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Case Notes
Enquiry Case Notes

 

Notes on enquiry cases related to Medical Services

Case No.: 199805017

A data user may collect the ID card number of an individual if it is for correct identification which is necessary for the advancement of the interest of the holder (2.3.3.1 of the Code ) or for the prevention of detriment to any person other than the data user (2.3.3.2 of the Code).

Q: I am an administrator of a hospital. Sometimes patients refuse to show their ID cards by saying the Ordinance provides such right. Under the Dangerous Drugs Regulations, we have to register the patients¡¦ identification when dispensing dangerous drugs. Also according to the direction given by the Hospital Authority and the Department of Health, we cannot treat illegal immigrants unless it is an emergency case. If patients refuse to show their identification, does the hospital has the right to ask patients to show their valid identification before providing treatment. What should we do?

A: Generally speaking, the Ordinance is concerned with recorded information about identifiable living information. Accordingly, asking someone to show an identification document without recording any of the information on that document relating to the individual is not a matter that is subject to the requirements of the Ordinance. Hence, the requirements of the Ordinance cannot form a valid basis for a refusal to comply with such a request. On the other hand, as a matter of general law, no individual can be compelled to produce an identification document unless obliged in law to do so. In the absence such a lawful obligation, an individual is entitled to refuse to comply with a request to produce an identification document. You also refer specifically to the requirement placed on you by the Department of Health to check the identification documents of individuals to ascertain whether they are illegal immigrants. I suggest you ask the Department of Health, or your legal advisers, whether you have any lawful authority to require individuals to show their identification documents for this purpose and what you should do if you do not and they refuse.

Where your intention is to record the number of the identity document shown you are obliged to comply with the requirements of the Ordinance and the "Code".

The provisions of the Code of most relevant to your question are those of paragraph 2.1 in of the Code. This provides:

"Unless authorized by law, no data user may compulsorily require an individual to furnish his ID card number."

This is in fact a mere re-statement of the general legal position. Hence, a party may compel an individual to furnish his or her ID card number if and only if such party is authorized by law to do so. (An example of such authorization is to be found in Note 1 to paragraph 2.3.1 of the Code in relation to a statutory power conferred on public officers.) In your case, it may be that in order to comply with the Dangerous Drugs Regulations in prescribing or dispensing dangerous drugs, you must make a record of the ID card number of the patient concerned. However, it appears to us that there is nothing in the law which authorizes you to compel the furnishing of ID card numbers by individuals. Hence, if an individual refuses for whatever reason to furnish his or her ID card number, all you may consider doing is to refuse to provide service, e.g. refuse to prescribe or dispense the dangerous drugs. If you make the furnishing of identification a pre-requisite for providing service, you are not compulsorily requiring the furnishing of the ID card number as the individual has the choice not to provide the number by not taking the service. Hence, this is not a breach of paragraph 2.1. Whether it is permissible or desirable from a professional or policy point of view for you to refuse medical treatment in such circumstances is, however, a matter for you to decide.

Under paragraph 2.3 of the Code, you should in any event not collect any ID card number unless the collection falls into one of the situations mentioned therein. You also have mentioned several reasons why it is considered necessary for you to collect the ID card numbers of patients. From this, it appears that such collection by you falls within the prescribed situation. In particular, paragraph 2.3.1 in relation to your obligation to collect ID card numbers in prescribing or dispensing dangerous drugs and paragraph 2.3.3.1 and 2.3.3.1 of the Code in relation to the treatment of patients in general as explained in the Notes to those paragraphs. The fact that your practice of collecting ID card numbers is consistent with the requirements of the Code may be used by you as an argument to persuade your patients or their families to furnish the ID card numbers of the patients should they be reluctant to do so. In any event, the purpose of your collection of personal data ought to be notified to the data subjects at the time of collection of personal data as required by Data Protection Principle 1(3) in Schedule 1 to the Ordinance.

All of our above comments apply equally to collection of personal identifiers other than the ID card number, e.g. passport numbers. This is provided for in Part IV of the Code.


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