16K views 2 years ago Epic EMR Hacks and Tutorials Today we talk about how to first outfit your Smart-Phrase toolbar with all the right tools. @PTAMEDS@, Histories: There are common SmartLists for things like numbers (0-10), durations (days/weeks/months/years), or symptoms, to name a few. Diabetes type 2 On metformin. Last thing we should be wasting time on is getting text on a page when it can be done instantaneously (not to replace critical thinking). =^L\"k8%>NqaV92Ap;CMCuIs}?0mx{sN9sL3fDQTa5*r1CjBWq--4(9u@S&@]p'^iZ4y%kP!'lKt69/)d+dr9g5AQf r$ gw iu QI$ (1(+au@DB,dH  P ue`8yK:`e Step #1. >T-2?*Us(|P]=.2ERz8k>mLnv1g@ %ICbCsH+DDC_Am5bO#WcYo/Hz.Ka`D^``x(]W-r_2^h~m?5kdRs;T-6>Fynq/bX]U.2}}L4\?>",ac%by=}D4VU,^YW6RQ. Your email address will not be published. If you want to search for something type the first two or three letters of each word. Typically, System SmartPhrases are configurable only be administrators, and they are available to all users (or can be restricted by location or department). Urology, PGY ( ) Admissions, discharges, consultsthese should rarely take more than 10 minutes. Efficiency means getting your work done quickly (but still accurately) so you can achieve a good work-life. Q Home Medications: These smart phrases are submitted by users, and are not edited for completeness or correctness. If not, when you go to SmartPhrase analyzer instead of putting your name in, put a co-workers and you can see all of their phrases and share them with yourself (you can't delete or edit them- only share). endobj With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. @SOCHX@, Constitutional: A&Ox3, NAD 1. If I want to search for a patient called Peter Smith I type Pet Sm. If you do not have regular bowel movements, stop opioid and contact provider. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. 1. Heres your new peripheral brain. Come up with your top 10 conditions. Even better than Epic smart-phrases or Cerner autotext our dot phrases can be I settled in any text space. 0 Repeat the same tasks above to select the back of the fact sheet and copy + paste into EPIC (to 4 0 obj q x][s:~OUSMmk%n.X0EmF R%R$^ th|n*OV_/V1_Vv4_u%{f/sY aeG/_\\sJ6C:qzI{ Ce/c|JIh/"rbWGl)4vD$#|cds\C"lU&.qV ~O ~AM{Y]'lPyYx3zOO}?='Ql#6@6c]E v!u+tq[E&5DM]9DI:ChP@G36ys$4TJwAB]OhD9G#xfXbx (3V>pf"1[-go?E seUk 2`A8q @Y 2,. !HxiU~y%+'6G ,@fc~-%`. Use your prescribed pain medications as directed. stream You will likely not get through medical school and residency without using it at least once or definitively. While there are multiple EHRs, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. 2. For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. What are SmartTexts?SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. MSK: no edema Let us know how we can help optimize your Epic system. <> R^+[~P,^Zp|!f;z5dPW9%~PV,PW[dbE`&cS<4%LW5SfPbK9pf(T'`A6]uk\&0nu:oIa&v!F:LWRqb bY 4y-4 Epic Smart-phrase Repository BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. @HXPMH@ If you receive a communication from NM about scheduling, please do so as soon as possible, following the instructions given. highlight the phrase, and click Edit. Epic .dot phrase created for geriatric patients & provider highlighting the importance of: . Get and give smart phrases for EPIC charting system. last recorded cmp .lasttroponin - last recorded troponin level .emercnt - emergency contact on file !! endstream endobj 130 0 obj <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 127 0 R/StructTreeRoot 23 0 R/Type/Catalog>> endobj 131 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 132 0 obj <>stream We hope this list of "smart" phrases helps make creating your Epic note templates a bit. Interns take note. % .Reassess = Patient is a @AGE@ year old @SEX@ that presents with X. Medical practice software provides a number of benefits to health care professionals and their patients, including more accurate diagnoses, faster, Medical records software, often abbreviated as EMR software, has become essential in todays doctor offices and hospitals. Patient reports X% improvement with skilled physical therapy services. * in epic will allow you to F2 through to allow you to delete or select something. @NAME@, @AGE@ @SEX@ with PMH of *** who presents with, Medications: 2. Following a low salt diet. Among them, the ability to have preformatted phrases and statements both for documentation and for patient education. Next . Notify me of follow-up comments by email. followed by the mnemonic of the SmartPhrase, for example, .MYPROGNOTE to pull in your custom Progress Note template.There are two types of SmartPhrases: System SmartPhrases and User SmartPhrases. Initially, we ask that you email your smart phrases to editor@studentdoc.com. A discussion of each, including examples and use cases, is below. Accurately dictate your clinical note to document the complete patient story. 