{
  "resourceType": "StructureDefinition",
  "url": "http://ehrrunner.com/fhir/StructureDefinition/Encounter",
  "version": "1.0",
  "name": "Encounter",
  "title": "Contato Assistencial",
  "status": "draft",
  "date": "2023-10-04T12:03:06.914214+00:00",
  "description": "Encontro ou Contato assistencial. Interação formal entre o paciente e profissional(is) de saúde(s) para prestação de serviços de saúde. Tipicamente, representa uma consulta ambulatorial (atenção primária e secundária), um internação, um atendimento em urgência/emergência ou um atendimento em telemedicina. O recurso é utilizado para indexação da informação na \"linha do tempo\" do Registro Eletrônico de Saúde do paciente. É parte estruturante dos seguintes modelos de informação: Registro de Atendimento Clínico (RAC), Sumário de Alta (SA), Registro de Pronto Atendimento (RPA) ou Conjunto Mínimo de Dados (CMD).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Encounter",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Encounter.identifier",
        "path": "Encounter.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "type.coding.id"
            }
          ],
          "rules": "open"
        },
        "definition": "Identificador local no sistema de origem\r\nIdentificador na RNDS\r\nIdentificador na estrutura de documentos do MHD"
      },
      {
        "id": "Encounter.identifier:localIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "localIdentifier",
        "definition": "Identificador local no sistema de origem;",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:localIdentifier.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:localIdentifier.type",
        "path": "Encounter.identifier.type",
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://ehrrunner.com/fhir/CodingSystem/identifier-type",
              "code": "local"
            }
          ]
        }
      },
      {
        "id": "Encounter.identifier:localIdentifier.system",
        "path": "Encounter.identifier.system",
        "definition": "Deve conter o identificador do sistema de informação (S-RES) de origem. Tipicamente, esse identificador é apresentado em formato de OID (urn:oid:{{oidSistemaOrigem}}:{{cnesOrganizacao}}). O OID do sistema de origem deve ser fornecido pela plataforma.",
        "min": 1
      },
      {
        "id": "Encounter.identifier:localIdentifier.value",
        "path": "Encounter.identifier.value",
        "definition": "Identificador (unívoco) do registro de atendimento / contato assistêncial no sistema de origem.",
        "min": 1
      },
      {
        "id": "Encounter.identifier:localIdentifier.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:localIdentifier.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "rndsIdentifier",
        "definition": "Identificador do registro na RNDS (id/identificador da Composition)",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.type",
        "path": "Encounter.identifier.type",
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://ehrrunner.com/fhir/CodingSystem/identifier-type",
              "code": "rnds"
            }
          ]
        }
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.type.text",
        "path": "Encounter.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.system",
        "path": "Encounter.identifier.system",
        "definition": "OID RNDS.",
        "min": 1,
        "fixedUri": "urn:oid:1.3.6.1.4.1.54413.1.1.5.13"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.value",
        "path": "Encounter.identifier.value",
        "min": 1
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:rndsIdentifier.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:mhdIdentifier",
        "path": "Encounter.identifier",
        "sliceName": "mhdIdentifier",
        "definition": "Identificador do registro MHD correspondente (quando o recurso foi gerado a partir de uma representação OpenEHR e indexado através de um Bundle MHD).",
        "max": "1"
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.use",
        "path": "Encounter.identifier.use",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.type",
        "path": "Encounter.identifier.type",
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://ehrrunner.com/fhir/CodingSystem/identifier-type",
              "code": "mhd"
            }
          ]
        }
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.system",
        "path": "Encounter.identifier.system",
        "min": 1,
        "fixedUri": "http://ehrrunner.com/fhir/NamingSystem/MHDDocumentOID"
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.value",
        "path": "Encounter.identifier.value",
        "min": 1
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.period",
        "path": "Encounter.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.identifier:mhdIdentifier.assigner",
        "path": "Encounter.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Encounter.status",
        "path": "Encounter.status",
        "short": "finished | entered-in-error",
        "definition": "finished | entered-in-error"
      },
      {
        "id": "Encounter.statusHistory",
        "path": "Encounter.statusHistory",
        "max": "0"
      },
      {
        "id": "Encounter.class",
