The four ethical issues are Privacy and confidentiality, security breaches, system implementation, and data inaccuracies. Privacy and confidentiality are the right of an individual to keep information about themselves from being disclosed to others, the claim of individuals to be let alone, from surveillance or interference from other individuals, organizations, or the government. Information shared due to interaction is considered confidential and be protected. Health care institutions, insurance companies, and others will require access to the data if EHRs function as designed. The key to preserving confidentiality is to allow only authorized individuals to access information. security breaches threaten patient privacy when confidential health information is made available to others without the individual’s consent or authorization. Security measures such as firewalls, antivirus software, and intrusion detection software must be included to protect data integrity. Specific policies and procedures serve to maintain patient privacy and confidentiality. system implementation are the development, implementation, and maintenance of EHRs requires funds and the involvement of many individuals including clinicians, information technologists, educators, and consultants.  Many EHR implementation projects fail because they underestimate the importance of one or more clinician to serve as opinion leaders for providers in the clinic. Thus, clinician must guide colleagues in understanding their roles in the implementation and enlisting their involvement in tasks as EHR selection, workflow design, and quality improvement.  These interfaces are bad to the overall success of the implementation process. Interface issues are the greatest system risk because failures can be invisible initially. data inaccuracies reduces health disparities and improve the health of the public.  This practice is unacceptable because it increases the risk for patients and liability for clinicians and organizations. Loss or destruction of data occurs during data transfer, this raises concerns about the accuracy of the data base as patient care decisions are based on them. The person’s insurance company is billed for medical services not provided to the actual policy holder.