CN111933289B - Incontinence dermatitis evaluation management information system - Google Patents

Incontinence dermatitis evaluation management information system Download PDF

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Publication number
CN111933289B
CN111933289B CN201910393849.2A CN201910393849A CN111933289B CN 111933289 B CN111933289 B CN 111933289B CN 201910393849 A CN201910393849 A CN 201910393849A CN 111933289 B CN111933289 B CN 111933289B
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dermatitis
patient
incontinence
unit
incontinence dermatitis
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CN111933289A (en
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张煜
张鹏
常鑫儿
王淑芹
张春艳
贾燕瑞
童朝晖
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Beijing Chaoyang Hospital
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Beijing Chaoyang Hospital
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Data Mining & Analysis (AREA)
  • Pathology (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Databases & Information Systems (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The present invention provides an incontinence dermatitis evaluation management information system, comprising: the risk assessment module can be used for assessing the risk of the incontinent dermatitis patient suffering from the incontinent dermatitis in the future and making a corresponding risk assessment report; an identification module operable to identify a plurality of skin condition indicators of a patient who has developed incontinence dermatitis to determine an incontinence dermatitis grade thereof; the decision module provides corresponding treatment strategies for the patient according to the risk assessment report and the incontinence dermatitis grade; the consultation module can upload patient information and diagnose and care the patient in real time; and the monitoring module can monitor the use condition of the risk assessment module and/or the skin condition of the patient and take corresponding intervention measures. The incontinence dermatitis evaluation management information system provided by the embodiment of the invention can realize the scientific and fine nursing.

Description

Incontinence dermatitis evaluation management information system
Technical Field
The invention relates to the field of medical care, in particular to an incontinence dermatitis evaluation management information system.
Background
Clinically, there is often a discrepancy in the caregivers' assessment of Incontinence-Associated Dermatitis and lack of knowledge of the use of skin cleanser shields for Incontinence dermatitis, resulting in inconsistent clinical care methods that are ineffective in improving redness and crumbling of the skin.
National nursing industry development planning (2016-2020) clearly indicates that nursing informatization construction is to be enhanced, and technical support is provided for realizing continuous improvement of nursing quality and enabling nursing management to be more scientific and refined. Incontinence dermatitis refers to skin damage and inflammation caused by prolonged or repeated exposure of the skin to urine or feces. Patients often feel extreme discomfort, pain, burning, itching or stinging of the damaged skin area, sometimes experience significant pain even if the epidermis is intact, IAD severely affects the quality of life of the patient, and creates sleep-related problems. In addition, IAD increases the risk of complications such as catheter related urinary tract infections, which in turn increases patient hospitalization time, places more economic burden on the home and caretaker, and requires more care time and resources. At present, an incontinence dermatitis informationized evaluation management system is not clinically available.
Disclosure of Invention
In view of the above, the present invention provides an incontinent dermatitis evaluation management information system that can not only realize the routed incontinent dermatitis evaluation and intervention, standardize the prevention and care of incontinent dermatitis, but also save care resources, and make care management more scientific and fine.
An incontinence dermatitis evaluation management information system according to an embodiment of the present invention includes: the risk assessment module can be used for assessing the risk of incontinence dermatitis in future of patients without incontinence dermatitis and making corresponding risk assessment reports; an identification module operable to identify a plurality of skin condition indicators of a patient who has developed incontinence dermatitis to determine an incontinence dermatitis rating thereof; a decision module providing a corresponding treatment strategy for the patient according to the risk assessment report and the incontinence dermatitis grade; the consultation module can upload patient information and diagnose and care the patient in real time; and the monitoring module can monitor the use condition of the risk assessment module and/or the skin condition of the patient and take corresponding intervention measures.
According to the incontinence dermatitis evaluation management information system provided by the embodiment of the invention, preventive measures can be taken for patients without incontinence dermatitis, the incontinence dermatitis patients can be evaluated, classified and corresponding path nursing interventions can be given according to corresponding skin injury types and stages, and a decision or guiding scheme is provided, so that nursing management is more scientific and fine.
