Q4-Y4D}f4@M^_TsnTw5( kFbH8WFS6]YPa3!/l!G3,RMi?CMqzeI % Performance, Finance & Asset. Place hard stops that force the practitioner to answer a question (or multiple questions) prior to exiting the form. Format: (optional) to select a format for returned text: Null return: (optional) default text to be shown if there is no data stored in the item. Smartlink issues can affect both the accessibility and functionality of the solution. From here, you can search for new organizations to match a patients chart with. With Epicflow you will have: and tasks based on predictive analytics. frmt - Determines how string data should be formatted. The Epic UserWeb is open to all Epic users and creating an account is usually as easy as selecting your organization and verifying your credentials using your hospital or health systems single-sign-on (though some health systems may require additional verification or submission of an application to gain access). Our expertise. After opening SlicerDicer, you will be asked to select a data model. To do so, you can use the Report & Print Group Assistant tool to reveal the Print Group debugging tool. Instead of displaying the element name, you can map the name to a suitable display value. Plan: *** Daniel C Ginsberg, MD, FACP Real-time bottleneck detection and ongoing workflow control with immediate project change effect. 1. Specifies the master file INI to reference. These "columns" can be used across multiple different places in Epic, including reports, track boards, etc, so it's important to know what the column is actually doing when adding them (ie: a trackboard column for attending would likely only show "active" attendings, whereas a reporting column would likely show all attendings ever assigned). ASP session timed out. af]8WQ=szScPK?N wu&Zacj m pHHh:=Y?hBDD;|$LBy4Aj !E\nb;k : M5'N*s35,iR"+^lEY24SbTdH= cfpGB9c/XNP#EJxUIcjT_C(!5q5?1\Y~',8[FNz(m$/Q4xL`]c {Z22zu>@?'?1zKcp];YtG%$9_:iu F$8PW\E>833 @Ot py7-HbfD!u5IuUF)d N%< qRnvDExoCMg HhD"!Y`ElS8|qJhc@^gP?MI6tKfM@uq}[y0mKS]|o>wpQq\G3-a,?nGo5oj+$ /''OwTonF1`H=_rOGzzbGM|oPM;V5SqaULa$5|!tB1N5$72!oAYOe Pg:}83YFte8U5@i eB,f2;5#4uoNCH-#lni XO%'"z}yc>D(5,5H0 xe_) {*2'{HgkghIQ[n7 |0 [N3eYm%!T uzwjZITvd$^+Ms)`, hVzA USH:+?| >&*]p]FaE&JW)@fz21eKhF\3-[~RZLL"x?{!zSE You will likely not get through medical school and residency without using it at least once or definitively. Click on the SmartTools toolbar. d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM100,All","EPT2207/CVG115/ PPG90/EPM100,All",1), d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM602","EPT2207/CVG115/ PPG90/EPM602",1), d CvgLink^SNETLINK(patID,patDAT,"EPT2207/CVG100/EPM.2","EPT2207/CVG115/PPG90/EPM.2",1), CERMSG, CERMSGREFRESH - Rule Conditional Text (HHS 64343, 14042), CUIPAT, CUIENC - Retrieve Patient-level SmartData (HHS 224), DBLINK - Retrieve Data from Master Files (HHS 38001). Awards The SmartLink does not support embedded parameter settings. This post tells you a little about Flowsheets the Appealing, how they are construct, and how they are spent. :M9":bPgmc"^mi#}!/!d{A7/NXZl>!]]kIhll[K'~SFOo;8d+=F`~TMTNlC>7'{b9M"FT]=12";f4H5};] -PA#F#,frH When ready to use, type in ***name of your template***. This will cause headaches and confusion so don't do it. It is a centralized place to handle all chargeable events. In this section, you should see something that says "FLO ID.". Can you easily create audit reports from the data gathered during charting? Enter a few letters of the SmartText's name in the Insert SmartText field and press Enter. As previously mentioned, if the demographic information registered differs between the two organizations, an automatic match will not be made. Yes. For .IOBRIEF, the fourth parameter in the smartlink code is the start time. Also in that meeting could be known, orders, charges and documentation . However, it can be embedded in SmartPhrases with all needed user-provided settings so that the SmartPhrase represents exactly how the builder intends, FLOW, AHSFLOW - Retrieve Flowsheet Data (HHS 101428), SNETLINK template - copy for SmartLinks to pull in specific networked patient encounter data, Scores, Scales and Tools Navigators Style Guides. My job requires me to document on six different flowsheets (the options at the top/X-axis) for each patient, so I . Fill out the form below and lets get started! Flowsheet SmartForms are smart forms designed with programming and scripting behavior as simple or as complex as you would like. After you complete one of the lessons within the olie lesson "Epic IP . Determines whether to show all lines of data for multiple response items on a single line. Where 12345,12346,12347 is a comma-delimited string of the FLO IDs that you want to pull into your SmartPhrase. Start a new