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Subsequent research at the participating institutions and elsewhere continued to report patient benefits of note sharing [3-9], eventually leading to an international movement promoting the practice, commonly known as Open Notes.
On December 13, 2016, the US Congress enacted the 21st Century Cures Act (hereafter the Cures Act) [10], which contained the Final Rule mandate that went into effect on April 5, 2021.
J Med Internet Res 2023;25:e42021
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Open Notes emerged as a potential strategy to help educate patients about their health beyond the office visit. Open Notes was launched as a research initiative in 2010 exploring the sharing of medical notes with patients that included 105 volunteer primary care physicians and their patients in Boston, rural Pennsylvania, and inner-city Seattle. Of 13,564 patients with visit notes available, 11,797 opened at least one note, and of those, 5391 completed a postintervention survey.
JMIR Form Res 2020;4(6):e16670
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