Mobile Point-of-Care Medical Photography: Legal Considerations for Health Care Providers

J Leg Med. 2020 Apr-Jun;40(2):247-263. doi: 10.1080/01947648.2020.1816234.

Abstract

Medical photographs have been used for decades to document clinical findings. The ease with which medical photographs can be captured and integrated into the electronic health record (EHR) has increased as digital cameras obviated the need for the film development process. Today, cameras integrated into smartphones allow for high-resolution images to be instantly uploaded and integrated into the EHR. With major EHR vendors offering mobile smartphone applications for the conduct of point-of-care medical photography, health care providers and institutions need to be aware of legal questions that arise in the conduct of medical photography. Namely, (1) what are the requirements for consent when taking medical photographs, and how may photographs be used after consent is obtained, (2) are medical photographs admissible as evidence in court, and (3) how should a provider respond to a request by a patient or parent requesting that a photograph be deleted from the medical record? Herein, we review relevant laws and legal cases in the context of accepted standards of medical practice pertaining to point-of-care medical photography. This review is intended to aid health care providers and institutions seeking to develop or revise policies regarding using a mobile application at their clinical practice.

Keywords: Medical photography; clinical photography; mobile applications.

MeSH terms

  • Electronic Health Records / legislation & jurisprudence*
  • Health Insurance Portability and Accountability Act
  • Health Personnel / legislation & jurisprudence
  • Humans
  • Informed Consent / legislation & jurisprudence*
  • Mobile Applications*
  • Organizational Policy
  • Patient Rights*
  • Photography / legislation & jurisprudence*
  • Point-of-Care Systems
  • Smartphone
  • United States