Personal Health Information Protection Act, 2004

AuthorRichard D. Schneider; Caitlin Pakosh; Lora Patton
Pages320-429
320
CHAPTER 5
Personal Health Information Protection Act, 2004
Personal Health Information Protection Act, 2004, S.O. 2004, c. 3, Sched. A, as amended by 2005,
c. 25, s. 35; 2006, c. 4, s. 51; 2006, c. 17, s. 253; 2006, c. 21, Sched. C, s. 128; 2006, c. 34, Sched.C,
s. 26; 2007, c. 8, s. 224; 2007, c. 10, Sched. H; 2007, c. 10, Sched. K, s. 32; 2007, c. 10, Sched. P, s.19;
2009, c. 33, Sched. 18, s. 25; 2010, c. 11, s. 128; 2016, c. 6, Sched. 1, s. 1; 2016, c. 23, s. 64; 2016, c. 30,
s. 43; 2017, c. 14, Sched. 4, s. 28; 2017, c. 25, Sched. 5, s. 69-72; 2017, c. 25, Sched. 9, s. 109; 2018, c.
6, Sched. 3, s. 11; 2019, c. 5, Sched. 3, s. 17; 2019, c. 7, Sched. 17, s. 139; 2019, c. 15, Sched. 30, s. 1-8;
2020, c. 5, Sched. 6; 2020, c. 13, Sched. 3, s. 8; 2021, c. 4, Sched. 11, s. 27; 2021, c. 27, Sched. 2, s. 68.
Last amendment 2021, c. 27, Sched. 2, s. 68.
CONTENTS
PART I
INT ERPR ETATI ON AND APPLI CATIO N
Purposes, Def‌initions a nd Interpretation
. Purposes
. Def‌initions
. Health information custodian
. Personal health information
. Substitute decision-maker
. Interpretation
Application of Act
. Application of Act
. Freedom of information legislation
. Non-application of Act
PART II
PRACTICES TO PROTE CT PERSONAL HEALTH INFORMATION
General
. Information practices
. Electronic audit log
. Accuracy
. Steps to ensure collection
. Limits on use of de-identif‌ied information
. Security
321
Records
. Handling of records
. Place where records kept
Accountability and Openness
. Contact person
. Written public statement
. Agents and information
. Notice to governing College
PART III
CONSENT CONCERN ING PERSONAL HEALTH INFO RMATION
General
. Elements of consent
. Withdrawal of consent
. Assumption of validity
Capacity and Substitute Decision-Making
. Capacity to consent
. Determination of incapacity
. Persons who may consent
. Factors to consider for consent
. Authority of substitute decision-maker
. Incapable individual: persons who may consent
. Appointment of representative
. Transition, representative appointed by Board
PART IV
COLLECTION, USE AND DISCL OSURE OF PERSONAL HEALTH INFORM ATION
General Limitations and Requirements
. Requirement for consent
. Other information
. Use and disclosure of personal health information
. Fundraising
. Marketing
. Health cards and health numbers
. Fees for personal health information
Collection
. Indirect collection
Use
. Permitted use
322
Disclosure
. Disclosures related to providing health care
. Disclosures for health or other programs
. Disclosures related to risks
. Disclosures for proceedings
. Disclosure to successor
. Disclosures related to this or other Acts
. Disclosure for research
. Disclosure for planning and management of health system
. Health care payments
. Disclosure for analysis of health system
. Disclosure with Commissioner’s approval
. Restrictions on recipients
. Disclosure outside Ontario
PART V
ACCESS TO RECORDS OF PERSONA L HEALTH INFORMATION AND CORRECT ION
Access
. Application of Part
. Individual’s right of access
. Request for access
. Response of health information custodian
. Consumer electronic service providers
Correction
. Correction
PAR T V.
ELECTRONIC HEA LTH RECORD
. Interpretation
. Electronic health record
. Requirements for electronic health record
. Minister’s directives
. Collection, use, disclosure by custodians
. Consent directives
. Consent overrides
. Medication interaction checks
. Collection of information by Ministry
.. Provision of personal health information to, and collection by, coroners and medical
ocers of health
. Provision of information for purposes other than health care
. Advisory committee
. Practices and procedures review
. Protection from liability for health information custodian
. Regulations

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