新任医師紹介2019/06/01 · 新任医師紹介 1 基本理念 は地の人々 日々研、 で医療ま 基本方針 者の、ま での高い医療ま 医療化地医療ま
医療の IT 化の現状と課題
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2006年5年14年 年年年年年年年年年 1 年年年 IT 年年年年年年年 年年年年年年年年 年年年年年 ( 年年年年年年年 49 年年）
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医療の IT 化の現状と課題. 高崎健康福祉大学 東福寺幾夫 ( 電気工学科昭和 49 年卒）. 目次. 私の経歴 コンピュータの発達 医療におけるコンピュータ利用の進展 医療における IT 化の現状. これまでの業務経験. 1976-1985 オリンパス・技術者現役時代 マイコン組込み製品の開発業務に従事 1985-1995 オリンパス・開発リーダ時代 システム商品の企画、開発管理に従事 1995-2004 オリンパス・社外開拓時代 医療情報システム事業開拓に従事 社外の標準化活動にも参画 2004 年 ‐ 現在 大学教員時代 - PowerPoint PPT Presentation
Transcript of 医療の IT 化の現状と課題
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IT(49
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1958ENIAC()EDSAC()
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ENIAC Electronic Numerical Integrator And Computer194617,468WH2.5mD0.9mWm30
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EDSAC Electronic Delay Storage Automatic Calculator1949von Neumann
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1958631949 IBM7070 1958COBOL(FORTRAN(1959NEAC-2203
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196479ICIntegrated Circuit1964IBM360OS3601971IBM370LSILarge Scale ICPJ
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1980VLSI Very Large Scale IC((HDD
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1966291969 LSI 99800LSI19696LSINi4004108Hz2300Tr
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LSIVLSI1CPU((
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PACSPicture Archiving & Communication System)1990XCTXMRIPET
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20
40
60
80
100
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32540658001110000112005
47940390311300013111999
4344020031111100010
11240296211120213111997
34640317111121998
184403301111101112
13340360222220323222005
39240618111110001111994
43740915310100110112005
450401,26321220000033
289401111000010
3764001100000010
4664133731133000310
1942312111111101112005
1194236031130033313
5142508332233333311997
1004203300000030
20942230331313333312005
7343410311133000112001
2224310031103000310
3914338822131103313
42843480311111000112003
307438433111131111998
4024561611111313111994
4146687021220020222005
4834640000000000000
43046338021330000112000
1824721431133000010
2704730011123100113
3974731911133000313
150473261121112002
13847365111111233111998
11647434221220223111998
1364747031131000013
8047222
25247011003000112003
4141477.092831151362743221
16,399410.566374033025
455.588.0164110107771546
12631510.0722582221191518
1003840373735353336343940
2612,790419241085251221615.4%7.7%57.7%19.2%
64511.62212110100123.2%8.9%33.9%26.8%
40.6%99415308725352223.6%8.5%43.4%18.9%
26052059151716171721.9%15.2%33.3%24.8%
0011132131028.2%11.8%47.1%8.2%
262625252523242523252620.9%14.9%37.3%22.4%
5622,255133146201810295483622.0%14.6%39.0%17.1%
85454.25620122114423.0%11.9%40.3%19.5%
65.9%11441914316151014111714
194153113132527242208
5254524947474545455352
10649,4102577924142362413886938.5%7.7%30.8%19.2%
