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Page At A Glance
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Introduction
The Ministry of Health works with health and disability agencies and their industry partners to develop SNOMED CT® reference sets, maps, language reference sets and other content for digital health solutions in New Zealand.
The SNOMED CT New Zealand Extension - SNOMED NZ Extension, for short - packages these components for release every April and October, to be used with the latest SNOMED CT International Edition release.
The same content can be viewed online using the SNOMED CT browser and it is also available via standard terminology servers Terminz and Snochillies. Implementers also have the choice of can be easily deployed via the free, open source SNOMED CT terminology server Snowstorm from SNOMED International.
We welcome your feedback and participation. For more information about SNOMED CT implementation in New Zealand, see our website or join our SNOMED NZ Open Forum Hui Tuwhera on Yammer.
Background
This document provides a summarized description of the content changes included in the April October 2020 production release of the SNOMED NZ Extension package.
It will also include technical notes detailing any known issues which have been identified. These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.
This SNOMED NZ Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT March 2020 International July 2020 International Edition release dated 9 March 2020.
Content development activity
Summary
Content from the SNOMED CT March 2020 International July 2020 International Edition release has been incremented, using additional components for use in New Zealand.
The April 2020 release includes updates to the previously released content in the SNOMED NZ Extension beta release.
New and updatedNew and updated content
Concept statistics
The SNOMED NZ National Release Centre promoted 49 promoted 23 new concepts and these are available in the SNOMED CT March July 2020 International Edition release.
Table 1. New concepts in the SNOMED International March July 2020 release by hierarchy
Total number of concepts | 49 23 | |
Clinical finding (finding) | 5 1 | |
Procedure Disease (proceduredisorder) | 7 3 | |
Social context Environment (social conceptenvironment) | 1 | 10 |
Occupation (occupationSituation with explicit context (situation) | 9 | 2 |
Procedure (procedure) | 3 | |
| Qualifier value (qualifier value) | 3 | |
Situation with explicit context (situation) | 27 1 |
Refer Refer to Appendix 1, Table 1.1 to view the 49 the 23 new concepts.
There are 53 33 new concepts in this release.
Table 2. New concepts in the SNOMED NZ Extension April Extension October 2020 release by hierarchy
Total number of concepts | 53 33 | ||
Assessment scales (assessment scale) | 7 2 | ||
Clinical finding Occupation (findingoccupation) | 1 3 | ||
Procedure (procedure) | 2 | Observable entity (observable entity) | 1 9 |
Qualifier value (qualifier value) | 6 7 | ||
SNOMED CT Model Component (metadata) | 34 2 | ||
Situation with explicit context (situation) | 2 10 |
Refer to Appendix 1, Table 2.1 to view the 53 33 new concepts.
Description statistics
The SNOMED NZ NRC promoted 12 2 new descriptions to SNOMED International. These are available in the SNOMED International Edition March July 2020 release.
Table 3. New descriptions in the SNOMED International March International July 2020 release
SNOMED CT Concept ID (SCTID) | SNOMED CT Fully Specified Name (FSN) | New Description | ||
276875006 | Vulval intraepithelial neoplasia grade 3 | 90361000119105 | Behavioral insomnia of childhood (disorder) | Behavioral sleep problems |
426284001 | Chemical burn (disorder) | Caustic burn | ||
429211000124107 | Fetus affected by placental transfer of anticonvulsant (disorder) | Fetal anticonvulsant syndrome | ||
66622006 | Hypertrophy of both palatine AND pharyngeal tonsils (disorder) | Adenotonsillar hypertrophy | ||
15218003 | Intelligence test/Wechsler Intelligence Scale for Children (procedure) | WISC-Wechsler Intelligence Scale for children assessment | ||
425810000 | Mass of pancreas (finding) | Pancreatic mass | ||
310063007 | Obstretics service (qualifier value) | Maternity service | ||
277843001 | Problem behavior (finding) | Behavioural concern | ||
254588001 | Polyp of intestine (disorder) | Bowel polyp | ||
197433003 | Polyp of gallbladder (disorder) | Gallbladder polyp | ||
425988004 | Sensory integration disorder (disorder) | Sensory processing disorder | ||
231543005 | Speech and language disorder (disorder) | Speech, language, communication disorder |
Reference sets
There are 23 reference sets in the April 2020 release.
