Authorization For Use Disclosure Of Health Information

Authorization For Use Disclosure Of Health Information Template for Switzerland

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Key Requirements PROMPT example:

"I need an Authorization for Use and Disclosure of Health Information for our Swiss medical research facility, allowing us to share anonymized patient data with our partner hospitals in Geneva and Zurich for a clinical trial starting March 2025, with specific provisions for electronic health records and cross-border data transfer to German research institutions."

Document background

The Authorization For Use and Disclosure of Health Information is a critical document in Swiss healthcare operations, designed to facilitate the lawful sharing of patient health information while protecting patient privacy rights. This document becomes necessary whenever healthcare providers need to share patient information with other authorized parties, whether for continued care, insurance purposes, or research. It ensures compliance with Swiss federal data protection laws, including the FADP/DSG, and relevant cantonal healthcare regulations. The authorization form addresses the increasing complexity of modern healthcare delivery, where patient information often needs to be shared across multiple providers and platforms, including electronic health record systems. It serves as a safeguard for both healthcare providers and patients, clearly documenting the scope and limitations of information sharing permissions while maintaining Switzerland's strict standards for data protection and patient privacy.

Suggested Sections

1. Parties: Identification of the patient (data subject), healthcare provider/facility, and any other authorized recipients of the health information

2. Background: Brief context explaining the purpose and necessity of the authorization

3. Definitions: Key terms used in the document, including types of health information, processing activities, and relevant legal terms

4. Scope of Authorization: Detailed description of what health information is covered by the authorization and for what purposes it may be used or disclosed

5. Duration of Authorization: Specific timeframe for which the authorization is valid, including start and end dates

6. Rights of the Patient: Statement of the patient's rights under Swiss law, including the right to revoke authorization and access their data

7. Data Protection Measures: Description of security measures and safeguards used to protect the health information

8. Revocation Procedure: Process for revoking the authorization, including contact information and any implications of revocation

9. Signatures: Space for dated signatures of all relevant parties, including any witnesses if required

Optional Sections

1. Electronic Records Access: Additional provisions for electronic health records access and sharing, required when electronic records are part of the authorization scope

2. Research Use Authorization: Specific provisions for use of health information in research, needed when data may be used for research purposes

3. Cross-Border Data Transfer: Additional provisions for international data transfers, required when health information may be shared outside Switzerland

4. Special Categories of Data: Specific provisions for particularly sensitive data categories (e.g., genetic data, mental health records), included when relevant

5. Third-Party Access: Provisions for access by specified third parties (e.g., family members, other healthcare providers), included when third-party access is requested

Suggested Schedules

1. Schedule A - Detailed Health Information Description: Comprehensive list of specific health information covered by the authorization

2. Schedule B - Authorized Recipients: List of all authorized recipients of the health information, including contact details and purposes

3. Schedule C - Security Protocols: Detailed description of security measures and data protection protocols

4. Appendix 1 - Revocation Form: Standard form for revoking the authorization

5. Appendix 2 - Patient Rights Information: Detailed information about patient rights under Swiss law regarding their health information

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Medical Research

Pharmaceuticals

Insurance

Biotechnology

Healthcare Technology

Laboratory Services

Medical Device Manufacturing

Healthcare Education

Digital Health Services

Relevant Teams

Legal

Compliance

Medical Records

Data Protection

Patient Services

Clinical Operations

Quality Assurance

Information Security

Risk Management

Research Administration

Healthcare Operations

Privacy Office

Relevant Roles

Medical Director

Compliance Officer

Data Protection Officer

Healthcare Administrator

Clinical Research Coordinator

Medical Records Manager

Privacy Officer

Legal Counsel

Healthcare Operations Manager

Patient Relations Manager

Quality Assurance Manager

Information Security Officer

Healthcare Risk Manager

Medical Practice Manager

Research Ethics Coordinator

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