The best way to keep information confidential is to keep it totally separate from AC--or even better, not to have any written record. I am especially referring to intensely personal information that patients sometimes reveal to us. As others have commented in other threads, over time EMR's will be available to more and more people (insurance, medical, government). Yet, in this case, the 15yo prescribed BCP, if you write such a prescription, I don't think you have any choice but to document the prescription in the chart.