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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<lastUpdated value="2024-11-19T19:59:39.805Z"/>
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<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>
</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>
</div></td><td> </td></tr></table></div>
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value="This example of an OutcomeMeasureReport Profile shows a report from a single observational study with 4 outcome measures."/>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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<text value="FEvIR Object Identifier"/>
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<code value="OutcomeMeasureReport"/>
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<text value="Outcome Measure Report"/>
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<date value="2024-11-19T19:59:39.805Z"/>
<author>
<type value="Practitioner"/>
<display value="Brian S. Alper"/>
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<title
value="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 value="Organization/118079"/>
<type value="Organization"/>
<display value="Computable Publishing LLC"/>
</custodian>
<relatesTo>
<type value="part-of"/>
<label value="Part of"/>
<resourceReference>🔗
<reference value="Composition/178426"/>
<type value="Composition"/>
<display
value="ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)"/>
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</relatesTo>
<relatesTo>
<type value="derived-from"/>
<label value="Derived from"/>
<resourceReference>🔗
<reference value="Citation/104116"/>
<type value="Citation"/>
<display
value="JournalArticleCitation: Association of Bariatric Surgery with Complications and Comorbidities JAMA 2018 Norwegian Cohort"/>
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<relatesTo>
<type value="cite-as"/>
<label value="Cite as"/>
<citation
value="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 value="Groups"/>
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<coding>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<section>
<title value="Total Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="population"/>
<display value="Population"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<entry>🔗
<reference value="Group/178427"/>
<type value="Group"/>
<display
value="StudyGroup: Severely Obese Adults 2018 Norwegian Cohort"/>
</entry>
</section>
<section>
<title value="Intervention Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="intervention-group"/>
<display value="Intervention Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<entry>🔗
<reference value="Group/172934"/>
<type value="Group"/>
<display
value="InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"/>
</entry>
</section>
<section>
<title value="Comparator Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="comparator-group"/>
<display value="Comparator Group"/>
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</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<entry>🔗
<reference value="Group/172939"/>
<type value="Group"/>
<display
value="ComparatorGroup: JAMA 2018 Norwegian cohort study Control cohort"/>
</entry>
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<section>
<title value="Group Assignment"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="GroupAssignment"/>
<display value="GroupAssignment"/>
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</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<entry>🔗
<reference value="EvidenceVariable/239273"/>
<type value="EvidenceVariable"/>
<display
value="GroupAssignment: ExposureGroup: JAMA 2018 Norwegian cohort study Surgery cohort vs. ComparatorGroup: JAMA 2018 Norwegian cohort study Control cohort"/>
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</section>
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<section>
<title value="Variables (Measures)"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="variables"/>
<display value="Variables"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<entry>🔗
<reference value="EvidenceVariable/104117"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Remission of diabetes"/>
</entry>
<entry>🔗
<reference value="EvidenceVariable/104118"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: New onset depression"/>
</entry>
<entry>🔗
<reference value="EvidenceVariable/104119"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Treatment with opioids"/>
</entry>
<entry>🔗
<reference value="EvidenceVariable/104120"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Additional GI surgical procedure"/>
</entry>
</section>
<section>
<title value="Results"/>
<code>
<coding>
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<code value="results"/>
<display value="Results"/>
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<code value="notstarted"/>
<display value="Not Started"/>
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<section>
<title value="Remission of diabetes"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="summary-of-findings-entry-for-a-single-outcome"/>
<display value="Summary of findings entry for a single outcome"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/104117"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Remission of diabetes"/>
</focus>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">[No data.]</div>
</text>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-total-group"/>
<display value="Evidence with total group"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
<display value="Evidence with intervention alone"/>
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</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>57.5%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104401"/>
<type value="Evidence"/>
<display
value="InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
<display value="Evidence with comparator alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>14.8%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104396"/>
<type value="Evidence"/>
<display
value="ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-vs-comparator"/>
<display value="Evidence with intervention vs. comparator"/>
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<text>
<status value="additional"/>
<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>
</text>
<entry>🔗
<reference value="Evidence/104121"/>
<type value="Evidence"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
</section>
<section>
<title value="New onset depression"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="summary-of-findings-entry-for-a-single-outcome"/>
<display value="Summary of findings entry for a single outcome"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/104118"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: New onset depression"/>
</focus>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">[No data.]</div>
</text>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-total-group"/>
<display value="Evidence with total group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
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<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
<display value="Evidence with intervention alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> 8.9%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104400"/>
<type value="Evidence"/>
<display
value="InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
<display value="Evidence with comparator alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>6.5%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104395"/>
<type value="Evidence"/>
<display
value="ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-vs-comparator"/>
<display value="Evidence with intervention vs. comparator"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>🔗
<reference value="Evidence/104155"/>
<type value="Evidence"/>
<display
value="ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
</section>
<section>
<title value="Treatment with opioids"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="summary-of-findings-entry-for-a-single-outcome"/>
<display value="Summary of findings entry for a single outcome"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/104119"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Treatment with opioids"/>
</focus>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">[No data.]</div>
</text>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-total-group"/>
<display value="Evidence with total group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
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<code value="unavailable"/>
<display value="Unavailable"/>
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<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
<display value="Evidence with intervention alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> 19.4%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104402"/>
<type value="Evidence"/>
<display
value="InterventionOnlyEvidence: Treatment with opioids with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
<display value="Evidence with comparator alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> 15.8%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104394"/>
<type value="Evidence"/>
<display
value="ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-vs-comparator"/>
<display value="Evidence with intervention vs. comparator"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>🔗
<reference value="Evidence/104156"/>
<type value="Evidence"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
</section>
<section>
<title value="Additional GI surgical procedure"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="summary-of-findings-entry-for-a-single-outcome"/>
<display value="Summary of findings entry for a single outcome"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/104120"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Additional GI surgical procedure"/>
</focus>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml">[No data.]</div>
</text>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-total-group"/>
<display value="Evidence with total group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
</emptyReason>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
<display value="Evidence with intervention alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> 31.3%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104398"/>
<type value="Evidence"/>
<display
value="InterventionOnlyEvidence: Additional GI surgical procedure with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
<display value="Evidence with comparator alone"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>15.5%</p></div>
</text>
<entry>🔗
<reference value="Evidence/104385"/>
<type value="Evidence"/>
<display
value="ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-vs-comparator"/>
<display value="Evidence with intervention vs. comparator"/>
</coding>
</code>
<text>
<status value="additional"/>
<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>
</text>
<entry>🔗
<reference value="Evidence/104157"/>
<type value="Evidence"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
</section>
</section>
</Composition>
IG © 2024+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#2.0.0-ballot based on FHIR 6.0.0-ballot2. Generated 2024-12-19
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