In the absence of clear guidelines, problematic practices and workarounds have been created, increasing legal, regulatory and ethical concerns.
No clear mechanisms for record keeping or data storage of WhatsApp content were provided. However, this study showed a general lack of awareness or concern about flaunting existing privacy and security legislation. Most clinicians were aware that they must comply with statutory reporting requirements in keeping medical records of all electronic communications. Sixteen of 346 papers met study criteria. A scoping review of nine databases sought evidence of record keeping or data storage related to use of WhatsApp in clinical practice up to 31 December 2020. The aim of this study was to review the literature on how clinicians who use WhatsApp in clinical practice keep medical records of the content of WhatsApp messages and how they store WhatsApp messages and/or attachments. The use of WhatsApp in health care has increased, especially since the COVID-19 pandemic, but there is a need to safeguard electronic patient information when incorporating it into a medical record, be it electronic or paper based.
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