How do you manage real-time release of pathology and radiology results to oncology patients following enaction of the CURES act?

Even prior to the Cures Act, I worked in a place where lab and imaging results were immediately available to patients through their smartphone app.

A few memorable encounters:

Patient 1 - told me his favorable PSA result when I walked in the room and basically told me the plan going forward, (which is fairly simple and scripted, to be honest), and asked, " Can I be a doctor now that I have a smartphone?"

He had a good point. When things are going well, as it is 95% of the time for the patient with early breast or prostate cancer, we are probably over-following them as physicians for what doesn't require an MD to interpret.

Patient 2 - she was in tears when I walked in the room because her brain scan said, "cannot rule out... or...possibly s...