265531.3963101113514635.7%0.0%28.6%23.2%
40.0%14854616422201221172261338.7%9.4%20.8%15.1%
88206316197757445331337.1%8.6%25.7%18.1%
10010510289929387908910110144.7%8.2%17.6%9.4%
10542,96123779739481571717916735.8%6.0%20.9%19.4%
204457.0168591012452536.6%17.1%24.4%12.2%
51.5%15103510127181525152371838.5%8.0%23.0%16.3%
1492670192264565448314
100102103949895909093103104
8535,899246873383612922137657
187478.7103174266339
45.5%1240409115188191217211
2067328104629292816
8183776868686369618283
6723,4931444542418931265836
121435.1105548111023
55.4%1182251121414513917316
139154113194035323019
6464625559555254536464
4116,39992831151362743221
101455.566374033025
40.6%1263164110107771546
100722582221191518
3840373735353336343940
486203,20711234441718718360319659415302
1027418.1583620393981721101733
47.3%1510196671211210259104741162570
8895279791002892422182131065
461474458417424416394409398467470
2612,79015.4%73.1%92.3%38.5%30.8%19.2%7.7%19.2%3.8%84.6%61.5%
511.67.7%7.7%3.8%7.7%3.8%3.8%0.0%3.8%0.0%0.0%3.8%
99457.7%11.5%0.0%30.8%26.9%7.7%19.2%11.5%19.2%7.7%7.7%
26019.2%7.7%0.0%19.2%34.6%57.7%65.4%61.5%65.4%3.8%26.9%
100.0%100.0%96.2%96.2%96.2%88.5%92.3%96.2%88.5%96.2%100.0%
5622,25523.2%55.4%82.1%35.7%32.1%17.9%3.6%16.1%8.9%85.7%64.3%
454.28.9%10.7%3.6%0.0%1.8%3.6%3.6%1.8%1.8%7.1%7.1%
114433.9%25.0%5.4%28.6%26.8%17.9%25.0%19.6%30.4%1.8%7.1%
19426.8%5.4%1.8%23.2%23.2%44.6%48.2%42.9%39.3%0.0%14.3%
92.9%96.4%92.9%87.5%83.9%83.9%80.4%80.4%80.4%94.6%92.9%
10649,41023.6%72.6%86.8%38.7%39.6%2.8%5.7%22.6%12.3%83.0%65.1%
531.38.5%5.7%2.8%9.4%10.4%0.9%2.8%4.7%0.9%3.8%5.7%
148543.4%15.1%3.8%20.8%18.9%11.3%19.8%16.0%20.8%5.7%12.3%
8818.9%5.7%2.8%15.1%17.9%72.6%53.8%41.5%50.0%2.8%12.3%
94.3%99.1%96.2%84.0%86.8%87.7%82.1%84.9%84.0%95.3%95.3%
10542,96121.9%73.3%92.4%37.1%45.7%14.3%6.7%16.2%16.2%86.7%63.8%
457.015.2%7.6%4.8%8.6%9.5%1.0%1.9%3.8%4.8%1.9%4.8%
151033.3%9.5%1.0%25.7%17.1%14.3%23.8%14.3%21.9%6.7%17.1%
14924.8%6.7%0.0%18.1%21.0%61.0%53.3%51.4%45.7%2.9%13.3%
95.2%97.1%98.1%89.5%93.3%90.5%85.7%85.7%88.6%98.1%99.0%
8535,89928.2%80.0%85.9%44.7%42.4%14.1%10.6%25.9%15.3%89.4%67.1%
478.711.8%3.5%1.2%8.2%4.7%2.4%7.1%7.1%3.5%3.5%10.6%
124047.1%10.6%1.2%17.6%21.2%9.4%22.4%14.1%20.0%2.4%12.9%
2068.2%3.5%2.4%9.4%11.8%54.1%34.1%34.1%32.9%1.2%7.1%
95.3%97.6%90.6%80.0%80.0%80.0%74.1%81.2%71.8%96.5%97.6%
6723,49320.9%65.7%80.6%35.8%26.9%13.4%4.5%17.9%9.0%86.6%53.7%
435.114.9%7.5%7.5%6.0%11.9%1.5%1.5%1.5%0.0%3.0%4.5%
118237.3%16.4%3.0%20.9%20.9%7.5%19.4%13.4%25.4%4.5%23.9%
13922.4%6.0%1.5%19.4%28.4%59.7%52.2%47.8%44.8%1.5%13.4%
95.5%95.5%92.5%82.1%88.1%82.1%77.6%80.6%79.1%95.5%95.5%
4116,39922.0%68.3%75.6%36.6%31.7%14.6%4.9%17.1%9.8%78.0%51.2%
455.514.6%14.6%7.3%17.1%9.8%0.0%7.3%7.3%0.0%4.9%12.2%
126339.0%9.8%2.4%24.4%24.4%17.1%17.1%17.1%36.6%9.8%14.6%
10017.1%4.9%4.9%12.2%19.5%53.7%51.2%46.3%36.6%2.4%19.5%
92.7%97.6%90.2%90.2%85.4%85.4%80.5%87.8%82.9%95.1%97.6%
486203,20723.0%70.8%85.8%38.5%37.7%12.3%6.4%19.8%12.1%85.4%62.1%
477.011.9%7.4%4.1%8.0%8.0%1.6%3.5%4.3%2.1%3.5%6.8%