7!S5[ wuv%MFCppK8MGA/uP uMu97'l Hp^Bd[e]QWG0Z{7GT3w }g}d!9zUeb@Nwc*=vFf~,Qpm_&q5.b*euy(,D_Z}%n2I[2p8$4 N*(+e}hbcA=/HPNJl N{seEN(_?%,7AAR9)[xi5yvs/b^w`eF._#QoMW7>-dxQk_sQ'Ev5xs3uz.T To see all available phrases and links . Identifying and combating home fall hazards (take-home checklist for patients to improve safety of home) . HlRn1+Fh6 v- K:N)}Iyk^9oWEjb|Lt{4-uA]~-?_Omw;zvbC]_{SAXp:+5XlEz18l{XQ|N-3:*d" V6R)7W;,\Y3T1eYu~SxY;(svvXpU%7_Jd!a?~r+[ l,MB2EUg#yLAoNH,JU"T"c gGc.##Umg5/9"2:<9s'[] F$ a(-yDH1P#T3Gi-k&GqWg^*hY;(hg];Eicad]q&G ' Exercising. We wrote it, thats all we wanted to do.. Click on the Library in Epic. Today's date: t. yesterday: t-1. dot phrases. Minimize your dot phrases . $2p'?@:;b`p]ONY r Keep wound clean and dry. 2 0 obj SmartPhrases can save you time when you have to write the same note over and over. To find phrases and links, you can: a. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. Sing it. @LASTLABX(hgb)@ @LASTLABX(cl)@ aPTT I always suck at streamlining my note writing and I know there so many ways I could optimize my workflow through Cerner or Epic, but cant find the time to learn it. 179 0 obj <>stream Epic SmartTools can be defined broadly as features that allow users to pull in certain text or data quickly into their Notes. hVmoH+qW2/BpMMw{lA!AI8@H gl?'#F#^IdBF"dA%d('{G &Bq N#TDCn4DD3"_;?]cj>nrzL-sx rU`nw136$EOJ_lsGOS&c . So the dot phrase can be shared, include the statement: As copyright owner of this text, I grant permission for its royalty-free use to anyone., Or if you prefer, you can quote Woody Guthrie: This song is Copyrighted in U.S., under Seal of Copyright # 154085, for a period of 28 years, and anybody caught singin it without our permission, will be mighty good friends of ourn, cause we dont give a dern. Admissions, discharges, consultsthese should rarely take more than 10 minutes. hb```QB Highlight the desired SmartPhrase. <> Organize your medical decision making(MDM) with a general dot phrase. Neuro: no focal deficits, Labs: SmartLists can either be single-select or multi-select, and there commonly is an option for a free text choice, which is represented with a wildcard or three asterisks, "***".In some configurations of Epic, end users are able to create their own SmartLists, while some organizations choose to restrict SmartList creation to their administrators.SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. How to Make a Flowsheet SmartLink in Epic. 0 Include your name and affiliation, and a statement that you own the copyright on the smart phrase so can get credit for it. Date of Service: @TD@, History of Present Illness Use the "pick and stick" technique to speed navigation through Epic flowsheets. q Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. Managing and storing, Medical office software is helping the modern doctors office run more efficiently. of Covid dot phrases, type ".covid" into Notewriter in Epic . Use the Filter tab to select the SmartTools you want to see. endobj jHd8RJE_b@jvMn1}K$X.ib%U+ ckIc[$eg.n$Spw&HOZC$q${2` 129 0 obj <> endobj I cant tell you the number of times my consult note for Jane doe said uncircumcised male. Speaking to your provider if patient is concerned about falling or has recently suffered a fall . Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. endstream endobj startxref 1 0 obj Your name will display in the user's column. Enter the user's name to view their phrases. stream %PDF-1.6 % endobj The user's smart phrases will display 4. You have written, so are free of copyright restrictions. Creating your own dot phrase It's also very helpful to create your . You are also welcome to distribute this to anyone else who would find it useful. Using pre-visit planning, at the end of the current visit:. 2. Resp: respirations unlabored on room air With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. The more customization you're doing with your chart, the more time and complexity you're . endobj Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. %PDF-1.5 % This are my dot phrases for the classic trio. Click Go. Type "ES App" and click Search to find the ES Appointment Search report. Pre-visit lab testing and other diagnostics are arranged. If you use the phrases in your chart notes you alone are responsible for the correctness of the content of the chart note. Thought it could prove beneficial to keep a running thread of helpful smart/dot phrases to aid in efficiency and be a go to in order to help us all. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> endstream endobj 1678 0 obj <. 3 0 obj 1694 0 obj <>/Filter/FlateDecode/ID[<3A48F62A61AB7E48A8A2F1A0A94982B2>]/Index[1677 25]/Info 1676 0 R/Length 89/Prev 459408/Root 1678 0 R/Size 1702/Type/XRef/W[1 3 1]>>stream @LASTLABX(rbc)@ @LASTLABX(k)@ @LASTLABX(ptinr)@ 0 b. Maximize your use of templates and smart phrases. 3. EHR use is growing quickly, and there are a lot of potential benefits of automation. I've seen providers with more than 20 dot phrases for custom MDMs. Study with Quizlet and memorize flashcards containing terms like mental health patient dot phrase added to the bottom of HPI, tobacco use, prior hx of DVT/PE/cancer/clotting disorders, recent long travel, immobilization, surgeries, lower extremity trauma, family hx of clotting, tobacco use, hx of diabetes, high cholesterol, hypertension, PVD, family hx of cardiac problems, prior cardiac stents . Next week: t+7. (Insert Pager Number), Your email address will not be published. and our Sharing your Phrase To share your phrase with another user, highlight the desired phrase, click the share In addition to the SAEM Patient Toolkit information, ACEP's SmartPhrases may also be useful to you as you manage your patient instructions in your Epic system. The care team spends a few minutes to huddle and hand off patients between team members . Select the desired list). Write it. " **NEURO:** Sedated: Fentanyl, Propofol, Precedex access CareEverywhere on Epic. Reddit and its partners use cookies and similar technologies to provide you with a better experience. endstream endobj 1125 0 obj <>stream Before you arrive for a medical appointment, call and inform your physician or other Dot phrases are KEY to efficiency on both inpatient and outpatient medicine rotations. The below article delves deeper into Flowsheet SmartLinks: How to Make a Flowsheet SmartLink in EpicFor a full list of SmartLinks available to you, you can open a note and click the icon with the person and a .? Swing to it. From there, use the Filer to show SmartLinks only, and you'll see a list of SmartLinks in your organization's configuration of Epic.What are SmartPhrases?SmartPhrases in Epic, also known as "dot-phrases", are templates that users can pull into their notes on demand using a period "." <> @LASTLABX(plt)@ @LASTLABX(ca)@ The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes.What are SmartLinks?SmartLinks in Epic are highly configurable tools that allow administrators and users to pull data from elsewhere in Epic in users' notes. Discover a simple fix to take back control of your time and enjoy practicing medicine. Double-click a SmartPhrase or SmartLink to insert it. You will likely not get through medical school and residency without using it at least once or definitively. Do not drive or operate heavy machinery while using narcotics. d. Use the Sort tab to control which items are listed first. . Get Boosted! Click on the "Doc Detail Report" link on the right side of the flowsheet screen. Interns take note. Last year: y-1. @LASTLABX(wbc)@ @LASTLABX(na)@ @LASTLABX(pt)@ hbbd```b``k@$S0dK"w"0[ $xhEjg">J=/q(O~3XAb8fB2(`Dt`JIXU,a_\MXF Q$1oSs"Jh%a!mEDpQh 3m^H,"Z@V+XXn]f COSW+1n5!rQtcmX2P;I7(_>n'a3CD?!` q Then left-click to pick the option, and right-click to make it stick. endstream endobj startxref H\@yZv/W!vayN`LB~4=0=NJwf~fwv endstream endobj 1127 0 obj <>stream Last month: m-1. Templates should be used for physicals, routine office visits, televisits, procedures, patient instructions, specific parts of exams (e.g., knee . @LASTLABX(hct)@ @LASTLABX(bun)@ @LASTLABX(apttpat)@ %PDF-1.7 . ]U}dT>3?>\B]07O!q_iD7>K1~4~C/G|E5T/1i)!e4UZ9 Skin: no rashes 3. COVID Negative .covid19negative - to be utilized for negative COVID Results . So Epic is used in 34% of healthcare settings in the US. endobj I work with Epic. Some SmartLinks have user parameters, which means that the user needs to enter in some code within the @ symbols to tell the system which data to pull in.A common example of this is with the @FLOW@ SmartLink. Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. 4 0 obj 3. Open EPIC MySmartPhrases/Smart Phrase Manager and select New 10. 