KR20180045116A - Apparatus for managing diagnosis of poc - Google Patents

Abstract

A POC diagnosing and managing apparatus is disclosed. The POC diagnosing and managing apparatus according to the present invention includes a point of care (POC) diagnosing device; and a service server which collects information from the POC diagnosing device, transmits collected treatment indication information to the POC diagnosing device, and manages an operation for the information received from the POC diagnosing device. Accordingly, the present invention can operate and manage diagnostic information in real time.

Description

[0001] APPARATUS FOR MANAGING DIAGNOSIS OF POC [0002]

The present invention relates to a POC (Point of Care) diagnostic management apparatus, and more particularly, to a POC diagnostic management apparatus that stores and manages diagnostic information acquired through a POC diagnostic apparatus.

In the past, if the center of medical care was the treatment, now the in vitro diagnostic industry is attracting attention as it focuses on prevention.

In vitro diagnosis refers to the measurement and analysis of specific components in samples of body fluids such as blood, sweat, and urine to check for signs of anomalies or illnesses in patients. In vitro diagnostics are widely used to check the safety of blood used for diagnosis of pregnancy and transfusion, as well as for checking professional diseases.

In vitro diagnostic analyzers include glycosylated hemoglobin (HbA1c), albumin (u-Albumin, ACR), creatinine, C-reactive protein (CRP), D-dimer There are devices that measure and analyze.

Conventional in vitro diagnostic analyzers are mainly high-priced and large-sized instruments, but in recent years, miniaturized low-cost instruments for point of care (POC) have been developed.

The background art of the present invention is disclosed in " Smart terminal for on-site medical diagnosis " of Korean Patent Laid-Open Publication No. 10-1573118 (Feb.

In the past, the diagnostic information analyzed by the POC diagnostic system was directly observed by the nurse, etc., and was directly written on a separate recording sheet to manage the health and condition of each patient.

However, in the conventional method, a mistake or an error may occur in the process of confirming diagnostic information directly by the nurse or the like directly to the recording sheet and managing the recording sheet or the like as a separate document or file, Operation and management are very inconvenient.

It is an object of one aspect of the present invention to provide a POC diagnosis apparatus and a service server of a medical institution that perform Low Power Wide Area (LPWA) communication through a gateway, Management and operation of the POC diagnosis management apparatus.

Another object of the present invention is to provide a POC diagnosis device which transmits diagnostic information of a POC diagnosis device in real time to a medical device requiring the diagnosis, blood glucose and electrolyte examination, pregnancy test, fecal occult blood test, food pathogen test, hemoglobin diagnosis, , A cholesterol test, and the like can be effectively performed.

According to an aspect of the present invention, there is provided a POC diagnosis management apparatus comprising: a Point Of Care (POC) And a service server for collecting and collecting information from the POC diagnostic device, and transmitting the collected treatment indication information to the POC diagnostic device, and managing the operation of the information received from the POC diagnostic device.

In the present invention, the POC diagnosis unit and the service server are connected by LPWA (Low Power Wide Area) communication.

According to another aspect of the present invention, there is provided a POC diagnosis management apparatus comprising: a diagnosis unit for acquiring diagnosis information of a user; A communication unit for performing data communication with the service server; And a controller for controlling the communication unit to transmit the diagnosis information acquired by the diagnosis unit to the service server and performing data communication with the service server through the communication unit.

In the present invention, the communication unit is connected to the service server by LPWA (Low Power Wide Area) communication.

The present invention is characterized by further comprising an encryption / decryption unit for encrypting / decrypting information transmitted / received with the service server.

The present invention further includes an input unit for inputting additional information from a user, wherein the input unit is at least one of a keypad, a sign recognition, a fingerprint recognition, an iris recognition, a face recognition, a barcode, do.

In the present invention, the control unit may map the additional information inputted through the input unit with registration information, and the registration information may include manager information, drug information, presence / absence information, sensor correction information, diagnosis information, prescription information, Validity period information, degree-of-control information, linearity information, precision information, grocery information, food information, and exercise information.

In the present invention, the additional information may include at least one of patient information, physician information, user information, diagnosis time information, and POC diagnostic device identification information.

The present invention is further characterized by an output unit for outputting the treatment instruction information transmitted from the service server.

