ID

3924

Description

HIS surgery planing breast cancer

Keywords

  1. 5/15/13 5/15/13 -
Uploaded on

May 15, 2013

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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HIS surgery planing breast cancer

  1. StudyEvent: HIS
    1. HIS
Patientenaufkleber
Description

Patientenaufkleber

Admission date
Description

Datum

Data type

date

Alias
Code-1
Date of admission
UMLS CUI-1
C1302393
SNOMED CT-1
399423000
LOINC-1
MTHU029790
Patient Identification Number
Description

PatientenID

Data type

integer

Alias
Code-1
Patient Identification Number or Provider Account Number:Identifier:Point in time:^Patient:Nominal
UMLS CUI-1
C2706086
LOINC-1
52463-7
Patient sex
Description

Geschlecht

Data type

string

Alias
UMLS CUI-1
C0150831
SNOMED CT-1
184100006
Patient surname
Description

Nachname

Data type

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Patient forename
Description

Vorname

Data type

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patient date of birth
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Admission hour
Description

Aufnahmezeit

Data type

date

Alias
Code-1
Date of admission
UMLS CUI-1
C1302393
SNOMED CT-1
399423000
LOINC-1
MTHU029790
Code-2
Hour
UMLS CUI-2
C0439227
SNOMED CT-2
258702006
HL7 V3-2
HR
Physician admission
Description

E-Arzt

Data type

string

Alias
Code-1
Admission
UMLS CUI-1
C0809949
Code-2
Physicians
UMLS CUI-2
C0031831
SNOMED CT-2
112247003
LOINC-2
MTHU010489
HL7 V3-2
PHYS
OP Planung
Description

OP Planung

Side
Description

Seite/Lage

Data type

integer

Alias
UMLS CUI-1
C0441987
SNOMED CT-1
182353008
LOINC-1
MTHU014973
Code-2
Tumor site
UMLS CUI-2
C0475445
SNOMED CT-2
263591006
LOINC-2
MTHU015562
Histopathology
Description

Histologie

Data type

integer

Alias
Code-1
Histologic Type
UMLS CUI-1
C0449574
SNOMED CT-1
263541007
LOINC-1
MTHU020048
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Histologic Grade
Description

Grading

Data type

integer

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
nuclear grade
Description

DCIS Kerngrad

Data type

integer

Alias
Code-1
Nuclear grade finding (finding)
UMLS CUI-1
C1273709
SNOMED CT-1
384736003
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
diameter of lesion
Description

Durchm. Herd (mm)

Data type

integer

Alias
Code-1
Diameter (qualifier value)
UMLS CUI-1
C1301886
SNOMED CT-1
81827009
LOINC-1
MTHU002654
Code-2
Lesion
UMLS CUI-2
C0221198
SNOMED CT-2
49755003
Magnetic Resonance Imaging
Description

MR-Befund

Data type

boolean

Alias
Code-1
Magnetic resonance imaging of breast (procedure)
UMLS CUI-1
C0344104
SNOMED CT-1
241615005
MRI finding
Description

MR-Befund

Data type

string

Alias
Code-1
Magnetic resonance imaging of breast (procedure)
UMLS CUI-1
C0344104
SNOMED CT-1
241615005
Code-2
Finding
UMLS CUI-2
C1285578
SNOMED CT-2
363787002
additional Lesion
Description

zus HB

Data type

boolean

Alias
Code-1
Lesion
UMLS CUI-1
C0221198
SNOMED CT-1
49755003
Code-2
Additional
UMLS CUI-2
C1524062
LOINC-2
MTHU013802
additional Lesion - free text
Description

zus HB

Data type

string

Alias
Code-1
Lesion
UMLS CUI-1
C0221198
SNOMED CT-1
49755003
Code-2
Additional
UMLS CUI-2
C1524062
LOINC-2
MTHU013802
Code-3
Free Text Format
UMLS CUI-3
C2348713
not_coded
Description

Durchm. AST (mm)

Data type

integer

Alias
Item-Info
Architekturstörung
Diameter Microcalcification
Description

Durchm. MK (mm)

