JP2007080212A - Medical information system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information system which provides medical information evaluated while reflecting user needs. <P>SOLUTION: In a medical information system 10, general user terminals 12-17, medical staff terminals 18-36 and a medical information server 100 are made connectable to a telecommunications network 50. The medical information server 100 comprises: medical staff information databases 122, 124; an updated data receiving section 106; a database reader/writer 108; a rating information receiving section 112 for receiving rating conditions from the general user terminals 12-17; a rating calculating section for calculating rating, based on the received rating conditions; a retrieval condition receiving section 116; a retrieval section 118 which performs retrieval, based on rating and the retrieval conditions; and a retrieval/rating result transmitting section 120. Thus, medical information evaluated while reflecting with user needs is provided. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a medical information system used when transferring a hospital or obtaining a second opinion.

  With the advancement of information technology in society against the background of network technology, users can obtain various information and perform various procedures simply by operating a terminal connected to the Internet. ing. However, in the medical field, informatization is still behind.

  For example, when an inpatient searches for a transfer destination, a specialized staff called a social worker searches for a hospital that meets the patient's medical condition and needs, confirms the availability and acceptance status of the bed by telephone or fax, and then performs the transfer procedure. Either a method or a method in which a patient's family directly finds a hospital that meets the needs of the patient and family is common. Such methods are inefficient, time consuming and labor intensive for medical staff and patients.

  There is also a growing need for patients to obtain so-called “second opinions” that seek the judgment of other doctors to determine if the diagnosis, treatment, and hospital they are receiving are appropriate. . However, at present, it is difficult for patients to obtain a second opinion because they do not know which doctor should obtain the second opinion.

  In order to solve such problems, network technology is also applied in the medical field, and a technology that allows patients and medical staff to easily obtain information when transferring hospitals and obtaining second opinions has been developed. . For example, in the technique described in Patent Literature 1, a hospital or patient terminal is connected to a server device that manages medical data via a network. Information such as the patient's medical history and facility availability information is recorded in the server device. Hospitals and patients access the server device and use the information recorded in the server device to use the facilities and the second opinion. Acquisition etc. can be performed.

JP 2001-167201 A

  However, in the above technique, a user such as a patient can obtain information on a hospital to be transferred to or a doctor who can obtain a second opinion, but which hospital is to be transferred to, which doctor It is difficult to judge whether or not the second opinion obtained from is more important. Although Patent Document 1 describes that a rating agency evaluates doctors and medical institutions (see paragraph (0147) of Patent Document 1), the rating agency does not necessarily reflect the needs of general users. It ’s hard to say. The needs of users such as patients in the medical field vary widely depending on their medical condition, age, gender, place of residence, occupation, creed and the like. For example, while there are users who place importance on treatment results for hospitals, there are also users who place importance on enhancement of facilities for hospitals. In addition, there are users who place importance on treatment results and research achievements for doctors who seek a second opinion, while there are also users who place importance on humanity for doctors. For this reason, it is difficult for a user to obtain a transfer destination or second opinion that best suits his needs only by a one-sided evaluation by a rating agency.

  This invention is made | formed in view of this situation, The objective is to provide the medical information system which can obtain the medical information in which the evaluation reflecting a user's needs was made.

  The present invention is a medical information system in which a general user terminal, a medical staff terminal, and a medical information server are connectable to a telecommunication network, and the medical information server is a medical staff terminal related to the medical staff terminal. Medical person information database storing information, update data receiving means for receiving update data from medical person terminal, database writing means for writing update data received by update data receiving means into medical person information database A database reading means for reading medical person information stored in the medical person information database, a rating condition receiving means for receiving a rating condition from a general user terminal, and a medical condition based on the rating condition received by the rating condition receiving unit. Rating calculation means for calculating a rating of a medical person related to a terminal of a person concerned Based on the search condition receiving means for receiving the search condition from the general user terminal, the information on the medical personnel read by the database reading means, the rating calculated by the rating calculating means, and the search condition received by the search condition receiving means Search means for searching for information on medical personnel stored in the medical personnel information database, a rating calculated by the rating calculation means, and a search / rating result for transmitting the search results searched by the search means to a general user terminal And a transmission means.