In the present invention, the controller provides group notification, total notification, and individual scheduling management functions.

In the present invention, the control unit performs communication with a designated gateway when a low power wide area network (LPWA) is overlapped.

In the present invention, the controller performs time synchronization with the service server and stores the location information of the POC diagnostic device.

A POC diagnosis management apparatus according to another aspect of the present invention includes a database unit; A communication module for performing data communication with a POC (Point Of Care) diagnostic device and a medical information system; And a control server for performing data communication through the communication module and storing and managing information transmitted and received through the communication module in the database unit.

In the present invention, the communication module is connected to the POC diagnostic device through LPWA (Low Power Wide Area) communication.

In the present invention, the control server transfers the additional information transferred from the POC diagnosis unit to the medical information system, and transmits the treatment instruction information transmitted from the medical information system to the POC diagnosis unit.

In the present invention, the control server analyzes the supplementary information transmitted from the POC diagnosis device and selectively transmits the supplementary information to one or more of the medical information systems according to the analysis result.

In the present invention, the control server transmits the information to one or more of the medical information systems according to additional information.

In the present invention, the additional information may include at least one of patient information, doctor information, diagnosis time information, and POC diagnostic device identification information.

In the present invention, the POC diagnostic apparatus and the medical information system may further include an encryption / decryption module for encrypting / decrypting information transmitted / received.

In the present invention, the medical information system includes an order communication system (OCS), an electronic medical record (EMR), a picture archiving communication system (PACS), and a clinical pathology information system And a laboratory information system (LIS).

The POC diagnosis management apparatus according to an aspect of the present invention enables a POC diagnosis unit and a service server of a medical institution to perform LPWA (Low Power Wide Area) communication through a gateway to manage and manage diagnosis information in real time.

A POC diagnosis management apparatus according to an aspect of the present invention is a system in which a POC diagnosis device transmits diagnosis information to a medical device and the like in LPWA communication system to perform blood glucose test, blood gas / electrolyte test, pregnancy test, fecal occult blood test, Hemoglobin diagnosis, infectious disease test and cholesterol test can be effectively performed.

The POC diagnosis management apparatus according to an aspect of the present invention allows an integrated medical management based on a POC diagnosis apparatus.

1 is a block diagram of a POC diagnosis management apparatus according to an embodiment of the present invention.
2 is a block diagram of a POC diagnostic device according to an embodiment of the present invention.
3 is a block diagram of a service server according to an embodiment of the present invention.
4 is a flowchart of a POC diagnosis management method according to an embodiment of the present invention.

Hereinafter, a POC diagnosis management apparatus according to an embodiment of the present invention will be described in detail with reference to the accompanying drawings. In this process, the thicknesses of the lines and the sizes of the components shown in the drawings may be exaggerated for clarity and convenience of explanation. Further, the terms described below are defined in consideration of the functions of the present invention, which may vary depending on the user, the intention or custom of the operator. Therefore, definitions of these terms should be made based on the contents throughout this specification.

FIG. 1 is a block diagram of a POC diagnostic management apparatus according to an embodiment of the present invention. FIG. 2 is a block diagram of a POC diagnostic apparatus according to an embodiment of the present invention. FIG. 2 is a block diagram of a service server according to an embodiment of the present invention;

Referring to FIG. 1, a POC diagnosis management apparatus according to an exemplary embodiment of the present invention includes a POC diagnosis unit 10, a service server 20, a medical information system 30, and a medical terminal 40.

The POC diagnostic device 10 measures and analyzes specific components in a sample of body fluids such as blood, sweat, and urine, generates diagnostic information, and transmits the generated diagnostic information to the service server 20 through a communication network. This will allow your doctor or nurse to identify the patient's anomalies or illness.

In addition, the POC diagnostic device 10 receives and outputs the treatment instruction information for the patient transmitted from the service server 20. Therefore, a user in the field, for example, a nurse or a doctor, treats the patient according to the instruction information for the patient, so that the patient can be appropriately treated.

The communication network performs data communication between the POC diagnostic device 10 and the service server 20, the medical information system 30, and the medical terminal 40. The communication network may include a wired / wireless communication network provided in the medical institution and capable of data communication between the POC diagnostic apparatus 10, the service server 20, the medical information system 30, and the medical terminal 40.