For more information about New Zealand reference sets, please visit our website.
The New Zealand reference set list is available in Appendix 1, table 3.1.
Language reference sets
Language reference sets are created to define preferred terms and synonyms associated with each concept. There are three language reference sets in the April 2020 release.
Language Reference Set Name
SNOMED CT Concept ID (SCTID)
Members
Maori [International Organization for Standardization 639-1 code mi] language reference set (foundation metadata concept)
291000210106
0
New Zealand English language reference set (foundation metadata concept)
271000210107
1155061
New Zealand English patient friendly terms language reference set (foundation metadata concept)
281000210109
157
Maps
Five maps between SNOMED CT and other code systems are contained in the April 2020 release.
Map Name
SNOMED CT Concept ID (SCTID)
Members
ACC translation table map (foundation metadata concept)
401000210101
12795
MSD translation table map (foundation metadata concept)
411000210104
58134
NZMT medicinal product to SNOMED CT map (foundation metadata concept)
311000210107
2125
READ v2 to SNOMED CT map (foundation metadata concept)
31000210106
88273
SNOMED CT to READ v2 map (foundation metadata concept)
41000210103
66966
Vulval HSIL (high grade squamous intraepithelial lesion) | ||
788587000 | Assessment using Griffith Mental Development Scale (procedure) | Griffith assessment |
There are 3 new descriptions in this release.
Table 4 New descriptions in the SNOMED NZ Extension October 2020 release
| SNOMED CT Concept ID (SCTID) | SNOMED CT Fully Specified Name (FSN) | New description |
|---|---|---|
| 282752000 | Injury of eye region (disorder) | Eye injury |
| 39346000 | Excision of lesion of conjunctiva (procedure) | Conjunctival excision |
| 440149009 | Infiltration of episcleral space using local anesthetic (procedure) | Sub tenon injection |
Reference sets
There are 25 reference sets in the October 2020 release.
For more information about New Zealand reference sets, please visit our website.
The New Zealand reference set list is available in Appendix 1, table 3.1.
Language reference sets
Language reference sets are created to define preferred terms and synonyms associated with each concept. There are three language reference sets in the October 2020 release.
Language Reference Set Name | SNOMED CT Concept ID (SCTID) | Members |
Maori [International Organization for Standardization 639-1 code mi] language reference set (foundation metadata concept) | 291000210106 | 155 |
New Zealand English language reference set (foundation metadata concept) | 271000210107 | 1155061 |
New Zealand English patient friendly terms language reference set (foundation metadata concept) | 281000210109 | 157 |
Maps
Five maps between SNOMED CT and other code systems are contained in the October 2020 release.
Map Name | SNOMED CT Concept ID (SCTID) | Members |
ACC translation table map (foundation metadata concept) | 401000210101 | 12795 |
MSD translation table map (foundation metadata concept) | 411000210104 | 58134 |
NZMT medicinal product to SNOMED CT map (foundation metadata concept) | 311000210107 | 2125 |
READ v2 to SNOMED CT map (foundation metadata concept) | 31000210106 | 88273 |
SNOMED CT to READ v2 map (foundation metadata concept) | 41000210103 | 66966 |
Technical notes
Known Issues
Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented. This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.
The following known issues were identified, and agreed to be resolved in the next editing cycle:
Jira server IHTSDO JIRA columns key,summary,description,priority maximumIssues 200 jqlQuery filter = "MS (NZ) 20201001 - Known Issues (On Hold)" serverId b202d822-d767-33be-b234-fec5accd5d8c
Technical notes
No additional technical notes for this release.
