austlii:qld/QICmr/2025/12
General information, not legal advice.
QICmr
2025-03-20
Original judgment source is linked above.
B42 and Darling Downs Hospital and Health Service [2025] QICmr 12 (20 March 2025)
ADMINISTRATIVE LAW - RIGHT TO INFORMATION - REFUSAL OF ACCESS - EXEMPT INFORMATION - BREACH OF CONFIDENCE - medical records of the applicant - information provided by third parties to the health service - confidentiality of communications - schedule 3, section 8(1) of the Right to Information Act 2009 (Qld)
ADMINISTRATIVE LAW - RIGHT TO INFORMATION - REFUSAL OF ACCESS - EXEMPT INFORMATION - LAW ENFORCEMENT OR PUBLIC SAFETY INFORMATION - medical records - examination authorities and risk assessments - risk of prejudice to system or procedure for the protection of persons - schedule 3, section 10(1)(i) of the Right to Information Act 2009 (Qld)
ADMINISTRATIVE LAW - RIGHT TO INFORMATION - REFUSAL OF ACCESS - EXEMPT INFORMATION - DISCLOSURE PROHIBITED BY AN ACT - schedule 3, section 12(1) of the Right to Information Act 2009 (Qld)
ADMINISTRATIVE LAW - RIGHT TO INFORMATION - REFUSAL OF ACCESS - CONTRARY TO PUBLIC INTEREST INFORMATION - medical records - personal information and privacy of other individuals - whether disclosure would, on balance, be contrary to the public interest
ADMINISTRATIVE LAW - RIGHT TO INFORMATION - REFUSAL OF ACCESS - IRRELEVANT INFORMATION - medical records - incorrectly filed information - deletion under section 88(1) of the Information Privacy Act 2009 (Qld)
a) access to the Collateral Health Information, Assessment Information and Remaining Information may be refused under section 67(1) of the IP Act and section 47(3)(a) of the RTI Act because this information is exempt
b) access to the Third Party Information may be refused under section 67(1) of the IP Act and section 47(3)(b) of the RTI Act on the basis that its disclosure would, on balance, be contrary to the public interest; and
c) the Other Patient Information can be deleted under section 88(1) of the IP Act on the basis of irrelevance.
OIC contacted the applicant and acknowledged receipt of the external review application.
The applicant confirmed that they wished to proceed with external review.
OIC notified the applicant and DDHHS that the application for external review had been accepted.
OIC asked DDHHS to provide a copy of the documents located in response to the application, including the refused information.
OIC received emails from the applicant confirming the applicant wished to proceed to a formal decision and providing submissions.
OIC conveyed a further preliminary view to the applicant.
OIC received an email from the applicant confirming the applicant wished to proceed to a formal decision.
OIC advised DDHHS that a formal decision would be required to finalise the review.
[2] Attachment 1 to DDHHS's decision indicates the total pages located was 6137.
[4] Attachment 2 to DDHHS's decision and the redacted parts of certain documents also referred to section 47(3)(b) of the RTI Act however the statement of reasons did not consider the application of that provision.
[5] External review application dated 13 November 2023.
[6] Under section 67 of the IP Act and section 47(3)(a) of the RTI Act.
[7] Under section 67 of the IP Act and section 47(3)(b) of the RTI Act.
[9] Relevant provisions of which commenced on 1 January 2020.
[11] See XYZ v Victoria Police (General) [2010] VCAT 255 (16 March 2010) (XYZ) at [573]; and Horrocks v Department of Justice (General) [2012] VCAT 241 (2 March 2012) at [111]. OIC's approach to the HR Act has been considered and endorsed by QCAT Judicial Member McGill in Lawrence v Queensland Police Service [2022] QCATA 134, noting that he saw 'no reason to differ' from our position ([23]).
[12] Based on Attachment 1 to DDHHS's decision, and copy of the documents provided to OIC by DDHHS, showing the redactions.
