{"id":"https://openalex.org/W2171922051","doi":"https://doi.org/10.1136/amiajnl-2012-001208","title":"Patient-generated secure messages and eVisits on a patient portal: are patients at risk?","display_name":"Patient-generated secure messages and eVisits on a patient portal: are patients at risk?","publication_year":2013,"publication_date":"2013-05-24","ids":{"openalex":"https://openalex.org/W2171922051","doi":"https://doi.org/10.1136/amiajnl-2012-001208","mag":"2171922051","pmid":"https://pubmed.ncbi.nlm.nih.gov/23703826"},"language":"en","primary_location":{"id":"doi:10.1136/amiajnl-2012-001208","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2012-001208","pdf_url":"https://academic.oup.com/jamia/article-pdf/20/6/1143/5993030/20-6-1143.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/20/6/1143/5993030/20-6-1143.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021012078","display_name":"Frederick North","orcid":"https://orcid.org/0000-0002-3696-4595"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Frederick North","raw_affiliation_strings":["Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056421345","display_name":"Sarah J. Crane","orcid":"https://orcid.org/0000-0002-3594-6651"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah J Crane","raw_affiliation_strings":["Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039428774","display_name":"Robert J. Stroebel","orcid":"https://orcid.org/0000-0001-8340-5692"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert J Stroebel","raw_affiliation_strings":["Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Stephen S Cha","orcid":null},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen S Cha","raw_affiliation_strings":["Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108506067","display_name":"Eric S. Edell","orcid":null},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric S Edell","raw_affiliation_strings":["Division of Pulmonary Care and Critical Medicine, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pulmonary Care and Critical Medicine, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5076001881","display_name":"Sidna M. Tulledge\u2010Scheitel","orcid":"https://orcid.org/0000-0001-5634-8397"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sidna M Tulledge-Scheitel","raw_affiliation_strings":["Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5021012078"],"corresponding_institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":8.4528,"has_fulltext":false,"cited_by_count":73,"citation_normalized_percentile":{"value":0.97137715,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"20","issue":"6","first_page":"1143","last_page":"1149"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8355000019073486,"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":0.8355000019073486,"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.06360000371932983,"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/T10737","display_name":"Health Literacy and Information Accessibility","score":0.021199999377131462,"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/medicine","display_name":"Medicine","score":0.849219560623169},{"id":"https://openalex.org/keywords/palpitations","display_name":"Palpitations","score":0.7428163290023804},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.7322437763214111},{"id":"https://openalex.org/keywords/lightheadedness","display_name":"Lightheadedness","score":0.6811383962631226},{"id":"https://openalex.org/keywords/chest-pain","display_name":"Chest pain","score":0.6621665358543396},{"id":"https://openalex.org/keywords/patient-portal","display_name":"Patient portal","score":0.562523603439331},{"id":"https://openalex.org/keywords/abdominal-pain","display_name":"Abdominal pain","score":0.4776364862918854},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.47699835896492004},{"id":"https://openalex.org/keywords/vomiting","display_name":"Vomiting","score":0.43350574374198914},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.21489357948303223},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.19178801774978638},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.09157773852348328}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.849219560623169},{"id":"https://openalex.org/C2776403943","wikidata":"https://www.wikidata.org/wiki/Q1123260","display_name":"Palpitations","level":2,"score":0.7428163290023804},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7322437763214111},{"id":"https://openalex.org/C2777706214","wikidata":"https://www.wikidata.org/wiki/Q57823162","display_name":"Lightheadedness","level":2,"score":0.6811383962631226},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.6621665358543396},{"id":"https://openalex.org/C2776153502","wikidata":"https://www.wikidata.org/wiki/Q7144994","display_name":"Patient portal","level":3,"score":0.562523603439331},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.4776364862918854},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.47699835896492004},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.43350574374198914},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.21489357948303223},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19178801774978638},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.09157773852348328},{"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}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008910","descriptor_name":"Minnesota","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008910","descriptor_name":"Minnesota","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008910","descriptor_name":"Minnesota","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020407","descriptor_name":"Internet","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020407","descriptor_name":"Internet","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020407","descriptor_name":"Internet","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033283","descriptor_name":"Patient