  According to this configuration, the rating condition receiving unit receives the rating condition from the general user terminal, and the rating calculation unit calculates the rating of the medical staff related to the medical staff terminal based on the received rating condition. Ratings reflecting user needs can be performed. In addition, since the search means searches for medical person information based on the calculated rating and the search condition received by the search condition receiving means from the general user terminal, the user's needs are reflected to reflect the medical person information. Search can be performed.

  According to the medical information system of the present invention, it is possible to obtain medical information that has been evaluated reflecting the needs of the user.

  Hereinafter, a medical information system according to an embodiment of the present invention will be described with reference to the accompanying drawings. In the drawings, the same elements are denoted by the same reference numerals, and redundant description is omitted.

  FIG. 1 is a diagram showing a configuration of a medical information system according to an embodiment of the present invention. As shown in FIG. 1, the medical information system 10 according to the present embodiment uses the medical information system 10 according to the present embodiment for a telecommunication network 50 including any one of a network, a dedicated line, and a VPN (Virtual Private Network). In order to do so, general user terminals 12, 14, 16 such as personal computers and mobile phones of registered general users can be connected. Also connected to the telecommunications network 50 are A hospital server 18 to D hospital server 24 which are servers of a plurality of hospitals registered to serve as transfer destinations in the medical information system 10 of the present embodiment as medical personnel terminals. Has been made possible. Furthermore, the telecommunications network 50 includes A doctor terminals 26 to E doctor terminals 34 which are terminals of a plurality of doctors registered to provide second opinions in the medical information system 10 of the present embodiment as medical staff terminals. Connectable. The telecommunications network 50 can also be connected to an X doctor terminal 36, which is a foreign doctor terminal with low labor costs, so that the cost can be reduced. In addition, because general users and hospitals use the medical information system 10 of this embodiment because they receive treatments that are not performed in Japan or receive treatments at low cost, they are also general users in foreign countries. The terminal 17 and the E hospital server 25 can be connected to the telecommunications network 50. In addition, the telecommunications network 50 is connected to a medical information server 100 that provides general users with information on doctors who provide hospitals and second opinions as transfer destinations, and provides user information to the hospitals and doctors. Has been.

  FIG. 2 is a block diagram showing a configuration of the medical information server according to the embodiment of the present invention. The medical information server 100 of the present embodiment is configured as a server device including a database such as a firewall 102, a control unit 104, and a hospital information database 122. As shown in FIG. 2, the medical information server 100 includes a firewall 102 at the boundary with the telecommunications network 50 so that unauthorized access to information stored in the medical information server 100 can be protected.

  Of the information that has passed through the firewall 102, new data related to general users, hospitals, and doctors is received by the update data receiving unit 106 (update data receiving unit) of the control unit 104. The data received by the update data receiving unit 106 is sent to the database reading / writing unit 108 (database reading unit, database writing unit), and the database reading / writing unit 108 stores each of the hospital information database 122 and the like according to the data. Update the data contents of the database.

  The rating condition receiving unit 112 (rating condition receiving unit) of the control unit 104 receives the rating condition input by the user during “custom rating” to be described later from the general user terminals 12 to 17 out of the information passed through the firewall 102. To do. The rating condition received by the rating condition receiving unit 112 is sent to the database reading / writing unit 108, and the database reading / writing unit 108 updates the storage contents of the rating condition database 128 described later. Also, the rating condition receiving unit 112 transmits the received rating condition to the rating calculation unit 114 (rating calculation unit). The rating calculation unit 114 includes a rating condition received from the rating condition reception unit 112, and a rating value of each rating item read from the hospital information database 122 and the doctor information database 124 received from the database reading / writing unit 108, respectively. Calculate hospital and doctor ratings. As will be described later, in “normal rating” in which the importance of rating items is all the same, the rating of each hospital or doctor calculated by the rating calculation unit 114 is again stored in the database reading / writing unit 108. To the hospital information database 122 and the doctor information database 124.

  The search condition receiving unit 116 (search condition receiving unit) of the control unit 104 receives the search condition input by the user from the general user terminals 12 to 17 among the information that has passed through the firewall 102. The data search unit 118 (search means) includes the search condition received by the search condition reception unit 116, the rating value calculated by the rating calculation unit 114, and the hospital information database 122 or the database read / write unit 108. A search is performed from the data read from the doctor information database 124. The search result and the rating result searched by the data search unit 118 are sent to the telecommunications network 50 via the firewall 102 by the search / rating result transmission unit 120 (search / rating result transmission unit), and will be described later. Received by general user terminals 12-17.