The incontinence dermatitis evaluation management information system according to an embodiment of the present invention may further have the following additional technical features:
according to one embodiment of the invention, the risk assessment module comprises: an input unit embedded with a patient's perineal skin condition assessment tool, the input unit being capable of recording patient's perineal skin condition and skin integrity, form and intensity of stimulus, stimulus duration, perineal skin condition, and constituent factors; a score unit capable of converting the data recorded by the input unit into a score; the risk prompting unit is used for sending a prompting signal and generating a risk assessment report when the score exceeds a threshold value; and a printing unit capable of printing the risk assessment report.
According to one embodiment of the invention, the risk prompting unit sends out a red prompting signal when the score value is greater than or equal to 7.
According to one embodiment of the invention, the authentication module comprises: an identification unit for identifying the incontinence dermatitis grade of a patient; a first recording unit for recording the incontinence dermatitis grade.
According to one embodiment of the invention, an incontinence dermatitis intervention tool is embedded in the identification unit to distinguish between different incontinence dermatitis grades, corresponding pictures and textual descriptions of the different incontinence dermatitis grades being stored in the identification unit.
According to one embodiment of the invention, the decision module comprises: a high risk unit capable of storing the patient information having a score of 7 or more, and a method of preventing incontinent dermatitis; a skin damage unit for storing patient information of patients having developed incontinence dermatitis and treatment strategies of different incontinence dermatitis grades.
According to one embodiment of the present invention, further comprising: and the stool parting recording module is used for parting and recording the stool of the patient so as to assist in judging the future incontinence dermatitis risk of the patient who does not suffer from incontinence dermatitis and the incontinence dermatitis grade of the patient who suffers from incontinence dermatitis.
According to one embodiment of the invention, the stool typing recording module is cloth Lu Situo stool typing.
According to one embodiment of the invention, the consultation module comprises: the second recording unit is used for recording consultation contents to form a consultation list; the uploading unit is used for uploading the consultation list; and the downloading unit is used for downloading the consultation list.
According to one embodiment of the invention, the supervision module comprises: the first monitoring unit is used for monitoring whether the risk assessment report is completed or not, and if the risk assessment report is not completed, a first prompt signal is sent out to remind a nursing staff of completing the risk assessment report; the second supervision unit is used for supervising whether the defecation of the patient is abnormal or not, and sending a second prompt signal to remind a nursing staff to take corresponding intervention measures if the defecation of the patient exceeds three times a day.
Drawings
Fig. 1 is a schematic diagram of an incontinence dermatitis evaluation management information system according to an embodiment of the present invention.
Reference numerals:
incontinence dermatitis evaluation management information system 100; a risk assessment module 10; an authentication module 20; a decision module 30; a consultation module 40; a supervision module 50.
Detailed Description
Embodiments of the present invention are described in detail below, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to like or similar elements or elements having like or similar functions throughout. The embodiments described below by referring to the drawings are illustrative only and are not to be construed as limiting the invention.
In the description of the present invention, it should be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "radial", "circumferential", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a specific orientation, be configured and operated in a specific orientation, and therefore should not be construed as limiting the present invention. Furthermore, features defining "first", "second" may include one or more such features, either explicitly or implicitly. In the description of the present invention, unless otherwise indicated, the meaning of "a plurality" is two or more.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
An incontinence dermatitis evaluation management information system 100 according to an embodiment of the present invention is specifically described below with reference to the drawings.
As shown in fig. 1, the incontinence dermatitis evaluation management information system 100 according to the embodiment of the present invention includes a risk evaluation module 10, an identification module 20, a decision module 30, a consultation module 40, and a supervision module 50.
Specifically, the risk assessment module 10 can be used to assess the risk of future development of incontinent dermatitis in patients who have not developed incontinent dermatitis, and make corresponding risk assessment reports, the identification module 20 can be used to identify a plurality of skin condition indicators of patients who have developed incontinent dermatitis to determine their incontinent dermatitis grades, the decision module 30 can provide corresponding treatment strategies for the patients according to the risk assessment reports and the incontinent dermatitis grades, the consultation module 40 can upload patient information and make real-time diagnosis and treatment for the patients, and the supervision module 50 can supervise the use condition of the risk assessment module 10 and/or the plurality of skin condition indicators of the patients and take corresponding intervention measures.
