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An email message sent through several servers before the receiver can view the contents of the email.
Storing PHI in an email account, such as web based Gmail account, is secure for as long as you have a strong password in using the said account.
Email is not a HIPAA compliant.
Sending any PHI through the email system is NOT secure and would be considered a breach.
Email accounts such as Outlook can be hacked and all the PHI contained in the account will be accessible.