GB/T 14396: Evolution and historical versions
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Classification and codes of diseases
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Basic data | Standard ID | GB/T 14396-2016 (GB/T14396-2016) | | Description (Translated English) | Classification and codes of diseases | | Sector / Industry | National Standard (Recommended) | | Classification of Chinese Standard | C50 | | Classification of International Standard | 11.020 | | Word Count Estimation | 926,940 | | Date of Issue | 2016-10-13 | | Date of Implementation | 2017-02-01 | | Older Standard (superseded by this standard) | GB/T 14396-2001 | | Regulation (derived from) | National Standard Notice No.1716 of 2016 | | Issuing agency(ies) | General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China | GB/T 14396-2016: Classification and codes of diseases---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Classification and codes of diseases
ICS 11.020
C50
National Standards of People's Republic of China
Replacing GB/T 14396-2001
Disease classification and code
2016-10-13 released
2017-02-01 implementation
National Health and Family Planning Commission of the People's Republic of China
China National Standardization Management Committee released
Directory
Preface III
Introduction IV
1 Scope 1
2 normative reference document 1
3 Terms and definitions 1
4 symbol 1
Classification principle and coding method 1
Chapter 6 and Section 3
7 3 digits category 10
8 4 digits
9 6 digit spreading code 316
Foreword
This standard is drafted in accordance with the rules given in GB/T 1.1-2009.
This standard replaces GB/T 14396-2001 "Disease classification and code". This standard compared with GB/T 14396-2001, in addition to editorial
Modified, the main technical changes are as follows.
--- an increase of 13403 disease classification name and code;
--- increased the expansion of the 22908 disease code, from the original four digits to six digits.
This standard is proposed by the National Health and Family Planning Commission of the People's Republic of China.
The drafting unit of this standard. World Health Organization International Classification Family Cooperation Center, National Health and Health Committee Statistical Information Center, China Hospital
Association, Chinese Academy of Medical Sciences Peking Union Medical College Hospital, Capital Medical University Affiliated Beijing Friendship Hospital, Capital Medical University Xuanwu Hospital, Capital Medical
Beijing University of Traditional Chinese Medicine, Beijing Medical College, Beijing 100083, China; 2.Department of Cancer,
Capital Medical University Yanjing Medical College, the Chinese People's Liberation Army General Hospital, Capital Pediatric Research Institute Affiliated Children's Hospital, Tianjin Children's Hospital, mountain
West Cancer Hospital, Jilin University First Hospital, Heilongjiang Province Hospital, Shanghai Ruijin Hospital, Nanjing University Medical College Affiliated Drum Tower Hospital, Hangzhou
First People's Hospital, Zhengzhou University First Affiliated Hospital, Central South University Xiangya Hospital, Guangzhou Zhongshan University First Affiliated Hospital, Shenzhen City People's
Hospital, Guangxi Medical University First Affiliated Hospital, Guangxi University of Science and Technology Affiliated Liuzhou City People's Hospital, Shaanxi Provincial People's Hospital, Ningxia Medical University
General Hospital, Zhejiang University First Affiliated Hospital, Shanghai Jiaotong University Medical College Affiliated Ninth People's Hospital, Tianjin Medical University Second Hospital, Capital Medical
Beijing University of Traditional Chinese Medicine Hospital, North China Oilfield Company General Hospital, Zhejiang University Medical College Affiliated Shaw Shifu Hospital, Beijing Hospital, Dalian Medical University
Associate Second Hospital, Shanghai Municipal Health and Family Planning Commission Information Center, Guangdong Provincial Health and Family Planning Commission Administrative Service
Heart, Beijing Public Health Information Center, Zhejiang Province Health Information Center.
The main drafters of this standard. Liu Aimin, Meng Qun, Wu Yunhong, Chen Caixia, Wang Caiyou, Wu Xiaoling, Qin Anjing, You Ruiyu, Wang Wenda,
Study on the Effects of Different Kinds of Drugs on the Growth and Development of Rice (Oryza sativa L.) in China (in Chinese with English abstract). JOURNAL OF CHINESE PEOPLE 'S LIBERATION ARMY.
