Unless the patient agrees. I know that for most things that can go wrong with me I wouldn't have a problem with people knowing.
Sir, would you be OK with sending all your medical records to US to be potentially mined for profit by for-profit amoral organization like Microsoft? It may help, although 3rd parties like NSA will eventually access them. No thank you. What about your litigation papers at court? Fuck hell no. Just do your job that I pay you to do, doctor/lawyer.