<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.06.03.05" title_num="10" subtitle_num="06" chapter_num="03" heading="User Agreement.">
  <paragraph num="A.">
    <text>An authorized user who wishes to obtain information from ImmuNet shall enter into a user agreement with the Department for the purpose of protecting the confidentiality and security of ImmuNet information.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The user agreement shall include but not be limited to the:</text>
    <paragraph num="(1)">
      <text>Functions that may be performed by an authorized user of ImmuNet;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Authorized uses of ImmuNet information as set forth in Health-General Article, §18-109(c), Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prohibitive uses of ImmuNet information as set forth in Health-General Article, §18-109(f), Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Basic practices for safeguarding confidential information.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Authorized users shall request the renewal of the user agreement on an annual basis.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Authorized User Functions.</text>
    <paragraph num="(1)">
      <text>An authorized user who has signed a user agreement may obtain the following information about an individual from ImmuNet:</text>
      <paragraph num="(a)">
        <text>First, middle, and last name;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Date of birth;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Address;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Telephone number;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>In the case of a minor child, the name of the parent or guardian;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Immunizations given;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Immunization dates;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Contraindication, adverse event, and exemption information; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Other medical information pertaining to vaccine-preventable diseases, including serologic test results.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An authorized user that is a health care provider, local health department, long-term care facility, or school-based health center that administers immunizations may:</text>
      <paragraph num="(a)">
        <text>Enter information into ImmuNet directly from medical records that are in the authorized user’s possession; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Edit information the authorized user has entered into ImmuNet.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An authorized user who is a patient or a parent or guardian of a minor may view the patient’s or the minor patient’s ImmuNet information without signing a user agreement by requesting the information from the patient’s or minor’s immunization provider or the Department.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>With approval from the Department, the following authorized users may enter information into ImmuNet:</text>
      <paragraph num="(a)">
        <text>A child care facility;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A health insurer;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A health maintenance organization;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An institution of higher learning;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A managed care organization;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A nonprofit health service plan; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>A school.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>