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CN103473631A - Rehabilitation therapy management system - Google Patents

Rehabilitation therapy management system Download PDF

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Publication number
CN103473631A
CN103473631A CN2013103746673A CN201310374667A CN103473631A CN 103473631 A CN103473631 A CN 103473631A CN 2013103746673 A CN2013103746673 A CN 2013103746673A CN 201310374667 A CN201310374667 A CN 201310374667A CN 103473631 A CN103473631 A CN 103473631A
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rehabilitation
unit
equipment
work station
management system
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CN2013103746673A
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CN103473631B (en
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厉景宇
陈海军
祁国阳
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WUXI TONGREN (INTERNATIONAL) REHABILITATION HOSPITAL
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WUXI TONGREN (INTERNATIONAL) REHABILITATION HOSPITAL
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Abstract

The invention discloses a rehabilitation therapy management system which comprises a rehabilitation therapy server unit, a rehabilitation therapy evaluating and diagnosing workstation unit, a rehabilitation equipment unit, a communication unit and a power supply unit; the rehabilitation therapy server unit, the communication unit, the rehabilitation therapy evaluating and diagnosing workstation unit and the rehabilitation equipment unit are connected in sequence; the power supply unit is respectively connected with electric equipment in the rehabilitation therapy server unit, the communication unit, the rehabilitation therapy evaluating and diagnosing workstation unit and the rehabilitation equipment unit. According to the rehabilitation therapy management system disclosed by the invention, the disadvantages of low working efficiency, fussy therapy process, waste of rehabilitation resource, poor reliability, small application range and the like in the prior art can be overcome; the advantages of high working efficiency, convenience in therapy, shared resource, good reliability and large application range can be realized.

Description

Healing treatment management system
Technical field
The present invention relates to the computer management system technical field, particularly, relate to healing treatment management system.
Background technology
Hospital management system (Hospital Information System, be called for short HIS) be the boundary science that the multiple subjects such as an appearance medical science, information, management, computing machine are integrated, be widely used in developed country, and created good Social benefit and economic benefit.Hospital management system is that the necessary technology of modern hospital operation supports and infrastructure, the purpose that realizes hospital management system is exactly in order to strengthen the management of hospital with more modernization, scientific, normalized means, improve the work efficiency of hospital, improve the quality of medical care, thereby establish the new image of modern hospital, this is also the inevitable direction of following Development of Hospital.
Medical science of recovery therapy as one emerging, develop subject rapidly, be one of four large pillars of modern medicine.In recent years along with the application of infotech, the technical merit of rehabilitation medical and facility have obtained improving and improving, traditional HIS management system can't adapt to the requirement of convalescent home's modern management, and effective, ripe, the stable information management system about rehabilitation of domestic also neither one.
Rehabilitation is as a subject comparatively independently, just towards specialized, integrated trend development.In the rehabilitation process, the daily record process that needs complete patient information record, rehabilitation therapy programe, track record rehabilitation, and the assessment result of rehabilitation, the treatment task that simultaneously needs overall arrangement therapist, rehabilitation equipment, rehabilitation, and need a large amount of rehabilitation equipment be managed.But, mostly adopt manual dispatching arrangement, hand-kept treatment information in current rehabilitation process, because Timing is longer, and need patient and doctor's close fit, therefore, workload is large, there will be the situation that referral is loaded down with trivial details, recorded information is inaccurate or lose, relevant rehabilitation information resources also can't be shared, and bring inconvenience to patient's rehabilitation, simultaneously the use of equipment and distribution situation can not dynamic knowledge, also bring inconvenience to management.And existing information management system, function singleness, can not complete the digital management of information in the rehabilitation process.
In realizing process of the present invention, the inventor finds in prior art at least to exist that work efficiency is low, the treatment flow process is loaded down with trivial details, rehabilitation resources waste and poor reliability and the defect such as the scope of application is little.
Summary of the invention
The object of the invention is to, for the problems referred to above, propose healing treatment management system, realizing high efficiency, treat convenient, resource sharing and good reliability and the large advantage of the scope of application.
