Thanks for your response Kitiger RN! Happily this will be a personal, at-home journal. So in order to commit a HIPAA violation a person would have to trespass, unlawfully enter my home, likely by breaking-and-entering, and steal my personal property, all while escaping the wrath of me, my SMB, and my dogs, in order to read my entry. After all that effort, I sure hope they can figure out who "Jane Doe" is, 'cause I can assure you I have never and will never be leaving the floor with a patients' personally identifiable information on my person. That's just stupid. But sure, okay, the potential exists in some universe.... So back to advice about actual journaling!