By default, an individuals’ protected health information can be searched for through the NDHIN, per North Dakota Senate Bill 2250, but an individual can choose to Opt Out of participation in the NDHIN. Opt Out means an individual has made a written decision that their protected health information cannot be searched for through the health information network, except as required by law or as authorized by the individual in an emergency. Even if a patient opts out of participation in the NDHIN, a treating health care provider will still be able to select the NDHIN as a way to receive the individual’s lab results, radiology reports, and other data sent directly to any treating health care provider that the provider may have previously received by fax, mail, or other electronic communications.
If a patient chooses to Opt Out of participation in the NDHIN, the Opt Out/Revoke Opt Out form will be required.
Nothing prohibits a Participant from establishing the number of times an individual may opt out or revoke their decision to opt out of participation in the NDHIN during a calendar year, or the situations in which a change in circumstances, such as death of a spouse, divorce, reaching adulthood, or relocation, may permit an individual to opt out or revoke their decision to opt out of participation in the NDHIN.
The patient’s choice is shown in the Clinical Portal (see screen shot below from the NDHIN Clinical Portal system). The patient does not have to be asked with each visit. The NDHIN staff will work with each participant on ways to notify your patient.
<<This is only as current as the information available to us, coming to the NDHIN and what is in the patient record>>
A patient cannot Opt Out of a visit, but sensitive data “could be filtered” so it is not sent to the NDHIN. The patient could also choose to Opt Out in full or Opt Out except for emergencies. Access is either to all or none of the data in the NDHIN unless they choose the option ‘Opt Out Except for Emergencies’ (refer to #5).
Yes, a patient can choose the “Opt Out Except for Emergencies” option and providers may only access the patient’s information in the event of an emergency. In the event of such emergency, the provider will have access to all of the patient’s information available through the NDHIN.
Once the NDHIN Office has received the signed consent form and the request has been logged, the patient’s choice and date will clearly be shown; refer to Q&A #3. It may take five (5) business days to process this request.
This is dependent upon the EHR’s integration capabilities. Some can simply query the NDHIN from within their EHR system. A “HIE” tab or icon will be embedded within their system. Other EHR’s do not have this capability and the provider will log into the NDHIN by going to https://hie.ndhin.com.
Only the information provided to the NDHIN will be available. If the patient’s provider is not participating in the NDHIN, their information will not be available.
By adopting electronic health records in a meaningful way, providers and hospitals can:
- See the whole picture. All of a patient's health information—medical history, diagnoses, medications, lab and test results—is in one place. Providers don't have to settle for a snapshot when they can have the entire album.
- Coordinate care. Providers involved in a patient's care can access, enter, and share information in an electronic health record.
- Make better decisions. With more comprehensive health information at their fingertips, providers can make better testing, diagnostic, and treatment decisions.
- Save time and money. Providers who have implemented electronic health records say they spend less time searching for paper charts, transcribing, calling labs or pharmacies, reporting, and fixing coding errors.
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In the future, yes. The NDHIN will connect with the eHealth Exchange, formerly known as the Nationwide Health Information Network Exchange, which will provide the connectivity between states.