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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.16(EN)|1|ApgarScore-v1.2(2026-1EN)}}

==General information==
Name: '''nl.zorg.ApgarScore''' [[Bestand:NL.png|link=ApgarScore-v1.2(2026-1NL)]] 
Version: '''1.2''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||11-10-2016
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.16
|-
|style="width:250px; "|DCM::KeywordList||Apgar
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.ApgarScore
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||05-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.ApgarScore-v1.1
|-
|style="width:250px; "|DCM::Version||1.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.0.1 (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-891 | ZIB-891 ]]
|ApgarScore TotalScore Definition
|}

Publicatieversie 1.1 (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1408 | ZIB-1408 ]]
|Apgarscore: onderliggende observaties
|}

Publicatieversie 1.2 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1757 | ZIB-1757 ]]
|ApgarScore mist terminologiekoppeling op rootconcept
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1922 | ZIB-1922 ]]
|Tekstuele wijzigingen zib ApgarScore
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1945 | ZIB-1945 ]]
|In de zib ApgarScore ontbreken bij de subcodes de definitiecodes voor de 5 min. meting
|}
</div>

==Concept==
The Apgar score represents the overall clinical status of a newborn child. This is evaluated one, five and ten minutes after birth based on 5 parameters: Appearance, Pulse, Grimace, Activity, Respiration. If the score measured at 5 minutes is < 8, the Apgar score is measured again at 10, 15, 20 minutes etc. until the score = 8.

==Purpose==
The Apgar score is primarily meant to rapidly determine the clinical condition of the newborn child and whether extra care is required. A low Apgar score can be caused by developmental disorders, prenatal accidents or negative influences during birth. The Apgar score remains a snapshot in time and cannot be used to predict the locomotive or mental development of a child.

==Evidence Base==
The definitions of the concepts are based on the Apgar score (as defined in Dutch by the KNOV), the guidelines Fetal Monitoring of the NVOG and Reanimation of Newborn of the NVK.

==Patient Population==
The ApgarScore information model is meant for children up to the age of 12 month.

==Information Model==
 
<imagemap> Bestand:ApgarScore-v1.2Model(2026-1EN).png | center
rect 556 474 710 524 [[#AppearanceScoreCodelist]]
rect 362 473 534 523 [[#MusleToneScoreCodelist]]
rect 185 472 327 522 [[#PulseScoreCodelist]]
rect 574 296 712 346 [[#GrimaceScoreCodelist]]
rect 153 296 312 346 [[#RespiratoryScoreCodelist]]
rect 573 198 680 268 [[#2897]]
rect 378 376 514 446 [[#2896]]
rect 574 376 682 446 [[#2888]]
rect 191 374 320 444 [[#2895]]
rect 190 201 312 271 [[#2899]]
rect 369 64 510 157 [[#2887]]
rect 187 65 309 155 [[#2900]]
rect 570 66 678 155 [[#2894]]
rect 382 218 504 288 [[#2901]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.16.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]ApgarScore
|
|Root concept of the ApgarScore information model. This root concept contains all data elements of the ApgarScore information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=302083008 302083008] Finding of Apgar score
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.16.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ApgarScoreDateTime
|1
|The day and time at which the Apgar score is registered.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.16.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ApgarScoreTotal
|1
|Total of the Apgar score. The total score has a range from 0 - 10.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=9271-8 9271-8] 10 minute Apgar Score
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=9272-6 9272-6] 1 minute Apgar Score
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=9274-2 9274-2] 5 minute Apgar Score
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.16.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]RespiratoryScore
|0..1
|The Apgar subscore for respiration.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32405-3 32405-3] 10 minute Apgar Respiratory effort
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32410-3 32410-3] 1 minute Apgar Respiratory effort
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32415-2 32415-2] 5 minute Apgar Respiratory effort
|}
|
{|
|-
|[[Bestand: List2.png | link=#RespiratoryScoreCodelist]]||[[#RespiratoryScoreCodelist|RespiratoryScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.16.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AppearanceScore
|0..1
|The Apgar subscore for skin color/appearance.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32401-2 32401-2] 10 minute Apgar Color
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32406-1 32406-1] 1 minute Apgar Color
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32411-1 32411-1] 5 minute Apgar Color
|}
|
{|
|-
|[[Bestand: List2.png | link=#AppearanceScoreCodelist]]||[[#AppearanceScoreCodelist|AppearanceScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.16.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]PulseScore
|0..1
|The Apgar subscore for pulse.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32402-0 32402-0] 10 minute Apgar Heart rate
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32407-9 32407-9] 1 minute Apgar Heart rate
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32412-9 32412-9] 5 minute Apgar Heart rate
|}
|
{|
|-
|[[Bestand: List2.png | link=#PulseScoreCodelist]]||[[#PulseScoreCodelist|PulseScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.16.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]GrimaceScore
|0..1
|The Apgar subscore for grimace.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32404-6 32404-6] 10 minute Apgar Reflex irritability
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32409-5 32409-5] 1 minute Apgar Reflex irritability
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32414-5 32414-5] 5 minute Apgar Reflex irritability
|}
|
{|
|-
|[[Bestand: List2.png | link=#GrimaceScoreCodelist]]||[[#GrimaceScoreCodelist|GrimaceScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:12.16.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]MusleToneScore
|0..1
|The Apgar subscore for activity/muscle tone.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32403-8 32403-8] 10 minute Apgar Muscle tone
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32408-7 32408-7] 1 minute Apgar Muscle tone
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=32413-7 32413-7] 5 minute Apgar Muscle tone
|}
|
{|
|-
|[[Bestand: List2.png | link=#MusleToneScoreCodelist]]||[[#MusleToneScoreCodelist|MusleToneScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:12.16.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|Comment on the Apgar score.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="666px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|ApgarScore
|-style=vertical-align:top;
| style="width: 30%; "|AdemhalingsScore
| style="width: 70%; "|2 (Flink huilen en goed doorademen)
|-style=vertical-align:top;
| style="width: 30%; "|HartslagScore
| style="width: 70%; "|1 (Een hartslag van minder dan 100 slagen per minuut)
|-style=vertical-align:top;
| style="width: 30%; "|SpierspanningScore
| style="width: 70%; "|2 (Beweegt armpjes en beentjes goed)
|-style=vertical-align:top;
| style="width: 30%; "|HuidskleurScore
| style="width: 70%; "|1 (Roze lijfje, maar blauwachtige armen en benen)
|-style=vertical-align:top;
| style="width: 30%; "|ReflexenScore
| style="width: 70%; "|2 (Reageert door te huilen, te hoesten of te niezen)
|-style=vertical-align:top;
| style="width: 30%; "|ApgarScoreTotaal
| style="width: 70%; "|8
|-style=vertical-align:top;
| style="width: 30%; "|ApgarScoreDatumTijd
| style="width: 70%; "|19-12-2016 9:00
|-style=vertical-align:top;
| style="width: 30%; "|Toelichting
| style="width: 70%; "|<noWiki>-</noWiki>
|}

