Update bot op 24 dec 2018 om 11:08

2018-12-24T11:08:54Z

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Regel 95:		Regel 95:
	==Information Model==		==Information Model==
	<BR>		<BR>
	<imagemap> Bestand:FreedomRestrictingMeasuresMentalHealthcare-v3.0Model(EN).png \| center		<imagemap> Bestand:FreedomRestrictingMeasuresMentalHealthcare-v3.0Model(2016EN).png \| center
	rect 417 77 587 127 [[#LegalStatusMentalHealthcareCodelist]]		rect 417 77 587 127 [[#LegalStatusMentalHealthcareCodelist]]
	rect 372 424 492 494 [[#9895]]		rect 372 424 492 494 [[#9895]]
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	The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>		The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 10:38:41 with ZibExtraction v. 3.0.~~6928~~.~~1309~~<!--ftDate--> <BR>		This page is generated on 21/12/2018 16:29:23 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 12:39

2018-12-20T12:39:33Z

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Update bot: Copy of

2018-02-20T09:05:05Z

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← Oudere versie		Versie van 20 feb 2018 11:05
Regel 458:		Regel 458:
	<ul>		<ul>
	<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.14.4&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg\|16px\|link=]]]</li>		<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.14.4&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg\|16px\|link=]]]</li>
	<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=~~StructureDefinition~~ [[File:fhir.png\|link=]]]</li>		<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png\|link=]]]</li>
	</ul>		</ul>
	This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]

Update bot op 24 jan 2018 om 23:12

2018-01-24T23:12:31Z

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==General information==
Name: '''nl.zorg.FreedomRestrictingMeasuresMentalHealthcare''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelenGGZ-v3.0(2016NL)]] 
Version: '''3.0''' 
HCIM Status:Final 
Publication: '''2016''' 
Release status: Published 
Publication date: 1-5-2016
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(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||22-5-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.14.4
|-
|style="width:250px; "|DCM::KeywordList||Vrijheidsbeperkende maatregelen, Argus, wilsbekwaamheid, interventies
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.VrijheidsbeperkendeMaatregelenGGZ
|-
|style="width:250px; "|DCM::PublicationDate||1-5-2016
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||8-9-2015
|-
|style="width:250px; "|DCM::Superseeds||nl.nfu.VrijheidsbeperkendeMaatregelenGGZ-v1.0
|-
|style="width:250px; "|DCM::Version||3.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}
</div>

==Concept==
Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question. Many forms of medical restraints fall under this definition, including but not limited to: 
<ul>
<li>involuntary treatment</li>
<li>physical restraints (such as a cushion belt)</li>
<li>house rules</li>
</ul>
 
Medical restraints may only be implemented under strict conditions. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies in ‘BOPZ’-marked facilities and also applies to some (closed) wards in retirement homes. 
Mental healthcare facilities use a national registration system to register the restraints called Argus registration. 

==Purpose==
Implementing medical restraints is risky and can result in damage to patients if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

==Patient Population==
This information model is intended for patients residing in mental healthcare facilities. Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.

==Information Model==
 
[[Bestand: FreedomRestrictingMeasuresMentalHealthcare-v3.0Model(EN).png | center]]
 
