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\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306e\u6700\u4f4e\u9650\u5fc5\u8981\u306a\u30dd\u30ea\u30b7\u30fc\u3068\u624b\u9806\u306b\u5f93\u3063\u3066\u3001PHI\u306e\u4f7f\u7528\u3068\u958b\u793a\u304a\u3088\u3073\u8981\u6c42\u3092\u884c\u3046\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p><strong>2. \u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306e\u7fa9\u52d9\u3002<\/strong><\/p>\r\n\r\n\r\n\r\n<p>(a) \u958b\u793a\u306e\u5236\u9650\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u672c\u66f8\u3084\u66f8\u9762\u5408\u610f\uff08\u5951\u7d04\u3092\u542b\u3080\uff09\u3067\u8a31\u53ef\u307e\u305f\u306f\u8981\u6c42\u3055\u308c\u3066\u3044\u308b\u304b\u3001\u6cd5\u5f8b\u3067\u8981\u6c42\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3092\u9664\u304d\u3001PHI\u3092\u4f7f\u7528\u307e\u305f\u306f\u3055\u3089\u306b\u958b\u793a\u3057\u306a\u3044\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(b) \u4fdd\u8b77\u63aa\u7f6e\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u672c\u5951\u7d04\u307e\u305f\u306f\u95a2\u4fc2\u5951\u7d04\u306b\u5f93\u3063\u3066\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u4ee3\u308f\u3063\u3066\u4f5c\u6210\u3001\u53d7\u4fe1\u3001\u4fdd\u5b58\u3001\u7dad\u6301\u3001\u307e\u305f\u306f\u9001\u4fe1\u3059\u308bPHI\u306e\u6a5f\u5bc6\u6027\u3001\u5b8c\u5168\u6027\u3001\u304a\u3088\u3073\u53ef\u7528\u6027\u3092\u5408\u7406\u7684\u304b\u3064\u9069\u5207\u306b\u4fdd\u8b77\u3059\u308b\u7ba1\u7406\u7684\u3001\u7269\u7406\u7684\u3001\u304a\u3088\u3073\u6280\u8853\u7684\u306a\u4fdd\u8b77\u63aa\u7f6e\u3092\u8b1b\u3058\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002\u672c\u5951\u7d04\u3067\u898f\u5b9a\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u307e\u305f\u306f\u6cd5\u5f8b\u3067\u7fa9\u52d9\u4ed8\u3051\u3089\u308c\u3066\u3044\u308b\u5834\u5408\u3092\u9664\u304d\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u3088\u308bPHI\u306e\u4f7f\u7528\u307e\u305f\u306f\u958b\u793a\u3092\u9632\u6b62\u3059\u308b\u3082\u306e\u3068\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(c) \u5408\u610f\u306b\u57fa\u3065\u3044\u3066\u3044\u306a\u3044\u4f7f\u7528\/\u958b\u793a\u306e\u5831\u544a\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u672c\u5951\u7d04\u307e\u305f\u306f\u65e2\u77e5\u66f8\u9762\u5408\u610f\u306b\u3088\u3063\u3066\u898f\u5b9a\u3055\u308c\u3066\u3044\u306a\u3044PHI\u306e\u4f7f\u7528\u307e\u305f\u306f\u958b\u793a\u306b\u3064\u3044\u3066\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u5831\u544a\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(d) \u7de9\u548c\u63aa\u7f6e\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u672c\u5951\u7d04\u306e\u8981\u4ef6\u306b\u9055\u53cd\u3057\u3066\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u304cPHI\u3092\u4f7f\u7528\u307e\u305f\u306f\u958b\u793a\u3057\u305f\u5834\u5408\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u77e5\u3089\u308c\u3066\u3044\u308b\u6709\u5bb3\u306a\u5f71\u97ff\u3092\u5b9f\u884c\u53ef\u80fd\u306a\u7bc4\