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Abstract
The 2003 security rule, expanded the Health Insurance Portability and Accountability Act (HIPAA) guidelines to electronic protected health information (PHI) in response to the growth of the internet. [...]to account for the particular factors of different practice settings that may influence re-identification of PHI, institutions should formulate HIPAA standards uniquely to the needs of the practice [6]. [...]institutions should retain an expert for the purpose of reviewing drafted SM posts for risk of privacy breaches prior to public postings, to prevent inconsistent interpretations of HIPAA rules [1].