In particular, the POC diagnostic device 10 and the service server 20 may be connected to each other through a low power wide-area (LPWA). Low-power long-distance communications can be built into low-power, Internet-based networks using the license-exempt frequency bands. Low-power long-distance communication is in use in the 868MHz band in Europe and 915MHz in the US, and usually uses a band below 1GHz.

Low Power Wide-Area (LPWA) is divided into non-cellular and cellular based, while LoRa and DigFox are based on non-cellular, and NB-LTE and LTE-MTC are cellular based.

Therefore, the communication network between the POC diagnostic device 10 and the service server 20 includes both a gateway and a network server for collecting and delivering information for performing the low-power long distance communication and operating and managing transmission and reception of the information .

2, the POC diagnostic apparatus 10 includes a diagnosis unit 11, an input unit 12, an output unit 13, a communication unit 14, an encryption / decryption unit 15, and a control unit 16.

The diagnostic unit 11 uses the electrochemical method to measure and analyze specific components in samples of body fluids such as blood, sweat, and urine to generate diagnostic information.

Diagnostic information may include at least one or more of the information required for blood glucose testing, blood gas / electrolyte testing, pregnancy testing, fecal occult blood testing, food pathogen testing, hemoglobin testing, infection testing, and cholesterol testing.

For reference, in this embodiment, the analysis of the sample using the electrochemical method has been described as an example, but the diagnostic method is not particularly limited.

The input unit 12 receives information, for example, additional information, from a user using the POC diagnostic apparatus 10. [ The user using the POC diagnostic apparatus 10 may include a nurse or a clinical pathologist and a doctor in charge in the medical institution.

The additional information input through the input unit 12 may include at least one of patient information, doctor information, user information, diagnosis time information, and POC diagnostic apparatus identification information.

Patient information is information about the patient. Patient information may include the patient's name, gender, age, symptoms, illness, etc.

The doctor information is information about the doctor in charge of the patient. The doctor's information may include the name, affiliation, position, medical field, etc. of the doctor in charge.

The user information is information on a user who uses the POC diagnostic device 10. [ The user information may include the user's name, affiliation, position, medical field, etc.

The diagnosis time information is information on the time at which the diagnostic information is generated using the POC diagnostic device 10. [

The POC diagnostic device identification information is identification information enabling the POC diagnostic device 10 to be identified. The POC diagnostic device identification information may include serial information given by the manufacturer that manufactured the POC diagnostic device 10, user information using the POC diagnostic device 10, and the like.

Based on the information input through the input unit 12, the source of the diagnostic information and the medical information system 30 and the medical terminal 40 to which the diagnostic information is provided can be specified.

The input unit 12 may be at least one of a keypad, a sign recognition, a fingerprint recognition, an iris recognition, a face recognition, a barcode, a wireless communication, and a touch screen.

The output unit 13 outputs diagnostic information and information received from the service server 20. [ The information received from the service server 20 may include treatment instruction information for the patient. Based on the treatment instruction information, a nurse or a doctor in charge can treat the patient.

The input unit 12 and the output unit 13 may be vertically stacked and manufactured as a touch screen.

The communication unit 14 performs data communication with the service server 20 through a communication network. The communication unit 14 performs data communication with the service server 20 in response to a control signal of the controller 16 in a low-power long-distance communication mode.

The encryption / decryption unit 15 encrypts information transmitted to the service server 20 via the communication unit 14, decrypts the information transmitted from the service server 20 via the communication unit 14, and inputs the encrypted information to the control unit 16 do. The encryption scheme or the decryption scheme of the encryption / decryption unit 15 is not limited to a specific scheme, and various schemes may be employed as needed.

The control unit 16 maps the registration information to previously stored additional information and encrypts the mapped registration information and the additional information through the encryption / decryption unit 15 and then transmits the encrypted registration information and the additional information to the service server 20 through the communication unit 14 .

The control unit 16 receives the treatment instruction information transmitted from the service server 20 via the communication unit 14 and decodes the received treatment instruction information through the encryption / decryption unit 15, Lt; / RTI >

In addition, the control unit 16 receives and stores the above-described additional information through the input unit 12. The control unit 16 maps the registration information to the additional information.

