Panorama Inventory - First Nation Request Form Page 2

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P
I
- F
N
R
F
ANORAMA
NVENTORY
IRST
ATION
EQUEST
ORM
Agreement
This Agreement is specific to access the Panorama Vaccine inventory module. This section must be signed by the head of the
Organization/Depot requesting Approval. The head of the organization/depot could be the Director or CEO of the Depot site,
the Band Chief, Director of First Nations Care, Nurse Practitioner, or Registered Nurse depending on the reporting structure.
I acknowledge that I, the head of the Organization or a designated representative of the head, have read and agree to
the responsibilities as outlined below
Panorama Inventory - Approved Organization Roles & Responsibilities
The Organization’s designated Authorized Approver(s) have completed any required training as well as have read
Approved Organizations are responsible for ensuring that:
and understand their roles and responsibilities.
Appropriate physical, organizational and technological safeguards are in place within their Organization to
protect the security and integrity of the Panorama inventory data.
Panorama inventory data is used only for authorized purposes.
The Organization is responsible for the management of Authorized Approvers including additions and timely
deletions.
The Approved Organization and any designated Approvers are accountable for the actions of any approved users.
The organizational head can delegate the responsibility for managing Panorama Authorized Approvers to someone
within the organization by sending an email or letter identifying the responsible individual jointly to the Access
Management Branch at eHealth.
Approvers are responsible for going in, reviewing and approving Panorama access requests for their
Panorama Inventory - Authorized Approver Roles & Responsibilities
Organization(s) as required.
Users are responsible for using Panorama inventory data for authorized purposes only and in accordance with
Panorama Inventory - User Roles & Responsibilities
their Organization’s policies and procedures.
Note:
User access is audited.
Inappropriate use of the Panorama’s inventory component shall be reported and may result in
revocation of the user’s and/or organization’s access privileges.
Name: _____________________________________
Title: _____________________________________
Head of the Organization Information & Signature:
Signature: _________________________________
Date: _____________________________________
Request Received and Approved by eHealth:
Name: _____________________________________
Title: _____________________________________
Signature: _________________________________
Date: _____________________________________
V. 2014-04-10
2

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