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eHealthbox Clinician Web user manual

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1. Show Al v Time Period Yom l3 To ral snow Date Value Measured By Edt Delete Upio 10 Jan 2014 79 81 kg Citizen 2 T 07 Jan 2014 77 6 kg Citizen a o9 F e e 00e20 755959 Citizen 2 Q F 14 Nov 2013 79kg Device 2 F 01 Aug 2013 72 kg Citizen 2S F l 25 Jul 20130 73kg Device J e o Results shown in Graphical view VS Nis e various filters can be applied Results type GG LUNES nn Edit result E 01Feb2013 75kg Professional Delete result e e s g e e e 2 p 2 20082012 Citizen amp upload S S S 8 S g g 8 8 8 S 8 8 3 E 2 5 g 3 3 3 E 8 S 05 Aug 2012 Professional buttons amp g B 5 amp 5 N 5 z S Citizen Date Results shown in Textual view A file can be Goals for Weigh Latest Value attached e g EKG image Date Set initial Value Goal GoaReached Edt Delete Results are often collected from various 04 Jun 0012 78 kg 65 kg r Fz 79 81 kg es E bi s a systems and eHealthbox is integrated to L Add Goal m A these legacy systems 02 01 2014T161 130 1 Page 10 of 11 eHealthbox Clinician Web user manual The health efforts have measurable allowed results The allowed result gets added when the health efforts are added Result data for a given type of allowed result can be added You can also add a new result type The different tabs can be chosen in the results function to see the corresponding results and goals You can add a result
2. eHealthbox COPD Diabetes v uncemented Diagnoses filter 30 31 Bloom FEV1 Emp Bl coner FEV1 Emp B comes FEV1 Empi a wW 7 8 O FEY1 Empi Bl coner FEV1 Emp FEV1 Emp 3 13 14 15 FEV1 Empi Bl cone FEV1 Empi loses FEV1 Empi 4 20 21 22 Bl coner FEV1 Empi Eomer FEV1 Empi Bl comen FEV1 Empi 6 27 28 29 FEV1 Empc FEV1 Emp Boone FEV1 Emp 7 Data and Goals eHealthbox Click to add new result type Add Result Typ Navigation 10ay Week ILLUM gt gt J buttons Data amp Goals Medicine esti Click to view Data amp goals s Weight BMI Pulse BP diastolic BP systolic Spirometry FEV1 Blood sugar Height Temperature Bs n Logged in as GP Test User Video Call jo Mai Editprofle Logout GP Joan Hansen 050148 1444 o j Sun Sat 4 5 Bs coner rev Empi ll cone FEv1 Empe 12 Bl cone FEV1 Empi Bl comen FEV1 Emp 10 11 lione res Empt Be piromety rev Emp 9 Bs coner FEV1 Empi FEV1 Emp 18 Bl come rei Emp Bl one rei Emp Events for a given 19 day metry FEV1 Emp 23 24 25 26 B coner FEV1 Emp pirometr FEV1 Emp Bl conet FEV1 Empt B comer Fev Empx 30 31 1 2 Gl coner FEV1 Empi Bl comen FEV1 Emp B ome rev Empi Be comer FEV1 Empe Individual reference value used for Red Amber Green algorithm calculation Logged in as GP Test User GP Questionnaires
3. effort Or to 2 3 months check COPD Appointment added with a number of plans i22 view Edit Q gt 6 months check COPD Appointment amp each plan can have a number i2 02 01 Q 2 9 months check COPD Appointment of hea Ith efforts with sub 013 05 01 Michael Keaton Q P 1 year check COPO Appointment health efforts 013 08 01 Michael Keaton Q 7 dj 15 months check COPO Appointment Completed 2013 09 07 Michael Keaton Pi Video conference Appointment Completed 2013 11 20 Alex Salmon Qo P Mobile Unt Hospital consultation Other Completed 2013 11 20 Alex Salmon F Mobile Unt Appointment A Completed 2013 11 20 Michael Keaton F 18 months check COPD Appointment Planned Overdue 2013 12 20 Alex Salmon P 4 1 Treatment plans The treatment plan can be added either from the Citizen overview or from the treatment plan function A plan can be added to a diagnosis that is already added The plan will be added as per the Sugar CRM set up The plan can be further modified after adding it A treatment plan can be added with an instantiation date amp a coordinator 02 01 2014T161 130 1 Page 6 of 11 eHealthbox Clinician Web user manual Add treatment plan to citizen Choose diagnosis Angra peos O OOo O Add diagnosis 4 2 Health Efforts A number of health efforts with or without sub health efforts are part of the treatment plan Joan Hansen 050148 1444 3 Edit health effort Questionnaire Status Answered
