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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | ETS_1_0_1.zip\ETS_1_0_1 | FM_23_Patch Description_ETS_1_1_T1.txt | Mon May 15 11:18:18 2017 UTC |
| 2 | ETS_1_0_1.zip\ETS_1_0_1 | FM_23_Patch Description_ETS_1_1_T1.txt | Tue Jun 20 17:05:52 2017 UTC |
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| 1 | VistA Patc h Display Page: 1 | |
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: MAY 11, 20 17 Design ation: ETS *1*1 TEST v1 | |
| 4 | Package : ENTERPRISE TERMINOLO GY SERVICE Priori ty : MAN DATORY | |
| 5 | Version : 1 Status : UND ER DEVELOP MENT | |
| 6 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 7 | ||
| 8 | Associated patches: (u)ETS*1*0 <<= m ust be ins talled BEF ORE `ETS*1 *1' | |
| 9 | ||
| 10 | ||
| 11 | Subject: RXNORM COD E SET AND LOINC UPDA TES | |
| 12 | ||
| 13 | Category: ROUTINE | |
| 14 | DATA DICT IONARY | |
| 15 | ENHANCEME NT | |
| 16 | ||
| 17 | Descriptio n: | |
| 18 | ========== = | |
| 19 | ||
| 20 | The Vetera ns Informa tion Syste ms and Tec hnology Ar chitecture (VistA) | |
| 21 | Evolution program to modernize VistA inc ludes mode rnizing Ve terans Aff airs | |
| 22 | (VA's) ent erprise da ta managem ent capabi lities. M odernizing VA FileMa n | |
| 23 | will funct ionally st andardize VistA's da tabase. T his will e nable | |
| 24 | structured data quer y and exch ange acros s all Vist A instance s, creatin g | |
| 25 | an enterpr ise view o f VistA da ta in stan dardized, computable form. Th is | |
| 26 | modernized VA FileMa n is calle d VA FileM an Enterpr ise for it s enterpri se | |
| 27 | data manag ement capa bilities. | |
| 28 | ||
| 29 | This patch , ETS*1.0* 1, introdu ces new an d modified routines and data | |
| 30 | dictionari es to impl ement Ente rprise Ter minology S ervices (E TS) packag e. | |
| 31 | The Enterp rise Termi nology Ser vices pack age exists to provid e | |
| 32 | enterprise -wide acce ss to comm on code se ts that ar e needed i n a health | |
| 33 | care syste m. It will contain V A FileMan files with the data and | |
| 34 | Applicatio n Program Interfaces (APIs) th at can be used to pr ovide acce ss | |
| 35 | and proces s the data . The Inte gration Co ntrol Regi strations will be | |
| 36 | supported and thus o pen to all VistA app lications. | |
| 37 | ||
| 38 | Specifical ly, patch ETS*1.0*1 contains t he followi ng: | |
| 39 | ---------- ---------- ---------- ---------- ---------- ------- | |
| 40 | 1. The fol lowing new files hav e been cre ated in ET S to suppo rt the RxN orm | |
| 41 | code se t in VistA . | |
| 42 | ||
| 43 | a) The RXNORM CON CEPT NAMES AND SOURC ES file (# 129.2) | |
| 44 | b) The RXNORM SIM PLE CONCEP T AND ATOM ATTRIBUTE S file (#1 29.21) | |
| 45 | c) The RXNORM REL ATED CONCE PTS file ( #129.22) | |
| 46 | d) The RXNORM SEM ANTIC TYPE S file (#1 29.23) | |
| 47 | e) The RXNORM SOU RCE INFORM ATION file (#129.24) | |
| 48 | ||
| 49 | 2. The dat a for the above file s will be populated. This will require | |
| 50 | approxi mately 516 megabytes of disk s pace and 1 1.2 gigaby tes of jou rnal | |
| 51 | space. | |
| 52 | ||
| 53 | 3. The fol lowing new APIs were created t o retrieve RxNorm da ta. | |
| 54 | ||
