{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:45:18Z","timestamp":1783471518972,"version":"3.55.0"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,4,10]],"date-time":"2020-04-10T00:00:00Z","timestamp":1586476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Keenan Research Summer Student Program"},{"name":"Michael Locke Chair in Knowledge Translation and Rare Lung Disease Research"},{"name":"Canadian Respiratory Research Network"},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Computerized clinical decision support systems (CCDSSs) promise improvements in care quality; however, uptake is often suboptimal. We sought to characterize system use, its predictors, and user feedback for the Electronic Asthma Management System (eAMS)\u2014an electronic medical record system\u2013integrated, point-of-care CCDSS for asthma\u2014and applied the GUIDES checklist as a framework to identify areas for improvement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>The eAMS was tested in a 1-year prospective cohort study across 3 Ontario primary care sites. We recorded system usage by clinicians and patient characteristics through system logs and chart reviews. We created multivariable models to identify predictors of (1) CCDSS opening and (2) creation of a self-management asthma action plan (AAP) (final CCDSS step). Electronic questionnaires captured user feedback.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over 1 year, 490 asthma patients saw 121 clinicians. The CCDSS was opened in 205 of 1033 (19.8%) visits and an AAP created in 121 of 1033 (11.7%) visits. Multivariable predictors of opening the CCDSS and producing an AAP included clinic site, having physician-diagnosed asthma, and presenting with an asthma- or respiratory-related complaint. The system usability scale score was 66.3\u2009\u00b1\u200916.5 (maximum 100). Reported usage barriers included time and system accessibility.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The eAMS was used in a minority of asthma patient visits. Varying workflows and cultures across clinics, physician beliefs regarding asthma diagnosis, and relevance of the clinical complaint influenced uptake.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Considering our findings in the context of the GUIDES checklist helped to identify improvements to drive uptake and provides lessons relevant to CCDSS design across diseases.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa019","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T12:08:38Z","timestamp":1581336518000},"page":"726-737","source":"Crossref","is-referenced-by-count":22,"title":["A system uptake analysis and GUIDES checklist evaluation of the Electronic Asthma Management System: A point-of-care computerized clinical decision support system"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6997-2137","authenticated-orcid":false,"given":"Jeffrey","family":"Lam Shin Cheung","sequence":"first","affiliation":[{"name":"Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Paolucci","sequence":"additional","affiliation":[{"name":"Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Price","sequence":"additional","affiliation":[{"name":"Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Sykes","sequence":"additional","affiliation":[{"name":"Division of Respirology, Department of Medicine, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Gupta","sequence":"additional","affiliation":[{"name":"Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Respirology, Department of Medicine, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Canadian Respiratory Research Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,4,10]]},"reference":[{"key":"2020110613084738300_ocaa019-B1","year":"2014"},{"issue":"3","key":"2020110613084738300_ocaa019-B2","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1513\/AnnalsATS.201703-259OC","article-title":"The economic burden of asthma in the United States, 2008-2013","volume":"15","author":"Nurmagambetov","year":"2018","journal-title":"Ann Am Thorac Soc"},{"issue":"8","key":"2020110613084738300_ocaa019-B3","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1164\/rccm.200401-033OC","article-title":"Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL study","volume":"170","author":"Bateman","year":"2004","journal-title":"Am J Respir Crit Care Med"},{"issue":"5","key":"2020110613084738300_ocaa019-B4","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1155\/2006\/753083","article-title":"Asthma control in Canada remains suboptimal: the Reality of Asthma Control (TRAC) study","volume":"13","author":"FitzGerald","year":"2006","journal-title":"Can Respir J"},{"issue":"4","key":"2020110613084738300_ocaa019-B5","first-page":"672","article-title":"Asthma control in Canada: no improvement since we last looked in 1999","volume":"53","author":"McIvor","year":"2007","journal-title":"Can Fam Physician"},{"issue":"2","key":"2020110613084738300_ocaa019-B6","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1183\/09031936.00039707","article-title":"Suboptimal asthma control: prevalence, detection and consequences in general practice","volume":"31","author":"Chapman","year":"2008","journal-title":"Eur Respir J"},{"issue":"8","key":"2020110613084738300_ocaa019-B7","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1503\/cmaj.070426","article-title":"Examining