For achieving the above object, the technical solution used in the present invention is: healing treatment management system, comprise for storing and upgrading the rehabilitation information bank, the rehabilitation server unit of core database, for the rehabilitation management and running are provided, the rehabilitation information management, the management of rehabilitation electronic health record, the rehabilitation toll administration, the rehabilitation assessment unit, diagnostic work station of rehabilitation equipment control and output hurt of rehabilitation scheme, for the rehabilitation equipment unit of rehabilitation with equipment is provided, for the information interaction between described rehabilitation assessment unit, diagnostic work station and rehabilitation server unit, and the communication unit of shared outer net rehabilitation resource, and for to described rehabilitation server unit, communication unit, the power supply unit that each consumer in rehabilitation assessment unit, diagnostic work station and rehabilitation equipment unit carries out distribution and power supply,
Described rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station are connected successively with the rehabilitation equipment unit, and described power supply unit is connected with the consumer in the rehabilitation equipment unit with rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station respectively.
Further, described rehabilitation server unit, comprise the server with core database be connected with described communication unit, and unify knowledge data base and rehabilitation information database with the described medical science of recovery therapy be connected with the server of core database respectively.
Further, described communication unit, comprise the switch and the network adapter that are connected in turn between described rehabilitation server unit and rehabilitation assessment unit, diagnostic work station, the hub and the gateway interface that with described switch, are connected respectively, and with described gateway interface, be connected and the mutual telenet for teledata.
Further, described rehabilitation assessment unit, diagnostic work station, comprise the rehabilitation information management workstation, rehabilitation assessment diagnostic work station, rehabilitation dispatching management information system workstation, rehabilitation electronic health record workstation, rehabilitation fee collection station, rehabilitation equipment management work station and the information output workstation that are connected with the rehabilitation equipment unit with described communication unit respectively.
Further, described information output workstation, comprise printer and/or display screen.
Further, described rehabilitation equipment unit, comprising parallel arrange and electronic label the 1st to the n rehabilitation equipment, n is natural number.
Further, described power supply unit, comprise any multiple combination in direct supply, battery pack, solar photovoltaic cell panel and the ups power converted from civil power.
The healing treatment management system of various embodiments of the present invention, owing to comprising rehabilitation server unit, rehabilitation assessment unit, diagnostic work station, rehabilitation equipment unit, communication unit and power supply unit; Rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station are connected successively with the rehabilitation equipment unit, and power supply unit is connected with the consumer in the rehabilitation equipment unit with rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station respectively; Can share to greatest extent the information resources of rehabilitation, directly instruct rehabilitation, improve the rehabilitation effect, promote standard and the popularization of clinical rehabilitation technology; Thereby can overcome in prior art that work efficiency is low, the treatment flow process is loaded down with trivial details, rehabilitation resources waste and poor reliability and the defect such as the scope of application is little, realizing high efficiency, treat convenient, resource sharing and good reliability and the large advantage of the scope of application.
Other features and advantages of the present invention will be set forth in the following description, and, partly from instructions, become apparent, or understand by implementing the present invention.
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
The accompanying drawing explanation
Accompanying drawing is used to provide a further understanding of the present invention, and forms the part of instructions, for explaining the present invention, is not construed as limiting the invention together with embodiments of the present invention.In the accompanying drawings:
The principle of work schematic diagram that Fig. 1 is healing treatment management system of the present invention;
Fig. 2 is rehabilitation packet diagram in the embodiment of the present invention;
Fig. 3 arranges the rehabilitation assessment process flow diagram in the embodiment of the present invention;
Fig. 4 distributes therapist's workflow diagram in the embodiment of the present invention;
Fig. 5 is basic data management distribution plan in the embodiment of the present invention;
Fig. 6 is examination achievement distribution plan in the embodiment of the present invention;
Fig. 7 is rehabilitation domain object distribution plan in the embodiment of the present invention;
Fig. 8 is that in the embodiment of the present invention, main flow process distribution plan is dispatched in rehabilitation.