        "path": "Encounter.class",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0"
        }
      },
      {
        "id": "Encounter.class.system",
        "path": "Encounter.class.system",
        "min": 1
      },
      {
        "id": "Encounter.class.version",
        "path": "Encounter.class.version",
        "max": "0"
      },
      {
        "id": "Encounter.class.code",
        "path": "Encounter.class.code",
        "min": 1
      },
      {
        "id": "Encounter.class.userSelected",
        "path": "Encounter.class.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.classHistory",
        "path": "Encounter.classHistory",
        "max": "0"
      },
      {
        "id": "Encounter.type",
        "path": "Encounter.type",
        "max": "0"
      },
      {
        "id": "Encounter.serviceType",
        "path": "Encounter.serviceType",
        "max": "0"
      },
      {
        "id": "Encounter.priority",
        "path": "Encounter.priority",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0"
        }
      },
      {
        "id": "Encounter.priority.coding.system",
        "path": "Encounter.priority.coding.system",
        "min": 1
      },
      {
        "id": "Encounter.priority.coding.version",
        "path": "Encounter.priority.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.priority.coding.code",
        "path": "Encounter.priority.coding.code",
        "min": 1
      },
      {
        "id": "Encounter.priority.coding.userSelected",
        "path": "Encounter.priority.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.subject",
        "path": "Encounter.subject",
        "definition": "Deve conter uma referência para o paciente do Encontro.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Encounter.subject.type",
        "path": "Encounter.subject.type",
        "max": "0"
      },
      {
        "id": "Encounter.subject.identifier",
        "path": "Encounter.subject.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.subject.display",
        "path": "Encounter.subject.display",
        "max": "0"
      },
      {
        "id": "Encounter.episodeOfCare",
        "path": "Encounter.episodeOfCare",
        "max": "0"
      },
      {
        "id": "Encounter.basedOn",
        "path": "Encounter.basedOn",
        "definition": "Referência para a solicitação de encaminhamento (referência ou regulação) que resultou no encontro, se disponível.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/Referral-1.0"
            ]
          }
        ]
      },
      {
        "id": "Encounter.basedOn.display",
        "path": "Encounter.basedOn.display",
        "max": "0"
      },
      {
        "id": "Encounter.participant",
        "path": "Encounter.participant",
        "definition": "Lista de profissionais de saúde que participam do atendimento.",
        "min": 1
      },
      {
        "id": "Encounter.participant.type",
        "path": "Encounter.participant.type",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.participant.type:funcao",
        "path": "Encounter.participant.type",
        "sliceName": "funcao",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0"
        }
      },
      {
        "id": "Encounter.participant.type:funcao.coding",
        "path": "Encounter.participant.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.participant.type:funcao.coding.system",
        "path": "Encounter.participant.type.coding.system",
        "min": 1
      },
      {
        "id": "Encounter.participant.type:funcao.coding.version",
        "path": "Encounter.participant.type.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.participant.type:funcao.coding.code",
        "path": "Encounter.participant.type.coding.code",
        "min": 1
      },
      {
        "id": "Encounter.participant.type:funcao.coding.userSelected",
        "path": "Encounter.participant.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.participant.type:funcao.text",
        "path": "Encounter.participant.type.text",
        "max": "0"
      },
      {
        "id": "Encounter.participant.type:ocupacaoProfissional",
        "path": "Encounter.participant.type",
        "sliceName": "ocupacaoProfissional",
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0"
        }
      },
      {
        "id": "Encounter.participant.type:ocupacaoProfissional.coding",
        "path": "Encounter.participant.type.coding",
        "min": 1,
        "max": "1"
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      {
        "id": "Encounter.participant.type:ocupacaoProfissional.coding.system",
        "path": "Encounter.participant.type.coding.system",
        "min": 1
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        "id": "Encounter.participant.type:ocupacaoProfissional.coding.version",
        "path": "Encounter.participant.type.coding.version",
        "max": "0"
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      {
        "id": "Encounter.participant.type:ocupacaoProfissional.coding.code",
        "path": "Encounter.participant.type.coding.code",
        "min": 1
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      {
        "id": "Encounter.participant.type:ocupacaoProfissional.coding.userSelected",
        "path": "Encounter.participant.type.coding.userSelected",
        "max": "0"