| 55 | a) $$CS DATA^ETSRX N: Get Det ailed Info rmation ab out a RxNo rm Concept | |
| 56 | Uniq ue Identif ier (RXCUI ) | |
| 57 | b) $$CS YS^ETSRXN: Retrieve the Coding System In formation | |
| 58 | c) $$GE TDATA^ETSR XN: Return all infor mation for a RXCUI | |
| 59 | d) $$HI ST^ETSRXN: Get Activ ation Hist ory for a RXCUI | |
| 60 | e) $$ND C2RXN^ETSR XN: Return RXCUI for a Nationa l Drug Cod e (NDC) | |
| 61 | f) $$PE RIOD^ETSRX N: Get Act ivation/In activation Periods f or a RXCUI | |
| 62 | g) $RXN 2OUT^ETSRX N: Retriev e a VA Uni que Identi fier (VUID ) and NDC for | |
| 63 | a RX CUI | |
| 64 | h) $$TA X^ETSRXN: Return lis t of VUIDs in same v alue set | |
| 65 | i) $$VU ICLASS^ETS RXN: Retur n list of VUIDs with the same drug class | |
| 66 | j) $$VU I2RXN^ETSR XN: Retrie ve RXCUI(s ) for a va lid VUID | |
| 67 | ||
| 68 | 4. The fol lowing Log ical Obser vation Ide ntifiers N ames and C odes (LOIN C) | |
| 69 | APIs we re modifie d. | |
| 70 | ||
| 71 | a) $$CH KCODE^ETSL NC | |
| 72 | i) Change inp ut value t o be the f ull LOINC Code | |
| 73 | ii) Change ret urn value from Yes/N o (1 or 0) to Intern al Entry | |
| 74 | Number (IE N) | |
| 75 | b) $$CO MLST^ETSLN C: Allow I nput of Co mponent Na me in addi tion to | |
| 76 | Comp onent IEN | |
| 77 | c) $$CS DATA^ETSLN C: Change Return val ue to be t he full LO INC Code | |
| 78 | d) $$GE TCODE^ETSL NC: | |
| 79 | i) Add SHORT NAME (#81) fie ld to the output | |
| 80 | ii) Chan ge input v alue to be the full LOINC Code | |
| 81 | e) $$GE TNAME^ETSL NC: Change input val ue to be t he full LO INC Code | |
| 82 | f) $$GE TREC^ETSLN C | |
| 83 | i) Change inp ut value t o be the f ull LOINC Code | |
| 84 | ii) Add EXTERN AL COPYRIG HT (#84) a nd COMPONE NT (#1) fi elds to | |
| 85 | the output | |
| 86 | g) $$GE TSTAT^ETSL NC: Change input val ue to be t he full LO INC Code | |
| 87 | h) $$HI ST^ETSLNC: Change in put value to be the full LOINC Code | |
| 88 | i) $$PE RIOD^ETSLN C: Change input valu e to be th e full LOI NC Code | |
| 89 | j) $$TA X^ETSLNC: Change inp ut value t o be the f ull LOINC Code | |
| 90 | ||
| 91 | 5. Modify the screen s for the NON-PATIEN T SPECIMEN (#1.7) an d the | |
| 92 | TIME MO DIFIER (#3 .1) fields of the LO INC (#129. 1) file. | |
| 93 | ||
| 94 | 6. Update sixteen re cords in t he LOINC A XIS CODES (#129.22) so that | |
| 95 | NAME (# .01) field is unique . | |
| 96 | ||
| 97 | Detailed i nformation on the AP Is and the tasks the y perform is include d | |
| 98 | in the ETS 1.0 Techn ical Manua l/Security Guide. | |
| 99 | ||
| 100 | ||
| 101 | Patch Comp onents: | |
| 102 | ---------- ------- | |
| 103 | ||
| 104 | Files & Fi elds Assoc iated: | |
| 105 | ||
| 106 | File Name (#) New/Modifi ed/ | |
| 107 | Sub-file Name (#) Field Name (#) Deleted | |
| 108 | ---------- --------- ----- --------- ---------- --- | |
| 109 | LOINC (#12 9.1) NON-P ATIENT SPE CIMEN (#1. 7) Modified | |
| 110 | LOINC (#12 9.1) TIME MODIFIER ( #3.1) Modified | |
| 111 | RXNORM CON CEPT NAMES AND SOURC ES (#129.2 ) New | |
| 112 | RXNORM SIM PLE CONCEP T AND ATOM ATTRIBUTE S (#129.21 ) New | |
| 113 | RXNORM REL ATED CONCE PTS (#129. 22) New | |
| 114 | RXNORM SEM ANTIC TYPE S (#129.23 ) New | |
| 115 | RXNORM SOU RCE INFORM ATION (#12 9.24) New | |
