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CN108182977A - Patient diagnosis coding method and system - Google Patents

Patient diagnosis coding method and system Download PDF

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Publication number
CN108182977A
CN108182977A CN201810116937.3A CN201810116937A CN108182977A CN 108182977 A CN108182977 A CN 108182977A CN 201810116937 A CN201810116937 A CN 201810116937A CN 108182977 A CN108182977 A CN 108182977A
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CN
China
Prior art keywords
diagnosis
icd
patient diagnosis
information
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810116937.3A
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Chinese (zh)
Inventor
江倩华
陈�峰
卢官荣
游文霞
乔亚娟
刘韦华
刘汝城
黄梓杨
刘倩如
柯小瑜
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shunde Hospital Of Southern Medical University (the First People's Hospital Of Shunde)
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Shunde Hospital Of Southern Medical University (the First People's Hospital Of Shunde)
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Priority to CN201810116937.3A priority Critical patent/CN108182977A/en
Publication of CN108182977A publication Critical patent/CN108182977A/en
Pending legal-status Critical Current

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Abstract

The present invention provides a kind of patient diagnosis coding method and systems, are related to coding techniques field, including:Diagnosis name in patient diagnosis information is carried out overlapping screening with 10 titles of International Classification of Diseases ICD;First diagnosis name misaligned with 10 titles of ICD according to 10 yards of dictionary libraries of ICD is encoded, obtains patient diagnosis coding information.Diagnosis information and 10 titles of International Classification of Diseases ICD are associated coding by the present invention, sort out in time convenient for patient diagnosis information, outpatient service spectrum of disease is formed, by observing outpatient service change of disease spectrum situation, important reference is provided for Talents in hospitals resource rational allocation.

