From 33e1839c6214ad72cc5a76ae254ce0bb542e9263 Mon Sep 17 00:00:00 2001
From: liusheng <337615773@qq.com>
Date: 星期六, 10 十月 2026 09:31:11 +0800
Subject: [PATCH] 提交

---
 smartor/src/main/java/com/smartor/service/impl/ServiceSLTDHealthcareRecordServiceImpl.java |  263 +++++++++++++++++++++++++++++++++++++++++++++++++---
 1 files changed, 245 insertions(+), 18 deletions(-)

diff --git a/smartor/src/main/java/com/smartor/service/impl/ServiceSLTDHealthcareRecordServiceImpl.java b/smartor/src/main/java/com/smartor/service/impl/ServiceSLTDHealthcareRecordServiceImpl.java
index b0d7bab..2fc97a6 100644
--- a/smartor/src/main/java/com/smartor/service/impl/ServiceSLTDHealthcareRecordServiceImpl.java
+++ b/smartor/src/main/java/com/smartor/service/impl/ServiceSLTDHealthcareRecordServiceImpl.java
@@ -8,6 +8,7 @@
 import com.ruoyi.common.core.domain.entity.SysUser;
 import com.ruoyi.common.core.domain.entity.SysUserDept;
 import com.ruoyi.common.core.domain.entity.SysUserRole;
+import com.ruoyi.common.utils.DateUtils;
 import com.ruoyi.common.utils.StringUtils;
 import com.smartor.common.enums.EmergencyLevelEnum;
 import com.smartor.common.enums.ImportFlagEnum;
@@ -85,6 +86,15 @@
 
     @Value("${spring.profiles.active}")
     private String active;
+    @Autowired
+    private ServiceSubtaskServiceImpl serviceSubtaskServiceImpl;
+    @Autowired
+    private ServiceSubtaskMapper serviceSubtaskMapper;
+    @Autowired
+    private PatMedInhospMapper patMedInhospMapper;
+
+    @Autowired
+    private PatMedOuthospErrorMapper patMedOuthospErrorMapper;
 
     @Override
     public List<ServiceSLTDInhospResDTO> queryHealthcareRecordList(ServiceSLTDInhospReqVO reqVO) {
@@ -496,7 +506,12 @@
             log.info("銆恜arseResponseData銆戞垚鍔熻В鏋恉ataList:{}鏉″仴搴疯褰曟暟鎹�", dataList.size());
             List<ServiceSLTDInhospResDTO> resultList = new ArrayList<>();
             for (Map<String, Object> dataItem : dataList) {
-                resultList.add(convertToDTO(dataItem));
+                try {
+                    resultList.add(convertToDTO(dataItem));
+                } catch (Exception e) {
+                    // 鍗曟潯鏁版嵁杞崲澶辫触涓嶅啀璁╂暣椤靛け璐ワ細鍐欓敊璇〃浜ょ粰浜哄伐澶勭悊锛屽叾浣欒褰曠収甯稿叆搴�
+                    saveOuthospError(dataItem, "CONVERT", e.getMessage(), new Gson().toJson(dataItem), e);
+                }
             }
             log.info("銆恜arseResponseData銆戞垚鍔熻В鏋恟esultList:{}鏉″仴搴疯褰曟暟鎹�", resultList.size());
 
