BarthelADLIndex-v3.1(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:51

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.BarthelADLIndex
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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Metadata

DCM::CoderList	Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate	2-2-2013
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.4.2
DCM::KeywordList	score, index, ADL, afhankelijkheid, barthel
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.BarthelIndex
DCM::PublicationDate	26-02-2019
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Superseeds	nl.zorg.BarthelIndex-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013) -

Publicatieversie 1.1 (01-07-2013) -

Publicatieversie 1.2 (01-04-2015)

ZIB-166	Codelijsten uit de bouwsteen OverdrachtBarthelIndex codes en value op elkaar afstemmen.
ZIB-168	OverdrachtBartelIndex: Onafhankelijk moet zijn Afhankelijk
ZIB-208	In de klinische bouwsteen OverdrachtBarthelIndex komt de naamgeving van de tagged value DCM::ValueSet TrappenLopenCodelijst niet overeen met de naam van de valueset.
ZIB-209	In de klinische bouwsteen OverdrachtBarthelIndex komt de naamgeving van de tagged value DCM::ValueSet BadenDoucheCodelijst niet overeen met de naam van de valueset.
ZIB-210	In klinische bouwsteen OverdrachtBarthelIndex de waarde van DCM::Name aanpassen van OverdrachtBarthelIndex naar nl.nfu.OverdrachtBarthelIndex.
ZIB-211	Voor waardelijsten met codes uit codesystem NL-CM-CS in klinische bouwsteen nl.nfu.OverdrachtBarthelIndex eigen codesystems aangemaakt, incl. OID.
ZIB-212	Naamgeving concept BadenDouche aangepat naar BadenDouchen.
ZIB-308	Prefix Overdracht weggehaald bij de generieke bouwstenen

Incl. algemene wijzigingsverzoeken:

ZIB-94	Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154	Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200	Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201	Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309	EOI aangepast
ZIB-324	Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326	Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.2.1 (22-05-2015)

ZIB-375

Inconsistent gebruik van naamgeving Transfer(s)Codelijst.

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564

Aanpassing/harmonisatie Engelse conceptnamen

.

Concept

The Barthel ADL index is a validated scale used to measure and track patients’ activities of daily living (ADL) and indirectly, the extent to which they are dependent on help.
The list comprises 10 variables: bowels, bladder, grooming, toilet use, feeding, transfers (from chair to bed and vice versa), mobility, dressing, climbing stairs and bathing, which are all given a score.
The total score is the sum of the scores of the 10 variables.

Purpose

Gaining insight into the dependence on healthcare for carrying out general daily activities by means of a validated score. This is done in order to adjust the care to meet the needs of the patient if necessary.

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:4.2.1

BarthelADLIndex

Root concept of the BarthelADLIndex information model. This root concept contains all data elements of the BarthelADLIndex information model.

273302005 Barthel index

NL-CM:4.2.4

Bowels

1

The bowel function describes the extent of fecal incontinence.

The measurement takes the condition as measured in the preceding week. In this scale, the following interpretations are used:

Incontinent: incontinent or enema required.
Accident: max. 1 accident per week.
Continent: continent for the entire week.

BowelsCodelist

NL-CM:4.2.3

Bladder

1

The bladder function describes the extent of urinary incontinence.

The measurement takes the condition as measured in the preceding week. In this scale, the following interpretations are used:

Incontinent: incontinent or catheter required.
Accident: max. 1 accident per 24 hours.
Continent: continent for the entire week or patients who can attend to their own catheter.

BladderCodelist

NL-CM:4.2.5

Grooming

1

Grooming indicates the extent to which a patient is capable of maintaining their hygiene and appearance. This refers to personal hygiene such as brushing teeth, brushing hair, shaving and washing.

The measurement takes the condition as measured in the preceding 24-48 hours. In this scale, the following interpretations are used:

Dependent: not capable of grooming independently.
Independent: capable of brushing teeth, brushing hair, shaving and washing independently.

GroomingCodelist

NL-CM:4.2.6

ToiletUse

1

Toilet use indicates the extent to which a patient is capable of using the toilet independently.

