CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "PneumokokkenErkrankungInvasive",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1301332d-6012-443f-9690-929132b2e155"
},
"type" : "document",
"timestamp" : "2026-01-27T11:30:00+02:00",
"entry" : [
{
"fullUrl" : "urn:uuid:da065461-34df-4e2e-b69f-4181908575d0",
"resource" : {
"resourceType" : "Composition",
"id" : "da065461-34df-4e2e-b69f-4181908575d0",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_da065461-34df-4e2e-b69f-4181908575d0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition da065461-34df-4e2e-b69f-4181908575d0</b></p><a name=\"da065461-34df-4e2e-b69f-4181908575d0\"> </a><a name=\"hcda065461-34df-4e2e-b69f-4181908575d0\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34782-3}\">Infectious disease Note</span></p><p><b>encounter</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015660\">Encounter: status = unknown; class = IMP (IMP); period = 2026-01-19 --> (ongoing)</a></p><p><b>date</b>: 2026-01-27</p><p><b>author</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8fec-40ac1f015664\">PractitionerRole</a></p><p><b>title</b>: Meldung zum klinischen Befund Infektionskrankheit</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34782-3",
"display" : "Infectious disease Note"
}
]
},
"subject" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645"
},
"encounter" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015660"
},
"date" : "2026-01-27",
"author" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8fec-40ac1f015664"
}
],
"title" : "Meldung zum klinischen Befund Infektionskrankheit",
"section" : [
{
"title" : "Diagnosis section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29308-4",
"display" : "Diagnosis"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f025656",
"type" : "Condition"
}
]
},
{
"title" : "Laboratory section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4130-8cec-40ac1f015680",
"type" : "ServiceRequest"
}
]
},
{
"title" : "Hospitalisation section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46240-8",
"display" : "History of hospitalizations+History of outpatient visits Narrative"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015660",
"type" : "Encounter"
}
]
},
{
"title" : "Immunization section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of immunization Narrative"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015671",
"type" : "Immunization"
},
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015673",
"type" : "Immunization"
}
]
},
{
"title" : "Risk factors section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7",
"display" : "Risk factors"
}
]
},
"section" : [
{
"entry" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015672",
"type" : "Condition"
}
]
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645",
"resource" : {
"resourceType" : "Patient",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f015645",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_50d5deca-64e9-4a30-8cec-40ac1f015645\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 50d5deca-64e9-4a30-8cec-40ac1f015645</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015645\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015645\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Liebefeld BE 3097 Schweiz </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/StructureDefinition-patient-citizenship.html\">Patient Citizenship</a></td><td colspan=\"3\"><span title=\"Codes:{urn:iso:std:iso:3166 CH}\">Switzerland</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.32",
"value" : "7561234567897"
}
],
"name" : [
{
"family" : "M",
"given" : [
"B"
]
}
],
"gender" : "male",
"birthDate" : "2000-01-01",
"address" : [
{
"city" : "Liebefeld",
"state" : "BE",
"postalCode" : "3097",
"country" : "Schweiz",
"_country" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"valueCoding" : {
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f025656",
"resource" : {
"resourceType" : "Condition",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f025656",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_50d5deca-64e9-4a30-8cec-40ac1f025656\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 50d5deca-64e9-4a30-8cec-40ac1f025656</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f025656\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f025656\"> </a><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 406617004}\">Invasive Streptococcus pneumoniae disease (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015645\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><p><b>onset</b>: 2026-01-27</p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><code>urn:uuid:50d5deca-64e9-4a30-8cec-80ac1f015672</code></td></tr></table></div>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "406617004",
"display" : "Invasive Streptococcus pneumoniae disease (disorder)"
}
]
},
"subject" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645"
},
"onsetDateTime" : "2026-01-27",
"evidence" : [
{
"detail" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-80ac1f015672"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015660",
"resource" : {
"resourceType" : "Encounter",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f015660",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_50d5deca-64e9-4a30-8cec-40ac1f015660\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 50d5deca-64e9-4a30-8cec-40ac1f015660</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015660\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015660\"> </a><p><b>status</b>: Unknown</p><p><b>class</b>: [not stated]: IMP (IMP)</p><p><b>subject</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015645\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><p><b>period</b>: 2026-01-19 --> (ongoing)</p><p><b>reasonReference</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f025656\">Condition Invasive Streptococcus pneumoniae disease (disorder)</a></p></div>"
},
"status" : "unknown",
"class" : {
"code" : "IMP"
},
"subject" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645"
},
"period" : {
"start" : "2026-01-19"
},
"reasonReference" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f025656"
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015661",
"resource" : {
"resourceType" : "Organization",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f015661",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_50d5deca-64e9-4a30-8cec-40ac1f015661\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 50d5deca-64e9-4a30-8cec-40ac1f015661</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015661\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015661\"> </a><p><b>name</b>: Viollier Bern AG</p><p><b>telecom</b>: <a href=\"tel:+41848121121\">+41 848 121 121</a></p></div>"
},
"name" : "Viollier Bern AG",
"telecom" : [
