North Dakota Administrative Code Title 113 - North Dakota Health Information Network
NDAC Title 113 – North Dakota Health Information Network (NDHIN)
Title 113 of the North Dakota Administrative Code contains the administrative rules governing the North Dakota Health Information Network (NDHIN)—the state’s official health information exchange (HIE).
Purpose of Title 113
Title 113 establishes the framework for:
The operation and governance of the NDHIN
Participation requirements for health-care providers and organizations
Privacy and security standards for health information shared through the network
Access, use, and disclosure of electronic health information
Data-sharing agreements, consent, and patient rights
Fees or costs associated with participation (if applicable)
Oversight authority, often through the North Dakota Health Information Technology Office
Typical Rule Structure in Title 113
While wording may vary by section, Title 113 generally includes rules covering:
Definitions
Key terms such as “participant,” “health information,” “exchange,” “authorized user,” etc.
Governance and Administration
Roles and responsibilities of the NDHIN, advisory groups, and state agencies involved.
Participation Requirements
How entities join the NDHIN, qualification criteria, and ongoing obligations.
Data Use, Access, and Sharing
Rules for accessing, contributing to, and utilizing health information across the network.
Privacy and Security Standards
Compliance expectations aligned with HIPAA and other state laws.
Patient Rights and Consent
Policies on patient consent models (opt-in/opt-out), ability to restrict access, and mechanisms for complaints.
Audit, Compliance, and Enforcement
Procedures for monitoring, penalties for misuse, and administrative actions for violations.
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