asthma quality of care using a population-based approach","volume":"178","author":"Klomp","year":"2008","journal-title":"CMAJ"},{"issue":"4","key":"2020110613084738300_ocaa019-B8","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1155\/2013\/496923","article-title":"Major care gaps in asthma, sleep and chronic obstructive pulmonary disease: a road map for knowledge translation","volume":"20","author":"Boulet","year":"2013","journal-title":"Can Respir J"},{"key":"2020110613084738300_ocaa019-B9","volume-title":"Allergy"},{"key":"2020110613084738300_ocaa019-B10","year":"2018"},{"issue":"1","key":"2020110613084738300_ocaa019-B11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.7326\/0003-4819-157-1-201207030-00450","article-title":"Effect of clinical decision-support systems: a systematic review","volume":"157","author":"Bright","year":"2012","journal-title":"Ann Intern Med"},{"key":"2020110613084738300_ocaa019-B12","doi-asserted-by":"crossref","first-page":"f657","DOI":"10.1136\/bmj.f657","article-title":"Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials","volume":"346","author":"Roshanov","year":"2013","journal-title":"BMJ"},{"issue":"203","key":"2020110613084738300_ocaa019-B13","first-page":"1","article-title":"Enabling health care decisionmaking through clinical decision support and knowledge management","author":"Lobach","year":"2012","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"issue":"2","key":"2020110613084738300_ocaa019-B14","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1197\/jamia.M1809","article-title":"Overriding of drug safety alerts in computerized physician order entry","volume":"13","author":"van der Sijs","year":"2006","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"2020110613084738300_ocaa019-B15","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1197\/jamia.M3170","article-title":"Computerized clinical decision support for prescribing: provision does not guarantee uptake","volume":"17","author":"Moxey","year":"2010","journal-title":"J Am Med Inform Assoc"},{"key":"2020110613084738300_ocaa019-B16","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1186\/s13012-014-0105-0","article-title":"Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study","volume":"9","author":"Moja","year":"2014","journal-title":"Implement Sci"},{"issue":"1","key":"2020110613084738300_ocaa019-B17","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s13012-018-0772-3","article-title":"The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support","volume":"13","author":"Van de Velde","year":"2018","journal-title":"Implement Sci"},{"issue":"4","key":"2020110613084738300_ocaa019-B18","doi-asserted-by":"crossref","first-page":"1802241","DOI":"10.1183\/13993003.02241-2018","article-title":"The Electronic Asthma Management System (eAMS) improves primary care asthma management","volume":"53","author":"Gupta","year":"2019","journal-title":"Eur Respir J"},{"issue":"10","key":"2020110613084738300_ocaa019-B19","first-page":"e474","article-title":"Identifying patients with asthma in primary care electronic medical record systems Chart analysis-based electronic algorithm validation study","volume":"61","author":"Xi","year":"2015","journal-title":"Can Fam Physician"},{"issue":"1","key":"2020110613084738300_ocaa019-B20","doi-asserted-by":"crossref","first-page":"e022506","DOI":"10.1136\/bmjopen-2018-022506","article-title":"Large care gaps in primary care management of asthma: a longitudinal practice audit","volume":"9","author":"Price","year":"2019","journal-title":"BMJ Open"},{"issue":"1","key":"2020110613084738300_ocaa019-B21","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1155\/2010\/827281","article-title":"Canadian Thoracic Society Asthma Management Continuum\u20142010 Consensus Summary for children six years of age and over, and adults","volume":"17","author":"Lougheed","year":"2010","journal-title":"Can Respir J"},{"key":"2020110613084738300_ocaa019-B22","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s13012-016-0389-3","article-title":"Patient-mediated knowledge translation (PKT) interventions for clinical encounters: a systematic review","volume":"11","author":"Gagliardi","year":"2016","journal-title":"Implement Sci"},{"issue":"7","key":"2020110613084738300_ocaa019-B23","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1080\/02770903.2018.1490750","article-title":"Patient preferences for a touch screen tablet-based asthma questionnaire","volume":"56","author":"Gupta","year":"2019","journal-title":"J Asthma"},{"key":"2020110613084738300_ocaa019-B24","first-page":"1460458218824749","article-title":"Development process and patient usability preferences for a touch screen tablet-based questionnaire","author":"Lam Shin Cheung","year":"2019","journal-title":"Health Informatics J"},{"issue":"5","key":"2020110613084738300_ocaa019-B25","doi-asserted-by":"crossref","first-page":"1602238","DOI":"10.1183\/13993003.02238-2016","article-title":"An evidence-based, point-of-care tool to guide completion of asthma action plans in practice","volume":"49","author":"Kouri","year":"2017","journal-title":"Eur Respir J"},{"key":"2020110613084738300_ocaa019-B26","doi-asserted-by":"crossref","first-page":"3085065","DOI":"10.1155\/2016\/3085065","article-title":"Contemporaneous international