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The data at rest was not encrypted from the sound of it. so anyone can just go poking through that hard drive if they want.
Lost’s of small offices have PILES of unencrypted client data sitting on a old server sitting in the corner by the copier.
And this is why encrypting your data at rest is so important for PHI/PPI.
Hell, you can even configure MSSQL to encrypt/decrypt columns on the fly in ways that doesn’t require the cooperation of whatever app works with that database.