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Some parts of the medical record can be shared automatically with insurance companies for billing purposes. The patient's name, birth date, hospital record number, date of admission and discharge, diagnoses or diagnostic codes, comprise the basics of what is shared for insurance purposes. However, even a "next of kin" has limited access to a patient's medical records.

Cases of child abuse or suspected criminal activity (attempted poisoning of a patient), criminal acts by a caregiver, or communicable diseases that could affect a community often mean that patient medical records or information is shared, in part or in whole, to authorities.

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Q: Who can obtain a medical record without written authorization?
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