To the Editor In their Viewpoint on the confidentiality of electronic health records (EHRs), Dr Bayer and colleagues1 made a compelling case that the benefits of EHRs must be weighed against the challenges they pose to adolescent and parental privacy. The authors correctly noted that unless clear confidentiality standards inform the design of EHRs, the greater access afforded by new technologies risks compromising patient privacy vis-à-vis minor adolescents and their parents.