{
"system" : "phone",
"value" : "+41 848 121 121"
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015662",
"resource" : {
"resourceType" : "Specimen",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f015662",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_50d5deca-64e9-4a30-8cec-40ac1f015662\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen 50d5deca-64e9-4a30-8cec-40ac1f015662</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015662\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015662\"> </a><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119297000}\">Blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015645\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-01-27</td></tr></table></div>"
},
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "119297000",
"display" : "Blood specimen"
}
]
},
"subject" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645"
},
"collection" : {
"collectedDateTime" : "2026-01-27"
}
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4130-8cec-40ac1f015680",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "50d5deca-64e9-4130-8cec-40ac1f015680",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_50d5deca-64e9-4130-8cec-40ac1f015680\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 50d5deca-64e9-4130-8cec-40ac1f015680</b></p><a name=\"50d5deca-64e9-4130-8cec-40ac1f015680\"> </a><a name=\"hc50d5deca-64e9-4130-8cec-40ac1f015680\"> </a><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Bundle-HepatitisC.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015655\">Beispielin Muster (no stated gender), DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><p><b>performer</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015661\">Organization Viollier Bern AG</a></p><p><b>specimen</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015662\">Specimen: type = Blood specimen</a></p></div>"
},
"status" : "unknown",
"intent" : "order",
"subject" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015655"
},
"performer" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015661"
}
],
"specimen" : [
{
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015662"
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8fec-40ac1f015664",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "50d5deca-64e9-4a30-8fec-40ac1f015664",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_50d5deca-64e9-4a30-8fec-40ac1f015664\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 50d5deca-64e9-4a30-8fec-40ac1f015664</b></p><a name=\"50d5deca-64e9-4a30-8fec-40ac1f015664\"> </a><a name=\"hc50d5deca-64e9-4a30-8fec-40ac1f015664\"> </a><p><b>practitioner</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-7cec-40ac1f015665\">Practitioner Monika Giacometti </a></p><p><b>organization</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-50ac1f015663\">Organization</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-7cec-40ac1f015665"
},
"organization" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-50ac1f015663"
}
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-7cec-40ac1f015665",
"resource" : {
"resourceType" : "Practitioner",
"id" : "50d5deca-64e9-4a30-7cec-40ac1f015665",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_50d5deca-64e9-4a30-7cec-40ac1f015665\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 50d5deca-64e9-4a30-7cec-40ac1f015665</b></p><a name=\"50d5deca-64e9-4a30-7cec-40ac1f015665\"> </a><a name=\"hc50d5deca-64e9-4a30-7cec-40ac1f015665\"> </a><p><b>name</b>: Monika Giacometti </p><p><b>telecom</b>: <a href=\"mailto:m.giacometti@ks-abc.ch\">m.giacometti@ks-abc.ch</a>, <a href=\"tel:+41791114455\">+41 79 111 44 55</a></p></div>"
},
"name" : [
{
"family" : "Giacometti",
"given" : [
"Monika"
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "m.giacometti@ks-abc.ch"
},
{
"system" : "phone",
"value" : "+41 79 111 44 55"
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-50ac1f015663",
"resource" : {
"resourceType" : "Organization",
"id" : "50d5deca-64e9-4a30-8cec-50ac1f015663",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_50d5deca-64e9-4a30-8cec-50ac1f015663\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 50d5deca-64e9-4a30-8cec-50ac1f015663</b></p><a name=\"50d5deca-64e9-4a30-8cec-50ac1f015663\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-50ac1f015663\"> </a><p><b>address</b>: Aortastrasse 22 Bern 3000 </p></div>"
},
"address" : [
{
"line" : [
"Aortastrasse 22"
],
"city" : "Bern",
"postalCode" : "3000"
}
]
}
},
{
"fullUrl" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015671",
"resource" : {
"resourceType" : "Immunization",
"id" : "50d5deca-64e9-4a30-8cec-40ac1f015671",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_50d5deca-64e9-4a30-8cec-40ac1f015671\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 50d5deca-64e9-4a30-8cec-40ac1f015671</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015671\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015671\"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs 60129}\">Prevenar 13</span></p><p><b>patient</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015645\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><p><b>occurrence</b>: 2000-03-01</p><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 16814004}\">Pneumococcal infectious disease</span></td><td>1</td></tr></table></div>"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
"code" : "60129"
}
]
},
"patient" : {
"reference" : "urn:uuid:50d5deca-64e9-4a30-8cec-40ac1f015645"
},
"occurrenceDateTime" : "2000-03-01",
"protocolApplied" : [
{
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
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{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_50d5deca-64e9-4a30-8cec-40ac1f015673\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 50d5deca-64e9-4a30-8cec-40ac1f015673</b></p><a name=\"50d5deca-64e9-4a30-8cec-40ac1f015673\"> </a><a name=\"hc50d5deca-64e9-4a30-8cec-40ac1f015673\"> </a><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs 60129}\">Prevenar 13</span></p><p><b>patient</b>: <a href=\"Bundle-PneumokokkenErkrankungInvasive.html#urn-uuid-50d5deca-64e9-4a30-8cec-40ac1f015645\">B M Male, DoB: 2000-01-01 ( urn:oid:2.16.756.5.32#7561234567897)</a></p><p><b>occurrence</b>: 2000-05-01</p><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 16814004}\">Pneumococcal infectious disease</span></td><td>2</td></tr></table></div>"
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{
"system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
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{
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{
"coding" : [
{
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{
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{
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