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Findings Reveal Health Information Exchange Decreases Repeat Imaging

By MedImaging International staff writers
Posted on 27 Jan 2015

The use of health information exchange (HIE) systems to share reports on imaging tests, such as X-rays and magnetic resonance imaging (MRI) scans, can help reduce the number of times patients undergo the precisely same test. A new study suggests that HIE technology that gives healthcare providers immediate, electronic access to a patient’s medical history may optimize the quality of care while slashing excessive costs.

“Medical imaging has been an important diagnostic tool for decades, but unnecessary or repeat exams are costly and could potentially delay access for patients who truly need the tests,” commented Dr. Joshua Vest, assistant professor of healthcare policy and research at Cornell Medical College (NY, NY, USA), and the lead author of the study. “Our research shows that timely sharing of patients' medical records may result in fewer repeated imaging tests. Instant access to this information gives providers a better, more complete picture of a patient’s health status.”

Fueled by recent increases in federal and state funding, healthcare systems are increasingly adopting web-based HIE systems that consolidate patients’ diverse health information, such as lab tests, radiology reports, and hospital discharge summaries. The study evaluated the Rochester Regional Health Information Organization (RHIO; NY, USA), an HIE that—with patients’ permission—gathers their health records from multiple providers and insurers in western New York and makes that information available during office and emergency care visits.

The researchers, who, published their findings January 14, 2015, in the American Journal of Managed Care, searched through data from insured patients who consented to sharing their imaging findings, and evaluated how frequently providers retrieved the patients’ electronic health records. After examining the number of repeat imaging tests performed within 90 days of the initial test, the researchers found that providers using HIE were 25% less liable than their peers to perform the same imaging test again. The study was funded by the New York State Department of Health’s Healthcare Efficiency and Affordability Law for New Yorkers (HEAL NY).

Rochester RHIO has been very effective in implementing HIE and has a comprehensive research agenda, resulting in several significant studies, according to Dr. Vest. For instance, earlier this year, he and senior author Dr. Rainu Kaushal led a study in Rochester that showed that HIE reduced hospital admissions.

“Rochester RHIO is leading a very valuable community initiative leveraging patient-centered health information technology for improved care delivery,” said Dr. Kaushal, chair of the department of healthcare policy and research, and professor of medical informatics at Weill Cornell, and public health physician-in-chief at NewYork-Presbyterian Hospital (New York, NY, USA). “As HIE for clinical purposes continues to expand, patients across the country will benefit as providers have more information readily available at the point of care.”

Related Links:
Cornell Medical College
Rochester Regional Health Information Organization

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67 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294756932 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756932 AND published='1' LIMIT 1

69 (36.001205444336): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (332.11708068848): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (266.07513427734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (39.100646972656): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (74.863433837891): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (44.107437133789): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (116.10984802246): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 4469.8715209961): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 1441.9555664062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1343.0118560791): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

105 (116.82510375977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

106 (83.92333984375): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (656.1279296875): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2672.9106903076): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

109 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

110 (153.0647277832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 3700.0179290771): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (758.17108154297): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (950.09803771973): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

115 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

116 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

117 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

118 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

119 (375.98609924316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

120 (319.9577331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 55588.006973267): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (648.97537231445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

123 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

124 (!!!!! 9804.9640655518): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756932 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756932 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1958734.0354919): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (156.16416931152): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (444.17381286621): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (294.92378234863): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (180.00602722168): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (55.789947509766): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (574.11193847656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (329.01763916016): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (232.93495178223): SELECT name FROM jos_deeppockets WHERE id=216

136 (67.949295043945): SELECT name FROM jos_deeppockets WHERE id=216

137 (462.05520629883): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (362.87307739258): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

140 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

141 (!!!!! 9230.8521270752): TRUNCATE TABLE jos_trademed_module

142 (891.92390441895): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (76.055526733398): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756932 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (419.85511779785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

147 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

148 (!!!!! 1132.9650878906): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (178.81393432617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

150 (!!!!! 1178.9798736572): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

151 (42.200088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756932 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756932 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (30.994415283203): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (26.941299438477): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (33.855438232422): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (150.20370483398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

156 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756932 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756932 AND published='1' LIMIT 1

157 (126.83868408203): select jos_twitters.link from jos_twitters where cat=10

158 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

159 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

160 (33.855438232422): select jos_linkedin.link from jos_linkedin where cat=10

161 (272.98927307129): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 5943.0599212646): insert into jos_banners_delta values (14615,'2025-05-01 18:40:19','18.221.99.121','view'),(14202,'2025-05-01 18:40:19','18.221.99.121','view'),(14203,'2025-05-01 18:40:19','18.221.99.121','view')

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