The registration information includes manager information, drug information, medication presence information, sensor correction information, diagnosis information, prescription information, lot information, expiration period information, quality management information, linearity information, precision information, food information, . In particular, the medical information system 30, the medical terminal 40, and the like, from which the source of the registration information and the diagnosis information are provided, can be specified through the diagnosis information.

In addition, if the LWPA network is overlapped with the service server 20 through the LPWA network, the controller 16 performs communication with the designated gateway.

In addition, the control unit 16 stores time synchronization and position information.

In addition, the control unit 16 includes a group notification, a global notification, and an individual scheduling time management function. Accordingly, when an event is generated, a notification function is provided to the employee of the group or the hospital according to the user's input through the input unit 12. [ In addition, the controller 16 generates an alarm or the like at a set time so as to manage the schedule.

In addition, the control unit 16 stores time synchronization and position information. In particular, the controller 16 performs time synchronization with the service server 20, detects the location information of the POC diagnostic device 10, and stores the detected location information. Here, the method of detecting the position information of the POC diagnostic device 10 may be performed by using a separate GPS receiver or by calculating distances to beacons from signals transmitted from a plurality of beacons and applying the calculated distances to the triangulation method Can be applied.

The service server 20 receives diagnostic information from the POC diagnostic device 10 via a communication network, stores the diagnostic information, and transmits the diagnostic information to the medical information system 30. The service server 20 collects the treatment instruction information in association with the medical information system 30 or the medical terminal 40 and delivers the treatment instruction information to the POC diagnosis device 10 via the communication network.

3, the service server 20 includes a communication module 21, an encryption / decryption module 22, a database 23, and a control server 24.

The communication module 21 performs data communication with the POC diagnostic device 10, the medical information system 30, and the medical terminal 40 through a communication network. In particular, the communication module 21 may be connected to the POC diagnostic device 10 through a low-power long-distance communication method. The communication module 21 receives the information transmitted through the low power long distance communication method from the POC diagnostic device 10 and transmits the instruction instruction information inputted from the medical information system 30 or the medical terminal 40 to the low power long distance communication method To the POC diagnostic device 10 via the network.

The communication module 21 transmits diagnosis information and registration information to the medical information system 30 and the medical terminal 40 and receives the processing instruction information from the medical information system 30 and the medical terminal 40.

The encryption / decryption module 22 encrypts and decrypts information transmitted and received through the communication module 21. That is, the encryption / decryption module 22 decrypts the treatment instruction information transmitted from the medical information system 30 or the medical terminal 40, and decrypts the diagnostic information and the registration information transmitted from the POC diagnostic device 10. Also, the encryption / decryption module 22 encrypts diagnostic information to be transmitted to the medical information system 30 or the medical terminal 40, and encrypts the treatment instruction information to be transmitted to the POC diagnostic device 10.

The database unit 23 stores various kinds of information such as diagnosis information, additional information, and treatment instruction information transmitted and received through the POC diagnostic apparatus 10, the medical information system 30, and the medical terminal 40. [ The database unit 23 also stores various log information according to the operation of the control server 24.

The control server 24 performs data communication through the communication module 21 and stores and manages information transmitted and received through the communication module 21 in the database unit 23.

That is, when the diagnostic information and the registration information are transmitted from the POC diagnostic device 10, the control server 24 analyzes the supplementary information transmitted from the POC diagnostic device 10 and determines whether any one or more of the medical information systems 30 As shown in FIG. In this case, the control server 24 analyzes the additional information and selects one or more of the medical information systems 30. For example, the control server 24 selects patient information, doctor information, user information, diagnosis time information, Determines the medical information system (30) to which the diagnostic information is to be transmitted according to the identification information, and transmits the diagnostic information, additional information, and the like to the determined medical information system (30).

The control server 24 transmits the treatment instruction information to the POC diagnosis device 10 through the communication module 21 when the treatment instruction information is transmitted from the medical information system 30 and the medical terminal 40. [

The medical information system 30 stores and manages the diagnostic information and the registration information received from the service server 20 and transmits the treatment instruction information inputted from the doctor or the like to the service server 20. The medical information system 30 includes an order communication system (OCS), an electronic medical record (EMR), a picture archiving communication system (PACS), and a clinical pathology information system Laboratory Information System (LIS).

