Misc Pub 27-8 Legal Handbook Commander’s 2019


Common Uses of the The Military Command Exception to HIPAA



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CommandersLegalHandbook
ArmyDemLogProgramBriefing-Jan17
3. Common Uses of the The Military Command Exception to HIPAA
a. Determine a Soldier’s Fitness for Duty.
A commander may obtain PHI to determine a Soldier’s fitness for duty, including, but not limited to, the member’s compliance with standards and activities carried out under the Army Body Composition Program (AR 600-9), Disability Evaluation for Retention, Retirement, or Separation (AR 635-40), or Standards of Medical Fitness (AR 40-501).
b. Determine a Soldier’s fitness to perform a particular mission
A commander may obtain PHI to determine a Soldier’s fitness to perform a particular mission, assignment, order, or duty, including compliance with any actions required as a precondition to performance of such mission, assignment, order, or duty. Common examples are profiles and notice that a Soldier is taking a particular medication that interferes with the performance of duty, such as driving or carrying a weapon.
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c. Report on casualties in any military operation.
d. Carryout any other activity necessary to the proper execution of the
mission of the Armed Forces. Common examples include:
• To coordinate sick call, routine and emergency care, quarters, hospitalization, and care from civilian providers IAW Medical Record Administration and Healthcare Documentation (AR
40-66) and Patient Administration (AR 40-400);
• To report command-directed mental health evaluations IAW Command-Directed Mental Health Evaluations (MEDCOM Regulation 40-38);
• To initiate determinations and to assist investigating officers IAW, Line of Duty Policy, Procedures, and Investigations (AR 600-8-4);
• Most medical appointment reminders concerning Soldiers maybe disclosed to Command Authorities (but see Section E below To report a Soldier’s dental classification IAW Medical Dental, and Veterinary Care (AR
40-3);
• To carryout the Soldier Readiness Program and mobilization processing requirements IAW Personnel Processing Procedures (DA Pam 600-8-101);
• To provide initial and followup reports IAW the Army Family Advocacy Program (AR
608-18);
• To complete records IAW the Exceptional Family Member Program (AR 608-75);
• IAW AR 15-6 investigations (but not including Quality Assurance information To review and report Human Immunodeficiency Virus (HIV) IAW Identification, Surveillance, and Administration of Personnel Infected with Human Immunodeficiency Virus (AR
600-110);
• To carryout any other activity necessary to the proper execution of the mission of the
Army.

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