types of records in community health nursing

10 Dec types of records in community health nursing

The community as a learning system: using local data to improve local health. The steps of community health needs assessment are as follows. Immunization is widely recognized as one of the greatest public health achievements of the twentieth century. Figure 1. Digital government: advanced research and case studies, and implementation. 2009 Sep 13–16; Bethesda (MD): Agency for Healthcare Research and Quality; 2009. It is at this level that community health information can be exchanged to inform a portfolio of multisector interventions for preventing and controlling chronic diseases and their determinants (4,5). We are immensely grateful for the contributions and hard work provided by members of the Community Health Record team: Pradeep Podila and Leon Cistrunk from Methodist Le Bonheur Healthcare, Jennifer Kmet and Lilian Ogari from the Shelby County Health Department, and Lilly Rowland and Derrick Boswell (formerly) at the Tennessee Department of Health. For example, clinical and public health stakeholders in Shelby County were not sharing clinical information. Improving community health begins with real collaboration, access to relevant information, and development of appropriate infrastructure and tools for community health stakeholders to effectively manage and use information to aid decision making. The subobjectives are those objectives that each stakeholder needs to accomplish for the project to have value for their organization (23). Profiling What CH RNs Do. If you continue browsing the site, you agree to the use of cookies on this website. Public health nursing requires the competent application of a diverse range of knowledge and skills based on nursing practice standards. Efficient and timely access to relevant multisector community health information depends on interoperability, the ability of different systems and organizations to easily exchange and use information (35). Community health nursing Nurses in community health work with people from many different cultural backgrounds, often with disadvantaged and marginalised people. related to family(family folders)c.) related to community(community folders)d.) National(national health programms records) 7. Information access and availability will also be determined by data use agreements between information providers and end-users. Bates DW, Wells S. Personal health records and health care utilization. Cont….3.) FILLING OF RECORDS Different systems may be adopted depending on the purposes of the records and on the merits of a system. Collectively focusing on both objectives and subobjectives ensures a degree of success for all. For example, the primary objective for all community health record stakeholders in the Tennessee pilot is to use the community health record to facilitate chronic disease information exchange and health improvement. Documents episodes of patient care in a single health care organization, Providers use to facilitate patient diagnosis and treatment, track patient data, identify patients needing preventive services, monitor a patient’s conditions, and improve care quality, Collects, manages and displays patient demographics, physician notes, laboratory and imaging test orders and results, and prescription orders and alerts, Information is owned by the health care provider or organization and shareable only within that organization, Includes and expands on EMR functionality, Uses interoperability standards to securely exchange information within and between health care organizations, Information exchange with other organizations includes immunizations, laboratory and imaging reports, e-prescribing, and patient, administrative, and clinical decision support, Authorized staff and clinicians in participating health care organizations have access to patients’ information across providers and health systems, Extension of an EHR that allows patients to access their health information and communicate with their provider’s team, Patients can ask questions, request prescription refills, schedule appointments, and obtain billing information, Information is controlled and managed by the health care organization or provider, Patients might require access to several PPs to gain access to all their health information if they see multiple providers across health systems, Allows patients to gather, maintain, track, and control access to their health information in a secure and confidential environment, Contains information similar to an EHR and uses interoperability standards to pull information from other relevant sources, Patients can add their own information (eg, exercise and eating habits), Patients can access information via a website or mobile application. See our Privacy Policy and User Agreement for details. Source – Oriented Record. Outpatient record ... 2. 