  FIG. 3 is a diagram illustrating an example of a data configuration of the hospital information database according to the embodiment of the present invention. As shown in FIG. 3, the hospital information database 122 stores data of registered hospitals that can serve as transfer destinations. As the type of data, the area where the hospital is located, the specialty of the hospital, the availability of each type of room, etc. are stored, and as described above, it is updated and rewritten to the latest information as needed.

  FIG. 4 is a diagram showing an example of ratings stored in a hospital information database which is one of medical personnel information databases according to the embodiment of the present invention. As shown in FIG. 4, the hospital information database 122 stores rating values based on a five-step evaluation for various rating items for each registered hospital. In the example of FIG. 4, rating items such as “cleanliness of facilities” and “luxury of facilities” are set for hospital facilities, and “total number of doctors, ratio of number of patients”, “ Rating items such as “total number of nurses, ratio of number of patients” are set. The rating value of each rating item is determined by “rating participation” (voting by the user) described later by the user, and is updated to a new value depending on the result of “rating participation”. The hospital information database 122 stores a “normal rating” value as an average value of the rating values for all the rating items for each hospital, and each hospital is based on these “normal rating” values. Rankings are also stored at the same time. In addition, in the hospital information database 122, comments by the users are stored for each hospital, and can be used as a reference when other users consider the transfer destination.

  FIG. 5 is a diagram illustrating an example of a data configuration of a doctor information database which is one of medical staff information databases according to the embodiment of the present invention. As shown in FIG. 5, in the doctor information database 124, as with the hospital information database 122 described above, for each registered doctor, rating values based on a five-level evaluation are stored for various rating items. In the example of FIG. 5, rating items such as “presence / absence of specialists / certified physicians” and “number of research results in specialized areas” are set for the skill evaluation of doctors, and “honesty”, Rating items such as “respondence to questions” are set. The rating values of these rating items are also determined by “rating participation” by the user, which will be described later, and are updated to new values depending on the result of “rating participation”. Similarly to the hospital information database 122, the doctor information database 124 stores a “normal rating” value as an average value of the rating values of all rating items, and between doctors based on the “normal rating” value. The ranking is also stored at the same time. Furthermore, the doctor information database 124 stores comments by the user for each doctor, and can be used as a reference when another user selects a doctor for obtaining a second opinion.

  Returning to FIG. 2, the patient information database 126 stores the ID, age, sex, address, disease history, hospital transfer, etc. of each patient (user). The rating condition database 128 stores the rating conditions for each user so that each user can search for a desired hospital or doctor using the rating conditions used by the user. It has become. Alternatively, other users, hospitals, and doctors collect data on which rating items are considered important by other users by using the rating conditions used by one user and performing rating or search. It can also be used for consulting and marketing for hospitals and doctors. That is, it is possible to add a function capable of conducting a market survey of users to the medical information system.

  Hereinafter, the operation of the medical information system of the present embodiment will be described separately for each type of service to be provided.

(Transmission support)
A general user who wants to receive “transfer support” in the present embodiment first connects to the medical information server 100 from his / her general user terminal 12 to general user terminal 17. Connection to the medical information server 100 is performed by inputting the registered ID and password. When the user who has secured the connection with the medical information server 100 selects “transfer support” from the content according to the guidance displayed on the screens of the general user terminal 12 to the general user terminal 17, as shown in FIG. A search screen is displayed on the screens of the general user terminal 12 to the general user terminal 17. The user inputs search conditions such as “region” and “specialty” to his / her general user terminal 12 to his / her general user terminal 17 for the hospital to be transferred to each search item. The input search condition is received by the search condition receiving unit 116 of the medical information server 100 and sent to the data search unit 118. In addition, it is not limited to a general user that "transfer support" in this embodiment can be used. For example, a hospital or a doctor connects to the medical information server 100 via the hospital servers 18 to 25 or the doctor terminals 26 to 36 when transferring a patient. At the time of connection, the registered patient ID and password obtained in advance are entered to establish a connection with the medical information server 100. By receiving the “transfer support” service shown below, it is possible to efficiently determine a transfer destination suitable for the needs of the patient.

