The admissibility of the health record into evidence is guided by Federal:

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The admissibility of evidence in federal courts is governed by the Federal Rules of Civil Procedure and the Federal Rules of Evidence. These rules provide guidelines for the authenticity, relevance, and admissibility of evidence, including health records. HIPAA statutes and regulations address the privacy and security of health information but do not provide rules regarding their admissibility in court. CFR 21 pertains to the regulations-based FDA enforcement category and not directly related to the admissibility of health records in court. The Bill of Rights guarantees certain fundamental rights to citizens and does not address the admissibility of health records in court.

The Admissibility of the Health Record into Evidence Is Guided