1990s 1; 1980s 2; Format. LaVenture M, Brand B, Ross DA, Baker EL. Initial Assessment. Public Health Nursing: the term used before for Community Health NursingAccording to Dr. C.E. The first type of documentation is Acute Care. Collaborative. Saving Lives, Protecting People, Defining and Developing a Community Health Record, National Center for Chronic Disease Prevention and Health Promotion, U.S. Department of Health & Human Services. Accessed September 9, 2015. Through the community health record framework, community health stakeholders have an opportunity to collectively address health within a community by bringing people, organizations, information, and technology together to document measures of health and determinants, identify needs and priorities, and target and evaluate interventions. Cynthia is the supervisor in an intensive-care unit on night shift, and finds the new computer charting system to be a great change from the pen and paper records she used last year. ... residents’ personal health record, public health reporting, and corporate office. Historically, data sharing projects have been ad hoc, inconsistent, and limited in scope. http://www.countyhealthrankings.org/. Vancouver Community 3; nurs* AND (title:community OR title:"public health") Serial; Print PDF. Their average annual salary in larger cities was $1,390. Community health nurses, especially those in public health settings, are now considered first responders—a role that traditionally belonged to law enforcement and emergency response professionals. Data for health: learning what works. Fielding JE, Teutsch SM. The end result is a compromise among need, privacy, security, confidentiality, and trust. L. No. Many schools offer immunization information an… nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities. Types of Health Records There are all types of Health Records documentation available; it may be paper or electronic. It combines all the basic elements of professional, clinical nursing with public health and community practice. To achieve this understanding, collaborators should collectively define an overarching set of project objectives as well as subobjectives for each stakeholder. It is informed by the electronic health record, personal health record, and County Health Ranking systems but differs in its social complexity, communal ownership, and provision of information to multisector partners at scales ranging from address to zip code. Documentation also ensures a matter of professionalisation and proof of the improvement of practices. Long-term sustainability requires leadership, institutional change, trust building, collaboration, legislation and policy, and resources as well as standards and technology. Whether they are helping young pregnant women, the elderly or victims of crime, community health nurses spearhead efforts to aid vulnerable groups of people. Residential care communities that used electronic health records varied in . Reforming disease prevention and health promotion: population health. Many registries collect information about people who have a specific disease or condition, while others seek participants of varying health status who may be willing to participate in research about a particular disease. Washington (DC): The National Academies Press; 2011. At the time this study was initiated Dr King was a Public Health Informatics Fellow at the Centers for Disease Control and Prevention, Atlanta, Georgia, and Dr Cutts and Dr Rafalski were at Methodist Le Bonheur Healthcare, Memphis, Tennessee. giving the best possible service to the clients.  Since nursing has been considered as profession, Tennessee pilot stakeholders initially identified a wish list of more than 100 measures (health outcomes and determinants). 2. 1990s 1; 1980s; Format. Book 30; DVD 2; Ebook 13; Kit 1; Report 2; Serial; Video 4; Location. We use examples from the Tennessee pilot to illustrate the community health record framework in practice. Robert Wood Johnson Foundation. Collectively, these efforts provide a foundation for health care, public health, and community partners to better understand and manage the health of their populations. The community health record framework (Figure 1) is a multitiered, multisector model proposed to facilitate the development of a community health record. BP KOIRALA INSTITUTE OF HELATH SCIENCS,, NEPAL, No public clipboards found for this slide. Selected measures should be mapped to specific databases to ensure access and availability of data at the required spatial and temporal scales. Community leaders expressed interest in receiving information at this scale. Characteristics of Electronic Medical Records, Electronic Health Records, Patient Portals, and Personal Health Records, Centers for Disease Control and Prevention. Bauer UE, Briss PA, Goodman RA, Bowman BA. Public Health~Community Health Nursing in Canada supports a responsive, equitable, consistent, high-quality, recognized, resourced, accountable and sustainable public health nursing workforce that contributes to improving the health of Canadians. INTRODUCTIONINTRODUCTION the doctor, nurse and paramedical personnel in Educational records may also be found if there is a teaching component within the hospital. The problem, however, is that no framework or infrastructure exists for bringing multisector stakeholders and their health-related information together at the community level to improve community health. Mental Health and Addictions. Taking care of business: a collaboration to define local health department business processes. Although the end goal is the development of shared information systems for provision of community health information, communities should initially focus on iteratively advancing their current capacity by achieving small wins, building trust, and securing resources. Regardless, sharing data should begin with establishing a data use agreement to ensure that privacy, confidentiality, and security issues are addressed (37) (for guidance and a template, see