EpicCare Link session For example, enter "EPT7070,2/DEP4001/EAF450". Johns Hopkins Bayview From our experience, here are five great ways to use this tool to collect regulatory data: Epics Flowsheet SmartForms are a great tool that can help your clinical teams more easily capture regulatory data during their clinical documentation workflow. Geriatrics https://jh.box.com/s/l6xbvkiyecvsr1aqzm4cg3ylt44cxpqr, New High-Sensitivity Troponin (hs-Trop) Assay, Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants, Estimated Use of Prescription Medications Among Individuals Incarcerated in Jails and State Prisons in the, Crockett Named Senior Director of Client Services Medical Specialties, Bayview Internal Medicine Residency Program. If the rule is found to be false, a SmartLink with English text is used. Procedure orders (static) ERX. xz7'Hhg%B{mvbst1CKxI < When there a need to pull a SmartData value into a documentation tool, the CUI class of SmartLinks can help. The associated SmartLink URLs and QR code will be displayed in the detail card. For example, Date: X^ where X is the date format item in Category list E4K 1010 and time formats are in E4K 2010. SmartPhrases can be created by individual users, shared with or discovered by other users, or made more widely available by making them department-level or hospital-wide SmartPhrases (requires the help of your hospitals IT department). Please use "14^" to pull the AHS standard date format (dd MMM yyyy), Please use "13^" to pull the AHS standard time format (HH:ss), Truncation: optional number to limit the length of a returned string to the specified number of characters, Special parameters available only if CVG, EPM, EPP or RFL master files are used (see DBLINK descriptors), Special record pull parameters available only if CVG, EPM, EPP master files used (see DBLINK descriptors). With the connection between Smartlinks and CER rules, users can create a Smartlink for whatever rule they want as long as they also create or modify the content to be able to pull, exchange, and save the right information in the right place. A trackboard with too few columns may be missing information that could serve as helpful mental prompts about tasks that need to be completed or cue you into the severity of a patients condition or make it easier to know who is part of each patients care team. Mentoring SmartLinks can be inserted into users' notes on the fly, with a "dot or period" like .NAME to enter the patient's name, or added to SmartPhrases and SmartTexts by placing it between @ symbols, like @NAME@. You should have received an email with how to access the Epic playground from home. You can do this with the @flow ()@ function, where each parameter is an ID number. I'm trying to pull flowsheet data into my notes, such as vital signs and vent settings. Default (null) is to retrieve all. Once completed; Manage Data (for this device) should now have a column for "Epic Status". Heres a list of a few of the most commonly used Epic Smartlinks, 2) @DOB@ = Patients date of birth (MM/DD/YEAR), 3) @LOS@ = Patients length of stay (in days), 4) @VSRANGES@ = Patients vital signs within the last 24 hours, 5) @CMED@ = Current list of medications (list view). how to create a flowsheet in epic. 7. With Epic's Flowsheet SmartForms you can. There is reportedly a magical list at my home institution, but nobody, including my Epic ITG insider and Physician Epic director, have any idea where it is. Select the Library tab and find a report you frequently use. Epic's standard system, which includes content and workflows based on the expertise When it is null (""), as released, all values appear. Our team of senior-level Epic consultants has the technical skills, functional expertise, and real-world experience needed to lead you to success, regardless of the complexity of your software or the scale, timeline, or planned course of your project. When creating Smartlinks and integrating them with CER rules, there are a few key considerations to ensure your Smartlink is configured properly and your organization is using them correctly. Effective and efficient data management practices are important for any organization, but the need for secure, up-to-date, accurate information only increases when you step foot Hospital workflows play an important role in the quality and timeliness of patient care in any organization. 