{
"package" : "hl7.terminology@6.3.0",
"definition" : "A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR § 2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see § 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at § § 2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32\\r\\n\\r\\n*Usage Note:* Example of marking requirement from SAMHSA FAQ Response to question 13:\\r\\n\\r\\nWould a logon or splash page notification on an HIO's portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2's requirement that disclosures made with patient consent be accompanied by such a statement?\\r\\n\\r\\nNo. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR § 2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by § 2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs",
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"property" : [ {
"_uri" : "http://hl7.org/fhir/concept-properties#status",
"code" : "status",
"valueCode" : "active"
}, {
"_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
"code" : "internalId",
"valueCode" : "24049"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "subsumedBy",
"valueCode" : "SecurityLabelMark"
} ],
"codesystem" : "638964c5-6f49-5686-925e-fad50ec626e9",
"concept_id" : "54f87bb7-8594-5fe9-98c8-da1f94b3fef8",
"ancestors" : {
"PrivacyMark" : 2,
"SecurityPolicy" : 3,
"_ActPolicyType" : 4,
"SecurityLabelMark" : 1,
"RedisclosureProhibitionMark" : 0
},
"id" : "77439b0d-b42b-4978-9226-9f723459e210",
"code" : "RedisclosureProhibitionMark",
"display" : "prohibition against redisclosure mark",
"version" : "9.0.0"
}