Fed Regist. 2017 Mar 23;82(55):14820-2.
The Department of Veterans Affairs (VA) is amending its medical regulations governing the release of VA medical records. Specifically, VA is eliminating the restriction on sharing a negative test result for the human immunodeficiency virus (HIV) with veterans' outside providers. HIV testing is a common practice today in healthcare and the stigma of testing that may have been seen in the 1980s when HIV was first discovered is no longer prevalent. Continuing to protect negative HIV tests causes delays and an unnecessary burden on veterans when VA tries to share electronic medical information with the veterans' outside providers through electronic health information exchanges. For this same reason, VA will also eliminate restrictions on negative test results of sickle cell anemia. This final rule eliminates the current barriers to electronic medical information exchange.
美国退伍军人事务部（VA）正在修订其关于退伍军人事务部医疗记录发布的医疗法规。具体而言，退伍军人事务部正在取消与退伍军人外部医疗服务提供者共享人类免疫缺陷病毒（HIV）阴性检测结果的限制。如今，HIV检测在医疗保健中是一种常见做法，20世纪80年代首次发现HIV时可能存在的检测污名已不再普遍。当退伍军人事务部试图通过电子健康信息交换与退伍军人的外部医疗服务提供者共享电子医疗信息时，继续保护HIV阴性检测结果会导致延误，并给退伍军人带来不必要的负担。出于同样的原因，退伍军人事务部还将取消对镰状细胞贫血阴性检测结果的限制。这项最终规定消除了当前电子医疗信息交换的障碍。