@@ -606,34 +621,184 @@
     }
 
     private Boolean outHospitalDate(List<ServiceSLTDInhospResDTO> resultList) {
-        List<PatMedOuthosp> batchList = new ArrayList<>();
-
+        // 闂ㄦ�ヨ瘖鍦� HIS 渚у彧鑳芥寜澶╂煡锛岄噰闆嗕换鍔℃瘡鍗婂皬鏃堕兘浼氭妸褰撳ぉ涓婁竾涓瘖鐤楄褰曢噸鏂版媺涓�閬嶏紝
+        // 鍏朵腑缁濆ぇ澶氭暟涓婁竴杞凡缁忓叆搴撱�傝繖閲屽厛鏁撮〉鎵归噺鏌ラ噸锛屾妸宸插叆搴撶殑鐩存帴璺宠繃锛�
+        // 鍙鏂板璁板綍鍋�"妗f澶勭悊 + 鍏ュ簱"锛屽惁鍒欐瘡鏉¢噸澶嶆暟鎹兘瑕佽蛋涓�閬�
+        // Redis鍔犻攣 + 妗f鏌ラ噸 + 妗f鏇存柊 + countBySerialnum + insert锛屼竴涓囨潯灏辨槸鍑犱竾娆� SQL锛屽崐灏忔椂璺戜笉瀹屻��
+        Set<String> pageSerialnums = new HashSet<>();
+        List<ServiceSLTDInhospResDTO> uniqueList = new ArrayList<>();
+        List<ServiceSLTDInhospResDTO> noSerialnumList = new ArrayList<>();
+        Map<String, List<String>> serialnumsByDate = new LinkedHashMap<>();
         for (ServiceSLTDInhospResDTO dto : resultList) {
             if (Objects.isNull(dto)) {
                 continue;
             }
-            PatArchive patArchive = processPatientArchive(dto);
-            PatMedOuthosp patMedOuthosp = buildPatMedOuthosp(dto, patArchive);
-            batchList.add(patMedOuthosp);
+            String serialnum = dto.getHealthcareRecordNo();
+            if (StringUtils.isEmpty(serialnum)) {
+                // 娌℃湁璇婄枟璁板綍鍙峰氨娌℃硶鏌ラ噸锛屼繚鎸佸師鏈夎涓虹収甯稿鐞嗭紙鍏ュ簱鐜妭杩樹細鍐嶅厹涓�娆★級
+                log.warn("銆恛utHospitalDate銆戣瘖鐤楄褰曞彿涓虹┖锛屾棤娉曟煡閲嶏紝鎸夋柊澧炲鐞嗭細patientName={}", dto.getPatientName());
+                noSerialnumList.add(dto);
+                continue;
+            }
+            if (!pageSerialnums.add(serialnum)) {
+                // 鍚屼竴椤靛唴閲嶅鐨勮褰曪紝鍙鐞嗕竴鏉�
+                continue;
+            }
+            uniqueList.add(dto);
+            // 鎸夊氨璇婃棩鏈熷垎缁勶紙璺ㄩ浂鐐规椂鏈�澶氫袱涓棩鏈燂級锛屼繚璇佹煡閲嶇殑鍒嗚〃鍜屽叆搴撴椂鍒嗚〃璺敱涓�鑷�
+            String admitDateStr = formatAdmitDate(dto.getLastEncounterTime());
+            serialnumsByDate.computeIfAbsent(admitDateStr == null ? "" : admitDateStr, k -> new ArrayList<>()).add(serialnum);
         }
+
+        // 涓�娆� SQL 鏌ュ嚭杩欎竴椤甸噷宸茬粡鍏ュ簱鐨� serialnum锛堝彇浠i�愭潯 countBySerialnum锛�
+        Set<String> existingSerialnums = new HashSet<>();
+        for (Map.Entry<String, List<String>> entry : serialnumsByDate.entrySet()) {
+            try {
+                existingSerialnums.addAll(patMedOuthospService.selectExistingSerialnums(entry.getKey(), entry.getValue()));
+            } catch (Exception e) {
+                // 鎵归噺鏌ラ噸澶辫触涓嶅奖鍝嶆纭�э細涓嬮潰鍏ュ簱鏃舵瘡鏉¤繕浼氬啀鏌ヤ竴娆¢噸锛屽彧鏄參涓�浜�
+                log.error("銆恛utHospitalDate銆戞壒閲忔煡閲嶅け璐ワ紝閫�鍖栦负閫愭潯鏌ラ噸锛屽氨璇婃棩鏈燂細{}", entry.getKey(), e);
+            }
+        }
+
+        List<PatMedOuthosp> batchList = new ArrayList<>();
+        int existSkipCount = 0;
+        for (ServiceSLTDInhospResDTO dto : uniqueList) {
+            if (existingSerialnums.contains(dto.getHealthcareRecordNo())) {
+                existSkipCount++;
+                continue;
+            }
+            PatMedOuthosp patMedOuthosp = buildNewOuthosp(dto);
+            if (patMedOuthosp != null) {
+                batchList.add(patMedOuthosp);
+            }
+        }
+        for (ServiceSLTDInhospResDTO dto : noSerialnumList) {
+            PatMedOuthosp patMedOuthosp = buildNewOuthosp(dto);
+            if (patMedOuthosp != null) {
+                batchList.add(patMedOuthosp);
+            }
+        }
+        log.info("銆恛utHospitalDate銆戞湰椤祘}鏉★紝鍘婚噸鍚巤}鏉★紝宸插叆搴撹烦杩噞}鏉★紝寰呭叆搴搟}鏉�",
+                resultList.size(), uniqueList.size(), existSkipCount, batchList.size());
 
