Developer docs
API playgroundTry for free, no card

Search company profiles

OpenNotes

Full company profile

uuid0002pse

Namestring
OpenNotes
Legal namestring
OpenNotes
Websiteurl
opennotes.org
Company typeenum
Private
Founded yearint
2010
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
11–50
akta.pro rankint
HeadquartersBrookline, United States
HQ citystring
Brookline
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
patient engagement research, clinical documentation research, health information transparency, medical record access, healthcare communication research
Industry1 code
1Open Access Scholarly Journals & Monographs
CodeEDAGAFAJPrimaryYes
NAICS code4 codes
  • Research and Development in the Social Sciences and Humanities541720
  • Educational Support Services611710
  • Human Rights Organizations813311
  • Voluntary Health Organizations813212
Product category
Healthcare Research
GTM motion2 records

Each record includes

Type, Description, Source

Revenue model1 record
1Grant Funding
TypeLicensing Royalties
Description

OpenNotes is funded entirely by non-commercial grants and philanthropy. Major funders include federal agencies (AHRQ, NIA, NLM, PCORI), private foundations (Robert Wood Johnson Foundation, Keane Family Foundation, Josiah Macy Jr. Foundation, Patrick J. McGovern Foundation, Gordon and Betty Moore Foundation, John A. Hartford Foundation, Ralph C. Wilson Foundation, Cambia Health Foundation), and individual donors. They do not generate commercial revenue.

opennotes.org
Marketing channels6 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components4 values
Personnel, Operations, Technology or R&D, Marketing or Sales
GTM typeB2B
B2B
Offering typeServices
Services
Brand1 of 2 records shown
1OurDx
Description

Patient safety initiative using online tools for patients and families to contribute information before medical visits to help identify potential diagnostic breakdowns.

opennotes.org
+1 more record
Core offering1 text field

OpenNotes is an academic research lab that studies, spreads, and teaches transparent healthcare communication through shared clinical notes. The organization conducts peer-reviewed research on patient access to medical records and develops multiple research initiatives including OurNotes (patient-clinician note co-creation), OurDx (diagnostic safety tool), Open Results (test result transparency), OurResearch (patient-involved research), and the OpenNotes Lab (AI in healthcare documentation). All resources, toolkits, and educational materials are provided at no cost to patients, clinicians, health systems, and medical educators.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 6 values shown
  • 99% of patients wanted open notes to continue after trying it
+5 more records
Product overview1 text field

OpenNotes is an academic research lab (not a software product company) based at Beth Israel Deaconess Medical Center and affiliated with Harvard Medical School. The organization does not sell a unified software product but rather conducts research, advocacy, and provides educational resources for the open notes movement. Core offerings include: OpenNotes Core Research (studying transparent communication effects), OurNotes (patient co-creation of visit notes), OurDx/OurDiagnosis (patient engagement in diagnostic process), Open Results (research on test result transparency), and OurResearch (patient involvement in research). The OpenNotes Lab serves as an innovation hub focused on AI in healthcare documentation. Supporting resources include HowToUse.OpenNotes.org (patient education portal in English/Spanish), WhereIsMyMedicalRecord.org (record access guidance), and various learning collaboratives (AI Translation, Nursing & AI, Care Partners). The organization is funded entirely by non-commercial grants and philanthropy.

Product and service5 records
1OurNotes
CategoryResearch Initiative
2OurDx (OurDiagnosis)
CategoryResearch Initiative
3Open Results
CategoryResearch Initiative
4OurResearch
CategoryResearch Initiative
5OpenNotes Lab
CategoryInnovation Hub
Scale indicator6 records

Each record includes

Type, Value, Description, Source

Partnership16 partners
Strategic tierStrategicTypeTechnology or IntegrationAnnounced on2024-11-01
Description

Partnership to research and evaluate AI-generated visit summaries. Abridge provides AI-powered clinical documentation technology and OpenNotes provides research expertise in transparent communication.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2021-01-01
Description

One of three partner health systems in demonstration project for care partner shared access to electronic health records, focused on elderly patient populations.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2021-01-01
Description

One of three partner health systems in demonstration project for care partner shared access to electronic health records.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2021-01-01
Description

One of three partner health systems in demonstration project for care partner shared access to electronic health records.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

OpenNotes is based at BIDMC, an academic medical center affiliate of Harvard Medical School and part of Beth Israel Lahey Health. BIDMC provides institutional support, research infrastructure, and is the primary site for OpenNotes' work.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Major research partner collaborating on care partner shared access projects, shared access learning collaborative, and Coalition for Care Partners initiative. Co-Principal Investigators from Johns Hopkins lead demonstration projects.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Partnership for OurNotes for Care Partners initiative. ARCHANGELS provides the Caregiver Intensity Index questionnaire and resources for identifying and supporting care partners in clinical settings.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Affiliate institution providing academic oversight and collaboration on medical education initiatives including the Macy/Schmeidler Medical Student OpenNotes Educational Initiative.

