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Applying a further grouped

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to the above describes a procedure to replace a left hip by inserting a prosthesis. Note that this example mixes an ungrouped qualification and a grouped qualification. Where this is done, the the

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 of the expression includes all ungrouped attributes before the grouped ones (see  Terminology Services Guide for more details). Please also note that in the previous version of this standard a comma was not permitted between the last ungrouped attribute and the first attribute group – however this comma is now optional to avoid unexpected syntax errors.

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