I go to a HUGE hospital for my pdoc and have seen various specialties there since things often need run past my pdoc before doing them b/c of my MAOI and that's much easier when they are on the same email system. Their computer system is set up so that my orthopedist can see my gyn notes (not that he would, but there is access. With HipPa in place they can't unless they have a reason but they are not locked out. I don't think that anyone outside of psych can even tell I've had IP psych stays.

On the other hand psych notes are locked up like a bank safe. Nobody but psych can access them and I'm not sure that is true in all instances. When I'm IP my pdoc follows along with the electronic record (she's in another building a few miles away) but I don't think that the IP docs can access my session notes from that same doctor. For a long time IP psych notes were kept in writing after the rest of the hospital had gone electronic and I think that was to help maintain privacy as well.

So at least in my hospital your gyn would not be allowed and would have to be pretty sneaky to get into your records.