Can medical records ever be subpoenaed or discovered in any judicial context? My understanding is that medical records are legally privileged. What does this actually mean? Can they ever be required by a court to be disclosed under any context, or for any reason? (e.g. if demanded by another party during discovery?) Does it make any difference whether the court requesting the materials are in a different jurisdiction from that in which they were produced or generated? What if the medical records are required to be submitted by their subject for some other governmental process for them to obtain some desired bureaucratic outcome, and then copies of then become included in the records of those processes? Can they then be subpoenaed from that governmental body as records of the undertaken bureaucratic process? Interested in the answers to this in any common law jurisdictions.
Yes in general Generally, almost all western jurisdictions (be they civil law or common law) have some way to get medical records into evidence, be that via subpoenaing, or by discovery requests or court orders. In most cases, the party that brings the suit is also the patient or their legal representative, and they give (or imply) consent to the use of the records. And in cases where the defendant's medical records are required, usually, the defense wants those in too to prove some condition. And then there are cases where the state or their representatives brings the charge. They usually can bring a warrant or court order to obtain the documents. Then there are Medical records that had been made specifically on the behest of the state. Here, the warrant is usually filed to obtain the samples or access to the body to be investigated, the record itself forms the basis for the investigators to proceed - and is not under client-doctor confidentially in the first place. It had been made specifically for the state and it is a state-owned medical record, be they made on request of the executive power (police) with a warrant signed by a judge or on behalf of the judicative after a court order to evaluate capacity (see below). However, medical records can generally only be obtained if the records are relevant to the case at hand and only to the degree necessary: You can't request the medical records about a person's fertility status in a case that discusses damages for his broken arm. As a result, the medical record available in court might be only an extract from the original, with irrelevant passages sealed or redacted. Unlike many people think, it's quite common to get some medical records into court in some way or another: As the basis of injury cases If you have a case of physical injury, the injuries themselves need to be proven in court. This is done generally by getting the medical records - thus they can be subpoenaed by a party, usually the injured party here. Then a medical expert can discuss them, be they a court-appointed one or paid by either of the parties. In this category also fall mandatory reports of certain types of wounds or situations. As such, the treating doctor has to provide a medical report with enumerated types of injuries, like bullet wounds or where child abuse might be the reason. Very necessarily in malpractice cases Malpractice is pretty much injury on steroids: the injuring party made the records and would never want to give them up to the one suing them - if they could. Alice shall remove Appendix. It goes haywire and the day after Charly needs to cut Bob open again. Now Bob sues Alice for malpractice. Bob needs medical records from both Alice, the doctor who botched it, and Charly, who was fixing Alice's error. Generally, both records are subpoena-able to the degree relevant and necessary, and indeed the opposing medical opinions on the operation and records form the very basis of the case for either side. Without the ability to subpoena the - in this case unmodified - records from the injuring doctor, proving - or defending - a case of malpractice would be impossible: the very truth of the allegation should be in the medical records. It's routine in cases around death What is the very last medical record a person can ever get? An autopsy record! That's a very sensitive medical record, but they routinely are used in homicide cases. Oftentimes, the investigators also subpoena the medical records of the victim from their doctors to corroborate the autopsy record, while the defense might subpoena them to try and disprove it. Even in civil cases, like the OJ-Simpson civil damages case, autopsy and medical records from an accompanying criminal case can and will be &quot;pulled&quot; (copied over) from the other trial's docket. Regularly in child protection cases Whenever child protection is on the line, be them protective orders or who a child will live with after the child protection service (whatever its name is) is in on a case, then medical records are often required to bolster one side. Those records could be medical records from quite many doctors, be they physicals or psychological evaluations... Sometimes the medical records required here are only created due to court-ordered medical or psychological evaluation by a doctor. Whenever incompetence defense is called When the lawyer claims temporary incompetence or insanity, courts generally order a psychological evaluation. These medical records are evidence, but usually don't need to be subpoenaed: they have a waiver form to be disclosed to the court almost built-in. Are they available to the public? Medical records are part of truth-finding, but they are also quite sensitive. As a result, most medical records can not be gotten from the court and enter the dockets under seal. Another option is, that they enter the docket partially or even mostly redacted, with passages blackened.