In this scale, the following interpretations are used:

Dependent: dependent.
Help: needs some help but can do certain things themselves, like wiping.
Independent: capable of using the toilet, sufficiently undressing, cleaning, getting dressed and leaving.

ToiletUseCodelist

NL-CM:4.2.7

Feeding

1

Feeding indicates the extent to which a patient is capable of eating independently.

In this scale, the following interpretations are used:

Not independent: not capable of eating independently.
Help: food is puréed; patient does feed themselves, but needs help cutting food, spreading butter, et cetera.
Independent: capable of eating normal food (including hard food). The food can be cooked and served by others, but is not to be puréed.

FeedingCodelist

NL-CM:4.2.8

Transfers

1

Transfers indicates the extent to which a patient is capable of independently getting from a chair to the bed and vice versa.

In this scale, the following interpretations are used:

Not independent: not capable of sitting up; the use of a patient hoist is required.
Major help: help from a strong, trained individual or 2 regular individuals, but the patient can sit up by themselves.
Minor help: a person to supervise or provide some help, either verbally or physically.
Independent: does not need help.

TransfersCodelist

NL-CM:4.2.9

Mobility

1

Mobility indicates the extent to which a patient is capable of moving independently.

In this scale, the following interpretations are used:

Dependent: cannot move themselves.
Independent with wheelchair: uses a wheelchair, with the ability to go around corners or open doors without help.
Assisted walking: help from one person, for example verbally or physically.
Independent: can move within the home or department; aids may be used.

MobilityCodelist

NL-CM:4.2.10

Dressing

1

Dressing indicates the extent to which a patient is capable of dressing and undressing themselves independently.

In this scale, the following interpretations are used:

Dependent: dependent.
Help: needs help but can do about half themselves, such as only needing help with buttons and/or zippers.
Independent: capable of selecting and putting on clothes.

DressingCodelist

NL-CM:4.2.11

ManagingStairs

1

Managing stairs indicates the extent to which a patient is capable of going up and down stairs independently.

In this scale, the following interpretations are used:

Dependent: not capable of going up and down stairs.
Help: needs help, for example verbally, physically or in the form of an aid.
Independent: capable of going up and down stairs independently, and if necessary can carry their own aid.

ClimbingstairsCodelist

NL-CM:4.2.12

Bathing

1

Bathing indicates the extent to which a patient is capable of independently taking a bath or shower.

In this scale, the following interpretations are used:

Dependent: not capable of bathing independently.
Independent: capable of getting in and out of the bath or shower and bathing without help or supervision.

BathingCodelist

NL-CM:4.2.2

TotalScore

1

The Barthel ADL index is the sum of the scores of the individual variables.

The interpretation of this total score is 0-9 for serious dependence, 10-19 for slight dependence and 20 for independence. Twenty is the maximum score.

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

BarthelIndex
Blaas	1
Darm	2
UiterlijkeVerzorging	1
Toiletgebruik	2
Eten	2
Transfers	1
Mobiliteit	1
AanUitkleden	1
TrappenLopen	2
BadenDouchen	1

TotaalScore	14

References

1. Barthel Index [Online] Beschikbaar op: http://www.zorginformatiemodel.nl/1_documentatie/Doc_Obs_Barthel_Index_R01_V1_3.pdf [Geraadpleegd: 23 februari 2015].

2. Barthel Index [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 18 februari 2013].

3. GOOSSEN, W.T.F. et al. (2004) Specificaties CVA keteninformatiesysteem. Versie 1.1. Leidschendam, Nictiz.

4. HAAN DE, R. et al. (1993) Klinimetrische evaluatie van de Barthel-index, een maat voor beperkingen in het dagelijks functioneren. Nederlands Tijdschrift voor Geneeskunde. 37 (18), p. 917-921.

5. MAHONY, F.I. et al. (1965) Functional Evaluation: The Barthel Index. Maryland State Medical Journal. 1965 (14), p .61-65.

6. PEPPEN VAN, R.P.S. et al. (2004) Richtlijn Beroerte. Amersfoort, Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF).