| 116 | ||
| 117 | ||
| 118 | Forms Asso ciated: | |
| 119 | ||
| 120 | Form Name File # New/Modif ied/Delete d | |
| 121 | --------- ------ --------- ---------- - | |
| 122 | N/A | |
| 123 | ||
| 124 | ||
| 125 | Mail Group s Associat ed: | |
| 126 | ||
| 127 | Mail Group Name New/M odified/De leted | |
| 128 | ---------- ----- ----- ---------- ----- | |
| 129 | N/A | |
| 130 | ||
| 131 | ||
| 132 | Options As sociated: | |
| 133 | ||
| 134 | Option Nam e Type New/Modifi ed/Deleted | |
| 135 | ---------- - ---- ---------- ---------- | |
| 136 | N/A | |
| 137 | ||
| 138 | ||
| 139 | Protocols Associated : | |
| 140 | ||
| 141 | Protocol N ame New/Modifi ed/Deleted | |
| 142 | ---------- --- ---------- ---------- | |
| 143 | N/A | |
| 144 | ||
| 145 | ||
| 146 | Security K eys Associ ated: | |
| 147 | ||
| 148 | Security K ey Name | |
| 149 | ---------- ------- | |
| 150 | N/A | |
| 151 | ||
| 152 | ||
| 153 | Templates Associated : | |
| 154 | ||
| 155 | Template N ame Type File Name (Number ) New/Mod ified/Dele ted | |
| 156 | ---------- --- ---- ---- ---------- ---------- - ------- ---------- --- | |
| 157 | N/A | |
| 158 | ||
| 159 | ||
| 160 | Additional Informati on: | |
| 161 | ---------- ---------- --- | |
| 162 | N/A | |
| 163 | ||
| 164 | ||
| 165 | New Servic e Requests (NSRs): | |
| 166 | ---------- ---------- -------- | |
| 167 | N/A | |
| 168 | ||
| 169 | ||
| 170 | Patient Sa fety Issue s (PSIs): | |
| 171 | ---------- ---------- --------- | |
| 172 | N/A | |
| 173 | ||
| 174 | ||
| 175 | Defect Tra cking Syst em Ticket( s) & Overv iew: | |
| 176 | ---------- ---------- ---------- ---------- ---- | |
| 177 | N/A | |
| 178 | ||
| 179 | ||
| 180 | Blood Bank Clearance : | |
| 181 | ---------- ---------- - | |
| 182 | EFFECT ON BLOOD BANK FUNCTIONA L REQUIREM ENTS: Patc h ETS*1.0* 1 contains | |
| 183 | changes to a package reference d in ProPa th standar d titled: BBM Team | |
| 184 | Review of VistA Patc hes. This patch does not alter or modify any VistA | |
| 185 | Blood Bank software design saf eguards or safety cr itical ele ments | |
| 186 | functions. | |
| 187 | ||
| 188 | RISK ANALY SIS: Chang es made by patch ETS *1.0*1 hav e no effec t on Blood | |
| 189 | Bank softw are functi onality, t herefore R ISK is non e. | |
| 190 | ||
| 191 | ||
| 192 | ||
| 193 | Test Sites : | |
| 194 | ---------- - | |
| 195 | TBD | |
| 196 | ||
| 197 | ||
| 198 | Software a nd Documen tation Ret rieval Ins tructions: | |
| 199 | ---------- ---------- ---------- ---------- ---------- | |
| 200 | Documentat ion descri bing the n ew functio nality int roduced by this patc h | |
| 201 | is availab le. | |
| 202 | ||
| 203 | The prefer red method is to ret rieve file s from dow nload. DNS . DNS . | |
| 204 | This trans mits the f iles from the first available server. Si tes may | |
| 205 | also elect to retrie ve files d irectly fr om a speci fic server . | |
| 206 | Sites may retrieve t he softwar e and/or d ocumentati on directl y using | |
| 207 | Secure Tra nsfer Prot ocol (SFTP ) from the ANONYMOUS .SOFTWARE directory | |
| 208 | at the fol lowing OI Field Offi ces: | |
| 209 | ||
| 210 | Albany: FTP-SITE | |
| 211 | Hines: FTP-SITE | |
| 212 | Salt Lake City: FTP - SITE | |
| 213 | ||
