Medscape April 1, 2021
Change in Writing Style Is Not Mandated
Monday, April 5 is the official start of a US law requiring healthcare organizations to provide patients with free, full, and immediate electronic access to their doctor’s clinical notes as well as test results and reports from pathology and imaging.
The mandate, called “open notes” by many, is part of the 21st Century Cures Act, a wide-ranging piece of federal healthcare legislation. The previous deadline of November 2, 2020 for enacting open notes was extended last year because of the exigencies of the COVID-19 pandemic.
Organizations must provide access via patient portals to the following types of notes: consultations, discharge summaries, histories, physical examination findings, imaging narratives, laboratory and pathology report narratives, and...
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