2. The configuration settings are similar. See SmartLink description for more details. You can just start typing the "dot" and then a description of what you're looking for, and you'll often come across a SmartLink that meets your needs. Click on the desired SmartLink. Inpatient and CEC: Useful Smartphrases and SmartLinks for Providers Level of Care Impacted: Inpatient and CEC User Role (s) Impacted: Providers Revised (Date-Initials): Created (Date-Initials): 9/2/21 Change Description: Epic support tip sheet for Inpatient Providers regarding useful SmartPhrases and SmartLinks SmartPhrases for Note Writing to different locations, related activities, or in-context information or data-entry within Hyperspace. The purpose of this training is to show physicians who use Epic's electronic medical record how to configure the software to accommodate patient workflows in specialty and subspecialty areas . While Epic can be configured to link to external health information exchanges, you can easily view patient information from other Epic organizations using CareEverywhere. Terms of Service When hovering over each report, you will also see options to Run or Edit the report. /Tabs /S If left blank, nothing appears if there is no data for the item. /Type /Page ! The trackboard is an essential way to know which patients are in your ED, where they are located, who is caring for them, their current condition, and where they are at in the course of their work-up. And, the answer is Epic's Flowsheet SmartForms. Also, they do not have to be signed in order for the data to start flowing into EPIC. There may be a need to pull a specific item of information into SmartText or SmartPhrases but no currently available SmartLink capturing that data. stream You can also unselect orders that you dont want to be selected by default, such as a d-dimer, and you can go into each order and type the indications for EKGs and imaging since these arent automatically carried over when you create the order panel. Within Epic, a flow sheet entry is only a part of a meeting. Epic flowsheet IDs My hospital recently started using Epic, and I need some help with the customization. SmartLinks can be used during text generation (type "." followed by the SmartLink name). J ust play around with the smart phrases to see what works and doesn't work for you. This is useful when you want the result to be on its own line, but you dont want a blank line to appear when there are no results. Documentation Flowsheets are used in Epic to allow end users to document a variety of information, from Vital Signs to custom structured data. This should generate a hover pop-up that lists the CSN. Use to prevent control how multi-line items respond with "1" used to put multiple lines each on their own line. /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] Whether its build, end-user assistance, or project management guidance, our experts can help, How to create a rule-based SmartLink in Epic, Get Epic Help is a knowledge database for all things Epic. Epic Smartlink codes use dynamic code to enable certain characters to be exchanged for information pulled from a patients health record, saving users valuable time when it comes to manually writing notes and sharing information between different Epic applications. If you manually select options prior to applying the macro, the macro will not overwrite your manual selections. You can do this with the @flow()@ function, where each parameter is an ID number. The available options are: 10. According to Janet Campbell, Epic's vice president of patient experience, Epic's initiative to store this information separately rather than as a single "sex" item required rethinking thousands of areas of the EHR to avoid a one-size-fits-all approach to patient care. In order to pull in a set of Flowsheet values into a SmartLink, you first need todetermine the FLO ID(s). This is true for Encounter view only. Endocrinology B) Display Name: R EXERCISE TYPE. Product and Flows. For example, if the ID number for the tidal volume is 25, using @flow(25)@ will output the most recent tidal volume. To remove the report from your Favorites, click the again. Watch the Epic weLearning Video to see this process in action. Browse available SmartPhrases and SmartLinks 1. Again, screen shots would be ideal. Copyright 2019 All Rights Reserved by Sanders & Sons. Use to prevent forcing default truncation if nothing entered in 6th parameter. SmartData identifier: in form "EPIC*123" for SmartData element EPIC#123. In Epic: Create a SmartLink or SmartPhrase (for example .FLOW[FLO ID) and incorporate it into standard clinician note templates, or train to the new SmartLink/SmartPhrase and assist clinicians in adding to their existing, personalized templates. Thats the name of the game with us. Telephone encounters will automatically close after 7 days. . You can use a flowsheet in Epic to document almost any kind of information. We are able to differentiate between admission and discharge scoring questions, and we can offer hard stops for required items. This makes it easier to audit charts, create workbench reports, place