asthma guidelines present differing recommendations: an analysis","volume":"2016","author":"Gupta","year":"2016","journal-title":"Can Respir J"},{"issue":"14","key":"2020110613084738300_ocaa019-B27","doi-asserted-by":"crossref","first-page":"E362","DOI":"10.1503\/cmaj.151102","article-title":"Optimizing the language and format of guidelines to improve guideline uptake","volume":"188","author":"Gupta","year":"2016","journal-title":"CMAJ"},{"issue":"4","key":"2020110613084738300_ocaa019-B28","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.anai.2012.01.018","article-title":"Asthma action plans are highly variable and do not conform to best visual design practices","volume":"108","author":"Gupta","year":"2012","journal-title":"Ann Allergy Asthma Immunol"},{"issue":"4","key":"2020110613084738300_ocaa019-B29","doi-asserted-by":"crossref","first-page":"e108","DOI":"10.2196\/jmir.1833","article-title":"WikiBuild: a new online collaboration process for multistakeholder tool development and consensus building","volume":"13","author":"Gupta","year":"2011","journal-title":"J Med Internet Res"},{"issue":"5","key":"2020110613084738300_ocaa019-B30","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1159\/000338112","article-title":"An asthma action plan created by physician, educator and patient online collaboration with usability and visual design optimization","volume":"84","author":"Gupta","year":"2012","journal-title":"Respiration"},{"key":"2020110613084738300_ocaa019-B31","year":"2018"},{"issue":"6","key":"2020110613084738300_ocaa019-B32","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the system usability scale","volume":"24","author":"Bangor","year":"2008","journal-title":"Int J Hum Comput Interact"},{"key":"2020110613084738300_ocaa019-B33","first-page":"189","article-title":"SUS\u2014a quick and dirty usability scale","volume-title":"Usability Evaluation in Industry","author":"Brooke","year":"1996"},{"key":"2020110613084738300_ocaa019-B34","year":"2017"},{"issue":"10","key":"2020110613084738300_ocaa019-B35","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1001\/jama.293.10.1223","article-title":"Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review","volume":"293","author":"Garg","year":"2005","journal-title":"JAMA"},{"issue":"1","key":"2020110613084738300_ocaa019-B36","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12875-015-0364-0","article-title":"Exposure to and experiences with a computerized decision support intervention in primary care: results from a process evaluation","volume":"16","author":"Lugtenberg","year":"2015","journal-title":"BMC Fam Pract"},{"issue":"4","key":"2020110613084738300_ocaa019-B37","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1055\/s-0038-1634103","article-title":"Computed critiquing integrated into daily clinical practice affects physicians\u2019 behavior\u2013a randomized clinical trial with AsthmaCritic","volume":"45","author":"Kuilboer","year":"2006","journal-title":"Methods Inf Med"},{"issue":"4","key":"2020110613084738300_ocaa019-B38","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1093\/jamia\/ocu009","article-title":"Evaluating the impact of an integrated computer-based decision support with person-centered analytics for the management of asthma in primary care: a randomized controlled trial","volume":"22","author":"Tamblyn","year":"2015","journal-title":"J Am Med Inform Assoc"},{"key":"2020110613084738300_ocaa019-B39","doi-asserted-by":"crossref","first-page":"14005","DOI":"10.1038\/npjpcrm.2014.5","article-title":"Computer decision support systems for asthma: a systematic review","volume":"24","author":"Matui","year":"2014","journal-title":"NPJ Prim Care Respir Med"},{"issue":"6","key":"2020110613084738300_ocaa019-B40","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.ijmedinf.2007.08.011","article-title":"An evaluation framework for Health Information Systems: human, organization and technology-fit factors (HOT-fit)","volume":"77","author":"Yusof","year":"2008","journal-title":"Int J Med Inform"},{"issue":"2","key":"2020110613084738300_ocaa019-B41","first-page":"187","article-title":"Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success","volume":"87","author":"Murphy","year":"2014","journal-title":"Yale J Biol Med"},{"issue":"1","key":"2020110613084738300_ocaa019-B42","first-page":"23","article-title":"Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey","volume":"17","author":"Wilson","year":"2009","journal-title":"Inform Prim Care"},{"issue":"1","key":"2020110613084738300_ocaa019-B43","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1472-6947-12-90","article-title":"Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review","volume":"12","author":"Wu","year":"2012","journal-title":"BMC Med Inform Decis Mak"},{"key":"2020110613084738300_ocaa019-B44","doi-asserted-by":"crossref","first-page":"i68","DOI":"10.1136\/qshc.2010.042085","article-title":"A new sociotechnical model for studying health information technology in complex adaptive healthcare systems","volume":"19 (Suppl 3","author":"Sittig","year":"2010","journal-title":"Qual Saf Health Care"},{"issue":"1","key":"2020110613084738300_ocaa019-B45","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.intcom.2010.07.003","article-title":"Socio-technical systems: from design methods to systems