         // 鎵归噺鎻掑叆锛岃嚜鍔ㄥ拷鐣ラ噸澶�
         if (CollectionUtils.isNotEmpty(batchList)) {
-            try {
-                //杩欓噷鐢ㄨ嚜鍔ㄥ拷鐣ラ噸澶嶄細鏈夐棶棰橈紝濡傛灉琛ㄩ噸鏂板缓锛宻erialnum绱㈠紩浼氫涪澶便�傚氨鏃犳硶鍘婚噸锛屾墍浠ヨ繕鏄渶瑕佸唴瀛橀噷鍘婚噸
-                batchList = DistinctByProperty.distinctByProperty(batchList, PatMedOuthosp::getSerialnum);
-                Integer insertCount = 0;
-                for (PatMedOuthosp patMedOuthosp : batchList) {
-                    insertCount += patMedOuthospService.insertPatMedOuthosp(patMedOuthosp);
+            //杩欓噷鐢ㄨ嚜鍔ㄥ拷鐣ラ噸澶嶄細鏈夐棶棰橈紝濡傛灉琛ㄩ噸鏂板缓锛宻erialnum绱㈠紩浼氫涪澶便�傚氨鏃犳硶鍘婚噸锛屾墍浠ヨ繕鏄渶瑕佸唴瀛橀噷鍘婚噸
+            batchList = DistinctByProperty.distinctByProperty(batchList, PatMedOuthosp::getSerialnum);
+            int insertCount = 0;
+            int skipCount = 0;
+            List<String> failSerialnums = new ArrayList<>();
+            for (PatMedOuthosp patMedOuthosp : batchList) {
+                try {
+                    int inserted = patMedOuthospService.insertPatMedOuthosp(patMedOuthosp);
+                    if (inserted > 0) {
+                        insertCount += inserted;
+                    } else {
+                        // 杩斿洖0琛ㄧず宸插瓨鍦紙閲嶅閲囬泦锛夋垨灏辫瘖鏃堕棿涓虹┖锛屽睘浜庢甯歌烦杩囷紝涓嶇畻澶辫触
+                        skipCount++;
+                    }
+                } catch (Exception e) {
+                    // 鍗曟潯鍏ュ簱澶辫触涓嶅啀涓柇閲囬泦锛氳惤閿欒琛ㄤ氦缁欎汉宸ュ鐞嗭紝閲囬泦鏂偣鐓у父鎺ㄨ繘
+                    failSerialnums.add(patMedOuthosp.getSerialnum());
+                    saveOuthospError(null, patMedOuthosp, "INSERT", e.getMessage(), new Gson().toJson(patMedOuthosp), e);
                 }
+            }
+            log.info("鎵归噺鎻掑叆闂ㄦ�ヨ瘖璁板綍锛屾�绘暟锛歿}, 瀹為檯鎻掑叆锛歿}, 璺宠繃锛堝凡瀛樺湪/鏃犲氨璇婃椂闂达級锛歿}, 钀介敊璇〃锛歿}",
+                    batchList.size(), insertCount, skipCount, failSerialnums.size());
 
