Between Confidentiality and Justice: The Ethical and Legal Limits of Using Medical Records
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This article analyzes medical records as an essential document at the interface between professional ethics, legislation, and the patient's right to privacy. The research discusses the impact of the General Data Protection Law (Law No. 13,709/2018) on the handling of sensitive information in the health sector, highlighting its relevance in data protection and strengthening doctor-patient confidentiality. The study addresses the dual role of medical records—as a clinical tool and as a legal means of defense for professionals—emphasizing their probative importance in legal and ethical-disciplinary proceedings. Based on an analysis of current legislation, such as the Code of Medical Ethics, the Federal Constitution of 1988, and the Resolutions of the Federal Council of Medicine, the study shows that medical confidentiality is an ethical and legal duty, which may only be breached in specific situations, such as by court order or to exercise the right of defense. The text also emphasizes the challenges posed by the digitization of medical records, which, although it facilitates access to information, increases the risks of data breaches and requires greater responsibility from professionals. It concludes that the balance between the protection of privacy and the right to a full defense must be achieved through careful consideration and strict observance of the ethical and legal standards applicable to the health sector.
Gomes L. E. M.; Gomes J. T.; Negreiros L. M. V. de; Leal R. F. Patient records and the legal and ethical duty of healthcare professionals to keep records: a literature review. Revista Eletrônica Acervo Saúde, v. 12, n. 7, p. e3615, May 21, 2020.
Castro, P. T. (2024). Legal aspects of the provision of medical records. Jusbrasil.
Silva, A. L. (2025) Medical records: do doctors have the right to access them for their defense? Migalhas.
Rosa, V. (2024). Medical records: how to protect doctors from legal risks. Migalhas.
FEDERAL COUNCIL OF MEDICINE. Resolution No. 2,217, of September 27, 2018. Approves the Code of Medical Ethics. Brasília, DF: CFM, 2018. Available at: https://sistemas.cfm.org.br/normas/visualizar/resolucoes/BR/2018/2217.
BRAZIL. Law No. 13,787, of December 27, 2018. Provides for the digitization and use of computerized systems for the safekeeping, storage, and handling of patient records. Brasília, DF: Presidency of the Republic, 2018. Available at: https://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13787.htm.
SUPERIOR COURT OF JUSTICE – STJ. Special Appeal 1.758.799/MG, Third Panel, Rapporteur Nancy Andrighi, Judgment: 11/12/2019. Available at: https://processo.stj.jus.br/processo/revista/documento/mediado/?componente=ITA&sequencial=1888267&num_registro=201700065219&data=20191119&formato=PDF.
Botelho, M.C. and Camargo, E.P. do A. 2021. The application of the General Data Protection Law in healthcare. Health Law Journal. 21, (Dec. 2021), e0021. DOI: https://doi.org/10.11606/issn.2316-9044.rdisan.2021.168023.
Weston, F. C. L., Paglioli A. C. B., Mesquita, M, W. General Personal Data Protection Law and its applicability to nursing. Rev. Bras Enferm. 2023;76 (Suppl. 3): e20230126.
SANCHES, Tatiane Mendes. Processing of personal data for the implementation of public policies in smart cities. Rio de Janeiro: Lumen Juris, 2023.
De Aragão, S. (2020). Criminal abortion, criminal evidence, and medical confidentiality: a transdisciplinary analysis. Ibero-American Journal of Health Law.,9,182-207. https://doi.org/10.17566/ciads.v9i2.591.
Destro, P. (2020). Professional medical confidentiality in the context of Brazilian medical criminal law., 115, 165-208. Faculty of Law – University of São Paulo https://doi.org/10.11606/t.2.2019.tde-31072020-135936.
BRAZIL. (Constitution - 1988). Constitution of the Federative Republic of Brazil of 1988. Brasília, DF: Presidency of the Republic. Available at: http://www.planalto.gov.br/ccivil_03/constituicao/constituicao.htm
Prestes, L., Rangel, M., & Rangel, M. (2007). Medical records and their medico-legal implications in the routine of the coloproctologist. Brazilian Journal of Coloproctology, 27, 154-157. https://doi.org/10.1590/S0101-98802007000200004.
Da Silva Maduro, L., & Pereira, L. (2020). Legal proceedings to obtain medicines in Ribeirão Preto. 28, 166-172. Bioethics Journal.
https://doi.org/10.1590/1983-80422020281379.
Silva, W. (2025). Expertise as a defense tool in the judicialization of public works: analysis of the role of technical expertise in the defense of companies contracted by public agencies in legal proceedings. RCMOS - Multidisciplinary Scientific Journal O Saber. https://doi.org/10.51473/rcmos.v1i1.2025.925.
Bitencourt, A., Neves, N., Neves, F., De Sousa Brasil, I., & Santos, L. (2007). Analysis of medical error in ethical-professional proceedings: implications for medical education. , 31, 223-228. https://doi.org/10.1590/S0100-55022007000300004.
Santos, M., Mota, F., & De Araujo, N. (2020). Preservation and conservation of medical records from the medical archive and statistics service of the Professor Alberto Antunes University Hospital. Brazilian Journal of Information Science Education, 7, 4-23.
https://doi.org/10.24208/rebecin.v7iespecial.184.
Santeramo, J., Rocha, T., & De Paula Cardoso Siqueira, A. (2021). Technical, ethical, and legal aspects in the preparation of veterinary medical records. 19. https://doi.org/10.36440/RECMVZ.V20I1.38094.
D'Agostino, M., Medina, F., Martí, M., & Saisó, S. (2020). Patient medical records: digitization is no longer an option and should be a requirement. , 14. https://doi.org/10.29397/RECIIS.V14I3.2137.
De Souza Lamblet, I., Sanglard, J., & Lazarin, N. (2020). Doctor-patient confidentiality and end-to-end encryption. https://doi.org/10.5753/ERRC.2020.15206.
Copyright (c) 2025 Tatiane Mendes Sanches, Simone Camargo de Oliveira Rossignolo, Agnaldo Henrique Esteves, Luis Eduardo Miani Gomes

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