engineering","volume":"23","author":"Baxter","year":"2011","journal-title":"Interact Comput"},{"issue":"1","key":"2020110613084738300_ocaa019-B46","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1186\/s13012-016-0510-7","article-title":"Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)","volume":"11","author":"Ross","year":"2016","journal-title":"Implement Sci"},{"key":"2020110613084738300_ocaa019-B47","first-page":"371","article-title":"Approaches to workflow analysis in healthcare settings","volume":"2012","author":"Sheehan","year":"2012","journal-title":"NI 2012 (2012)"},{"key":"2020110613084738300_ocaa019-B48","doi-asserted-by":"crossref","first-page":"15026","DOI":"10.1038\/npjpcrm.2015.26","article-title":"Patient-reported side effects, concerns and adherence to corticosteroid treatment for asthma, and comparison with physician estimates of side-effect prevalence: a UK-wide, cross-sectional study","volume":"25","author":"Cooper","year":"2015","journal-title":"NPJ Prim Care Respir Med"},{"issue":"1","key":"2020110613084738300_ocaa019-B49","doi-asserted-by":"crossref","first-page":"e0170055","DOI":"10.1371\/journal.pone.0170055","article-title":"Impact of adding a decision aid to patient education in adults with asthma: a randomized clinical trial","volume":"12","author":"Gagne","year":"2017","journal-title":"PLoS One"},{"key":"2020110613084738300_ocaa019-B50","first-page":"91","article-title":"Identification of design features to enhance utilization and acceptance of systems for Internet-based decision support at the point of care","author":"Gadd","year":"1998","journal-title":"Proc AMIA Symp"},{"issue":"4","key":"2020110613084738300_ocaa019-B51","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/1460458206069761","article-title":"Computer-based decision support for pediatric asthma management: description and feasibility of the Stop Asthma Clinical System","volume":"12","author":"Shegog","year":"2006","journal-title":"Health Informatics J"},{"issue":"5","key":"2020110613084738300_ocaa019-B52","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1097\/MCC.0000000000000137","article-title":"Optimal data systems: the future of clinical predictions and decision support","volume":"20","author":"Celi","year":"2014","journal-title":"Curr Opin Crit Care"},{"key":"2020110613084738300_ocaa019-B53","author":"Albert","year":"2013"},{"key":"2020110613084738300_ocaa019-B54","author":"Sauro","year":"2016"},{"issue":"7494","key":"2020110613084738300_ocaa019-B55","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1136\/bmj.38398.500764.8F","article-title":"Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success","volume":"330","author":"Kawamoto","year":"2005","journal-title":"BMJ"},{"issue":"6","key":"2020110613084738300_ocaa019-B56","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1197\/jamia.M1370","article-title":"Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality","volume":"10","author":"Bates","year":"2003","journal-title":"J Am Med Inform Assoc"},{"key":"2020110613084738300_ocaa019-B57","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1748-5908-7-37","article-title":"Validation of the theoretical domains framework for use in behaviour change and implementation research","volume":"7","author":"Cane","year":"2012","journal-title":"Implement Sci"},{"issue":"1","key":"2020110613084738300_ocaa019-B58","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1136\/qshc.2004.011155","article-title":"Making psychological theory useful for implementing evidence based practice: a consensus approach","volume":"14","author":"Michie","year":"2005","journal-title":"Qual Saf Health Care"},{"issue":"4","key":"2020110613084738300_ocaa019-B59","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1111\/j.1464-0597.2008.00341.x","article-title":"From theory to intervention: mapping theoretically derived behavioural determinants to behaviour change techniques","volume":"57","author":"Michie","year":"2008","journal-title":"Appl Psychol"},{"issue":"1","key":"2020110613084738300_ocaa019-B60","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1111\/bjhp.12102","article-title":"From lists of behaviour change techniques (BCTs) to structured hierarchies: comparison of two methods of developing a hierarchy of BCTs","volume":"20","author":"Cane","year":"2015","journal-title":"Br J Health Psychol"},{"key":"2020110613084738300_ocaa019-B61","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1748-5908-7-38","article-title":"Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework","volume":"7","author":"French","year":"2012","journal-title":"Implement Sci"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/27\/5\/726\/34153196\/ocaa019.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/27\/5\/726\/34153196\/ocaa019.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T19:23:11Z","timestamp":1604690591000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/27\/5\/726\/5817897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,10]]},"references-count":61,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,4,10]]},"published-print":{"date-parts":[[2020,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocaa019","relation":{},"ISSN":["1527-974X"],"issn-type":[{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,5]]},"published":{"date-parts":[[2020,4,10]]}}}