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      {
        "id": "Encounter.participant.type:ocupacaoProfissional.text",
        "path": "Encounter.participant.type.text",
        "max": "0"
      },
      {
        "id": "Encounter.participant.type:especialidade",
        "path": "Encounter.participant.type",
        "sliceName": "especialidade",
        "max": "1"
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        "id": "Encounter.participant.type:especialidade.coding",
        "path": "Encounter.participant.type.coding",
        "max": "1",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ehrrunner.com/fhir/ValueSet/Especialidade-1.0"
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        "id": "Encounter.participant.type:especialidade.coding.system",
        "path": "Encounter.participant.type.coding.system",
        "min": 1
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      {
        "id": "Encounter.participant.type:especialidade.coding.version",
        "path": "Encounter.participant.type.coding.version",
        "max": "0"
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      {
        "id": "Encounter.participant.type:especialidade.coding.code",
        "path": "Encounter.participant.type.coding.code",
        "min": 1
      },
      {
        "id": "Encounter.participant.type:especialidade.coding.userSelected",
        "path": "Encounter.participant.type.coding.userSelected",
        "max": "0"
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      {
        "id": "Encounter.participant.type:areaAtuacao",
        "path": "Encounter.participant.type",
        "sliceName": "areaAtuacao",
        "max": "1"
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        "id": "Encounter.participant.type:areaAtuacao.coding",
        "path": "Encounter.participant.type.coding",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://ehrrunner.com/fhir/ValueSet/AreaAtuacao-1.0"
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        "id": "Encounter.participant.type:areaAtuacao.coding.system",
        "path": "Encounter.participant.type.coding.system",
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        "id": "Encounter.participant.type:areaAtuacao.coding.version",
        "path": "Encounter.participant.type.coding.version",
        "max": "0"
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        "id": "Encounter.participant.type:areaAtuacao.coding.code",
        "path": "Encounter.participant.type.coding.code",
        "min": 1
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        "id": "Encounter.participant.type:areaAtuacao.coding.userSelected",
        "path": "Encounter.participant.type.coding.userSelected",
        "max": "0"
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      {
        "id": "Encounter.participant.period",
        "path": "Encounter.participant.period",
        "max": "0"
      },
      {
        "id": "Encounter.participant.individual.reference",
        "path": "Encounter.participant.individual.reference",
        "max": "0"
      },
      {
        "id": "Encounter.participant.individual.type",
        "path": "Encounter.participant.individual.type",
        "fixedUri": "Practitioner"
      },
      {
        "id": "Encounter.participant.individual.identifier",
        "path": "Encounter.participant.individual.identifier",
        "min": 1
      },
      {
        "id": "Encounter.participant.individual.identifier.use",
        "path": "Encounter.participant.individual.identifier.use",
        "max": "0"
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        "path": "Encounter.participant.individual.identifier.type",
        "min": 1,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ehrrunner.com/fhir/ValueSet/IdentifierType-1.0"
        }
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        "id": "Encounter.participant.individual.identifier.type.coding",
        "path": "Encounter.participant.individual.identifier.type.coding",
        "min": 1,
        "max": "1"
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      {
        "id": "Encounter.participant.individual.identifier.type.coding.system",
        "path": "Encounter.participant.individual.identifier.type.coding.system",
        "min": 1
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      {
        "id": "Encounter.participant.individual.identifier.type.coding.version",
        "path": "Encounter.participant.individual.identifier.type.coding.version",
        "max": "0"
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        "id": "Encounter.participant.individual.identifier.type.coding.code",
        "path": "Encounter.participant.individual.identifier.type.coding.code",
        "min": 1
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      {
        "id": "Encounter.participant.individual.identifier.type.coding.userSelected",
        "path": "Encounter.participant.individual.identifier.type.coding.userSelected",
        "max": "0"
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        "id": "Encounter.participant.individual.identifier.type.text",
        "path": "Encounter.participant.individual.identifier.type.text",
        "max": "0"
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      {