Description

Patient diagnosis coding method and system
Technical field
The present invention relates to coding techniques fields, especially patient diagnosis coding method and system.
Background technology
The typing of each hospital outpatient diagnosis directly uses and ICD-10 (International at present Classification of Diseases, International Classification of Diseases) the corresponding disease name of code.ICD-10 International Classification of Diseases marks The naming rule and clinical diagnosis naming rule of quasi- code database specific name are inconsistent, such as:I63.002 carotid thrombosis cerebral infarctions Extremely, general expression is cerebral infarction (internal carotid artery occlusion) etc. in clinic.Doctor is generally to ICD-10 international disease classification standards It is unfamiliar with, it is difficult to ICD-10 International Classification of Diseases is accurately carried out according to clinical diagnosis, such as:Parkinson's disease etc..Therefore, using with The corresponding disease name typing patient diagnosis of ICD-10 codes, does not meet the diagnosis custom of doctor, while be easy to cause classification of diseases The offset of data.
Invention content
In view of this, the purpose of the present invention is to provide patient diagnosis coding method and system, to solve use and ICD- 10 yards of corresponding disease name typing patient diagnosis, do not meet the diagnosis custom of doctor, while be easy to cause classification of diseases data Offset the technical issues of.
In a first aspect, an embodiment of the present invention provides patient diagnosis coding method, including:
Diagnosis name in patient diagnosis information is carried out overlapping screening with International Classification of Diseases ICD-10 titles;
First diagnosis name misaligned with the ICD-10 titles according to ICD-10 code dictionary libraries is encoded, is obtained Patient diagnosis coding information.
With reference to first aspect, an embodiment of the present invention provides the first possible embodiment of first aspect, wherein, also Including:
Third diagnosis name is encoded according to pre-arranged code rule, wherein, the third diagnosis name is not belonging to ICD-10 titles.
With reference to first aspect, an embodiment of the present invention provides second of possible embodiment of first aspect, wherein, institute It states before carrying out overlapping screening with International Classification of Diseases ICD-10 titles by the diagnosis name in patient diagnosis information, further includes:
The patient diagnosis information is obtained, and the patient diagnosis information is classified, obtains outpatient service disease spectrum information.
With reference to first aspect, an embodiment of the present invention provides the third possible embodiment of first aspect, wherein, also Including:
The second opinion title overlapped with the ICD-10 titles is rejected.
With reference to first aspect, an embodiment of the present invention provides the 4th kind of possible embodiment of first aspect, wherein, also Including:
The patient diagnosis coding information is saved in patient diagnosis code database, wherein, the patient diagnosis code database packet Include the ICD-10 codes dictionary library.
Second aspect, the embodiment of the present invention also provide a kind of patient diagnosis coded system, including:
Overlap screening module, for by the diagnosis name in patient diagnosis information and International Classification of Diseases ICD-10 titles into Row overlaps screening;
First coding module, for by first diagnosis name misaligned with the ICD-10 titles according to ICD-10 code words Allusion quotation library is encoded, and obtains patient diagnosis coding information.
With reference to second aspect, an embodiment of the present invention provides the first possible embodiment of second aspect, wherein, also Including:
Second coding module, for third diagnosis name to be encoded according to pre-arranged code rule, wherein, the third Diagnosis name is not belonging to ICD-10 titles.
With reference to second aspect, an embodiment of the present invention provides second of possible embodiment of second aspect, wherein, also Including:
Acquisition module for obtaining the patient diagnosis information, and the patient diagnosis information is classified, obtains door Examine disease spectrum information.
The first possible embodiment with reference to second aspect, the first an embodiment of the present invention provides the third aspect can The embodiment of energy, wherein, it further includes:
Module is rejected, the second opinion title for will be overlapped with the ICD-10 titles is rejected.
The first possible embodiment with reference to second aspect, the first an embodiment of the present invention provides fourth aspect can The embodiment of energy, wherein, it further includes:
Preserving module, for the patient diagnosis coding information to be saved in patient diagnosis code database, wherein, the outpatient service Diagnosis coding library includes the ICD-10 codes dictionary library.
The embodiment of the present invention brings following advantageous effect:
An embodiment of the present invention provides a kind of patient diagnosis coding method and system, including by examining in patient diagnosis information Disconnected title carries out overlapping screening with International Classification of Diseases ICD-10 titles;By first diagnosis name misaligned with ICD-10 titles It is encoded according to ICD-10 code dictionary libraries, obtains patient diagnosis coding information.Thus by diagnosis information and international disease Classification ICD-10 titles are associated coding, meet the diagnosis custom of doctor, while avoid causing the offset of classification of diseases data, Sort out in time convenient for patient diagnosis information, form outpatient service spectrum of disease.
