it please the court this is indeed a similar case with the same specifications somewhat different claims structure and the interesting thing  about this case is the examiners reliance on siegel as prior and as so concentrated on the differences between ruth case yes your belief the principle difference me referred to claim forty three which talks about certification by cell certification or certification by a service provider or front of a ship to in the case patent talking about patient based on my chronic medical records you bet it a few more limitations but that's just what's different not what is additional that's a  is put into a computerized form then it is inherently more accurate than the paper based medium in which it was originally  made of diagnostic quality sequel that's not a check of the information in the image it's simply a check that the information of the image rather is stored in the function properly doesn't say anything about the information age so simple sequels notion of inherent accuracy is something that the examiner picked up and said the accuracy of the information in the record on this notion that it's simply including information into a computer database makes it more accurate than our infection as well as being true in fact the whole point of  board the other people have identified as as being an issue and nothing in in siegel solves that problem and when you look at what the examiner  actually one point where the examiner wants to combine your troll reference with siegel and she actually says we realize that those sequel doesn't doesn't solve this problem course earl involves hospital claims state all record that's in the patient's hands that can be in fact the primary wrecker that is the record that any doctor can use to treat that patient even th in the united states have those features if they did we'd be dealing with a whole different world these these functions or extraordinarily important and  sentially what the what the examiner did was to not to repeat the claims in either case in the context of the relied paragraphs one thirty one which is that eight six eighty nine of siegel and in particular the last sentence where it says preferably before forwarding the images image server provides quality assurance checks on the images to talks about is having a radiologist off site and trying to send images so when the radiologist gets this in this preferred body they know that this is sufficient check has been done that they're getting something of should require both accuracy and correctness and what's the distinction oh i can see accuracy meaning the record is that it was of the other argument that this is counsel makes is that the check on the imaging is not a check on the medical information itself and we disagree with that because the image the diagnostic image that the radiologist is trying to reach is the medical information itself claims for hospitals or doctors the whole played a hurdle is that it's an institutional based system very complicated form to help hospital make sure that the insurance claims they file for procedures that they perform well are correct in all respects they just don't work in a record that a patient has control over there we've come to this fundamental definition o