eCQM QICore Content Implementation Guide
2025.0.0 - CI Build
eCQM QICore Content Implementation Guide
2025.0.0 - CI Build
eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 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-2025/ and changes regularly. See the Directory of published versions
| Active as of 2025-06-20 |
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"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "134401001",
"display" : "Left ventricular systolic dysfunction (disorder)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "372733002",
"display" : "Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "372913009",
"display" : "Substance with angiotensin II receptor antagonist mechanism of action (substance)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786886009",
"display" : "Substance with neprilysin inhibitor mechanism of action (substance)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "422593004",
"display" : "Acute renal failure caused by angiotensin-converting-enzyme inhibitor (disorder)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "unconfirmed",
"display" : "Unconfirmed"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "refuted",
"display" : "Refuted"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "entered-in-error",
"display" : "Entered in Error"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373254001",
"display" : "Substance with beta adrenergic receptor antagonist mechanism of action (substance)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "inactive",
"display" : "Inactive"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99429",
"display" : "Unlisted preventive medicine service"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "98181-1",
"display" : "Medical equipment used"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "71802-3",
"display" : "Housing status"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "160734000",
"display" : "Lives in a nursing home (finding)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "75622-1",
"display" : "HIV 1 and 2 tests - Meaningful Use set"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "456381000124102",
"display" : "Injection of leuprolide acetate for twelve month period (regime/therapy)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "254292007",
"display" : "Tumor staging (tumor staging)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "1228889001",
"display" : "American Joint Committee on Cancer cT1 (qualifier value)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "1228884006",
"display" : "American Joint Committee on Cancer cTis (qualifier value)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "1228883000",
"display" : "American Joint Committee on Cancer cTa (qualifier value)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "D09.0",
"display" : "Carcinoma in situ of bladder"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "169331000",
"display" : "Combined radiotherapy (procedure)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "80976-4",
"display" : "International Prostate Symptom Score [IPSS]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "80883-2",
"display" : "American Urological Association Symptom Index [AUASI]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "81090-3",
"display" : "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "N40.1",
"display" : "Benign prostatic hyperplasia with lower urinary tract symptoms"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "96914-7",
"display" : "CT dose and image quality category"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "96912-1",
"display" : "Calculated CT global noise"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "96913-9",
"display" : "Calculated CT size-adjusted dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31752-1",
"display" : "Abdomen and Pelvis Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31753-9",
"display" : "Abdomen and Pelvis Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31754-7",
"display" : "Abdomen and Pelvis High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31755-4",
"display" : "Cardiac Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31756-2",
"display" : "Cardiac Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31758-8",
"display" : "Chest Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31759-6",
"display" : "Chest Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31761-2",
"display" : "Cardiac High Dose or Chest High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31762-0",
"display" : "Head Low Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31763-8",
"display" : "Head Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31764-6",
"display" : "Head High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31765-3",
"display" : "Extremity"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31766-1",
"display" : "Neck or Cervical Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31767-9",
"display" : "Thoracic or Lumbar Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31768-7",
"display" : "Simultaneous Chest and Abdomen and Pelvis"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31851-1",
"display" : "Simultaneous Thoracic and Lumbar Spine"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31769-5",
"display" : "Simultaneous Head and Neck Routine Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31770-3",
"display" : "Simultaneous Head and Neck High Dose"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA31771-1",
"display" : "Full Body"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
"valueCoding" : {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "77427",
"display" : "Radiation treatment management, 5 treatments"
}
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/Library/ecqm-update-qi-core-2025",
"identifier" : [
{
"use" : "official",
"system" : "http://example.org/fhir/cqi/ecqm/Library/Identifier",
"value" : "eCQM Update QI Core 2025"
}
],
"version" : "1.0.0",
"name" : "ECQMUpdateQICore2025",
"title" : "eCQM Update QI Core 2025",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "asset-collection"
}
]
},
"date" : "2025-06-20T10:05:15-06:00",
"publisher" : "Clinical Quality Information WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "This library is an example of a release version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of EP/EC measures.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"purpose" : "This library is defined to illustrate a release Version Manifest, as it would look as part of release publication of an eCQM Annual Update cycle, approved on April 23rd, 2024. The latest available version of code systems used at that time is specified to provide stability for value set expansion during the testing and implementation phase. Terminology.HL7.org, in particular, was version 5.5.0 at the time, and FHIR code system versions are chosen from that release.",