-                log.info("鎵归噺鎻掑叆闂ㄦ�ヨ瘖璁板綍锛屾�绘暟锛歿}, 瀹為檯鎻掑叆锛歿}", batchList.size(), insertCount);
-
-            } catch (Exception e) {
-                log.error("鎵归噺鎻掑叆闂ㄦ�ヨ瘖璁板綍澶辫触", e);
+            if (!failSerialnums.isEmpty()) {
+                // 澶辫触鏄庣粏宸查�愭潯鍐欒繘 pat_med_outhosp_error锛岃繖閲屽彧鎻愮ず锛屼笉鍐嶆姏寮傚父闃绘柇閲囬泦
+                log.error("闂ㄦ�ヨ瘖璁板綍鍏ュ簱澶辫触 {} 鏉★紝宸插啓鍏� pat_med_outhosp_error 绛変汉宸ュ鐞嗭紝serialnum锛歿}",
+                        failSerialnums.size(), failSerialnums);
             }
         }
         return true;
+    }
+
+    /**
+     * 澶勭悊鍗曟潯鏂板璁板綍鐨勬偅鑰呮。妗堝苟鏋勫缓闂ㄦ�ヨ瘖璁板綍锛�
+     * 澶辫触鏃跺啓閿欒琛ㄤ氦缁欎汉宸ュ鐞嗗苟杩斿洖 null锛屼笉褰卞搷鍚屼竴椤甸噷鍏朵粬璁板綍
+     */
+    private PatMedOuthosp buildNewOuthosp(ServiceSLTDInhospResDTO dto) {
+        try {
+            PatArchive patArchive = processPatientArchive(dto);
+            return buildPatMedOuthosp(dto, patArchive);
+        } catch (Exception e) {
+            saveOuthospError(dto, null, "ARCHIVE", e.getMessage(), new Gson().toJson(dto), e);
+            return null;
+        }
+    }
+
+    /** 閲囬泦澶辫触鐨勫師濮嬭褰曟潵鑷帴鍙h繑鍥炵殑 Map锛堟暟鎹浆鎹㈠け璐ユ椂杩樻病鏈� DTO锛� */
+    private void saveOuthospError(Map<String, Object> dataItem, String errorType, String errorMsg,
+                                  String rawData, Throwable cause) {
+        PatMedOuthospError error = new PatMedOuthospError();
+        error.setSerialnum(getStringValue(dataItem, "healthcareRecordNo"));
+        error.setOuthospno(getStringValue(dataItem, "healthcareRecordNo"));
+        error.setPatname(getStringValue(dataItem, "patientName"));
+        error.setPatno(getStringValue(dataItem, "medicalRecordNo"));
+        error.setCampusid(getStringValue(dataItem, "campusId"));
+        error.setOrgid(getStringValue(dataItem, "orgId"));
+        doSaveOuthospError(error, errorType, errorMsg, rawData, cause);
+    }
+
+    /** 閲囬泦澶辫触鐨勫師濮嬭褰曟潵鑷� DTO / 寰呭叆搴撶殑 PatMedOuthosp */
+    private void saveOuthospError(ServiceSLTDInhospResDTO dto, PatMedOuthosp patMedOuthosp, String errorType,
+                                  String errorMsg, String rawData, Throwable cause) {
+        PatMedOuthospError error = new PatMedOuthospError();
+        if (dto != null) {
+            error.setSerialnum(dto.getHealthcareRecordNo());
+            error.setOuthospno(dto.getHealthcareRecordNo());
+            error.setPatname(dto.getPatientName());