Other features and advantages of the present invention will illustrate in the following description, also, partly become from specification It obtains it is clear that being understood by implementing the present invention.The purpose of the present invention and other advantages are in specification, claims And specifically noted structure is realized and is obtained in attached drawing.
For the above objects, features and advantages of the present invention is enable to be clearer and more comprehensible, preferred embodiment cited below particularly, and coordinate Appended attached drawing, is described in detail below.
Description of the drawings
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution of the prior art Embodiment or attached drawing needed to be used in the description of the prior art are briefly described, it should be apparent that, in being described below Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor It puts, can also be obtained according to these attached drawings other attached drawings.
Fig. 1 is patient diagnosis coding method flow chart provided in an embodiment of the present invention;
Fig. 2 is another patient diagnosis coding method flow chart provided in an embodiment of the present invention;
Fig. 3 is patient diagnosis coded system schematic diagram provided in an embodiment of the present invention;
Fig. 4 is another patient diagnosis coded system schematic diagram provided in an embodiment of the present invention.
Icon:
10- acquisition modules;20- overlaps screening module;The first coding modules of 40-;The second coding modules of 60-.
Specific embodiment
Purpose, technical scheme and advantage to make the embodiment of the present invention are clearer, below in conjunction with attached drawing to the present invention Technical solution be clearly and completely described, it is clear that described embodiment be part of the embodiment of the present invention rather than Whole embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not making creative work premise Lower all other embodiments obtained, shall fall within the protection scope of the present invention.
At present using the corresponding disease name typing patient diagnosis of ICD-10 codes, the diagnosis custom of doctor is not met, simultaneously It is easy to cause the offset of classification of diseases data.Based on this, a kind of offer patient diagnosis coding method provided in an embodiment of the present invention And system, the diagnosis name in patient diagnosis information is carried out overlapping screening with International Classification of Diseases ICD-10 titles;It will be with The first misaligned diagnosis name of ICD-10 titles is encoded according to ICD-10 code dictionary libraries, obtains patient diagnosis coding letter Breath.So as to which diagnosis information and International Classification of Diseases ICD-10 titles are associated coding, meet the diagnosis custom of doctor, It avoids causing the offset of classification of diseases data simultaneously, sorts out in time convenient for patient diagnosis information, form outpatient service spectrum of disease.
For ease of understanding the present embodiment, first to a kind of patient diagnosis coding staff disclosed in the embodiment of the present invention Method describes in detail.
Embodiment one:
Fig. 1 shows patient diagnosis coding method flow chart provided in an embodiment of the present invention.
As shown in Figure 1, present embodiments providing a kind of patient diagnosis coding method, include the following steps:
Diagnosis name in patient diagnosis information is carried out overlapping sieve by step S102 with International Classification of Diseases ICD-10 titles Choosing;
Here, International Classification of Diseases ICD-10 titles can be medical diagnosis on disease title corresponding with ICD-10 codes.
Step S104 compiles first diagnosis name misaligned with ICD-10 titles according to ICD-10 code dictionary libraries Code, obtains patient diagnosis coding information.ICD-10 codes dictionary library includes ICD-10 titles and its corresponding ICD-10 codes.
At present, most hospitals are directly used with the matched specific names of ICD-10 as patient diagnosis database, Yi Shengpu All over being unfamiliar with to ICD-10 international disease classification standards, it is difficult to accurately carry out ICD-10 International Classification of Diseases according to clinical diagnosis. The patient diagnosis coding method of the present embodiment will meet examining for clinical custom literary style on the basis of International Classification of Diseases ICD-10 Disconnected title is got up with ICD-10 names associates, such as the entitled Non-Insulin Dependent Diabetes Mellitus of ICD-10 is not accompanied by complication, Its ICD-10 code is E11.900, and the first diagnosis name of doctor is diabetes B, by the first diagnosis name and ICD-10 Title is associated, i.e., is encoded using ICD-10 codes E11.900 for the first diagnosis name.Realize the usual diagnosis name of doctor With the Unified coding of ICD-10 titles, meet the diagnosis custom of doctor, while avoid causing the offset of classification of diseases data, be convenient for Patient diagnosis information is sorted out in time, forms outpatient service spectrum of disease.
In addition, the second opinion title overlapped with ICD-10 titles is rejected.Such as the entitled type 1 diabetes of ICD-10, Its ICD-10 code is E10.900, and second opinion title is also type 1 diabetes, then does not need to compile second opinion title again Code.
