| Attending Physician | Full clinical record of assigned patients | Current and historical encounters | Full read/write on assigned patients; read-only on others via break-the-glass |
| Consulting Specialist | Clinical record relevant to consultation | Current encounter, relevant history | Read-only on referred patients for relevant clinical domains |
| Registered Nurse (Inpatient) | Nursing assessments, vital signs, medication administration, care plans, physician orders | Current admission on assigned unit | Read/write for assigned patients on unit; read-only for transferred patients for continuity |
| Emergency Department Nurse | Full clinical record of ED patients | Current ED encounter | Full read/write for ED patients; access terminates at discharge/transfer |
| Pharmacist | Medication orders, allergies, diagnoses relevant to drug therapy, renal/hepatic function | Current and recent encounters | Read medication-related clinical data; write medication verification/dispensing |
| Medical Coder | Diagnoses, procedures, operative notes, discharge summaries | Post-discharge records | Read-only for coding-relevant documentation |
| Billing Specialist | Demographics, insurance information, diagnosis codes, procedure codes, dates of service | Billed encounters | No access to clinical notes; demographics and billing codes only |
| Registration Clerk | Demographics, insurance information, emergency contacts | Registration screen only | Read/write limited to demographic and insurance fields |
| Quality Improvement Analyst | Aggregate clinical data, de-identified data, limited datasets per DUA | Population-level reports | Limited dataset access with data use agreement; no individual record access without specific justification |
| IT Support Staff | System administration — may access ePHI incidentally during troubleshooting | As needed for technical support | Logged access during active support ticket; no browsing; all access audited |
| Executive Leadership | Summary reports, aggregate statistics | De-identified or aggregate | Dashboard access only; no individual patient record access |
| Legal Counsel | PHI related to active litigation or compliance investigation | Specific records per legal hold | Access granted per matter with Privacy Office authorization |