J Leg Med. 2020 Apr-Jun;40(2):247-263. doi: 10.1080/01947648.2020.1816234.
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.
医学照片已经被用于记录临床发现数十年了。随着数码相机消除了胶卷冲洗的需要，医学照片的拍摄和整合到电子健康记录（EHR）变得更加容易。如今，智能手机中集成的摄像头可以立即上传高分辨率的图像并整合到 EHR 中。由于主要的 EHR 供应商提供了用于进行即时医疗摄影的移动智能手机应用程序，医疗保健提供者和机构需要了解在进行医疗摄影时出现的法律问题。即：(1) 拍摄医疗照片时需要什么同意书要求，以及在获得同意后可以如何使用照片，(2) 医疗照片是否可以作为法庭证据，以及 (3) 提供者应如何回应患者或家长要求从病历中删除照片的请求？在此，我们将在与即时医疗摄影相关的医疗实践标准方面审查相关法律和案例。本综述旨在帮助医疗保健提供者和机构在其临床实践中开发或修订使用移动应用程序的政策时提供参考。