+            error.setPatno(dto.getMedicalRecordNo());
+            error.setCampusid(dto.getCampusId());
+            error.setOrgid(dto.getOrgId());
+            error.setAdmitdate(parseDate(dto.getLastEncounterTime()));
+        }
+        if (patMedOuthosp != null) {
+            if (StringUtils.isEmpty(error.getSerialnum())) {
+                error.setSerialnum(patMedOuthosp.getSerialnum());
+            }
+            error.setOuthospno(patMedOuthosp.getOuthospno());
+            error.setPatname(patMedOuthosp.getPatname());
+            error.setPatno(patMedOuthosp.getPatno());
+            error.setCampusid(patMedOuthosp.getCampusid());
+            error.setOrgid(patMedOuthosp.getOrgid());
+            error.setAdmitdate(patMedOuthosp.getAdmitdate());
+        }
+        doSaveOuthospError(error, errorType, errorMsg, rawData, cause);
+    }
+
+    /**
+     * 鍐欓棬鎬ヨ瘖閲囬泦澶辫触璁板綍琛紝浜ょ粰浜哄伐澶勭悊銆�
+     * 杩欓噷鍏滀綇涓�鍒囧紓甯革細杩為敊璇〃閮藉啓涓嶈繘鍘绘椂鍙墦鏃ュ織锛堝甫鍘熷鏁版嵁锛夛紝缁濅笉鍥犱负鍐欓敊璇〃澶辫触鑰屼腑鏂噰闆�
+     */
+    private void doSaveOuthospError(PatMedOuthospError error, String errorType, String errorMsg,
+                                    String rawData, Throwable cause) {
+        error.setErrorType(errorType);
+        error.setErrorMsg(truncate(errorMsg == null || errorMsg.isEmpty() ? String.valueOf(cause) : errorMsg, 1000));
+        error.setRawData(rawData);
+        error.setFailCount(1);
+        error.setHandleStatus("0");
+        error.setGatherDate(new SimpleDateFormat("yyyy-MM-dd").format(new Date()));
+        error.setCreateTime(DateUtils.getNowDate());
+        try {
+            patMedOuthospErrorMapper.insertPatMedOuthospError(error);
+            log.error("銆愰棬鎬ヨ瘖閲囬泦銆憑} 澶辫触锛屽凡鍐欏叆 pat_med_outhosp_error 绛変汉宸ュ鐞嗭紝serialnum={}锛屾偅鑰�={}锛屽師鍥�={}",
+                    errorType, error.getSerialnum(), error.getPatname(), error.getErrorMsg(), cause);
+        } catch (Exception ex) {
+            log.error("銆愰棬鎬ヨ瘖閲囬泦銆憑} 澶辫触锛屼笖鍐欏叆閿欒琛ㄤ篃澶辫触锛宻erialnum={}锛屽師濮嬫暟鎹細{}",
+                    errorType, error.getSerialnum(), rawData, ex);
+        }
+    }
+
+    /** 鎴柇瓒呴暱鏂囨湰锛岄伩鍏嶈秴鍑洪敊璇〃瀛楁闀垮害瀵艰嚧钀借〃澶辫触 */
+    private String truncate(String text, int maxLength) {
+        if (text == null) {
+            return null;
+        }
+        return text.length() <= maxLength ? text : text.substring(0, maxLength);
     }
 
