Stage 1 pressure ulcer definition rai manual

". • An existing pressure ulcer/injury identifies residents at risk for further complications or skin injury.June 14–16, MA: Stage 1 Pressure Ulcer—. MDS/RAI and OASIS Education Coordinator Coding Stage 1 • Pressure stage 1 pressure ulcer definition rai manual ulcers with suspected deep tissue injury should.

) And/or a defined area of persistent redness in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues stage 1 pressure ulcer definition rai manual •Non-blanchable. •The pressure ulcer/injury definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) 20 16 Pressure Injury Staging System. TIP SHEET MDS SKIN CONDITION CODING. Often includes undermining and tunneling Stage 4 pressure injury: Full-thickness skin and tissue loss. Often includes undermining and tunneling Stage 4 pressure injury: Full-thickness skin and tissue loss. (RAI Manual, Pg M -4) CODING.

Centers for Medicare and Medicaid Services. Stage 1 bedsores can feel softer or firmer than stage 1 pressure ulcer definition rai manual the surrounding wound tissue in the resident’s skin.•The pressure ulcer/injury definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) 20 16 Pressure Injury Staging System. • The pressure ulcer definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) Pressure Ulcer Stages. To continue with your YouTube experience, please fill out the form below. Examine the resident and determine whether any ulcers are present. Slough or eschar may be present on some parts of the wound bed. Documentation of intervention for treating unhealed pressure ulcers coded at MA–G during the 7–day look–back with administration record.

Wounds that are unstageable due to slough or eschar are also considered ulcers, as they are more open. 1. DEFINITION: According to the RAI Manual, “A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or pressure in combination with shear and/or friction”. This feature is not available right now.) stage 1 pressure ulcer definition rai manual 2. to stage 1 pressure ulcer definition rai manual assess the skin •Do not rely on only one descriptor to. ).

g., temperature (warmth or coolness); tissue consistency (firm or boggy). PRESSURE ULCER/INJURY Stage 1 Pressure Injury: Intact skin with non‐blanchable redness of a. Mar 22,  · The definitions included in the RAI User’s Manual, stage 1 pressure ulcer definition rai manual Version , for the four different stages of pressure ulcers are as follows: Stage 1 pressure ulcer: An observable, pressure-related alteration of intact skin, whose indicators as compared to an adjacent or opposite area on the body may include changes in one or more of the following parameters: skin temperature (warmth or coolness); . Pressure Injury Definition 14 © National Pressure Ulcer Advisory Panel | [HOST] • A pressure injury is localized damage to the skin and underlying soft tissue usually over a . The spot may also feel different from.

Definition According the RAI Manual “A skin ulcer can be defined as a local loss of epidermis and variable levels of dermis and subcutaneous tissue, or in the case of Stage 1 pressure ulcers, persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. If the medical record reveals that the resident currently has a pressure ulcer/injury, a scar over a bony prominence, or a non-removable dressing or . NON-BLANCHABLE • Reddened areas of tissue that do not turn white or pale when pressed firmly with a finger or device.

Centers for Medicare and Medicaid Services. MDS/RAI and OASIS stage 1 pressure ulcer definition rai manual Education Coordinator Coding Stage 1 • Pressure ulcers with suspected deep tissue injury should. Pressure Ulcer Stages Revised by NPUAP February - The National Pressure Ulcer Advisory Panel has redefined the definition of a pressure ulcer and the stages of pressure ulcers, including the original 4 stages and adding 2 stages on deep tissue injury and unstageable pressure ulcers. These preventable decubitus ulcers are a result of patient being unable to move and staff failing to flip the patient.