151040.3%13.8%2.5%23.0%21.0%12.1%21.4%15.2%23.9%5.1%14.4%
8819.5%5.6%1.9%16.3%20.6%59.5%49.8%44.9%43.8%2.1%13.4%
94.9%97.5%94.2%85.8%87.2%85.6%81.1%84.2%81.9%96.1%96.7%
15.4%23.2%23.6%21.9%28.2%20.9%22.0%23.0%15.4%23.2%23.6%21.9%28.2%20.9%22.0%23.0%
7.7%8.9%8.5%15.2%11.8%14.9%14.6%11.9%19.2%27.7%27.8%29.5%34.1%28.4%29.3%29.0%
57.7%33.9%43.4%33.3%47.1%37.3%39.0%40.3%23.1%32.1%32.1%37.1%40.0%35.8%36.6%35.0%
19.2%26.8%18.9%24.8%8.2%22.4%17.1%19.5%42.3%43.5%46.5%48.3%55.7%48.3%49.6%48.4%
61.5%54.8%61.0%59.4%71.4%60.7%62.6%61.9%
80.8%66.1%75.5%70.5%87.1%73.1%75.6%75.3%
73.1%55.4%72.6%73.3%80.0%65.7%68.3%70.8%73.1%55.4%72.6%73.3%80.0%65.7%68.3%70.8%
7.7%10.7%5.7%7.6%3.5%7.5%14.6%7.4%76.9%60.7%75.5%77.1%81.8%69.4%75.6%74.5%
11.5%25.0%15.1%9.5%10.6%16.4%9.8%13.8%80.8%66.1%78.3%81.0%83.5%73.1%82.9%78.2%
7.7%5.4%5.7%6.7%3.5%6.0%4.9%5.6%84.6%74.4%83.3%84.1%87.1%78.6%86.2%82.8%
88.5%82.7%88.4%87.3%90.6%84.1%89.4%87.4%
92.3%91.1%93.4%90.5%94.1%89.6%92.7%92.0%
92.3%82.1%92.4%85.9%80.0%80.6%75.6%85.8%92.3%82.1%92.4%85.9%80.0%80.6%75.6%85.8%
3.8%3.6%4.8%1.2%3.5%7.5%7.3%4.1%94.2%83.9%94.8%86.5%81.8%84.3%79.3%87.9%
0.0%5.4%1.0%1.2%10.6%3.0%2.4%2.5%96.2%85.7%97.1%87.1%83.5%88.1%82.9%89.9%
0.0%1.8%0.0%2.4%3.5%1.5%4.9%1.9%96.2%87.5%97.5%87.5%87.1%89.1%83.7%90.7%
96.2%89.3%97.8%87.8%90.6%90.0%84.6%91.6%
96.2%91.1%98.1%88.2%94.1%91.0%85.4%92.4%
PACSPACS
30.8%32.1%39.6%45.7%42.4%26.9%31.7%37.7%30.8%32.1%39.6%45.7%42.4%26.9%31.7%37.7%
3.8%1.8%10.4%9.5%4.7%11.9%9.8%8.0%32.7%33.0%44.8%50.5%44.7%32.8%36.6%41.7%
26.9%26.8%18.9%17.1%21.2%20.9%24.4%21.0%34.6%33.9%50.0%55.2%47.1%38.8%41.5%45.7%
34.6%23.2%17.9%21.0%11.8%28.4%19.5%20.6%43.6%42.9%56.3%61.0%54.1%45.8%49.6%52.7%
52.6%51.8%62.6%66.7%61.2%52.7%57.7%59.7%
61.5%60.7%68.9%72.4%68.2%59.7%65.9%66.7%
19.2%17.9%2.8%14.3%14.1%13.4%14.6%12.3%19.2%17.9%2.8%14.3%14.1%13.4%14.6%12.3%
3.8%3.6%0.9%1.0%2.4%1.5%0.0%1.6%21.2%19.6%3.3%14.8%15.3%14.2%14.6%13.2%
7.7%17.9%11.3%14.3%9.4%7.5%17.1%12.1%23.1%21.4%3.8%15.2%16.5%14.9%14.6%14.0%
57.7%44.6%72.6%61.0%54.1%59.7%53.7%59.5%25.6%27.4%7.5%20.0%19.6%17.4%20.3%18.0%
28.2%33.3%11.3%24.8%22.7%19.9%26.0%22.1%
30.8%39.3%15.1%29.5%25.9%22.4%31.7%26.1%
84.6%85.7%83.0%86.7%89.4%86.6%78.0%85.4%84.6%85.7%83.0%86.7%89.4%86.6%78.0%85.4%
0.0%7.1%3.8%1.9%3.5%3.0%4.9%3.5%84.6%89.3%84.9%87.6%91.2%88.1%80.5%87.1%
7.7%1.8%5.7%6.7%2.4%4.5%9.8%5.1%84.6%92.9%86.8%88.6%92.9%89.6%82.9%88.9%
3.8%0.0%2.8%2.9%1.2%1.5%2.4%2.1%87.2%93.5%88.7%90.8%93.7%91.0%86.2%90.6%
89.7%94.0%90.6%93.0%94.5%92.5%89.4%92.3%
92.3%94.6%92.5%95.2%95.3%94.0%92.7%94.0%
61.5%64.3%65.1%63.8%67.1%53.7%51.2%62.1%61.5%64.3%65.1%63.8%67.1%53.7%51.2%62.1%
3.8%7.1%5.7%4.8%10.6%4.5%12.2%6.8%63.5%67.9%67.9%66.2%72.4%56.0%57.3%65.5%
7.7%7.1%12.3%17.1%12.9%23.9%14.6%14.4%65.4%71.4%70.8%68.6%77.6%58.2%63.4%68.9%
26.9%14.3%12.3%13.3%7.1%13.4%19.5%13.4%67.9%73.8%74.8%74.3%82.0%66.2%68.3%73.7%
70.5%76.2%78.9%80.0%86.3%74.1%73.2%78.5%
73.1%78.6%83.0%85.7%90.6%82.1%78.0%83.3%
38.5%35.7%38.7%37.1%44.7%35.8%36.6%38.5%38.5%35.7%38.7%37.1%44.7%35.8%36.6%38.5%