Embodiment
Below in conjunction with accompanying drawing, the preferred embodiments of the present invention are described, should be appreciated that preferred embodiment described herein, only for description and interpretation the present invention, is not intended to limit the present invention.
The defect existed in order to overcome prior art, according to the embodiment of the present invention, as shown in Fig. 1-Fig. 8, healing treatment management system is provided, energy standard rehabilitation flow process and the complete information reference template of science, make the doctor can formulate quickly and accurately rehabilitation therapy programe, plans as a whole Dynamic Arrangement treatment task, the rehabilitation feedback information followed the tracks of in record, completes rehabilitation assessment and rehabilitation information resources and share.
Referring to Fig. 1, the healing treatment management system of the present embodiment, comprise for storing and upgrading the rehabilitation information bank, the rehabilitation server unit of core database, the rehabilitation information management, the management of rehabilitation electronic health record, the rehabilitation toll administration, the rehabilitation assessment unit, diagnostic work station of rehabilitation equipment control and output hurt of rehabilitation scheme, for the rehabilitation equipment unit of rehabilitation with equipment is provided, for the information interaction between rehabilitation assessment unit, diagnostic work station and rehabilitation server unit, and the communication unit of shared outer net rehabilitation resource, and for to the rehabilitation server unit, communication unit, the power supply unit that each consumer in rehabilitation assessment unit, diagnostic work station and rehabilitation equipment unit carries out distribution and power supply, rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station are connected successively with the rehabilitation equipment unit, and power supply unit is connected with the consumer in the rehabilitation equipment unit with rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station respectively.
Particularly, above-mentioned rehabilitation server unit, comprise the server with core database be connected with communication unit, and the medical science of recovery therapy be connected with server with core database is respectively unified knowledge data base and rehabilitation information database.
Above-mentioned communication unit, comprise the switch and the network adapter that are connected in turn between rehabilitation server unit and rehabilitation assessment unit, diagnostic work station, the hub be connected with switch respectively and gateway interface, and with gateway interface, be connected and the mutual telenet for teledata.
Above-mentioned rehabilitation assessment unit, diagnostic work station, comprise communication unit is connected with the rehabilitation equipment unit respectively rehabilitation information management workstation, rehabilitation assessment diagnostic work station, rehabilitation dispatching management information system workstation, rehabilitation electronic health record workstation, rehabilitation fee collection station, rehabilitation equipment management work station and information output workstation.This information output workstation, comprise printer and/or display screen.
Above-mentioned rehabilitation equipment unit, comprising parallel arrange and electronic label the 1st to the n rehabilitation equipment, n is natural number.
Above-mentioned power supply unit, comprise any multiple combination in direct supply, battery pack, solar photovoltaic cell panel and the ups power converted from civil power.
The healing treatment management system of above-described embodiment, be the applicant in light of its own characteristics, optimize operation flow, and utilize self-technique strength, developed and a kind ofly met the modern rehabilitation hospital management mainly by information database, rehabilitation equipment, rehabilitation assessment unit, diagnostic work station and the healing treatment management system that forms with the server of core database.Illustrate as follows:
(i) need the key issue solved
1, doctor VS rehabilitation team
Figure 2013103746673100002DEST_PATH_IMAGE001
The patient is in hospitalize, is no longer to check, take medicine, hang the medical procedure such as water, operation, but be admitted to hospital to from the patient, leaves hospital, and a complete rehabilitation system is arranged.Patient admission, at first will carry out state of an illness assessment, completes rehabilitation evaluation, then forms rehabilitation team, and Team Member is comprised of berth doctor, rehabilitation therapist, rehabilitation evaluation teacher, psychotherapist etc.Rehabilitation team during patient treatment by infosystem understand in time the patient treatment plan, recovery extent, and adjust at any time therapeutic scheme.