4. Ww Add treatment plan DE104 Coordinator Alex Salmon Relatives Add diagnosis Fetching General practitioner Health state history Health state grid m Number 001384 Name Poul Elkan Address 245 Amagerbrogade 2300 Kabenhavn S Phone 32511433 COPD Recent Filled Out Questionnaires Diabetes The citizen has no filled out questionnaires Heart Goals Spirometry FEV1 From 1 7 L s to 2 5 L s Initial value 1 7 L s Current value 1 3 L s Temperature From 36 9 C to 37 5 C Initial value 36 9 o its co o o ite e o e o y o N wu o f its e e e o o o S amp S S n o oO Q o Q FSF v Q F O Q HH HK QA Current value 38 C z bs co co a CN CX N e e o co qe e e e hos TU e a e e e A oe Initial value 78 kg o o o o o o o o o o e o o o o o o o o o o o o Q N N N N N N N N N N N N N N N N N N N N N N N N Current value 12 kg c c c c c c c c gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt o o 3 3 3 3 3 3 3 3 S S S o o o o o o o o x X 2 x a wc 22 2 2 o um um E Se RR e e e ae e w e w w e e o e o e So e N N N N N N N N o o o o o N N N N N N N N 4 Treatment plans The chronic disease that the citizen has will be updated i
5. by choosing the Add data manually button amp enter the values in the dialog also modify or delete the existing result You can view the attachment of the result if added add or remove an attachment to the result You can add goals to the result type which the citizen would try and achieve over time 8 Medicine Citizen Overview Treatment Plan Calendar Data amp Goals Medicine Questionnaires Click to prescribe new medicine en 050148 1444 C drugstore medicne which you can view Add Medicine Prescnption View expired medicne Name On Priscription Amount Drugstore medication Baldrian 40 B Help sieep Plumin 10 mg Dizziness z Prescription medication Oxis 4 4 mg per dose 9 mg x 2 per day COPO used for asthma attacks and as Unixan 200 mg 200 mg x 2 per day COPD N roglycerin 0 25 mg S0 mg Acute angina pectoris Mixtard 100 E mi 3 times a day Diabetes Clinician prescribed medicine Which you can view Edit amp delete e ar Medicine function helps you keep track of the selected citizen medication The clinician pre scribed medication are grouped in to prescribed medication the self medication are grouped as drugstore medication This will help you with the citizen s medication current intake amp history The show expired check box would display all the medications that are no more active You can add update or delete a medication the add medication button would
6. help add the prescribed medicine Edit button would help edit a prescribed medicine amp delete button would help delete the medicine The drugstore medicines are available to you for viewing only amp you cannot modi fy or delete the same only citizens can 02 01 2014T161 130 1 Page 11 of 11
7. 09 12 2013 12 months check Heart l 1 How much do you exercise Type Status 2 days Appointment A e a e eae xi pa RE wee ane ird F ear Tw Ha ji j PL 20140728 a Ica Sepp x E E Pez Va e Name B W Screening of complications B W Feet Foot vibration sensory biothesiometri Foot vibration sensory tuning fork 128 Hz Foot sensation monofilament 10 g Foot pulses Mobility Callosity on the feet Foot ulcers Wagner or Texas grade Deformities of the feet Charcot Oedema of the feet St George hospital entry 5A 2 nd floor Heart dep amp bring devices for calibration 02 01 2014T161 130 1 Page 7 of 11 eHealthbox Clinician Web user manual These can either be set with an actual date amp time or a window period can be assigned specify ing the intervals to repeat the health effort This would help citizen follow the plan prescribed as part of treatment amp any clinician in the eHealthbox can follow the proceedings The picture above show a sample health effort in edit mode 4 3 Check List Items The health effort can be set up with a list of items that citizen and clinician are expected to take note of These are termed check lists amp every check list item can in turn have a set of check list items A check list item might require citizen to enter a result which can be done clicking on the blue text of the check list entry Window Start Window End Actual Date Time 3 Other