data into PAF columns for display, and capture time/date/user information. SmartPhrases that are used to create specific types of notes (eg: generic evaluation note, chief complaint-specific evaluation note, assumption of care note) can also be used to create Speed Buttons that allow you to create a new note that pre-populates with a specific SmartPhrase. A CER rule in Epic is a configurable rule logic record that can be evaluated as a TRUE/FALSE statement and can be used across all Epic modules and applications. If you use values 22 and 23, the units are based on your profile and system-wide settings for units. Data format: Determines any special formatting needed for the data pulled in by the SmartLink. Innovation A and C. 4. This post tells you a little about Flowsheets in Epic, how they are structured, . The extension must exist in a LPPLINK allowlist (HDF-2459). Preview the contents of a SmartText on the right-hand side of the SmartText Lookup window before adding it to your documentation. <> Epic is a cloud-based patient and healthcare management software used in hospitals. They allow users to jump from a trigger (text, title, icon, images, etc.) SmartText allows data already populated elsewhere in Epic to be pulled into your note automatically. Contact your Epic representative if you wish to use this setting to specify an alternate time format. Indeed, SmartData elements can be defined for a specific documentation purpose, adding to the vast number of already defined data variables and definitions in the Epic system. Enter a line number to show only data from that line. Otherwise, only the current encounter is checked. There are several ways that you can access a patients information from other organizations if the charts are already linked: If a patient is not currently linked to any outside organizations, you may not see the CareEverywhere icon in the storyboard or be able to access the CareEverywhere tab in a patients chart. The number of data models that is displayed is related to your user security settings. So, if you want the 7AM - 7AM I/O, it works just fine at 7AM. 4 0 obj For example, if a Smartlink is shown with just the @ symbols and no words in between, theres an issue with your Epic Smartlinks, and they are most likely not evaluating properly. Events Johns Hopkins Hospital Leave this parameter blank to use the default unformatted value. POCOVHOMEOXYGEN (copied and configured from CUIPAT) uses this code: d getCUI^LUPPDB34("2","home oxygen status unknown",", ","","EPIC*19601,EMDP,,1:on home oxygen:0:not on home oxygen","",""). time - Determines how time data should be formatted. (I use Chart Review for looking up notes H&Ps, then Manage Orders to look at orders, then Flowsheets, etc.) Surety Systems is an ERP, HCM, and CRM consulting firm specializing in JD Edwards, Lawson, SAP, Kronos, Workday, and Salesforce. To remove it completely, enter the same dialog again and select the previously disabled version of EPIC (you may need to toggle showing disabled features in the dialog's toolbar). As users document, the data is stored in the FLO rows. RFA x\.Kr} H +p#CoZXQU?_KOW~WKQgZoFr~:V}MW_VUQLuF5{|z+Scx~=RTP4n5N>_u0oJt~zKmJyVMNzt}9_m6Z[/Mn;8w{4?T/5;."v =zlin^PGSB}b5|pavP;m..TEK;]]Q!#g ~w][w+zkwOSJ#/^hA4YLnjxz{51E iOQ(Z6=k"4NQ3erta&mW.YL?kXT>o^2xhdfM3R>:e If needed, show the row information pane by clicking on the expansion arrow, highlighted in yellow above: There are two ways to view the ED trackboard, traditional full-width or a newer, side-by-side view that allows access to significantly more information and functionality without having to leave the trackboard and open a patients chart. When you enter the order screen, our system has an "order sets" tab. Click the search box again to continue adding flowsheets to the patient chart. Commonly used parameters: Template: @DELRECITEM(HSB,NNN,,,,,,,,,,,,,)@. You are also welcome to distribute this to anyone else who would find it useful If you would like to receive periodic updates by email as they are made to this document, The "report template" has a default list of "available columns" that you can move back and forth between the "selected columns" using the arrows between the two lists. Home > Insights > Epic Smartlink 101: Everything You Need to Know. Hematology Within the library, you may see several "types" of reports organized into sub-headers. Make sure that the collapse arrow is open, so that you can see the right pane where the flowsheet entry is. Three additional specifications can be specified, separated by commas: Data display options (which can be combined): N (only display label if data evaluates as 1), E (look back to previous encounters to find a value), D (display multi-line data on a single line separated