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        <identifier>
          <type>
            <text value="PANORAMAIMMZID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-id" />
          <value value="70895914" />
        </identifier>
        <status value="completed" />
        <vaccineCode>
          <coding>
            <system value="https://nvc-cnv.canada.ca" />
            <code value="28531000087107" />
            <display value="COVID-19" />
          </coding>
          <coding>
            <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
            <code value="28531000087107" />
            <display value="COVID-19" />
          </coding>
          <text value="COVID-19" />
        </vaccineCode>
        <patient>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Patient/50004274" />
        </patient>
        <occurrenceDateTime value="2022-02-12">
          <extension url="https://ehealthontario.ca/API/FHIR/StructureDefinition/ca-on-extension-estimated-date">
            <valueBoolean value="false" />
          </extension>
        </occurrenceDateTime>
        <location>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Location/UNKorg100" />
        </location>
        <isSubpotent value="true" />
        <subpotentReason>
          <coding>
            <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
            <code value="FI" />
            <display value="Status - Invalid" />
          </coding>
          <text value="PIR Forecaster invalidated the imms record for the following possible reasons: 1.Non-WHO approved tradename 2.Administered prior to eligibility - interval or age 3.Additional dose resulting from use of multi-antigen agent 4.Client administered with same agent on same day" />
        </subpotentReason>
      </Immunization>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/ImmunizationRecommendation/201438489" />
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      <ImmunizationRecommendation>
        <id value="201438489" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMAIMMZFORECASTID" />
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          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id" />
          <value value="201438489" />
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        <authority>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
        </authority>
        <recommendation>
          <vaccineCode>
            <coding>
              <system value="https://nvc-cnv.canada.ca" />
              <code value="7251000087108" />
              <display value="Pneumococcal polysaccharide 23" />
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            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="135642004" />
              <display value="Pneumo-P-23" />
            </coding>
          </vaccineCode>
          <forecastStatus>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="DUE" />
              <display value="Due" />
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          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30981-5" />
                <display value="Earliest date to give" />
              </coding>
              <text value="Forecast by Agent Eligible Date" />
            </code>
            <value value="2025-01-24T00:00:00-08:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30980-7" />
                <display value="Date vaccine due" />
              </coding>
              <text value="Forecast by Agent Due Date" />
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            <value value="2025-01-24T00:00:00-08:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="59778-1" />
                <display value="Date when overdue for immunization" />
              </coding>
              <text value="Forecast by Agent Past Due Date" />
            </code>
            <value value="2025-02-24T00:00:00-08:00" />
          </dateCriterion>
          <description value="Pneumococcal Polysaccharide 23" />
          <doseNumberString value="1" />
        </recommendation>
      </ImmunizationRecommendation>
    </resource>
  </entry>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
    <resource>
      <Organization>
        <id value="1" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Organization" />
        </meta>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-organization-unit-id" />
          <value value="1" />
        </identifier>
        <name value="Panorama" />
        <partOf>
          <identifier>
            <value value="BC/Yukon" />
          </identifier>
        </partOf>
      </Organization>
    </resource>
  </entry>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/ImmunizationRecommendation/201438488" />
    <resource>
      <ImmunizationRecommendation>
        <id value="201438488" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMAIMMZFORECASTID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id" />
          <value value="201438488" />
        </identifier>
        <patient>
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        </patient>
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        <authority>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
        </authority>
        <recommendation>
          <vaccineCode>
            <coding>
              <system value="https://nvc-cnv.canada.ca" />
              <code value="1181000221105" />
              <display value="Inf influenza unspecified" />
            </coding>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="46233009" />
              <display value="Influenza" />
            </coding>
          </vaccineCode>
          <forecastStatus>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="DUE" />
              <display value="Due" />
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          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30981-5" />
                <display value="Earliest date to give" />
              </coding>
              <text value="Forecast by Agent Eligible Date" />
            </code>
            <value value="2024-10-01T00:00:00-07:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30980-7" />
                <display value="Date vaccine due" />
              </coding>
              <text value="Forecast by Agent Due Date" />
            </code>
            <value value="2024-10-01T00:00:00-07:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="59778-1" />
                <display value="Date when overdue for immunization" />
              </coding>
              <text value="Forecast by Agent Past Due Date" />
            </code>
            <value value="2025-05-01T00:00:00-07:00" />
          </dateCriterion>
