Abstract
OpenNotes reflects an international trend towards transparency in patient care. By giving patients access to their clinical notes, OpenNotes aims to increase efficiency and shared decision making between patients and clinicians, and to improve patient adherence to care. After being piloted in three US hospital systems in 2010, OpenNotes became the federal mandate in the USA in April, 2021, through the 21st Century Cures Act, which required that patients be granted access to the entirety of their electronic medical record.
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