In other words, the system 100 for managing incontinent dermatitis is mainly composed of the risk assessment module 10, the identification module 20, the decision module 30, the consultation module 40 and the supervision module 50, wherein the risk assessment module 10 is mainly set for patients who do not develop incontinent dermatitis, the risk assessment module 10 can assess the risk of incontinent dermatitis occurring in the future for patients who do not develop incontinent dermatitis, the identification module 20 is mainly set for patients who have developed incontinent dermatitis, the identification module 20 can identify the incontinent dermatitis grade of the patients who have developed incontinent dermatitis, the decision module 30 corresponds to the risk assessment module 10, the decision module 30 provides corresponding treatment strategies for the patients according to the risk assessment report and the incontinent dermatitis grade after the risk assessment module 10, the consultation module 40 is mainly used for consultation requests of skin problems, and the supervision module 50 is mainly supervising the completion status of the nursing staff risk assessment module 10 and various skin condition indexes of the patients. The incontinence dermatitis evaluation management information system 100 can facilitate clinical nursing staff to scientifically and correctly evaluate skin problems before skin care is performed, identify skin damage types, give corresponding treatment decisions or guidance schemes according to corresponding grades, realize incontinence dermatitis pathway care and information acquisition, and standardize clinical care methods of the incontinence dermatitis.
Thus, the system 100 for evaluating and managing the incontinence dermatitis according to the embodiment of the invention can take preventive measures for patients without incontinence dermatitis, evaluate and stage the patients with incontinence dermatitis and give corresponding path care interventions according to the corresponding skin injury types and stages, and provide decision or guiding schemes so as to enable the care management to be more scientific and fine.
According to one embodiment of the invention, the risk assessment module 10 includes an input unit, a scoring unit, a risk prompting unit, and a printing unit.
Specifically, the input unit is embedded with a patient perineum skin condition assessment tool, the input unit can record the patient perineum skin condition and skin integrity, the form and intensity of a stimulus, the duration of the stimulus and other risk factors causing incontinence dermatitis, the score unit can convert data recorded by the input unit into a score, the risk prompt unit sends out a prompt signal and generates a risk assessment report when the score exceeds a threshold, and the printing unit can print the risk assessment report.
Further, when the score is greater than or equal to 7, the risk prompting unit sends out a red prompting signal.
In other words, the risk assessment module 10 mainly comprises an input unit, a score unit, a risk prompting unit and a printing unit, wherein the settings of the units conform to the use habit of a hospital and the standard of a nursing document, the assessment time is completed within 24 hours of new hospital admission of a patient, and the assessment content is provided in the input unit. The input unit is embedded into a perineum skin condition assessment tool (Perineal Assessment Tool; PAT) according to clinical requirements to assess the risk level of the incontinence dermatitis: the scale is composed of four components including the form and intensity of the stimulus, the stimulus duration, the condition of the perineal skin and the skin integrity, and other risk factors that lead to the development of incontinent dermatitis. The carer inputs corresponding options according to each item of the assessment tool, the options are single choices, the score is summarized according to the options, and the carer inputs corresponding options according to each item of the assessment tool. The score unit automatically calculates the PAT score and displays the score after the corresponding option is input by the nursing staff. The risk prompting unit displays the risk level of the incontinence dermatitis of the patient according to the PAT score, namely the PAT is less than 7 and is classified as low-risk, the PAT score is black, the PAT score is more than or equal to 7, the red high-risk score is displayed, and the mark is striking, so that the warning effect is realized. The printing unit is positioned at the right lower side of the module, is mainly used for printing the PAT risk assessment list, has the signature of the name of the assessor in the printing module, and can be reserved in clinical departments after printing.
According to one embodiment of the invention, the authentication module 20 comprises an authentication unit and a first recording unit.
Specifically, the identification unit is used for identifying the incontinence dermatitis grade of the patient, and the first recording unit is used for recording the incontinence dermatitis grade.
Further, an incontinence dermatitis intervention tool is embedded in the identification unit to distinguish different incontinence dermatitis grades, and corresponding pictures and text descriptions of the different incontinence dermatitis grades are stored in the identification unit.