7.7%0.0%9.4%8.6%8.2%6.0%17.1%8.0%42.3%35.7%43.4%41.4%48.8%38.8%45.1%42.5%
30.8%28.6%20.8%25.7%17.6%20.9%24.4%23.0%46.2%35.7%48.1%45.7%52.9%41.8%53.7%46.5%
19.2%23.2%15.1%18.1%9.4%19.4%12.2%16.3%56.4%45.2%55.0%54.3%58.8%48.8%61.8%54.2%
96.2%87.5%84.0%89.5%80.0%82.1%90.2%85.8%66.7%54.8%61.9%62.9%64.7%55.7%69.9%61.9%
76.9%64.3%68.9%71.4%70.6%62.7%78.0%69.5%
7.7%3.6%5.7%6.7%10.6%4.5%4.9%6.4%7.7%3.6%5.7%6.7%10.6%4.5%4.9%6.4%
0.0%3.6%2.8%1.9%7.1%1.5%7.3%3.5%7.7%5.4%7.1%7.6%14.1%5.2%8.5%8.1%
19.2%25.0%19.8%23.8%22.4%19.4%17.1%21.4%7.7%7.1%8.5%8.6%17.6%6.0%12.2%9.9%
65.4%48.2%53.8%53.3%34.1%52.2%51.2%49.8%14.1%15.5%15.1%16.5%25.1%12.4%17.9%17.0%
92.3%80.4%82.1%85.7%74.1%77.6%80.5%81.1%20.5%23.8%21.7%24.4%32.5%18.9%23.6%24.1%
26.9%32.1%28.3%32.4%40.0%25.4%29.3%31.3%
19.2%16.1%22.6%16.2%25.9%17.9%17.1%19.8%19.2%16.1%22.6%16.2%25.9%17.9%17.1%19.8%
3.8%1.8%4.7%3.8%7.1%1.5%7.3%4.3%21.2%17.0%25.0%18.1%29.4%18.7%20.7%21.9%
11.5%19.6%16.0%14.3%14.1%13.4%17.1%15.2%23.1%17.9%27.4%20.0%32.9%19.4%24.4%24.1%
61.5%42.9%41.5%51.4%34.1%47.8%46.3%44.9%26.9%24.4%32.7%24.8%37.6%23.9%30.1%29.1%
96.2%80.4%84.9%85.7%81.2%80.6%87.8%84.2%30.8%31.0%38.1%29.5%42.4%28.4%35.8%34.2%
34.6%37.5%43.4%34.3%47.1%32.8%41.5%39.3%
3.8%8.9%12.3%16.2%15.3%9.0%9.8%12.1%3.8%8.9%12.3%16.2%15.3%9.0%9.8%12.1%
0.0%1.8%0.9%4.8%3.5%0.0%0.0%2.1%3.8%9.8%12.7%18.6%17.1%9.0%9.8%13.2%
19.2%30.4%20.8%21.9%20.0%25.4%36.6%23.9%3.8%10.7%13.2%21.0%18.8%9.0%9.8%14.2%
65.4%39.3%50.0%45.7%32.9%44.8%36.6%43.8%10.3%20.8%20.1%28.3%25.5%17.4%22.0%22.2%
88.5%80.4%84.0%88.6%71.8%79.1%82.9%81.9%16.7%31.0%27.0%35.6%32.2%25.9%34.1%30.1%
23.1%41.1%34.0%42.9%38.8%34.3%46.3%38.1%
41325232414911211
25916101065811
1519463540251619611
515202671579511
04654332511
11
11
11
1931777768442834411
26683563611
314161091146711
23673422711
021323112
24469890685431411
125135320
031192117
01023129
1421125429
PACS
8184248361813183
11111048439
7152018181410102
913192210198100
19147178662
510315129660
12112108
210121585759
15257764464022289
3913101712670
22488891765832415
044232217
216723425
103311110
135233219
16366967573621302
146593533
2413181116670
78131469865
045123116
10204139382415187
2010974739
8162227151410112
5131619813579
1717111712469
226793231
023261317
514212519137104
17275756293521242
21119152215892
5924172212796
115461321
3111715129774
16244454293219218
11116151613577
151317136459
011530010
5172223171715116
17225348283015213
31117122414788
2656106105856741486
511.6454.2531.3457.0478.7435.1455.5477.0
9941144148515101240118212631510
2601948814920613910088
26511.6994260
56454.21144194
106531.3148588
105457.01510149
85478.71240206
67435.11182139
41455.51263100
486477.0151088
IT
20199228331820199816121820199103104182019914020218019971442182019922464180199203103182019930474182019915010218201991031041820199215641820199130013118
2003993116784371752003991141328173175200399583210228175200399149611541752003995313553717175200399601239432117520039924930892317520039991103831517520039915155410175200399255191081817520039919348822317520039927910111513175
