{"id":"https://openalex.org/W7147342318","doi":"https://doi.org/10.1093/jamia/ocag035","title":"A systematic methodological review of best practices, pitfalls, and opportunities in mixed methods research in applied clinical informatics","display_name":"A systematic methodological review of best practices, pitfalls, and opportunities in mixed methods research in applied clinical informatics","publication_year":2026,"publication_date":"2026-04-01","ids":{"openalex":"https://openalex.org/W7147342318","doi":"https://doi.org/10.1093/jamia/ocag035","pmid":"https://pubmed.ncbi.nlm.nih.gov/41921502"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocag035","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocag035","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13197188/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035369899","display_name":"Oliver T. Nguyen","orcid":"https://orcid.org/0000-0003-2852-7106"},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oliver T Nguyen","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Wisconsin at Madison , Madison, WI,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Wisconsin at Madison , Madison, WI,","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079900331","display_name":"Arsalan Ahmad","orcid":"https://orcid.org/0000-0002-5467-7901"},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arsalan Ahmad","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Wisconsin at Madison , Madison, WI,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Wisconsin at Madison , Madison, WI,","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007315336","display_name":"Michelle Doering","orcid":"https://orcid.org/0000-0001-6664-8924"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michelle Doering","raw_affiliation_strings":["School of Medicine, Bernard Becker Medical Library, Washington University at St. Louis , St. Louis, MO,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Bernard Becker Medical Library, Washington University at St. Louis , St. Louis, MO,","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":null,"display_name":"Joanna Abraham","orcid":"https://orcid.org/0000-0003-0235-1632"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joanna Abraham","raw_affiliation_strings":["Department of Anesthesiology, Washington University at St. Louis , St. Louis, MO,","Institute for Informatics, Data Science, and Biostatistics, Washington University at St. Louis , St. Louis, MO,"],"raw_orcid":"https://orcid.org/0000-0003-0235-1632","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Washington University at St. Louis , St. Louis, MO,","institution_ids":["https://openalex.org/I204465549"]},{"raw_affiliation_string":"Institute for Informatics, Data Science, and Biostatistics, Washington University at St. Louis , St. Louis, MO,","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":20.38,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.9873601,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"33","issue":"6","first_page":"1199","last_page":"1209"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.4350999891757965,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/T10629","display_name":"Health Policy Implementation Science","score":0.4350999891757965,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/T10350","display_name":"Electronic Health Records Systems","score":0.4027000069618225,"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/T11446","display_name":"Mobile Health and mHealth Applications","score":0.029999999329447746,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/multimethodology","display_name":"Multimethodology","score":0.7400000095367432},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.6585999727249146},{"id":"https://openalex.org/keywords/cinahl","display_name":"CINAHL","score":0.6255000233650208},{"id":"https://openalex.org/keywords/checklist","display_name":"Checklist","score":0.5942999720573425},{"id":"https://openalex.org/keywords/informatics","display_name":"Informatics","score":0.5769000053405762},{"id":"https://openalex.org/keywords/qualitative-research","display_name":"Qualitative research","score":0.5386999845504761},{"id":"https://openalex.org/keywords/critical-appraisal","display_name":"Critical appraisal","score":0.4880000054836273},{"id":"https://openalex.org/keywords/qualitative-property","display_name":"Qualitative property","score":0.4546000063419342}],"concepts":[{"id":"https://openalex.org/C156393514","wikidata":"https://www.wikidata.org/wiki/Q6934800","display_name":"Multimethodology","level":2,"score":0.7400000095367432},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.6585999727249146},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.6255000233650208},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.5942999720573425},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.5769000053405762},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5386999845504761},{"id":"https://openalex.org/C152541439","wikidata":"https://www.wikidata.org/wiki/Q5186693","display_name":"Critical