Extends the existing crypto helper (already used for audio backups and the Nextcloud token) to cover every column that can hold PHI: - saved_encounters.transcript, .generated_note, .partial_data - user_memories.content (templates + Dragon-style corrections) - user_memories.name (auto-derived from original snippet on corrections, so effectively PHI) Reads decrypt transparently. Legacy plaintext rows continue to work — decryptString passes non-enc1: values through unchanged — so no migration is required; rows re-encrypt on their next save. The encounters list query previously used LEFT(transcript, 200) for a preview. With ciphertext that slice is meaningless, so the route now fetches the full columns, decrypts in Node, then slices. At 7-day auto- delete the row count is bounded and the cost is a handful of GCM decrypts per list call. user_memories ORDER BY moved from (category, name) to (category, id) since SQL can no longer order on encrypted names. Closes the HHS breach-notification safe-harbor gap on at-rest PHI.
175 lines
8.9 KiB
JavaScript
175 lines
8.9 KiB
JavaScript
// ============================================================
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// ENCOUNTERS ROUTES — Save/resume/pause encounter progress
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// ============================================================
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var express = require('express');
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var router = express.Router();
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var db = require('../db/database');
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var { authMiddleware } = require('../middleware/auth');
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var logger = require('../utils/logger');
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var cryptoUtil = require('../utils/crypto');
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router.use(authMiddleware);
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// Normalise partial_data to a string before encrypting so JSON objects and
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// raw strings round-trip identically. Decryption returns the original string.
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function partialToString(partial_data) {
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if (partial_data == null) return '{}';
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if (typeof partial_data === 'object') return JSON.stringify(partial_data);
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return partial_data;
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}
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// ── GET all saved encounters for current user ────────────────────────────
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router.get('/encounters/saved', async function(req, res) {
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try {
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// transcript/generated_note are encrypted at rest, so we can't slice on
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// the server with LEFT(..,200). Fetch full columns, decrypt in Node, then
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// preview. With a 7-day auto-delete the row count is small; the cost is
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// a handful of AES-GCM decrypts per list call.
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var rows = await db.all(
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"SELECT id, label, enc_type, status, created_at, updated_at, expires_at, transcript, generated_note FROM saved_encounters WHERE user_id = $1 AND expires_at > NOW() ORDER BY updated_at DESC",
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[req.user.id]
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);
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var out = rows.map(function (r) {
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var t = '', n = '';
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try { t = cryptoUtil.decryptString(r.transcript) || ''; } catch (e) {}
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try { n = cryptoUtil.decryptString(r.generated_note) || ''; } catch (e) {}
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return {
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id: r.id,
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label: r.label,
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enc_type: r.enc_type,
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status: r.status,
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created_at: r.created_at,
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updated_at: r.updated_at,
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expires_at: r.expires_at,
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transcript_preview: t.substring(0, 200),
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note_preview: n.substring(0, 200)
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};
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});
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res.json({ success: true, encounters: out });
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} catch (e) { logger.error('GET /encounters/saved', e.message); res.status(500).json({ error: 'Request failed' }); }
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});
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// ── GET single saved encounter ───────────────────────────────────────────
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router.get('/encounters/saved/:id', async function(req, res) {
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try {
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var row = await db.get(
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'SELECT * FROM saved_encounters WHERE id = $1 AND user_id = $2 AND expires_at > NOW()',
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[req.params.id, req.user.id]
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);
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if (!row) return res.status(404).json({ error: 'Encounter not found or expired' });
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try { row.transcript = cryptoUtil.decryptString(row.transcript); } catch (e) {}
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try { row.generated_note = cryptoUtil.decryptString(row.generated_note); } catch (e) {}
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try { row.partial_data = cryptoUtil.decryptString(row.partial_data); } catch (e) {}
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logger.audit(req.user.id, 'encounter_load', 'Loaded encounter: ' + (row.label || 'unlabeled') + ' (id:' + req.params.id + ')', req, { category: 'clinical' });
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res.json({ success: true, encounter: row });
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} catch (e) { logger.error('GET /encounters/saved/:id', e.message); res.status(500).json({ error: 'Request failed' }); }
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});
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// ── POST save/update encounter progress ─────────────────────────────────
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router.post('/encounters/saved', async function(req, res) {
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try {
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var { id, label, enc_type, transcript, generated_note, partial_data, status, idempotency_key } = req.body;
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var autoDeleteDays = parseInt(await db.getSetting('site.auto_delete_days') || '7', 10);
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if (id) {
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// Update existing — optimistic locking via `version` column.
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// Client passes req.body.expected_version (from the last GET). If
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// it doesn't match, another tab/user wrote first and we reject
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// with 409. If client doesn't send a version, we fall back to the
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// old behaviour (last-write-wins) for backwards compat.