2, doctor's advice VS treatment task
Traditional general hospital is centered by doctor's advice to patient's treatment, and HIS system nature drives with doctor's advice, completes the charge to the patient.Also book keeping operation of medicine, functional check section office are sent out according to doctor's advice in pharmacy, and according to doctor's advice, execution checks and keeps accounts.The doctor's advice of HIS system is fixed frequency, as qd once a day, early, middle and late three times of tid every day.Pharmacy is also the set time to send out medicine.
Rehabilitation has the characteristics of highly significant: rehabilitation team formulates rehabilitation target and scheme according to the handicapped characteristics of patient, disease situation, rehabilitation demand etc., and adjusts in time scheme according to treatment progress and function.The doctor assigns the rehabilitation doctor's advice, and the rehabilitation therapist arranges treatment, in the time for the treatment of, will complete the charge to the patient.
" doctor's advice " of convalescent home can arrange as can be seen here, schedulable---the treatment task.
When patient's treatment task is distributed to rehabilitation therapist and rehabilitation equipment, the capacity of need again to make overall plans rehabilitation therapist and rehabilitation equipment, require to distribute rationally, distributed uniform.
3, charge VS treatment
The information system of convalescent home is no longer centered by charging, but take rehabilitation as core, requires the observability of rehabilitation course, its objective is better as the patient offers high-quality service raising doctor's treatment level.
Rehabilitation team formulates rehabilitation goal for the patient, and each rehabilitation goal has corresponding treatment task, and each stage will be marked for objectives and tasks after having treated.
(ii) business objective
1, reasonable arrangement Rehabilitation treatment plan
The patient has a plurality for the treatment of projects in one day, while for the patient, arranging treatment time, need to consider the current capacity of therapist and rehabilitation equipment.Some therapists can treat several patients simultaneously; Some rehabilitation equipments once can only a patient; Some rehabilitation equipments once can be treated several patients, and the reception upper limit is arranged again simultaneously in one day; Some plant factor are high, and some plant factor are low.Once distribute treatment time, just taken the treatment time of therapist and rehabilitation equipment.The requirement system can provide the vacant time of rehabilitation therapist, rehabilitation equipment, the convenient treatment plan that arranges.After patient's treatment plan arranges, patient, doctor, rehabilitation therapist can inquire about treatment plan at any time by computing machine, display screen.
2, accurate statistics, evaluation rehabilitation therapist's workload
When the rehabilitation therapist is patient treatment in therapeutic room, could confirm execution and the charge for the treatment of project, also meet the principle of charging after the first diagnosis and treatment of country's promotion.The requirement system can gather the number, the treatment number of entry, result for the treatment of scoring of therapist treatment etc.
(iii) business demand model
1, rehabilitation, referring to Fig. 2
(1) distribute patient to arrive treatment group, referring to Fig. 3
(2) distribute patient to the therapist, referring to Fig. 4
2, basic data management, referring to Fig. 5
3, examination achievement, referring to Fig. 6
(iv) demand analysis
1, rehabilitation domain object, referring to Fig. 7
By the investigation to business demand, sum up corresponding problem domain object, each patient has a therapeutic scheme, the different treatment cycle according to patient, can set corresponding therapeutic purpose, after being convenient to, statistics rehabilitation therapist result for the treatment of, assessed its ability.Therapeutic purpose consists of a plurality for the treatment of tasks, and the treatment task has determined which treatment project when and where patient carry out, and the treatment task is the core of whole system.By the performance for the treatment of task, the workload that can add up the therapist; By the treatment task, the related personnel such as doctor, patient, therapist inquire about the referral situation in time.
2, the treatment task overall principle
Time period: generally be defaulted as 5 minutes, patient's a treatment section was comprised of a plurality of continuous time periods.
Treatment section: a period of time that the therapist utilizes certain methods for the treatment of to be treated for the patient.
Methods for the treatment of: gimmick, machine, special therapeutic method
Treatment section: gimmick section, machine section
(1) the patient treatment section has and methods for the treatment of for once
(2) patient's treatment was divided into one or more treatment sections at one day, independent mutually between each treatment section, can not intersect or overlap.
(3) the therapist gimmick section can be treated one or several patient, but the number restriction is arranged.
(4) common machines machine section can only be treated a patient.