          <description value="Influenza" />
          <doseNumberString value="1" />
        </recommendation>
      </ImmunizationRecommendation>
    </resource>
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      <ImmunizationRecommendation>
        <id value="201438485" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMAIMMZFORECASTID" />
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          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id" />
          <value value="201438485" />
        </identifier>
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        <authority>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
        </authority>
        <recommendation>
          <vaccineCode>
            <coding>
              <system value="https://nvc-cnv.canada.ca" />
              <code value="871826000" />
              <display value="Td tetanus + diphtheria adult unspecified" />
            </coding>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="59999009" />
              <display value="Td" />
            </coding>
          </vaccineCode>
          <forecastStatus>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="DUE" />
              <display value="Due" />
            </coding>
          </forecastStatus>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30981-5" />
                <display value="Earliest date to give" />
              </coding>
              <text value="Forecast by Agent Eligible Date" />
            </code>
            <value value="2025-01-01T00:00:00-08:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30980-7" />
                <display value="Date vaccine due" />
              </coding>
              <text value="Forecast by Agent Due Date" />
            </code>
            <value value="2025-01-01T00:00:00-08:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="59778-1" />
                <display value="Date when overdue for immunization" />
              </coding>
              <text value="Forecast by Agent Past Due Date" />
            </code>
            <value value="2025-02-01T00:00:00-08:00" />
          </dateCriterion>
          <description value="Tetanus, Diphtheria" />
          <doseNumberString value="1" />
        </recommendation>
      </ImmunizationRecommendation>
    </resource>
  </entry>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/ImmunizationRecommendation/201438486" />
    <resource>
      <ImmunizationRecommendation>
        <id value="201438486" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMAIMMZFORECASTID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id" />
          <value value="201438486" />
        </identifier>
        <patient>
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        <authority>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
        </authority>
        <recommendation>
          <vaccineCode>
            <coding>
              <system value="https://nvc-cnv.canada.ca" />
              <code value="7121000087107" />
              <display value="Men-C-ACYW meningococcal conjugate A + C + Y + W unspecified" />
            </coding>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="420261000" />
              <display value="Men-C-ACYW" />
            </coding>
          </vaccineCode>
          <forecastStatus>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="OVERDUE" />
              <display value="Overdue" />
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          </forecastStatus>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30981-5" />
                <display value="Earliest date to give" />
              </coding>
              <text value="Forecast by Agent Eligible Date" />
            </code>
            <value value="2018-09-01T00:00:00-07:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30980-7" />
                <display value="Date vaccine due" />
              </coding>
              <text value="Forecast by Agent Due Date" />
            </code>
            <value value="2018-09-01T00:00:00-07:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="59778-1" />
                <display value="Date when overdue for immunization" />
              </coding>
              <text value="Forecast by Agent Past Due Date" />
            </code>
            <value value="2020-01-01T00:00:00-08:00" />
          </dateCriterion>
          <description value="Meningococcal Conjugate ACYW" />
          <doseNumberString value="4" />
        </recommendation>
      </ImmunizationRecommendation>
    </resource>
  </entry>
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      <ImmunizationRecommendation>
        <id value="201438487" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/ImmunizationRecommendation" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMAIMMZFORECASTID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-forecaster-id" />
          <value value="201438487" />
        </identifier>
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        <authority>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Organization/1" />
        </authority>
        <recommendation>
          <vaccineCode>
            <coding>
              <system value="https://nvc-cnv.canada.ca" />
              <code value="28531000087107" />
              <display value="COVID-19" />
            </coding>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="28531000087107" />
              <display value="COVID-19" />
            </coding>
          </vaccineCode>
          <forecastStatus>
            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="OVERDUE" />
              <display value="Overdue" />
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          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30981-5" />
                <display value="Earliest date to give" />
              </coding>
              <text value="Forecast by Agent Eligible Date" />
            </code>
            <value value="2020-12-14T00:00:00-08:00" />
          </dateCriterion>
          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="30980-7" />
                <display value="Date vaccine due" />
              </coding>
              <text value="Forecast by Agent Due Date" />
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            <value value="2020-12-14T00:00:00-08:00" />
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          <dateCriterion>
            <code>
              <coding>
                <system value="http://loinc.org" />
                <code value="59778-1" />
                <display value="Date when overdue for immunization" />
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              <text value="Forecast by Agent Past Due Date" />
