{"id":"https://openalex.org/W2142848411","doi":"https://doi.org/10.1093/jamia/ocv149","title":"An information model for automated assessment of concordance between advance care preferences and care delivered near the end of life","display_name":"An information model for automated assessment of concordance between advance care preferences and care delivered near the end of life","publication_year":2015,"publication_date":"2015-11-13","ids":{"openalex":"https://openalex.org/W2142848411","doi":"https://doi.org/10.1093/jamia/ocv149","mag":"2142848411","pmid":"https://pubmed.ncbi.nlm.nih.gov/26567328"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocv149","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv149","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/e1/e118/34148557/ocv149.pdf","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":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/23/e1/e118/34148557/ocv149.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113419454","display_name":"Marianne Turley","orcid":null},"institutions":[{"id":"https://openalex.org/I4210114677","display_name":"Kaiser Permanente Center for Health Research","ror":"https://ror.org/028gzjv13","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343052199","https://openalex.org/I4210114677"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marianne Turley","raw_affiliation_strings":["Health Information Technology Transformation and Analytics, Kaiser Permanente, Portland OR 97210, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Information Technology Transformation and Analytics, Kaiser Permanente, Portland OR 97210, USA","institution_ids":["https://openalex.org/I4210114677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017248548","display_name":"Susan Wang","orcid":"https://orcid.org/0000-0002-6728-5886"},"institutions":[{"id":"https://openalex.org/I4210096972","display_name":"Los Angeles Medical Center","ror":"https://ror.org/00spys463","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343052199","https://openalex.org/I4210096972"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Wang","raw_affiliation_strings":["Southern California Permanente Medical Group, Los Angeles, CA 90027, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southern California Permanente Medical Group, Los Angeles, CA 90027, USA","institution_ids":["https://openalex.org/I4210096972"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024273999","display_name":"Di Meng","orcid":null},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Di Meng","raw_affiliation_strings":["Health Information Technology Transformation and Analytics, Kaiser Permanente, Oakland, CA 94612, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Information Technology Transformation and Analytics, Kaiser Permanente, Oakland, CA 94612, USA","institution_ids":["https://openalex.org/I1343052199"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035903999","display_name":"Michael H. Kanter","orcid":"https://orcid.org/0000-0002-1019-9311"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael H Kanter","raw_affiliation_strings":["Southern California Permanente Medical Group, Pasadena, CA 91188, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southern California Permanente Medical Group, Pasadena, CA 91188, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054987325","display_name":"Terhilda Garrido","orcid":"https://orcid.org/0000-0002-8211-3038"},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Terhilda Garrido","raw_affiliation_strings":["Health Information Technology Transformation and Analytics, Kaiser Permanente, Oakland, CA 94612, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Information Technology Transformation and Analytics, Kaiser Permanente, Oakland, CA 94612, USA","institution_ids":["https://openalex.org/I1343052199"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":2.0194,"has_fulltext":false,"cited_by_count":16,"citation_normalized_percentile":{"value":0.87347584,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"23","issue":"e1","first_page":"e118","last_page":"e124"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8981000185012817,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8981000185012817,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.061000000685453415,"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/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.006899999920278788,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/concordance","display_name":"Concordance","score":0.9649245738983154},{"id":"https://openalex.org/keywords/preference","display_name":"Preference","score":0.8685903549194336},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"Advance care planning","score":0.6811178922653198},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5993813872337341},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5098363757133484},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"End-of-life care","score":0.45697319507598877},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.43811625242233276},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.435519814491272},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.24450883269309998},{"id":"https://openalex.org/keywords/statistics","display_name":"Statistics","score":0.1734587550163269},{"id":"https://openalex.org/keywords/palliative-care","display_name":"Palliative care","score":0.14461523294448853},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.11016348004341125},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.10621598362922668}],"concepts":[{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.9649245738983154},{"id":"https://openalex.org/C2781249084","wikidata":"https://www.wikidata.org/wiki/Q908656","display_name":"Preference","level":2,"score":0.8685903549194336},{"id":"https://openalex.org/C2777995714","wikidata":"https://www.wikidata.org/wiki/Q18209059","display_name":"Advance care planning","level":3,"score":0.6811178922653198},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5993813872337341},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5098363757133484},{"id":"https://openalex.org/C2780879335","wikidata":"https://www.wikidata.org/wiki/Q2045105","display_name":"End-of-life