Strategic tierCoreTypeTechnology or Integration
Description

BIDMC TVO promotes public use of technologies for societal benefit, fostering alliances with industry through collaboration and licensing agreements.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Professional home for digital medicine, working to drive broad adoption of digital approaches to advance safe, effective, and equitable healthcare.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Non-profit dedicated to advancing rights, interests, and voices of patient communities in health technology through collaboration with patient advocacy organizations.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Research partner for OurDx including Spanish version (Nuestro Diagnostico) development with Spanish Collaborative. Also partner for OurNotes initiative.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Partner in Open Results network, contributing Scott MacDonald, MD as CMIO to research on patient perspectives around test results.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Partner in Open Results network, with S. Trent Rosenbloom, MD, MPH leading My Health at Vanderbilt patient portal research.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Research partner for OurNotes initiative, with Stephen Liu, MD, MPH as co-investigator.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Research partner for OurNotes initiative, with CT Lin, MD as CMIO and co-investigator.

Recent move7 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
TypeEmerging player
Description

RWJF was OpenNotes' founding sponsor (2008-2019) and a major healthcare philanthropy. Comparable as a peer funder and research-publisher in health policy and patient engagement, though RWJF operates at vastly greater scale as a grantmaker.

TypeDirect peer
Description

A major healthcare-focused foundation producing influential research on healthcare delivery, patient experience, and policy. Comparable to OpenNotes as a peer nonprofit research/advocacy organization publishing in the same health policy space and targeting health-system decision makers.

TypeDirect peer
Description

A research-driven nonprofit that funds and conducts studies influencing U.S. policy in health, science, and other areas. Comparable as a mission-driven foundation generating open-access research and toolkits, with similar grant-funded operating model and publication strategy.

TypeDirect peer
Description

An AI clinical documentation company that partnered with OpenNotes in November 2024 to evaluate AI-generated visit summaries. Comparable as a peer in the clinical documentation and patient transparency space, with Abridge operating as a commercial counterpart to OpenNotes' research-focused Lab initiatives.

TypeOthers
Description

A nonprofit industry alliance promoting healthcare interoperability and trusted digital health record exchange. Awarded OpenNotes the 2022 Interoperability Hero Award. Comparable as a peer nonprofit ecosystem organization advancing health information sharing standards.

Description

A caregiver-focused organization that partnered with OpenNotes on the OurNotes for Care Partners initiative, providing the Caregiver Intensity Index. Comparable as a peer nonprofit developing tools and resources at the intersection of patient/family engagement and clinical workflows.

TypeDirect peer
Description

A nonprofit advocacy organization promoting patient-clinician partnerships and shared decision-making. Gave OpenNotes team member Liz Salmi its 2018 "Doc" Tom Ferguson Award. Comparable as a peer advocacy nonprofit in the patient engagement and transparency space.

TypeDirect peer
Description

Awarded OpenNotes the 2014 John Q. Sherman Award for Excellence in Patient Engagement. Comparable as a peer nonprofit research and advocacy organization focused on patient safety, with overlapping funder base and publication channels.

TypeDirect peer
Description

An independent nonprofit research organization that funds comparative clinical effectiveness research with patient engagement. Awarded OpenNotes a $2.1M grant in February 2025. Comparable as a peer nonprofit research funder conducting and sponsoring patient-centered outcomes research.