appraisal","level":3,"score":0.4880000054836273},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.47360000014305115},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.4546000063419342},{"id":"https://openalex.org/C2986550218","wikidata":"https://www.wikidata.org/wiki/Q6883855","display_name":"Mixed mode","level":2,"score":0.4348999857902527},{"id":"https://openalex.org/C2779549880","wikidata":"https://www.wikidata.org/wiki/Q5542226","display_name":"PsycINFO","level":3,"score":0.41830000281333923},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.40470001101493835},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.387800008058548},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.38670000433921814},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.3822000026702881},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.38179999589920044},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.36309999227523804},{"id":"https://openalex.org/C148482608","wikidata":"https://www.wikidata.org/wiki/Q17007018","display_name":"Clinical study design","level":3,"score":0.3573000133037567},{"id":"https://openalex.org/C141363852","wikidata":"https://www.wikidata.org/wiki/Q5690441","display_name":"Health Administration Informatics","level":4,"score":0.3495999872684479},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33809998631477356},{"id":"https://openalex.org/C167785021","wikidata":"https://www.wikidata.org/wiki/Q5691083","display_name":"Health informatics tools","level":3,"score":0.3222000002861023},{"id":"https://openalex.org/C24756922","wikidata":"https://www.wikidata.org/wiki/Q1757694","display_name":"Data quality","level":3,"score":0.2849999964237213},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.28349998593330383},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.28139999508857727},{"id":"https://openalex.org/C73851307","wikidata":"https://www.wikidata.org/wiki/Q7834546","display_name":"Translational research informatics","level":5,"score":0.265500009059906},{"id":"https://openalex.org/C106476913","wikidata":"https://www.wikidata.org/wiki/Q7257747","display_name":"Public health informatics","level":5,"score":0.2630000114440918},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.25060001015663147}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocag035","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocag035","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:41921502","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41921502","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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:13197188","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13197188/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13197188","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13197188/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":96,"referenced_works":["https://openalex.org/W1480033610","https://openalex.org/W1973928213","https://openalex.org/W1977488000","https://openalex.org/W1984939024","https://openalex.org/W2029118482","https://openalex.org/W2041678073","https://openalex.org/W2057327092","https://openalex.org/W2086468172","https://openalex.org/W2100582195","https://openalex.org/W2106565642","https://openalex.org/W2120271080","https://openalex.org/W2123781833","https://openalex.org/W2127043931","https://openalex.org/W2150435489","https://openalex.org/W2152129467","https://openalex.org/W2156098321","https://openalex.org/W2160053582","https://openalex.org/W2163960256","https://openalex.org/W2169888706","https://openalex.org/W2198710635","https://openalex.org/W2199353794","https://openalex.org/W2291305067","https://openalex.org/W2341754149","https://openalex.org/W2461785963","https://openalex.org/W2477995345","https://openalex.org/W2518758262","https://openalex.org/W2547043029","https://openalex.org/W2606208330","https://openalex.org/W2611327273","https://openalex.org/W2736221751","https://openalex.org/W2736619462","https://openalex.org/W2768433298","https://openalex.org/W2790487467","https://openalex.org/W2801116222","https://openalex.org/W2808133352","https://openalex.org/W2884188093","https://openalex.org/W2896673559","https://openalex.org/W2901823599","https://openalex.org/W2905679147","https://openalex.org/W2909577051","https://openalex.org/W2920221217","https://openalex.org/W2944206190","https://openalex.org/W2960067330","https://openalex.org/W3007148888","https://openalex.org/W3012526984