In 2020, the Office of the National Coordinator for Health Information Technology
(ONC) issued a Final Rule to implement specific requirements of the 21st Century Cures
Act. The goal of the Final Rule is to increase access, use, and exchange of electronic
health information. The North American Society for Pediatric and Adolescent Gynecology
(NASPAG) and the Society for Adolescent Health and Medicine (SAHM) agree that sharing
health information with patients and families allows for improved medical care. We
believe it is equally important to recognize the right of adolescent minors to access
confidential care, which is protected to some degree in every U.S. state.
[1]
,[2]
As experts in the care of adolescents, NASPAG and SAHM are in a unique position to
inform institutional policies around the release of information for this population.Guttmacher Institute
Overview of consent to reproductive services by young people.
Overview of consent to reproductive services by young people.
https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law
Date accessed: September 1, 2020
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References
- Meaningful use of confidential adolescent patient portal.J Adolesc Health. 2016; 58: 134-140
- Overview of consent to reproductive services by young people.(Available at:)https://www.guttmacher.org/state-policy/explore/overview-minors-consent-lawDate accessed: September 1, 2020
- 21st Century Cures Act: Interoperability, information blocking, and the ONC health IT Certification Program.(Available at:)
- ONC’s Cures Act Final rule: Information blocking.(Available at:)https://www.healthit.gov/curesrule/final-rule-policy/information-blockingDate accessed: October 4, 2020
- The ONC Cures Act Final rule: Highlighted regulatory Dates.(Available at:)https://www.healthit.gov/cures/sites/default/files/cures/2020-03/HighlightedRegulatoryDates.pdfDate accessed: October 4, 2020
- The ONC Cures Act Final rule: Information blocking exceptions.(Available at:)https://www.healthit.gov/sites/default/files/cures/2020-03/InformationBlockingExceptions.pdfDate accessed: October 4, 2020
- Confidential health for adolescents: Position paper of the Society for adolescent medicine.J Adolesc Health. 2004; 35: 160-167
- Confidentiality in adolescent healthcare.Obstet Gynecol. 2020; 135: e171-e177
- The HIPAA privacy rule and adolescents: Legal questions and clinical challenges.Perspect Sex Reprod Health. 2004; 36: 80-86
Article info
Footnotes
Endorsed by the American College of Obstetricians and Gynecologists (ACOG), March 2021, and should be construed as ACOG clinical guidance.
Expert reviewers: Elizabeth Alderman MD, Abigail English JD.
Identification
Copyright
© 2021 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.