Valuesets

BathingCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.10	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Afhankelijk	BATH0	0	BarthelBadenDouchen	2.16.840.1.113883.2.4.3.11.60.40.4.1.10	Afhankelijk
Onafhankelijk	BATH1	1	BarthelBadenDouchen	2.16.840.1.113883.2.4.3.11.60.40.4.1.10	Onafhankelijk

BladderCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.2	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Incontinent	URIN0	0	BarthelBlaas	2.16.840.1.113883.2.4.3.11.60.40.4.1.2	Incontinent of katheter
Ongelukje	URIN1	1	BarthelBlaas	2.16.840.1.113883.2.4.3.11.60.40.4.1.2	Af en toe een ongelukje (max. 1 keer per 24 uur)
Continent	URIN2	2	BarthelBlaas	2.16.840.1.113883.2.4.3.11.60.40.4.1.2	Continent (gedurende meer dan 7 dagen)

BowelsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.1	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Incontinent	FECAL0	0	BarthelDarm	2.16.840.1.113883.2.4.3.11.60.40.4.1.1	Incontinent
Ongelukje	FECAL1	1	BarthelDarm	2.16.840.1.113883.2.4.3.11.60.40.4.1.1	Af en toe een ongelukje
Continent	FECAL2	2	BarthelDarm	2.16.840.1.113883.2.4.3.11.60.40.4.1.1	Continent

ClimbingstairsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.9	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Afhankelijk	CLIMB0	0	BarthelTrappenLopen	2.16.840.1.113883.2.4.3.11.60.40.4.1.9	Niet in staat
Hulp	CLIMB1	1	BarthelTrappenLopen	2.16.840.1.113883.2.4.3.11.60.40.4.1.9	Heeft hulp nodig (woorden, lichamelijk of hulpmiddel)
Onafhankelijk	CLIMB2	2	BarthelTrappenLopen	2.16.840.1.113883.2.4.3.11.60.40.4.1.9	Onafhankelijk naar boven en naar beneden

DressingCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.8	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Afhankelijk	DRESS0	0	BarthelAanUitkleden	2.16.840.1.113883.2.4.3.11.60.40.4.1.8	Afhankelijk
Hulp	DRESS1	1	BarthelAanUitkleden	2.16.840.1.113883.2.4.3.11.60.40.4.1.8	Heeft hulp nodig maar kan ongeveer de helft zelf
Onafhankelijk	DRESS2	2	BarthelAanUitkleden	2.16.840.1.113883.2.4.3.11.60.40.4.1.8	Onafhankelijk

FeedingCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.5	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Niet zelfstandig	FEED0	0	BarthelEten	2.16.840.1.113883.2.4.3.11.60.40.4.1.5	Niet in staat (niet zelfstandig)
Hulp	FEED1	1	BarthelEten	2.16.840.1.113883.2.4.3.11.60.40.4.1.5	Heeft hulp nodig bij snijden, smeren van boter, enz.
Onafhankelijk	FEED2	2	BarthelEten	2.16.840.1.113883.2.4.3.11.60.40.4.1.5	Onafhankelijk

GroomingCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.3	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Hulp	GROOM0	0	BarthelUiterlijkeVerzorging	2.16.840.1.113883.2.4.3.11.60.40.4.1.3	Heeft hulp nodig
Onafhankelijk	GROOM1	1	BarthelUiterlijkeVerzorging	2.16.840.1.113883.2.4.3.11.60.40.4.1.3	Onafhankelijk (gezicht, haar, tanden, scheren)

MobilityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.7	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Afhankelijk	MOBIL0	0	BarthelMobiliteit	2.16.840.1.113883.2.4.3.11.60.40.4.1.7	Kan zich niet verplaatsen
Onafhankelijk met rolstoel	MOBIL1	1	BarthelMobiliteit	2.16.840.1.113883.2.4.3.11.60.40.4.1.7	Onafhankelijk, maar maakt gebruik van rolstoel, incl. het zonder hulp nemen van hoeken en deuren.
Loopt met hulp	MOBIL2	2	BarthelMobiliteit	2.16.840.1.113883.2.4.3.11.60.40.4.1.7	Loopt met hulp van 1 persoon (hulp van woorden of lichamelijk)
Onafhankelijk	MOBIL3	3	BarthelMobiliteit	2.16.840.1.113883.2.4.3.11.60.40.4.1.7	Onafhankelijk

ToiletUseCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.4	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Afhankelijk	TOIL0	0	BarthelToiletgebruik	2.16.840.1.113883.2.4.3.11.60.40.4.1.4	Afhankelijk
Hulp	TOIL1	1	BarthelToiletgebruik	2.16.840.1.113883.2.4.3.11.60.40.4.1.4	Heeft enige hulp nodig maar kan sommige dingen zelf
Onafhankelijk	TOIL2	2	BarthelToiletgebruik	2.16.840.1.113883.2.4.3.11.60.40.4.1.4	Onafhankelijk (op en af, uit- en aankleden, afvegen)

TransfersCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.6	Binding: Extensible

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Niet zelfstandig	TRANS0	0	BarthelTransfer	2.16.840.1.113883.2.4.3.11.60.40.4.1.6	Niet in staat (niet zelfstandig)
Veel hulp	TRANS1	1	BarthelTransfer	2.16.840.1.113883.2.4.3.11.60.40.4.1.6	Veel hulp (1-2 mensen lichamelijk)
Weinig hulp	TRANS2	2	BarthelTransfer	2.16.840.1.113883.2.4.3.11.60.40.4.1.6	Weinig hulp (met hulp van woorden of lichamelijk)
Onafhankelijk	TRANS3	3	BarthelTransfer	2.16.840.1.113883.2.4.3.11.60.40.4.1.6	Onafhankelijk

This information model in other releases

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:

HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:28:17 with ZibExtraction v. 3.0.7010.25883

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2018''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 01-10-2018
+Release date<!--hdPublicationDate-->: 26-02-2019
 -----
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@@ Regel 47: / Regel 47: @@
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@@ Regel 159: / Regel 159: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:BarthelADLIndex-v3.1Model(EN).png | center
+<imagemap> Bestand:BarthelADLIndex-v3.1Model(2018EN).png | center
-rect 153 438 314 488 [[#FeedingCodelist]]
+rect 163 446 324 496 [[#FeedingCodelist]]
-rect 153 352 314 402 [[#ToiletUseCodelist]]
+rect 163 360 324 410 [[#ToiletUseCodelist]]
-rect 153 260 323 310 [[#GroomingCodelist]]
+rect 163 268 333 318 [[#GroomingCodelist]]
-rect 153 72 314 122 [[#BowelsCodelist]]
+rect 163 80 324 130 [[#BowelsCodelist]]
-rect 153 167 314 217 [[#BladderCodelist]]
+rect 163 175 324 225 [[#BladderCodelist]]
-rect 869 438 1030 488 [[#BathingCodelist]]
+rect 879 446 1040 496 [[#BathingCodelist]]
-rect 869 353 1030 403 [[#ClimbingstairsCodelist]]
+rect 879 361 1040 411 [[#ClimbingstairsCodelist]]
-rect 869 259 1030 309 [[#DressingCodelist]]
+rect 879 267 1040 317 [[#DressingCodelist]]
-rect 869 166 1030 216 [[#MobilityCodelist]]
+rect 879 174 1040 224 [[#MobilityCodelist]]
-rect 869 71 1030 121 [[#TransfersCodelist]]
+rect 879 79 1040 129 [[#TransfersCodelist]]
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@@ Regel 849: / Regel 849: @@
 ====This information model refers to<!--ftRefersTo-->====
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-====This inforation model is used in<!--ftReferredBy-->====
+====This information model is used in<!--ftReferredBy-->====
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 ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
@@ Regel 855: / Regel 855: @@
 Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<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=2.16.840.1.113883.2.4.3.11.60.8.4.2.4.2&effectiveDate=2018-10-01T00:00:00&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<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.4.2&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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@@ Regel 861: / Regel 861: @@
 This information model is also available as [[Media:nl.zorg.BarthelADLIndex-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.BarthelADLIndex-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 868: / Regel 868: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 01/11/2018 17:34:12 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+This page is generated on 12/03/2019 17:28:17 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <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>

BarthelADLIndex-v3.1(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:51

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Metadata

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Concept

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Information Model

Example Instances

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