  Hereinafter, the rating of the present embodiment will be described. As shown in FIGS. 3 and 4, the “normal rating” is performed by adding the rating value of each rating item stored in the hospital information database 122 by the rating calculation unit 114 of the medical information server 100 in the same manner. This is a calculated average value. Since the rating value of each rating item may change due to “rating participation” by the user, which will be described later, compared to the rating by a rating agency as described in Patent Document 1, the rating value reflects the user's needs more. be able to. The normal rating calculated by the rating calculation unit 114 is sent to the database reading / writing unit 108 and stored in the hospital information database 122.

While “normal rating” treats the importance of each rating item the same, “custom rating” increases or decreases the importance of each rating item according to the needs of individual users. The difference is that the rating reflects user needs. “Custom rating” is calculated by the following formula.

(“Cleanliness of facility” × α ₁ + “Luxury of facility” × α ₂ +... + “Number of treatments by disease” × α _n ) / n = Custom rating… Formula (1)
n: rating item number _α 1~n: importance of each rating item

FIG. 7 is a diagram showing an input screen for the importance of rating items in the custom rating of the hospital according to the embodiment of the present invention. As shown in FIG. 7, the user inputs importance-5 to importance + 5 and plus / minus-5 levels of importance according to his / her needs for each rating item. In this embodiment, importance level-5: α 1- _n = 0.5, importance level-4: α 1- _n = 0.6, importance level-3: α 1- _n = 0.7, importance _level- 2: α 1- _n = 0.8, Importance-1: α 1- _n = 0.9, Importance ± 0: α 1- _n = 1, Importance + 1: α 1- _n = 1.1, Importance + 2: α 1- _n = 1.2, Importance + 3: α 1- _n = 1.3, Importance + 4: α 1- _n = 1.4, Importance + 5: α 1- _n = 1. 5, importance values α 1 to _n are set. By changing the values of the importance α 1 to _{n in} this way, the influence that the rating value of each rating item has on the custom rating value as a whole also fluctuates. Therefore, the rating more reflects the needs of the user. For example, in the example shown in FIG. 7, it can be seen that the user places importance on the hospital facility and does not place much importance on the quality of the staff. Note that “custom rating” also has the same value as “normal rating” if all importance α 1 to _n are equal.

  When performing “custom rating”, the user inputs the importance of each rating item to his / her general user terminal 12 to general user terminal 17 as a rating condition. The input rating condition is received by the rating condition receiving unit 112 of the medical information server 100 and sent to the rating calculating unit 114. The custom rating calculated as described above by the rating calculation unit 114 and the rating condition are stored in the rating condition database 128. The custom rating calculated by the rating calculation unit 114 is sent to the data search unit 118.

  In addition, the user can store the rating conditions of the custom rating he has performed in the past in the rating condition database 128, and can perform new custom rating again using the data as appropriate. Alternatively, each user may be able to perform custom ratings using the rating conditions used by other users.

  The data search unit 118 of the medical information server 100 performs a search from the rating calculated by the rating calculation unit 114, the data read by the database reading / writing unit 108, and the search condition received by the search condition receiving unit 116. The search result and rating result are transmitted to each of the general user terminals 12 to 17 by the search / rating result transmission unit 120. FIG. 8 is a view showing a screen displaying the search result of the transfer destination according to the embodiment of the present invention in the order of normal rating. The user can browse the detailed information of each hospital by clicking the “display detailed information” icon. The search results shown in FIG. 8 can be displayed in the order of custom ratings by clicking the icon “display in order of custom ratings”. In the example shown in FIG. 8, since the custom rating is displayed in the order of the custom rating performed with emphasis on the hospital facilities as shown in FIG. 7, even if the staff is somewhat inferior, A full hospital will be displayed at the top.

  As described above, by using the system of this embodiment to search for a hospital to be transferred to, the user can search for a hospital that is more suitable for his / her needs.

