Evidence Based Medicine on FHIR Implementation Guide
2.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide
2.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
{
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"meta" : {
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"profile" : [
🔗 "http://hl7.org/fhir/uv/ebm/StructureDefinition/outcome-measure-report"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 247500</b></p><a name=\"247500\"> </a><a name=\"hc247500\"> </a><a name=\"247500-en-US\"> </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\">version: 24; Last updated: 2024-11-19 19:59:39+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-outcome-measure-report.html\">OutcomeMeasureReport</a></p></div><p><b>Artifact Description</b>: </p><div><p>This example of an OutcomeMeasureReport Profile shows a report from a single observational study with 4 outcome measures.</p>\n</div><p><b>url</b>: <a href=\"https://fevir.net/resources/Composition/247500\">https://fevir.net/resources/Composition/247500</a></p><p><b>identifier</b>: FEvIR Object Identifier/https://fevir.net/FOI/247500</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 OutcomeMeasureReport}\">Outcome Measure Report</span></p><p><b>date</b>: 2024-11-19 19:59:39+0000</p><p><b>author</b>: Brian S. Alper</p><p><b>title</b>: Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)</p><p><b>custodian</b>: <a href=\"Organization-118079.html\">Computable Publishing LLC</a></p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Citation</b></td><td><b>ResourceReference</b></td></tr><tr><td style=\"display: none\">*</td><td>Part Of</td><td>Part of</td><td> </td><td><a href=\"Composition-178426.html\">ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)</a></td></tr><tr><td style=\"display: none\">*</td><td>Derived From</td><td>Derived from</td><td> </td><td><a href=\"Citation-104116.html\">JournalArticleCitation: Association of Bariatric Surgery with Complications and Comorbidities JAMA 2018 Norwegian Cohort</a></td></tr><tr><td style=\"display: none\">*</td><td>Cite As</td><td>Cite as</td><td><div><p>Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort) [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 247500. Revised 2024-11-19. Available at: https://fevir.net/resources/Composition/247500. Computable resource at: https://fevir.net/FLI/DocumentForComposition247500.</p>\n</div></td><td> </td></tr></table></div>"
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/artifact-description",
"valueMarkdown" : "This example of an OutcomeMeasureReport Profile shows a report from a single observational study with 4 outcome measures."
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],
"url" : "https://fevir.net/resources/Composition/247500",
"identifier" : [
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"type" : {
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"text" : "FEvIR Object Identifier"
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"coding" : [
{
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"code" : "OutcomeMeasureReport",
"display" : "OutcomeMeasureReport"
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],
"text" : "Outcome Measure Report"
},
"date" : "2024-11-19T19:59:39.805Z",
"author" : [
{
"type" : "Practitioner",
"display" : "Brian S. Alper"
}
],
"title" : "Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)",
"custodian" : {
🔗 "reference" : "Organization/118079",
"type" : "Organization",
"display" : "Computable Publishing LLC"
},
"relatesTo" : [
{
"type" : "part-of",
"label" : "Part of",
"resourceReference" : {
🔗 "reference" : "Composition/178426",
"type" : "Composition",
"display" : "ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)"
}
},
{
"type" : "derived-from",
"label" : "Derived from",
"resourceReference" : {
🔗 "reference" : "Citation/104116",
"type" : "Citation",
"display" : "JournalArticleCitation: Association of Bariatric Surgery with Complications and Comorbidities JAMA 2018 Norwegian Cohort"
}
},
{
"type" : "cite-as",
"label" : "Cite as",
"citation" : "Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort) [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 247500. Revised 2024-11-19. Available at: https://fevir.net/resources/Composition/247500. Computable resource at: https://fevir.net/FLI/DocumentForComposition247500."
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],
"section" : [
{
"title" : "Groups",
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"code" : "groups",
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"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"section" : [
{
"title" : "Total Group",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "population",
"display" : "Population"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Group/178427",
"type" : "Group",
"display" : "StudyGroup: Severely Obese Adults 2018 Norwegian Cohort"
}
]
},
{
"title" : "Intervention Group",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "intervention-group",
"display" : "Intervention Group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Group/172934",
"type" : "Group",
"display" : "InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"
}
]
},
{
"title" : "Comparator Group",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "comparator-group",
"display" : "Comparator Group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Group/172939",
"type" : "Group",
"display" : "ComparatorGroup: JAMA 2018 Norwegian cohort study Control cohort"
}
]
},
{
"title" : "Group Assignment",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "GroupAssignment",
"display" : "GroupAssignment"
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]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"entry" : [
{
🔗 "reference" : "EvidenceVariable/239273",
"type" : "EvidenceVariable",
"display" : "GroupAssignment: ExposureGroup: JAMA 2018 Norwegian cohort study Surgery cohort vs. ComparatorGroup: JAMA 2018 Norwegian cohort study Control cohort"
}
]
}
]
},
{
"title" : "Variables (Measures)",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "variables",
"display" : "Variables"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"entry" : [
{
🔗 "reference" : "EvidenceVariable/104117",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Remission of diabetes"
},
{
🔗 "reference" : "EvidenceVariable/104118",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: New onset depression"
},
{
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Treatment with opioids"
},
{
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Additional GI surgical procedure"
}
]
},
{
"title" : "Results",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "results",
"display" : "Results"
}
]
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "notstarted",
"display" : "Not Started"
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]
},
"section" : [
{
"title" : "Remission of diabetes",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-findings-entry-for-a-single-outcome",
"display" : "Summary of findings entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104117",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Remission of diabetes"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-total-group",
"display" : "Evidence with total group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
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}
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>57.5%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104401",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>14.8%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104396",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>greater likelihood of diabetes remission: </p><p> RD, 42.7% [95% CI, 35.8%-49.7%], </p><p>RR, 3.9 [95% CI, 2.8-5.4]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104121",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "New onset depression",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-findings-entry-for-a-single-outcome",
"display" : "Summary of findings entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104118",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: New onset depression"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-total-group",
"display" : "Evidence with total group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> 8.9%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104400",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>6.5%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104395",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>greater risk of new-onset depression: </p><p>RD, 2.4% [95% CI, 1.3%-3.5%], </p><p>RR, 1.5 [95% CI, 1.4-1.7]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104155",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Treatment with opioids",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-findings-entry-for-a-single-outcome",
"display" : "Summary of findings entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Treatment with opioids"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-total-group",
"display" : "Evidence with total group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> 19.4%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104402",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Treatment with opioids with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> 15.8%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104394",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>greater risk of treatment with opioids: </p><p>RD, 3.6% [95% CI, 2.3%-4.9%], </p><p>RR, 1.3 [95% CI, 1.2-1.4]</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104156",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Additional GI surgical procedure",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-findings-entry-for-a-single-outcome",
"display" : "Summary of findings entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Additional GI surgical procedure"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-total-group",
"display" : "Evidence with total group"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> 31.3%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104398",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Additional GI surgical procedure with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>15.5%</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104385",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Surgical patients had a greater risk for undergoing at least 1 additional gastrointestinal surgical procedure </p><p>RD, 15.8% [95% CI, 13.1%-18.5%]; </p><p>RR, 2.0 [95% CI, 1.7-2.4]).</p></div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104157",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
}
]
}
]
}
]
}
]
}
IG © 2024+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#2.0.0-ballot based on FHIR 6.0.0-ballot2. Generated 2024-11-22
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