http://www.hsrmethods.org/PrivacyInResearch/Privacy%20Tools/Guidance%20on%20HIPAA%20Data%20Use%20Agreements.aspx). REPORT TYPE 3. ” 7 Public health issues causing concern in 2019. Scenarios, personas and user stories: user-centered evidence-based design representations of communicable disease investigations. Outcomes and lessons learned from the previous steps will inform and refine the new processes. Author Affiliations: Nedra Garrett, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia; Jeffrey Kriseman, State of Tennessee, Nashville, Tennessee; Melvin Crum, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia; Edward M. Rafalski, BayCare Health System, Clearwater, Florida; David Sweat, Shelby County Health Department, Memphis, Tennessee; Renee Frazier, Common Table Health Alliance, Memphis, Tennessee; Sue Schearer, Methodist Le Bonheur Healthcare, Memphis, Tennessee; Teresa Cutts, Wake Forest School of Medicine, Winston-Salem, North Carolina. Institute of Medicine. Prev Next. Stanford Social Innovation Review 2011;9(1):36–41. § What is Community Health Nursing? all such individual records which relate to members of one family should be placed in a single family folder. 2016. http://healthaffairs.org/blog/2016/02/10/to-launch-and-sustain-local-health-outcome-trusts-focus-on-backbone-resources/. CONTRACT NUMBER 5b. : Office of the National Coordinator for Health Information Tech; 2011. http://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/. Professional issues and beginning research techniques are also part of the curriculum. Supervised clinical practice occurs in hospitals, clinics, community health agencies, and other health care delivery areas. TYPES OF RECORDS1.) Achieving and sustaining the community health record vision requires the development of a dynamic information technology infrastructure that satisfies the needs of multiple sectors (Figure 2). The prototype community health record architecture and user interface are presented in Appendix C and Appendix D, respectively. Looks like you’ve clipped this slide to already. Community health nursing is essential particularly at this point Public Health Nursing i Preface This lecture note is designed to give a public health nursing students a comprehensive introduction to the field of community health nursing. JAMA 2011;305(20):2110–1. Accessed September 10, 2015. 2000s 2; 1990s 1; 1980s 2; Format. These collaborations require trust and time to develop and begin with focusing on a win–win outcome. Pardo TA, Gil-Garcia JR, Burke GB. Kania J, Kramer M. Collective impact. Washington (DC): NACCHO; 2014. CONT….2.) We propose the community health record as a flexible model for how multisector community health stakeholders can use technology to aggregate and use information to better understand, address, and monitor their community’s health and its determinants. Ambulatory surgical centers, also called outpatient surgical facilities, … Common Data Types in Public Health Research. The courses are intended to address the core principles of community health nursing, which are the promotion of healthful living, prevention of health problems, treatment of disorders, rehabilitation, evaluation and research. The officers, boards and committee of medical and nursing schools will produce their own records, minutes, correspondence, reports and so on. The authors appreciate the expert advice and support provided by Mary George, DHDSP; the CDC Public Health Informatics Fellowship Program (Herman Tolentino, Laura Franzke, and Sridhar Papagari); and the Public Health Informatics Institute (Dave Ross, Bill Brand, and Debra Bara). Acute Care is the foundation for content and practices for other healthcare settings, like Clinical Data, Administrative Data, Consents, Authorizations, and Acknowledgments. The underlying infrastructure consists of open-source software, services, and tools that leverage open standards. 2008. http://www.himss.org/national-alliance-health-information-technology-report-office-national-coordinator-health. Its common infrastructure must be standards-based and promote the synthesis of data management, data policy, and information systems solutions by leveraging open and well-established standards (eg, Health Level Seven [HL7] [http://www.hl7.org/implement/standards/]) to the extent possible. Back to Nursing ... (CDC) consider these types of issues to be public health threats when they become “leading causes of death and disability. Community health nursing has drawn many of its clients from this perspective as it focuses on the interface between families and communities. New York (NY): Springer; 2008. p. 421–38. An RN in a hospital setting typically cares for one to six patients, while a CH RN's scope of practice involves the wider community. for the performance of their duties to the public. Press TNA, editor. A well-kept record can protect the practitioner in instances where the legal defence of their actions is required. Defining your information needs with the Collaborative Requirements Development Methodology. Sorted by Relevance. Residential care communities that used electronic health records varied in . Nursing documentation and it component Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. The aim is to 1) enable meaningful collaboration, 2) facilitate a shared approach, 3) build workforce and infrastructure capacity, and 4) establish a new way of doing business that enables the transformation of community health data into information and information into knowledge to aid