The National stage 1 pressure ulcer definition rai manual Pressure Ulcer Advisory Panel (NPUAP) is an independent not-for-profit professional organization stage 1 pressure ulcer definition rai manual dedicated to the prevention and management of pressure injuries. Pressure ulcer staging also informs expectations for healing times. Formed in , the NPUAP Board of Directors is composed of leading experts from different health care disciplines— all of whom share a commitment to the prevention and. The guidance to surveyors has an expanded discussion of pressure ulcer/injuryrisk factors that must be taken into account. Stage 2 pressure wounds are open painful sores caused by unrelieved pressure.. CMS’s RAI Version Manual CH 3: MDS Items [M] October Page M-4 M Risk of Pressure Ulcers/Injuries (cont. stage 1 pressure ulcer definition rai manual October Page M Pressure Ulcer Stages Revised by NPUAP February - The National Pressure Ulcer Advisory Panel has redefined the definition of a pressure ulcer and the stages of pressure ulcers, including the original 4 stages and adding 2 stages on deep tissue injury and unstageable pressure ulcers.

If the cause of the injury is not relieved, these will progress and form proper ulcers. Pressure Ulcer - MDS Definition: “A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction. "Pressure ulcer care includes any intervention for treating pressure ulcers coded in Current Number of Unhealed Pressure Ulcers at Each Stage (MA–G). •The PU/PI stage 1 pressure ulcer definition rai manual definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory pressure ulcer and not a diabetic foot ulcer. Pressure injuries (bed sores) are an injury to the skin and underlying tissue.

The National Pressure Ulcer Advisory Panel defines an SDTI as a “purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. Jul 22,  · CMS has stated in the stage 1 pressure ulcer definition rai manual updated RAI manual that “Stage 2 ulcers will generally lack the surrounding characteristics found with a deep tissue injury” while “blood-filled blisters related primarily to pressure are more likely than serous filled blisters to be associated with a suspected deep tissue injury." Source: Page M-7, RAI User's Manual. Pressure Ulcers item (M) (p. They can range from mild reddening of the skin to severe tissue damage-and sometimes stage 1 pressure ulcer definition rai manual infection-that extends into muscle and bone.

• An existing pressure ulcer identifies residents at risk for further complications or skin injury. By Nancy Morgan, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC Staging pressure ulcers stage 1 pressure ulcer definition rai manual can get tricky, especially when we’re dealing with a suspected stage 1 pressure ulcer definition rai manual deep-tissue injury (SDTI). Pressure-reducing devices can reduce pressure or Figure 1. Pressure injuries are described in four stages: Stage 1 sores are not stage 1 pressure ulcer definition rai manual open wounds. The Definition of Pressure Injuries •National Pressure Ulcer Advisory Panel (NPUAP) Definition April •A pressure injury is localized damage to the skin and/or stage 1 pressure ulcer definition rai manual underlying soft tissue usually over a bony prominence or related to a medical or other device.

It is often useful for an MDS coder to have the RAI manual and the applicable F-tag regulations and guidance when assessing for pressure ulcer/injuryrisk. Definition (cont. Definition According the RAI Manual “A skin ulcer can be defined as a local loss of epidermis and variable levels of dermis and subcutaneous tissue, or in the case of Stage 1 pressure ulcers, persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved.

CMS’s RAI Version Manual CH 3: MDS Items [M] October Page stage 1 pressure ulcer definition rai manual M-4 M Risk of Pressure Ulcers/Injuries (cont. not. CMS RAI Manual Definition NPUAP Definition Stage 4 [HOST], Full-thickness tissue loss with exposed bone, tendon or muscle.” “Do not code MG when a. If a pressure ulcer healed during the look‐back period, and was not present on prior assessment, code 0, No, indicating the resident did not have one or more unhealed pressure ulcer(s) at Stage 1 or higher, and skip to M, Healed Pressure Ulcers (p.) And/or a defined area of persistent redness in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues •Non-blanchable.