(5) special machine machine section can be treated several patients.(such as wax therapy, such as standing-rack (4 positions are arranged, certainly can split into 4 sub-standing-racks))
(6) the therapist can select the length for the treatment of section, but can not surpass the time of default.
3, main flow process is dispatched in rehabilitation, referring to Fig. 8:
1) General Dispatch Officer distributes patient to treatment group, and system provides the situation of seeing and treating patients of associated treatment group, as also had at present how many vacant time, and the time that arranged last time etc.
2) the treatment group leader arranges the patient who is assigned to the therapist.
3) therapist is that the patient who is assigned to arranges methods for the treatment of.
4) General Dispatch Officer according to system suggestion, unifies to arrange patient's treatment time.
4, arrange the machine section
Step 1: load the treatment section (gimmick section+machine section) that the therapist has arranged for patient
Step 2: the machine section that loads selected device
Step 3: the working time that iteration system is set, the time period is step-length.If the total amount of machine is not booked, the machine section does not arrange the patient on the time period, or remains in addition planned number, judges so treatment section that whether this time period arranged for patient with the therapist is intersected or overlapping; If no, this time period is free.Otherwise loop variable +=time period that machine arranges.
5, arrange the gimmick section
Step 1: load the treatment section (gimmick section+machine section) that the therapist has arranged for patient
Step 2: the gimmick section planned number that loads the therapist
Step 3: load the assessment section
Step 4: the working time that iteration system is set, time period is step-length, if therapist's gimmick section does not arrange on this time period, or remains in addition planned number, judge so treatment section intersection that whether this time period has arranged for patient with the therapist or overlapping; If no, this time period has; Otherwise loop variable +=time period that gimmick arranges.
6, carry out the treatment task
In order to arrange in order the treatment of patient in therapeutic room, place LED Zero queuing display on main several therapeutic rooms doorway, according to patient's treatment task, system shows the current still untreated patient's list of corresponding therapeutic room automatically, the patient of called number, enter therapeutic room.The therapist is by mobile workstation, and the scan patients wrist strap, confirm this treatment task.
(v) implement
1, database server
Directly create table, view, storing process on existing HIS database server.Call the corresponding interface of HIS simultaneously, logined and access basic data.
2, client is installed
Client running environment: WinXP SP3, Win2003.Installation procedure and refresh routine are placed on the server of hospital, utilize the issue of ClickOnce technology.The ClickOnce application program can be upgraded voluntarily; Application program becomes when available and checks more recent version the file of all renewals of automatic replacement at more recent version.Each therapeutic room configures one or more mobile workstation, simultaneously configuration barcodes scanner (for the scan patients wrist strap).
The principle of work of the healing treatment management system of the various embodiments described above of the present invention is: at first at band core database server, transfer patient's news file of being admitted to hospital, the doctor assesses by rehabilitation information management workstation application Rehabilitation, rehabilitation assessment team utilizes rehabilitation assessment diagnostic work station to complete Rehabilitation treatment assessment report, generate therapeutic scheme, and deposit the rehabilitation information database in; The rehabilitation General Dispatch Officer utilizes the rehabilitation dispatching management information system, the treatment task of overall arrangement therapist, rehabilitation equipment, rehabilitation, and show patient's rehabilitation information by multimedia system; The rehabilitation equipment that the patient adapts to according to the treatment task choosing carries out rehabilitation and training, after the treatment task completes, one side completes the charge confirmation by rehabilitation fee collection station, deposit its data in core database, by rehabilitation electronic medical record system completed treatment medical history record, deposit its information data in medical science of recovery therapy and unify knowledge base on the other hand; Finally can print and generate all kinds of rehabilitation information reports by printer.
