Pediatricians have long been at the vanguard of innovation in care delivery, most recently leading efforts in participatory care in multiple areas, such as family-centered rounds. In participatory or collaborative care, patients and their families are properly empowered with information and invited to actively engage in their care. The American Academy of Pediatrics embraced this vision in a 2012 policy statement in which it elaborated that for effective participation by patients, parents, and providers, the sharing of complete health information is essential.1 The expansion of patient portals (electronic sources for patients to view their electronic health record data) has enabled the expedient sharing of more information than previously possible. Laboratory test results and diagnostic studies are part of this information, but clinical documentation (a synthesis of the provider’s thoughts and interpretation of all available data) is what completes the story. OpenNotes is an international movement that was founded in...

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