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Pijnscore-v3.1(2018EN) - Bewerkingsoverzicht
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|1|Pijnscore-v3.1(2018EN)}}<br />
<!-- Tot hier de transclude page --><br />
==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.Pijnscore''' [[Bestand:NL.png|link=Pijnscore-v3.1(2018NL)]]<BR><br />
Version<!--hdVersion-->: '''3.1''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2018''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 01-10-2018<br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||29-11-2012<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.9<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||pijn, pijnscore, vas, nrs, vitale parameters<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.Pijnscore<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||01-10-2018<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||31-12-2017<br />
|- <br />
|style="width:250px; "|DCM::Superseeds||nl.zorg.Pijnscore-v3.0<br />
|- <br />
|style="width:250px; "|DCM::Version||3.1<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (15-02-2013)<br />
<br />
<u>Publicatieversie 1.1</u> (01-07-2013)<br />
<br />
<u>Publicatieversie 1.2</u> (01-04-2015)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-114 | ZIB-114 ]]<br />
|Aanpassing GOG bouwsteen OverdrachtPijnScore; aanscherpen definities, toevoegen meetmethode, aanpassen naam rootconcept naar pijnscore, en concept pijnscore naar pijnscorewaarde.<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-263 | ZIB-263 ]]<br />
|Het concept Pijnscore bevat een constraint welke op een andere manier is toegevoegd als dat bij andere concepten het geval is, dit is gelijk getrokken.<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]<br />
|Prefix Overdracht weggehaald bij de generieke bouwstenen<br />
|}<br />
<br />
Incl. algemene wijzigingsverzoeken: <br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]<br />
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]<br />
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]<br />
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]<br />
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]<br />
|EOI aangepast <br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]<br />
|Codelijsten Name en Description beginnen met een Hoofdletter<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]<br />
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015<br />
|}<br />
<br />
<u>Publicatieversie 1.2.1</u> (22-05-2015)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-371 | ZIB-371 ]]<br />
|Concepten PijnMeetmethode en Toelichting uit nl.nfu.Pijnscore-v1.2 hebben hetzelfde ID.<br />
|}<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]<br />
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br />
|}<br />
<br />
<u>Publicatieversie 3.1</u> (04-09-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-564 | ZIB-564 ]]<br />
|Aanpassing/harmonisatie Engelse conceptnamen<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-524 | ZIB-524 ]]<br />
|Toevoegen Anatomische Locatie en PijnContext teneinde de bouwsteen Pijnbeleving te laten vervallen<br />
|}<br />
</div><br />
<br />
==Concept==<br />
The pain score is a general measurement for pain experience, not a description of specific, localized pain.<BR><br />
<BR><br />
The following are used as an easily reproducible measurement for pain experience:<BR><br />
<ol><br />
<li>NRS (Numeric Rating Scale) in which the patient gives the pain a number on a scale of 1 (no pain) to 10 (unbearable pain). </li><br />
<li>VAS (Visual Analogue Score), in which the patient points to a bar with a line to indicate the pain they feel. The back of the bar has a scale from 0 (no pain) to 10 (unbearable pain) on it. </li><br />
</ol><br />
<BR><br />
The results of both scores have the same meaning, but the visual analogue method (VAS) is seen as more reliable than the NRS pain score.<br />
<br />
==Purpose==<br />
The purpose of the pain score is to quantify and objectify the patient’s subjective pain experience.<br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:Pijnscore-v3.1Model(2018EN).png | center <br />
rect 442 214 556 284 [[#13001]]<br />
rect 442 335 604 405 [[#12996]]<br />
rect 442 106 594 156 [[#PijnLateraliteitCodelijst]]<br />
rect 442 506 636 556 [[#PijnAnatomischeLocatieCodelijst]]<br />
rect 227 506 381 556 [[#PijnMeetmethodeCodelijst]]<br />
rect 243 378 367 448 [[#13002]]<br />
rect 69 336 194 406 [[#13004]]<br />
rect 246 106 362 221 [[#13000]]<br />
rect 69 215 194 285 [[#12997]]<br />
rect 253 272 355 342 [[#13003]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:12.9.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=13003 Title="EN: PainScore">[[Bestand: arrowdown.png | 10px | link=]]PijnScore</span><br />
|<br />
|Root concept of the PainScore information model. This root concept contains all data elements of the PainScore information model.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]<br />
||NL-CM:12.9.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=13000 Title="EN: PainScoreValue">[[Bestand: arrowright.png | 10px | link=]]PijnscoreWaarde</span><br />
|1<br />
|The score is a general measurement of pain experience, not a description of specific, localized pain. <br />
<br />
Depending on the measuring method used, it indicates the level of pain experienced by the patient on a scale of 0 to 10: 0 = no pain and 10 = the worst pain imaginable. No descriptions are used for the intermediate values, so that the value is displayed as a number and not as a code. <br />