Data type

integer

Alias
Code-1
Microcalcification
UMLS CUI-1
C0521174
SNOMED CT-1
12747003
LOINC-1
MTHU020083
Code-2
Diameter (qualifier value)
UMLS CUI-2
C1301886
SNOMED CT-2
81827009
LOINC-2
MTHU002654
Breast size
Description

Brustgröße

Data type

integer

Alias
Code-1
Breast size (observable entity)
UMLS CUI-1
C0425782
SNOMED CT-1
248808008
Operative Surgical Procedures
Description

Operative Surgical Procedures

Mastectomy
Description

ME

Data type

boolean

Alias
Code-1
Mastectomy
UMLS CUI-1
C0024881
MedDRA-1
10026878
ICD-9-CM-1
85.4
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Breast Conservation Treatment
Description

BET

Data type

boolean

Alias
Code-1
Breast Conservation Treatment
UMLS CUI-1
C0917927
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
reconstructive breast conservation treatment
Description

onkopl. BET

Data type

boolean

Alias
Code-1
Plastic Surgical Procedures
UMLS CUI-1
C0677616
SNOMED CT-1
286553006
MedDRA-1
10062082
Code-2
Breast Conservation Treatment
UMLS CUI-2
C0917927
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Excisional Biopsy
Description

DE

Data type

boolean

Alias
Code-1
Excisional Biopsy
UMLS CUI-1
C0184921
SNOMED CT-1
8889005
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Repeated Surgical Procedure
Description

NR

Data type

boolean

Alias
Code-1
Repeated Surgical Procedure
UMLS CUI-1
C0035110
SNOMED CT-1
261554009
MedDRA-1
10038579
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
secondary mastectomy
Description

sek ME

Data type

boolean

Alias
Code-1
Mastectomy
UMLS CUI-1
C0024881
MedDRA-1
10026878
ICD-9-CM-1
85.4
Code-2
Secondary
UMLS CUI-2
C0175668
SNOMED CT-2
2603003
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
size of segment
Description

Maße Segment (mm)

Data type

integer

Alias
Code-1
Anatomical segmentation
UMLS CUI-1
C0441635
SNOMED CT-1
264193005
Code-2
size
UMLS CUI-2
C0456389
SNOMED CT-2
246115007
LOINC-2
MTHU010347
pre-biopsy localization using wire
Description

Präoperative Drahtmarkierung gesteuert durch bildgebende Verfahren

Data type

integer

Alias
Code-Info
for_compare
Code-1
Pre-biopsy localization of breast lesion using self retaining wire (procedure)
UMLS CUI-1
C0473516
SNOMED CT-1
237381006
count of localization with wire
Description

Anzahl Markierungen

Data type

integer

Alias
Code-1
Pre-biopsy localization of breast lesion using self retaining wire (procedure)
UMLS CUI-1
C0473516
SNOMED CT-1
237381006
Code-2
Count of entities (property) (qualifier value)
UMLS CUI-2
C0449788
SNOMED CT-2
410681005
comment guided wire
Description

Besonderheiten Markierungen

Data type

string

Alias
Code-1
Pre-biopsy localization of breast lesion using self retaining wire (procedure)
UMLS CUI-1
C0473516
SNOMED CT-1
237381006
Code-2
Comment
UMLS CUI-2
C0947611
LOINC-2
MTHU013736
intraoperative mammography of specimen
Description

Präparate Radiographie

Data type

boolean

Alias
Code-1
Specimen mammography (procedure)
UMLS CUI-1
C0203031
SNOMED CT-1
80865008
Code-2
Intraoperative
UMLS CUI-2
C0456904
SNOMED CT-2
277671009
intraoperative macroscopic examination
Description

Makro

Data type

boolean

Alias
Code-1
Sample macroscopy (procedure)
UMLS CUI-1
C0430385
SNOMED CT-1
168126000
Code-2
Intraoperative
UMLS CUI-2
C0456904
SNOMED CT-2
277671009
X-ray of pathological specimen
Description

Scheiben Radiographie

Data type

boolean

Alias
Code-1
X-ray of pathological specimen (procedure)
UMLS CUI-1
C0412004
SNOMED CT-1
169116004
Sentinel Lymph Node Biopsy
Description