The injury can present as intact skin or an open ulcer and may be painful.” (Source- CMS’s RAI Version Manual, stage 1 pressure ulcer definition rai manual Page M-4) One reason your facility’s stage 1 pressure ulcer definition rai manual High Risk Pressure Ulcer (Long Stay. • Key areas for pressure ulcer development include sacrum, coccyx, trochanters, ischial tuberosities, and heels. Jun 15, · The MDS RAI User’s Manual currently states the following: “If a resident who has a pressure ulcer is hospitalized and returns with that pressure ulcer at stage 1 pressure ulcer definition rai manual the same stage, the pressure ulcer should not be coded as ‘present on admission’ because it was present at the residential facility prior to the hospitalization. (Page P-1 stage 1 pressure ulcer definition rai manual of the MDS RAI Manual) CMS definition of stage 2 pressure ulcer differs from NPUAP. The injury can present as intact skin or an open ulcer and may be painful.

The guidance to surveyors has an stage 1 pressure ulcer definition rai manual expanded discussion of pressure ulcer/injuryrisk factors that must be taken into account. After 6 months of treatment, stage 1 pressure ulcer definition rai manual > 70% of stage 2 pressure ulcers, 50% of stage 3 ulcers, and 30% of stage 4 ulcers resolve. not.   This is the most severe type of pressure ulcer and the most difficult to treat. “A pressure ulcer that has progressed to a deeper level of tissue damage and is therefore staged at a higher number using a numerical scale of 1–4 (using the staging assessment system classifications assigned to each stage; starting at Stage 1, and increasing in severity to Stage 4) on an assessment as compared to the previous assessment. This tissue damage can be visible or palpable in the ulcer bed.

Other areas, such as stage 1 pressure ulcer definition rai manual bony deformities, skin under braces, and skin subjected to excess pressure, shear or friction, are also at risk for pressure ulcers. Risk factors described in M should be addressed. adequate light.

be coded as Stage 1 pressure ulcers. ). CMS RAI Manual Definition NPUAP Definition Stage 4 [HOST], Full-thickness tissue loss with exposed bone, tendon or muscle. The RAI Manual specifically states for Stage 1 pressure ulcers. Jul 22, · CMS has stated in the updated RAI manual that “Stage 2 ulcers will generally lack the surrounding characteristics found with a deep tissue injury” while “blood-filled blisters related primarily to pressure are more likely than serous filled blisters to be associated with a suspected deep tissue injury. Jun 15,  · The MDS RAI User’s Manual currently states the following: “If a resident who has a pressure ulcer is hospitalized and returns with that pressure ulcer at the same stage, the pressure ulcer should not be coded as ‘present on admission’ because it was present at the residential facility prior to the hospitalization.

Damage to deeper tissues, tendons, nerves, and joints may occur, usually with copious amounts of pus and drainage. June 14–16, MA: Stage 1 Pressure Ulcer—. • Pressure ulcer staging is an assessment system that provides a description and classification based on anatomic depth of soft tissue damage. Focused and Staffing Surveys Cheryl Shiffer, RN, BSN, RAC-CT.

be coded as Stage 1 pressure ulcers. If the medical record reveals that the residen currently has a Stage 1 or greater pressure ulcer, a scar over a bony prominence, or a non-removable dressing or device, the resident is at risk for worsening or new pressure ulcers. Pressure - Pressure is the force (per unit area) exerted perpendicular to the skin surface. Centers for Medicare & Medicaid Services Special Open Door Forum Patient Protection and Affordable Care Act (ACA) present on admission definition. 5/12/ Pressure ulcer staging is based on: stage 1 pressure ulcer definition rai manual •History •Actual assessment- Key points for detecting stage 1 pressure ulcers •Need. Stage 1 pressure injuries are characterized by superficial reddening of the skin (or red, blue or purple hues in darkly pigmented skin) that when pressed does not turn white (non-blanchable erythema).” “Do not code MG when a. Pressure injuries (bed sores) are an injury to the skin and underlying tissue.

M‐5). Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual. Pressure ulcer staging also informs expectations for healing times. Stage I pressure. Formed in , the NPUAP Board of Directors is composed of leading experts from different health care disciplines— all of whom share a commitment to the prevention and. • An existing pressure ulcer identifies residents at risk for further complications or skin injury., temperature (warmth or coolness); tissue consistency (firm or boggy). code the MDS according to the instructions in this manual.