Fu Hongying, Li Weidong, Xu Changyan, Cheng Cheng, Zhao Li, Ji Hongbo, Sun Mu, Wu Liangming,
Chen Bin, Yu Xiaohong, Wang Chunjie, Zhang Jing, Xiong Ying, Mo Yanhong, Su Yanni, Yang Xia, Ma Jiarun, Bai Jinxi, Suo Guowei, Cheng Lijun,
Cong Lina, Chen Wen, Huang Xiaoliang, Guo Xiaoning, Shen Jianfeng, Han Yuzhe.
This standard has been replaced by previous versions of the standard.
GB/T 14396-1993, GB/T 14396-2001.
Introduction
The revision of the ICD-10 has fully considered the requirements of the national level, the need for meticulous management of health administrative science and the payment of medical payments
Demand, and thus more suitable for China's national conditions.
To promote the localization of international disease classification ICD-10, to promote the standardization of medical institutions, standardized application of ICD, the standard based on international diseases
Disease classification ICD-10, in the original number of bits based on the expansion of 1 to 2 digits, for more detailed expression of clinical common diseases, medical administration
Departments concerned about the major diseases, national basic public health service standards listed in the disease, the National Center for Disease Control and Prevention (CDC) required to report
Of infectious diseases and hospitals using clinical pathways to manage the disease to meet the clinical path management, according to disease pay, hospital review, key disciplines
Assessment and reporting of infectious diseases. These disease items are derived from some provinces and cities disease coding dictionary and hospital disease database.
Disease classification and code
1 Scope
This standard specifies the classification of diseases, injuries and poisoning and their external causes, non-medical reasons and tumor morphology in contact with health care institutions
With code.
This standard applies to medical and health services, medical security, population management and other departments of the disease, disability and other classification, and for information processing and
Exchange, statistical analysis.
2 normative reference documents
The following documents are indispensable for the application of this document. For dated references, only the dated edition applies to this article
Pieces. For undated references, the latest edition (including all modifications) applies to this document.
ICD-10 International Classification of Diseases (10th Revision) (International Classificationofdiseases, 10threvision)
ICD-O-3 International Classification of Tumor (Third Edition) (Internationalclassification of diseasesforoncology)
3 terms and definitions
The following terms and definitions apply to this document.
3.1
Classification of diseases
The various diseases according to certain established principles into the category and the system approach.
4 symbols
4.1 sword number. "Representative of the reasons for the diagnosis of disease, in a single cause statistics, the code should be summarized and statistics.
4.2 An asterisk "*". It represents the clinical manifestation of the disease and does not count the code.
Classification Principle and Coding Method
5.1 Classification principles
Using the main cause of the main body, including the anatomical site, clinical manifestations and pathology for the classification of the basic principles of the axis.
5.2 Encoding form
The 3-digit code, 4-digit code, and 6-digit code are used in the form of "alphanumeric code", except for the morphological coding of the tumor. That is used
Alphanumeric mixed coding system, the first one for the English alphabet, the last five for the Arabic numerals.
5.3 The first 3 bits are encoded
5.3.1 The coding range of the disease (including symptoms, signs and other ambiguities) is A00 ~ R99.
5.3.2 Damage and poisoning The coding range is S00 ~ T98.
5.3.3 Damage and poisoning The external cause of the coding range is V01 ~ Y98.
5.3.4 The range of factors affecting health status and exposure to health care institutions is Z00 to Z99.
5.3.5 Code for special purpose is U00 ~ U99.
5.3.6 Morphological coding of tumors using the English letter "M" plus 3 digits or 4 digits, part of the coding entries from ICD-O-3
In the M800 ~ M998. After 4 digits, add "/" and 1 digit, indicating the nature of the tumor.
a)/0. indicates benign tumor;
b)/1. said benign or malignant not sure (border vicious);
c)/2. represents carcinoma in situ;
d)/3. Reproductive tumors of the primary site;
e)/6. Indicates a malignant tumor of secondary site.
5.4 The first 4 bits are coded
For ICD-10 sub-head code. 4-digit sub-head code is a sub-classification of 3-bit code, also has a statistical classification significance.
Example of acute appendicitis with peritoneal abscess K35.1. See the 4-digit sub-table.
