Your medical records are private and anything that happens during a doctors' visit, including the prescribed meds and results from medical testing become a part of your records.
If you have hospitalization at work and you sign a form to authorize payment to the doctor, you insurance has a right to review your records to see if the visit qualifies for payment. Usually this comes down to a code that all doctors use for different diagnosis of what ever the finding are during the visit.
when you see your doc, at some point, usually during the first visit, you sign a form that gives you the right to allow anyone you appoint to have access to your records. Noone else has any right to your records after that.
People who work in the doctors' office only have permission to view your record if they have a function to perform with it. The lady at the front desk cannot see the contents of your record. Other employees cannot see your record, ect. It's against the law and a violation of the newer HIPPA laws. Anyone who does look at your record for whatever function, signs a form stating that they are not allowed to discuss the contents with anyone outside of the office, and then for specific purposes, only. Your records are confidential.
If this doesn't answer your specific question, let me know. I have worked in an office and have knowledge of the records and the laws behind them.
Your records can be viewed only by people whom you specifically authorise to view them, and then you can specifically address the information you will allow them to see, and for how long of a duration. For example, if you were to become involved in an accident and your insurance company wanted to see your treatment records, you can specify what testing they are allowed to look at and the dates of service that you were in treatment for the accident; not your whole record, and then only for the amount of time you specify, say two months, during treatment. You can be very specific.
This is how the laws work in the US. You can also view your records any time you choose. You just have to ask the doctor. You can have your chart transferred to another doc or specific parts of it.... Usually, if your doc is sending you to see another doc, they send a report of treatment, siagnosis, meds ordered and results. Not the nitty-gritty that happens in the office, like conversations. There is usually a charge for doing this. You may have seen signs posted in your doctors' office addressing this.
Jackie