omid pournik department of medical informatics, faculty of medicine, mashhad university of medical sciences, mashhad, ir iran; faculty of advanced technologies in medicine, iran university of medical sciences, tehran, ir iran seyed moayed alavian middle east liver diseases center (meld), tehran, ir iran; baqiyatallah research center for gastroenterology and liver diseases, baqiyatallh university of medical sciences, tehran, ir iran leila ghalichi mental health research center, iran university of medical sciences, tehran, ir iran bahram seifizarei school of medicine, shahid beheshti hospital, hamedan university of medical sciences, hamedan, ir iran leila mehrnoush middle east liver diseases center (meld), tehran, ir iran azam aslani department of medical informatics, faculty of medicine, mashhad university of medical sciences, mashhad, ir iran