by specified delimiter), P (if displaying data filed from SmartForms), Label text: using asterisk to separate text words, such as "Patient*pronoun*preference:*" for "Patient pronoun preference: ". indicate which data property or format to return. Enter 3 to use all lowercase. If you did not please contact the OD&L department at 815-935-3276. endobj They all seem to have unique workflows. If set to "1", data returned is not truncated if parameter 6 is not specified. Epic Tip of the Week: Smartlinks by kbennett April 3, 2017 Patient Care Use Smartlinks that import radiographic impressions instead of full reports when copying imaging reports into notes. You can saved edited reports under a new report name (for instance, if your organization only has a report to show you the patients that youve seen in the last 7 days, but youd like to be able to filter patients that youve seen in the last 24 hours, you could edit the existing 7 day report). Try making the SmartLink available to all contexts, and check the contexts of the SmartText, Use the rule tester to make sure your CER rule is evaluating as expected. Explain where and how Documentation Flowsheets be used to capture important clinical data during patient visits and how these flowsheets are built. Sinai); Jeff Nielsen, MD, MS (NEOMED); on behalf of the ACEP Health Innovation Technology Committee, Locate Outside Hospital Records Using CareEverywhere, Create Order Panels & Save Order Preferences, Click the CareEverywhere icon at the top of the storyboard on the left-hand side of the screen, Using the drop-down arrow at the far right hand side of the tabs within a patients chart, Implementation, upgrade, and support documentation. Calls code d SLink^SNETLINK(ID,DAT,path,frmt,date,time,inst,cat,trim,inln,conj,futr,primaryLangOnly) with 13 configurable parameters: ID - Enter the record ID; preferred is the dynamic patient identifier variable "patID", DAT - Enter the contact date in DAT form; preferred is the dynamic encounter value "patDAT", path - Enter the path to the networked item that you want to look up data for. Copyright 2019 All Rights Reserved by Sanders & Sons. Build Helping; Analyst Training; The on One End User How; Blog; Glossary; Search: . Specifies the free text message that appears if there is no data for the item. This way I can just refresh my smartlinks instead of doing it manually. 5 Examples of Regulatory Data Collection Using Epic Flowsheet SmartForms. %PDF-1.7 % Pulmonary Community From the Options drop-down menu, select Create Panel.. r>>AS !~G093yL(WWGu.7D]cTf?n=uBvv}by48+H5,DS qdH]&@NPwS&Boi^GOlKl#Ak6V?YJ zU&3yBJvaOD:0Sz?lkDbv|fE0lny*"lpT>gnIhE}d6-p!XfoL=#Fd#7S1?c7~~LH2-C!v#:|X b#D|ztw Epic Tip of the Week BCU Update Read on to learn more about the software, as well as how our team of senior-level consultants can benefit your organization. ; If the study includes billable services, the billing grid information in OnCore is shared with Epic. The rule error message displays at the bottom of Patient Context CER rules. Once approach is to add all column instances somewhat related to the data point youre looking for, compare the outputs after the report is run, then go back and remove the extraneous ones. My hospital recently started using Epic, and I need some help with the customization. This should generate a hover pop-up that lists the CSN. This way I can just refresh my smartlinks instead of doing it manually. Many organizations have created orders that automatically select common doses, frequencies, and durations of treatment for medications. This is the ID of the Flowsheet row/group that you want to pull into your SmartPhrase. Users can create their own SmartLists by accessing the SmartList interface from the main Epic menu in the upper-left hand corner of their screen or by using the search bar in the upper-right hand corner to Jump to SmartList. /MediaBox [0 0 612 792] *Update - Coming Soon to a Version of Epic Near You*. Alternately, if the encounter is already open in the Encounter view when the W2H EPIC Embed is launched, W2H should be able to pick up the CSN automatically. Line Number: (optional) if returned data is multi-response, optionally retrieve a specific line (option) from the data. User settings can reduce the amount of time spent on clicks, typing, scrolling, and more. Enter 1 to not show a blank line if the SmartLink has no data for its item. You can choose to show parts of the SmartLink that match the rule criteria, if the rule evaluates to true, or if the rule is false. << /Length 5 0 R /Filter /FlateDecode >> Parameter 3 - Enter the mnemonic of the SmartLink to display if the rule is false. When it is set to -1, only the first value specified appears. Bayview Internal Medicine Residency Program