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var existing = await db.get('SELECT id, version FROM saved_encounters WHERE id = $1 AND user_id = $2', [id, req.user.id]);
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if (!existing) return res.status(404).json({ error: 'Not found' });
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var expected = req.body.expected_version;
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if (expected != null && Number(expected) !== Number(existing.version || 1)) {
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return res.status(409).json({ error: 'Encounter was modified in another tab or session. Reload to see the latest.', currentVersion: existing.version, yourVersion: expected });
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}
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var newVersion = (Number(existing.version) || 1) + 1;
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var upd = await db.run(
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'UPDATE saved_encounters SET label=$1, transcript=$2, generated_note=$3, partial_data=$4, status=$5, version=$6, updated_at=NOW() WHERE id=$7 AND user_id=$8 AND (version = $9 OR $9::int IS NULL)',
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[
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label || 'Untitled',
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cryptoUtil.encryptString(transcript || ''),
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cryptoUtil.encryptString(generated_note || ''),
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cryptoUtil.encryptString(partialToString(partial_data)),
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status || 'active',
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newVersion,
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id, req.user.id,
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expected != null ? Number(expected) : null
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]
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);
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if (upd.changes === 0) {
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// Someone else wrote between our SELECT and UPDATE
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return res.status(409).json({ error: 'Encounter changed under you. Reload and retry.' });
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}
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res.json({ success: true, id: id, version: newVersion });
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logger.audit(req.user.id, 'encounter_save', 'Saved encounter: ' + (label || 'unlabeled'), req, { category: 'clinical' });
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} else {
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// Enforce unique label per user (within active/non-expired encounters)
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if (label && label.trim()) {
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var labelDup = await db.get(
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"SELECT id FROM saved_encounters WHERE user_id = $1 AND LOWER(label) = LOWER($2) AND expires_at > NOW()",
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[req.user.id, label.trim()]
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);
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if (labelDup) {
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return res.status(409).json({ error: 'An encounter with this label already exists. Use a unique label or load the existing one.' });
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}
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}
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// Check for duplicate via idempotency_key
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if (idempotency_key) {
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var dup = await db.get(
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'SELECT id FROM saved_encounters WHERE user_id = $1 AND idempotency_key = $2',
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[req.user.id, idempotency_key]
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);
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if (dup) {
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// Update existing instead of creating duplicate
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await db.run(
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'UPDATE saved_encounters SET label=$1, transcript=$2, generated_note=$3, partial_data=$4, status=$5, updated_at=NOW() WHERE id=$6 AND user_id=$7',
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[
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label || 'Untitled',
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cryptoUtil.encryptString(transcript || ''),
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cryptoUtil.encryptString(generated_note || ''),
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cryptoUtil.encryptString(partialToString(partial_data)),
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status || 'active',
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dup.id, req.user.id
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]
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);
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logger.audit(req.user.id, 'encounter_save', 'Saved encounter: ' + (label || 'unlabeled'), req, { category: 'clinical' });
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return res.json({ success: true, id: dup.id });
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}
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}
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// Create new
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var result = await db.run(
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'INSERT INTO saved_encounters (user_id, label, enc_type, transcript, generated_note, partial_data, status, idempotency_key, expires_at) VALUES ($1,$2,$3,$4,$5,$6,$7,$8, NOW() + ($9 || \' days\')::INTERVAL)',
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[
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req.user.id,
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label || 'Untitled',
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enc_type || 'encounter',
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cryptoUtil.encryptString(transcript || ''),
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cryptoUtil.encryptString(generated_note || ''),
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cryptoUtil.encryptString(partialToString(partial_data)),
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status || 'active',
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idempotency_key || null,
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autoDeleteDays
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]
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);
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res.json({ success: true, id: result.lastInsertRowid });
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logger.audit(req.user.id, 'encounter_save', 'Saved encounter: ' + (label || 'unlabeled'), req, { category: 'clinical' });
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}
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} catch (e) { logger.error('POST /encounters/saved', e.message); res.status(500).json({ error: 'Request failed' }); }
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});
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// ── DELETE saved encounter ───────────────────────────────────────────────
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router.delete('/encounters/saved/:id', async function(req, res) {
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try {
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var result = await db.run(
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'DELETE FROM saved_encounters WHERE id = $1 AND user_id = $2',
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[req.params.id, req.user.id]
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);
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if (result.changes === 0) return res.status(404).json({ error: 'Not found' });
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res.json({ success: true });
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logger.audit(req.user.id, 'encounter_delete', 'Deleted encounter ' + req.params.id, req, { category: 'clinical' });
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} catch (e) { logger.error('DELETE /encounters/saved/:id', e.message); res.status(500).json({ error: 'Request failed' }); }
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});
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module.exports = router;
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