4005993017542691364005999513187313640059996306130136400599118453613640059948102723281364005995211282619136400599287166124136400599929151551364005991147249136400599172167724136400599143276131136400599161724898136
60079917102263586007995033115860079932172412586007995520015860079929613285860079931875758600799153920115860079950521058600799524002586007993073711586007998118211058600799574139258
8001371702398003331023980061617939800282405398002455053980021572439800121513839800264522398003221133980041619939800717121239800571124139
11258196952548634436672712486311710424292486415172510194861873911279694861833910210062486962174218774863023370651648641720129284866085928970486591011621388486614918932029486
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23.0%11.9%40.3%19.5%5.1%100.0%70.8%7.4%13.8%5.6%2.5%100.0%6.4%3.5%21.4%49.8%18.9%100.0%85.4%3.5%5.1%2.1%3.9%100.0%38.5%8.0%23.0%16.3%14.2%100.0%37.7%8.0%21.0%20.6%12.8%100.0%19.8%4.3%15.2%44.9%15.8%100.0%62.1%6.8%14.4%13.4%3.3%100.0%85.8%4.1%2.5%1.9%5.8%100.0%12.3%1.6%12.1%59.5%14.4%100.0%12.1%2.1%23.9%43.8%18.1%100.0%12.6%10.1%3.7%1.9%65.8%6.0%100.0%
200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010
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200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010200520062007200820092010
2019911.1%16.7%22.2%37.0%51.9%66.7%2019944.4%47.2%50.0%61.1%72.2%83.3%201995.6%5.6%5.6%11.1%16.7%22.2%2019977.8%77.8%77.8%81.5%85.2%88.9%019938.9%41.7%44.4%51.9%59.3%66.7%2019911.1%16.7%22.2%29.6%37.0%44.4%019911.1%11.1%11.1%16.7%22.2%27.8%2019916.7%16.7%16.7%24.1%31.5%38.9%2019983.3%83.3%83.3%85.2%87.0%88.9%201995.6%5.6%5.6%11.1%16.7%22.2%2019911.1%13.9%16.7%25.9%35.2%44.4%201995.6%8.9%12.2%15.6%18.9%22.2%
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40059922.1%28.3%34.6%47.8%61.0%74.3%40059969.9%74.6%79.4%83.8%88.2%92.6%4005996.6%8.8%11.0%18.4%25.7%33.1%40059986.8%88.2%89.7%90.9%92.2%93.4%40059935.3%39.0%42.6%49.3%55.9%62.5%40059938.2%42.3%46.3%53.2%60.0%66.9%40059920.6%23.2%25.7%29.7%33.6%37.5%40059967.6%71.0%74.3%77.9%81.6%85.3%40059983.8%86.4%89.0%89.5%90.0%90.4%40059912.5%13.2%14.0%17.9%21.8%25.7%40059910.3%11.4%12.5%19.1%25.7%32.4%40059911.8%14.3%16.8%19.3%21.8%24.3%
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23.0%29.0%35.0%48.4%61.9%75.3%70.8%74.5%78.2%82.8%87.4%92.0%6.4%8.1%9.9%17.0%24.1%31.3%85.4%87.1%88.9%90.6%92.3%94.0%38.5%42.5%46.5%54.2%61.9%69.5%37.7%41.7%45.7%52.7%59.7%66.7%19.8%21.9%24.1%29.1%34.2%39.3%62.1%65.5%68.9%73.7%78.5%83.3%85.8%87.9%89.9%90.7%91.6%92.4%12.3%13.2%14.0%18.0%22.1%26.1%12.1%13.2%14.2%22.2%30.1%38.1%12.6%14.6%16.6%18.6%20.6%22.6%
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3222444246007991710226358600799172227344149
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200399112581969525486
311141515360251914991200520062007200820092010
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782855539194811382929656566
43174374310882531201997144218(1027/486)6262138138140
731017211823452003995313553717175129/23348348774774785