care","level":3,"score":0.45697319507598877},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.43811625242233276},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.435519814491272},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.24450883269309998},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.1734587550163269},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.14461523294448853},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11016348004341125},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.10621598362922668},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"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":"D008962","descriptor_name":"Models, Theoretical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008962","descriptor_name":"Models, Theoretical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008962","descriptor_name":"Models, Theoretical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057240","descriptor_name":"Patient Preference","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057240","descriptor_name":"Patient Preference","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057240","descriptor_name":"Patient Preference","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1093/jamia/ocv149","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv149","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/e1/e118/34148557/ocv149.pdf","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:26567328","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26567328","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:open-archive.highwire.org:jaminfo:23/e1/e118","is_oa":false,"landing_page_url":"http://jamia.oxfordjournals.org/cgi/content/short/23/e1/e118","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"},{"id":"pmh:oai:pubmedcentral.nih.gov:4954636","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4954636","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":"doi:10.1093/jamia/ocv149","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv149","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/e1/e118/34148557/ocv149.pdf","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"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.6600000262260437}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":35,"referenced_works":["https://openalex.org/W1502426630","https://openalex.org/W1519785776","https://openalex.org/W1553921986","https://openalex.org/W1586305828","https://openalex.org/W1587003863","https://openalex.org/W1967085970","https://openalex.org/W1975701886","https://openalex.org/W1984595860","https://openalex.org/W1985020048","https://openalex.org/W1989853498","https://openalex.org/W2002797272","https://openalex.org/W2012143077","https://openalex.org/W2015443078","https://openalex.org/W2023888294","https://openalex.org/W2024305803","https://openalex.org/W2051213338","https://openalex.org/W2065988764","https://openalex.org/W2067517055","https://openalex.org/W2084788111","https://openalex.org/W2090669587","https://openalex.org/W2095041668","https://openalex.org/W2111866019","https://openalex.org/W2123763117","https://openalex.org/W2125130977","https://openalex.org/W2127515011","https://openalex.org/W2134666189","https://openalex.org/W2135894244","https://openalex.org/W2137401089","https://openalex.org/W2146468725","https://openalex.org/W2151171866","https://openalex.org/W2154050409","https://openalex.org/W2169467289","https://openalex.org/W2335330932","https://openalex.org/W4252535645","https://openalex.org/W6703048966"],"related_works":["https://openalex.org/W2142848411","https://openalex.org/W3123548758","https://openalex.org/W2412233592","https://openalex.org/W1966474270","https://openalex.org/W1990961124","https://openalex.org/W2781939549","https://openalex.org/W2161124101","https://openalex.org/W2606426096","https://openalex.org/W2412453365","https://openalex.org/W2954154759"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"develop":[2],"an":[3,261],"information":[4,89,225],"model":[5,90,210,226],"for":[6,75,219,227],"automating":[7,228],"evaluation":[8],"of":[9,115,122,137,147,151,196,231],"concordance":[10,76,93,233],"between":[11,77,94,234],"patient":[12,95,191],"preferences":[13,32,52,79,96,239],"and":[14,20,40,48,53,70,80,97,119,167,194,214,240,252],"end-of-life":[15,23,42,54,82,98,127,242],"care.":[16],"METHODS:":[17],"We":[18],"modeled":[19],"validated":[21],"15":[22],"care":[24,37,43,55,83,99,110,128,156,165,173,187,198,237,243],"preference":[25,192,221],"option":[26],"domains,":[27],"to":[28,139,179,184,207,211,215,256],"which":[29,116,123],"we":[30],"mapped":[31],"recorded":[33],"in":[34,59,105,248],"standardized":[35],"advance":[36,186,236],"planning":[38,188,238],"documents":[39,189],"232":[41],"events":[44,56,84,111,129],"defined":[45],"by":[46],"procedure":[47],"medication":[49],"codes.":[50],"Patient":[51],"were":[57,73,117,124,142],"available":[58],"electronic":[60],"health":[61],"records.":[62],"Data":[63],"from":[64],"Kaiser":[65],"Permanente":[66],"Southern":[67],"California":[68],"modeling":[69,107],"testing":[71],"populations":[72,213],"evaluated":[74],"patients'":[78,235],"the":[81,106,135,145,209,217,229,232,241,254],"they":[85,244],"experienced.":[86],"RESULTS:":[87],"The":[88],"successfully":[91],"assessed":[92],"events.":[100,174],"Among":[101],"388":[102],"expired":[103],"patients":[104,152],"population,":[108],"4164":[109],"occurred,":[112],"4100":[113],"(98%)":[114],"preference-concordant,":[118],"64":[120],"(2%)":[121],"preference-discordant.":[125],"Including":[126],"that":[130,181,199],"did":[131,200],"not":[132,201],"occur":[133],"increased":[134],"number":[136],"observations":[138],"6029;":[140],"99%":[141],"preference-concordant.":[143],"At":[144],"level":[146],"individuals,":[148],"72%":[149],"(278)":[150],"experienced":[153,160,170],"only":[154],"preference-concordant":[155],"events,":[157],"13%":[158],"(50)":[159],"at":[161],"least":[162],"one":[163],"preference-discordant":[164],"event,":[166],"15%":[168],"(60)":[169],"no":[171],"preference-related":[172],"DISCUSSION:":[175],"Model":[176],"limitations":[177],"pertain":[178],"assumptions":[180],"are":[182],"required":[183,206],"match":[185],"with":[190],"options":[193],"exclusion":[195],"preferred":[197],"occur.":[202],"Further":[203],"research":[204],"is":[205],"apply":[208],"larger":[212],"investigate":[216],"need":[218],"additional":[220],"options.":[222],"CONCLUSION:":[223],"An":[224],"assessment":[230],"received":[245],"was":[246],"effective":[247],"a":[249],"small":[250],"population":[251],"has":[253],"potential":[255],"assess":[257],"population-level":[258],"preference-concordance":[259],"on":[260],"ongoing":[262],"basis.":[263]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":1}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}