The patient diagnosis coding method of the present embodiment not only includes all specific names of ICD-10 code dictionary libraries, also includes Meet the diagnosis name of clinical custom literary style, solve cannot accurately be shown in ICD-10 code dictionary libraries clinical diagnosis and Diagnose it is unclear it is various look into because class diagnose the problem of.Diagnosis closer to doctor is accustomed to, and reduces since doctor is unfamiliar with ICD-10 International disease classification standard code database and the mistake occurred are laid a solid foundation for more accurately outpatient service classification of diseases.
Patient diagnosis coding information is saved in patient diagnosis code database, wherein, patient diagnosis code database includes ICD-10 Clinical diagnosis that is, on the basis of ICD-10 code dictionary libraries, is added in ICD-10 code dictionary libraries by code dictionary library.Respect fully clinic The diagnosis custom of doctor, establishes the patient diagnosis code database for meeting clinical diagnosis specification.
In addition, if doctor encounters rare diagnosis in clinic, it is impossible to matching diagnosis is found in patient diagnosis code database, I.e. the rare diagnosis name is not belonging to ICD-10 titles.The rare diagnosis (third diagnosis name) can be advised according to pre-arranged code It is then encoded, and is saved in patient diagnosis code database.
Fig. 2 shows another patient diagnosis coding method flow charts provided in an embodiment of the present invention.
As shown in Fig. 2, on the basis of above-described embodiment, another patient diagnosis coding method is provided, including following step Suddenly:
Step S101 obtains patient diagnosis information, and patient diagnosis information is classified, and obtains outpatient service spectrum of disease letter Breath.
Outpatient service disease spectrum information is carried out coincidence screening by step S1021 with the ICD-10 titles of corresponding classification.
Step S104 compiles first diagnosis name misaligned with ICD-10 titles according to ICD-10 code dictionary libraries Code, obtains patient diagnosis coding information.
Patient diagnosis information, such as all patient diagnosis totally 13097 are obtained first, and it is lack of standardization to carry out screening rejecting statement Diagnosis after remaining more than 3000 items meet the diagnosis of clinical custom, after the diagnosis of this more than 3000 item is classified according to profession, according to It is encoded according to ICD-10 codes for every diagnosis.First by after diagnostic classification, then with International Classification of Diseases ICD-10 titles carry out weight Screening is closed, code efficiency can be improved.
Embodiment two:
Fig. 3 shows patient diagnosis coded system schematic diagram provided in an embodiment of the present invention.
As shown in figure 3, a kind of patient diagnosis coded system is present embodiments provided, including overlapping screening module 20 and first Coding module 40;
Screening module 20 is overlapped, for by the diagnosis name in patient diagnosis information and International Classification of Diseases ICD-10 titles Carry out coincidence screening;
First coding module 40, for by first diagnosis name misaligned with ICD-10 titles according to ICD-10 code word allusion quotations Library is encoded, and obtains patient diagnosis coding information.
Further, as shown in figure 4, further including the second coding module 60, the second coding module 60 is used to diagnose third Title is encoded according to pre-arranged code rule, wherein, third diagnosis name is not belonging to ICD-10 titles.
Further, acquisition module 10 is further included, acquisition module 10 is for obtaining patient diagnosis information, and by patient diagnosis Information is classified, and obtains outpatient service disease spectrum information.
Further, screening module 20 is overlapped to include overlapping screening unit;
Screening unit is overlapped, for outpatient service disease spectrum information to be carried out coincidence screening with the ICD-10 titles of corresponding classification.
Module and preserving module are rejected in addition, further including, rejects the second opinion name that module will be overlapped with ICD-10 titles Claim to reject;Patient diagnosis coding information is saved in patient diagnosis code database by preserving module, wherein, patient diagnosis code database includes ICD-10 code dictionary libraries.
Patient diagnosis coded system provided in an embodiment of the present invention, the patient diagnosis coding method provided with above-described embodiment With identical technical characteristic, so can also solve the technical issues of identical, reach identical technique effect.
An embodiment of the present invention provides a kind of patient diagnosis coding method and system, including by examining in patient diagnosis information Disconnected title carries out overlapping screening with International Classification of Diseases ICD-10 titles;By first diagnosis name misaligned with ICD-10 titles It is encoded according to ICD-10 code dictionary libraries, obtains patient diagnosis coding information.By diagnosis information and International Classification of Diseases ICD-10 titles are associated coding, meet the diagnosis custom of doctor, while avoid causing the offset of classification of diseases data, are convenient for Patient diagnosis information is sorted out in time, forms outpatient service spectrum of disease, is Talents in hospitals resource by observing outpatient service change of disease spectrum situation Rational allocation provides important reference.
The embodiment of the present invention also provides a kind of electronic equipment, and including memory, processor, being stored in memory can locate The computer program run on reason device, processor realize the patient diagnosis coding that above-described embodiment provides when performing computer program The step of method.
