> Open notes should reduce rather than exacerbate
> the burden of treatment.3 It should not replace the work
> of building trust between patients and clinicians
> or of seamlessly sharing information across healthcare systems.
Exactly. I'd say something similar about electronic notes in general - they don't replace the need for the clinician to know the patient. (And that would be true even if the EMR somehow contained a complete clinical picture.)
I'd say that OpenNotes are a tool for adding to the clinical relationship, not a crutch via which some of the existing work can be shifted from one party to the other. If OpenNotes are not upgrading that relationship, they're not doing the job.
Member, OpenNotes Advisory Board
Competing interests: No competing interests