Designation:E2211–02AnAmericanNationalStandardStandardSpecificationforRelationshipBetweenaPerson(Consumer)andaSupplierofanElectronicPersonal(Consumer)HealthRecord1ThisstandardisissuedunderthefixeddesignationE2211;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(e)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1Thisspecificationcoverstherelationshipbetweenaperson(consumer),organization,orcustodian(orotherautho-rizedrepresentative)andamanaging(storing)organization(suchasawebsiteorotherorganization).However,web-basedpersonal(consumer)healthrecordsthatarecreatedbyhealth-careprovidersorhealthplansarenotwithinthescopeofthisspecification.Further,thisspecificationwillnotaddressper-sonal(consumer)healthrecords(PCHR)thatarecreatedandmanagedbypatientsonpaperrecords,onpersonalcomputers,oronothermediaoffline.2.ReferencedDocuments2.1OtherReferences:InternetHealthcareCoalition2HealthontheNet(HON)3FederalTradeCommissionFTC4HiEthicsAlliance5MedCertain6AmericanMedicalAssociationGuidelinesforMedicalandHealthInformationSitesontheInternet7AHIMAE-healthTenets8URAC(alsoknownastheAmericanAccreditationHealthCare/Commission)93.Terminology3.1Definitions:3.1.1consumer—thepersonwhoprovidesinformationtobestoredbythepersonal(consumer)healthrecord(PCHR)supplier.3.1.2disclosurestatement—aprominentnoticethatde-scribesanorganization’spoliciesinordertoenableapersontodecidewhether(s)hecantrustthisorganizationwithhealthinformation.3.1.3Gramm-Leach-BlileyAct—federallegislationenactedin1999aspartoftheFinancialServicesModernizationActthatspecifiesforwebactivitiesthat“opt-out”isthenorm.103.1.4individuallyidentifiablehealthinformation—informationthatisasubsetofhealthinformation,includingdemographicinformationcollectedfromanindividual,andthat:(1)iscreatedorreceivedbyahealthcareprovider,healthplan,employer,orhealthcareclearinghouse;and...