TypeEmerging player
Description

A professional organization advancing digital health adoption and evidence generation, partnered with OpenNotes as a strategic ally. Comparable as a peer organization operating at the intersection of digital tools, clinical evidence, and patient outcomes.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat6 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights7 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers9 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment4 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile3 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI capability6 records

Each record includes

Type, Description, Source

AI maturity
App detail

Has app

Feature4 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles6 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds1 record

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors2 records

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

OpenNotes

Healthcare Researchopennotes.org

OpenNotes firmographics

Firmographics
Name
OpenNotes
Legal name
OpenNotes
Website
https://opennotes.org
Company type
Private
Founded year
2010
Operating status
Operating
Headcount range
11–50 employees
Ownership category
akta.pro rank

OpenNotes industry classification

Industry
Product category
Healthcare Research
NAICS
Research and Development in the Social Sciences and Humanities (541720), Educational Support Services (611710), Human Rights Organizations (813311), Voluntary Health Organizations (813212)
akta.pro primary industry
Open Access Scholarly Journals & Monographs (EDAGAFAJ)

Keywords

  • Patient engagement research
  • Clinical documentation research
  • Health information transparency
  • Medical record access
  • Healthcare communication research

Where OpenNotes is headquartered

Location

Headquarters

HQ city
Brookline
HQ country
United States
HQ region
North America

Offices1 record

Markets served

OpenNotes business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

  1. Grant Funding: OpenNotes is funded entirely by non-commercial grants and philanthropy. Major funders include federal agencies (AHRQ, NIA, NLM, PCORI), private foundations (Robert Wood Johnson Foundation, Keane Family Foundation, Josiah Macy Jr. Foundation, Patrick J. McGovern Foundation, Gordon and Betty Moore Foundation, John A. Hartford Foundation, Ralph C. Wilson Foundation, Cambia Health Foundation), and individual donors. They do not generate commercial revenue.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

OpenNotes product offering

Product offering

Core offering

OpenNotes is an academic research lab that studies, spreads, and teaches transparent healthcare communication through shared clinical notes. The organization conducts peer-reviewed research on patient access to medical records and develops multiple research initiatives including OurNotes (patient-clinician note co-creation), OurDx (diagnostic safety tool), Open Results (test result transparency), OurResearch (patient-involved research), and the OpenNotes Lab (AI in healthcare documentation). All resources, toolkits, and educational materials are provided at no cost to patients, clinicians, health systems, and medical educators.

Product overview

OpenNotes is an academic research lab (not a software product company) based at Beth Israel Deaconess Medical Center and affiliated with Harvard Medical School. The organization does not sell a unified software product but rather conducts research, advocacy, and provides educational resources for the open notes movement. Core offerings include: OpenNotes Core Research (studying transparent communication effects), OurNotes (patient co-creation of visit notes), OurDx/OurDiagnosis (patient engagement in diagnostic process), Open Results (research on test result transparency), and OurResearch (patient involvement in research). The OpenNotes Lab serves as an innovation hub focused on AI in healthcare documentation. Supporting resources include HowToUse.OpenNotes.org (patient education portal in English/Spanish), WhereIsMyMedicalRecord.org (record access guidance), and various learning collaboratives (AI Translation, Nursing & AI, Care Partners). The organization is funded entirely by non-commercial grants and philanthropy.

Differentiator

Problem solved

Functional benefit

Brands

  • OurDx: Patient safety initiative using online tools for patients and families to contribute information before medical visits to help identify potential diagnostic breakdowns.
  • Coalition for Care Partners

Products and services

  • OurNotes
  • OurDx (OurDiagnosis)
  • Open Results
  • OurResearch
  • OpenNotes Lab

Quantifiable outcome

  • 99% of patients wanted open notes to continue after trying it
  • +5 more outcomes

Companies that use OpenNotes

Customer profile

Named customers9 records

Segments4 records

Ideal customer profiles3 records

OpenNotes technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature4 records

OpenNotes partnerships and signals

Strategic signal

Partnerships

16 partnerships are on record, tiered strategic, core and minor.

