I don't know what the 1.6 means but if an individuals skin has a rash,itching or bubbling these should be reported or one should see a doctor, these can be a cause of a allergy or wrong medication.
C a visit was the answer I came up with
1. Patients have more control over their medical records2. Patients are able to make informed choices about use of their PHI3. Boundaries are set on use and release of health records4. Safeguards established so that healthcare providers must protect privacy of health information5. Violators are held accountable and face both civil and criminal penalties6.Public health is protected by balance struck between public responsibility and disclosure of PHIBenefits provided by HIPAA Privacy Rule to patients or providers:-Personal health information, related to patient-Protected health information, related to information transmitted electronically