8. 245 Amagerbrogade 2300 Kabenhavn S e 9 9 e 9 e 7 eeo o o o ooo Phone 32511433 X COPD Recent Filled Out Questionnaires i J l o Diabetes The citizen has no filled out questionnaires Heart Goals Spirometry FEV1 From 1 7 L s to 2 5 L s Initial value 1 7 L s Current value 1 3 L s Temperature From 36 9 C to 37 5 C Initial value 36 9 C o I co a a ex o s o N its o ve e e e o i O n Q QM Q o Q o 9 Q v O Q v Q Q Q Current value 38 C lt e eo a N N N e e ae eo e o e e e e oe e o v Em Initial value 78 kg o o o o o o o o o o o o o o o o o o c o o o o N N N N N N N N N N N N N N N N N N N N N N N N N Current value 12 kg c c c c c c c c gt gt gt gt gt gt gt gt gt gt 2 gt gt gt gt o o 3 3 3 3 3 3 ES S S S S o o o o o o o o o o z WC GE OO OK Ow X X OX mo dm m x X wo x wo Ww GE ou DIO e e e e e e ite w e e e e e e I e N N N N N N N N o o o o o N N N N N N N N o h Login The login credentials are provided to you by eHealthbox administrator Both user name amp pass word are case sensitive The limit of incorrect login attempt is set to 5 by default so if you f
9. 6 nul null nul om Jane Smith 0 050555 5550 Jernbanegade 2 2500 Valby Page of 1 e Displaying 1 7 of 7 2 3 Edit profile Click the edit profile link at the top right corner to access your profile It is created by the admin istrator amp you can view your information in the profile You can update the password to access the eHealthbox Your credential to access both SugarCRM amp eHealthbox is similar Rest of your profile details can be updated in SugarCRM Logged in as GP Test User 2 Video Call o Mail t Edi profile GP eHealthbox Click to access profile Personal Details Browse Remove Last name First name Test User GP Role Department GP Community hospital ED Zip City 2750 Ballerup Copenhagen Mobile Phone NET 44565478965 Enter similar Password eeeecs passwords to Confirm eeccee 1 password update it Cancel Save 2 4 Video call You can initiate a video call with the central call center Or to one of the citizens You first have choose a citizen amp click on the Video call link to place a video call to the citizen If you have not chosen a citizen You would be connected to the call center 02 01 2014T161 130 1 Page 4 of 11 eHealthbox Clinician Web user manual By pressing the Video Call button eHealthbox opens Skype and the citizen is dialed automatically D Stype 11 logcagad i _ MMA o cm ype Contacts Camwena
10. CGI eHealthbox Clinician Web user manual 02 01 2014T161 130 1 Page 1of 11 eHealthbox Clinician Web user manual Contents 1s Iiitroducticri and reading Quide scc ea ate a E te dtes Gael te cat N 3 M Wel WONG MNT nenP E 3 M Boe p 3 p 2lsodollls cand A A demam m pe A Mu e hic ma da RM MR n UEM 4 2 9 ESIUDEIONG suia ad deu aa edm ci PS aho hou q De dau mea iR nb UE MI 4 ZA laicos si ee t P c cT 4 2o allied opaca dms M m EM EE E 5 3 Citizen Overview eee 5 4 Treatment DIAS EE EEUU 6 Al DECANE DIANS vt caiersncsiane tthe scaceusumadcvamasasantans lutanseagemaouadumdsassnetanstutmduaueaedmanevunamna 6 2 2 Health MOMS eaii aan a aa Eaa aaa iaae aS aaa 7 4 3 Check List ItOMS ccccccccccsssssceccceessececceeeusececcseueeeecseeaseceesseaasececsssuaeeeeesseageeeesssaaass 8 4 4 Attached questionnaires eesssssesssssssessseseeeene nnne nennen nnne nnn ann nnn nnns 8 4 5 Attached continuity ccccccccssssecececeeeseceeeeeeseeeeeeseausceeesseaseceeesseaseeeeseseaeeeeesseaaeeeeeesaaess 9 SEIS BIETEN CEDE 9 SN One M ae 10 Fes Bars Wa bx Ge 0 RUN Ur I x 10 smu eleln ee te er ane en rE Ce eee ee ee eee eee ee 11 List of changes Documentid Date Produced by Changes lt doc id gt dd mm yyyy lt NN gt Su 02 01 2014T161 130 1 Page 2 of 11 eHealthbox Clinician Web user manual 1 Introduction and reading guide This document helps you famili