(Second opinion support)
A general user who wants to receive “second opinion support” in this embodiment connects to the medical information server 100 from his / her general user terminal 12 to general user terminal 17 in the same manner as the “transfer support” described above, and his / her general user When “second opinion support” is selected from the content in accordance with the guidance displayed on the screens of the terminal 12 to the general user terminal 17, the same search screen for doctors as shown in FIG. It is displayed on the screen of the terminal 17. The user inputs conditions such as “specialized” and “normal rating” for a doctor who wants to receive a second opinion for each search item. The input search condition is received by the search condition receiving unit 116 of the medical information server 100 and sent to the data search unit 118.

  The “normal rating” and the “custom rating” in the “second opinion support” can be performed in the same manner as in the “transfer support” described above. For example, as shown in FIG. 9, when the user places more importance on the human nature of the doctor, the importance of the rating items related to person evaluation is increased. When the search is performed in this manner, a search result as shown in FIG. 10 is displayed in the same manner as the above-mentioned “transfer support”. As shown in FIG. 10, in the display of the normal rating order, the doctor A is displayed at a higher position than the doctor B. However, when the display is in the custom rating order, Will be displayed higher than Doctor A.

  As described above, by searching for a doctor who wants to receive a second opinion using the system of the present embodiment, the user can search for a doctor who is more suitable for his / her needs.

(Rating participation)
In the present embodiment, the general user who wants to perform “rating participation” connects to the medical information server 100 from his / her general user terminal 12 to the general user terminal 17 in the same manner as the “transfer support” described above, and his / her general user terminal 12-When “rating participation” is selected from the content in accordance with the guidance displayed on the screen of the general user terminal 17, the rating value of each rating item as shown in FIG. 11 is input for each hospital or doctor. The screen is displayed on the screens of the general user terminal 12 to the general user terminal 17.

  When the user inputs the rating value of each rating item from his / her general user terminal 12 to general user terminal 17, the rating value of each rating item is received by the update data receiving unit 106 of the medical information server 100. The rating value received by the update data receiving unit 106 is sent to the database reading / writing unit 108, and the database reading / writing unit 108 writes the rating value in the hospital information database 122 or the doctor information database 124. When there are a plurality of users who participated in the rating for each hospital or doctor, the average value of each rating value is calculated by the rating calculation unit 114, and the database reading / writing unit 108 uses the hospital information database 122 or It is written in the doctor information database 124. At the same time, the rating calculation unit 114 calculates the normal rating for each hospital or doctor, and the database reading / writing unit 108 writes the normal rating in the hospital information database 122 or the doctor information database 124. Similarly, the user can write comments about each hospital or doctor and store them in the database of the medical information server 100.

  Thus, when a user participates in the rating of a hospital or a doctor, the user can easily obtain information on the hospital or doctor that meets his needs. In the present embodiment, not only ratings by users, but also ratings (rating evaluation) by academic societies and external rating agencies may be used in combination.

(Information registration and information update)
At the time of registration of the first information, the medical information server 100 assigns an ID and a password to each general user, hospital, and doctor connected to the medical information server 100. The general user, the hospital, and the doctor who have acquired the ID and password transmit information to be input from the general user terminals 12 to 17, the hospital servers 18 to 25, and the doctor terminals 26 to 36 to the medical information server 100. The medical information server 100 receives each information by the update data receiving unit 106, and the information received by the update data receiving unit 106 is stored in the hospital information database 122, the doctor information database 124, and the database read / write unit 108. Stored in the patient information database 126.

  The update of information may be performed by inputting update information from each of the general user terminals 12 to 17, the hospital servers 18 to 25, and the doctor terminals 26 to 36 every time when the update needs to be performed. Intense general user and hospital information may be automatically updated regularly.

(Matching result display)
Medical personnel such as hospitals and doctors can also efficiently perform medical work by using the medical information system of this embodiment. FIG. 12 is a diagram showing a matching result display screen used by medical personnel according to the embodiment of the present invention. A user who has searched for a hospital at a transfer destination that meets his / her needs through the above-mentioned “transfer support” issues a request for transfer to the medical information server 100 via his / her general user terminals 12 to 17. The medical information server 100 transmits to the hospital servers 18 to 25 of the hospital to which the hospital is transferred, information indicating that the hospital has a hospital transfer request. As shown in FIG. 12, information on each general user (patient) who has given a request for a transfer is displayed on the screen of a terminal connected to the hospital servers 18 to 25 of the hospital where the transfer is desired. If the general user can be accepted on the hospital side, it is possible to accept the transfer to the general user terminals 12 to 17 via the medical information server 100 by clicking the “accept transfer” button. A message can be sent.

