Slide Presentations

National Institutes of Health
Slide Presentation on the Privacy Rule and Research

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Slide 13:

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Elements of an Authorization to Use or Disclose PHI

Core Elements (signified by * )	Statements (signified by - )
* Description of PHI to be used or disclosed * Person(s) authorized to make the requested use or disclosure. * Person(s) to whom the covered entity may disclose PHI. * Each purpose for the use or disclosure. * Expiration date or event* (e.g. "end of the research study" or "none"). * Participant Signature and        Date	- Right to revoke Authorization plus exceptions and process. - Ability/Inability to condition treatment, payment, or enrollment/eligibility for benefits on Authorization. - PHI may no longer be protected by Privacy Rule once it is disclosed by the covered entity.
The authorization must be written in plain language, and the covered entity must provide the individual with a copy of the signed Authorization.