Patient xray for example, blown up on big tv

As other users mentioned, these screenshots are almost certainly not being transmitted as screenshots as the bandwidth costs would be enormous. The screenshots are converted to a hash on the user’s device before being sent to a server where the hash is compared to a database of known hashes. A user’s x-ray would just appear as a hash. This might still constitute a HIPAA violation, but I doubt it.

One cannot unscramble hash and tell what does it present

This seems like an extremely unrealistic scenario for a given ps5

Also how would other providers be privvy to this view of this xray?

I’m not sure what relevance there is to other providers?

I work with a lot of small medical offices, and they do use consumer Smart TVs in some contexts. I typically limit their network access for other reasons, and displaying X-rays isn’t something I’ve personally facilitated, but it wouldn’t shock me to discover it’s being done in other clinics, and the popularity of cloud-based ePHR software has left a lot of smaller clinics with very limited internal I.T. services.

The destination isn’t relevant, if the image leaves the clinic at all without consent, that’s a HIPAA violation. Fortunately, I think it’s more likely that the images are sampled and/or hashed in a way that means the full image isn’t technically transmitted, but considering the consequences and costs of a data breach, I’d definitely be wary of it.

> I’m not sure what relevance there is to other providers?

The point of HIPAA is to prevent providers from colluding against you.