Canada Judgment

Supreme Court of British Columbia

Chisholm v. Abbott

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Source document

01

Holding and result

The defendant's request for unredacted medical records was denied because the plaintiff had provided sufficient disclosure of relevant medical conditions and diagnoses while protecting personal details; privacy interests outweigh the defendant's overbroad request, and a record withheld as containing errors (Dr. Kovacs) must be produced subject to appropriate redactions.

Court disposition

Application denied in part; unredacted records not ordered; one previously withheld record ordered produced with redactions; costs to follow ordinary rule.

Orders

  • Defendant's application for unredacted medical records is dismissed
  • Produce the Dr. Kovacs record which was withheld for alleged errors, with appropriate redactions if necessary
  • Ordinary rule as to costs to govern

02

Material facts

Parties

Brittney Chisholm

Plaintiff Counsel: M. Thomas

Jeremy Abbott

Defendant Counsel: C. Arrieta

03

Procedural history

  1. Posture

    Personal Injury / Application for Unredacted Medical Records (interlocutory)

04

Questions and positions

Legal issues

Party arguments

Applicant
The defendant seeks full unredacted medical records including details that may explain how the plaintiff dealt with life stressors, asserting entitlement to see anything that could impinge on her response to stress, including full records of a difficult pregnancy.
Respondent
The plaintiff produced medical records with redactions of personal details while disclosing diagnoses and conditions; she contends redactions protect privacy and there has been full disclosure of relevant information and one record was withheld only because it contained errors and should be produced with appropriate redactions.

05

Court’s reasoning

  1. 01

    Hyvarinen v. Burdett, 2012 BCSC 1034; Kaladijan v. Jose, 2012 BCSC 357

    Court must balance disclosure mandates with protection of plaintiff privacy when ordering production of medical records

  2. 02

    Hyvarinen v. Burdett, 2012 BCSC 1034; Kaladijan v. Jose, 2012 BCSC 357

    Production of records is required but redactions of purely personal details may be permitted where sufficient disclosure of relevant conditions is made

06

Ratio, limits and disposition

Ratio decidendi

The defendant's request for unredacted medical records was denied because the plaintiff had provided sufficient disclosure of relevant medical conditions and diagnoses while protecting personal details; privacy interests outweigh the defendant's overbroad request, and a record withheld as containing errors (Dr. Kovacs) must be produced subject to appropriate redactions.

Obiter and limits

  • The defendant's application constituted a gross overreach.
  • The plaintiff had attended independent medical examinations at the defendant's behest and none of those examiners filed affidavits asserting they required the further details sought.
  • Ordinary rule as to costs will govern.

Court disposition

Application denied in part; unredacted records not ordered; one previously withheld record ordered produced with redactions; costs to follow ordinary rule.

  • Defendant's application for unredacted medical records is dismissed
  • Produce the Dr. Kovacs record which was withheld for alleged errors, with appropriate redactions if necessary
  • Ordinary rule as to costs to govern

Source and reliance status

Supreme Court of British Columbia · 16 October 2020

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Judgment text

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Source document

Supreme Court of British Columbia

Judgment· 16 October 2020

2020 BCSC 1905

2020 BCSC 1905 Chisholm v. Abbott

IN THE SUPREME COURT OF BRITISH COLUMBIA Citation: Chisholm v. Abbott, 2020 BCSC 1905 Date: 20201016 Docket: M171599 Registry: Vancouver Between: Brittney Chisholm Plaintiff And Jeremy Abbott Defendant Before: The Honourable Mr. Justice Myers Oral Ruling Re Application for Unredacted Medical Records In Chambers Counsel for the Plaintiff: M. Thomas Counsel for the Defendant: C. Arrieta Place and Date of Hearing: Vancouver, B.C. October 16, 2020 Place and Date of Ruling: Vancouver, B.C. October 16, 2020 [1] THE COURT: This is a personal injury claim. The defendant applies for un-redacted versions of medical records, which the plaintiff has supplied with redactions. The records include those of two psychiatrists, one of whom is currently treating the plaintiff. [2] Both parties agree that the main component of the plaintiff's claim is for chronic pain. [3] There is no disagreement that the plaintiff's mental state and ability to deal with stress both before and after the accident is relevant. [4] The version of the records produced by the plaintiff include the conditions for which she was treated and the diagnoses, if any, of the medical professionals. They refer to difficulties in her personal life, including family relationships. What they exclude are some of the specific details. [5] The defendant says that the redactions should not be allowed. He should be able to see anything

that may impinge on how the plaintiff dealt with "life stressors". Further, her clinical records may show what was causing her stress in the past. For example, the defendant argues he is entitled to see the full records of the plaintiff's difficult pregnancy. [6] I do not agree. As noted in Hyvarinen v. Burdett, 2012 BCSC 1034 at paras. 8 and 19 and Kaladijan v. Jose, 2012 BCSC 357 at para. 75, when ordering the production of medical records, the court must be careful not to infringe the plaintiff's privacy interests. [7] This is not a case where the plaintiff has attempted to bury her prior relevant or potentially relevant medical condition or has misrepresented it. Rather full disclosure has been made with some personal details redacted. [8] In my view, the defendant's application is a gross overreach. On reviewing the redacted records, there has been ample disclosure. My conclusion is enforced by the fact that at the behest of the defendant, the plaintiff has attended several independent medical examinations, one of which was by a psychiatrist but there is no affidavit from them that stating that they require the further requested details. [9] My ruling does not apply to the one record of Dr. Kovacs which was withheld on the basis that it contained errors. That is not a reason for non-production. It is to be produced with the appropriate redactions, if necessary. [10] The ordinary rule as to costs is to govern. "E.M. Myers J."

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Authorities

Authorities used by the court

Cases, legislation, regulations, and constitutional provisions identified in the available record.

Hyvarinen v. Burdett, 2012 BCSC 1034

Case cited

Kaladijan v. Jose, 2012 BCSC 357

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