The prescription delivery system is a hospital information system that links the hospital's medical services, the medical service department, and the nursing service organically with the computerized environment as a tool. Prescription delivery system enables medical staff to enter prescriptions easily and quickly, provides prompt inquiry of various test results, provides patient information, supports nursing work such as ward patient management and hospital management, As shown in FIG.

The electronic medical record system is a system for recording and storing medical records as electronic documents. The electronic medical record system improves the patient's waiting time and improves the medical service, and provides the clinical information in real time to increase the efficiency of medical service. The electronic medical record system is composed of a medical EMR that is responsible for the doctor's medical record, a nursing EMR that carries the patient record of the nurse, a video EMR that stores and provides an image of the past medical record, And an integrated information EMR linking integrated inquiries.

The medical image storage and transmission system supports the acquisition, storage and retrieval of vast amounts of medical images that occur daily in a medical institution.

Clinical pathology information system performs sample collection and reception function, interlocking function of test equipment, quality control function including result verification, and report of test result.

The medical terminal 40 is provided with a medical staff responsible for the treatment and management of the patient in the medical institution. The medical terminal 40 inputs and outputs various information in association with the medical information system 30 described above. In particular, the medical terminal 40 stores the diagnostic information and the registration information received from the service server 20, and transmits the treatment instruction information inputted from the doctor or the like to the service server 20. The medical terminal 40 may be a personal computer (PC), a smart phone, a laptop computer, or a PDA (Personal Digital Assistant).

Hereinafter, a POC diagnosis management method according to an embodiment of the present invention will be described in detail with reference to FIG.

4 is a flowchart of a POC diagnosis management method according to an embodiment of the present invention.

Referring to FIG. 4, the control unit 16 controls the diagnosis unit 11 to generate diagnostic information by measuring and analyzing a specific component in a sample of body fluids such as blood, sweat, and urine of a patient (S10). In this case, the control unit 16 maps the registration information and the additional information (S12), encrypts the registration information and the additional information through the encryption / decryption unit 15, (S14).

In this case, the additional information may be input through the input unit 12, or a dictionary may be registered in advance.

In addition, the control unit 16 outputs the diagnostic information acquired through the diagnosis unit 11 through the output unit 13 so that a medical staff in the field can recognize the patient condition.

Meanwhile, the communication module 21 of the service server 20 receives the registration information and the additional information from the service server 20 via the communication network, and the encryption / decryption module 22 decrypts the diagnostic information and the additional information.

The control server 24 stores the registration information and the additional information in the database unit 23 (S16), analyzes the additional information, and selects the medical information system 30 to which the diagnostic information and the additional information are to be transmitted (S18).

In this case, the control server 24 may analyze the additional information to select the medical terminal 40 to store and output the diagnostic information and the additional information, and may transmit the diagnostic information and the additional information to the corresponding medical terminal 40.

The control server 24 encrypts the diagnostic information and the additional information through the encryption / decryption module 22 and transmits the encrypted information to the communication module 21 (S20). The medical information system 30 then transmits the diagnostic information and the additional information (S22).

On the other hand, a doctor, a nurse or the like accesses the medical information system 30 by using his / her own medical terminal 40, generates treatment instruction information referring to the diagnosis information, and transmits the treatment instruction information to the medical information system 30). Based on this process, the medical information system 30 collects the treatment instruction information for the patient (S24).

The medical information system 30 transmits the treatment instruction information to the service server 20 at step S26 and the control server 24 decodes the treatment instruction information through the encryption / decryption module 22, (S28).

The control server 24 encrypts the instruction instruction information through the encryption / decryption module 22 and transfers the encrypted instruction information to the corresponding POC diagnostic device 10 through the communication module 21 (S30)

The control unit 16 of the POC diagnostic apparatus 10 decodes the treatment instruction information transmitted from the service server 20 to the encryption / decryption unit 15 and outputs it through the output unit 13 (S32).

As described above, the POC diagnosis management apparatus according to an embodiment of the present invention is configured such that the POC diagnosis unit 10 and the service server 20 of the medical institution perform LPWA (Low Power Wide Area) communication through the gateway, To be able to operate.

In addition, the POC diagnosis management apparatus according to an embodiment of the present invention transmits the diagnosis information to the medical device or the like by the POC diagnosis apparatus 10 and transmits the diagnosis information to the medical device and the like to perform a blood glucose test, a blood gas / electrolyte test, Test, food pathogen test, hemoglobin test, infectious test, cholesterol test and so on.