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Appendix 1
Table 1.1. New concepts in SNOMED CT International Edition July 2020 release
SNOMED CT Concept ID (SCTID) | SNOMED CT Fully Specified Name (FSN) | Semantic Tag |
|---|---|---|
860603002 | Episiotomy wound (disorder) | Disorder |
| 846680003 | Functional hypogonadotropic hypogonadism (disorder) | Disorder |
| 846604005 | Osteomyelitis of sternum (disorder) | Disorder |
| 846608008 | Chiropractic clinic (environment) | Environment |
| 846609000 | Community pharmacy (environment) | Environment |
| 846610005 | Community occupational therapy clinic (environment) | Environment |
| 846611009 | Community dental clinic (environment) | Environment |
| 846614001 | Community family planning clinic (environment) | Environment |
| 846613007 | Community physiotherapy (environment) | Environment |
| 846664008 | Community radiology (environment) | Environment |
| 846665009 | Community chiropractic clinic (environment) | Environment |
| 846612002 | Osteopathy clinic (environment) | Environment |
| 846666005 | Prison health center (environment) | Environment |
860691008 | Uses drug-eluting contraceptive implant (finding) | Finding |
| 840583002 | Allied health assistant (occupation) | Occupation |
| 840584008 | Allied health student (occupation) | Occupation |
| 846662007 | Education about administration of insulin using insulin pump (procedure) | Procedure |
| 860788002 | Ocrelizumab therapy (procedure) | Procedure |
| 860602007 | Postpartum excision of uterus (procedure) | Procedure |
| 860646004 | History of postpartum excision of uterus (situation) | Situation |
840587001 | Aerospace medical service (qualifier value) | Qualifier value |
840586005 | Neonatal service (qualifier value) | Qualifier value |
840585009 | Postnatal service (qualifier value) | Qualifier value |
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Table 2.1. New concepts in the SNOMED NZ Extension October 2020 release
SNOMED CT Concept ID (SCTID) | SNOMED CT Fully Specified Name (FSN) | Semantic tag |
|---|---|---|
54391000210109 | PREDICT cardiovascular disease version 2018 primary prevention equations (assessment scale) | Assessment scale |
54401000210107 | PREDICT cardiovascular disease version 2019 primary prevention equations (assessment scale) | Assessment scale |
| 50931000210104 | New Zealand nephrology |
Technical notes
Known Issues
Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented. This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.
The following known issues were identified, and agreed to be resolved in the next editing cycle:
| Jira | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
|
Technical notes
No additional technical notes for this release.
Appendix 1
Table 1.1. New concepts in SNOMED CT International Edition March 2020 release
SNOMED CT Concept ID
(SCTID)
SNOMED CT Fully Specified Name (FSN)
Semantic Tag
788120007
Antenatal depression (disorder)
Disorder
817966005
Cystic fibrosis with DIOS - Distal Intestinal Obstructive Syndrome (disorder)
Disorder
816969006
Inefficient uterine action with oxytocin augmentation (disorder)
Disorder
816967008
Fetal distress due to augmentation of labor with oxytocin (disorder)
Disorder
789494008
central sensitization (finding)
Finding
788339009
Genetic consultation (Procedure)
Procedure
788587000
Assessment using Griffith Mental Development Scales (procedure)
Procedure
715911009
Assessment using Bayley Scales of Infant Development (procedure)
Procedure
816029007
Corneal collagen cross linking (procedure)
Procedure
792900002
Assessment for breast reconstruction (procedure)
Procedure
789789009
Traditional maori medicine (regime/therapy)
Regime/therapy
816968003
Labor and birth support (regime/therapy)
Regime/therapy
789543004
Sonographer (occupation)
Occupation
789544005
History of peripheral ischaemia (situation)
Situation
789475003
History of aneurysm of artery of trunk (situation)
Situation
789474004
History of aneurysm of peripheral artery (situation)
Situation
789064006
History of pain at rest due to peripheral vascular disease (situation)
Situation
789377005
Fetal exposure to antiepileptic drug (situation)
Situation
789642001
History of carotid artery stenosis (situation)
Situation
789775004
History of influenza (situation)
Situation
789776003
History of placental abruption (situation)