u56f2\u3067\u8efd\u6e1b\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(e) \u30a8\u30fc\u30b8\u30a7\u30f3\u30c8\/\u4e0b\u8acb\u3051\u696d\u8005\u306e\u4f7f\u7528\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u4ee3\u308f\u3063\u3066\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u304b\u3089\u53d7\u3051\u53d6\u3063\u305f\u3001\u307e\u305f\u306f\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u3088\u3063\u3066\u4f5c\u6210\u307e\u305f\u306f\u53d7\u3051\u53d6\u3089\u308c\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u304cPHI\u3092\u63d0\u4f9b\u3059\u308b\u4e0b\u8acb\u3051\u696d\u8005\u3092\u542b\u3080\u3059\u3079\u3066\u306e\u30a8\u30fc\u30b8\u30a7\u30f3\u30c8\u304c\u3001PHI\u306b\u95a2\u3059\u308b\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u9069\u7528\u3055\u308c\u308b\u540c\u69d8\u306e\u5236\u9650\u3068\u6761\u4ef6\u306b\u5b9f\u8cea\u7684\u306b\u540c\u610f\u3059\u308b\u3053\u3068\u3092\u4fdd\u8a3c\u81f4\u3057\u307e\u3059\u3002HIPAA\u304a\u3088\u3073\u672c\u5951\u7d04\u306b\u57fa\u3065\u304f\u7fa9\u52d9\u306b\u5f93\u3044\u3001\u672c\u5951\u7d04\u6761\u4ef6\u307b\u3069\u306e\u5236\u9650\u306b\u52a3\u3089\u306a\u3044\u7fa9\u52d9\u3092\u542b\u3080\u5951\u7d04\u3092\u4e0b\u8acb\u3051\u696d\u8005\u3068\u7de0\u7d50\u3059\u308b\u306e\u3092\u4fdd\u8a3c\u3059\u308b\u3053\u3068\u306f\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306e\u5168\u8cac\u4efb\u3067\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(f) PHI\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3002\u5bfe\u8c61\u4e8b\u696d\u4f53\u304b\u3089PHI\u30b3\u30d4\u30fc\u306e\u66f8\u9762\u306b\u3088\u308b\u8981\u6c42\u3092\u53d7\u3051\u53d6\u3063\u3066\u304b\u308915\u65e5\u4ee5\u5185\u306b\u300145 C.F.R. \u00a7 164.524\u306b\u5f93\u3063\u3066\u305d\u3046\u3057\u305f\u8981\u6c42\u3092\u62d2\u5426\u3059\u308b\u5408\u7406\u7684\u306a\u7406\u7531\u304c\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u306a\u3044\u9650\u308a\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u304cPHI\u306e\u691c\u67fb\u307e\u305f\u306f\u30b3\u30d4\u30fc\u3092\u6c42\u3081\u308b\u500b\u4eba\u306b\u5bfe\u5fdc\u3067\u304d\u308b\u3088\u3046\u3001\u8981\u6c42\u3055\u308c\u305fPHI\u3092\u5bfe\u8c61\u4e8b\u696d\u4f53\u304c\u5229\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002\u305d\u306e\u5834\u5408\u3001\u9069\u5207\u306a\u65b9\u6cd5\u3067\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u901a\u77e5\u3059\u308b\u3082\u306e\u3068\u3057\u307e\u3059\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001PHI\u304c\u96fb\u5b50\u7684\u306b\u4fdd\u5b58\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u3001\u66f8\u9762\u306b\u3088\u308b\u8981\u6c42\u306b\u5fdc\u3058\u3066\u96fb\u5b50\u5f62\u5f0f\u306ePHI\u30b3\u30d4\u30fc\u3092\u5229\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u3092\u542b\u3081\u3066\u3001\u3053\u308c\u306b\u9650\u5b9a\u3055\u308c\u306a\u3044\u96fb\u5b50PHI\u306b\u95a2\u3059\u308b\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30eb\u30fc\u30eb\u3092\u9075\u5b88\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(g) PHI\u306e\u4fee\u6b63\u3002\u5bfe\u8c61\u4e8b\u696d\u4f53\u304b\u3089PHI\u306e\u4fee\u6b63\u3092\u6c42\u3081\u308b\u66f8\u9762\u306b\u3088\u308b\u8981\u6c42\u3092\u53d7\u3051\u53d6\u3063\u3066\u304b\u308915\u65e5\u4ee5\u5185\u306b\u300145 