Which of the following could be classified as a break in confidentiality?
a) release of medical records from one hospital to another for continued patient care
b) a patient discussing his or her medical record with the correspondence manager
c) a hospital and physician's office sharing patient information for treatment purposes
d) a computer hacker breaking into a hospital's secured computer system

Adouble-blinded trial for a new indication is conducted under an ind comparing two (2) marketed drugs, at twice the approved prescribed doses. on day 2, subject 603 had difficulty breathing. although it was life-threatening initially, subject 603 was treated and discharged directly from the emergency department after complete recovery. on day 5, subject 20 had a headache, which led to hospitalization and required blood pressure lowering medications. these episodes cannot be explained on the basis of the pharmacological property of either drug or the subjects' medical histories. the investigator would submit an sae report for