That release needs to be provided in writing to each legal entity (read: office) that provides you with medical care. Providing the release verbally (ie: 'I say that my assistant speaks for me') does not cut it; the offices that agreed are technically in jeopardy of some hefty fines and are just trusting you won't turn around and report them. Most offices are going to have their own forms for this and won't accept some generic letter that you write up, sign, and send all of them. Have your assistant call each office and ask for them to fax over a copy of their release form. List your assistant as an authorized contact, sign it, and send it back to them.
In the UK and USA (and I imagine other jurisdictions) there have been laws that explicitly provide for orders obliging entities to (A) provide access or information and (B) keep the order secret. For example, in the USA the Stored Communications Act, Fair Credit Reporting Act and Right to Financial Privacy Act authorise the FBI to issue National Security Letters (Wikipedia, EFF, EPIC, Lawfare). These are an administrative subpoena, without prior approval from a judge, for meta-information (e.g. phone numbers dialed or email recipients addressed but not the content) of communications relevant to national security investigations. They typically contain a non-disclosure requirement prohibiting the recipient of the NSL from disclosing its existence or the FBI's demands. There have been challenges on First Amendment grounds to the non-disclosure aspect but, so far as I'm aware, they have all ultimately failed. Some of their non-disclosure requirements may eventually expire under other laws. In response, so-called 'warrant canaries' (Wikipedia) have been developed (and gone a bit further than the original idea) - these are intended to allow entities to relatively passively warn of such an order having been received if not the detail of the order. However, they can be legally risky in that they might be seen by a court as trying to circumvent the non-disclosure requirement and therefore breaking it.
Police officers can lie to you He asked to search your car. He’s allowed to do this. You said no. You’re allowed to do this. He lied to you when he said he would get the K9 to search the car - this would not be legal. But he’s allowed to tell you lies. You made an admission of criminal activity. He now has probable cause to search. He legally searched, confirmed your admission and booked you. Seems legit to me.
The general rule is that "public records" must be disclosed unless they are by definition not public records. This study summarizes US public records law on a state by state basis, if the issue is about the US. Taking Massachusetts as an example, the law defines public record here, so if the item is not a public record, it is not required to disclose the item. Clause 26 has a long list of exceptions such as (j) the names and addresses of any persons contained in, or referred to in, any applications for any licenses to carry or possess firearms issued pursuant to chapter one hundred and forty or any firearms identification cards issued pursuant to said chapter one hundred and forty and the names and addresses on sales or transfers of any firearms, rifles, shotguns, or machine guns or ammunition therefor, as defined in said chapter one hundred and forty and the names and addresses on said licenses or cards ... (o) the home address and home telephone number of an employee of the judicial branch, an unelected employee of the general court, an agency, executive office, department, board, commission, bureau, division or authority of the commonwealth, or of a political subdivision thereof or of an authority established by the general court to serve a public purpose, in the custody of a government agency which maintains records identifying persons as falling within those categories; provided that the information may be disclosed to an employee organization under chapter 150E, a nonprofit organization for retired public employees under chapter 180, or a criminal justice agency as defined in section 167 of chapter 6. (p) the name, home address and home telephone number of a family member of a commonwealth employee, contained in a record in the custody of a government agency which maintains records identifying persons as falling within the categories listed in subclause (o). If the information is not legally a public record, there is no obligation to disclose. There is a general requirement via statute, regulation and court rulings requiring the government to protect personal information, such as this. You can get a list of sources on that topic here. This does not mean that the government body in question can be forced to redact that information, but it is at least possible that there is a (slim) legal basis for requiring them to protect your privacy.
Hardly ever While all doctors in private practice has a contract with each of their patients: For most practical purposes clinical negligence lawyers can forget about these. It is not that contractual duties do not exist – all private medicine and surgery is performed pursuant to such duties – but that they rarely add anything to the parallel duty owed in tort. The courts have been very reluctant to imply a duty in contract which goes beyond the duty imposed by the common law of negligence. While tort damages aim to restore the plaintiff to the position they were in before the tort and contractural damages aim to place them in the position they would have been in had there been no breach, for medical malpractice there is no practical difference.