| 214 | Documentat ion can al so be foun d on the V A Software Documenta tion Libra ry | |
| 215 | at: http:/ /www. DNS /vdl/ | |
| 216 | ||
| 217 | Title File Name SFTP M ode | |
| 218 | ---------- ---------- ---------- ---------- ---------- ---------- --- | |
| 219 | ETS 1.0 Te chnical/Se curity Gui de ETS_1 _TM.PDF Binary | |
| 220 | Software I nstallatio n Host fil e ETS_1 _0_1.KID ASCII | |
| 221 | ||
| 222 | ||
| 223 | Backout an d Rollback Procedure : | |
| 224 | ---------- ---------- ---------- - | |
| 225 | The rollba ck plan fo r VistA ap plications is comple x and not able to be | |
| 226 | a 'one siz e fits all ' solution . The gene ral strate gy for Vis tA rollbac k | |
| 227 | is to repa ir the com ponents wi th a follo w-on patch . The deve lopment te am | |
| 228 | recommends that site s log a CA Service D esk Manage r (SDM) ti cket for | |
| 229 | the Health Systems P latform gr oup if a p atch needs to be bac ked-out. T he | |
| 230 | support te am will de termine th e best app roach to r estore the system to its | |
| 231 | previous s tate. | |
| 232 | ||
| 233 | During the VistA Ins tallation Procedure of the Ker nel Instal lation and | |
| 234 | Distributi on System (KIDS) bui ld, the in staller sh ould back up the | |
| 235 | modified r outines by the use o f the 'Bac kup a Tran sport Glob al' action | |
| 236 | (step 4a i n the Inst allations Instructio ns below). The insta ller can | |
| 237 | restore th e routines using the MailMan m essage tha t were sav ed prior t o | |
| 238 | installing the patch . The back out proced ure for da ta diction ary data l oads | |
| 239 | is more co mplex and may requir e the issu ance of a follow-on patch to | |
| 240 | ensure all component s are prop erly remov ed. Note t hat all ro llback of all | |
| 241 | software c omponents, including routines must be re stored to their prev ious | |
| 242 | state at t he same ti me and in conjunctio n with res toration o f the data . | |
| 243 | ||
| 244 | ||
| 245 | Patch Inst allation: | |
| 246 | ||
| 247 | Pre/Post I nstallatio n Overview : | |
| 248 | ---------- ---------- ---------- - | |
| 249 | There is a pre-insta ll routine PRE^ETS1P 1 that pre pares the current | |
| 250 | process fo r the inst all. | |
| 251 | ||
| 252 | There is a post-inst all routin e PST^ETS1 P1 that wi ll update the NAME | |
| 253 | (#.01) fie ld of the LOINC AXIS CODES (#1 29.22) fil e for sixt een record s. | |
| 254 | ||
| 255 | ||
| 256 | Pre-Instal lation Ins tructions: | |
| 257 | ---------- ---------- ---------- | |
| 258 | This patch may be in stalled wi th users o n the syst em althoug h it is | |
| 259 | recommende d that it be install ed during non-peak h ours to mi nimize | |
| 260 | potential disruption to users. This patc h should t ake approx imately 90 | |
| 261 | minutes to install. | |
| 262 | ||
| 263 | No options or protoc ols need t o be disab led to ins tall this patch. | |
| 264 | ||
| 265 | The instal lation of this patch can be qu eued. | |
| 266 | ||
| 267 | Note that this insta ll will re quire appr oximately 516 megaby tes of dis k | |
| 268 | space and 11.2 gigab ytes of jo urnal spac e. | |
| 269 | ||
| 270 | ||
| 271 | Installati on Instruc tions: | |
| 272 | ---------- ---------- ------ | |