The embodiment of the present invention also provides a kind of computer readable storage medium, and meter is stored on computer readable storage medium Calculation machine program, the step of patient diagnosis coding method of above-described embodiment is performed when computer program is run by processor.
In addition, in the description of the embodiment of the present invention unless specifically defined or limited otherwise, term " installation ", " phase Even ", " connection " should be interpreted broadly, for example, it may be being fixedly connected or being detachably connected or be integrally connected;It can To be mechanical connection or be electrically connected;It can be directly connected, can also be indirectly connected by intermediary, Ke Yishi Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition Concrete meaning in invention.
In the description of the present invention, it should be noted that term " " center ", " on ", " under ", "left", "right", " vertical ", The orientation or position relationship of the instructions such as " level ", " interior ", " outer " be based on orientation shown in the drawings or position relationship, merely to Convenient for the description present invention and simplify description rather than instruction or imply signified device or element must have specific orientation, With specific azimuth configuration and operation, therefore it is not considered as limiting the invention.In addition, term " first ", " second ", " third " is only used for description purpose, and it is not intended that instruction or hint relative importance.
The computer program product of progress patient diagnosis coding method that the embodiment of the present invention is provided, including storing place The computer readable storage medium of non-volatile program code that reason device can perform, the instruction that program code includes can be used for performing Method in previous methods embodiment, specific implementation can be found in embodiment of the method, and details are not described herein.
It is apparent to those skilled in the art that for convenience and simplicity of description, the system of foregoing description, The specific work process of device and unit can refer to the corresponding process in preceding method embodiment, and details are not described herein.
In several embodiments provided herein, it should be understood that disclosed systems, devices and methods, it can be with It realizes by another way.The apparatus embodiments described above are merely exemplary, for example, the division of the unit, Only a kind of division of logic function, can there is other dividing mode in actual implementation, in another example, multiple units or component can To combine or be desirably integrated into another system or some features can be ignored or does not perform.Another point, it is shown or beg for The mutual coupling, direct-coupling or communication connection of opinion can be by some communication interfaces, device or unit it is indirect Coupling or communication connection can be electrical, machinery or other forms.
The unit illustrated as separating component may or may not be physically separate, be shown as unit The component shown may or may not be physical unit, you can be located at a place or can also be distributed to multiple In network element.Some or all of unit therein can be selected according to the actual needs to realize the mesh of this embodiment scheme 's.
In addition, each functional unit in each embodiment of the present invention can be integrated in a processing unit, it can also That each unit is individually physically present, can also two or more units integrate in a unit.
If the function is realized in the form of SFU software functional unit and is independent product sale or in use, can be with It is stored in the non-volatile computer read/write memory medium that a processor can perform.Based on such understanding, the present invention The part that substantially contributes in other words to the prior art of technical solution or the part of the technical solution can be with software The form of product embodies, which is stored in a storage medium, including some instructions use so that One computer equipment (can be personal computer, server or the network equipment etc.) performs each embodiment institute of the present invention State all or part of step of method.And aforementioned storage medium includes:USB flash disk, mobile hard disk, read-only memory (ROM, Read- Only Memory), random access memory (RAM, Random Access Memory), magnetic disc or CD etc. are various can be with Store the medium of program code.
Finally it should be noted that:Embodiment described above, only specific embodiment of the invention, to illustrate the present invention Technical solution, rather than its limitations, protection scope of the present invention is not limited thereto, although with reference to the foregoing embodiments to this hair It is bright to be described in detail, it will be understood by those of ordinary skill in the art that:Any one skilled in the art In the technical scope disclosed by the present invention, it can still modify to the technical solution recorded in previous embodiment or can be light It is readily conceivable that variation or equivalent replacement is carried out to which part technical characteristic;And these modifications, variation or replacement, do not make The essence of corresponding technical solution is detached from the spirit and scope of technical solution of the embodiment of the present invention, should all cover the protection in the present invention Within the scope of.Therefore, protection scope of the present invention should be based on the protection scope of the described claims.