SLNB

Data type

boolean

Alias
Code-1
Sentinel Lymph Node Biopsy
UMLS CUI-1
C0796693
SNOMED CT-1
396487001
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Axillary Lymph Node Dissection
Description

ALND

Data type

boolean

Alias
Code-1
Axillary Lymph Node Dissection
UMLS CUI-1
C0193867
SNOMED CT-1
234254000
MedDRA-1
10068477
ICD-9-CM-1
40.23
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intraoperative Radiation Therapy
Description

IORT

Data type

boolean

Alias
Code-1
Intraoperative Radiation Therapy)
UMLS CUI-1
C0338240
SNOMED CT-1
10065519
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Clinical Trials
Description

Studien

Data type

string

Alias
UMLS CUI-1
C0008976
SNOMED CT-1
110465008
free text
Description

Besonderheiten

Data type

string

Alias
Code-1
Free Text Format
UMLS CUI-1
C2348713
responsible physician
Description

Verantwortlicher Arzt

Data type

string

Alias
Code-1
Responsible Person
UMLS CUI-1
C1273518
SNOMED CT-1
394851003
Code-2
Physicians
UMLS CUI-2
C0031831
SNOMED CT-2
112247003
LOINC-2
MTHU010489

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientenaufkleber
Datum
Item
Admission date
date
Date of admission (Code-1)
C1302393 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
PatientenID
Item
Patient Identification Number
integer
Patient Identification Number or Provider Account Number:Identifier:Point in time:^Patient:Nominal (Code-1)
C2706086 (UMLS CUI-1)
52463-7 (LOINC-1)
Geschlecht
Item
Patient sex
string
C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)
Nachname
Item
Patient surname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
Vorname
Item
Patient forename
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
Geburtsdatum
Item
Patient date of birth
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Aufnahmezeit
Item
Admission hour
date
Date of admission (Code-1)
C1302393 (UMLS CUI-1)
399423000 (SNOMED CT-1)
MTHU029790 (LOINC-1)
Hour (Code-2)
C0439227 (UMLS CUI-2)
258702006 (SNOMED CT-2)
HR (HL7 V3-2)
E-Arzt
Item
Physician admission
string
Admission (Code-1)
C0809949 (UMLS CUI-1)
Physicians (Code-2)
C0031831 (UMLS CUI-2)
112247003 (SNOMED CT-2)
MTHU010489 (LOINC-2)
PHYS (HL7 V3-2)
Item Group
OP Planung
Item
Side
integer
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)
Code List
Side
CL Item
Right (links)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
Left (rechts)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
CL Item
Bilateral (beidseits)
C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)
Item
Histopathology
integer
Histologic Type (Code-1)
C0449574 (UMLS CUI-1)
263541007 (SNOMED CT-1)
MTHU020048 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Code List
Histopathology
CL Item
B3 (B3)
Neoplasm, Uncertain Whether Benign or Malignant (Code-1)
C0677041 (UMLS CUI-1)
86251006 (SNOMED CT-1)
CL Item
benign (benigne)
Benign (Code-1)
C0205183 (UMLS CUI-1)
30807003 (SNOMED CT-1)
CL Item
Noninfiltrating Intraductal Carcinoma  (DCIS)
Noninfiltrating Intraductal Carcinoma (Code-1)
C0007124 (UMLS CUI-1)
86616005 (SNOMED CT-1)
10013806 (MedDRA-1)
D05.1 (ICD-10-CM-1)
CL Item
Invasive Carcinoma (invasiv)
Invasive Breast Carcinoma (Code-1)
C0853879 (UMLS CUI-1)
10006190 (MedDRA-1)
CL Item
Invasive Lobular Breast Carcinoma (IL)
merged_coding (Code-Info)
Invasive Lobular Breast Carcinoma (Code-1)
