Evidence map›Paper›PMID 32876582›Full record

ArticleJournal of medical Internet research2020

Doctors Routinely Share Health Data Electronically Under HIPAA, and Sharing With Patients and Patients' Third-Party Health Apps is Consistent: Interoperability and Privacy Analysis.

Mark Savage, Lucia Clara Savage

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Ethical Considerations in Personal Health Large Language Models.Journal of medical Internet research · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Digital skin imaging applications, part II: a comprehensive survey of post-acquisition image utilization features and technology standards.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2022
    Article
  10. Patient-led data sharing for clinical bioinformatics research: USCDI and beyond.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mark Savage *Center for Digital Health Innovation, University of California, San Francisco, CA, United States.ORCID 0000-0001-8104-765X
Lucia Clara Savage *Omada Health, San Francisco, CA, United States.ORCID 0000-0002-6005-9691

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2000, federal regulations have affirmed that patients have a right to a complete copy of their health records from their physicians and hospitals. Today, providers across the nation use electronic health records and electronic information exchange for health care, and patients are choosing digital health apps to help them manage their own health and health information. Some doctors and health systems have voiced concern about whether they may transmit a patient's data upon the patient's request to the patient or the patient's health app. This hesitation impedes shared information and care coordination with patients. It impairs patients' ability to use the state-of-the-art digital health tools they choose to track and manage their health. It undermines the ability of patients' family caregivers to monitor health and to work remotely to provide care by using the nearly unique capabilities of health apps on people's smartphones. This paper explains that sharing data electronically with patients and patients' third-party apps is legally consistent under the Health Insurance Portability and Accountability Act (HIPAA) with routine electronic data sharing with other doctors for treatment or with insurers for reimbursement. The paper explains and illustrates basic principles and scenarios around sharing with patients, including patients' third-party apps. Doctors routinely and legally share health data electronically under HIPAA whether or not their organizations retain HIPAA responsibility. Sharing with patients and patients' third-party apps is no different and should be just as routine.

Indexed as

ConfidentialityElectronic Health RecordsHealth Insurance Portability and Accountability ActHumansInformation DisseminationPhysiciansPrivacySoftwareUnited Statesappsbusiness associatecovered entitydigital healthdigital health applicationsEHRelectronic health recordsHealth Information Technology for Economic and Clinical Health ActHealth Insurance Portability and Accountability ActHIPAAHITECHinteroperabilitymobile phone, smartphonepatient accesspatient engagementPHIprivacyprotected health information

Identifiers

PMID32876582
PMCPMC7495255

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.