[13] The documents appear within Volumes 2-7 of the applicant's medical records, including Consumer Integrated Mental Health and Addiction (CIMHA) records.
[15] 30 full pages and 51 part pages: Vol 2 page 172; Vol 3 pages 238, 239, 240, 241, 263 and 284; Vol 4 pages 365, 366, 388, 414 and 415; Vol 6 pages 213, 214 and 673; CIMHA 2013 - 18.12.2019 pages 9, 53, 54, 81, 82, 130, 131, 155, 177, 178, 420 and 726; and CIMHA 19.12.2019 - 20.10.2023 pages 344, 540, 546, 578, 766, 1289, 1290, 1304, 1318, 1334, 1335-1340, 1343-1346, 1367, 1388-1390, 1391, 1396, 1399-1405, 1473, 1540, 1626, 1631, 1670, 1671, 1685, 1699, 1700-1706, 1757, 1776, 1777, 1778-1779 and 1844.
[16] 45 full pages: Vol 5 pages 99-101, 164-166 and 251-252; Vol 6 pages 455-457; Vol 7 pages 17-19; and CIMHA 19.12.2019 - 20.10.2023 pages 744-747 and 1026-1052.
[17] 13 full pages: Vol 4 at pages 32-34; Vol 5 pages 95-97; and Vol 6 pages 393-399; referred to as Prohibited Information in our letter to the applicant dated 4 December 2024.
[18] 9 part pages: Vol 6 pages 253 and 340; CIMHA 2013 - 18.12.2019 pages 919 and 920; and CIMHA 19.12.2019 - 20.10.2023 pages 591, 592, 593, 1537 and 1683.
[19] 2 part pages: Vol 2 page 502; Vol 3 page 283.
[21] Section 67(1) of the IP Act provides that an agency may refuse access to a document in the same way and to the same extent it could refuse access to the document under section 47 of the RTI Act were the document to be the subject of an access application under that Act.
[22] Section 67(1) of the IP Act and sections 47(3)(a) and 48 of the RTI Act.
[23] Section 67(1) of the IP Act and sections 47(3)(b) and 49 of the RTI Act.
[26] Section 67(2)(a) of the IP Act and section 47(2)(a) of the RTI Act.
[28] Schedule 3, section 8(1) of the RTI Act.
[29] B and Brisbane North Regional Health Authority [1994] QICmr 1; (1994) 1 QAR 279 (B and BNRHA).
[30] Ramsay Health Care v Office of the Information Commissioner & Anor [2019] QCATA 66 (Ramsay).
[31] Ramsay at [94], adopting previous formulations in Optus Networks Pty Ltd v Telstra Corporation Ltd [2010] FCAFC 21; (2010) 265 ALR 281 and Smith Kline & French Laboratories (Aust) Ltd v Secretary, Department of Community Services & Health (1990) 22 FCR 73.
[32] See for example, quality of confidence discussion in B and BNRHA at [64]-[75].
[33] H64 and Redland City Council [2022] QICmr 26 (12 May 2022) at [56].
[35] The term 'could reasonably be expected to' requires that the expectation be reasonably based, that it is neither irrational, absurd or ridiculous, nor merely a possibility. See Nine Network Australia Pty Ltd and Department of Justice and Attorney-General (Unreported, Queensland Information Commissioner, 14 February 2012) at [31].
[36] External review application dated 13 November 2023 and email to OIC dated 30 April 2024.
[37] Such as those set out in schedule 4, part 2 of the RTI Act.
[39] Schedule 3, section 10(1)(i) of the RTI Act.
[40] As outlined in Ferrier and Queensland Police Service [1996] QICmr 16; (1996) 3 QAR 350 at [27]- [36] and SQD and Department of Justice and Attorney-General (Unreported, Queensland Information Commissioner, 2 September 2010) at [9].