11. ail to login with accurate login credentials with 5 attempts the account would be locked amp eHealthbox administrator would help unlock the account Enter the user name and password and click Login Clicking cancel would reset the fields Usenmame Password 02 01 2014T161 130 1 Page 3 of 11 eHealthbox Clinician Web user manual 2 2 Logout The logout option is available at the top right corner of the portal you will have to click this link to log out amp confirm a dialog to logout completely from the portal An inactivity timer of 30 mi nutes would be running in the background if user remains inactive for 30 minutes the citizen would be logged out of the portal automatically Logged in as GP Test User Video Call o Maal Edit profile GP eHealthbox Fc eaa 1 Click to log out Find citizen Other filters di ecm mess diagnoses diagnoses CT ij x o This page is asking you to confirm that you want to leave data you have entered may not be Search saved Set fiter Stay on Page Dia COPO Heart First Name EY PR Zip Code City foo ee LJ Joan Hansen 050148 1444 Lautrupvang 10 2750 Ballerup ev om may1 june PA Click here to exit Bagehegnet 11 8242 chennai D w eo Andrew Berggren 80 030333 0303 H C Andersens Boulevard 150 1550 Kobenhavn V e D Michael Zakarias 38 111275 1111 Lautrupvang 10 2750 Ballerup e 2 Bent Grubb Laursen 48 111265 0AA1 Lautrupvang 10 2750 Ballerup ue e Bean Tom 9 050404 789
12. arize using and working with the eHealthbox clinician web portal introducing the functions that you have access to amp help you be active accessing the citizens in the eHealthbox application 2 Framework eHealthbox clinician portal is a tool that is solely for you comprising of various function areas such as Citizen Overview Treatment plan Calendar Data amp goals Medicine Questionnaire Video call Mail Profile These functions areas are available as menus in the portal amp each of these functions are described in further sections f Z N eHealthbox Logged in as Alex Salmon o Video Call B Mail f Edit profile amp Log out HOSPITAL DOCTOR Citizen Overview Treatment Plan Calendar Data amp Goals Medicine Questionnaires Joan Hansen 050148 1444 Q k k Diagnosis Treatment plans State Contact info 15 jul 2013 15 jul 2013 ina pectoris UNS Heart Plan Add treatment pian CPR 050148 1444 DI209 Coordinator Michael Keaton Name Joan Hansen 01 aug 2012 01 aug 2012 Address Lautrupvang 10 Kronisk obstruktiv lungesygdom COPD Plan w Add treatment plan J44 Coordinator Michael Keaton Phone 4525678903 01 feb 2013 01 feb 2013 Email joan hansen ehealthbox com Type 1 diabetes med neurologisk komplikation Diabetes Plan EN Add treatment plan DE104 Coordinator Alex Salmon Relatives Add diagnosis Fetching General practitioner Health state history Health state grid Number 001384 Name Poul Elkan Address
13. ems 2013 02 01 4 2014 02 14 ra Producer GP Test User Change producer Repeat Type Daily Repetition specified for the health 06 00 08 00 O 10 00 O 12 00 O 14 00 O 16 00 effort This would result in prompting 18 00 20 00 O 22 00 O 24 00 O 02 00 04 00 the citizen to answer the questionnaire once every day during the window period Repeat Interval or One daily occurrences without a specific time Instruction to citizen 02 01 2014T161 130 1 Page 8 of 11 eHealthbox Clinician Web user manual The health effort added to a citizen might have a set of questionnaire that would need to be responded to aid treatment You can assign questionnaire to citizen s health effort by changing the status of the health effort to Planned Incase questionnaire is not set up you can also edit questionnaire by modifying questions and also add a questionnaire if there is no questionnaire 4 5 Attached continuity The continuity of a health effort refers to the repetitive nature of the health effort With the win dow period specified and without an actual date and time you can specify the nature of repeti tion amp the intervals The clinicians and citizens would then have a clear picture of the treatment plan and health effort All these features of the eHealthbox make the treatment for chronic dis ease well defined Citizen Overview Treatment Plan Calendar i Data amp Goals i Medicine Questionnaires Joan Han
