{"id":"https://openalex.org/W7225643395","doi":"https://doi.org/10.64898/2026.11.07.26367514","title":"Randomized Trial Protocol: Head-to-Head Comparison of Two Ambient Artificial Intelligence Documentation Tools on Clinician Usability","display_name":"Randomized Trial Protocol: Head-to-Head Comparison of Two Ambient Artificial Intelligence Documentation Tools on Clinician Usability","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225643395","doi":"https://doi.org/10.64898/2026.11.07.26367514"},"language":"en","primary_location":{"id":"doi:10.64898/2026.11.07.26367514","doi":"https://doi.org/10.64898/2026.11.07.26367514","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.07.26367514","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.64898/2026.11.07.26367514","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050812121","display_name":"Aaron T. Chin","orcid":"https://orcid.org/0000-0001-9490-6580","observed_orcids":["https://orcid.org/0000-0001-9490-6580"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aaron T. Chin","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089466396","display_name":"Kenny Leung","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kenny Leung","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059777306","display_name":"Sitaram Vangala","orcid":"https://orcid.org/0000-0002-8842-5702","observed_orcids":["https://orcid.org/0000-0002-8842-5702"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sitaram Vangala","raw_affiliation_strings":["Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083197796","display_name":"Hawkin E. Woo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hawkin Woo","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137193534","display_name":"Thomas Kingsley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Kingsley","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159059314","display_name":"Alexander Sandhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexander Sandhu","raw_affiliation_strings":["Division of Cardiology, Department of Medicine, University of California, Los Angeles"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, University of California, Los Angeles","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161317777","display_name":"Laleh Jalalian","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laleh Jalalian","raw_affiliation_strings":["Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089869323","display_name":"Eric M. Cheng","orcid":"https://orcid.org/0000-0002-2568-5603","observed_orcids":["https://orcid.org/0000-0002-2568-5603"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric M. Cheng","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026651856","display_name":"John N. Mafi","orcid":"https://orcid.org/0000-0002-0322-7636","observed_orcids":["https://orcid.org/0000-0002-0322-7636"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John N. Mafi","raw_affiliation_strings":["Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Innovations and Outcomes Validation of AI (INOVAi) Center, David Geffen School of Medicine, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047017332","display_name":"Paul J. Lukac","orcid":"https://orcid.org/0000-0002-3315-6613","observed_orcids":["https://orcid.org/0000-0002-3315-6613"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul J. Lukac","raw_affiliation_strings":["UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Health Information Technology, UCLA Health, University of California, Los Angeles;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I2799798094"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.0071000000461936,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.7070000171661377},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.7839999794960022},{"id":"https://openalex.org/keywords/documentation-burden","display_name":"documentation burden","score":0.7990000247955322},{"id":"https://openalex.org/keywords/epic-systems","display_name":"Epic Systems","score":0.8309999704360962},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.6990000009536743},{"id":"https://openalex.org/keywords/system-usability-scale","display_name":"System Usability Scale","score":0.8320000171661377},{"id":"https://openalex.org/keywords/clinician-productivity","display_name":"clinician productivity","score":0.6549999713897705}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.7878000140190125},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.6158000230789185},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.5163999795913696},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5085999965667725},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.45669999718666077},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45170000195503235},{"id":"https://openalex.org/C179518139","wikidata":"https://www.wikidata.org/wiki/Q5140297","display_name":"Coding (social