CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
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🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-document-pharmaceuticaladvice"
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{
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"resource" : {
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🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-pharmaceuticaladvice"
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"language" : "fr-CH",
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-CH\" lang=\"fr-CH\"><p><b>Generated Narrative: Composition</b><a name=\"CompositionPadv1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition "CompositionPadv1" (Language "fr-CH") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-composition-pharmaceuticaladvice.html\">PADV Composition</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:293bf5b1-f663-4914-8080-4e33aa54b909</p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419891008; <a href=\"https://loinc.org/\">LOINC</a>#61356-2 "Medication pharmaceutical advice.extended Document")</span></p><p><b>date</b>: 2023-04-11 12:00:00+0200</p><p><b>author</b>: <a href=\"#PractitionerRole_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><p><b>title</b>: Commentaire relatif à la médication</p><p><b>confidentiality</b>: N</p></div>"
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"display" : "Medication pharmaceutical advice.extended Document"
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]
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"subject" : {
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"date" : "2023-04-11T12:00:00+02:00",
"author" : [
{
"reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
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],
"title" : "Commentaire relatif à la médication",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
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"section" : [
{
"title" : "Conseils sur les médicaments",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61357-0",
"display" : "Medication pharmaceutical advice.brief Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Changement concernant le traitement #1.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330"
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]
}
]
}
},
{
"fullUrl" : "urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientDupont",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"PatientDupont\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient "PatientDupont" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-patient.html\">CH EMED EPR Patient</a></p></div><p><b>identifier</b>: Medical record number:\u00a011111111</p><p><b>name</b>: Jeanne Dupont </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1972-08-07</p><p><b>address</b>: Wiesenstr. 12 Zürich 8003 CH </p></div>"
},
"identifier" : [
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"coding" : [
{
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]
},
"system" : "urn:oid:2.999.1",
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],
"name" : [
{
"family" : "Dupont",
"given" : [
"Jeanne"
]
}
],
"gender" : "female",
"birthDate" : "1972-08-07",
"address" : [
{
"line" : [
"Wiesenstr. 12"
],
"city" : "Zürich",
"postalCode" : "8003",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf",
"resource" : {
"resourceType" : "Practitioner",
"id" : "PractitionerCox",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"PractitionerCox\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner "PractitionerCox" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-practitioner.html\">CH EMED EPR Practitioner</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</p><p><b>name</b>: Perry Cox </p></div>"
},
"identifier" : [
{
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"value" : "7601000234438"
}
],
"name" : [
{
"family" : "Cox",
"given" : [
"Perry"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRoleCoxAtHug",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"PractitionerRoleCoxAtHug\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PractitionerRole "PractitionerRoleCoxAtHug" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-practitionerrole.html\">CH EMED EPR PractitionerRole</a></p></div><p><b>practitioner</b>: <a href=\"#Practitioner_PractitionerCox\">See above (urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf)</a></p><p><b>organization</b>: <a href=\"#Organization_OrganizationHug\">See above (urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:9fc8530b-b77d-4b53-8a21-fc786b697edf"
},
"organization" : {
"reference" : "urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6"
}
}
},
{
"fullUrl" : "urn:uuid:580fbe82-8734-4edf-ad4b-48124cdd03c6",
"resource" : {
"resourceType" : "Organization",
"id" : "OrganizationHug",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"OrganizationHug\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization "OrganizationHug" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-organization.html\">CH EMED EPR Organization</a></p></div><p><b>identifier</b>: id:\u00a07601000234438</p><p><b>name</b>: Hôpitaux universitaires de Genève</p><p><b>address</b>: Rue Gabrielle-Perret-Gentil 4 Genève 1205 CH </p></div>"
},
"identifier" : [
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"value" : "7601000234438"
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],
"name" : "Hôpitaux universitaires de Genève",
"address" : [
{
"line" : [
"Rue Gabrielle-Perret-Gentil 4"
],
"city" : "Genève",
"postalCode" : "1205",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330",
"resource" : {
"resourceType" : "Observation",
"id" : "ObservationTriatecPadv",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation"
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},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ObservationTriatecPadv\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "ObservationTriatecPadv" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-observation.html\">PADV Observation</a></p></div><blockquote><p><b>CH EMED Extension Treatment Plan</b></p><blockquote><p><b>url</b></p><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></blockquote><p><b>value</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2</p><blockquote><p><b>url</b></p><code>externalDocumentId</code></blockquote><p><b>value</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:24c84eef-f9db-4710-8f6c-2d342ad3ac2d</p></blockquote><p><b>CH EMED Extension MedicationStatement Changed</b>: <a href=\"#MedicationStatement_MedicationStatementTriatecPadv\">See above (urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2)</a></p><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330</p><p><b>status</b>: final</p><p><b>code</b>: CHANGE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-ihe-pharmaceuticaladvicestatuslist.html\">IHE Pharmaceutical Advice Status List</a>#CHANGE)</span></p><p><b>subject</b>: <a href=\"#Patient_PatientDupont\">See above (urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3)</a></p><p><b>issued</b>: 11 Apr 2023, 12:00:00</p><p><b>performer</b>: <a href=\"#PractitionerRole_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><p><b>note</b>: Changed intake to range 0.5-1 tablets after discussion with patient.</p></div>"
},
"extension" : [
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{
"url" : "id",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"
}
},
{
"url" : "externalDocumentId",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:24c84eef-f9db-4710-8f6c-2d342ad3ac2d"
}
}
],
"url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan"
},
{
"url" : "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed",
"valueReference" : {
"reference" : "urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"
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"identifier" : [
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],
"status" : "final",
"code" : {
"coding" : [
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"code" : "CHANGE"
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]
},
"subject" : {
"reference" : "urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3"
},
"issued" : "2023-04-11T12:00:00+02:00",
"performer" : [
{
"reference" : "urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c"
}
],
"note" : [
{
"text" : "Changed intake to range 0.5-1 tablets after discussion with patient."
