의무기록 열람 및 사본교부에 관한 법적 문제

The Medical Information must absolutely be protected, because it contains very sensitive individual information. Personal data should not be disclosed, made available or otherwise used for purposes other than specified in accordance with the consent of the data subject or by the authority of law(The Use Limitation Principle in OECD GUIDELINE). There is “Korean Medical Service Act Article 21” in regard to a protection of the medical information. In this article, I have examined thoroughly the legal issues on the disclosure of the medical information according to “whether the patient’s consent is or not”. In the first place,with the consent of the patient: I have reviewed this issue with ① a comprehensive consent of insurance company, ② use the medical information among medical institutions-Medical Information System, Electronic Medical Record, Order Communication System, Electronic Data Interchange, etc. ③ the handover of the medical records. In the second place, with or without the consent of the patient: I have also analyzed this issue with ① a procedure of investigation in the code of criminal procedure, ② new revision of law attempts, ③ a collision with other laws. It must strictly be provided and applied the minimum necessary while using and disclosing of the medical information. But it can be allowed to disclose in case of need for ① the public welfare(than the patients’ privacy), ② establishment of nationa’s policies ③the comparative effectiveness of research, ④ an emergency.