5.5 spreading code (bits 5 and 6)
5.5.1 Extended rules
5.5.1.1 According to the anatomical site, etiology, clinical manifestations, pathology classification axis expansion.
5.5.1.2 to the anatomical site as the axis, according to the anatomical system from top to bottom, after the first, the range from large to small; organs and nervous system
And so on, from top to bottom, from left to right, double in the former single after, from front to back, ranging from large to small.
5.5.1.3 to clinical manifestations, etiology, pathology as the axis, according to the alphabet A ~ Z order. The following is not the order of Pinyin A ~ Z,
In the following order.
a) indicates the degree of acute, chronic, subacute, I, II, III;
b) figures .1,2,3, one, two, three;
c) Greek alphabet.
5.5.2 Breakdown code
Refers to 5-digit codes that appear in Chapter 13 of the ICD-10 Musculoskeletal System and Connective Tissue Disease, Chapter 19 Injury, Poisoning and
Some other consequences of external causes, Chapter 20 of the external causes of disease and death. ICD-10 is a sample of the selective use of the code, in order to avoid the article
Too much, in addition to 19, said open or closed the number of coding must be used, the rest do not use 5-bit encoding, that is, in addition to Chapter 19
5-digit code has a specific meaning, the other five-digit number of the chapter does not have a specific meaning.
5.5.3 6-digit extended code
6-digit expansion code refers to the ICD-10 in the original code to expand the number of 1 to 2 digits of the code, the expansion of the disease code to 6 digits.
The code with the tail number "00" is an extension of the original sub-code, which is equivalent to the residual encoding of this entry. The number of the tail is not "00" is increased
Applicable to clinical diagnosis of the entry. Tumor morphological coding in the organization type coding site increased by 1 digit, can be in the original histological type
Based on the breakdown.
5.6 Main code
The 6-digit extended code column has the main coding field, indicating that the code can be used as the main code, but also according to the majority of coding rules as a
Plus code.
5.7 Additional coding
The 6-digit extended code column has an additional encoding bar indicating that the encoding can only be used as an additional code and can not be used as a primary encoding.
6 chapters and sections
Disease classification and code by chapter and section, the contents shown in Table 1.
Table 1 chapters and sections
Chapter code chapter, section name
Chapter 1 A00-B99 Certain infectious and parasitic diseases
A00-A09 Intestinal Infectious Diseases
A15-A19 tuberculosis
A20-A28 Some animal-borne bacterial diseases
A30-A49 Other Bacterial Diseases
A50-A64 is mainly infected with sexually transmitted patterns
A65-A69 Other spirochetes
A70-A74 Other diseases caused by chlamydia
A75-A79 Rickettsia disease
A80-A89 viral infection in the central nervous system
A90-A99 arthropod vectors for viral fever and viral haemorrhagic fever
B00-B09 is characterized by viral infection of the skin and mucous membranes
B15-B19 viral hepatitis
B20-B24 human immunodeficiency virus [HIV] disease
B25-B34 Other viral Diseases
B35-B49 fungal disease
B50-B64 Protozoa disease
B65-B83 Worm disease
B85-B89 lice disease, mite disease and other pests and diseases
B90-B94 sequelae of infectious and parasitic diseases
B95-B98 Bacteria, viruses and other infectious pathogens
B99-B99 Other infectious diseases
Chapter 2 C00-D48 Tumor
C00-C14 lip, oral and pharyngeal malignancy
C15-C26 Digestive organ malignancy
C30-C39 Respiratory and thoracic organ malignancies
C40-C41 Bone and articular cartilage malignant tumors
C43-C44 Skin melanoma and other malignancies
C45-C49 mesothelial tissue and soft tissue malignancies
C50-C50 breast malignancy
C51-C58 female genital malignancy
C60-C63 male genital malignancy
Table 1 (continued)
Chapter code chapter, section name
Chapter 2 C64-C68 Urinary tract cancer
C69-C72 Malignant neoplasms of the eye, brain and other parts of the central nervous system