| 273 | ||
| 274 | 1. OBTAIN PATCH | |
| 275 | ------ ------ | |
| 276 | Obtain the host file ETS_1 _0_1.KID, which cont ains the f ollowing | |
| 277 | patch: | |
| 278 | ||
| 279 | ET S*1.0*1 | |
| 280 | ||
| 281 | Sites can retrie ve VistA s oftware di rectly usi ng Secure File Trans fer | |
| 282 | Protoc ol (sFTP) from the A NONYMOUS.S OFTWARE di rectory at the follo wing | |
| 283 | sFTP a ddress: | |
| 284 | ||
| 285 | download. DNS . DNS | |
| 286 | ||
| 287 | This w ill transm it the fil es from th e first av ailable sF TP server. | |
| 288 | Sites may also e lect to re trieve sof tware dire ctly from a specific | |
| 289 | server as follow s: | |
| 290 | ||
| 291 | Alb any FTP-SITE | |
| 292 | Hin es FTP-SITE | |
| 293 | Salt Lake City FTP - SITE | |
| 294 | ||
| 295 | The ET S_1_0_1.KI D host fil e is locat ed in the anonymous. software | |
| 296 | direct ory. Use A SCII Mode when downl oading the file. | |
| 297 | ||
| 298 | 2. START UP KIDS | |
| 299 | ------ ------- | |
| 300 | Start up the Ker nel Instal lation and Distribut ion System Menu opti on | |
| 301 | [XPD M AIN]: | |
| 302 | ||
| 303 | E dits and D istributio n ... | |
| 304 | U tilities . .. | |
| 305 | I nstallatio n ... | |
| 306 | ||
| 307 | Select Kernel In stallation & Distrib ution Syst em Option: INStallat ion | |
| 308 | --- | |
| 309 | L oad a Dist ribution | |
| 310 | P rint Trans port Globa l | |
| 311 | C ompare Tra nsport Glo bal to Cur rent Syste m | |
| 312 | V erify Chec ksums in T ransport G lobal | |
| 313 | I nstall Pac kage(s) | |
| 314 | R estart Ins tall of Pa ckage(s) | |
| 315 | U nload a Di stribution | |
| 316 | B ackup a Tr ansport Gl obal | |
| 317 | ||
| 318 | Select Installat ion Option : | |
| 319 | ||
| 320 | 3. LOAD T RANSPORT G LOBAL | |
| 321 | ------ ---------- ----- | |
| 322 | From t he Install ation menu , select t he Load a Distributi on option. | |
| 323 | ||
| 324 | When p rompted fo r "Enter a Host File :", enter the full d irectory | |
| 325 | path w here the h ost file E TS_1_0_1.K ID was sav ed. For ex ample: | |
| 326 | ||
| 327 | SYS$SY SDEVICE:[A NONYMOUS] ETS_1_0_1. KID | |
| 328 | ||
| 329 | When p rompted fo r "OK to c ontinue wi th Load? N O//", ente r "YES." | |
| 330 | ||
| 331 | The fo llowing wi ll display : | |
| 332 | ||
| 333 | Load ing Distri bution... | |
| 334 | ||
| 335 | ET S_1_0_1.KI D | |
| 336 | Use I NSTALL NAM E: ETS*1.0 *1 to inst all this | |
| 337 | Distr ibution. | |
| 338 | ||
| 339 | ||
| 340 | 4. RUN OP TIONAL INS TALLATION OPTIONS | |
| 341 | ------ ---------- ---------- ------- | |
| 342 | From t he Install ation menu , you may select to use the fo llowing | |
| 343 | option al options (when pro mpted for the INSTAL L NAME, en ter | |
| 344 | ETS*1. 0*1): | |
| 345 | ||
| 346 | a. Ba ckup a Tra nsport Glo bal - This option wi ll create a backup | |
| 347 | me ssage of a ny routine s exported with this patch. It will not | |
| 348 | ba ckup any o ther chang es such as data dict ionaries o r template s. | |
| 349 | ||
| 350 | b. Co mpare Tran sport Glob al to Curr ent System - This op tion will | |
| 351 | al low you to view all changes th at will be made when this patc h | |
| 352 | is installed . It compa res all co mponents o f this pat ch | |