","https://openalex.org/W3025370095","https://openalex.org/W3036634243","https://openalex.org/W3043468028","https://openalex.org/W3048827257","https://openalex.org/W3059809911","https://openalex.org/W3102433264","https://openalex.org/W3108802051","https://openalex.org/W3119028082","https://openalex.org/W3121959724","https://openalex.org/W3138878086","https://openalex.org/W3154557265","https://openalex.org/W3159319947","https://openalex.org/W3179238200","https://openalex.org/W3185971238","https://openalex.org/W3191831606","https://openalex.org/W3198956102","https://openalex.org/W3210703072","https://openalex.org/W3210968520","https://openalex.org/W3217118152","https://openalex.org/W4253286949","https://openalex.org/W4309366143","https://openalex.org/W4311664943","https://openalex.org/W4312654769","https://openalex.org/W4361214683","https://openalex.org/W4362582589","https://openalex.org/W4365133658","https://openalex.org/W4366602840","https://openalex.org/W4385485540","https://openalex.org/W4385564884","https://openalex.org/W4385668785","https://openalex.org/W4386013883","https://openalex.org/W4386253081","https://openalex.org/W4392357805","https://openalex.org/W4393931617","https://openalex.org/W4395666577","https://openalex.org/W4398182811","https://openalex.org/W4399749779","https://openalex.org/W4400642570","https://openalex.org/W4401380077","https://openalex.org/W4401476903","https://openalex.org/W4402189070","https://openalex.org/W4402487954","https://openalex.org/W4402581188","https://openalex.org/W4402900333","https://openalex.org/W4403048950","https://openalex.org/W4403107648","https://openalex.org/W4403440880","https://openalex.org/W4404082235","https://openalex.org/W4404509666","https://openalex.org/W4408226143","https://openalex.org/W4412193135"],"related_works":[],"abstract_inverted_index":{"INTRODUCTION:":[0],"Mixed":[1,117,153],"methods":[2,56,61,88,154,182,216,225],"are":[3],"used":[4,54,85,157],"to":[5,90,183,205,208,213,245],"holistically":[6],"understand":[7],"the":[8,47,59,92,116,136,144,219,238],"\"what\",":[9],"\"how\",":[10],"and":[11,21,58,64,79,108,140,160,168,173,188,197,222],"\"why\"":[12],"questions":[13],"within":[14,218],"a":[15,86,211],"single":[16],"study":[17,91,148,184],"by":[18],"integrating":[19],"quantitative":[20,139],"qualitative":[22,141,171],"methods.":[23],"Although":[24],"this":[25],"approach":[26],"has":[27],"demonstrated":[28],"value":[29],"in":[30,35,103,201,227],"other":[31,202],"disciplines,":[32],"their":[33],"use":[34,179],"applied":[36],"clinical":[37,97,185],"informatics":[38,50,98,186,220],"research":[39],"remains":[40],"largely":[41],"unexplored.":[42],"This":[43,192],"methodological":[44],"review":[45,193],"characterized":[46],"types":[48],"of":[49,62,96,138,170,180],"intervention":[51],"studies":[52,82,133],"that":[53,83,195],"mixed":[55,87,130,181,215,224],"designs":[57,106,149],"specific":[60],"evaluation":[63,95],"reporting.":[65],"MATERIALS":[66],"AND":[67,176],"METHODS:":[68],"On":[69],"December":[70],"13,":[71],"2024,":[72],"we":[73],"searched":[74],"Embase,":[75],"MEDLINE,":[76],"PubMed,":[77],"CINAHL":[78],"PsycINFO":[80],"for":[81],"reportedly":[84],"design":[89,198],"development":[93,187],"or":[94],"interventions.":[99],"We":[100,122,230],"developed":[101],"themes":[102],"topics":[104],"studied,":[105],"used,":[107],"reporting":[109,196,235],"issues.":[110],"Quality":[111,163],"assessment":[112],"was":[113],"conducted":[114],"using":[115],"Methods":[118],"Appraisal":[119],"Tool.":[120],"RESULTS:":[121],"included":[123,165],"54":[124],"studies.":[125],"Despite":[126],"being":[127],"described":[128],"as":[129],"methods,":[131],"14":[132],"(25.9%)":[134],"lacked":[135],"integration":[137],"data.":[142],"Of":[143],"remaining":[145],"studies,":[146],"convergent":[147],"were":[150,155],"commonly":[151],"used.":[152],"predominantly":[156],"during":[158],"pre-implementation":[159],"post-implementation":[161],"evaluations.":[162],"issues":[164],"non-representative":[166],"samples":[167],"non-reporting":[169],"approaches":[172],"paradigms.":[174],"DISCUSSION":[175],"CONCLUSIONS:":[177],"The":[178],"implementation":[189],"is":[190],"uncommon.":[191],"confirmed":[194],"problems":[199],"found":[200],"disciplines":[203],"extend":[204],"informatics.":[206],"Calls":[207],"action":[209],"include":[210],"need":[212],"disseminate":[214],"guidance":[217],"community":[221],"offer":[223,242],"training":[226],"graduate":[228],"programs.":[229],"also":[231],"synthesized":[232],"an":[233],"initial":[234],"checklist":[236],"from":[237],"literature.":[239],"Our":[240],"findings":[241],"baseline":[243],"levels":[244],"assess":[246],"educational":[247],"efforts.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-06-23T06:36:01.041984","created_date":"2026-04-02T00:00:00"}