{"id":"https://openalex.org/W7165115956","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106548","title":"Fast healthcare interoperability resources (FHIR) implementation guide creation process: scoping review","display_name":"Fast healthcare interoperability resources (FHIR) implementation guide creation process: scoping review","publication_year":2026,"publication_date":"2026-06-18","ids":{"openalex":"https://openalex.org/W7165115956","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106548","pmid":"https://pubmed.ncbi.nlm.nih.gov/42322886"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2026.106548","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106548","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2026.106548","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5136555575","display_name":"Vanessa Pereira Corr\u00eaa Rampinelli","orcid":"https://orcid.org/0000-0002-8972-2231"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Vanessa Pereira Corr\u00eaa Rampinelli","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138950258","display_name":"Ranieri Alves dos Santos","orcid":null},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ranieri Alves dos Santos","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084715741","display_name":"Ianka Cristina Celuppi","orcid":"https://orcid.org/0000-0002-2518-6644"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ianka Cristina Celuppi","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130108853","display_name":"Gabriel Norde Santos","orcid":null},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gabriel Norde Santos","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083925789","display_name":"Jades Fernando Hammes","orcid":"https://orcid.org/0000-0003-3483-8621"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jades Fernando Hammes","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072532820","display_name":"C\u00e9lio Luiz Cunha","orcid":"https://orcid.org/0000-0003-1698-4537"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"C\u00e9lio Luiz Cunha","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076476739","display_name":"Raul Sidnei Wazlawick","orcid":"https://orcid.org/0000-0003-4293-1359"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Raul Sidnei Wazlawick","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil","institution_ids":["https://openalex.org/I4104125"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043957226","display_name":"Eduardo Monguilhott Dalmarco","orcid":"https://orcid.org/0000-0002-5220-5396"},"institutions":[{"id":"https://openalex.org/I4104125","display_name":"Universidade Federal de Santa Catarina","ror":"https://ror.org/041akq887","country_code":"BR","type":"education","lineage":["https://openalex.org/I4104125"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Eduardo Monguilhott Dalmarco","raw_affiliation_strings":["Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil. Electronic address: eduardo.dalmarco@ufsc.br"],"raw_orcid":"https://orcid.org/0000-0002-5220-5396","affiliations":[{"raw_affiliation_string":"Bridge Laboratory, Federal University of Santa Catarina (UFSC), Florian\u00f3polis, Brazil. Electronic address: eduardo.dalmarco@ufsc.br","institution_ids":["https://openalex.org/I4104125"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4104125"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81217792,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"219","issue":null,"first_page":"106548","last_page":"106548"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.210099995136261,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.210099995136261,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T10350","display_name":"Electronic Health Records Systems","score":0.11180000007152557,"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/T13690","display_name":"Quality and Safety in Healthcare","score":0.08799999952316284,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.7472000122070312},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5181999802589417},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.37880000472068787},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.30970001220703125},{"id":"https://openalex.org/keywords/semantic-interoperability","display_name":"Semantic interoperability","score":0.29010000824928284},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.2872999906539917},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.27950000762939453}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.7472000122070312},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5608999729156494},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5181999802589417},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4620000123977661},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.37880000472068787},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3716000020503998},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.34360000491142273},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.33070001006126404},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C192800085","wikidata":"https://www.wikidata.org/wiki/Q5258530","display_name":"Semantic interoperability","level":3,"score":0.29010000824928284},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.2872999906539917},{"id":"https://openalex.org/C110354214","wikidata":"https://www.wikidata.org/wiki/Q6314146","display_name":"Engineering management","level":1,"score":0.28630000352859497},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.27950000762939453},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.26669999957084656},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.2648000121116638},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C3017977704","wikidata":"https://www.wikidata.org/wiki/Q18745135","display_name":"Health data","level":3,"score":0.2572000026702881},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2517000138759613}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.ijmedinf.2026.106548","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106548","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:42322886","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42322886","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2026.106548","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106548","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure","score":0.44355472922325134}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"},{"id":"https://openalex.org/F4320323916","display_name":"Minist\u00e9rio