        "id": "Encounter.participant.individual.identifier.value",
        "path": "Encounter.participant.individual.identifier.value",
        "min": 1
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      {
        "id": "Encounter.participant.individual.identifier.period",
        "path": "Encounter.participant.individual.identifier.period",
        "max": "0"
      },
      {
        "id": "Encounter.appointment",
        "path": "Encounter.appointment",
        "definition": "Referência para o agendamento do encontro (sistema local ou regulação), se disponível.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/Appointment-1.0"
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          }
        ]
      },
      {
        "id": "Encounter.appointment.display",
        "path": "Encounter.appointment.display",
        "max": "0"
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      {
        "id": "Encounter.period",
        "path": "Encounter.period",
        "min": 1
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      {
        "id": "Encounter.reasonReference",
        "path": "Encounter.reasonReference",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "identifier.value"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Encounter.reasonReference:motivoAtendimentoSubjetivo",
        "path": "Encounter.reasonReference",
        "sliceName": "motivoAtendimentoSubjetivo",
        "definition": "Motivo subjetivo para o atendimento. Anamnese.",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/ObservationText"
            ]
          }
        ]
      },
      {
        "id": "Encounter.reasonReference:motivoAtendimentoSubjetivo.type",
        "path": "Encounter.reasonReference.type",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference:motivoAtendimentoSubjetivo.identifier",
        "path": "Encounter.reasonReference.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference:motivoAtendimentoSubjetivo.display",
        "path": "Encounter.reasonReference.display",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference:diagnosticoPrincipal",
        "path": "Encounter.reasonReference",
        "sliceName": "diagnosticoPrincipal",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/Condition"
            ]
          }
        ]
      },
      {
        "id": "Encounter.reasonReference:diagnosticoPrincipal.type",
        "path": "Encounter.reasonReference.type",
        "max": "0"
      },
      {
        "id": "Encounter.reasonReference:diagnosticoPrincipal.identifier",
        "path": "Encounter.reasonReference.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis",
        "path": "Encounter.diagnosis",
        "definition": "Diagnósticos, problemas e procedimentos que justificam o encontro."
      },
      {
        "id": "Encounter.diagnosis.condition",
        "path": "Encounter.diagnosis.condition",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ehrrunner.com/fhir/StructureDefinition/Condition",
              "http://ehrrunner.com/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id": "Encounter.diagnosis.condition.type",
        "path": "Encounter.diagnosis.condition.type",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis.condition.identifier",
        "path": "Encounter.diagnosis.condition.identifier",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis.condition.display",
        "path": "Encounter.diagnosis.condition.display",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis.use",
        "path": "Encounter.diagnosis.use",
        "max": "0"
      },
      {
        "id": "Encounter.diagnosis.rank",
        "path": "Encounter.diagnosis.rank",
        "max": "0"
      },
      {
        "id": "Encounter.account",
        "path": "Encounter.account",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.preAdmissionIdentifier",
        "path": "Encounter.hospitalization.preAdmissionIdentifier",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.origin",
        "path": "Encounter.hospitalization.origin",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.admitSource",
        "path": "Encounter.hospitalization.admitSource",
        "definition": "Procedência",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0"
        }
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding",
        "path": "Encounter.hospitalization.admitSource.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.system",
        "path": "Encounter.hospitalization.admitSource.coding.system",
        "min": 1
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.version",
        "path": "Encounter.hospitalization.admitSource.coding.version",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.code",
        "path": "Encounter.hospitalization.admitSource.coding.code",
        "min": 1
      },
      {
        "id": "Encounter.hospitalization.admitSource.coding.userSelected",
        "path": "Encounter.hospitalization.admitSource.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.admitSource.text",
        "path": "Encounter.hospitalization.admitSource.text",
        "max": "0"
      },
      {
        "id": "Encounter.hospitalization.reAdmission.coding",
        "path": "Encounter.hospitalization.reAdmission.coding",
        "min": 1,
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}