Electronic Case Reporting (eCR), published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "valueset-lotc-example"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-triggering-valueset|2.0.0"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-triggering-valueset?version=2.0.0> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet valueset-lotc-example</b></p><a name=\"valueset-lotc-example\"> </a><a name=\"hcvalueset-lotc-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-triggering-valueset.html\">US Public Health Triggering ValueSetversion: null2.0.0)</a></p></div><p>This value set expansion contains 26 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22866-8\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22866-8/\">22866-8</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22867-6\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22867-6/\">22867-6</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-31726-3\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/31726-3/\">31726-3</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-44269-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/44269-9/\">44269-9</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-44270-7\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/44270-7/\">44270-7</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-51976-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/51976-9/\">51976-9</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22860-1\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22860-1/\">22860-1</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22861-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22861-9/\">22861-9</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22862-7\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22862-7/\">22862-7</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22863-5\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22863-5/\">22863-5</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22864-3\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22864-3/\">22864-3</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-11467-8\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/11467-8/\">11467-8</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-11468-6\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/11468-6/\">11468-6</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22109-3\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22109-3/\">22109-3</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22859-3\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22859-3/\">22859-3</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-22865-0\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/22865-0/\">22865-0</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-5055-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/5055-9/\">5055-9</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-7814-7\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/7814-7/\">7814-7</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-85808-4\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/85808-4/\">85808-4</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-93750-8\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/93750-8/\">93750-8</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-94763-0\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/94763-0/\">94763-0</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-94764-8\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/94764-8/\">94764-8</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-77250-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/77250-9/\">77250-9</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-77398-6\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/77398-6/\">77398-6</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-88458-5\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/88458-5/\">88458-5</a></td><td/></tr><tr><td><a name=\"valueset-lotc-example-http://loinc.org-92929-9\"> </a><code>http://loinc.org</code></td><td>Provisional_2021-12-30</td><td style=\"white-space:nowrap\"> <a href=\"https://loinc.org/92929-9/\">92929-9</a></td><td/></tr></table></div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-author"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/artifact-author> ] ;
fhir:value [
a fhir:ContactDetail ;
fhir:name [ fhir:v "CSTE Author" ] ]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/valueset-steward"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/valueset-steward> ] ;
fhir:value [
a fhir:ContactDetail ;
fhir:name [ fhir:v "CSTE Steward" ] ]
] ) ; #
fhir:url [
fhir:v "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example>
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986> ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113762.1.4.1146.1056" ]
] ) ; #
fhir:version [ fhir:v "3.0.0-ballot"] ; #
fhir:name [ fhir:v "ValueSetLabOrderTestTriggersforPublicHealthReporting"] ; #
fhir:title [ fhir:v "Lab Order Test Triggers for Public Health Reporting"] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v true] ; #
fhir:date [ fhir:v "2025-11-20T20:28:42+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 International / Public Health"] ; #
fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Public Health" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "pher@lists.HL7.org" ] ] )
] ) ; #
fhir:description [ fhir:v "Purpose: Clinical Focus - This set of values contains laboratory test names that may be used for placing a lab order for a test that represents that the patient may have a potentially reportable condition. These pertain to laboratory orders placed, coded in LOINC, where the lab order includes at least one test for a condition reportable upon suspicion of the condition. Purpose: Data Element Scope - Laboratory test names used in orders documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file."] ; #
fhir:useContext ( [
fhir:code [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type> ] ;
fhir:code [ fhir:v "program" ] ] ;
fhir:value [
a fhir:Reference ;
fhir:l <http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example> ;
fhir:reference [ fhir:v "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" ] ]
] [
fhir:code [
fhir:system [
fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type> ] ;
fhir:code [ fhir:v "reporting" ] ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context> ] ;
fhir:code [ fhir:v "triggering" ] ] ) ]
] [
fhir:code [
fhir:system [
fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type> ] ;
fhir:code [ fhir:v "priority" ] ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context> ] ;
fhir:code [ fhir:v "routine" ] ] ) ]
] ) ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166> ] ;
fhir:code [ fhir:v "US" ] ] )
] ) ; #
fhir:purpose [ fhir:v "Laboratory test names used in orders documented in a clinical record."] ; #
fhir:compose [
( fhir:include [
( fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480-example|3.0.0-ballot"^^xsd:anyURI ;
fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480-example?version=3.0.0-ballot> ] ) ] [
( fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481-example|3.0.0-ballot"^^xsd:anyURI ;
fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481-example?version=3.0.0-ballot> ] ) ] [
( fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761-example|3.0.0-ballot"^^xsd:anyURI ;
fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761-example?version=3.0.0-ballot> ] ) ] [
( fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223-example|3.0.0-ballot"^^xsd:anyURI ;
fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223-example?version=3.0.0-ballot> ] ) ] [
( fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762-example|3.0.0-ballot"^^xsd:anyURI ;
fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762-example?version=3.0.0-ballot> ] ) ] )
] ; #
fhir:expansion [
fhir:timestamp [ fhir:v "2022-04-05T10:06:43-04:00"^^xsd:dateTime ] ;
( fhir:contains [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22866-8" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22867-6" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "31726-3" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "44269-9" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "44270-7" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "51976-9" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22860-1" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22861-9" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22862-7" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22863-5" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22864-3" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "11467-8" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "11468-6" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22109-3" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22859-3" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "22865-0" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "5055-9" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "7814-7" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "85808-4" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "93750-8" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "94763-0" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "94764-8" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "77250-9" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "77398-6" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "88458-5" ] ] [
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:version [ fhir:v "Provisional_2021-12-30" ] ;
fhir:code [ fhir:v "92929-9" ] ] )
] . #
<http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example> a fhir:Us .
IG © 2025+ HL7 International / Public Health.
Package hl7.fhir.us.ecr#3.0.0-ballot based on FHIR 4.0.1.
Generated 2025-11-20
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