}
]
}
},
{
"fullUrl" : "urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "MedicationStatementTriatecPadv",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-changed"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"MedicationStatementTriatecPadv\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationStatement "MedicationStatementTriatecPadv" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emed-epr-medicationstatement-changed.html\">PADV Changed MedicationStatement</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2</p><p><b>partOf</b>: <a href=\"#Observation_ObservationTriatecPadv\">See above (urn:uuid:3dcadc51-9509-48f0-b8c2-4ebf7e03f330)</a></p><p><b>status</b>: active</p><p><b>medication</b>: <a name=\"MedicationTriatec\"> </a></p><blockquote><p/><p><a name=\"MedicationTriatec\"> </a></p><p><b>code</b>: TRIATEC Tabl 2.5 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680538751228 "TRIATEC Tabl 2.5 mg 20 Stk")</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><p><b>amount</b>: 20 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>IsActive</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td>Ramipril <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#386872004 "Ramipril (substance)")</span></td><td>true</td><td>2.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote><p><b>subject</b>: <a href=\"#Patient_PatientDupont\">See above (urn:uuid:2dbfe659-07d0-45c7-b8df-4a48372049a3)</a></p><p><b>dateAsserted</b>: 2023-04-11</p><p><b>informationSource</b>: <a href=\"#PractitionerRole_PractitionerRoleCoxAtHug\">See above (urn:uuid:213d609a-1164-459a-bb10-727516ae3d0c)</a></p><blockquote><p><b>dosage</b></p><p><b>patientInstruction</b>: À prendre avec de l'eau</p><p><b>timing</b>: Starting 2023-04-11, , ?ngen-6?</p><p><b>route</b>: À avaler <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#20053000 "Oral use")</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #MedicationTriatec</b><a name=\"MedicationTriatec\"> </a></p><p><b>code</b>: TRIATEC Tabl 2.5 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#7680538751228 "TRIATEC Tabl 2.5 mg 20 Stk")</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-emed/4.0.1/CodeSystem-edqm-standardterms.html\">EDQM - Standard Terms</a>#10219000)</span></p><p><b>amount</b>: 20 Tablet (unit of presentation)<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span>/1 Package<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 1681000175101 = 'Package - unit of product usage')</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>IsActive</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td>Ramipril <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#386872004 "Ramipril (substance)")</span></td><td>true</td><td>2.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 732936001 = 'Tablet (unit of presentation)')</span></td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "MedicationTriatec",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication"
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},
"code" : {
"coding" : [
{
"system" : "urn:oid:2.51.1.1",
"code" : "7680538751228",
"display" : "TRIATEC Tabl 2.5 mg 20 Stk"
}
],
"text" : "TRIATEC Tabl 2.5 mg"
},
"form" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "10219000",
"display" : "Tablet"
}
],
"text" : "Tablet"
},
"amount" : {
"numerator" : {
"value" : 20,
"unit" : "Tablet (unit of presentation)",
"system" : "http://snomed.info/sct",
"code" : "732936001"
},
"denominator" : {
"value" : 1,
"unit" : "Package",
"system" : "http://snomed.info/sct",
"code" : "1681000175101"
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386872004",
"display" : "Ramipril (substance)"
}
],
"text" : "Ramipril"
},
"isActive" : true,
"strength" : {
"numerator" : {
"value" : 2.5,
"unit" : "milligram",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "Tablet",
"system" : "http://snomed.info/sct",
"code" : "732936001"
}
}
}
]
}
],
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{
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"value" : "urn:uuid:41b97645-e263-47c2-8d96-79da451a33f2"
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