That is, the identification module 20 is mainly used for identifying the grade of the Incontinence dermatitis, and the identification module 20 comprises an identification unit and a first recording unit, wherein the identification unit is embedded with an Incontinence dermatitis intervention tool (IADIT, incontinence-Associated Dermatitis Intervention Tool) for distinguishing different grades of the Incontinence dermatitis, and stores corresponding pictures and text descriptions of different grades of the Incontinence dermatitis, so as to help a nursing staff to determine grades (grade 0, grade 1, grade 2 and grade 2 infection) after comparing skin conditions of clinical patients. After the authentication by the authentication unit, the recording unit performs recording of the incontinent dermatitis grade of the skin condition of each patient to assist the observation of the progress after the daily treatment, and the recording can be printed. By using the informatization management method, the information systems such as nursing records and the like are fully utilized, the evaluation and the intervention of the path incontinence dermatitis are realized, and the prevention and the nursing of the incontinence dermatitis are standardized.
According to some embodiments of the invention, the decision module 30 comprises a high risk unit and a skin damage unit.
Specifically, the high risk unit is capable of storing patient information having a score of 7 or more and a method of preventing incontinent dermatitis, and the skin damage unit is used for storing patient information of patients having incontinent dermatitis and treatment strategies of different incontinent dermatitis grades.
In other words, the decision module 30 provides different care decisions according to the population classified by different risks and skin injuries, the decision module 30 mainly consists of a high risk unit and a skin injury unit, and the high risk unit stores a prevention method for the population with no incontinence dermatitis but high risk of incontinence dermatitis, wherein the prevention method comprises cleaning the stool by using a cleaning agent, spraying liquid dressing, smearing zinc oxide, and following medical advice to treat incontinence, etc. The skin injury unit stores the treatment modes of incontinence dermatitis and different incontinence dermatitis grades, wherein the treatment modes comprise no-clean cleaning agent for cleaning the stool, liquid dressing combined with the ostomy powder, vaseline or hydrocolloid dressing combined with the ostomy powder, incontinence treatment and the like. Decision module 30 can help healthcare workers make skin prophylaxis and treatment decisions directly.
In one embodiment of the present invention, the incontinence dermatitis evaluation management information system 100 further comprises a stool typing recording module for typing and recording the patient's stool to assist in determining the risk of developing incontinence dermatitis in the future in patients who have not developed incontinence dermatitis and the incontinence dermatitis rating of patients who have developed incontinence dermatitis.
Fecal incontinence is one of the important factors that cause incontinent dermatitis, and the higher the stool classification level, the more serious the effect. Therefore, the observation and record of stool typing have a certain significance for the prognosis of the occurrence of the incontinence dermatitis and the collection of clinical data of nursing staff.
Further, the stool parting recording module is cloth Lu Situo stool parting, the cloth Lu Situo stool parting is assisted with the graphic representation in each parting, and the pictures can be displayed by clicking parting characters, so that the judgment of parting is facilitated for medical staff. The stool is classified into seven types altogether, wherein the five, six and seven types are diarrhea-prone types, and incontinence dermatitis is more likely to occur.
In one embodiment of the present invention, the consultation module 40 includes a second recording unit, an uploading unit and a downloading unit.
Specifically, the second recording unit is configured to record the consultation content to form a consultation list, the uploading unit is configured to upload the consultation list, the downloading unit is configured to download the consultation list, and the consultation module 40 is mainly configured to upload complex skin conditions, for example, connect with a pressure injury in a hospital and an incontinence team member, ask a professional to perform consultation, and provide real-time guidance to the patient.
Optionally, the supervision module 50 comprises a first supervision unit and a second supervision unit.
Specifically, the first monitoring unit is used for monitoring whether the risk assessment report is completed, if the risk assessment report is not completed, the first prompting signal is sent to remind a nursing staff of completing the risk assessment report, the second monitoring unit is used for monitoring whether the defecation of a patient is abnormal, and if the defecation of the patient exceeds three times a day, the second prompting signal is sent to remind the nursing staff to take corresponding intervention measures.
In other words, the first supervision unit mainly supervises the usage situation of the evaluation table of the nursing staff, and once the nursing staff does not give the risk evaluation in time, the function of synchronizing with the nursing record cannot be realized, the PAT evaluation is not performed in the prompt box, and the prompt of completing the evaluation is requested. The second supervision unit mainly monitors the defecation condition of the patient, namely, the patient can have defecation more than 3 times a day, and the prompting frame can flash to draw attention of nursing staff and intervene by taking nursing measures as appropriate.