40059948102723281369100/486543543121712171236
400599600799296132858
3095114485217141189280024550539
1713710112349187391127969486
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4174153443021871831126059
20173633393958810
1225677011210219659116
91027657910095289213
281912166962257088
200520062007200820092010200520062007200820092010
23.0%29.0%35.0%48.4%61.9%75.3%70.8%74.5%78.2%82.8%87.4%92.0%
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6.9%8.7%10.5%14.5%18.5%22.6%21.2%22.3%23.4%24.8%26.1%27.5%
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9000/48605375371204120412229000/4860333333407407426
200520062007200820092010200520062007200820092010
6.4%8.1%9.9%17.0%24.1%31.3%85.4%87.1%88.9%90.6%92.3%94.0%
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200520062007200820092010200520062007200820092010
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200520062007200820092010200520062007200820092010
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200520062007200820092010200520062007200820092010
85.8%87.9%89.9%90.7%91.6%92.4%12.3%13.2%14.0%18.0%22.1%26.1%
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200520062007200820092010200520062007200820092010
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PACS
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PACS
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20199
200399
400599
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PACS
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PACS
PACS
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PACS
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PACS
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20199
200399
400599
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PACS
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0.22222222220.280.25735294120.17241379310.2820512821
20199
200399
400599
600799
800
0.11111111110.05555555560.27777777780.3333333333
0.10857142860.01714285710.27428571430.4685714286
0.10294117650.02205882350.19852941180.4485294118
0.13793103450.01724137930.31034482760.3620689655
0.17948717950.02564102560.17948717950.3076923077
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0.03846153850.08928571430.12264150940.16190476190.15294117650.08955223880.0975609756
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0.03846153850.10714285710.13207547170.20952380950.18823529410.08955223880.0975609756
0.10256410260.20833333330.20125786160.28253968250.25490196080.17412935320.2195121951
0.16666666670.30952380950.27044025160.35555555560.32156862750.25870646770.3414634146
0.23076923080.41071428570.33962264150.42857142860.38823529410.34328358210.4634146341
0.11111111110.10857142860.10294117650.13793103450.1794871795
0.13888888890.11714285710.11397058820.14655172410.1923076923
0.16666666670.12571428570.1250.15517241380.2051282051
0.25925925930.21714285710.19117647060.25862068970.264957265
0.35185185190.30857142860.25735294120.36206896550.3247863248
0.44444444440.40.32352941180.46551724140.3846153846
20199
200399
40