3 0 obj HPI Hypertension On _. Compliant with medications. ]a9E |uV$e$T(\X]8,sei2dV0a@.3gF:q5'gl aUy$ %%EOF * in epic Should you go into a specialty that has a personal inbox this will also save you much time in responding, reporting results, precharting, prerounding, and "proc doc"ing. Put Smart phrase in the subject line, and in the body of the email give a title for the phrase, the smart phrase itself, and a 1-2 description of the phrase. A discussion of each, including examples and use cases, is below. 4 0 obj .FCncLL63#y. 0 g Some EHRs, like Epic, allow clinicians to share their smartphrases. h_O#7kJ'-RUB. Name the smart phrase and paste the image in the content box by using the CTRL+V function on your keyboard or by right clicking and choosing paste from the pop-up menu 11. It's easy to get started with dot phrases. CBC BMP PT/INR The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes. 1151 0 obj <>stream %PDF-1.7 Instead of being available by default to all users in a given facility or location, they are accessible only by users to whom the owner designates as users. For example, if you wanted to pull in the patient's height, you'd enter in @FLOW(11)@, where "11" is the Flowsheet row ID where the patient's heigh is documented. In the world of EHRs these are known as smart phrases or dot phrases. _____. W n Search for specific links or phrases. Cookie Notice User SmartPhrases, in contrast, can be created and updated by individual end users. eB)7>?x[xu(|1@FY]u'MHwgtiu&57&qF Altered mental status differential diagnosis and plan. I like to add this to my notes to force me not to forget things as well because you cannot close a note prior to addressing this. >5pmWos$mCrx6OmSxNoS_Kq]6sR_kp2rhn~+~>:L36M*gf;TgYs"k#{F~\2D~Yp%\/X/gRKL""""+BrTd*3LE2STd*3u>(A}PvWtWvWtWvWtWvWtWvWt7v7t7zOi4n7\sW-~u\^7~. Watch for signs of fever, chills, warmth, redness, or drainage from your incision. %PDF-1.3 Then we work on your first Full Note Template. Oakland University William Beaumont Was It Worth It? 1701 0 obj <>stream @FAMHX@ JLV - Sorting Results At the bottom righthand corner of each Widget, you can select "More" which opens a pop- up Nonetheless, I know how dot phrases can be a life saver and amazing tool to cut down on that note writing clutter. I'm unclear how that helps with efficiency. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Copyright 2019 All Rights Reserved by Sanders & Sons. You do not have a COVID-19 infection as far as this test can determine. 1129 0 obj <>/Filter/FlateDecode/ID[<9E3374092F80F24CB954A227542C0A09>]/Index[1121 31]/Info 1120 0 R/Length 59/Prev 770487/Root 1122 0 R/Size 1152/Type/XRef/W[1 2 1]>>stream <> Privacy Policy. Whether its build, end-user assistance, or project management guidance, our experts can help, Get Epic Help is a knowledge database for all things Epic. BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. 1 0 0 -1 0 -0 cm For more information, please see our 2 0 obj Patients are scheduled for follow-up appointments. Required fields are marked *. Consult Note (Male) I usually use template this for both admissions and consults with a few modifications, Requesting Physician: @REFPROV@ Has placeholders to fill in unknowns, specifically ***. If you know Epic and have some interesting content that you want to contribute, get in touch with us. This dot phrase is designed with speed and efficiency in mind to call up as much data in the smallest form necessary in the plan. (Ex: type "yes" to search for a yes/no drop list. Medication reviews including By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. xXFGGmzLHUh4I6&Qt;3kb$#;;3u< This will automatically advance the cursor to the next flowsheet row, eliminating the need to scroll up and . For example if I want to search for aortic calcification I type ao cal. Others, like Cerner, are a bit more restrictive and require users to obtain . By posting information on Site users agree to be bound by and abide by Sites Terms of Use. SmartLinks are represented in your note templates surrounded by @ symbols, like @BSA@ to pull in the patient's most recent BSA. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. GI: soft, ND, NT, no CVAT Stringing beads. stream Some of these programs literally help the staff, Medical billing software is just one example of the variety of programs available to make medical offices work more efficiently., Copyright 2020 Medical Resource Group, LLC. