Confidentiality, Privacy & Security

1.  Patient Portal for Minors

Posted 09-01-2017 01:56
Our pediatricians recently requested to change EMR portal accounts for patients age 13-17 from the parent being the owner to the child being the owner, and if the minor can choose whether to add their parent as a proxy to the portal account.  They have adolescents in this group that are concerned about their parents having access when they seek treatment for STD's, drug/alcohol treatment, pregnancy on their own without parental consent. My thoughts are that these encounters/notes should be created as sensitive encounters/sensitive notes and therefore not released through the portal nor available for release if parent requests access to their child's records outside of the portal.  However, it was noted that the pediatricians are listing these diagnoses on the minor's problem list which carries across all visits.  Can anyone share how you keep encounters that the parent has a right by law to access separated from those encounters that a minor may seek treatment for without parental consent?  Currently researching if problem lists can also be flagged as "sensitive" in our EMR.

Thank you for any advice anyone can offer.

Janet Baucom, RHIA, CCS
Director HIM
CaroMont Regional Medical Center
North Carolina

2.  RE: Patient Portal for Minors

Posted 09-13-2017 13:44

Hi Janet,

At our facility, the minor's portal is disabled at age 12. If the parent would like to re-gain access to the portal, an acknowledgement form is sent to the parent and the minor child, where the child would sign that it's okay for the parent to have access to information such as alcohol/drug treatment records, STD treatment records, and pregnancy/abortion records. The child can choose not to have their parent access the portal this way. We do also have a way to hold records from being released to the portal, but we could possibly encounter the same situation where past medical history is pulled forward into other notes. I hope this may help you!

Kara Warren
Manager, Processing & Data Integrity
St. Luke's Hospital Medical Records

3.  RE: Patient Portal for Minors

Posted 09-13-2017 14:13

While this subject matter is timely and important to be, note that it did not reach the right "Janet"




Janet S Brant

Director of HIM

Privacy Officer

South Bend Clinic LLP

211 N Eddy Street

South Bend, IN  46617

(574) 237-9296

Direct Fax (574) 204-6611



PRIVILEGED AND CONFIDENTIAL: This communication, including attachments, is for the exclusive use of addressee and may contain proprietary, confidential and/or privileged information. If you are not the intended recipient, any use, copying, disclosure, dissemination or distribution is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this communication and destroy all copies.

4.  RE: Patient Portal for Minors

Posted 10-28-2017 01:34
Hi Karen. Would you be willing to share a copy of the acknowledgement form you referenced?  My email is Thank you.

Jill Pennala
HIM Manager
Verde Valley Medical Center

5.  RE: Patient Portal for Minors

Posted 09-15-2017 10:42

At what age do most providers require minors to consent to the release of their substance use records?  I cannot find an age documented in any regs.  Maybe I am missing something.
Thank you,
Lynn Boyes, RHIT

Kathryn Boyes
Director of Medical Records

6.  RE: Patient Portal for Minors

Posted 09-15-2017 10:45
We go by the age of majority in NC - 18 years of age unless they are emancipated.

Bonnie Ormond, RHIA
Director Health Information Management
Carteret Health Care
3500 Arendell Street, Morehead City, North Carolina 28557
Office: 252-808-6529  I  Cell: 252-269-4555  I

On Fri, Sep 15, 2017 at 10:42 AM, Kathryn Boyes via American Health Information Management Association