User Guide — Lock Patient Data

athenaClinicals

To help protect patient privacy, you can now mark the Assessment & Plan note field as confidential during the Exam stage of the encounter. Notes that are marked as confidential are not visible to patients and family members or caretakers who have access to their health information, but they are visible to other providers and practice staff members. Confidential information is not included in the:

  • Patient Care Summary and CCDAs published to the Patient Portal.

  • Letters addressed to the patient.

  • Medical Care Record document (Full Encounter Summary) auto-published to the Patient Portal (auto-publishing is enabled by the "Visit Notes Automatically Published to the Patient Portal" feature).

  • Personal Health Record apps using FHIR R4 endpoints.

 

For example, a teenage patient might disclose information that they don't want their parents to know, but the provider wants to include it as a note in their chart. The patient's parents currently have access to the patient's information on the Patient Portal, and the patient would like to keep their Patient Portal account, so the provider marks the note as confidential. Or, a behavioral health provider might want to add a note that is not appropriate for a patient or family member to see, so the provider adds the note and marks it as confidential.

 

Marking a note as confidential does not impact how it appears to other providers when they receive a document. It also does not affect the application of the "Include the assessment note in the patient care summary" user preference. If this user preference is OFF, assessment notes will continue to never be included in the Patient Care Summary.

 

A Confidential Clinical Patient Data Report provides visibility into who marked information as confidential (locked it) or removed the confidential marking (unlocked it).

 

  • Only the A/P note field can be marked as confidential. In the Fall 2024 release, we will expand this feature to include the ability to lock the HPI, ROS, and PE notes. In the Spring 2025 release, we will expand this feature to include the ability to lock problems, diagnosis, medications, orders, and results.
  • Data cannot be marked as confidential in the athenaOne Mobile app; however, data marked confidential in athenaOne Desktop will appear locked in athenaOne Mobile.

 

 

When a note field in the A/P section has not been marked as confidential, a icon displays with the words "Visible to everyone."

 

When a note field is marked as confidential (locked), a icon displays with the words "Not visible to patient and family" and the reason it was locked.

 

If you click the icon or any of the text to the left of it, you can see who locked the information, when it was locked, and the reason it was locked.

 

Similarly, if a previously locked item was unlocked and you click or any of the text to the left of it, you can see who unlocked the item, when it was unlocked, and the reason (if provided).

 

Confidential information in summary views

In the summary, the full encounter summary, and the patient briefing, confidential information is displayed with a gray background and a "not visible to patient and family" label.

 

The Patient Care Summary, which is provided to the patient, does not display any confidential information.

 

Confidential information in Chart Export

If a patient's chart contains information that has been marked as confidential, a warning appears at the top of the Chart Export window.

 

You can click Review confidential data to view a list of the confidential data, which includes where the data was recorded, who marked it as confidential, and when it was marked confidential.

 

You can also view this list of confidential information by clicking Manage confidential patient information in the demographics section of the patient banner.

 

 

When you lock confidential information, you can select one of the following reasons for doing so.

  • Risk of harm to patient or others

  • State/federal law prohibits disclosure

  • Internal policy/procedure prohibits disclosure

  • Patient request

  • Other (please specify) — if you select this option, you must enter a reason in the text field

 

The selected reason appears next to "Not visible to patient and family."

 

When you unlock confidential information, you can select one of the following reasons for doing so.

  • Reason for confidentiality no longer applies

  • Locked in error

  • Other (please specify) — if you select this option, you must enter a reason in the text field

 

Note: By default, selecting a reason for locking or unlocking information is optional. Your practice can require users to select a reason for locking or unlocking information by enabling the Data Privacy: Reason required for confidentiality setting. To enable this setting, contact your CSM or the CSC: On the Main Menu, click Support then Create Case or Call.

 

 

Users that are assigned the Supervising Provider or Non-Supervising Provider role can lock and unlock items.

 

Users with roles other than Supervising Provider or Non-Supervising Provider require the Clinicals: Lock Confidential Clinical Data permission to lock or unlock items. Users who are not assigned this permission or the Supervising Provider or Non-Supervising Provider role will see the lock icon next to locked items. They can select the icon to see who locked the item and when but they will not be able to lock or unlock any items.

 

To access reports on the Clinicals tab of the Report Library, you must have the Clinicals user permission and the Report: Report Library: Clinicals permission. The Report: Report Library: Clinicals permission is included in the following roles:

  • Practice Superuser role
  • Report Reader role

 

  1. Next to a field that can be marked as confidential, click .

  2. Select a reason for marking the information confidential. If you select Other, you must enter a reason in the text field.

  3. Click Lock Item.

  4. The field is marked confidential, and the icon changes to .

 

  1. Click next to a field to unlock it.
  2. Select a reason for unlocking the information.
  3. If you select Other, you must enter the reason in the Note field.
  4. Click Unlock Item.
    The icon changes to and the field is no longer marked as confidential.

 

  1. Click the currently documented reason or select a reason.
  2. Select a new reason from the list. If you select Other, you must enter a reason in the text field.
  3. Click Lock Item.

 

  1. Display the Report Library: On the Main Menu, click Reports. Under General, click Report Library.
  2. Click the Clinicals tab.
  3. Click run next to Confidential Clinical Patient Data in the Standard Reports section of the tab.

  4. Select the criteria for the report:

    • Date range — Enter the start and end dates for the report or select a range from the drop-down menu.

      Note: You must apply at least one type of date filter.

    • Report Format — Select the format for your report results.
      • HTML table — Display the report results on your screen.
      • Text (tab-delimited) — Export the report results to a .csv file in tab-delimited format.
      • Text (comma-delimited) — Export the report results to a .csv file in comma-delimited format.
    • Report Options — Select report options.
      • Suppress Column Headings — Select this option to remove column headings from the report results.
      • Suppress Report Name — Select this option to remove the report name from the report results.
      • Show Filter Criteria — Select this option to include your selected filter criteria in the report results.
      • Run Offline (will appear in your Report Inbox tomorrow morning) — Select this option for very long reports. Reports that are run offline appear in your Report Inbox the morning after the request.

  5. Click Run Report.

 

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