Facilitated authoring process
How to write a guideline with good quality content efficiently?
We are constantly gaining more knowledge of how good design and intuitive layout can facilitate the production of high quality content. This has been one of our main focus from day one. Whether it's putting in your references into the reference manager, writing or coding your PICO questions, doing GRADE quality assessment or writing the recommendations, we believe a good design and user interface can be both time-saving and increase the quality of the content.

Publishing content
When your content is ready for publishing, you can chose to publish on our platform, taking advantage of our multilayered user interface, mobile applications, internal search, and link-out features. Publishing includes different types of updates (minor/major) and has a fully accessible version history. You can also chose to export the content to your own content management system. Content can be exported as PDF or directly through our API.
In any case, the content and it's versions will always be safe with us.

Mobile applications
Our publishing platform has an inherent mobile application features, which makes all content usable on all mobile platforms through mobile browsers. The user interface on mobile is tailored to screen size so it will fit all types of mobile devices.
Users accessing a Guideline or Evidence summary from a mobile device will be prompted to download a shortcut app-icon to their mobile screen which will act and feel like a normal app. This way the app is always up to date and will contain the newest improvements without the need for reinstall. It is also free to use.

Well planned data structure
From the start we have put a lot of effort into having a good data structure with proper relationships between the different elements.
We regard guidelines as containers of recommendations, and that all things need an unique ID to be able to see relationships between elements, link out to other systems, see a full audit trail and move into the world of linked data. We have therefor placed all content in the MAGICapp in under these principles, which allows you to link to, use or extract, every piece of information as it's own entity.

A new type of Guideline - EMR integration
We base our integration with electronic medical records (EMRs) on APIs and the guidelines offering structured data to the data systems. This will improve the user experience and usability of both guidelines and EMRs, without the dependencies of normal integrations. Once the integration is set up by the EMRs (in any level of complexity they see fit) it can be used for all guidelines and content. This way of doing integration also ensure that content is always up to date without the need for any re-installments or adjustments.
Having structured content in the recommendations makes the EMR system know more about an activated clinical question and can offer the clinician services around this. The codes and structured content of a recommendation to be put to use by the EMR system, like using the drug codes to offer one-click placement of drugs in the patients medication chart, or look for all instances of a given condition.

We match patients with recommendations, not guidelines
This is very much related to having a good data structure and the possibility of direct EMR integration, but we think it is important enough to mention as a separate issue. Patients do not match a whole guidelines, they match multiple recommendations from multiple guidelines. This becomes even more relevant when we try to manage patients with co-morbidities. Having a well planned data structure makes this possible, which is why we care so much about this issue.

Decision aids
Automatic production of decision aids, and all the ideas, findings and results from the SHARE-IT study is built into MAGICapp, ready for anyone to use as soon as new knowledge is gained.
The decision aids we develop and research in MAGIC are meant to facilitate conversations of benefits, harms and values between clinicians and patients, having graphical interfaces of the effect estimates underlaying a recommendation.
The data in the evidence profiles are being reused for the decision aids, something that underpins the point of having a well-planned data structure.

Globalizing evidence, localizing recommendations
We believe a lot of effort could be spared by adaptation of content. If somebody has done a very good job with evidence collecting and summarizing it seems ridiculous to duplicate that effort if developers are willing to share. Although evidence in most instances are global, recommendations often need local adaptation - due to culture, values, resources, and availability.

The rest of our feature list

• Admins can add an unlimited amount of collaborators to a guideline/evidence summary, including admins, authors, reviewers and viewers
• Each guideline has a settings menu, where you can edit name, set status, write general information about the guideline, use the guideline checklist, set milestones and manage publications
• Flexible Table of contents with sections, sub-sections, sub-sub and sub-sub-sub sections 
• Background text: Possibility to include background text with it's own table of contents with clickable links, in all sections and sub sections
• One-click to add new sections, references, PICOs and recommendations
• Drag and drop to arrange and rearrange your content (References, PICOs, Recommendations and sections)

• Structured reference manager with structured content including PubmedID, DOI, Citation, Abstract, shortname
  
• Use references as citations in any text block, the numbering will be updated automatically whenever you move, add or delete references