The incontinence dermatitis evaluation management information system 100 according to the embodiment of the invention can take preventive measures for patients without incontinence dermatitis, evaluate and stage the patients with incontinence dermatitis and give corresponding path care interventions according to the corresponding skin injury types and stages, and provide decision or guidance schemes so as to enable the care management to be more scientific and fine.
While the foregoing is directed to the preferred embodiments of the present invention, it will be appreciated by those skilled in the art that various modifications and adaptations can be made without departing from the principles of the present invention, and such modifications and adaptations are intended to be comprehended within the scope of the present invention.

Claims (2)

1. An incontinence dermatitis evaluation management information system, comprising:
the risk assessment module can be used for assessing the risk of incontinence dermatitis in future of patients without incontinence dermatitis and making corresponding risk assessment reports;
an identification module operable to identify a plurality of skin condition indicators of a patient who has developed incontinence dermatitis to determine an incontinence dermatitis rating thereof;
a decision module providing a corresponding treatment strategy for the patient according to the risk assessment report and the incontinence dermatitis grade;
the consultation module can upload patient information and diagnose and care the patient in real time;
the monitoring module can monitor the use condition of the risk assessment module and/or the skin condition of a patient and take corresponding intervention measures;
the risk assessment module includes: an input unit embedded with a patient's perineal skin condition assessment tool, the input unit being capable of recording the condition and skin integrity of the patient's perineal skin, the form and intensity of the stimulus, the stimulus duration and other risk factors that lead to the occurrence of incontinent dermatitis; a score unit capable of converting the data recorded by the input unit into a score; the risk prompting unit is used for sending a prompting signal and generating a risk assessment report when the score exceeds a threshold value; the printing unit can print the risk assessment report, and when the score is more than or equal to 7, the risk prompting unit sends out a red prompting signal;
the decision module comprises: a high risk unit capable of storing the patient information having a score of 7 or more, and a method of preventing incontinent dermatitis; a skin damage unit for storing patient information of patients who have developed incontinence dermatitis and treatment strategies of different incontinence dermatitis grades;
the prevention method comprises cleaning feces with a no-clean cleaner, spraying with a liquid dressing, smearing zinc oxide, and treating incontinence according to medical advice; the skin injury unit stores the treatment modes of incontinence dermatitis and different incontinence dermatitis grades, wherein the treatment modes comprise a no-clean cleaning agent for cleaning the stool, a liquid dressing combined with ostomy powder, a Vaseline or hydrocolloid dressing combined with the ostomy powder and treating incontinence;
the authentication module includes: an identification unit for identifying the incontinence dermatitis grades of the patient, the identification unit having an incontinence dermatitis intervention tool embedded therein to distinguish between the different incontinence dermatitis grades, and corresponding pictures and text descriptions of the different incontinence dermatitis grades stored therein; a first recording unit for recording the incontinence dermatitis grade;
an incontinence dermatitis intervention tool is embedded in the identification unit to distinguish different incontinence dermatitis grades, and corresponding pictures and text descriptions of the different incontinence dermatitis grades are stored in the identification unit;
the stool typing recording module is used for typing and recording the stool of the patient so as to assist in judging the future incontinence dermatitis risk of the patient who does not suffer from incontinence dermatitis and the incontinence dermatitis grade of the patient who suffers from incontinence dermatitis;
the stool parting recording module is cloth Lu Situo stool parting;
the cloth Lu Situo is used for stool typing and is assisted with each typing, and the typing characters are clicked to display pictures, so that the stool typing is divided into seven types altogether, wherein the five, six and seven types are diarrhea tendency types, and incontinence dermatitis is more likely to occur;
the supervision module comprises: the first monitoring unit is used for monitoring whether the risk assessment report is completed or not, and if the risk assessment report is not completed, a first prompt signal is sent out to remind a nursing staff of completing the risk assessment report; the second supervision unit is used for supervising whether the defecation of the patient is abnormal or not, and sending a second prompt signal to remind a nursing staff to take corresponding intervention measures if the defecation of the patient exceeds three times a day.
2. The incontinent dermatitis assessment management information system as claimed in claim 1, wherein said consultation module comprises: the second recording unit is used for recording consultation contents to form a consultation list; the uploading unit is used for uploading the consultation list; and the downloading unit is used for downloading the consultation list.
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