each other is an even larger burden - 
>one where a covered entity (and who knows which one) would have to assume 
>the risk involved with missing a critical link.
>
>On the same line, but a little off the subject, I am also curious how we 
>are supposed to tag data in which the individual requested an amendment to 
>their PHI that wasn't granted.  Doesn't the rule say that we always have 
>to tag that data and link it to the individual's disagreement?
>
> >>> "Christopher J. Feahr, OD" <[EMAIL PROTECTED]> 8/3/01 3:35:13 PM >>>
>It sounds like the particular methods for receiving and implementing these
>special requests about disclosure are left up to the disclosing party...
>just so they accommodate them whenever they arise?  Would there be any
>obligation to pass these special requests along to others who would have
>the right (under normal circumstances) to disclose the information to other
>parties?  Is there any field in the 835 to indicate that payment
>information for this payee requires "special handling"?
>
>Thanks,
>-Chris
>
>At 03:18 PM 8/3/01 -0400, Ken Hoover wrote:
> >Yes, that was part of my question.  I believe Susan answered it with her
> >statement:
> >
> >"You will have to allow for a "Confidential Communication" method -
> >if an individual reasonably requests that their information be sent to
> >another address because it could potentially cause them harm - but I don't
> >see this being the norm."
> >
> >Is this "Confidential Communication" part of the existing HIPAA regulations?
> >Or some other type of law?
> >
> >Ken
>
>Christopher J. Feahr, OD        Vision Data Standards Council
>Executive Director              http://visiondatastandard.org
>Cell/Pager: 707-529-2268        [EMAIL PROTECTED]

Christopher J. Feahr, OD        Vision Data Standards Council
Executive Director              http://visiondatastandard.org
Cell/Pager: 707-529-2268        [EMAIL PROTECTED]


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