• Structured PICOs: Define your PICO using freetext and codes from various ontologies
• Develop your evidence profiles with dicotomous outcomes, continous outcomes, narrative outcomes and practical issues
• Link studies/references directly to effect estimates in the evidence profile. This way you and your users will know where all the numbers are taken from. The evidence profiles become more transparent and it is easer to update and adapt
• Upload RevMan files as references, link other types of  files to your references
  
• Import PICOS and outcomes directly from your RevMan files
  
• Do a GRADE quality assessment of all outcomes. State your confidence in your effect estimates using the GRADE system
• Get contextual GRADE help while writing the evidence profile and doing the quality assessment
• Write a plain text summary for each outcome and a narrative evidence summary for each PICO
• Get evidence feeds: get information about new studies or updates in the field, for each PICO. This is an upcoming feature set, tested through the DYNAM-IT project and our linked PICO work, and will include information from various sources like Epistemonikos, McMaster plus, Dynamed, EBMeDS and BMJ

• Structured Recommendations: write Key information, rationale and practical information as free text, but induvidual structured content
• Link PICOs directly to a recommendation: Any number of PICOs can be used for one recommendation. One PICO can be used for many recommendations
• The information from PICOs connected to a recommendation is automatically turned into decision aids, which can further be edited
•  Add headers and remarks to your Recommendation
• Set strength of recommendation, there are also non-GRADE options like Information boxes and Statuatory requirements 
• Confidence in Key information benefits: Set the level your confidence that the four individual key information factors will bring benefit to the patients.

• Navigation and guideline process help: Get contexual navigation and guideline process help 
• Collaborate realtime, with an unlimited amount of collaborators for your guideline/evidence summary, including admins, authors and viewers
• Full audit trail and an activity log where you can see who has done what, and when. You can flag items in the activity log for follow up and write a message for each individual activity. The activity log can be filtered down to individual items or users, making it easier to see changes over time. There is also an easy access filtered activity log for all outcomes, PICOs and Recommendations
• Get realtime notification of edits done by your collaborators
• See visually which items that are currently being edited by your collaborators
• Track changes feature in all text boxes
• Built in spellcheck for various languages

• Publish new versions of your guideline, while you continue to work on your draft
• See a version history of your guideline, with comments, links and dates
• Export your guideline or an individual recommendation or PICO to Word
• Export your guideline to PDF. You can upload a custom front page for your PDF
• Export your whole guideline or individual components as a data file
• Use your PICOs as widgets on other websites (Recommendation widgets expected june 2018)
• Get links to your content that always take users to the most updated version of your guideline. Link directly to individual sections or recommendations, or to specific content within a recommendation (like decision aids)

• See a list of all guidelines, from all organisations, in the main guideline list
• Each organisation can customize colours, name and logo
• Each organisation also gets a organisation control panel, where they can edit the organisation name, information, logo and list of admins
• Sort the lists of guidelines/ evidence summaries by content you are involved with, either as an author, viewer or admin, by organisation or by time of publishing
• Offline: Set any type of content offline, so that it is available for view when you are not online

• Chose your language and the guideline language, we currently have 15 languages: Arabic, Chinese, Dutch, Danish, English, French, German, Japanese, Korean, Norwegian, Portuguese, Russian, Spanish, Suomi, and Swedish. Contact us if you want to help with the languages or wants some added.
• An API which facilitates export of content in various forms and use of the guideline platform with and within other systems
  
• Use the API to integrate with Electronic Health Records, or other clinical systems
• Use the coding modules in the application to add terminology codes for your PICOs and Recommendations, and use these to integrate your content as decision support
• Use the links and widgets to integrate content into your own websites
• Systems-Integrations: You can import systematic reviews from RevMan, and References from PubMed and through RIS files from refrence managers
• We have planned and upcoming integrations with other great projects, GRADE tools and technology that promotes evidence based practice, like: Covidence, EROS, Epistemonikos, EBMeDS, GDT/GradePro, McMaster plus, Cochrane linked data, and more

• Features to allow easy adaptation of existing material
• Better internal search engine
• Allow multiple comparison tables
• Structured diagnostic PICOs
• Better control panel for guideline administrators, including layout settings, version control, publishing settings and data about use, progress and development
• PICO by PICO conflict of interest settings