When can an RD NOT disclose a client's PHI?

A registered dietitian (RD) must prioritize the confidentiality of their clients' personal health information (PHI). The scenario where an RD cannot disclose a client’s PHI is when the client has expressly indicated that they do not want their information shared. Respecting a client's wishes regarding their PHI is a fundamental ethical obligation in healthcare, ensuring trust in the client-dietitian relationship. If a client clearly states that they want their information to remain private, the RD is legally and ethically bound to comply with that request, regardless of the context or potential benefit of sharing the information.

In contrast, disclosing outdated information, sharing for educational purposes, or using publicly available records do not constitute valid reasons to breach client confidentiality. Outdated information may still be sensitive if it pertains to the client. Similarly, sharing for educational purposes must involve anonymized data or require the client's consent. Lastly, even if PHI is publicly accessible, an RD must still operate within the ethical framework of confidentiality, as publicly available does not equate to having the client’s permission for use.