C73-C75 Thyroid and other endocrine gland malignancies
C76-C80 is not clear, secondary and non-specific parts of the malignant tumor
C81-C96 Malignant tumor of lymphoid, hematopoietic and related tissues
C97 independent multiple parts of the (primary) malignancy
D00-D09 in situ tumor
D10-D36 benign tumor
D37-D48 Dynamic undetermined or dynamically unknown tumors
Chapter 3 D50-D89 Blood and Hematopoietic Organ Diseases and certain disorders involving immune mechanisms
D50-D53 Nutritional Anemia
D55-D59 hemolytic anemia
D60-D64 aplastic anemia and other anemia
D65-D69 coagulation defects, purpura and other bleeding conditions
D70-D77 Other blood and hematopoietic organ diseases
D80-D89 deals with certain mechanisms of immune mechanisms
Chapter 4 E00-E90 Endocrine, Nutrition and Metabolic Diseases
E00-E07 Thyroid disease
E10-E14 Diabetes
E15-E16 Glucose regulation and other disorders of pancreatic endocrine
E20-E35 Other endocrine disorders
E40-E46 malnutrition
E50-E64 Other nutritional deficiencies
E65-E68 Obesity and other over-nutrition
E70-E90 metabolic disorders
Chapter 5 F00-F99 Mental and Behavioral Disorders
F00-F09 Organic (including symptomatic) mental disorders
F10-F19 Mental and behavioral disorders caused by the use of psychoactive substances
F20-F29 schizophrenia, splitting disorders and delusional disorder
F30-F39 mood [emotional] obstacles
F40-F48 neurological, stress-related, and somatoform disorders
F50-F59 Behavioral Syndrome Associated with Physiological Disorders and Physical Factors
F60-F69 Adult personality and behavioral disorder
F70-F79 Mental retardation
F80-F89 Mental development disorder
F90-F98 Behavioral and mood disorders usually occur in childhood and adolescence
F99 Unspecified mental disorder
Chapter 6 G00-G99 Neurological disorders
G00-G09 central nervous system inflammatory disease
Table 1 (continued)
Chapter code chapter, section name
Chapter 6 G10-G14 mainly affects systemic atrophy of the central nervous system
G20-G26 extrapyramidal and motor disorders
G30-G32 Other degenerative diseases of the nervous system
G35-G37 demyelinating disease of the central nervous system
G40-G47 paroxysmal and paroxysmal disorders
G50-G59 nerve, nerve root and nerve plexus disease
G60-G64 Other neurological disorders and other disorders of the peripheral nervous system
G70-G73 Muscle nerve contact and muscle disease
G80-G83 cerebral palsy and other paralysis [paralysis] syndrome
G90-G99 Other diseases of the nervous system
Chapter 7 H00-H59 Eye and Attachment Disease
H00-H06 eyelid, lacrimal system and orbital disorders
H10-H13 conjunctival disease
H15-H22 sclera, cornea, iris and ciliary body disorders
H25-H28 lens disease
H30-H36 choroid and retinal disorders
H40-H42 glaucoma
H43-H45 vitreous and eye disease
H46-H48 optic nerve and visual disease
H49-H52 Eyeballs, eye movement, conditioning and refractive disorders
H53-H54 visual impairment and blindness
H55-H59 other diseases of the eye and appendage
Chapter 8 H60-H95 ear and mastoid disease
H60-H62 external ear disease
H65-H75 non-suppurative otitis media
H80-H83 inner ear disease
H90-H95 ears of other diseases
Chapter 9 I00-I99 Circulatory System Diseases
I00-I02 acute rheumatic fever
I05-I09 chronic rheumatic heart disease
I10-I15 Hypertension
I20-I25 Ischemic heart disease
I26-I28 Pulmonary heart disease and pulmonary circulation disease
I30-I52 Other types of heart disease
I60-I69 cerebrovascular disease
I70-I79 arteries, small arteries and capillaries
I80-I89 venous, lymphatic and lymph node diseases, can not be classified elsewhere
I95-I99 circulatory system other and unspecified disorders
Table 1 (continued)
Chapter code chapter, section name
Chapter 10 J00-J99 Respiratory Diseases
J00-J06 Acute upper respiratory tract infection
J09-J18 Influenza and pneumonia
J20-J22 Other acute lower respiratory tract infection
J30-J39 Other diseases of the upper respiratory tract
J40-J47 chronic lower respiratory tract disease
J60-J70 External substances caused by lung disease