  • AbridgestrategicTechnology or Integration · 1 November 2024Partnership to research and evaluate AI-generated visit summaries. Abridge provides AI-powered clinical documentation technology and OpenNotes provides research expertise in transparent communication.
  • ProvidencecoreStrategic or Co-development Partner · 1 January 2021One of three partner health systems in demonstration project for care partner shared access to electronic health records, focused on elderly patient populations.
  • University of Utah HealthcoreStrategic or Co-development Partner · 1 January 2021One of three partner health systems in demonstration project for care partner shared access to electronic health records.
  • University of Rochester Medical CentercoreStrategic or Co-development Partner · 1 January 2021One of three partner health systems in demonstration project for care partner shared access to electronic health records.
  • Beth Israel Deaconess Medical Center (BIDMC)coreStrategic or Co-development PartnerOpenNotes is based at BIDMC, an academic medical center affiliate of Harvard Medical School and part of Beth Israel Lahey Health. BIDMC provides institutional support, research infrastructure, and is the primary site for OpenNotes' work.
  • Johns Hopkins Bloomberg School of Public HealthcoreStrategic or Co-development PartnerMajor research partner collaborating on care partner shared access projects, shared access learning collaborative, and Coalition for Care Partners initiative. Co-Principal Investigators from Johns Hopkins lead demonstration projects.
  • ARCHANGELScoreStrategic or Co-development PartnerPartnership for OurNotes for Care Partners initiative. ARCHANGELS provides the Caregiver Intensity Index questionnaire and resources for identifying and supporting care partners in clinical settings.
  • Harvard Medical SchoolcoreStrategic or Co-development PartnerAffiliate institution providing academic oversight and collaboration on medical education initiatives including the Macy/Schmeidler Medical Student OpenNotes Educational Initiative.
  • Beth Israel Deaconess Medical Center Technology Ventures OfficecoreTechnology or IntegrationBIDMC TVO promotes public use of technologies for societal benefit, fostering alliances with industry through collaboration and licensing agreements.
  • Digital Medicine Society (DiMe)minorStrategic or Co-development PartnerProfessional home for digital medicine, working to drive broad adoption of digital approaches to advance safe, effective, and equitable healthcare.
  • The Light CollectiveminorStrategic or Co-development PartnerNon-profit dedicated to advancing rights, interests, and voices of patient communities in health technology through collaboration with patient advocacy organizations.
  • Boston Children's HospitalcoreStrategic or Co-development PartnerResearch partner for OurDx including Spanish version (Nuestro Diagnostico) development with Spanish Collaborative. Also partner for OurNotes initiative.
  • UC Davis HealthminorStrategic or Co-development PartnerPartner in Open Results network, contributing Scott MacDonald, MD as CMIO to research on patient perspectives around test results.
  • Vanderbilt UniversityminorStrategic or Co-development PartnerPartner in Open Results network, with S. Trent Rosenbloom, MD, MPH leading My Health at Vanderbilt patient portal research.
  • Dartmouth Hitchcock Medical CenterminorStrategic or Co-development PartnerResearch partner for OurNotes initiative, with Stephen Liu, MD, MPH as co-investigator.
  • UC HealthminorStrategic or Co-development PartnerResearch partner for OurNotes initiative, with CT Lin, MD as CMIO and co-investigator.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

OpenNotes competitors and assessment

Company assessment

Emerging players

  • Robert Wood Johnson Foundation: RWJF was OpenNotes' founding sponsor (2008-2019) and a major healthcare philanthropy. Comparable as a peer funder and research-publisher in health policy and patient engagement, though RWJF operates at vastly greater scale as a grantmaker.
  • Digital Medicine Society (DiMe): A professional organization advancing digital health adoption and evidence generation, partnered with OpenNotes as a strategic ally. Comparable as a peer organization operating at the intersection of digital tools, clinical evidence, and patient outcomes.

Direct peers

  • Commonwealth Fund: A major healthcare-focused foundation producing influential research on healthcare delivery, patient experience, and policy. Comparable to OpenNotes as a peer nonprofit research/advocacy organization publishing in the same health policy space and targeting health-system decision makers.
  • Pew Charitable Trusts: A research-driven nonprofit that funds and conducts studies influencing U.S. policy in health, science, and other areas. Comparable as a mission-driven foundation generating open-access research and toolkits, with similar grant-funded operating model and publication strategy.
  • Abridge: An AI clinical documentation company that partnered with OpenNotes in November 2024 to evaluate AI-generated visit summaries. Comparable as a peer in the clinical documentation and patient transparency space, with Abridge operating as a commercial counterpart to OpenNotes' research-focused Lab initiatives.
  • Society for Participatory Medicine: A nonprofit advocacy organization promoting patient-clinician partnerships and shared decision-making. Gave OpenNotes team member Liz Salmi its 2018 "Doc" Tom Ferguson Award. Comparable as a peer advocacy nonprofit in the patient engagement and transparency space.
  • National Patient Safety Foundation: Awarded OpenNotes the 2014 John Q. Sherman Award for Excellence in Patient Engagement. Comparable as a peer nonprofit research and advocacy organization focused on patient safety, with overlapping funder base and publication channels.
  • Patient-Centered Outcomes Research Institute (PCORI): An independent nonprofit research organization that funds comparative clinical effectiveness research with patient engagement. Awarded OpenNotes a $2.1M grant in February 2025. Comparable as a peer nonprofit research funder conducting and sponsoring patient-centered outcomes research.