da Sa\u00fade","ror":"https://ror.org/02y7p0749"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":43,"referenced_works":["https://openalex.org/W2135519107","https://openalex.org/W2160271672","https://openalex.org/W2164572080","https://openalex.org/W2276530525","https://openalex.org/W2489651338","https://openalex.org/W2560438049","https://openalex.org/W2765304416","https://openalex.org/W2787753473","https://openalex.org/W2899241902","https://openalex.org/W2981115805","https://openalex.org/W2983093386","https://openalex.org/W3012971470","https://openalex.org/W3111278950","https://openalex.org/W3125147044","https://openalex.org/W3172260675","https://openalex.org/W3196163391","https://openalex.org/W3204113096","https://openalex.org/W4200176907","https://openalex.org/W4225003357","https://openalex.org/W4281552433","https://openalex.org/W4285315819","https://openalex.org/W4300861013","https://openalex.org/W4317904523","https://openalex.org/W4319160450","https://openalex.org/W4323365762","https://openalex.org/W4366551404","https://openalex.org/W4381617136","https://openalex.org/W4382631818","https://openalex.org/W4391462928","https://openalex.org/W4391952681","https://openalex.org/W4401823783","https://openalex.org/W4401991820","https://openalex.org/W4404876338","https://openalex.org/W4405812527","https://openalex.org/W4409251842","https://openalex.org/W4409479735","https://openalex.org/W4410099658","https://openalex.org/W4410447940","https://openalex.org/W4412656592","https://openalex.org/W4414163449","https://openalex.org/W4414826109","https://openalex.org/W4417274060","https://openalex.org/W7128435609"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,120,245],"Fast":[2],"Healthcare":[3],"Interoperability":[4],"Resources":[5],"(FHIR)":[6],"standard":[7],"is":[8,235],"a":[9,79,123,253,257,288,310],"global":[10],"benchmark":[11],"for":[12,28,56,104,210,326],"digital":[13],"health":[14,58],"data":[15],"exchange.":[16],"Despite":[17],"its":[18],"widespread":[19],"adoption,":[20],"the":[21,25,46,50,276,283,301,320,330],"scientific":[22,47],"literature":[23,48,273],"on":[24,49,109,282],"methodological":[26,61,141],"processes":[27],"creating":[29],"FHIR":[30,54,153,248,272],"Implementation":[31],"Guides":[32],"(IGs)":[33],"remains":[34,309],"fragmented":[35],"and":[36,66,76,100,116,137,156,242,264,297,306,329,340],"lacks":[37],"systematization.":[38],"OBJECTIVE:":[39],"This":[40,267],"scoping":[41],"review":[42,268],"aims":[43],"to":[44,190,336],"synthesize":[45],"process":[51],"of":[52,152,175,185,247,259,322,332],"developing":[53],"IGs":[55,195,249],"electronic":[57],"records,":[59,94],"identifying":[60],"steps,":[62],"toolchains,":[63],"governance":[64,241],"patterns,":[65],"critical":[67,311],"gaps":[68],"that":[69,196,232,292],"limit":[70],"clinical":[71,135,178,205,223,240,262,307,318],"adoption.":[72,224],"METHODS:":[73],"Following":[74],"JBI":[75],"PRISMA-ScR":[77],"guidelines,":[78],"comprehensive":[80,216],"search":[81],"was":[82,147,170,180,213],"conducted":[83],"across":[84],"nine":[85],"databases":[86],"in":[87,163,194,217,239],"August":[88],"2025.":[89],"From":[90],"an":[91,237],"initial":[92],"5,552":[93],"eleven":[95],"studies":[96,226],"published":[97],"between":[98,303],"2021":[99],"2025":[101],"were":[102],"selected":[103],"analysis.":[105],"Data":[106],"extraction":[107],"focused":[108,280],"development":[110,234],"stages,":[111],"team":[112,229],"composition,":[113],"authoring":[114],"tools,":[115],"validation":[117,169,179],"workflows.":[118,206],"RESULTS:":[119],"study":[121],"identified":[122],"synthesized":[124],"seven-step":[125,290],"implementation":[126],"lifecycle:":[127],"requirements,":[128],"modeling,":[129],"terminology,":[130],"narrative":[131,338],"documentation,":[132,208],"technical":[133,168,304],"validation,":[134,136,319],"publication.":[138],"A":[139],"significant":[140],"shift":[142],"toward":[143],"\"Infrastructure":[144],"as":[145,215],"Code\"":[146],"observed,":[148],"with":[149,203],"frequent":[150],"use":[151],"Shorthand":[154],"(FSH)":[155],"Continuous":[157],"Integration/Continuous":[158],"Deployment":[159],"(CI/CD)":[160],"pipelines,":[161],"particularly":[162],"European":[164],"national":[165],"initiatives.":[166],"While":[167],"nearly":[171],"universal":[172],"(10":[173],"out":[174,184],"11":[176,186],"studies),":[177,187],"inconsistently":[181],"addressed":[182],"(7":[183],"often":[188],"relegated":[189],"future":[191],"work,":[192],"resulting":[193],"are":[197],"syntactically":[198],"correct":[199],"but":[200],"insufficiently":[201],"aligned":[202],"real-world":[204],"Narrative":[207],"essential":[209],"non-technical":[211],"stakeholders,":[212],"reported":[214,227],"only":[218],"four":[219],"studies,":[220],"limiting":[221],"broader":[222],"All":[225],"multidisciplinary":[228],"involvement,":[230],"confirming":[231],"IG":[233,284,327],"fundamentally":[236],"exercise":[238],"consensus.":[243],"CONCLUSION:":[244],"creation":[246,285],"has":[250],"evolved":[251],"into":[252],"complex":[254],"discipline":[255],"requiring":[256],"convergence":[258],"software":[260],"engineering,":[261],"semantics,":[263],"institutional":[265],"governance.":[266],"advances":[269],"beyond":[270],"existing":[271],"by":[274],"providing":[275],"first":[277],"systematic":[278],"synthesis":[279],"specifically":[281],"process,":[286],"presenting":[287],"replicable":[289],"cycle":[291],"can":[293],"guide":[294],"implementers,":[295],"researchers,":[296],"policy":[298],"makers.":[299],"Closing":[300],"gap":[302],"readiness":[305],"applicability":[308],"challenge.":[312],"Future":[313],"research":[314],"should":[315],"prioritize":[316],"ongoing":[317],"establishment":[321],"standardized":[323],"reporting":[324],"frameworks":[325],"development,":[328],"integration":[331],"generative":[333],"AI":[334],"tools":[335],"enhance":[337],"documentation":[339],"terminology":[341],"binding.":[342]},"counts_by_year":[],"updated_date":"2026-06-23T06:36:01.041984","created_date":"2026-06-19T00:00:00"}