In addition, the POC diagnostic management apparatus according to an embodiment of the present invention allows the integrated medical management based on the POC diagnostic apparatus 10 to be performed.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is clearly understood that the same is by way of illustration and example only and is not to be taken by way of limitation, I will understand. Accordingly, the true scope of the present invention should be determined by the following claims.

10: POC diagnostic system
11:
12:
13: Output section
14:
15:
16:
20: service server
22: An encryption / decryption module
21: Communication module
22: An encryption / decryption module
23:
24: control server
30: Medical Information System
40: medical terminal

Claims (20)

Point Of Care (POC) diagnostic; And
And a service server for collecting information from the POC diagnostic device and delivering the collected treatment instruction information to the POC diagnostic device and managing the operation of the information received from the POC diagnostic device.
The POC diagnostic management apparatus according to claim 1, wherein the POC diagnosis unit and the service server are connected by LPWA (Low Power Wide Area) communication.
A diagnostic unit for acquiring diagnostic information of a user;
A communication unit for performing data communication with the service server; And
And a control unit for controlling the communication unit to transmit diagnostic information acquired by the diagnosis unit to the service server and performing data communication with the service server through the communication unit.
The POC diagnostic management apparatus according to claim 3, wherein the communication unit is connected to the service server by LPWA (Low Power Wide Area) communication.
The method of claim 3,
Further comprising an encryption / decryption unit for encrypting / decrypting the information transmitted / received with the service server.
The apparatus of claim 3, further comprising an input unit for receiving additional information from a user,
Wherein the input unit is at least one of a keypad, a sign recognition, a fingerprint recognition, an iris recognition, a face recognition, a barcode, a wireless communication, and a touch screen.
7. The method according to claim 6, wherein the control unit maps the additional information inputted through the input unit with registration information, and the registration information includes manager information, drug information, presence / absence information, sensor correction information, diagnosis information, Wherein the information is at least one of information, validity period information, degree-of-control information, linearity information, precision information, foodstuff information, food information, and exercise information.
The POC diagnostic management apparatus according to claim 7, wherein the additional information includes at least one of patient information, physician information, user information, diagnosis time information, and POC diagnostic device identification information.
The POC diagnostic management apparatus according to claim 3, further comprising an output unit for outputting the treatment instruction information transmitted from the service server.
The apparatus of claim 3, wherein the controller provides a group notification, a global notification, and an individual scheduling management function.
The apparatus of claim 3, wherein the control unit communicates with a designated gateway when the LPWA network is overlapped.
4. The POC diagnostic management apparatus of claim 3, wherein the controller performs time synchronization with the service server and stores location information of the POC diagnostic device.
A database section;
A communication module for performing data communication with a POC (Point Of Care) diagnostic device and a medical information system; And
And a control server for performing data communication through the communication module and storing and managing information transmitted and received through the communication module in the database unit.
14. The POC diagnostic management apparatus according to claim 13, wherein the communication module is connected to the POC diagnostic apparatus by LPWA (Low Power Wide Area) communication.
14. The POC diagnosis apparatus according to claim 13, wherein the control server transfers the additional information transmitted from the POC diagnosis apparatus to the medical information system, and transmits the treatment instruction information transmitted from the medical information system to the POC diagnosis apparatus Management device.
14. The POC diagnostic management apparatus according to claim 13, wherein the control server analyzes the supplementary information transmitted from the POC diagnosis unit and selectively transmits the supplementary information to one or more of the medical information systems according to the analysis result.
17. The POC diagnostic management apparatus according to claim 16, wherein the control server transmits the POC diagnosis information to at least one of the medical information systems according to additional information.
18. The POC diagnostic management apparatus according to claim 17, wherein the additional information includes at least one of patient information, doctor information, diagnosis time information, and POC diagnostic apparatus identification information.
The apparatus of claim 13, further comprising an encryption / decryption module for encrypting / decrypting the information transmitted / received with the POC diagnostic device and the medical information system.
The medical information system according to claim 13, wherein the medical information system comprises at least one of an Order Communication System (OCS), an Electronic Medical Record (EMR), a Picture Archiving Communication System (PACS) And a Laboratory Information System (LIS).

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