Others

  • DirectTrust: A nonprofit industry alliance promoting healthcare interoperability and trusted digital health record exchange. Awarded OpenNotes the 2022 Interoperability Hero Award. Comparable as a peer nonprofit ecosystem organization advancing health information sharing standards.

Peers

  • ARCHANGELS: A caregiver-focused organization that partnered with OpenNotes on the OurNotes for Care Partners initiative, providing the Caregiver Intensity Index. Comparable as a peer nonprofit developing tools and resources at the intersection of patient/family engagement and clinical workflows.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

OpenNotes social profiles

Digital presence

OpenNotes financial estimates

Financial estimate

Revenue estimate

Valuation estimate

OpenNotes leadership team

Management profile

Number of profiles

Profiles6 records

OpenNotes funding detail

Funding detail

Funding overview

Funding rounds1 record

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

OpenNotes M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about OpenNotes

What does OpenNotes do?

OpenNotes is an academic research lab that studies, spreads, and teaches transparent healthcare communication through shared clinical notes. The organization conducts peer-reviewed research on patient access to medical records and develops multiple research initiatives including OurNotes (patient-clinician note co-creation), OurDx (diagnostic safety tool), Open Results (test result transparency), OurResearch (patient-involved research), and the OpenNotes Lab (AI in healthcare documentation). All resources, toolkits, and educational materials are provided at no cost to patients, clinicians, health systems, and medical educators.

Is OpenNotes a public or private company?

OpenNotes is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was OpenNotes founded?

OpenNotes was founded in 2010. It employs 11 to 50 people.

Where is OpenNotes based?

OpenNotes is headquartered in Brookline, United States, in the North America region.

How does OpenNotes make money?

One revenue line is on record: grant Funding.

Who are OpenNotes's main competitors?

Emerging players on record are Robert Wood Johnson Foundation and Digital Medicine Society (DiMe). Direct peers are Commonwealth Fund, Pew Charitable Trusts, Abridge, Society for Participatory Medicine, National Patient Safety Foundation and Patient-Centered Outcomes Research Institute (PCORI). DirectTrust is listed as an others. ARCHANGELS is listed as a peer.

Does OpenNotes have an API?

No public API is recorded for OpenNotes.

What industry is OpenNotes in?

OpenNotes's product category is Healthcare Research. Its primary akta.pro industry code is EDAGAFAJ, Open Access Scholarly Journals & Monographs. Its NAICS code is 541720.

Unlock the full company data

50 free credits on sign-up, no credit card required.

Contact sales
Live signals
OpennotesOpenNotes and Abridge Partner to Research and Evaluate AI-Generated Visit SummariesOpenNotes and Abridge announced a partnership to research and evaluate AI-generated patient visit summaries through the OpenNotes Lab at Beth Israel Deaconess Medical Center. The initial phase involves focus groups assessing the usefulness and accessibility of these summaries without using patient data, aiming to enhance clinical documentation standards.SiliconANGLEBrain cancer survivor promotes OpenNotes to empower people to take charge of their health | #GuestOfTheWeek - SiliconANGLEBrain cancer survivor Liz Salmi discussed OpenNotes on SiliconANGLE's theCUBE, promoting patient access to clinician notes. She cited that 99% of patients want such access and that it builds trust. Salmi also highlighted online support communities like her blog and the Healthcare Hashtag Project.SiliconANGLEOpenNotes impacts quality of healthcare through data access | #RHSummit - SiliconANGLEOpenNotes, a patient-access-to-doctor-notes initiative, was discussed at Red Hat Summit, with 99% of initial patients keeping access. The software is now used by 7 million patients, and providers have also kept notes open. The panelists emphasized patient control and trust in the system.PR NewswirePrestigious Healthcare Experts Join OpenNotes MovementThree healthcare leaders—John Santa, Homer Chin, and Amy Fellows—have joined the OpenNotes team as part of the initiative's expansion efforts. Since the initial OpenNotes study was published three years ago, the number of patients with access to clinical notes has grown from 20,000 to more than five million. OpenNotes, a national movement based at Beth Israel Deaconess Medical Center, aims to make open access to clinician notes the standard of care across the United States.