Transitioning from paper to electronic health records (EHRs) is challenging, time-consuming, and costly for doctors. Beyond technical and legal issues, ethical considerations are increasingly important, especially when patients make extensive requests about their health information. Scenario A long-term patient requests: All records, including pre-EHR scans, within 72 hours on a USB A list of everyone who accessed their Protected Health Information (PHI) Records of any EHR security breaches Removal of personal health information from the EHR Typed translations of illegible handwritten notes Background information on staff entering their PHI While these requests reflect valid privacy concerns, some may exceed standard obligations.

Patient Rights Patients have the right to copies of their records, but not the originals. Records must be provided within 30 days (with possible extension).…