Validação jurídica do prontuário odontológico eletrônico: proposta fundamentada na legislação brasileira / Legal validation of electronic dental records: a proposal based on Brazilian Legislation

Introdução: buscando aliar a utilização de recursos tecnológicos digitais com a segurança jurídica, o objetivo do presente trabalho é viabilizar, por meio de conceitos da Ciência do Direito, uma proposta para validação jurídica do “Prontuário Odontológico Eletrônico”. Métodos: como no Ordenamento Jurídico brasileiro não há legislação específica sobre esse assunto, a questão foi analisada conforme a analogia, os costumes e os princípios gerais de direito. Resultados e Conclusões: é possível obter “Prontuário Odontológico Eletrônico” com a mesma validade jurídica do “Prontuário Odontológico Convencional”. Para tanto, o cirurgião-dentista, o laboratório de radiologia e o paciente devem assinar digitalmente os arquivos da documentação digital que tenham responsabilidade de assinar na documentação convencional não-digital.

[ introduction to electronic health information privacy law]

Nowadays Information and Communication Technologies have influenced all realms of human life. Today there is an attempt to make every human being activity in the hone of electronic and digitized version to faciliate and accelerate it. As result of such an ongoing fact which can be called as "information revolution", today we hear so much of some phrases such as E-Business, E-Learning. E-Money, E-Banking, E-Government and recently E-Health. The advent of E-Health. Telemedicine and the development of modern electronic social security system, need enhanced and updated database of health status of the citizens. Personal data which need legal protection can be divided in six categories: Health and Genetic Data, economic and commercial data, data relating to personal ideas and beliefs, sexual life data. criminal condemnation data and general personal data. The scale of importance of personal data differs as a result of kind and nature of them. So, sensitive personal data which needs a more comprehensive protection differs from common ones for which a usual protection will suffice. Electronic Health Information is certainly some kind of sensitive personal data which should be kept under the highest security standards and any kind of infringement to such data is forbidden and punishable in most of the legal systems. Survey and analysis of a proportionate legal system for such data in information technology age is of special necessity to develop E-Health project. Today E-Health file plays a very important role in the society health system. This research is a descriptive and analytic one, in which we have tried to show the deficiencies of the Iranian legal system in this field, through analysis of legal sources and regulations of different legal systems and comparing the results with the Iranian ones. For this purpose we will employ the internet sources as hard copies of books and papers as the same as some international, domestic and foreign acts, conventions and documents. In different legal systems the security of Electronic Health Information which is the most important field of E-Health project, is provided through legislating special vindicative acts. Iran laws pay much more attention to correctness of data than to protecting correct data. So apart from some limited protection made in relation to some special jobs such as lawyers and physicians we will see nothing more than defamation and alike criminal institutions as data protecting acts. As contrast to some of leading and advanced legal systems in the field of Information Technology Law, [such as United States of America and members of European Union, The Convention on Cyber crime] the Iranian legal system has not made some favourable protection of personal health and genetic data. This will cause the Iranian E-Health Filing project abortive. So some revision is needed to update the Iranian legal system and observe the international standards. Though there is some effort to pass new comprehensive acts governing all kinds of personal data amongst Health and Genetic Data but up to the date they have not come to force and the defect has made Iran legal system situation crucial

Derecho médico: historia clínica manuscrita e historia clínica informatizada: medios de prueba válidos en Sede Judicial / Medical right: clinical history manuscript and clinical history computerized: valid medium of evidence in judicial see

La Historia Clínica es el medio de prueba por excelencia, cuando llega el momento de juzgarse la responsabilidad profesional médica individual o institucional. No existen regulaciones legales que prioricen la validez de una Historia Clínica manuscrita sobre una informatizada. La Doctrina jurídica argentina y la Jurisprudencia han resaltado la importancia de la existencia de Registros Clínicos adecuados, para permitir probar la calidad y eficiencia de la prestación del servicio del cuidado de la salud brindado al paciente. Las técnicas modernas de gerenciamiento de la salud deben tener el soporte jurídico que les permita evolucionar hacia la protección de los Derechos de los Pacientes. Solamente mediante un trabajo interdisciplinario el Derecho y la Medicina podrán interpretarse y buscar caminos de solución para la prevención de riesgos médico-legales que pueden producir pérdidas económicas, financieras, patrimoniales y de prestigio profesional.

Implicancias jurídicas de la historia clínica y de la documentación médica en general / Law implications of clinical records and the general medical documentation

Se hace el análisis de las obligaciones éticas, y sobre todo jurídicas, que pesan sobre los médicos en lo que se refiere al historial clínico de los pacientes y de la documentación médica general. Consideraciones especiales se formulan relacionadas con el derecho de propiedad de la historia clínica, su obligatoriedad, su confidencialidad, la conservación de los datos clínicos y las nuevas facetas que empiezan a presentarse debido a las modalidades de almacenamiento electrónico de datos

Aspectos legais do registro médico eletrônico no Brasil / Legal aspects of eletronic medical registry in Brazil

Este trabalho apresenta o resumo da legislação atual sobre a utilização do armazenamento digital de informações em diversas áreas, ressaltando seu uso para o prontuário médico.