  When the hospital itself cannot accept the transfer, the hospital can introduce another hospital. In this case, each of the hospital servers 18 to 25 can transmit an introduction letter including information such as the patient status to the other hospital servers.

  Similarly, the same screen is displayed on the doctor terminals 26 to 36 of the doctors who wished to provide the second opinion for the user who has searched for doctors that meet his needs by the above-mentioned “second opinion support”. The doctor can make a choice such as accepting or rejecting the provision of the second opinion, or introducing another doctor.

  In addition, the hospitals related to the hospital servers 18 to 25, the doctors related to the doctor terminals 26 to 36, and the like can mutually retrieve information such as ratings about other hospitals and doctors from the database of the medical information server 100. When introducing patients between doctors, it is possible to efficiently search for an optimal hospital or doctor.

  The medical information system of the present invention is not limited to the above-described embodiment, and various changes can be made without departing from the scope of the present invention.

It is a figure which shows the structure of the medical information system which concerns on embodiment of this invention. It is a block diagram which shows the structure of the medical information server which concerns on embodiment of this invention. It is a figure which shows an example of the data structure of the hospital information database which concerns on embodiment of this invention. It is a figure which shows an example of the rating memorize | stored in the hospital information database which concerns on embodiment of this invention. It is a figure which shows an example of a data structure of the doctor information database which concerns on embodiment of this invention. It is a figure which shows the search screen of the transfer destination which concerns on embodiment of this invention. It is a figure which shows the input screen of the importance of the rating item in the custom rating of the hospital which concerns on embodiment of this invention. It is a figure which shows the screen which displayed the search result of the transfer destination which concerns on embodiment of this invention in order of normal rating. It is a figure which shows the input screen of the importance of the rating item in the doctor's custom rating which concerns on embodiment of this invention. It is a figure which shows drawing which displayed the search result of the doctor who provides the second opinion which concerns on embodiment of this invention in order of normal rating. It is a figure which shows the screen which displayed the search result of the doctor who provides the second opinion which concerns on embodiment of this invention in order of custom rating. It is a figure which shows the input screen of the rating item in the rating of the hospital where the user which concerns on embodiment of this invention participates.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 ... Medical information system 12, 14, 16, 17 ... General user terminal, 18 ... A hospital server, 20 ... B hospital server, 22 ... C hospital server, 24 ... D hospital server, 25 ... E hospital server, 26 ... A doctor terminal, 28 ... B doctor terminal, 30 ... C doctor terminal, 32 ... D doctor terminal, 34 ... E doctor terminal, 36 ... X doctor terminal, 50 ... telecommunications network, 100 ... medical information server, 102 ... firewall, DESCRIPTION OF SYMBOLS 104 ... Control part 106 ... Update data receiving part 108 ... Database reading / writing part 108, 112 ... Rating condition receiving part 114 ... Rating calculating part 116 ... Search condition receiving part 118 ... Data search part 120 ... Search / rating result transmission unit, 122 ... Hospital information database, 124 ... Doctor information database, 126 ... Patient information database, 128 ... Ray Database.

Claims (1)

A medical information system in which a general user terminal, a medical staff terminal, and a medical information server can be connected to a telecommunications network,
The medical information server
A medical personnel information database storing medical personnel information related to the medical personnel terminal;
Update data receiving means for receiving update data from the medical personnel terminal;
Database writing means for writing update data received by the update data receiving means to the medical personnel information database;
Database reading means for reading information on medical personnel stored in the medical personnel information database;
Rating condition receiving means for receiving a rating condition from the general user terminal;
Rating calculating means for calculating a rating of a medical person related to the medical person terminal based on the rating condition received by the rating condition receiving unit;
Search condition receiving means for receiving a search condition from the general user terminal;
Medical personnel stored in the medical personnel information database based on the medical personnel information read by the database reader, the ratings calculated by the rating calculator, and the search conditions received by the search condition receiver Search means for searching information of
Search / rating result transmission means for transmitting the rating calculated by the rating calculation means and the search result searched by the search means to the general user terminal;
A medical information system comprising

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