Technical outcome – The health IT records disclosures that are made for treatment, payment, and health care operations as these terms are defined at 45 CFR 164.501.
Clarifications:
- We expect that the date, time, patient identification, user identification, and the description of each disclosure would be automatically recorded by the health IT. [see also 77 FR 54252]
- A “description of the disclosure” could be a free text field that includes any information that could be readily and electronically associated with the disclosure. For example, some descriptive information could be included (e.g., the words “treatment,” “payment,” or “healthcare operations”) separately or together as a general category. [see also 75 FR 44623 and 77 FR 54252]