| 353 | (r outines, d ata dictio naries, te mplates, e tc.). | |
| 354 | ||
| 355 | c. Ve rify Check sums in Tr ansport Gl obal - Thi s option w ill allow | |
| 356 | yo u to ensur e the inte grity of t he routine s that are in the | |
| 357 | tr ansport gl obal. | |
| 358 | ||
| 359 | 5. INSTAL L THE BUIL D | |
| 360 | ------ ---------- - | |
| 361 | This i s the step to start the instal lation of this KIDS patch. | |
| 362 | This w ill need t o be run f or the ETS *1.0*1 pat ch. | |
| 363 | ||
| 364 | a. Ch oose the I nstall Pac kage(s) op tion to st art the pa tch | |
| 365 | in stall. | |
| 366 | ||
| 367 | b. Wh en prompte d for the "Select IN STALL NAME :", enter ETS*1.0*1. | |
| 368 | ||
| 369 | c. Wh en prompte d "Want KI DS to INHI BIT LOGONs during th e install? | |
| 370 | YE S//", ente r NO. | |
| 371 | ||
| 372 | d. Wh en prompte d "Want to DISABLE S cheduled O ptions, Me nu Options , | |
| 373 | an d Protocol s? NO//", enter NO. | |
| 374 | ||
| 375 | e. Wh en prompte d "Device: HOME//", respond wi th the cor rect devic e. | |
| 376 | ||
| 377 | ||
| 378 | Post-Insta llation In structions : | |
| 379 | ---------- ---------- ---------- - | |
| 380 | 1. In orde r to updat e the META DATA DICT IONARY Fil e, run the UPDATE TH E | |
| 381 | META DA TA DICTION ARY [DDU U PDATE META DD] optio n, which i s located on | |
| 382 | the DAT A DICTIONA RY UTILITI ES [DI DDU ] menu of VA FileMan [DIUSER]. | |
| 383 | ||
| 384 | 2. The ETS 1P1 post i nstall rou tine may b e deleted after inst all. | |
| 385 | ||
| 386 | ||
| 387 | Routine In formation: | |
| 388 | ========== ========== | |
| 389 | ||
| 390 | ||
| 391 | The second line of e ach of the se routine s now look s like: | |
| 392 | ;;1.0;Ente rprise Ter minology S ervice;**[ Patch List ]**;Mar 20 , 2017;Bui ld 7 | |
| 393 | ||
| 394 | The checks ums below are new ch ecksums, a nd | |
| 395 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 396 | ||
| 397 | Routine Na me: ETS10P 0 | |
| 398 | Before : n/ a After: Delete | |
| 399 | Routine Na me: ETS1P1 | |
| 400 | Before : n/ a After: B5937912 **1** | |
| 401 | Routine Na me: ETSLNC | |
| 402 | Before : n/ a After: B86929400 **1** | |
| 403 | Routine Na me: ETSLNC 1 | |
| 404 | Before : n/ a After: B14161218 **1** | |
| 405 | Routine Na me: ETSLNC 2 | |
| 406 | Before : n/ a After: B8966655 **1** | |
| 407 | Routine Na me: ETSLNC 3 | |
| 408 | Before : n/ a After: B58309656 **1** | |
| 409 | Routine Na me: ETSLNC IX | |
| 410 | Before : n/ a After: B9991707 **1** | |
| 411 | Routine Na me: ETSLNC TX | |
| 412 | Before : n/ a After: B32085670 **1** | |
| 413 | Routine Na me: ETSRXN | |
| 414 | Before : n/ a After: B54861353 **1** | |
| 415 | Routine Na me: ETSRXN 1 | |
| 416 | Before : n/ a After: B70502187 **1** | |
| 417 | Routine Na me: ETSRXN TX | |
| 418 | Before : n/ a After: B77757125 **1** | |
| 419 | ||
| 420 | ||
| 421 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 422 | User Infor mation: | |
| 423 | Entered By : BL AESER,DAVI D D ate Entere d : APR 20,2017 | |
| 424 | Complete d By: D ate Comple ted: | |
| 425 | Released By : D ate Releas ed : | |
| 426 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 427 |
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