Hi Dr Lee.
OpenNotes is something that is going to be incorporated in the new CCDA update coming in the later stages of the CURES act (end of 2022). For lab reports, you can currently send these to the patient portal in AC with a simple click (there is a check box on the sign off screen labeled "send to portal"). I am not aware of a requirement that says they need to be sent before signing. To me this doesn't make too much sense in the normal workflow of things... you would not have your staff call a patient about test results until you have reviewed them first, correct? I realize that could be different in every office, but I am thinking generally here. I will do a little more research here.