This may be indicated if there is a database element frequently needed and not otherwise supported by available SmartLinks. They pull health information (e.g., problem lists, medication lists, vitals) from the health record, replacing the inserted token with the desired information. Let us know how we can help optimize your Epic system. SmartPhrases can also be configured to pull in SmartText and SmartLists, and can include additional syntax to help with note writing such as three asterisks (***) that prompt you to fill in a blank or to double-check that the default text does not need to be modified, or brackets around sections of text that allow them to be navigated using key commands included with dictation software. Until you have the update (see above), you are stuck looking up the FLO ID the old way. 2. The patient's relevant past medical, surgical and social history was reviewed in Epic. The SmartLink does not support embedded parameter settings and so there is little value in replicating this SmartLink. qQ^G*V{wG0l~>w\7EujrOubrZ`. Enter 1 to use the title. }|/z~hc/}}=0J y0]ap0P<!oo?^_z|OyoO~z O/_O_n`ok{+:dzMg%O/V}}7;,g6.x9jrozqXutc)/';k=?ys? As discussed on theMerge Request if it becomes an issue we will address it in the future. For the most part, linking a patients records across Epic organizations is not an automated process, it requires querying specific organizations where the patient has been seen. To view the fullpost, visit: https://jh.box.com/s/l6xbvkiyecvsr1aqzm4cg3ylt44cxpqr, -Tim Niessen, assistant professor in GIM and Epic superuser, Nadia Hansel, MD, MPH, is the interim director of the Department of Medicine in the Johns Hopkins University School of Medicine and interim physician-in-chief of The Johns Hopkins Hospitalread more , Medicine Matters is a place to share department news in a way that is accessible to all and discuss issues and challenges important to our faculty, staff and academic medicine overallread more , Addiction Medicine At this point EPIC is disabled, but still present on disk. These phrases may be as short as a single sentence (eg: .hpibackpain might include a sentence that states the patient does not have any red flag symptoms) or as long as an entire note template. This SmartLink can be used to pull the content of print groups (LPG) into text documentation. Next, select the row/group that you want to pull into your SmartPhrase/Link. 1. First, within any patients chart. Enter the link code in the format that uses 13 parameters: d DBLink^HUPPDB3("","","","","","","","","","","","",""). Epic consulting is just one of the healthcare IT services we provide hospitals and health systems, and an expert from our Epic team is ready to help you get the most out of your Epic EMR solution. Secretary General. If the rule is found to be true, a SmartLink with Spanish text is used. Start studying Epic CLN 102 INI. Either pick an existing SmartPhrase, or create a new one. Infectious Diseases Make sure you review the available contexts of the CER rule(s), SmartLink, and SmartText(s) that you are using. This booklet will be used to provide Epic practice as you work through the e-learnings. DBLINK can be used as-is. Or, you may simply be able to search for Report/HTML Assistance in the Search bar in the top right. Flowsheets Cascading Rows Calculated Assessments And Charging Flowsheets Worklist Tasks Required Doc Scoring Systems We Rules Clin Admin/Text Profile Reports And Print Groups Synopsis Navigators Key Links Pricing Corporate Training Teachers & Schools iOS App Android App Help Center Subjects Medical & Nursing Law Education Foreign Languages In the first tab, you can select which columns you want displayed on the full or side-by-side (SxS) trackboards for a given view. You can either insert properties into the error message of your rule, or enter in text in the rule (enclosed in "quotations"). 2. 4 0 obj For example, you can create a rule to evaluate if the patient speaks Spanish. Press Spacebar to continue with the same sentence or paragraph. View full document. You can create custom CER rules to show data in columns (PAF) for use in the Multi Provider Schedule or Patient Lists, CER rules to be used as criteria in Reporting Workbench, and much more. Parameter 6 - Set to 1 to display the SmartLink text starting on a new line. Locating SmartLink Click and Impression URLs, and QR Codes. There are thousands of SmartLinks available for end users to use in their notes. Visit-level Data. FLT. Refer below for an example. endobj To use NoteWriter, your note must contain special orange-highlighted SmartTexts that create buttons at the top of your note that allow you to jump to the NoteWriter activity of interest.
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