5/12/ Pressure ulcer staging is based on: •History •Actual assessment- Key points for detecting stage 1 pressure ulcers •Need. References 1. Risk factors described in M should be addressed. Stage 1. CMS definition of stage 2 pressure ulcer differs from NPUAP. Definition of a healed pressure ulcer according to CMS RAI Manual for Long Term care: Completely closed, fully epithelialized, covered completely with epithelial tissue, or resurfaced with new skin, even if the area continues to have some surface discoloration. References 1.

The pressure ulcer/injury definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) Pressure Injury Staging System.” (Source- CMS’s RAI Version Manual, Page M-4) One reason your facility’s High Risk Pressure Ulcer stage 1 pressure ulcer definition rai manual (Long Stay. Definition: Non-blanchable –Reddened areas of tissue that do not turn white or pale when firmly pressed with a .

1. Symptoms: Pain, burning, or itching are common symptoms. Definition of a healed pressure ulcer according to CMS RAI Manual for Long Term care: Completely closed, fully epithelialized, covered completely with epithelial tissue, or resurfaced with new skin, even if the area continues to have some surface discoloration. Pressure injuries are described in four stages: Stage 1 sores are not open wounds. These pressure sores only affect the upper layer of your skin. q Percentage of residents with Stage 1 to 4 pressure ulcers in the previous month q Percentage of residents with a new ulcer in the current month of reporting compared to the previous month of reporting (RAI-MDS Stages ) q Percentage of residents who had a Stage 1, 2 or 3 pressure ulcer . This work is the culmination of over 5 years of stage 1 pressure ulcer definition rai manual work. The Definition of Pressure Injuries •National Pressure Ulcer Advisory Panel (NPUAP) Definition April •A pressure injury is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device.

” (RAI Manual, pgs. Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual. If the medical record reveals that the resident currently has a pressure ulcer/injury, a scar over a bony prominence, or a non-removable dressing or device, the resident is at risk for. Stage 1 pressure ulcers, though coded on the MDS, are NOT included in stage 1 pressure ulcer definition rai manual the calculation for the HR PU QM. These answers were verified with Elizabeth Ayello RN, PhD, who developed the education program for MDS Section M for CMS, and co-authored our book, Pocket Guide to Pressure Ulcers.

• Code MB2 as 1 . This work is the culmination of over 5 years of work. Stage 1 Pressure Ulcer Definition. Stage 2 pressure wounds are open painful sores caused by unrelieved pressure. Sep 25,  · Description and identification of pressure ulcers. The skin may be painful, but it has no breaks or tears. By Nancy Morgan, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC Staging pressure ulcers can get tricky, especially when we’re dealing with a suspected deep-tissue injury (SDTI).

2 Pressure damages the skin and underlying tissues by (1) directly deforming and damaging tissue; (2) compressing small blood vessels hindering blood flow and nutrient supply and (3) through ischemia-reperfusion injury. • Key areas for pressure ulcer development include sacrum, coccyx, trochanters, ischial tuberosities, and heels. CMS often refers to the National Pressure Ulcer Advisory Panel’s (NPUAP) terms and definitions, which it has. The National Pressure Ulcer Advisory stage 1 pressure ulcer definition rai manual Panel (NPUAP) is an independent not-for-profit professional organization dedicated to the stage 1 pressure ulcer definition rai manual prevention and management of pressure injuries.

Dark pigmented skin may not blanch. (RAI Manual, Pg M -4) CODING. Stage four pressure ulcers occur when the hypodermis and underlying fascia are breached, exposing muscle and bone. We need more studies to blueprint practice about prevention and treatment of pressure ulcer/injury. Oct 29,  · In the RAI manual, Stage 1 injuries would be considered pressure injuries, while Stage 2, 3, and 4 injuries would be considered ulcers. Review formal risk assessment tools to determine the resident's "risk score.

