Description of Measure | Percentage of Patients with an ICD-9-CM Code Indicating CKD or ESRD
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Data Source | US Department of Defense Military Health System (MHS) Data Repository (MDR) |
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Type of Data Source | Administrative |
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Data Set | MDR source files: CAPER (direct care outpatient claims), SIDR (direct care inpatient claims), TED-NI (purchased care outpatient claims), TED-I Header (purchased care inpatient claims), and VM6BEN (demographic information from the Defense Enrollment Eligibility Reporting System) |
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Health Care System Data | Yes |
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Regional or National? | National |
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Demographic Group | Patients in MHS |
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Numerator | Patients in denominator with 1 inpatient or 2 outpatient encounters with matching ICD-9-CM codes for CKD or ESRD
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Denominator | Patients with 1 inpatient or 2 outpatient encounters during the fiscal year
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Definition of diagnosed CKD | See ICD-9-CM codes used for definition below
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Primary Data Source Indicator | Diagnosis codes from outpatient or inpatient encounters |
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Primary Indicator Method of Measurement | Medical claims |
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Frequency of Measurement (Primary) | Multiple measurements per patient |
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Period Currently Available | 2006–2015 |
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Limitations of Indicator | ICD-9 codes define CKD instead of serum creatinine |
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Analytical Considerations | In published literature, CKD is diagnosed by ICD-9-CM codes in alternate ways (one outpatient, two or more outpatient, or one inpatient). In addition, there are differences in sampling methods. Care must be taken in making comparisons. These statistics include ESRD patients and use the one inpatient, two outpatient method of identifying CKD. |
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ICD-9 Codes for CKD | Specification |
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16 | Tuberculosis of kidney |
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95.4 | Syphilis of kidney |
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189 | Malignant neoplasm of kidney except pelvis |
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189.1 | Malignant neoplasm of renal pelvis |
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189.9 | Malignant neoplasm of urinary organ site unspecified |
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236.91 | Neoplasm of uncertain behavior of kidney and ureter |
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250.4 | Diabetes mellitus with renal manifestations type II or unspecified type not stated as uncontrolled |
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250.41 | Diabetes mellitus with renal manifestations type I not stated as |
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250.42 | Diabetes mellitus with renal manifestations type II or unspecified type uncontrolled |
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250.43 | Diabetes mellitus with renal manifestations type I uncontrolled |
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271.4 | Renal glycosuria |
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274.1 | Gouty nephropathy |
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283.11 | Hemolytic-uremic syndrome |
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403 | Malignant hypertensive renal disease without renal failure |
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403.01 | Malignant hypertensive renal disease with renal failure |
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403.1 | Benign hypertensive renal disease without renal failure |
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403.11 | Benign hypertensive renal disease with renal failure |
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403.9 | Unspecified hypertensive renal disease without renal failure |
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403.91 | Unspecified hypertensive renal disease with renal failure |
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404 | Malignant hypertensive heart and renal disease without heart failure or renal failure |
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404.01 | Malignant hypertensive heart and renal disease with heart failure |
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404.02 | Malignant hypertensive heart and renal disease with renal failure |
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404.03 | Malignant hypertensive heart and renal disease with heart failure and renal failure |
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404.1 | Benign hypertensive heart and renal disease without heart failure or renal failure |
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404.11 | Benign hypertensive heart and renal disease with heart failure |
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404.12 | Benign hypertensive heart and renal disease with renal failure |
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404.13 | Benign hypertensive heart and renal disease with heart failure and renal failure |
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404.9 | Unspecified hypertensive heart and renal disease without heart failure or renal failure |
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404.91 | Unspecified hypertensive heart and renal disease with heart failure |
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404.92 | Unspecified hypertensive heart and renal disease with renal failure |
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404.93 | Unspecified hypertensive heart and renal disease with heart failure and renal failure |
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405.01 | Malignant renovascular hypertension |
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440.1 | Atherosclerosis of renal artery |
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442.1 | Aneurysm of renal artery |
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447.3 | Hyperplasia of renal artery |
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453.3 | Embolism and thrombosis of renal vein |
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572.4 | Hepatorenal syndrome |
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580 | Acute glomerulonephritis with lesion of proliferative glomerulonephritis |
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580.4 | Acute glomerulonephritis with lesion of rapidly progressive; glomerulonephritis |
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580.81 | Acute glomerulonephritis in diseases classified elsewhere |
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580.89 | Acute glomerulonephritis with other specified pathological lesion in kidney |
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580.9 | Acute glomerulonephritis with unspecified pathological lesion in kidney |
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581 | Nephrotic syndrome with lesion of proliferative glomerulonephritis |
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581.1 | Nephrotic syndrome with lesion of membranous glomerulonephritis |
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581.2 | Nephrotic syndrome with lesion of membranoproliferative glomerulonephritis |
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581.3 | Nephrotic syndrome with lesion of minimal change glomerulonephritis |
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581.81 | Nephrotic syndrome in diseases classified elsewhere |
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581.89 | Other nephrotic syndrome with specified pathological lesion in kidney |
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581.9 | Nephrotic syndrome with unspecified pathological lesion in kidney |
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582 | Chronic glomerulonephritis with lesion of proliferative glomerulonephritis |
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582.1 | Chronic glomerulonephritis with lesion of membranous glomerulonephritis |
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582.2 | Chronic glomerulonephritis with lesion of membranoproliferative glomerulonephritis |
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582.4 | Chronic glomerulonephritis with lesion of rapidly progressive glomerulonephritis |