Situation
816150000
History of shoulder dystocia (situation)
Situation
788125002
Addiction service (qualifier value)
Qualifier value
788002001
Adult mental health service (qualifier value)
Qualifier value
789718008
Cardiology service (qualifier value)
Qualifier value
788127005
Child health service (qualifier value)
Qualifier value
788004000
Clinical genetics service (qualifier value)
Qualifier value
788121006
Clinical immunology and allergy service (qualifier value)
Qualifier value
788128000
Critical care medicine service (qualifier value)
Qualifier value
792847005
Emergency ambulance service (qualifier value)
Qualifier value
788007007
General practice service (qualifier value)
Qualifier value
788006003
Genetic laboratory service (qualifier value)
Qualifier value
788124003
Histopathology service (qualifier value)
Qualifier value
788001008
Infectious diseases service (qualifier service)
Qualifier value
792848000
Internal medicine service (qualifier value)
Qualifier value
788005004
Neurology service (qualifier value)
Qualifier value
788003006
Nephrology service (qualifier value)
Qualifier value
788009005
Nuclear medicine service (qualifier value)
Qualifier value
788008002
Oral and maxillofacial surgery service (qualifier service)
Qualifier value
789717003
Pediatric cardiology service (qualifier value)
Qualifier value
792849008
Pediatric clinical genetics service (qualifier value)
Qualifier value
789716007
Pediatric ear, nose and throat service (qualifier value)
Qualifier value
789715006
Pediatric respiratory therapy service (qualifier value)
Qualifier value
789714005
Pediatric rheumatology service (qualifier value)
Qualifier value
816075004
Prosthetics and orthotics service (qualifier value)
Qualifier value
788126001
Prosthetics service (qualifier service)
Qualifier value
788123009
Radiation oncology service (qualifier value)
Qualifier value
816074000
Respiratory medicine service (qualifier value)
Qualifier value
788122004
Sexual health service (qualifier value)
Qualifier value
Table 2.1. New concepts in the SNOMED NZ Extension April 2020 release
SNOMED CT Concept ID
(SCTID)
SNOMED CT Fully Specified Name (FSN)
Semantic tag
50671000210108
New Zealand cardiovascular disease risk assessment primary prevention equations (assessment scales)
Assessment scale
50681000210105
PREDICT cardiovascular disease version 2018.2 primary prevention equation for women age 30 to 74 years (assessment scale)
Assessment scale
50741000210105
PREDICT cardiovascular disease version 2018.2 primary prevention equation for men age 30 to 74 years (assessment scale)
Assessment scale
50701000210107
PREDICT cardiovascular version 2018.1 primary prevention equation for women with diabetes age to 30 to 74 years (assessment scale)
Assessment scale
50711000210109
PREDICT cardiovascular disease version 2018.1 primary prevention equation for men with diabetes age 30 to 74 years (assessment scale)
Assessment scale
50721000210104
PREDICT cardiovascular disease version 2018.1 primary prevention equation for women age 30 to 74 years (assessment scale)
Assessment scale
50761000210106
PREDICT cardiovascular version 2018.1 primary prevention equation for men age 30 to 74 years (assessment scale)
Assessment scale
381000210101
Accident Compensation Corporation sensitive claim (disorder)
Disorder
50791000210101
Delivery of placenta following caesarean section (procedure)
Procedure
50491000210105
Gestational diabetes mellitus screening (procedure)
Procedure
401000210101
ACC translation table map (foundation metadata concept)
Foundation Metadata concept
291000210106
Maori [International Organization for Standardization 639-1 code mi] language reference set (foundation metadata concept)
Foundation Metadata concept
411000210104
MSD translation table map (foundation metadata concept)
Foundation Metadata concept
351000210106
New Zealand adverse reaction manifestation reference set (foundation metadata concept)
Foundation Metadata concept
421000210109
New Zealand ambulance clinical impression reference set (foundation metadata concept)
Foundation Metadata concept
91000210107
| reference set (foundation metadata concept) | Foundation Metadata |
| concept |
| 50941000210107 | New Zealand |
| ophthalmology reference set (foundation metadata concept) | Foundation Metadata concept |
241000210102
New Zealand child health assessment reference set (foundation metadata concept)
