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6 <br />1. such acquisition, access, disclosure, or use was made in good faith and within the course and <br />scope of the employment or other professional relationship of such employee or individual, <br />respectively, with the Participant or Authorized User; and <br />2. such information is not further acquired, accessed, disclosed or used by such employee or <br />individual; or <br />3. any acquisition, access, disclosure or use of information contained in or available through the <br />Participant’s System where such acquisition, access, disclosure or use was not directly related <br />to Transacting Message Content. <br />b. Unauthorized disclosure of Participant Confidential Information. <br />2.24.Individual shall have the meaning set forth at 45 C.F.R. §160.103 of the HIPAA Regulations. <br />2.25.Meaningful Use of Certified Electronic Health Record Technology or Meaningful Use shall have <br />the meaning assigned to it in the regulations promulgated by the U.S. Department of Health and <br />Human Services under 42 USC §§1395w-4, -1395ww (the American Recovery and Reinvestment <br />Act, Sections 4101 and 4102). <br />2.26.Medicaid shall mean the health insurance program for certain low-income and/or disabled individuals <br />that is administered by the North Carolina Department of Health and Human Services. <br />2.27.Message shall mean an electronic transmission of Message Content Transacted between Participants <br />and the State of North Carolina using NC HealthConnex. Messages are intended to include all types <br />of electronic transactions as necessary or desired for the Permitted Purposes, including the data or <br />records transmitted with those transactions. <br />2.28.Message Content shall mean that information contained within a Message or accompanying a <br />Message. This information includes, but is not limited to, Protected Health Information (PHI), de- <br />identified data (as defined in the HIPAA Regulations at 45 C.F.R. § 164.514), individually identifiable <br />information, pseudonymized data, metadata, Digital Credentials, and schema associated actually or <br />logically with PHI. Message Content does not include HIE Data submitted by Participant to NC <br />HIEA as required by N.C.G.S. 90-414.4(b). <br />2.29.NC HealthConnex Resources shall mean software, utilities and automated tools, if any, made <br />available for use by NC HIEA or a third party in connection with the Transaction of Message Content. <br />This includes access to NC HealthConnex via the Clinical Portal, interfaces between Participant’s <br />EHR Product and NC HealthConnex, the HIE Features, and any other NC HealthConnex Resources <br />identified by NC HIEA. <br />2.30.NC HIEA Policies and Procedures shall mean the policies and procedures, including the Privacy <br />and Security Policies and User Access Policies, adopted by NC HIEA that describe (i) management, <br />operation and maintenance of NC HealthConnex; (ii) qualifications, requirements and activities of <br />Participants and Authorized Users when accessing the NC HealthConnex Resources or Transacting <br />Message Content with other Participants; and (iii) support of the Participants who wish to Transact <br />Message Content with other Participants. The NC HIEA Policies and Procedures are amended from <br />time to time in accordance with Section 9.03, and are available on the NC HIEA website. <br />2.31.Notice or Notification shall mean a written communication, unless otherwise specified in this <br />Agreement, sent to the appropriate Participant’s representative at the address listed in Attachment 1 <br />or NC HIEA in accordance with Section 22. <br />2.32.Office of the National Coordinator or ONC shall mean the Office of the National Coordinator for <br />Health Information Technology within the U.S. Department of Health and Human Services. <br />DocuSign Envelope ID: 47B4445A-C7CA-4D2E-9075-2AFD82F82DEC