sciences)","level":2,"score":0.42829999327659607},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.3743000030517578},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.33000001311302185},{"id":"https://openalex.org/C204243189","wikidata":"https://www.wikidata.org/wiki/Q1363085","display_name":"Randomization","level":3,"score":0.326200008392334},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3221000134944916},{"id":"https://openalex.org/C2780560020","wikidata":"https://www.wikidata.org/wiki/Q79719","display_name":"License","level":2,"score":0.30320000648498535},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.28859999775886536},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.28529998660087585},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C49290038","wikidata":"https://www.wikidata.org/wiki/Q2994654","display_name":"Consolidated Standards of Reporting Trials","level":3,"score":0.2818000018596649},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.27219998836517334},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.26809999346733093},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.26600000262260437},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.2653999924659729},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.2651999890804291},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.2648000121116638},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2612000107765198},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.2542000114917755}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.11.07.26367514","doi":"https://doi.org/10.64898/2026.11.07.26367514","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.07.26367514","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.11.07.26367514","doi":"https://doi.org/10.64898/2026.11.07.26367514","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.07.26367514","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/study-protocol","display_name":"Study Protocol"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7162999988","https://openalex.org/W7131228496","https://openalex.org/W4410019803","https://openalex.org/W7162766850","https://openalex.org/W7154631312","https://openalex.org/W7206191969","https://openalex.org/W7213718538","https://openalex.org/W4416715916","https://openalex.org/W4412354510","https://openalex.org/W7203687753"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Ambient":[2],"AI":[3,51],"documentation":[4,6,61],"reduces":[5],"burden":[7],"and":[8,22,46,69,76,80,83,87,133,171,198],"electronic":[9],"health":[10,105],"record":[11],"(EHR)":[12],"time":[13,68],"for":[14,29,112],"ambulatory":[15,54,99],"clinicians.":[16],"Newer":[17],"features":[18],"also":[19],"queue":[20],"orders":[21],"offer":[23],"some":[24],"level":[25],"of":[26,203],"coding":[27,77,79],"support":[28],"clinician":[30],"review.":[31],"This":[32],"study":[33],"compares":[34],"two":[35],"commercial":[36],"products":[37],"deployed":[38],"at":[39,56,101,158],"UCLA":[40,57,177],"Health.":[41],"Objective:":[42],"To":[43],"compare":[44],"Nabla":[45],"Epic":[47],"Systems,":[48],"Inc.":[49],"ambient":[50,115],"solution":[52],"among":[53,97],"clinicians":[55,100],"Health":[58],"on":[59],"usability,":[60],"burden,":[62],"perceived":[63],"note":[64],"quality,":[65],"adoption,":[66],"EHR":[67],"productivity,":[70,86],"clinician-reported":[71],"experience":[72],"with":[73,145],"order":[74],"queueing":[75],"support,":[78],"billing":[81],"patterns":[82],"integrity,":[84],"work":[85],"patient-reported":[88],"communication":[89],"experience.":[90],"Methods:":[91],"Two-arm":[92],"parallel-group":[93],"randomized":[94],"trial,":[95],"1:1,":[96],"374":[98],"a":[102,113],"single":[103],"academic":[104],"system":[106],"who":[107],"hold":[108],"an":[109],"active":[110],"license":[111],"standalone":[114],"application":[116],"(Nabla).":[117],"Randomization":[118],"is":[119,155,164],"covariate-constrained":[120],"where":[121],"cohort":[122],"size":[123],"permits,":[124],"balancing":[125],"age,":[126],"sex,":[127],"half-day":[128],"clinic":[129],"sessions,":[130],"specialty":[131],"group,":[132],"baseline":[134],"System":[135],"Usability":[136],"Scale":[137],"(SUS)":[138],"score.":[139],"Intervention":[140],"runs":[141],"11/9/2026":[142],"to":[143],"1/17/2027,":[144],"the":[146,176],"first":[147],"four":[148],"weeks":[149],"as":[150],"lead-in.":[151],"The":[152],"primary":[153],"outcome":[154],"SUS":[156],"score":[157],"follow-up,":[159],"compared":[160],"between":[161],"arms.":[162],"Analysis":[163],"by":[165,175],"intention-to-treat":[166],"using":[167],"mixed-effects":[168],"models.":[169],"Ethics":[170],"dissemination:":[172],"Determined":[173],"exempt":[174],"Institutional":[178],"Review":[179],"Board":[180],"(IRB-26-2147).":[181],"Survey":[182],"completion":[183],"indicates":[184],"consent.":[185],"No":[186],"patient-level":[187],"data":[188],"are":[189],"collected.":[190],"Findings":[191],"will":[192,199],"directly":[193],"inform":[194],"operational":[195],"decision":[196],"making":[197],"be":[200],"published":[201],"regardless":[202],"direction.":[204]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}