"approvalDate" : "2025-05-06",
"lastReviewDate" : "2025-05-06",
"relatedArtifact" : [
{
"type" : "composed-of",
"display" : "Measure Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS2FHIRPCSDepressionScreenAndFollowUp|0.4.001"
},
{
"type" : "composed-of",
"display" : "Measure Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS22FHIRPCSBPScreeningFollowUp|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Closing the Referral Loop: Receipt of Specialist ReportFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS50FHIRCRLReceiptofSpecialistReport|0.4.000"
},
{
"type" : "composed-of",
"display" : "Measure Functional Status Assessment for Total Hip ReplacementFHIR, 1.1.000",
"resource" : "https://madie.cms.gov/Measure/CMS56FHIRFunctionalStatusAssessmentforTotalHipReplacement|1.1.000"
},
{
"type" : "composed-of",
"display" : "Measure Documentation of Current Medications in the Medical RecordFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS68FHIRDocumentationofCurrentMedications|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS69FHIRPCSBMIScreenAndFollowUp|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Primary Caries Prevention Intervention as Offered by DentistsFHIR, 1.1.000",
"resource" : "https://madie.cms.gov/Measure/CMS74FHIRPrimaryCariesPreventionasOfferedbyDentists|1.1.000"
},
{
"type" : "composed-of",
"display" : "Measure Children Who Have Dental Decay or CavitiesFHIR, 1.1.000",
"resource" : "https://madie.cms.gov/Measure/CMS75FHIRChildrenWhoHaveDentalDecayOrCavities|1.1.000"
},
{
"type" : "composed-of",
"display" : "Measure Childhood Immunization StatusFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS117FHIRChildhoodImmunizationStatus|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Antidepressant Medication ManagementFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS128FHIRAntidepressantMedManagement|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract SurgeryFHIR, 0.2.000",
"resource" : "https://madie.cms.gov/Measure/CMS133FHIRCataracts2040BCVAwithin90Days|0.2.000"
},
{
"type" : "composed-of",
"display" : "Measure Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)FHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS135FHIRHFACEIorARBorARNIforLVSD|0.4.000"
},
{
"type" : "composed-of",
"display" : "Measure Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes CareFHIR, 0.2.000",
"resource" : "https://madie.cms.gov/Measure/CMS142FHIRDRCommunicationWithPhysicianManagingDiabetes|0.2.000"
},
{
"type" : "composed-of",
"display" : "Measure Primary Open-Angle Glaucoma (POAG): Optic Nerve EvaluationFHIR, 0.2.000",
"resource" : "https://madie.cms.gov/Measure/CMS143FHIRPOAGOpticNerveEvaluation|0.2.000"
},
{
"type" : "composed-of",
"display" : "Measure Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)FHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS144FHIRHFBetaBlockerTherapyforLVSD|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%)FHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS145FHIRCADBetaBlockerTherapyPriorMIorLVSD|0.4.000"
},
{
"type" : "composed-of",
"display" : "Measure Appropriate Testing for PharyngitisFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS146FHIRAppropriateTestingforPharyngitis|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Dementia: Cognitive AssessmentFHIR, 0.2.000",
"resource" : "https://madie.cms.gov/Measure/CMS149FHIRDementiaCognitiveAssessment|0.2.000"
},
{
"type" : "composed-of",
"display" : "Measure Weight Assessment and Counseling for Nutrition and Physical Activity for Children/AdolescentsFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS155FHIRWeightAssessandCounselforKids|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Depression Remission at Twelve MonthsFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS159FHIRDepressionRemissionatTwelveMonths|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Controlling High Blood PressureFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS165FHIRControllingHighBloodPressure|0.5.000"
},
{
"type" : "composed-of",
"display" : "Measure HIV ScreeningFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS349FHIRHIVScreening|0.3.000"
},
{
"type" : "composed-of",
"display" : "Measure Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation TherapyFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS645FHIRBoneDensityProstateCancerAndrogenDeprivationTherapy|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Intravesical Bacillus-Calmette-Guerin for Non-Muscle Invasive Bladder CancerFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS646FHIRIntravesicalBacillusCalmetteGuerinForBladderCancer|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic HyperplasiaFHIR, 1.5.000",
"resource" : "https://madie.cms.gov/Measure/CMS771FHIRUrinarySymptomScoreChangeBenignProstaticHyperplasia|1.5.000"
},
{
"type" : "composed-of",
"display" : "Measure Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography in Adults - Clinician FHIR, 0.6.000",
"resource" : "https://madie.cms.gov/Measure/CMS1056CTClinicalFHIR|0.6.000"
},
{
"type" : "composed-of",
"display" : "Measure Oncology: Medical and Radiation Pain Intensity QuantifiedFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/OncologyPainIntensityQuantifiedFHIR|0.3.000"
},
{
"type" : "depends-on",
"display" : "Measure Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS2FHIRPCSDepressionScreenAndFollowUp|0.4.001"
},
{
"type" : "depends-on",
"display" : "Measure Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS22FHIRPCSBPScreeningFollowUp|0.3.000"
},
{
"type" : "depends-on",
"display" : "Measure Closing the Referral Loop: Receipt of Specialist ReportFHIR, 0.4.000",
"resource" : "https://madie.cms.gov/Measure/CMS50FHIRCRLReceiptofSpecialistReport|0.4.000"
},
{
"type" : "depends-on",
"display" : "Measure Functional Status Assessment for Total Hip ReplacementFHIR, 1.1.000",
"resource" : "https://madie.cms.gov/Measure/CMS56FHIRFunctionalStatusAssessmentforTotalHipReplacement|1.1.000"
},
{
"type" : "depends-on",
"display" : "Measure Documentation of Current Medications in the Medical RecordFHIR, 0.3.000",
"resource" : "https://madie.cms.gov/Measure/CMS68FHIRDocumentationofCurrentMedications|0.3.000"
},
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