In sum, the healing treatment management system of the various embodiments described above of the present invention can reach following beneficial effect:
(1) in time, accurately arrange patient's rehabilitation therapy programe, intelligence, Dynamic Arrangement patient's the rehabilitation period, thus effectively avoid the mistakes and omissions problem of manual management, the rehabilitation resource of keeping tensions down, for the patient creates ruly treatment environment;
(2) can provide rehabilitation assessment report directly perceived, standard, instruct rehabilitation, improve the rehabilitation effect;
(3) support telecommunication, be conducive to realize sharing and the management of rehabilitation information of rehabilitation resource;
(4) comparatively standard, reasonable and traceable therapeutic scheme be can provide, the treatment irrationality and the difference that cause because of individual difference greatly reduced;
(5) system flexible operation, facilitate the user to configure, and can share to greatest extent the information resources of rehabilitation.
(6) set up medical science of recovery therapy and unify knowledge base.Collect medical science of recovery therapy information by system, the information such as computer-automatic collection diagnosis and treatment, treatment, case history, form well arranged, definite semantic, standardized and orderly intelligent database;
(7) realize the rehabilitation equipment intelligent management.Rehabilitation equipment has electronic tag, utilizes system platform, by handheld device, scans, and understands in time utilization factor, maintenance record, warranty information of equipment etc.;
(8) research and development structuring, standardized rehabilitation electronic health record from structurized medical record information, gather patient's medical record information simultaneously, form the patient medical record storehouse.
Finally it should be noted that: the foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, although with reference to previous embodiment, the present invention is had been described in detail, for a person skilled in the art, its technical scheme that still can put down in writing aforementioned each embodiment is modified, or part technical characterictic wherein is equal to replacement.Within the spirit and principles in the present invention all, any modification of doing, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.

Claims (7)

1. healing treatment management system, it is characterized in that, comprise for storing and upgrading the rehabilitation information bank, the rehabilitation server unit of core database, for the rehabilitation management and running are provided, the rehabilitation information management, the management of rehabilitation electronic health record, the rehabilitation toll administration, the rehabilitation assessment unit, diagnostic work station of rehabilitation equipment control and output hurt of rehabilitation scheme, for the rehabilitation equipment unit of rehabilitation with equipment is provided, for the information interaction between described rehabilitation assessment unit, diagnostic work station and rehabilitation server unit, and the communication unit of shared outer net rehabilitation resource, and for to described rehabilitation server unit, communication unit, the power supply unit that each consumer in rehabilitation assessment unit, diagnostic work station and rehabilitation equipment unit carries out distribution and power supply,
Described rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station are connected successively with the rehabilitation equipment unit, and described power supply unit is connected with the consumer in the rehabilitation equipment unit with rehabilitation server unit, communication unit, rehabilitation assessment unit, diagnostic work station respectively.
2. healing treatment management system according to claim 1, it is characterized in that, described rehabilitation server unit, comprise the server with core database be connected with described communication unit, and unify knowledge data base and rehabilitation information database with the described medical science of recovery therapy be connected with the server of core database respectively.
3. healing treatment management system according to claim 1, it is characterized in that, described communication unit, comprise the switch and the network adapter that are connected in turn between described rehabilitation server unit and rehabilitation assessment unit, diagnostic work station, the hub and the gateway interface that with described switch, are connected respectively, and with described gateway interface, be connected and the mutual telenet for teledata.
4. healing treatment management system according to claim 1, it is characterized in that, described rehabilitation assessment unit, diagnostic work station, comprise the rehabilitation information management workstation, rehabilitation assessment diagnostic work station, rehabilitation dispatching management information system workstation, rehabilitation electronic health record workstation, rehabilitation fee collection station, rehabilitation equipment management work station and the information output workstation that are connected with described communication unit, rehabilitation server unit and rehabilitation equipment unit respectively.
5. healing treatment management system according to claim 4, is characterized in that, described information output workstation, comprise printer and/or display screen.
6. healing treatment management system according to claim 1, is characterized in that, described rehabilitation equipment unit, comprising parallel arrange and electronic label the 1st to the n rehabilitation equipment, n is natural number.
7. according to the described healing treatment management system of any one in claim 1-6, it is characterized in that, described power supply unit, comprise any multiple combination in direct supply, battery pack, solar photovoltaic cell panel and the ups power converted from civil power.
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