Access to Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033283","descriptor_name":"Patient Access to Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033283","descriptor_name":"Patient Access to Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D034742","descriptor_name":"Electronic Mail","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D034742","descriptor_name":"Electronic Mail","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D034742","descriptor_name":"Electronic Mail","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1136/amiajnl-2012-001208","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2012-001208","pdf_url":"https://academic.oup.com/jamia/article-pdf/20/6/1143/5993030/20-6-1143.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:23703826","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23703826","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:3822104","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3822104","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:10.1136/amiajnl-2012-001208","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2012-001208","pdf_url":"https://academic.oup.com/jamia/article-pdf/20/6/1143/5993030/20-6-1143.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/3","display_name":"Good health and well-being","score":0.7699999809265137}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2171922051.pdf","grobid_xml":"https://content.openalex.org/works/W2171922051.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W51945510","https://openalex.org/W112015234","https://openalex.org/W172644977","https://openalex.org/W1549067406","https://openalex.org/W2000445173","https://openalex.org/W2000923669","https://openalex.org/W2047060802","https://openalex.org/W2050299738","https://openalex.org/W2108199245","https://openalex.org/W2115021051","https://openalex.org/W2120761522","https://openalex.org/W2128082396","https://openalex.org/W2129168200","https://openalex.org/W2133313601","https://openalex.org/W2135087288","https://openalex.org/W2137767448","https://openalex.org/W2152213407","https://openalex.org/W2160375430","https://openalex.org/W2410559649","https://openalex.org/W2470463565"],"related_works":["https://openalex.org/W110245385","https://openalex.org/W4234845983","https://openalex.org/W2181538625","https://openalex.org/W144939884","https://openalex.org/W4244197993","https://openalex.org/W4377221217","https://openalex.org/W4376618594","https://openalex.org/W2790731508","https://openalex.org/W1896126885","https://openalex.org/W2242201646"],"abstract_inverted_index":{"BACKGROUND:":[0],"Patient":[1],"portals":[2],"are":[3],"becoming":[4],"increasingly":[5],"common,":[6],"but":[7,124,164],"the":[8,64,69,79,92,129,194,228],"safety":[9],"of":[10,78,101,120,142,154,162,177,185,193,200],"patient":[11,24],"messages":[12,25,55,58,163,173,191],"and":[13,26,59,81,83,106,145,180,209],"eVisits":[14,27],"has":[15],"not":[16,126,236],"been":[17],"well":[18],"studied.":[19],"Unlike":[20],"patient-to-nurse":[21],"telephonic":[22],"communication,":[23],"involve":[28],"an":[29,214,218],"asynchronous":[30],"process":[31],"that":[32],"could":[33],"be":[34],"hazardous":[35],"if":[36],"patients":[37],"were":[38,125,132,158],"using":[39],"it":[40],"for":[41,73,99,196,232],"time-sensitive":[42],"symptoms":[43,100,108,157,199,234],"such":[44],"as":[45],"chest":[46,102,201],"pain":[47],"or":[48,213,225],"dyspnea.":[49],"METHODS:":[50],"We":[51,94],"retrospectively":[52],"analyzed":[53],"7322":[54],"(6430":[56],"secure":[57,139,143,223],"892":[60],"eVisits).":[61,155],"To":[62],"assess":[63],"overall":[65],"risk":[66],"associated":[67,109],"with":[68,110],"messages,":[70],"we":[71],"looked":[72],"deaths":[74,115],"within":[75,88,117],"30":[76,118],"days":[77,90,119],"message":[80,97,140,224,229,241],"hospitalizations":[82,134,147],"emergency":[84],"department":[85],"(ED)":[86],"visits":[87],"7":[89],"following":[91,221],"message.":[93,130],"also":[95],"examined":[96],"content":[98],"pain,":[103,202,206],"breathing":[104,203],"concerns,":[105,204],"other":[107],"high":[111],"risk.":[112],"RESULTS:":[113],"Two":[114],"occurred":[116],"a":[121,137,150,165,175,181,222],"patient-generated":[122],"message,":[123],"related":[127,135,148],"to":[128,136,149,169],"There":[131],"six":[133],"previous":[138,151],"(0.09%":[141],"messages),":[144],"two":[146],"eVisit":[152],"(0.22%":[153],"High-risk":[156],"present":[159],"in":[160,238],"3.5%":[161,192],"subject":[166,230],"line":[167,231],"search":[168],"identify":[170],"these":[171],"high-risk":[172,198,233,240],"had":[174],"sensitivity":[176],"only":[178],"15%":[179],"positive":[182],"predictive":[183],"value":[184],"29%.":[186],"CONCLUSIONS:":[187],"Patients":[188],"use":[189],"portal":[190],"time":[195],"potentially":[197],"abdominal":[205],"palpitations,":[207],"lightheadedness,":[208],"vomiting.":[210],"Death,":[211],"hospitalization,":[212],"ED":[215],"visit":[216],"was":[217,235],"infrequent":[219],"outcome":[220],"eVisit.":[226],"Screening":[227],"successful":[237],"identifying":[239],"content.":[242]},"counts_by_year":[{"year":2025,"cited_by_count":5},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":14},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":1}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}