J80-J84 mainly affects interstitial other respiratory diseases
J85-J86 Lower respiratory tract suppurative and necrotic
J90-J94 Other diseases of the pleura
J95-J99 Other diseases of the respiratory system
Chapter 11 K00-K93 Digestive System Diseases
K00-K14 Oral, salivary gland and jaw disease
K20-K31 esophagus, stomach and duodenal disease
K35-K38 appendix disease
K40-K46 hernia
K50-K52 non-infectious enteritis and colitis
K55-K63 other diseases of the bowel
K65-K67 peritoneal disease
K70-K77 liver disease
K80-K87 gallbladder, biliary and pancreatic disorders
K90-K93 Other diseases of the digestive system
Chapter 12 L00-L99 Skin and subcutaneous tissue diseases
L00-L08 skin and subcutaneous tissue infections
L10-L14 bullous disease
L20-L30 dermatitis and eczema
L40-L45 papules scalding disorders
L50-L54 Urticaria and erythema
L55-L59 Radiation-related skin and subcutaneous tissue disorders
L60-L75 Skin Attachment
L80-L99 Other diseases of the skin and subcutaneous tissue
Chapter 13 M00-M99 Musculoskeletal system and connective tissue disease
M00-M03 Infective arthritis
M00-M25 Joint disease
M05-M14 Inflammatory polyarthritis
M15-M19 arthritis
M20-M25 Other joint disorders
M30-M36 systemic connective tissue disorders
Table 1 (continued)
Chapter code chapter, section name
Chapter 13 M40-M43 deformable back disease
M40-M54 back disease
M45-M49 Spondylosis
M50-M54 Other back disease
M60-M63 muscle disorders
M60-M79 soft tissue disorders
M65-M68 synovial and tendon disorders
M70-M79 Other soft tissue disorders
M80-M85 Bone mineral density and structural disorders
M80-M94 Bone disease and rickets
M86-M90 other bone disease
M91-M94 rickets
M95-M99 musculoskeletal system and other disorders of connective tissue
Chapter 14 N00-N99 Genitourinary system diseases
N00-N08 glomerular disease
N10-N16 tubulointerstitial disease
N17-N19 renal failure
N20-N23 urinary stone disease
N25-N29 kidney and other diseases of the ureter
N30-N39 Other diseases of the urinary system
N40-N51 male genital disease
N60-N64 breast disease
N70-N77 female pelvic organ inflammatory disease
N80-N98 female genital tract non-inflammatory disease
N99-N99 other diseases of the urogenital system
Chapter 15 O00-O99 Pregnancy, childbirth and puerperium
O00-O08 abortion outcome of pregnancy
O10-O16 Pregnancy, childbirth and puerperal edema, proteinuria and hypertension
O20-O29 is mainly associated with other maternal disorders related to pregnancy
O30-O48 maternal care related to fetal and amniotic cavity and possible childbirth problems
O60-O75 labor and childbirth complications
O85-O92 is mainly associated with puerperium-related complications
O94-O99 Other obstetric conditions, can not be classified elsewhere
Chapter 16 P00-P96 originated in some cases of perinatal period
P00-P04 Fetal and neonatal affected by maternal factors and pregnancy, labor and childbirth complications
P05-P08 is associated with the length of pregnancy and fetal growth
P10-P15 birth injury
P20-P29 is particularly effective in perinatal respiratory and cardiovascular disorders
Table 1 (continued)
Chapter code chapter, section name
Chapter 16 P35-P39 is particularly susceptible to perinatal infection
P50-P61 Fetal and neonatal hemorrhagic and hematological disorders
P70-P74 is a temporary endocrine and metabolic disorder that is particularly prevalent in fetuses and newborns
P75-P78 Fetal and neonatal digestive system disorders
P80-P83 involving fetal and neonatal body and body temperature regulation of the situation
P90-P96 originated in the perinatal period of other diseases
Chapter 17 Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities
Q00-Q07 Congenital malformations in the nervous system
Q10-Q18 Eye, ear, face and neck congenital malformations
Q20-Q28 circulatory system congenital malformations
Q30-Q34 respiratory system congenital malformations
Q35-Q37 cleft lip and cleft palate
Q38-Q45 Other congenital malformations of the digestive system
Q50-Q56 Reproductive organs congenital malformations
Q60-Q64 Congenital malformations of the urinary system