CL029510 (UMLS CUI-1)
CL Item
Not Otherwise Specified  (NOS)
merged_coding (Code-Info)
Not Otherwise Specified (Code-1)
C1518425 (UMLS CUI-1)
Item
Histologic Grade
integer
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Code List
Histologic Grade
CL Item
G1 grade  (1)
G1 grade (finding) (Code-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)
CL Item
G2 grade (2)
G2 grade (finding) (Code-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)
CL Item
G3 grade (3)
G3 grade (finding) (Code-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)
Item
nuclear grade
integer
Nuclear grade finding (finding) (Code-1)
C1273709 (UMLS CUI-1)
384736003 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Code List
nuclear grade
CL Item
Low Grade  (1)
Low Grade (Code-1)
C1282907 (UMLS CUI-1)
CL Item
Intermediate Grade  (2)
Intermediate Grade (Code-1)
C1512863 (UMLS CUI-1)
CL Item
High Grade  (3)
High Grade (Code-1)
CL378245 (UMLS CUI-1)
Durchm. Herd (mm)
Item
diameter of lesion
integer
Diameter (qualifier value) (Code-1)
C1301886 (UMLS CUI-1)
81827009 (SNOMED CT-1)
MTHU002654 (LOINC-1)
Lesion (Code-2)
C0221198 (UMLS CUI-2)
49755003 (SNOMED CT-2)
MR-Befund
Item
Magnetic Resonance Imaging
boolean
Magnetic resonance imaging of breast (procedure) (Code-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
MR-Befund
Item
MRI finding
string
Magnetic resonance imaging of breast (procedure) (Code-1)
C0344104 (UMLS CUI-1)
241615005 (SNOMED CT-1)
Finding (Code-2)
C1285578 (UMLS CUI-2)
363787002 (SNOMED CT-2)
zus HB
Item
additional Lesion
boolean
Lesion (Code-1)
C0221198 (UMLS CUI-1)
49755003 (SNOMED CT-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
MTHU013802 (LOINC-2)
zus HB
Item
additional Lesion - free text
string
Lesion (Code-1)
C0221198 (UMLS CUI-1)
49755003 (SNOMED CT-1)
Additional (Code-2)
C1524062 (UMLS CUI-2)
MTHU013802 (LOINC-2)
Free Text Format (Code-3)
C2348713 (UMLS CUI-3)
Durchm. AST (mm)
Item
not_coded
integer
Architekturstörung (Item-Info)
Durchm. MK (mm)
Item
Diameter Microcalcification
integer
Microcalcification (Code-1)
C0521174 (UMLS CUI-1)
12747003 (SNOMED CT-1)
MTHU020083 (LOINC-1)
Diameter (qualifier value) (Code-2)
C1301886 (UMLS CUI-2)
81827009 (SNOMED CT-2)
MTHU002654 (LOINC-2)
Item
Breast size
integer
Breast size (observable entity) (Code-1)
C0425782 (UMLS CUI-1)
248808008 (SNOMED CT-1)
Code List
Breast size
CL Item
not_coded (A)
CL Item
not_coded (B)
CL Item
not_coded (C)
CL Item
not_coded (D)
CL Item
not_coded (2D)
Item Group
Operative Surgical Procedures
ME
Item
Mastectomy
boolean
Mastectomy (Code-1)
C0024881 (UMLS CUI-1)
10026878 (MedDRA-1)
85.4 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
BET
Item
Breast Conservation Treatment
boolean
Breast Conservation Treatment (Code-1)
C0917927 (UMLS CUI-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
onkopl. BET
Item
reconstructive breast conservation treatment
boolean
Plastic Surgical Procedures (Code-1)
C0677616 (UMLS CUI-1)
286553006 (SNOMED CT-1)
10062082 (MedDRA-1)
Breast Conservation Treatment (Code-2)
C0917927 (UMLS CUI-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
DE
Item
Excisional Biopsy
boolean
Excisional Biopsy (Code-1)
C0184921 (UMLS CUI-1)
8889005 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
NR
Item
Repeated Surgical Procedure
boolean
Repeated Surgical Procedure (Code-1)
C0035110 (UMLS CUI-1)