• An existing pressure ulcer/injury identifies residents at risk for further complications or skin injury. Evidence demonstrates that there can be numerous causes of skin damage. DEFINITION: According to the RAI Manual, “A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or pressure in combination with shear and/or friction”.

(Page P-1 of the MDS RAI Manual) (Bedsores; Decubitus Ulcers; Decubiti; Pressure Sores) Pressure ulcers are areas of necrosis and ulceration where tissues are compressed between bony prominences and hard surfaces. The pressure ulcer/injury definitions used stage 1 pressure ulcer definition rai manual in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) Pressure Injury Staging System. LTCH CARE Data Sets LTCH SODF – 08/30/12 9 • Code MB1 Number of Stage 2 Pressure Ulcers as 1. Risk factors described in M should be addressed. Page M‐4 CMS LTC RAI Manual •“If the pressure ulcer has ever been classified at a deeper stage than what is observed now, it should continue to be classified at the deeper.

We need more studies to blueprint practice about prevention and treatment of pressure ulcer/injury. Oct 25, · The RAI User's Manual includes stage 1 pressure ulcer definition rai manual the following definitions:"STAGE 1 PRESSURE ULCER: An observable, pressure-related alteration of intact skin, whose indicators as compared to an adjacent or opposite area on the body may include changes in one or more of the following parameters: skin temperature (warmth or coolness); tissue consistency (firm or boggy. Definition: Non-blanchable –Reddened areas of tissue that do not turn white or pale when firmly pressed with a finger. adequate light. TIP SHEET MDS SKIN CONDITION CODING. • Pressure ulcer staging is an assessment system that provides a description and classification based on anatomic depth of soft tissue damage.

This tissue damage can be visible or palpable in the ulcer bed. Pressure Ulcers: Prevention, Evaluation, and Management themselves using manual aids, such as a trapeze bar. alteration is related to pressure." (MDS Manual, page M–39). Risk factors include age > 65, impaired circulation and tissue perfusion. For example, the medical record could reflect the presence of a Stage 2 pressure injury, while the same area would be coded as a Stage 2 pressure ulcer on the MDS. Jul 04,  · Sorry for the interruption.

Oct 25,  · The RAI User's Manual includes the following definitions:"STAGE 1 PRESSURE ULCER: An observable, pressure-related alteration of intact skin, whose indicators as compared to an adjacent or opposite area on the body may include changes in one or more of the following parameters: skin temperature (warmth or coolness); tissue consistency (firm or boggy. NON-BLANCHABLE • Reddened areas of tissue that do not turn white or pale when pressed firmly with a finger or device.. Wounds that are unstageable due to slough or eschar are also considered ulcers, as they are more open. Oct 29, · In the RAI manual, Stage 1 injuries would be considered pressure injuries, while Stage 2, 3, and 4 injuries would be considered ulcers. Review formal risk assessment tools to determine the resident's "risk score. We have been receiving a large volume of requests from your network.

Jan 07,  · If this ulcer were coded as a Stage 2 ulcer, you would be effectively downstaging from a “healed Stage 4” to a stage 2, which is prohibited by CMS. They can range from mild reddening of the skin to severe tissue damage-and sometimes infection-that extends into muscle and bone. • The pressure ulcer definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory Panel (NPUAP) Pressure Ulcer Stages.

Other areas, such as bony deformities, skin under braces, and skin subjected to excess pressure, shear or friction, are also at risk for pressure ulcers. Slough or eschar may be present on some parts of the wound bed. Pressure ulcers often develop in patients who are receiving suboptimal care and/or have significant disorders that impair wound healing (eg, diabetes, stage 1 pressure ulcer definition rai manual undernutrition, peripheral arterial disease). F is where deficient practice related to pressure ulcers is cited. Examine the resident and determine whether any ulcers are present. If the medical record reveals that the residen currently has a Stage 1 or greater pressure ulcer, a stage 1 pressure ulcer definition rai manual scar over a bony prominence, or a non-removable dressing or device, the resident is at risk for worsening or new pressure ulcers. This is the mildest stage. Stage 1 pressure ulcers, though coded on the MDS, are NOT included in the calculation for the HR PU QM.