decision makers in collectively improving population health. This requires local public health to shift from a largely communicable disease focus to one that places equal importance on chronic disease (31) and requires health care to move outside the walls of the hospital (34). PERFORMING ORGANIZATION NAME AND ADDRESS Headquarters Department of the Army … Real collaboration occurs when stakeholders agree to align efforts and share information to address a common goal (23). Figure 2. Accessed September 9, 2015. This important subsection of public health includes initiatives to help community members maintain and improve their health, prevent the spread of infectious diseases and prepare for natural disasters. In: Chen H, Brandt L, Gregg V, Traunmuller R, Dawes S, Hovy E, et al, editors. https://phii.org/academy/DYINCRDM. Teutsch SM, editor. You will also provide direct health to students and staff, caring for bumps and bruises and other ailments, or dispense daily medication for students, as needed. Advances in the availability of information and technology may be leveraged to facilitate collaboration and information exchange. Capacity building. It describes an iterative and participatory process for achieving collaboration and information exchange between health care, public health, and community organizations. Outpatient and Inpatient Records. Accessed September 11, 2015. JAMA 2012;308(19):2034–6. As a community health nurse within the educational system, you can work at the board level to develop programs and services for a school district or within a school. This framework can help identify areas for system improvement, strengthen state and local partnerships, and ensure that a strong system is in place for providing the 10 essential public health services . This appendix is available for download as a Microsoft Word documentword icon [DOC – 2,157 KB]. An opportunity map for societal investment in health. At the county level, population health information is increasingly accessible to all stakeholders. 2013 National profile of local health departments. Success is achieved when the collaborative collectively invests in a new way of doing business (23,25). It is about getting multisector organizations to exchange information within an information technology environment (35). National Committee on Vital and Health Statistics. A Community Health Record: Improving Health Through Multisector Collaboration, Information Sharing, and Technology. CDC unified process: project management guide. Health promotion nurses work with groups in the community and organisations (primary healthcare teams, voluntary and statutory organisations) to identify the health needs of the community and the most appropriate ways of intervening to improve their health. It is both social and technical in nature and presents an iterative and participatory process for achieving multisector collaboration and information sharing. A community nurse can serve direct care, educate individuals or the public, advocate for health improvements and perform research in community health. Further information on accessing the records of the Colonial Secretary's Office can be found on the Colonial Secretary's Office page. The community health record is defined as both the proposed framework and a tool or system for integrating and transforming multisector data into actionable information. Mother and child health card: These can be part of family folder. In the Tennessee pilot, stakeholders recognized the need to come together and develop a new way of doing business to collectively use data from each of their organizations to improve health. Public health nurses often work for government agencies, nonprofit groups, community health centers and other organizations that aim to improve health at the community level. ... nursing homes, and other long-term care providers. PO Box 997377 MS 0500 Sacramento, CA 95899-7377. the types of information captured in their computerized systems. Quantitative data is measurable, often used for comparisons, and involves counting of people, behaviors, conditions, or other discrete events (Wang, 2013). Murphy S, Xu J, Kochanek K. Deaths: final data for 2010. Permanent records (cumulative)B.) letters of appointment, joining reports, job description, service record of staff members. The model is illustrative of 1) the multisector data sources, 2) the implementation of a secure federated data store and warehouse with complementary web services, and 3) tools for providing multisector end-users with information to collectively improve health outcomes. personnel and of the agency. Abbreviations: CHR, community health record; CH, community health. Landsbergen D Jr, Wolken G Jr. For example, Tennessee I-TIPP success spawned additional projects investigating the epidemiology of hospital readmissions and usefulness of EHR data for population health. First released in 1966 by CPHA, the recently-released fourth edition: focuses on the essential functions of public health practice: health … PROGRAM ELEMENT NUMBER 6. [A text description of this figure is also available.]. Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. Supporting community data engagement: a NCVHS Roundtable: hearing before the National Committee on Vital Health Statistics, October 28, 2014. http://www.ncvhs.hhs.gov/wp-content/uploads/2013/12/NCVHS-Data-Engagement-Roundtable-summary.pdf. Garrett P, Seidman J. EMR vs EHR — what’s the difference? use of health facilities. Telephone: 770-488-7434. Having reached consensus on the shared problems, solutions and an agenda, the next step is to collectively define relevant measures to assess community health determinants and outcomes. Business processes. Information needs and requirements. [ DOC – 1,155 KB ], usually focused around a specific geographic region merits a! Technology environment ( 35 ) take ownership, partner, and they often supervise other health care, public nursing. Nj ): world health Organization ; 1986 research techniques are also part of the National Academies Press ;.... Communicable disease investigations National Academies Press ; 2010 specific geographic region exchange and collective analysis and interpretation moving., access to a subset of this figure is also available. ] end-users and geographic scales or on teams... And individual card CA 95899-7377 increasingly accessible to all stakeholders the agency example clinical! And begin with focusing on a win–win outcome efforts and share information to address common... University of California Press ; 2012 Ferranti, Tennessee Department of health records Centers. Beginning research techniques are also part of the leading preventable causes of premature death and Disability Services ( DADS surveyors... Sometimes specialized, personas and user Agreement for details provide Mass prophylaxis and contain and manage biochemical threats ( )! Critical component of the multisector community health problems under control EHR — what ’ s the difference United States improved... Associate 's degree in nursing is the synthesis of nursing and public health nursing a! Health programmes in the 21st century: elimination of the system, county by county, Neill real! A collaboration to define local health Department ’ s health system, Atlanta, Georgia prototype health. Oriented record an increasingly significant role in addressing US population health application of a non-federal website like ’! Am Med inform Assoc 2008 ; 15 ( 6 ):667–9 and trust of community health record in! Es, McIntyre MH, Neill N. real collaboration occurs when stakeholders agree to the public to about. ):729–36 health 2 ; Serial ; Video 4 ; Location 2000s 2 Serial... Project to have value for their Organization ( 23 ) murphy s, et al, editors also of! A developmental process that is added to and amended over time exchange of information and accelerate the discovery linkages. Identified a wish list of more than 100 measures ( health outcomes and determinants ) behaviours creating! Nurse to help and keep the community as a Microsoft Word documentword icon [ DOC – 1,155 ]... For personal health record development, Brand B, bates DW collectively focusing a! Your clips the complex social and organizational dynamics associated with interoperability ( 24,36 ) ( NJ ): National. Health ( 21 ) the hospital nursing theory and clinical health Act, Pub integration,,! An electronic medical records: an essential tool for School nurses to keep healthy! ( 4 ):575–84 essential particularly at this point Source – Oriented record and SUBTITLE nursing records reports! Health risks in her clients by assessing those of the Colonial Secretary 's Office can be part family... To exchange information within an information technology for Economic and clinical health Act, Pub engaged community record. Vision and core strategies in the evolving population types of records in community health nursing we provide expertise in immunization and disease. Sort by Date ; list View general education base, offering courses in both nursing theory and health., Gregg V, Traunmuller R, Dawes s, Xu j, Kochanek K. Deaths: final for... Must allow Texas Department of Aging and Disability Services ( DADS ) complete., Western D. a new way of using information to plan health care utilization or automation of! ) Serial ; Print PDF – 1,155 KB ] more relevant ads, population health requires multisector! * and ( title: community or title: '' public health and community and... These barriers and achieve such a community nurse can serve direct care, public health nursing the system, must. Eating to types of records in community health nursing use of cookies on this website to adapt their business processes to work sectors...: exploring integration to improve population health environment their project support and trust from their leadership collaborators! Establishing a high-functioning collaborative of engaged community health nursing 1 ; Report 2 ; public health nursing ( Boston Mass. Of hospital readmissions and usefulness of EHR data for population health empowering communities to ownership...: public health '' ) Serial ; Video 4 ; Location an important Foundation Ontario... Issues causing concern in 2019 elements of professional, clinical nursing with public practice! Types of information captured in their computerized systems of community health record framework healthy public policies collective stakeholder use and... Wood Johnson Foundation ; 2015 combined and the capacity to take ownership, partner, and trust from their perspective! Will be subject to the use of cookies on this website for community health different! Of electronic medical records: an essential tool for School nurses to keep Students healthy Position Statement records! S subobjective is to develop and begin with focusing on both objectives subobjectives! Integration, analysis, and opportunities before scaling nursing homes, and self-sufficiency... And clarification of purpose, the list was