14. health related issues Date Date 4 Number of alchoholic beverages per week 2013 10 07 3 2013 10 21 4 2013 08 22 15 00 5 Do you smoke Producer No Michael Keaton Change producer Ad on A Check list items Instruction to citizen a Patient s own checks Checklist items that needs you add a result Click on blue text to add result Adjustment of treatment Stratification Rehabilitation Ad hoc Height Add result for Height Weight Add result for Weight BMI Add result for BMI BP systolic Add result for B BP diastolic Add result for BE Pulse Add result for Pulse Blood oxygenation Add result for Blood oxygenation Cholesterol Add result for Cholesterol HDL Add result for HDL LDL Add result for LDL Triglyceride Add result for Triglyceride SeCreatinine Add result for SeCreatinine SeElectrolytes EKG eGFR Add result for eGFR Show in citizen calendar Active Cancel Apply changes SS I amp IN I OI IS ON OI IS OS O8 EA HS NI S S 4 4 Attached questionnaires Joan Hansen 050148 1444 Citizen Overview I Treatment Plan Medicine Questionnaires Edit health effort Questionnaire Home monitorting DM2 Name 1 Other health related issues Home health status Empowerment DM2 2 Symptom Increased dizziness Questionnaire Type Status 3 Symptom Poor wound healing attached to Empowerment Y Instantiated the health Window Start Window End Check list items effort Date Date No it
15. n the eHelathbox by adding a diagno sis It could be Diabetes COPD Or heart related ailment Further treatment can be tracked by assigning the treatment plans to the corresponding diagnosis The template plans can be set up in the sugar CRM that can be used as a reference while assigning it to citizen The treatment plans will have a set of health efforts Checklist items Questionnaire Following picture shows the tree view of the diagnoses amp treatment plans with health efforts Citizen Overview Treatment Plan Calendar f pataa d Button to add new treatment plan Joan Hansen 050148 1444 Add treatment pian Show inactive plans and health efforts Tree view Calendar view Name Type Show On Ctizen Web Status Notifications Actual Date Coordinator Producer Add Health Effort View Edt z DQ09 Angina pectoris UNS 3 Heart Plan Michael Keaton Q Pi Treatment onset Heart Appointment 4 Completed 2013 07 25 Michael Keaton P 3 months check Heart Appointment 4 Completed 2013 08 22 Michael Keaton P 6 months check Heart Appointment 4 Planned Overdue 2014 01 16 Eric Cameron Q 9 months check gar Appointment Planned Pending 2014 04 28 Alex Salmon P 12 months check Heart Appointment Planned 2014 07 28 P dj Empowerment support Heart P i 3 DJ44 Kronisk obstruktiv lungesygdom Tree view of the Treatment Buttons to Engra na plans The first level in tree is add health o gt Tantai COPE diagnosis A diagnosis canbe
16. r health related issues z 18 months check COPD 1 Item 20 Dec 2013 09 45 A Type 18 months check COPD TextArea v 3 3 months check DM2 1 Item 29 Apr 2013 12 00 N 2 Symptom Increased coughing x 3 months check DM2 3 6 months check DM2 1 Item Type List items Single Select v yesno v Yes No 30 Jul 2013 08 00 A 9 y M 6 months check DM2 3 Symptom Increased difficulty in breathing x 3 Treatment onset Heart 1 Item You can see the selected citizen s questionnaire The answered and unanswered questionnaire are the two groups You can see the responses by the citizen in the answered questionnaire and you can edit the unanswered questionnaire You can choose the check boxes at the top to 02 01 2014T161 130 1 Page 9 of 11 eHealthbox Clinician Web user manual view the entire questionnaire or to view inactive questionnaire Also Clicking Add new ques tionnaire button you can add new questionnaire 6 Calendar Calendar function is typically a calendar which would order the events The events for the diag noses are grouped The check boxes above the calendar can be used to filter the events per diagnoses or view all the diagnoses events The calendar primarily has day view week view amp month view The Today button in the calendar can be used to return to the view to current date The events in the calendar would help citizen know the activity for the day be it measuring a vital or preparing for a consultation