Foundation Metadata concept
471000210108
New Zealand clinical specialty reference set (foundation metadata concept)
Foundation Metadata concept
261000210101
New Zealand disability reference set (foundation metadata concept)
Foundation Metadata concept
61000210102
New Zealand emergency care diagnosis reference set (foundation metadata concept)
Foundation Metadata concept
71000210108
New Zealand emergency care presenting complaint reference set (foundation metadata concept)
Foundation Metadata concept
321000210102
New Zealand emergency care procedure reference set (foundation metadata concept)
Foundation Metadata concept
141000210106
New Zealand endocrinology reference set (foundation metadata concept)
Foundation Metadata concept
271000210107
New Zealand English language reference set (foundation metadata concept)
Foundation Metadata concept
281000210109
New Zealand English patient friendly terms language reference set (foundation metadata concept)
Foundation Metadata concept
181000210104
New Zealand general pediatric reference set (foundation metadata concept)
Foundation Metadata concept
131000210103
New Zealand general surgery reference set (foundation metadata concept)
Foundation Metadata concept
101000210108
New Zealand gynecology reference set (foundation metadata concept)
Foundation Metadata concept
451000210100
New Zealand health occupation reference set (foundation metadata concept)
Foundation Metadata concept
461000210102
New Zealand health service type reference set (foundation metadata concept)
Foundation Metadata concept
21000210109
New Zealand integrated care module (core metadata concept)
Foundation Metadata concept
501000210102
New Zealand laboratory order reference set (foundation metadata concept)
Foundation Metadata concept
11000210104
New Zealand maintained module (core metadata concept)
Foundation Metadata concept
391000210104
New Zealand microorganism reference set (foundation metadata concept)
Foundation Metadata concept
251000210104
New Zealand notifiable disease reference set (foundation metadata concept)
Foundation Metadata concept
121000210100
New Zealand rheumatology reference set (foundation metadata concept)
Foundation Metadata concept
50501000210100
New Zealand simple type reference Set (foundation metadata concept)
Foundation Metadata concept
481000210105
New Zealand site of care reference set (foundation metadata concept)
Foundation Metadata concept
51000210100
New Zealand smoking reference set (foundation metadata concept)
Foundation Metadata concept
441000210103
New Zealand surgical complication reference set (foundation metadata concept)
Foundation Metadata concept
311000210107
NZMT medicinal product to SNOMED CT map (foundation metadata concept)
Foundation Metadata concept
31000210106
READ v2 to SNOMED CT map (foundation metadata concept)
Foundation Metadata concept
41000210103
SNOMED CT to READ v2 map (foundation metadata concept)
Foundation Metadata concept
361000210109
Family history of cardiovascular disease in first degree relative less than 50 years of age (situation)
Situation
371000210103
No family history of cardiovascular disease in first degree relative less than 50 years of age (situation)
Situation
| 50921000210101 | Maori healthcare assistant (occupation) | Occupation |
| 50861000210103 | Maori healthcare professional (occupation) | Occupation |
| 50871000210109 | Vision and hearing technician (occupation) | Occupation |
50951000210105 | Antenatal subsequent blood tests (procedure) | Procedure |
| 50961000210108 | Antenatal first blood tests (procedure) | Procedure |
54341000210100 | Growth factor primary prophylaxis (procedure) | Procedure |
| 54331000210108 | Growth factor prophylaxis (procedure) | Procedure |
| 54351000210102 | Growth factor secondary prophylaxis (procedure) | Procedure |
| 51861000210106 | Injection of aflibercept (procedure) | Procedure |
| 51871000210100 | Injection of bevacizumab (procedure) | Procedure |
| 51851000210108 | Injection of ranibizumab (procedure) | Procedure |
| 50911000210106 | Referral to Maori health assistant (procedure) | Procedure |
| 54411000210109 | Antenatal service (qualifier value) | Qualifier value |
54451000210108 | Intellectual disability hospital level residential respite service (qualifier value) | Qualifier value |