C.F.R. \u00a7 164.526\u306b\u5f93\u3063\u3066\u3001\u305d\u306e\u3088\u3046\u306a\u8981\u6c42\u3092\u62d2\u5426\u3059\u308b\u5408\u7406\u7684\u306a\u7406\u7531\u304c\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u306a\u3044\u9650\u308a\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u305d\u3046\u3057\u305f\u4fee\u6b63\u3092\u884c\u3044\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u77e5\u3089\u308c\u3066\u3044\u308bPHI\u6240\u6709\u8005\u306b\u901a\u77e5\u3057\u307e\u3059\u3002\u3053\u306e\u5834\u5408\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u9069\u5b9c\u901a\u77e5\u3059\u308b\u3082\u306e\u3068\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(h) \u7279\u5b9a\u958b\u793a\u306e\u4f1a\u8a08\u51e6\u7406\u3002\u500b\u4eba\u306b\u95a2\u3059\u308bPHI\u306e\u958b\u793a\u4f1a\u8a08\u51e6\u7406\u306b\u304a\u3044\u3066\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u304b\u3089\u66f8\u9762\u306b\u3088\u308b\u8981\u6c42\u3092\u53d7\u3051\u53d6\u3063\u3066\u304b\u308930\u65e5\u4ee5\u5185\u306b\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u304cPHI\u3092\u958b\u793a\u3057\u305f\u4eba\u307e\u305f\u306f\u4e8b\u696d\u4f53\u306e\u30ea\u30b9\u30c8\u3001\u304a\u3088\u3073\u904e\u53bb6\u5e74\u4ee5\u5185\u306b\u500b\u4ebaPHI\u3092\u958b\u793a\u3057\u305f\u5834\u5408\u3001\u958b\u793a\u306e\u65e5\u4ed8\u3001\u7406\u7531\u3001\u304a\u3088\u3073\u7c21\u5358\u306a\u8aac\u660e\u3092\u63d0\u4f9b\u3057\u3066\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u304cPHI\u958b\u793a\u306e\u4f1a\u8a08\u51e6\u7406\u3092\u6c42\u3081\u308b\u500b\u4eba\u306b\u5bfe\u5fdc\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\uff0845 C.F.R. \u00a7 164.528\u3092\u53c2\u7167\u3057\u3066\u304f\u3060\u3055\u3044\u3002\uff09<\/p>\r\n\r\n\r\n\r\n<p>(i)\u5e33\u7c3f\u304a\u3088\u3073\u8a18\u9332\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u4ee3\u308f\u3063\u3066\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u304b\u3089\u53d7\u3051\u53d6\u308a\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u3088\u3063\u3066\u4f5c\u6210\u3001\u307e\u305f\u306f\u53d7\u3051\u53d6\u3089\u308c\u305fPHI\u306e\u4f7f\u7528\u3068\u958b\u793a\u306b\u95a2\u9023\u3059\u308b\u793e\u5185\u6163\u884c\u3001\u5e33\u7c3f\u3001\u304a\u3088\u3073\u8a18\u9332\u304c\u7c73\u56fd\u4fdd\u5065\u539a\u751f\u5c40\u306b\u8981\u6c42\u306b\u5fdc\u3058\u3066\u5229\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u3082\u306e\u3068\u3057\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u3063\u3066\u3001\u5bfe\u8c61\u4e8b\u696d\u4f53\u306e\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u898f\u5247\u3078\u306e\u6e96\u62e0\u306b\u304a\u3051\u308b\u8a55\u4fa1\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(j) 