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            <value value="2021-01-14T00:00:00-08:00" />
          </dateCriterion>
          <description value="COVID-19" />
          <doseNumberString value="1" />
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      </ImmunizationRecommendation>
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  </entry>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/AdverseEvent/34514" />
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      <AdverseEvent>
        <id value="34514" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AdverseEvent" />
        </meta>
        <extension url="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/AEFI-publicHealth-recomm">
          <extension url="AEFIphrRecomm">
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          <extension url="AEFIphrDate">
            <valueDateTime value="2025-01-24T13:06:27-08:00" />
          </extension>
          <extension url="AEFIphrComment">
            <valueString value="Public Health Recommendation for this client is to wipe out back vaccination experience from memory and all will be fine.  Trust me." />
          </extension>
        </extension>
        <identifier>
          <type>
            <text value="PANORAMAIMMZAEFIID" />
          </type>
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          <value value="34514" />
        </identifier>
        <actuality value="actual">
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            <extension url="AEFIstatus">
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                <coding>
                  <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
                  <code value="SR" />
                  <display value="Submitted for review" />
                </coding>
              </valueCodeableConcept>
            </extension>
          </extension>
        </actuality>
        <subject>
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        </subject>
        <recordedDate value="2025-01-06T00:00:00-08:00" />
        <suspectEntity>
          <instance>
            <reference value="http://ehealth.bc.ca/panorama/fhir/Immunization/70895913" />
          </instance>
        </suspectEntity>
      </AdverseEvent>
    </resource>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/MedicationRequest/183489" />
    <resource>
      <MedicationRequest>
        <id value="183489" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/MedicationRequest" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMADEFERID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-deferral-id" />
          <value value="183489" />
        </identifier>
        <status value="active" />
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          <coding>
            <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
            <code value="SPECIALCONSID_057" />
            <display value="Allergy Testing Required" />
          </coding>
        </statusReason>
        <intent value="order" />
        <doNotPerform value="true" />
        <medicationCodeableConcept>
          <coding>
            <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
            <code value="BCYSCT_AG025" />
            <display value="Spider Antivenom" />
          </coding>
        </medicationCodeableConcept>
        <subject>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Patient/50004274" />
        </subject>
        <dispenseRequest>
          <validityPeriod>
            <start value="2025-01-04T00:00:00-08:00" />
          </validityPeriod>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
  </entry>
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    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/RiskAssessment/4250722" />
    <resource>
      <RiskAssessment>
        <id value="4250722" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment" />
        </meta>
        <identifier>
          <type>
            <text value="PANORAMARISKFACTORID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id" />
          <value value="4250722" />
        </identifier>
        <status value="final" />
        <subject>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Patient/50004274" />
        </subject>
        <occurrenceDateTime value="2025-01-03T00:00:00-08:00" />
        <prediction>
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            <coding>
              <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
              <code value="7" />
              <display value="Chronic Medical Condition - Cardiac Disease (*)" />
            </coding>
          </outcome>
          <whenPeriod>
            <start value="2025-01-02T00:00:00-08:00" />
          </whenPeriod>
          <rationale value="YES" />
        </prediction>
      </RiskAssessment>
    </resource>
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  <entry>
    <fullUrl value="http://ehealth.bc.ca/panorama/fhir/CarePlan/1335862" />
    <resource>
      <CarePlan>
        <id value="1335862" />
        <meta>
          <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/CarePlan" />
        </meta>
        <contained>
          <Condition>
            <id value="1335862" />
            <meta>
              <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Condition" />
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            <code>
              <coding>
                <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
                <code value="CONTRAINDICATION" />
                <display value="Type - Contraindication" />
              </coding>
              <coding>
                <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
                <code value="OTH" />
                <display value="Reason - Other (specify)" />
              </coding>
              <text value="Test Purposes" />
            </code>
            <subject>
              <reference value="http://ehealth.bc.ca/panorama/fhir/Patient/50004274" />
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          </Condition>
        </contained>
        <identifier>
          <type>
            <text value="PANORAMASCID" />
          </type>
          <system value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-special-consideration-id" />
          <value value="1335862" />
        </identifier>
        <status value="completed" />
        <intent value="order" />
        <subject>
          <reference value="http://ehealth.bc.ca/panorama/fhir/Patient/50004274" />
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        <period>
          <start value="2025-01-01T00:00:00-08:00" />
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