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Abstract
Health care clinicians spend many hours interacting with the electronic health record (EHR),1,2 which has become the primary means of communication between clinicians in the same practice, hospital, hospital network, and, increasingly, across systems via health information exchanges.3 With the 21st Century Cures Act’s implementation in April 2021, which mandates that clinicians offer patients access to EHR notes,4 the EHR has a new role as a mediator of relationships between clinicians and patients.

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