54441000210105 | Intellectual disability residential care hospital level service (qualifier value) | Qualifier value |
54461000210106 | Intellectual disability residential care service (qualifier value) | Qualifier value |
54421000210104 | Maori health service (qualifier value) | Qualifier value |
| 50901000210109 | Once for one time (qualifier value) | Qualifier value |
| 54431000210102 | Pediatric hematology service (qualifier value) | Qualifier value |
50881000210106 | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 confirmed using clinical diagnostic criteria (situation) | Situation |
54361000210104 | Growth factor primary prophylaxis recommended (situation) | Situation |
| 54371000210105 | Growth factor secondary prophylaxis recommended (situation) | Situation |
| 54271000210101 | Hydration not recommended (situation) | Situation |
| 54261000210107 | Hydration recommended (situation) | Situation |
| 54311000210101 | Irradiated blood components not recommended (situation) | Situation |
| 54301000210103 | Irradiated blood components recommended (situation) | Situation |
| 54291000210102 | Mesna uroprotection not recommended (situation) | Situation |
| 54281000210104 | Mesna uroprotection recommended (situation) | Situation |
| 50991000210103 | Suspected arrhytmia (situation) | Situation |
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Table 3.1. Reference sets in the SNOMED NZ Extension October Table 3.1 Reference sets in the SNOMED NZ Extension April 2020 release
SNOMED CT Concept ID (SCTID) | SNOMED CT Fully Specified Name (FSN) | Members | ||
|---|---|---|---|---|
351000210106 | New Zealand adverse reaction manifestation reference set (foundation metadata concept) 1887 | 1884 | ||
421000210109 | New Zealand ambulance clinical impression reference set (foundation metadata concept) | 177 | ||
91000210107 | New Zealand cardiology reference set (foundation metadata concept) 163 | 63 | ||
191000210102 | New Zealand child developmental services reference set (foundation metadata concept) | 137 | ||
241000210102 | New Zealand child health assessment reference set (foundation metadata concept) | 187 | ||
471000210108 | New Zealand clinical specialty reference set (foundation metadata concept) | 158 | ||
261000210101 | New Zealand disability reference set (foundation metadata concept) | 95 | ||
61000210102 | New Zealand emergency care diagnosis reference set (foundation metadata concept) | 1422 1470 | ||
71000210108 | New Zealand emergency care presenting complaint reference set (foundation metadata concept) | 153 155 | ||
321000210102 | New Zealand emergency care procedure reference set (foundation metadata concept) | 73 75 | ||
141000210106 | New Zealand endocrinology reference set (foundation metadata concept) | 261 | ||
181000210104 | New Zealand general paediatric reference set (foundation metadata concept) | 439 | ||
131000210103 | New Zealand general surgery reference set (foundation metadata concept) | 96 97 | ||
101000210108 | New Zealand gynaecology reference set (foundation metadata concept) | 145 | ||
451000210100 | New Zealand health occupation reference set (foundation metadata concept) | 77 | ||
461000210102 | New Zealand health service type reference set (foundation metadata concept) | 101 126 | ||
501000210102 | New Zealand laboratory order reference set (foundation metadata concept) | 957 | ||
391000210104 | New Zealand microorganism reference set (foundation metadata concept) | 18768 | ||
251000210104 | New Zealand notifiable disease reference set (foundation metadata concept) | 96 | ||
121000210100 | New Zealand rheumatology reference set (foundation metadata concept) | 126 | ||
481000210105 | New Zealand site of care care reference set (foundation metadata concept) | 8 | ||
51000210100 | New Zealand smoking reference set (foundation metadata concept) | 36 | ||
441000210103 | New Zealand surgical complication reference set (foundation metadata concept) | 8 147 51000210100 | ||
| 50941000210107 | New Zealand | smokingophthalmology reference set (foundation metadata | concept) | 3664 |
| 50931000210104 | New Zealand | surgical complicationnephrology reference set (foundation metadata | concept) | 14799 |
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Approvals
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Draft Amendment History
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