UW Medicine Compliance

Use and Disclosure of Protected Health Information (PHI) – COMP.103


This policy outlines the requirements for appropriate use and disclosure of protected health information (PHI), addresses the concept of minimum necessary as it applies to PHI uses and disclosures, describes the special restrictions on PHI requiring heightened standards of confidentiality, and references the requirement to document certain PHI disclosures made without patient authorization.

Policy PDF

Administrative Information
Policy Statement
I. The Minimum Necessary Requirement
II. Uses and Disclosures of PHI That Do Not Require Patient Authorization
III. Uses and Disclosures of PHI Requiring a Patient’s Opportunity to Agree or Disagree
IV. Uses and Disclosures of PHI Requiring Patient Authorization
V. Authorizations for the Use or Disclosure of PHI
VI. Special Circumstances
Related Resources and Links