It is important to note that: • The common understandings were considered within the context of current jurisdictional legislation, the principles of the Canadian Standards Association Model Code for the Protection of Personal Information and the Pan-Canadian Personal Health Information Privacy and Confidentiality Framework.3 • The common understandings reflect the general consensus of the HIP Gro [...] Rather than being based on a one-to-one communication between clinicians, the disclosure could be transacted on the basis of rules built into the system related to the authority of the individual to request the information, the identification and authentication of the patient, the authority of the sending jurisdiction to make out-of-jurisdiction disclosures, the specific information in question an [...] In keeping with this longstanding recognition of the value and appropriateness of secondary use of health information, numerous Canadian commissions and reports (most recently, Romanow16 and Kirby17) have affirmed that part of the value of the EHR initiative would be the potential for using the stored information for research and related purposes. [...] The HIP Group believes that the privacy and information governance component could have responsibilities that include, in compliance with legislation and policy: • Setting and ensuring compliance with policies and rules for collection, access, use, disclosure and retention of PHI in the EHR • Exercising authority for decisions related to the secondary uses of information within the jurisdiction in [...] The group should be a single integrated structure that brings together the many specializations (including but not limited to expertise in privacy, security, and related IT issues and standards) needed to manage information and information technologies in a privacy sensitive manner and to create a culture of privacy that will engender the trust and support of patients, clinicians and the public at
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