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\u307e\u305f\u306f\u305d\u3046\u3057\u305f\u8fd4\u5374\u307e\u305f\u306f\u7834\u68c4\u304c\u5b9f\u884c\u53ef\u80fd\u3067\u306a\u3044\u5834\u5408\u3001PHI\u306b\u5bfe\u3059\u308b\u672c\u5951\u7d04\u4e0a\u306e\u4fdd\u8b77\u3092\u5ef6\u9577\u3057\u3001PHI\u306e\u8fd4\u5374\u307e\u305f\u306f\u7834\u68c4\u306e\u5b9f\u884c\u3092\u4e0d\u53ef\u80fd\u306b\u3057\u3088\u3046\u3068\u3059\u308b\u76ee\u7684\u306b\u5bfe\u3057\u3066\u3001\u3055\u3089\u306a\u308b\u4f7f\u7528\u304a\u3088\u3073\u958b\u793a\u3092\u5236\u9650\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p>(k) \u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306e\u5831\u544a\u3002\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306f\u3001\u6c17\u4ed8\u3044\u305f\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u3092\u5bfe\u8c61\u4e8b\u696d\u4f53\u306b\u5831\u544a\u3059\u308b\u3082\u306e\u3068\u3057\u307e\u3059\u3002\uff0845 C.F.R. \u00a7 164.304\u306b\u3088\u308c\u3070\u3001\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306f\u3001\u60c5\u5831\u3078\u306e\u4e0d\u6b63\u30a2\u30af\u30bb\u30b9\u3001\u4f7f\u7528\u3001\u958b\u793a\u3001\u60c5\u5831\u306e\u7834\u58ca\u307e\u305f\u306f\u60c5\u5831\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3051\u308b\u30b7\u30b9\u30c6\u30e0\u64cd\u4f5c\u3078\u306e\u5e72\u6e09\u306e\u8a66\u307f\u307e\u305f\u306f\u6210\u529f\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u307e\u3059\u3002\uff09\u4e0a\u8a18\u306b\u304b\u304b\u308f\u3089\u305a\u4e21\u5f53\u4e8b\u8005\u306f\u3001\u3053\u306e\u9805\u304c\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306b\u3088\u308b\u5bfe\u8c61\u4e8b\u696d\u4f53\u3078\u8a66\u884c\u3055\u308c\u305f\u304c\u5931\u6557\u3057\u305f\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306e\u7d99\u7d9a\u7684\u306a\u5b58\u5728\u304a\u3088\u3073\u767a\u751f\u306b\u95a2\u3059\u308b\u901a\u77e5\u3067\u3042\u308b\u3053\u3068\u3092\u8a8d\u3081\u3001\u540c\u610f\u3057\u307e\u3059\u3002\u5931\u6557\u3057\u305f\u30bb\u30ad\u30e5\u30ea\u30c6\u30a3\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306b\u306f\u3001\u30d3\u30b8\u30cd\u30b9\u30a2\u30bd\u30b7\u30a8\u30a4\u30c8\u306e\u30d5\u30a1\u30a4\u30a2\u30a6\u30a9\u30fc\u30eb\u306b\u5bfe\u3059\u308bping\u3084\u305d\u306e\u4ed6\u306e\u30d6\u30ed\u30fc\u30c9\u30ad\u30e3\u30b9\u30c8\u653b\u6483\u3001\u30dd\u30fc\u30c8\u30b9\u30ad\u30e3\u30f3\u3001\u5931\u6557\u3057\u305f\u30ed\u30b0\u30aa\u30f3\u8a66\u884c\u3001\u30b5\u30fc\u30d3\u30b9\u62d2\u5426\u3001\u4e0a\u8a18\u306e\u4efb\u610f\u306e\u7d44\u307f\u5408\u308f\u305b\u3001\u307e\u305f\u306f\u305d\u306e\u4ed6\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u306b\u3088\u308b\u3082\u306e\u304c\u542b\u307e\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306b\u9650\u5b9a\u3055\u308c\u307e\u305b\u3093\u3002\u3053\u3046\u3057\u305f\u30a4\u30f3\u30b7\u30c7\u30f3\u30c8\u306f\u3001PHI\u306e\u4e0d\u6b63\u30a2\u30af\u30bb\u30b9\u3001\u4f7f\u7528\u3001\u307e\u305f\u306f\u958b\u793a\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\r\n\r\n\r\n\r\n<p><strong>3. 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