{| 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]]
||NL-CM:14.4.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]MentalHealthcareMedicalRestraints
|
|Root concept of the MentalHealthcareMedicalRestraints information model. This root concept contains all data elements of the MentalHealthcareMedicalRestraints information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:14.4.2
|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]]LegalStatus
|0..1
|The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
|
{|
|-
| 303186005 Legal status of patient
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#LegalStatusMentalHealthcareCodelist|LegalStatusMentalHealthcareCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px]]
||NL-CM:14.4.3
|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]]LegallyCapable
|1
|Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:14.4.4
|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]]LegallyCapableExplanation
|0..1
|Explanation of the decisions which the patient is legally capable of making.
|
{|
|-
| 48767-8 Annotation comment
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px]]
||NL-CM:14.4.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]Restraint
|0..*
|Container of the Restraint concept. This container contains all data elements of the Restraint concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:14.4.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ArgusRestraint
|1
|ArgusRestraint describes the medical restraints in mental healthcare, as outlined in a clear registration following the Argus data set.
|
{|
|-
| 390811008 Crisis/short term interventions in health care
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#ArgusRestraintCodelist|ArgusRestraintCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:14.4.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ArgusPermission
|1
|The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint following the Argus data set.
|
{|
|-
| 309370004 Consent status
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#ArgusPermissionCodelist|ArgusPermissionCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:14.4.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ArgusStartEpisode
|1
|The date and time at which the restraints started.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:14.4.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]ArgusEndOfEpisode
|0..1
|The date and time at which the restraints ended.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:14.4.10
|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]]NursingProcedure
|0..*
|Description of the required nursing procedures involved in medical restraints.
|
|
{|
|-
|[[Bestand: block.png]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]]
|}
|}
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="553px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|VrijheidsbeperkendeMaatregelenGGZ
|-style=vertical-align:top;
| style="width: 38%; "|JuridischeStatus
| style="width: 62%; "|RM
|-style=vertical-align:top;
| style="width: 38%; "|Wilsbekwaam
| style="width: 62%; "|Nee
|-style=vertical-align:top;
| style="width: 38%; "|WilsbekwaamToelichting
| style="width: 62%; "|Wilsonbekwaam t.a.v. behandeling.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Interventie
|-style=vertical-align:top;
| style="width: 38%; "|ArgusInterventie
| style="width: 62%; "|Gedwongen medicatie
|-style=vertical-align:top;
| style="width: 38%; "|ArgusInstemming
| style="width: 62%; "|Geen verzet
|-style=vertical-align:top;
| style="width: 38%; "|ArgusAanvangEpisode
| style="width: 62%; "|01-05-2014
|-style=vertical-align:top;
| style="width: 38%; "|ArgusEindeEpisode
| style="width: 62%; "|05-05-2014
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|VerpleegkundigeActie
|-style=vertical-align:top;
| style="width: 38%; "|Activiteit
| style="width: 62%; "|Zorgen voor rustige omgeving, vast aanspreekpersoon.
|}

==References==
1. Handreiking Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunt-dwang-en-drang/handreiking-argus-def.pdf [Geraadpleegd: 13 februari 2015]

2. Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunten/dwang-en-drang.html [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== ArgusPermissionCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Op eigen verzoek
|E1
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Op eigen verzoek
|-style="vertical-align:top; "
|Geen verzet
|E2
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Geen verzet
|-style="vertical-align:top; "
|Verzet
|E3
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Verzet
|}

=== ArgusRestraintCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Separatie
|A1
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Separatie
|-style="vertical-align:top; "
|Afzondering
|A2
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Afzondering
|-style="vertical-align:top; "
|Fixatie
|A3
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Fixatie
|-style="vertical-align:top; "
|Gedwongen medicatie
|A4
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Gedwongen medicatie
|-style="vertical-align:top; "
|Gedwongen voeding en/of vocht
|A5
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Gedwongen voeding en/of vocht
|-style="vertical-align:top; "
|Andere interventies
|A6
|ArgusCodes
|2.16.840.1.113883.2.4.3.11.22.217
|Andere interventies
|}

=== LegalStatusMentalHealthcareCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
|1
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
|-style="vertical-align:top; "
|RM op eigen verzoek
|2
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|RM op eigen verzoek
|-style="vertical-align:top; "
|RM met voorwaardelijk ontslag
|3
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|RM met voorwaardelijk ontslag
|-style="vertical-align:top; "
|Onder toezichtstelling (ots)
|4
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Onder toezichtstelling (ots)
|-style="vertical-align:top; "
|In bewaringstelling (ibs)
|5
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|In bewaringstelling (ibs)
|-style="vertical-align:top; "
|Voogdij
|6
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Voogdij
|-style="vertical-align:top; "
|Bewindvoering
|7
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Bewindvoering
|-style="vertical-align:top; "
|Mentorschap
|8
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Mentorschap
|-style="vertical-align:top; "
|Onder curatele stelling
|9
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Onder curatele stelling
|-style="vertical-align:top; "
|Zaakwaarneming
|10
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Zaakwaarneming
|-style="vertical-align:top; "
|Strafrechtelijke justitiële contacten: tbs
|11
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Strafrechtelijke justitiële contacten: tbs
|-style="vertical-align:top; "
|Strafrechtelijke justitiële contacten: overig
|12
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Strafrechtelijke justitiële contacten: overig
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.14.4] 
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release summer 2016 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 01:09:04 
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FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN) - Bewerkingsoverzicht

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