== Valuesets ==
=== AppearanceScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.4
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|The baby's whole body is completely bluish-gray or pale
|LA6722-8
|0
|LOINC
|2.16.840.1.113883.6.1
|Een bleke of blauwe huidskleur
|-style="vertical-align:top; "
|Good color in body with bluish hands or feet
|LA6723-6
|1
|LOINC
|2.16.840.1.113883.6.1
|Normale huidskleur lijfje, maar blauwachtige armen en benen
|-style="vertical-align:top; "
|Good color all over
|LA6724-4
|2
|LOINC
|2.16.840.1.113883.6.1
|Normale gezonde huidskleur
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== GrimaceScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.5
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No response to airways being suctioned
|LA6719-4
|0
|LOINC
|2.16.840.1.113883.6.1
|Reageert niet op prikkels/Geen reactie
|-style="vertical-align:top; "
|Grimace during suctioning
|LA6720-2
|1
|LOINC
|2.16.840.1.113883.6.1
|Reageert met kleine jammergeluidjes en zwakke bewegingen
|-style="vertical-align:top; "
|Grimace and pulling away, cough, or sneeze during suctioning
|LA6721-0
|2
|LOINC
|2.16.840.1.113883.6.1
|Reageert door te huilen, te hoesten of te niezen
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== MusleToneScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.3
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Limp; no movement
|LA6713-7
|0
|LOINC
|2.16.840.1.113883.6.1
|Geen spierspanning aanwezig/slap
|-style="vertical-align:top; "
|Some flexion of arms and legs
|LA6714-5
|1
|LOINC
|2.16.840.1.113883.6.1
|Weinig bewegingen met armpjes en beentjes
|-style="vertical-align:top; "
|Active motion
|LA6715-2
|2
|LOINC
|2.16.840.1.113883.6.1
|Beweegt armpjes en beentjes goed
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== PulseScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.2
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|No heart rate
|LA6716-0
|0
|LOINC
|2.16.840.1.113883.6.1
|Geen hartslag, of een onhoorbare hartslag
|-style="vertical-align:top; "
|Fewer than 100 beats per minute
|LA6717-8
|1
|LOINC
|2.16.840.1.113883.6.1
|Een hartslag van minder dan 100 slagen per minuut
|-style="vertical-align:top; "
|At least 100 beats per minute
|LA6718-6
|2
|LOINC
|2.16.840.1.113883.6.1
|Een hartslag van meer dan 100 slagen per minuut
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== RespiratoryScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.16.1
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Not breathing
|LA6725-1
|0
|LOINC
|2.16.840.1.113883.6.1
|Niet op eigen kracht ademen
|-style="vertical-align:top; "
|Weak cry; may sound like whimpering, slow or irregular breathing
|LA6726-9
|1
|LOINC
|2.16.840.1.113883.6.1
|Zwak, onregelmatig of hijgerig ademhalen
|-style="vertical-align:top; "
|Good, strong cry; normal rate and effort of breathing
|LA6727-7
|2
|LOINC
|2.16.840.1.113883.6.1
|Flink huilen en goed doorademen
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.16(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|12.16}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|ApgarScore}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.ApgarScore-v1.2(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ApgarScore-v1.2(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
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ApgarScore-v1.2(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.16(EN)|1|ApgarScore-v1.2(2026-1EN)}} ==General information== Name: '''nl.zorg.ApgarScore''' link=ApgarScore-v1.2(2026-1NL) Version: '''1.2''' HCIM Status:Final Release: '''2026-1''' Rel…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.16(EN)|1|ApgarScore-v1.2(2026-1EN)}} ==General information== Name: '''nl.zorg.ApgarScore''' link=ApgarScore-v1.2(2026-1NL)
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HCIM Status:Final
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