[43] D77 and Gold Coast Hospital and Health Service [2020] QICmr 28 (22 May 2020) (D77) at [16]; E33 and Metro South Hospital and Health Service [2021] QICmr 50 (12 October 2021) (E33) at [22]; VA6Q6J and Sunshine Coast Hospital and Health Service [2015] QICmr 18 (14 August 2015) (VA6Q6J) at [17]-[19].
[44] E33 at [23]-[25]; D77 at [17]; VA6Q6J at [21]-[25].
[45] DDHHS decided that the Assessment Information was exempt under schedule 3, section 8(1) of the RTI Act. Section 118(1)(b) of the IP Act provides that the Information Commissioner has the power, on external review, to decide any matter in relation to an access application that could, under the IP Act, have been decided by an agency. In undertaking merits review, and stepping into the shoes of the original decision maker, I have instead found that the exemption at schedule 3, section 10(1)(i) of the RTI Act applies to that information.
[46] Schedule 3, section 10(2) of the RTI Act.
[49] See for example Kioa v West (1985) 159 CLR 550 at 584.
[51] Sections 108(1)(a) and 139 of the IP Act.
[52] As indicated in footnote 45 above, the external review process involves merits review and while DDHHS relied on the exemption in schedule 3, section 8 of the RTI Act in relation to this information, I have found a different exemption applies based on the information available to me.
[53] DDHHS officers and public sector employees, and other patients.
[54] Section 67(1) of the IP Act and section 47(3)(b) of the RTI Act.
[55] Chris Wheeler, 'The Public Interest: We Know It's Important, But Do We Know What It Means' [2006] AIAdminLawF 2; (2006) 48 AIAL Forum 12, 14.
[56] Including those in Schedule 4, part 1 of the RTI Act.
[57] Schedule 4 of the RTI Act contains non-exhaustive lists of factors that may be relevant in determining where the balance of the public interest lies in a particular case.
[59] Schedule 4, part 2, item 7 of the RTI Act.
[60] Schedule 4, part 2, items 1, 3 and 11 of the RTI Act.
[61] As mentioned in paragraph 27 of these reasons.
[62] Schedule 4, part 2, item 6 of the RTI Act.
[63] The threshold for this factor to apply is low, see for example Kelson v Queensland Police Service [2019] QCATA 67 at [55]- [74].
[64] Defined in section 12 of the IP Act.
[65] Schedule 4, part 3, item 3 and schedule 4, part 4, section 6(1) of the RTI Act.
[66] Paraphrasing the Australian Law Reform Commission's definition of the concept in 'For your information: Australian Privacy Law and Practice' Australian Law Reform Commission Report No. 108 released 12 August 2008, at paragraph 1.56.
[67] Schedule 4, part 3, item 3 and part 4, section 6 of the RTI Act.
[68] E24 and Department of Justice [2025] QICmr 6 (27 February 2025) at [31]-[35].
[69] See for example, E91 and Cairns and Hinterland Hospital and Health Service [2023] QICmr 58 (6 November 2023) at [42]-[44].
[70] Underwood and Minister for Housing and Public Works [2015] QICmr 27 (29 September 2015) (Underwood) at [66]-[68]; applying Kiepe and University of Queensland (Unreported, Queensland Information Commissioner, 1 August 2012) at [18]-[21].
[71] See for example, Kiepe and the University of Queensland (Unreported, Queensland Information Commissioner, 1 August 2012) at paragraphs [18]-[21] and Underwood at [66]-[67].
[72] Schedule 4, part 3, item 3 and schedule 4, part 4, section 6(1) of the RTI Act.
[73] FLK v Information Commissioner [2021] QCATA 46 at [17].
[75] Under section 47(3)(b) of the RTI Act.
[76] O80PCE and Department of Education and Training (Unreported, Queensland Information Commissioner,15 February 2010) at [52] which was a decision made under the equivalent provision in the repealed Freedom of Information Act 1992 (Qld).
(1990) 22 FCR 73
(2010) 265 ALR 281
(1985) 159 CLR 550