<br />
Sometimes a value range of 0-100 is used instead of 0-10. <br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Pijnscore" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225908003 225908003] Pain score</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:12.9.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=12997 Title="EN: PainScoreDateTime">[[Bestand: arrowright.png | 10px | link=]]PijnscoreDatumTijd</span><br />
|1<br />
|The date and time at which the pain score was measured.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:12.9.4<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=13002 Title="EN: PainMeasuringMethod">[[Bestand: arrowright.png | 10px | link=]]PijnMeetmethode</span><br />
|1<br />
|The measuring method describes the method used to determine the pain score. The measurement involves a visualization of the pain scale. <br />
|<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#PijnMeetmethodeCodelijst]]||[[#PijnMeetmethodeCodelijst|PijnMeetmethodeCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:12.9.6<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=12996 Title="EN: AnatomicalLocation">[[Bestand: arrowright.png | 10px | link=]]AnatomischeLocatie</span><br />
|0..1<br />
|Anatomical location which is the focus of the procedure.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#PijnAnatomischeLocatieCodelijst]]||[[#PijnAnatomischeLocatieCodelijst|PijnAnatomischeLocatieCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:12.9.7<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=13001 Title="EN: Laterality">[[Bestand: arrowright.png | 10px | link=]]Lateraliteit</span><br />
|0..1<br />
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Lateraliteit" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#PijnLateraliteitCodelijst]]||[[#PijnLateraliteitCodelijst|PijnLateraliteitCodelijst]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:12.9.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=13004 Title="EN: Comment">[[Bestand: arrowright.png | 10px | link=]]Toelichting</span><br />
|0..1<br />
|Comment on the pain score measurement, including comments on for example the circumstances and/or disruptive factors that may influence the result.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="655px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
| style="background-color: #1F497D; width: 22%; "|<font color=#FFFFFF><b>PijnscoreDatum</b></font><font color=#FFFFFF><b> </b></font><font color=#FFFFFF><b>Tijd</b></font><br />
| style="background-color: #1F497D; width: 14%; "|<font color=#FFFFFF><b>PijnscoreWaarde</b></font><br />
| style="background-color: #1F497D; width: 14%; "|<font color=#FFFFFF><b>PijnMeetmethode</b></font><br />
| style="background-color: #1F497D; width: 17%; "|<font color=#FFFFFF><b>AnatomischeLocatie</b></font><br />
| style="background-color: #1F497D; width: 16%; "|<font color=#FFFFFF><b>Lateraliteit</b></font><br />
| style="background-color: #1F497D; width: 17%; "|<font color=#FFFFFF><b>Toelichting</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 22%; "|08-02-2013 6:43<br />
| style="width: 14%; "|7<br />
| style="width: 14%; "|VAS10<br />
| style="width: 17%; "|Enkel<br />
| style="width: 16%; "|Rechts<br />
| style="width: 17%; "|Bij bewegen<br />
|}<br />
<br />
==References==<br />
1. openEHR-EHR-OBSERVATION.symptom-pain.v1[Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 23 december 2014].<br />
<br />
== Valuesets ==<br />
=== PijnAnatomischeLocatieCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.2<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|-style="vertical-align:top; "<br />
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki><br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|}<br />
=== PijnLateraliteitCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.3<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Links">Left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Links<br />
|-style="vertical-align:top; "<br />
|<span title = "Rechts">Right</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts<br />
|-style="vertical-align:top; "<br />
|<span title = "Bilateraal">Right and left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts en links<br />
|}<br />
=== PijnMeetmethodeCodelijst===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.9.1<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|NRS<br />
|NRS<br />
|PijnMeetmethode<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1<br />
|NRS<br />
|-style="vertical-align:top; "<br />
|VAS10<br />
|VAS10<br />
|PijnMeetmethode<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1<br />
|VAS10<br />
|-style="vertical-align:top; "<br />
|VAS100<br />
|VAS100<br />
|PijnMeetmethode<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.9.1<br />
|VAS100<br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.9(EN)|2|2018}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
:--<br />
====This information model is used in<!--ftReferredBy-->====<br />
:--<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.12.9&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.Pijnscore-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Pijnscore-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)</li><br />
<li>LOINC version 2.64</li><br />
</ul><br />
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR><br />
This page is generated on 23/12/2018 00:48:40 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR><br />
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