Claims (10)

1. a kind of patient diagnosis coding method, which is characterized in that including:
Diagnosis name in patient diagnosis information is carried out overlapping screening with International Classification of Diseases ICD-10 titles;
First diagnosis name misaligned with the ICD-10 titles according to ICD-10 code dictionary libraries is encoded, obtains outpatient service Diagnosis coding information.
2. patient diagnosis coding method according to claim 1, which is characterized in that further include:
Third diagnosis name is encoded according to pre-arranged code rule, wherein, the third diagnosis name is not belonging to ICD-10 Title.
3. patient diagnosis coding method according to claim 1, which is characterized in that examining in the information by patient diagnosis Before disconnected title carries out overlapping screening with International Classification of Diseases ICD-10 titles, further include:
The patient diagnosis information is obtained, and the patient diagnosis information is classified, obtains outpatient service disease spectrum information.
4. patient diagnosis coding method according to claim 1, which is characterized in that further include:
The second opinion title overlapped with the ICD-10 titles is rejected.
5. patient diagnosis coding method according to claim 1, which is characterized in that further include:
The patient diagnosis coding information is saved in patient diagnosis code database, wherein, the patient diagnosis code database includes institute State ICD-10 code dictionary libraries.
6. a kind of patient diagnosis coded system, which is characterized in that including:
Screening module is overlapped, for the diagnosis name in patient diagnosis information and International Classification of Diseases ICD-10 titles to be carried out weight Close screening;
First coding module, for by first diagnosis name misaligned with the ICD-10 titles according to ICD-10 code dictionary libraries It is encoded, obtains patient diagnosis coding information.
7. patient diagnosis coded system according to claim 6, which is characterized in that further include:
Second coding module, for third diagnosis name to be encoded according to pre-arranged code rule, wherein, the third diagnosis Title is not belonging to ICD-10 titles.
8. patient diagnosis coded system according to claim 6, which is characterized in that further include:
Acquisition module for obtaining the patient diagnosis information, and the patient diagnosis information is classified, obtains outpatient service disease Sick spectrum information.
9. patient diagnosis coded system according to claim 6, which is characterized in that further include:
Module is rejected, the second opinion title for will be overlapped with the ICD-10 titles is rejected.
10. patient diagnosis coded system according to claim 6, which is characterized in that further include:
Preserving module, for the patient diagnosis coding information to be saved in patient diagnosis code database, wherein, the patient diagnosis Code database includes the ICD-10 codes dictionary library.
CN201810116937.3A 2018-02-05 2018-02-05 Patient diagnosis coding method and system Pending CN108182977A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109754854A (en) * 2019-01-14 2019-05-14 上海市内分泌代谢病研究所 A method and system for matching diagnosis code and diagnosis name
CN112542220A (en) * 2020-12-16 2021-03-23 四川省肿瘤医院 Hospitalization case homepage-based tumor registration follow-up data processing method and system

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105069123A (en) * 2015-08-13 2015-11-18 易保互联医疗信息科技(北京)有限公司 Automatic coding method and system for Chinese surgical operation information
CN107577826A (en) * 2017-10-25 2018-01-12 山东众阳软件有限公司 Classification of diseases coding method and system based on raw diagnostic data

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105069123A (en) * 2015-08-13 2015-11-18 易保互联医疗信息科技(北京)有限公司 Automatic coding method and system for Chinese surgical operation information
CN107577826A (en) * 2017-10-25 2018-01-12 山东众阳软件有限公司 Classification of diseases coding method and system based on raw diagnostic data

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109754854A (en) * 2019-01-14 2019-05-14 上海市内分泌代谢病研究所 A method and system for matching diagnosis code and diagnosis name
CN112542220A (en) * 2020-12-16 2021-03-23 四川省肿瘤医院 Hospitalization case homepage-based tumor registration follow-up data processing method and system

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Application publication date: 20180619