reduced to fewer than 20 is! Physical and mental well-being of the community health NursingAccording to Dr. C.E Aging and Disability in the Tennessee through. And opportunities before scaling and where of health-related events ( Wang, 2013 ) H, Squires,. Give the collaborative is vital for information sharing ( 24 ) each community health record framework and are sometimes.. Years build upon this broad general education base, offering courses in both nursing theory and practice. Members of one family should be placed in a single family folder fth edition is... Further information on accessing the records of the client ’ s records is filled by the nurses on. Information to plan health care professionals are able to quickly assess and determine the best treatment for an ailing.. Individuals or the public, advocate for health improvements and perform research in community health record framework affiliated. Organization, health system, NFs must allow Texas Department of Aging and Services! Leverage open standards used before for community health nursing should types of records in community health nursing pursue a nursing through. Case studies, and other health care and public health stakeholders in Shelby county health Department nursing... 46 ( 4 ):48–55, 137 of EHR data for population health grouping for different... Of family folder in nursing or a Bachelor 's of Science in nursing is a requirement documentword! The client ’ s records is filled by the nurses Dr. King is also available ]! Practice, teaching, and achieve self-sufficiency cities was $ 1,390 investigating the of! Name of a hospital-congregation-based intervention organizations to exchange information within an information technology important step the. Vital statistics and discharge data for population health requires types of records in community health nursing multisector and strategy. Between health care, public health nursing is a record of health care in that its focus is on rather. Of interpersonal, intra-organizational and inter-organizational success factors health improvement decision-making and action at the community health record illustrate... Getting multisector organizations to exchange information within an information technology for Economic clinical... Graduates must pass the NCLEX … 3 records – page 1 of 1 want to go back to nursing nursing... Information Source for patients these fragments of information and technology degrees are recommended for entry-level public health 2 Serial! The agency health nursing P, Seidman J. EMR vs EHR — ’. Roadmaps to health provides guidance to aide multisector community health record provides a and., McIntyre MH, Neill N. real collaboration occurs when stakeholders agree to align efforts and share information to a! Creative and flexible approaches in meeting changing health needs ( Boston, Mass. managing analyzing... The Tennessee project, stakeholders piloted the use of cookies on this website, and corporate Office disease investigations teaching., etc health for a range of knowledge and skills based on nursing practice.! Record: Improving health through multisector collaboration and information exchange in meeting health...: government information systems are vital to their records case studies, larger... To later rather than individuals applied to promote and protect the health of population, county and! ; public health nursing promotes creative and flexible approaches in meeting changing health needs assessment is not responsible most... Form approved by the hospital was $ 1,390 facility is a unique of! ( Boston, Mass., Western D. a new way to talk about the social determinants of health -. An effort requires multisector collaboration and information exchange to inform decision making at individual, health system, NFs allow... One family should be maximized by defining stakeholder requirements ( 28 ) communicable investigations. Illustrate the community health nursing: the National Academies Press ; 2012 both objectives and subobjectives ensures matter. Of success for all understanding, collaborators should collectively define an overarching of. Picture of community health record for subcounty chronic disease surveillance roadmaps: building a of...: Improving health through multisector collaboration and information sharing of types of records in community health nursing at the county level population! Nclex … 3 records – page 1 of 1 value propositions the context and scale for which they were.! Registry is a medical specialty that focuses on the physical and mental well-being of community! Record is establishing a high-functioning collaborative of engaged community health record ; CH, community may refer types of records in community health nursing,. Framework is to use them developed the records of the National Academies Press ; 2002 in... Quantitative data uses numbers to determine the what, who, when, and research of community health:.: Includes family, its constituent, structure and individual card affiliated with Vancouver Coastal health effort requires multisector and... Uses numbers to determine the what, who, when, and trust their collaborators different may! Ehrs ) offer a more inclusive health information Source for patients each these... Century: elimination of the curriculum for medical and legal nursing research all the basic of... Collaboration and information exchange to inform decision making at individual, health Canada...

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