The stage 1 pressure ulcer definition rai manual descriptors are similar for these two types of ulcers (e. The National Pressure Ulcer Advisory Panel defines an SDTI as a “purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear.g. Focused and Staffing Surveys Cheryl Shiffer, RN, BSN, RAC-CT. They are caused by pressure in combination with friction, shearing forces, and moisture. Jan 07, · If this ulcer were coded as a Stage 2 ulcer, you would be effectively downstaging from a “healed Stage 4” to a stage 2, which is prohibited by CMS. Definition (cont.

code the MDS according to the instructions in this manual. Evidence demonstrates that there can be numerous causes of skin damage. PRESSURE ULCER/INJURY Stage 1 Pressure Injury: Intact skin with non‐blanchable redness of a. Stage 1 Pressure Ulcer Definition. Jan 10, · The manual also states: "Reliance on only one descriptor is inadequate to determine the staging of the pressure ulcer between Stage 1 and suspected deep tissue ulcers. q Percentage of residents with Stage 1 to 4 pressure ulcers in the previous month q Percentage of residents with a new ulcer in the current month of reporting compared to the previous month of reporting (RAI-MDS Stages ) q Percentage of residents who had a Stage 1, 2 or 3 pressure ulcer in the previous month. Jan 10,  · The manual also states: "Reliance on only one descriptor is inadequate to determine the staging of the pressure ulcer between Stage 1 and suspected deep tissue ulcers.

Pressure Ulcer - MDS Definition: “A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination stage 1 pressure ulcer definition rai manual with shear and/or friction. 2 Pressure stage 1 pressure ulcer definition rai manual damages the skin and underlying tissues by (1) directly deforming and damaging tissue; (2) compressing small blood vessels hindering blood flow and nutrient supply and (3) through ischemia-reperfusion injury.". October Page M Pressure - Pressure is the force (per unit area) exerted perpendicular to the skin surface. It is often useful for an MDS coder to have the RAI manual and the applicable F-tag regulations and guidance when assessing for pressure ulcer/injuryrisk. Mar 22, · The definitions included in the RAI User’s Manual, Version , for the four different stages of pressure ulcers are as follows: Stage 1 pressure ulcer: An observable, pressure-related alteration of intact skin, whose indicators as compared to an adjacent or opposite area on stage 1 pressure ulcer definition rai manual the body may include changes in one or more of the following parameters: skin temperature (warmth or coolness); tissue consistency (firm or boggy); sensation (pain, itching); and/or a defined area of persistent redness. These answers were verified with Elizabeth Ayello RN, PhD, who developed the education program for MDS Section M for CMS, and co-authored our book, Pocket Guide to Pressure Ulcers. F is where deficient practice related to pressure ulcers is cited.

The RAI Manual specifically states for Stage 1 pressure ulcers. The descriptors are similar for these two types of ulcers (e. The skin may be painful, but it has no stage 1 pressure ulcer definition rai manual breaks or tears.

) 2. to assess the skin •Do not rely on only one descriptor stage 1 pressure ulcer definition rai manual to." Source: Page M-7, RAI User's Manual. Please try again later. Risk factors described in M should be addressed.

These preventable decubitus ulcers are a result of patient being unable to move and staff failing to flip the patient. •The PU/PI definitions used in the RAI Manual have been adapted from those recommended by the National Pressure Ulcer Advisory pressure ulcer and not a diabetic foot ulcer. Category/Stage I Pressure Ulcer Definition Description • Intact skin with non‐ blanchable Program Manual Version higher numerical stage”.” (RAI Manual, pgs. Stage 1 bedsores can feel softer or firmer than the stage 1 pressure ulcer definition rai manual surrounding wound tissue in the resident’s skin.


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