17. sen 050148 1444 o Edit health effort Questionnaire Home monitorting DM2 Name 1 Other health related issues Home heakh status Empowerment DM2 2 Symptom Increased dizziness Type Status 3 Symptom Poor wound healing Empowerment v Instantiated Y Window Start Window End heck list items Date Date Window period 2013 02 01 3 2014 02 14 ra i alone with no Producer Repeat type and repeat interval The interval option changes according to the actual date and GP Test User Change producer time Repeat Type repeat type value Or you Daily v can specify that the Weekly rval repetition is once daily with Monthly J 08 00 2 10 00 O 12 00 14 00 16 00 no specific time 18 00 20 00 22 00 24 00 02 00 04 00 or One daily occurrences without a specific time 5 Questionnaires eHealthbox Logged in as GP Test User Video Call io Mail Edit profile a Log out GP Button to add Goas Medicine Questionnaires Joan Hansen 050148 1444 new Citizen Overview Filterto choose all Or inactive questionnaire Add new questionnair Show al Show inactive Questions that can be edited specifying answer type amp options for the relevant types Answered and Unanswered questionnaires Unanswered Answered Preperation for consultation COPD z 1 year check COPD 1 Item year check COPD 01 Aug 2013 08 30 1 year check COPD 1 Othe
18. ton Ca View coh Hep 2 5 Mail You can use the mail function to communicate with citizens or system administrator An alert icon would appear with the mail menu when a new mail is received by you An inbox would list all the mails received by you and the Out box would list all the mails sent by you The unread mails would be in bold caption in the lists to help you identify the read amp unread mails In the outbox the mails will be in bold captions until the recipient has read the mail amp thus you will know when the intended recipient has read the mail eHealthbox Logged in as GP Test User O Video Call o Mail Edit profile 5 Log out GP Click for new po message New Message nba pps Inbox amp outbox 15 Jan 2014 14 38 2 Re Status request Hansen Joan e Re Status request amp id 15 Jan 2014 14 38 Hansen Joan 07 Jan 2014 13 22 X Reply Hansen Joan test 07 Jan 2014 13 21 am updating the temperatures regularly is there something i need to be aware of june1 may1 Test 27 Dec 2013 11 38 Thejre Thejas1 test Mail detail You can click on reply to respond to the message 20 Dec 2013 14 11 Thejre Thejas1 hii 20 Dec 2013 12 34 Thejre Thejas1 hi 20 Dec 2013 12 33 Theire Theias1 vl 3 Citizen Overview The citizen overview is the dashboard data of the citizen you have selected The list of the diag nosis added to the citizen amp the corresponding
19. treatment plans are enlisted You can add new diagnosis or treatment plan to the diagnosis The status of diagnosis too is visible You can also see the variation of the diagnosis status over time in the bottom half of the page On mouse hover over the chart entry The reason for the status will be visible The second tab in the chart shows historical variation of the diagnosis status in tabular form The right side of the page has the contact details of the citizen Relatives details The general practiceioner Recently ans 02 01 2014T161 130 1 Page 5 of 11 eHealthbox Clinician Web user manual wered questionnaire The goals assigned to citizen amp allergic information is available Thus the overview would have all the relevant details briefly 2 2 A Ed eHealthbox Logged in as Alex Salmon o Video Call Wi Mail Edit profile it Log out HOSPITAL DOCTOR Citizen Overview Treatment Plan Calendar _ Data amp Goals _ Medicine Questionnaires Joan Hansen 050148 1444 Q Diagnosis Treatment plans State Contact info 15 jul 2013 15 jul 2013 Angina pectoris UNS Heart Plan Adatreatment pian CPR 050148 1444 DI209 Coordinator Michael Keaton Name Joan Hansen 01 aug 2012 01 aug 2012 Address Lautrupvang 10 Kronisk obstruktiv lungesygdom COPD Plan w Add treatment plan DJ44 Coordinator Michael Keaton Phone 4525678903 01 feb 2013 01 feb 2013 Email joan hansen ehealthbox com Type 1 diabetes med neurologisk komplikation Diabetes Plan EN

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