eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

## : MPPPatientLevel - JSON Representation

Draft as of 2026-05-13

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    {
      "resourceType" : "Library",
      "id" : "MPPPatientLevel",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">MPPPatientLevel</td>\n        </tr>\n        \n\n        \n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"Library-MPPPatientLevel.html\">MPPPatientLevel</a></td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">MPPPatientLevel</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2026-05-13 23:09:13+0000</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><code>http://hl7.org/fhir/Library/QICore-ModelInfo</code></li>\n                  \n                    <li><a href=\"Library-CQMCommon.html\">CQMCommon</a> version: 1.4.000</li>\n                  \n                    <li><a href=\"Library-FHIRHelpers.html\">FHIRHelpers</a> version: 4.3.000</li>\n                  \n                    <li><a href=\"Library-QICoreCommon.html\">QICoreCommon</a> version: 1.5.000</li>\n                  \n                    <li><a href=\"Library-SupplementalDataElements.html\">SupplementalDataElements</a> version: 3.4.000</li>\n                  \n                    <li><a href=\"Library-AttributionModel.html\">AttributionModel</a> version: 0.1.0</li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1048/expansion\">Face-to-Face Interaction</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1003/expansion\">HIV</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.120.12.1002/expansion\">HIV Viral Load</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1008/expansion\">Outpatient Consultation</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services - Established Office Visit, 18 and Up</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services-Initial Office Visit, 18 and Up</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1030/expansion\">Preventive Care Services - Other</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1022/expansion\">Preventive Care Services, Initial Office Visit, 0 to 17</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1024/expansion\">Preventive Care, Established Office Visit, 0 to 17</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1031/expansion\">Telehealth Services</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a></li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n              \n                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>In</th></tr>\n              \n                <tr><th>Provider</th><th>string</th><th>0</th><th>1</th><th>In</th></tr>\n              \n                <tr><th>Patient</th><th>Resource</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Has Qualifying Encounter During First 240 Days of Measurement Period</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Initial Population</th><th>boolean</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Patient</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>\n                  <th/>\n                  <th>\n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">library MPPPatientLevel\r\n\r\nusing QICore version '4.1.1'\r\n\r\ninclude CQMCommon version '1.4.000' called CQMCommon\r\ninclude FHIRHelpers version '4.3.000' called FHIRHelpers\r\ninclude QICoreCommon version '1.5.000' called QICoreCommon\r\ninclude SupplementalDataElements version '3.4.000' called SDE\r\ninclude AttributionModel version '0.1.0' called AM\r\n\r\nvalueset &quot;Annual Wellness Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'\r\nvalueset &quot;Face-to-Face Interaction&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048'\r\nvalueset &quot;HIV&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'\r\nvalueset &quot;HIV Viral Load&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1002'\r\nvalueset &quot;Home Healthcare Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\r\nvalueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\r\nvalueset &quot;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'\r\nvalueset &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\r\nvalueset &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\r\nvalueset &quot;Preventive Care Services Other&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030'\r\nvalueset &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'\r\nvalueset &quot;Preventive Care, Established Office Visit, 0 to 17&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'\r\nvalueset &quot;Telehealth Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1031'\r\nvalueset &quot;Telephone Visits&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'\r\n\r\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\r\n  default Interval[@2024-01-01T00:00:00.000Z, @2025-01-01T00:00:00.000Z)\r\n\r\ncontext Patient\r\n\r\ndefine &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;:\r\n  exists ( ( [&quot;Encounter&quot;: &quot;Office Visit&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Outpatient Consultation&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Annual Wellness Visit&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Face-to-Face Interaction&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Preventive Care Services Established Office Visit, 18 and Up&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Preventive Care Services Initial Office Visit, 18 and Up&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Preventive Care Services, Initial Office Visit, 0 to 17&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Preventive Care, Established Office Visit, 0 to 17&quot;]\r\n      union [&quot;Encounter&quot;: &quot;Telephone Visits&quot;]\r\n    ) QualifyingEncounter\r\n      where QualifyingEncounter.period during day of Interval[start of &quot;Measurement Period&quot;, start of &quot;Measurement Period&quot; + 240 days]\r\n        and QualifyingEncounter.isAttributable()\r\n  )\r\n\r\ndefine &quot;Initial Population&quot;:\r\n  &quot;Has Qualifying Encounter During First 240 Days of Measurement Period&quot;\r\n</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><b>Content: </b> application/elm+xml</th></tr>\n              <tr><td><pre><code>Encoded data (42968 characters)</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n    </table>\n</div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
          "valueReference" : {
            "reference" : "Device/cqf-tooling"
          }
        }
      ],
      "url" : "http://ecqi.healthit.gov/ecqms/Library/MPPPatientLevel",
      "name" : "MPPPatientLevel",
      "status" : "draft",
      "experimental" : true,
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "logic-library"
          }
        ]
      },
      "date" : "2026-05-13T23:09:13+00:00",
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "QICore model information",
          "resource" : "http://hl7.org/fhir/Library/QICore-ModelInfo"
        },
        {
          "type" : "depends-on",
          "display" : "Library CQMCommon",
          "resource" : "http://ecqi.healthit.gov/ecqms/Library/CQMCommon|1.4.000"
        },
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000"
        },
        {
          "type" : "depends-on",
          "display" : "Library QICoreCommon",
          "resource" : "http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|1.5.000"
        },
        {
          "type" : "depends-on",
          "display" : "Library SDE",
          "resource" : "http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.4.000"
        },
        {
          "type" : "depends-on",
          "display" : "Library AM",
          "resource" : "http://ecqi.healthit.gov/ecqms/Library/AttributionModel|0.1.0"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Annual Wellness Visit",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Face-to-Face Interaction",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1048"
        },
        {
          "type" : "depends-on",
          "display" : "Value set HIV",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003"
        },
        {
          "type" : "depends-on",
          "display" : "Value set HIV Viral Load",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1002"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Home Healthcare Services",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Office Visit",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
        },
        {
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