Segmentation of substance use disorder records

Management and Administration
#1

Is it possible to segment certain records (eg part 2 covered substance use disorder counseling notes) so they cannot be accessed by other providers in a medical clinic?

#2

Are you looking to just limit access of those specific forms?

Likely an advanced case of ACL usage. @brady.miller or @sunsetsystems may know a bit more

#3

Are we talking about encounter forms? There’s an Access Control selector for each of those now that lets you choose an ACO to represent them. Then you can put it into the desired access control groups.

#4

@ccrider can you be more specific on what you need to provide restrictions based on which we will be able to provide our suggestions.

Thanks,
ViSolve OpenEMR Suppor Team

#5

Sorry my question was not very clear.

For example if a clinic has substance use disorder counselors as well as primary care doctors, can access to the substance use disorder counseling session notes be limited to individuals who work for the substance use treatment program?

The federal regulations around substance use treatment records in federally funded settings, with regards to consent for release of / access to substance use treatment related information are somewhat tricky to implement.

For example patient #1 in a clinic that does both substance use disorder treatment and primary care might consent to his primary care doctor being able to access his substance use disorder counseling session notes, and patient #2 might not consent to this.

A patient can now list any of the following in the “to whom” section of a consent for release of information :
 the name of an individual;
 the name of an entity which has a “treating provider relationship” with
the patient;
 the name of an entity with which the patient does not have a treating
provider relationship and which is a third-party payer; and/or
 the name of an entity with which the patient does not have a treating
provider relationship and which is not a third-party payer (such as a health
information exchange), plus either:
 the name(s) of specific individual participant(s), or
 the name(s) of an entity participant(s) with which the patient has a
treating provider relationship, or
 a general designation of participants with which the patient has a
treating provider relationship (e.g., “all my treating providers”).

#6

Hello ccrider,

From your example, you may control the release of information using ACL options.Need code level changes.

To get the information that has to fill up in the “to whom” section by the patient, can be done using Patient portal customization/even sharing by the counsellors after the patient’s approval.

Thanks,
ViSolve