261554009 (SNOMED CT-1)
10038579 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
sek ME
Item
secondary mastectomy
boolean
Mastectomy (Code-1)
C0024881 (UMLS CUI-1)
10026878 (MedDRA-1)
85.4 (ICD-9-CM-1)
Secondary (Code-2)
C0175668 (UMLS CUI-2)
2603003 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Maße Segment (mm)
Item
size of segment
integer
Anatomical segmentation (Code-1)
C0441635 (UMLS CUI-1)
264193005 (SNOMED CT-1)
size (Code-2)
C0456389 (UMLS CUI-2)
246115007 (SNOMED CT-2)
MTHU010347 (LOINC-2)
Item
pre-biopsy localization using wire
integer
for_compare (Code-Info)
Pre-biopsy localization of breast lesion using self retaining wire (procedure) (Code-1)
C0473516 (UMLS CUI-1)
237381006 (SNOMED CT-1)
CL Item
Sonography guided wire localization (sonograf. Markierung)
changed_datatype (Code-Info)
Insertion of guide wire into breast using ultrasound guidance (procedure) (Code-1)
C2315526 (UMLS CUI-1)
433222002 (SNOMED CT-1)
CL Item
Plain X-ray guided wire localization (stereotakt Markierung)
changed_datatype (Code-Info)
Plain X-ray guided wire localization of breast lesion (procedure) (Code-1)
C1997063 (UMLS CUI-1)
428907005 (SNOMED CT-1)
Anzahl Markierungen
Item
count of localization with wire
integer
Pre-biopsy localization of breast lesion using self retaining wire (procedure) (Code-1)
C0473516 (UMLS CUI-1)
237381006 (SNOMED CT-1)
Count of entities (property) (qualifier value) (Code-2)
C0449788 (UMLS CUI-2)
410681005 (SNOMED CT-2)
Besonderheiten Markierungen
Item
comment guided wire
string
Pre-biopsy localization of breast lesion using self retaining wire (procedure) (Code-1)
C0473516 (UMLS CUI-1)
237381006 (SNOMED CT-1)
Comment (Code-2)
C0947611 (UMLS CUI-2)
MTHU013736 (LOINC-2)
Präparate Radiographie
Item
intraoperative mammography of specimen
boolean
Specimen mammography (procedure) (Code-1)
C0203031 (UMLS CUI-1)
80865008 (SNOMED CT-1)
Intraoperative (Code-2)
C0456904 (UMLS CUI-2)
277671009 (SNOMED CT-2)
Makro
Item
intraoperative macroscopic examination
boolean
Sample macroscopy (procedure) (Code-1)
C0430385 (UMLS CUI-1)
168126000 (SNOMED CT-1)
Intraoperative (Code-2)
C0456904 (UMLS CUI-2)
277671009 (SNOMED CT-2)
Scheiben Radiographie
Item
X-ray of pathological specimen
boolean
X-ray of pathological specimen (procedure) (Code-1)
C0412004 (UMLS CUI-1)
169116004 (SNOMED CT-1)
SLNB
Item
Sentinel Lymph Node Biopsy
boolean
Sentinel Lymph Node Biopsy (Code-1)
C0796693 (UMLS CUI-1)
396487001 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
ALND
Item
Axillary Lymph Node Dissection
boolean
Axillary Lymph Node Dissection (Code-1)
C0193867 (UMLS CUI-1)
234254000 (SNOMED CT-1)
10068477 (MedDRA-1)
40.23 (ICD-9-CM-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
IORT
Item
Intraoperative Radiation Therapy
boolean
Intraoperative Radiation Therapy) (Code-1)
C0338240 (UMLS CUI-1)
10065519 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Studien
Item
Clinical Trials
string
C0008976 (UMLS CUI-1)
110465008 (SNOMED CT-1)
Besonderheiten
Item
free text
string
Free Text Format (Code-1)
C2348713 (UMLS CUI-1)
Verantwortlicher Arzt
Item
responsible physician
string
Responsible Person (Code-1)
C1273518 (UMLS CUI-1)
394851003 (SNOMED CT-1)
Physicians (Code-2)
C0031831 (UMLS CUI-2)
112247003 (SNOMED CT-2)
MTHU010489 (LOINC-2)

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