Appl Clin Inform 2023; 14(01): 45-53
DOI: 10.1055/a-1990-5157
State of the Art/Best Practice Paper

Laboratory Results Release to Patients under the 21st Century Cures Act: The Eight Stakeholders Who Should Care

Simone Arvisais-Anhalt
1   Department of Laboratory Medicine, University of California San Francisco, San Francisco, California
Neda Ratanawongsa
2   Department of Medicine, Center for Vulnerable Populations, University of California San Francisco, San Francisco, California
Shobha Sadasivaiah
3   Department of Medicine, University of California San Francisco, San Francisco, California
› Author Affiliations


A major aim of the 21st Century Cures Act is to support patients' access to their electronic health data and to prevent information blocking practices by health care organizations and health information technology developers. Prior to the Cures Act, significant variation existed in patient access to laboratory test results, key pieces of health data which enable timely self-management and engagement in care. Although many health care systems began releasing test results immediately through patient portals because of the Cures Act, implementation remains challenging due to variations in state regulations around electronic results release, local interpretations of allowable exceptions to Cures information blocking, concerns about privacy of sensitive laboratory results, and technological limitations. This paper outlines the eight stakeholder groups involved in implementation of electronic laboratory result release to patients and describes recommendations for these groups to consider in achieving the Cures Act goals to support a patient's access to their health information and control of their health care.

Publication History

Received: 22 August 2022

Accepted: 28 November 2022

Accepted Manuscript online:
30 November 2022

Article published online:
18 January 2023

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