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582.81 | Chronic glomerulonephritis in diseases classified elsewhere |
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582.89 | Other chronic glomerulonephritis with specified pathological lesion in kidney |
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582.9 | Chronic glomerulonephritis with unspecified pathological lesion in kidney |
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583 | Nephritis and nephropathy not specified as acute or chronic with lesion of proliferative glomerulonephritis |
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583.1 | Nephritis and nephropathy not specified as acute or chronic with lesion of membranous glomerulonephritis |
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583.2 | Nephritis and nephropathy not specified as acute or chronic with lesion of membranoproliferative glomerulonephritis |
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583.4 | Nephritis and nephropathy not specified as acute or chronic with lesion of rapidly progressive glomerulonephritis |
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583.6 | Nephritis and nephropathy not specified as acute or chronic with lesion of renal cortical necrosis |
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583.7 | Nephritis and nephropathy not specified as acute or chronic with lesion of renal medullary necrosis |
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583.81 | Nephritis and nephropathy not specified as acute or chronic in diseases classified elsewhere |
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583.89 | Other nephritis and nephropathy not specified as acute or chronic with specified pathological lesion in kidney |
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583.9 | Nephritis and nephropathy not specified as acute or chronic with unspecified pathological lesion in kidney |
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584.5 | Acute renal failure with lesion of tubular necrosis |
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584.6 | Acute renal failure with lesion of renal cortical necrosis |
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584.7 | Acute renal failure with lesion of renal medullary (papillary) necrosis |
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584.8 | Acute renal failure with other specified pathological lesion in kidney |
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584.9 | Acute renal failure unspecified |
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585.x | Chronic renal failure |
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586 | Renal failure unspecified |
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587 | Renal sclerosis unspecified |
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588 | Renal osteodystrophy |
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588.1 | Nephrogenic diabetes insipidus |
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588.81 | Secondary hyperparathyroidism (of renal origin) |
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588.89 | Other specified disorders resulting from impaired renal function |
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588.9 | Unspecified disorder resulting from impaired renal function |
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589 | Small kidney of unknown cause |
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590 | Chronic pyelonephritis |
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590.8 | Other pyelonephritis or pyonephrosis not specified as acute or chronic |
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591 | Hydronephrosis |
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593.1 | Hypertrophy of kidney |
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593.3 | Stricture or kinking of ureter |
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593.4 | Other ureteric obstruction |
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593.5 | Hydroureter |
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593.6 | Postural proteinuria |
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593.7 | Vesicoureteral reflux |
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593.81 | Pyelitis or pyelonephritis in diseases classified elsewhere |
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593.89 | Other specified disorders of kidney and ureter |
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593.9 | Unspecified disorder of kidney and ureter |
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642.1 | Hypertension secondary to renal disease complicating pregnancy childbirth and the puerperium |
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646.2 | Unspecified renal disease in pregnancy without mention of hypertension |
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753 | Renal agenesis and dysgenesis |
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753.1 | Cystic kidney disease unspecified |
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753.11 | Congenital single renal cyst |
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753.12 | Polycystic kidney unspecified type |
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753.13 | Polycystic kidney autosomal dominant |
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753.14 | Polycystic kidney autosomal recessive |
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753.15 | Renal dysplasia |
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753.16 | Medullary cystic kidney |
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753.17, | Medullary sponge kidney |
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753.19 | Other specified cystic kidney disease |
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753.2 | Unspecified obstructive defect of renal pelvis and ureter |
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753.21 | Congenital obstruction of ureteropelvic junction |
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753.22 | Congenital obstruction of ureterovesical junction |
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753.23 | Congenital ureterocele |
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753.29 | Other obstructive defect of renal pelvis and ureter |
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753.3 | Other specified anomalies of kidney |
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753.4 | Other specified anomalies of ureter |
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753.5 | Exstrophy of urinary bladder |
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753.6 | Atresia and stenosis of urethra and bladder neck |
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753.7 | Anomalies of urachus |
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753.8 | Other specified anomalies of bladder and urethra |
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753.9 | Unspecified anomaly of urinary system |
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791 | Proteinuria |
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791.1 | Chyluria |
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791.2 | Hemoglobinuria |
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791.3 | Myoglobinuria |
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791.4 | Biliuria |
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791.5 | Glycosuria |
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791.6 | Acetonuria |
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791.7 | Other cells and casts in urine |
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791.9 | Other nonspecific findings on examination of urine |
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794.4 | Nonspecific abnormal results of function study of kidney |
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585.6 | End stage renal disease |
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996.81 | Complications of kidney transplant |
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V42.0 | Kidney transplant status |
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V45.1 | Renal dialysis status |
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V56.0 | Renal dialysis encounter |
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V56.1 | Fitting/adjustment extracorporeal dialysis catheter |
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V56.2 | Fitting/adjustment peritoneal dialysis catheter |
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V56.3 | Encounter for adequacy testing for dialysis |
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V56.31 | Hemodialysis testing |
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V56.32 | Peritoneal dialysis test |
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V56.8 | Dialysis encounter, not elsewhere classified |
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E879.1 | Abnormal reaction-renal dialysis |
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