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Digital medical record concept OpenNotes, a research group that advocates for better access, says that today about 40 million patients are a part of a health system that shares clinical notes through their electronic health record software. (Photo: Shutterstock)

When Pamela DeSalvo read the clinical note from her doctor’s visit, the words on the page hit her hard: “clinically morbidly obese.” She knew she was overweight, but seeing those three words together shocked her. It also inspired her to start losing weight.

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