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Patients’ access to clinical documentation in their patient records has been identified as an important opportunity to provide patients with more information and to engage patients in their health care. This study explores concurrent and different views between patients and health care professionals concerning clinical documentation as source of information for patients. The study is based on a secondary analysis of qualitative data from two interview studies about patients requesting a copy of their patient record and information practices of health care professionals related to patient discharge from hospital. The material consisted of interviews with 17 patients who had requested a copy of their patient record after a hospital stay and interviews with 8 physicians and 14 nurses working in hospital. Through qualitative content analysis patients’ and health care professionals’ views on adaptation of clinical documentation as source of information for patients were summarized in 3 themes: 1) Having to ask for access versus being offered access 2) Forcing linguistic barriers versus linguistic accommodation 3) Varnished versus unvarnished content Having to request a copy of record documents may be a bigger barrier for patients than health care professionals imagine. Linguistic barriers for patients’ understanding of the record exist, but health care professionals and patients have different views on what this means for patients. Reading unvarnished descriptions in the record may be tough for patients, but there were divergent views on whether the content of the record should be accommodated to the patient as reader.

KAPITTEL 3 «Sannheten kan være brutal» – klinisk dokumentasjon som informasjonskilde for pasienter