     private PatMedOuthosp buildPatMedOuthosp(ServiceSLTDInhospResDTO dto, PatArchive patArchive) {
@@ -674,11 +839,35 @@
         }
     }
 
+    /**
+     * 鍙栧氨璇婃棩鏈熺殑 yyyy-MM-dd 閮ㄥ垎锛屼笌 buildPatMedOuthosp 閲岀殑 admitdate 淇濇寔瀹屽叏涓�鑷寸殑瑙f瀽瑙勫垯锛�
+     * 淇濊瘉鎵归噺鏌ラ噸鐢ㄧ殑鍒嗚〃鍜屽叆搴撴椂璺敱鍒扮殑鍒嗚〃鏄悓涓�寮�
+     */
+    private String formatAdmitDate(String lastEncounterTime) {
+        Date admitDate = parseDate(lastEncounterTime);
+        if (admitDate == null) {
+            return null;
+        }
+        return new SimpleDateFormat("yyyy-MM-dd").format(admitDate);
+    }
+
     private Boolean inHospitalDate(List<ServiceSLTDInhospResDTO> resultList, String cry) {
+        int failCount = 0;
         for (ServiceSLTDInhospResDTO dto : resultList) {
             if (Objects.isNull(dto)) continue;
-            PatArchive patArchive = processPatientArchive(dto);
-            processPatientInhospInfo(dto, patArchive, cry);
+            try {
+                PatArchive patArchive = processPatientArchive(dto);
+                processPatientInhospInfo(dto, patArchive, cry);
+            } catch (Exception e) {
+                failCount++;
+                log.error("銆恑nHospitalDate銆戝崟鏉¤褰曞鐞嗗け璐ワ紝宸茶烦杩囩户缁噰闆嗐�俿tate={}, serialnum={}, patname={}, patno={}, orgid={}, campusId={}",
+                        cry, dto.getHealthcareRecordNo(), dto.getPatientName(), dto.getMedicalRecordNo(),
+                        dto.getOrgId(), dto.getCampusId(), e);
+            }
+        }
+        if (failCount > 0) {
+            log.warn("銆恑nHospitalDate銆戞湰椤靛叡{}鏉★紝澶辫触{}鏉″凡璺宠繃锛屽叾浣檣}鏉″鐞嗗畬鎴愶紝state={}",
+                    resultList.size(), failCount, resultList.size() - failCount, cry);
         }
         return true;
     }
@@ -709,6 +898,44 @@
                     queryInhosp.setInhospstate("1");
                     patMedInhospList = patMedInhospService.selectPatMedInhosp(queryInhosp);
                     if (CollectionUtils.isNotEmpty(patMedInhospList)) {
+                        //濡傛灉涓嶄负绌猴紝鍒欏皢鍏ラ櫌鏃堕棿杩涜鏇存柊
+                        PatMedInhosp pmOut = patMedInhospList.get(0);
+                        //鏈鍏ラ櫌鏁版嵁锛堣繖閲� existingInhosps 蹇呬负绌猴紝鍙� existingInhosps.get(0) 浼氫笅鏍囪秺鐣岋級
+                        PatMedInhosp pmIn = patMedInhosp;
+                        pmOut.setStarttime(pmIn.getStarttime());
+                        pmOut.setUpdateTime(new Date());
+                        patMedInhospService.updatePatMedInhosp(pmOut);
+                        //鐪佺珛鍚屽痉闇�瑕佸皢寮�濮嬫棩鏈熶笌鍏ラ櫌鏃ユ湡鐩哥瓑鐨勪换鍔★紝鏀规垚涓嶆墽琛�
+                        try {
+                            if ("sltd".equals(active) && DateUtils.isSameDay(pmOut.getStarttime(), pmIn.getEndtime())) {
+                                ServiceSubtask serviceSubtask = new ServiceSubtask();
+                                serviceSubtask.setInhospid(pmOut.getInhospid());
+                                serviceSubtask.setSendstate(4L);
+                                serviceSubtaskMapper.updateServiceSubtaskByCondition(serviceSubtask);
+                            }
+                            //閫氳繃鍏ラ櫌鏃堕棿锛屽拰鎮h�呯殑缂栧彿鍘绘煡涓�涓嬪嚭闄㈡椂闂达紝鏄惁瀛樺湪锛屽鏋滃瓨鍦紝鍒欒鎮h�呮槸鍐嶅叆闄㈢殑锛岄渶瑕佹敼鎴愪笉鎵ц
+                            //鍑洪櫌鏃堕棿鍙瘮杈冨埌澶╋紝涓嶆瘮杈冩椂鍒嗙
+                            if (pmIn.getStarttime() != null) {
+                                Date dayStart = DateUtils.truncate(pmIn.getStarttime(), Calendar.DAY_OF_MONTH);
+                                Date dayEnd = DateUtils.addDays(dayStart, 1);
+                                List<PatMedInhosp> outInhosps = patMedInhospMapper.selectOutInhospByPatnoAndOutDate(
+                                        StringUtils.trim(pmIn.getPatno()), dayStart, dayEnd);
+                                if (CollectionUtils.isNotEmpty(outInhosps)) {
+                                    //瀛樺湪鍑洪櫌璁板綍锛岃鏄庤鎮h�呮槸鍐嶅叆闄紝鎶婁笂涓�娆″嚭闄骇鐢熺殑瀛愪换鍔℃敼鎴愪笉鎵ц
+                                    ServiceSubtask outSubtask = new ServiceSubtask();
+                                    outSubtask.setInhospid(outInhosps.get(0).getInhospid());
+                                    outSubtask.setSendstate(4L);
+                                    outSubtask.setRemark("鎮h�呭啀鍏ラ櫌");
+                                    outSubtask.setUpdateTime(new Date());
+                                    serviceSubtaskMapper.updateServiceSubtaskByCondition(outSubtask);
+                                    log.info("鎮h�呭啀鍏ラ櫌锛屽皢涓婃鍑洪櫌璁板綍鐨勫瓙浠诲姟鏀逛负涓嶆墽琛岋細patno={}, 鍑洪櫌inhospid={}, 鍑洪櫌鏃堕棿={}, 鏈鍏ラ櫌鏃堕棿={}",
+                                            pmIn.getPatno(), outInhosps.get(0).getInhospid(), outInhosps.get(0).getEndtime(), pmIn.getStarttime());
+                                }
+                            }
+
+                        } catch (Exception e) {
+                            log.error("灏嗗嚭闄㈡椂闂寸瓑浜庡叆闄㈡椂闂寸殑inhospid鐨勪换鍔℃洿鏂板け璐ヤ簡, inhospid={}", pmOut.getInhospid(), e);
+                        }
                         return;
                     }
                 }

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