There is not uniformity of law on this question, which is usually decided in the period after a death, but before a will is admitted to probate or an executor is appointed (typically in three to five days). As a result, the legal jurisdiction (usually a country or sub-national state or autonomous region) involved matters a great deal. For example, Italy used to presume that you did not want organ donation if you didn't execute a document during life saying that you did, and now has the opposite presumption. Similarly, many jurisdictions used to give a blood relative priority over a same sex partner, but now recognize a civil union or same sex marriage as having priority over a blood relative. Some jurisdictions give you some say over, for example, whether your body's organs will be donated or your body will be used for medical research. Some have formal documents that can be drafted and there are such things as "negative" provisions that are documents saying who cannot do something with your body. Other jurisdictions, as user6726 suggests, have a fixed priority system for determining who is next of kin and that applies strictly. Needless to say, a critical issue is how any such directive would be enforced. Obviously you, being dead, can't do that, and documents don't simply crawl out of desk drawers and walk themselves into court houses after your death either. Your wishes will never be enforced unless someone takes it upon themselves at the critical moment, to take action, and in that case, local law determines under what circumstances that person's statement regarding your wishes will be honored. Often, the person who might step up to take action doesn't learn of your death and of the location of your body until it is too late. If you die in circumstances where your identity is unknown, or where no relatives can be located and no directives can be located, some public official or whomever else ends up in possession of your body (often a corner) will have to decide for themselves what to do without your input.
Mere ideas are not, as others have said, protected by copyright. However, the police officer in such a situation may have a duty of confidentiality, particularly if s/he is informed that the contents of the phone are confidential. For example the &quot;Officer's Code of Conduct&quot; of Canton Ohio, says: Whatever a Police Officer sees, hears or learns of that is of a confidential nature will be kept a secret unless the performance of duty or legal provision requires otherwise. Members of the public have a right to security and privacy, and information obtained about them must not be improperly divulged. Many police departments have similar codes of conduct or policies. Such a policy might apply in the circumstances described in the question. In this page on &quot;Confidential information&quot; posted by the TaylorWessing law firm, it is said that: There are three circumstances in which the disclosure of information gives rise to an obligation of confidence: An obligation imposed by contract – for example, non-disclosure agreements. An obligation implied because of the circumstances of disclosure – this is determined on the basis of whether a reasonable man standing in the shoes of the recipient of the information would have realised that the information was being given to him in confidence. An obligation implied because of the special relationship between the parties concerned – for example, employer/employee relationships. The best way of ensuring that confidential information is recognised and treated as such is by contract. If no express requirement for confidentiality is imposed, the manner in which the discloser treats the information can be held as indicative of its level of confidentially. Talking about information in public places, for example, would cause the recipient to assume it was not confidential in nature. An action for breach of confidence is based on the conscience of the recipient who must have agreed or known that the information is confidential. Thus an action for breach of confidence can be brought against the original recipient of the information and any subsequent recipient who becomes aware of the fact that the information is confidential. An action for breach of confidence may be brought against a person who has used or disclosed, or threatened to use or disclose, confidential information without permission. A police officer engaged in a search of confidential documents, whether found on a phone, on a computer, or in a filing cabinet, is in a &quot;special relationship&quot; with the sub ject of the search, and the &quot;circumstances of disclosure&quot; are unusual. Use of such information for private, personal gain unrelated to any police function might be held to violate an implied duty of confidentiality, particularly if the officer is informed of the confidential nature of the documents. If the documents contain or constitute trade secrets, unauthorized use will give grounds for a lawsuit. This would not apply to proper use within a police investigation or criminal case, but it would apply to private use or disclosure by the officer. in &quot;Release of personal information to police: your privacy rights&quot; from the Government of Ontario it is said that: Ontario public sector organizations, such as provincial ministries and agencies, municipalities, schools, and transit systems, are required by law to protect your personal information and to follow certain rules when collecting, using, and disclosing your personal information. This document is primarily about when other governnment agencies can release personal information to law enforcement, but it might be taken to imply a similar obligation to respect privacy being imposed on law enforcement officers. In this page and other linked pages the UK metropolitian police indicate that they are subject to the Data Protection Act 2018 This is closely related to the GDPR. This restricts processing of personal data to lawful purposes. In the absence of the consent of the person searched, I doubt that use of information for personal gain having no connection with a police investigation would constitute a lawful purpose. I have not found an authoritative source, nor a court case, in which the situation described in the question, nor any closely similar situation, is addressed or decided.