Q65-Q79 musculoskeletal system congenital malformations and deformations
Q80-Q89 Other congenital malformations
Q90-Q99 chromosomal abnormalities, can not be classified elsewhere
Chapter 18 R00-R99 Symptoms, signs and clinical and laboratory findings, can not be classified elsewhere
R00-R09 involves the circulation and respiratory symptoms and signs
R10-R19 involving the digestive system and abdominal symptoms and signs
R20-R23 is involved in the symptoms and signs of skin and subcutaneous tissue
R25-R29 is involved in the symptoms and signs of the nervous and musculoskeletal system
R30-R39 is involved in the symptoms and signs of the urinary system
R40-R46 involves symptoms and signs of cognition, perception, emotional state and behavior
R47-R49 Concerned about the symptoms and signs of speech and speech
R50-R69 General symptoms and signs
R70-R79 blood test abnormalities seen. No diagnosis
R80-R82 urine examination of the abnormal findings, no diagnosis
R83-R89 abnormal findings, no diagnosis
R90-R94 Diagnostic image and functional examination of abnormalities seen without diagnosis
R95-R99 Reason is not clear and cause unknown death
Chapter 19 S00-T98 Some other consequences of injury, poisoning and external causes
S00-S09 Head injury
S10-S19 neck injury
S20-S29 chest injury
S30-S39 Abdominal, lower back, lumbar and pelvic injury
S40-S49 Shoulder and upper arm damage
Table 1 (continued)
Chapter code chapter, section name
Chapter 19 S50-S59 Elbow and forearm injuries
S60-S69 Wrist and hand injury
S70-S79 hip and thigh injuries
S80-S89 Knee and calf damage
S90-S99 Ankle and foot injury
T00-T07 involving multiple parts of the body damage
T08-T14 Damage of trunk, limbs or body not specified
T15-T19 through the natural cavity into the foreign body effect
T20-T25 body surface burns and corrosive injury, according to the location of those who specifically
T26-T28 is limited to burns and corrosive injuries in the eyes and internal organs
T29-T32 burns and corrosive injuries in multiple parts of the body and in unspecified parts
T33-T35 frostbite
T36-T50 drugs, pharmaceuticals and biological products poisoning
T51-T65 is mainly a toxic effect of non-medicinal substances
T66-T78 external and other unspecified effects
T80-T88 Surgery and medical complications can not be classified elsewhere
T90-T98 sequelae of other consequences of injury, poisoning and external causes
Chapter 20 V01-Y98 External causes of disease and death
V01-V09 damage to pedestrians in transport accidents
V10-V19 Cyclists are injured in transport accidents
V20-V29 Motorcycle personnel in the transport accident damage
V30-V39 three-wheeled motor vehicle occupants in the transport accident damage
V40-V49 Car crew damage in transport accident
V50-V59 Damage of light goods vehicles or caravans in transport accidents
V60-V69 Damage of heavy vehicle occupants in transport accident
V70-V79 Damage of bus occupants in transport accidents
V80-V89 Other land transport accident
V90-V94 water transport accident
V95-V97 aviation and aerospace transport accident
V98-V99 Other and unspecified transport accidents
W00-W19 falls
W20-W49 is exposed to inanimate mechanical forces
W50-W64 is exposed to a life mechanical force
W65-W74 accidental drowning and sinking
W75-W84 Other unexpected threats to breathing
W85-W99 Exposure to current, radiation and extreme ambient temperature and pressure
X00-X09 is exposed to smoke, fire and flame
X10-X19 Exposure to hot and hot substances
X20-X29 Exposure to toxic animals and plants
Table 1 (continued)
Chapter code chapter, section name
Chapter 20 X30-X39 Exposure to natural forces
X40-X49 Exposure to toxic substances and exposure to the substance
X50-X57 overwork, travel and poverty
X58-X59 is accidentally exposed to other and unspecified factors
X60-X84 deliberately pampered
X85-Y09 damage
Y10-Y34 Intentional event
Y35-Y36 disposed of and operated according to law
Y40-Y59 Harmful effects caused by drugs, p...
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