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Someone in your department should share them with you. Last week: t-7. To find tutorials on the app and advanced settings, press CTRL+H to open Booster, then click on link in upper righthand corner. Epic has a variety of tools that can make writing patient notes faster and easier: SmartPhrases Also known as "dot phrases," SmartPhrases allow commonly used chunks of text to easily be inserted into patient notes or discharge instructions by typing a period (the dot) followed by a short user generated phrase. endstream endobj startxref Lymph: no inguinal LAD The dot phrases are user specific. Have brief references so any equations or evaluations can be looked up. 160 0 obj <>/Filter/FlateDecode/ID[<37A44A72C4CAB748A13A67B7AC6C8B80>]/Index[129 51]/Info 128 0 R/Length 124/Prev 108530/Root 130 0 R/Size 180/Type/XRef/W[1 2 1]>>stream Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. % Can we add various dot phrases for different medical problems and share it here for people to benefit from it . hbbd``b`~$_ &E bEA, Hk7 w 1121 0 obj <> endobj . 2. future appointments .vshosp or .vs or.vitalsm - vital signs .iobrief - ins and outs . CV: RRR Publish it. Epic Smart Sets, Phrases, & Templates for Scheduled V-Visits & Telephonic Visits, COVID-19 Screenings (Virtual or In Person) 04/17/2020 Scheduled V-Visits Smartsets for Specific Conditions *may need to search and add as favorite Each Smartset has Chief Complaints, Dx, LOS, Orders and Patient Instructions based on the symptom. SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note. endstream endobj 1126 0 obj <>/Shading<>>>/Subtype/Form>>stream <> /eC)5(+EGn_#k1FJ1I:$|,O+S\w~4E$2Bb[[l/zl$^zV-R. 0 540 960 -540 re For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. Last Modified: 04/05/2013. 1677 0 obj <> endobj May apply dressing as needed, change dressing daily, Okay to shower but do not submerge in water for 2 weeks, pat incision dry (dont rub). @SURGICALHX@ Owners of User SmartPhrases can both update the SmartPhrases themselves as well as use them in their notes, while Users of User SmartPhrases can only access them in their notes.Some common system SmartPhrases include .WNL (for "within normal limits"), .AOS ("aortic sclerosis").What are SmartLists?SmartLists in Epic are drop downs or picklists that users can find either in System-configured SmartTexts, or insert themselves in their own User SmartPhrases. Yodel it. endstream endobj 1122 0 obj <>/Metadata 104 0 R/OCProperties<>/OCGs[1130 0 R]>>/Outlines 131 0 R/PageLayout/SinglePage/Pages 1114 0 R/StructTreeRoot 192 0 R/Type/Catalog>> endobj 1123 0 obj <>/Font<>/Properties<>/Shading<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1124 0 obj <>stream easier. Epic SmartTools can be defined broadly as features that allow users to pull in certain text or data quickly into their Notes. HEENT: EOMI, conjunctiva and sclera clear For example, if you give a smart phrase for the CHADS2 score, it is useful to put a reference in to show where you got the scoring system. /GS0 gs next to it, on your SmartTool toolbar. Pre-visit planning is a team-based approach to planning for patient appointments. %PDF-1.6 % ,Y@}x ).22]sSuha"}_#i__ ?dmdDL^Zy =o>b=-ZfA JN/_u69HVmg8ik;bb?}:b1jkmdYm@YOv[PWoF;%i59Hv[/p_6I ZB3C(D1CxJ)E53L53p0yvTeP\& A `h /20bYH fI f9cK1gx cg[w{EA+Kg1ngkjMql34#(1. n If an opioid (Norco, codeine) is taken, you may take stool softeners as needed, and stay hydrated to ensure regular bowel movements. Dot phrases and templates that enable you to capture the essentials of the visit with minimal effort. )ge9~_=tmv^vEAq}un>{wv~}.|}CGP;P?u`C.v hb```, - PRIME Edition . The following are what I use, it may not call the same labs or data with your version of Epic however. Necessary information for upcoming visits is gathered. hb``c`` >+s| Zfz$e` @,1eg>" B1YQq+ Cnl`ixys Ya`\Z $ GU: circumcised, normal phallus, B descended testes, no masses DRE: normal sphincter tone; prostate ***g, soft, smooth, no nodules Cerner Tips and Tricks - UPMC Children's Hospital of Pittsburgh Does not report any headaches, blurry vision, dizziness, chest pain, shortness of breath, or palpitations. All Rights Reserved. While there are multiple EHR s, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. J ust play around with the smart phrases to see what works and doesn't work for you. c. Click to mark links and phrases as favorites. endobj @LASTLABX(creat)@, *** ,MD Compliant with medications. Studentdoc.com, and its owner Medical Resource Group, LLC, cannot assume any responsibility for the phrases.

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