# emr_clinical_guideline

guideline_id: d217e4057a9440e8a3d77782d67da509
title: Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure
organization: American College of Cardiology/American Heart Association
summary: Evidence-based guidelines for hypertension management
publication_date: 2017-11-13
last_updated: 2025-10-03
version: 2017
keywords: ["hypertension", "blood pressure", "cardiovascular", "risk"]
specialties: ["Cardiology", "Internal Medicine", "Nephrology"]
created_at: 2025-10-03 17:41:12.962576
updated_at: 2025-10-03 17:41:12.962579
url:
  https://example.com/guidelines/guidelines_for_the_prevention,_detection,_evaluation,_and_management_of_high_blood_pressure


# insurance_approvals_template

template_id: 57f8c7b6e1e14679b11b32e40b60a2d4
name: MRI Authorization Template
description: Standard template for RADIOLOGY authorization requests
request_type: RADIOLOGY
insurance_company: Bupa Arabia
medical_necessity_template: Imaging is medically necessary to establish accurate diagnosis and guide treatment plan.
required_documents: "Clinical notes, Previous imaging reports, Treatment history"
required_codes: "ICD-10 diagnosis code, CPT procedure code"
created_at: 2025-10-04 20:48:17.681016
updated_at: 2025-10-04 20:48:17.681170
clinical_justification_template:
  Patient presents with [symptoms]. Conservative treatment including [treatments] has been attempted without relief. MRI is necessary to [diagnostic purpose].


template_id: fce3b0962896412da01634db2e1717f2
name: Physical Therapy Authorization
description: Standard template for THERAPY authorization requests
request_type: THERAPY
insurance_company: Tawuniya
medical_necessity_template: Physical therapy is medically necessary to restore mobility, strength, and prevent complications.
required_documents: "Physician referral, Surgical report (if applicable), Functional assessment"
required_codes: "ICD-10 diagnosis code, CPT therapy codes"
created_at: 2025-10-04 20:48:17.682137
updated_at: 2025-10-04 20:48:17.682141
clinical_justification_template:
  Patient requires physical therapy following [condition/surgery]. Therapy is essential for recovery and return to function.


template_id: a3994c3cecc849aab51e7f6ea5c99476
name: Specialty Medication Prior Auth
description: Standard template for PHARMACY authorization requests
request_type: PHARMACY
insurance_company: Saudi Enaya
medical_necessity_template: Specialty medication is medically necessary as patient has not responded to standard treatments.
required_documents: "Medication history, Lab results, Treatment failure documentation"
required_codes: "ICD-10 diagnosis code, NDC code, J-code"
created_at: 2025-10-04 20:48:17.682483
updated_at: 2025-10-04 20:48:17.682487
clinical_justification_template:
  Patient has failed conventional therapy with [medications]. Specialty medication is required for disease control.


template_id: 15c78929ff5341be989f0c364c9e392f
name: DME Authorization Template
description: Standard template for DME authorization requests
request_type: DME
insurance_company: Walaa Insurance
medical_necessity_template: DME is medically necessary to maintain patient safety and independence.
required_documents: "Physician prescription, Medical evaluation, Functional assessment"
required_codes: "ICD-10 diagnosis code, HCPCS code"
created_at: 2025-10-04 20:48:17.683155
updated_at: 2025-10-04 20:48:17.683158
clinical_justification_template:
  Patient requires durable medical equipment due to [condition]. Equipment is necessary for [functional purpose].


# inventory_supplier

supplier_id: ab1e4770c20648948d3c14771d0fe6a7
supplier_code: SUP-001
name: Saudi Medical Supply Co.
supplier_type: DISTRIBUTOR
contact_person: Manager - Saudi Medical Supply Co.
phone: +966-11-234-5678
email: contact@saudimedicalsupplyco.sa
website: https://www.saudimedicalsupplyco.sa
address_line_1: 539 King Fahd Road
city: Riyadh
state: Riyadh Province
postal_code: 99857
country: Saudi Arabia
tax_id: TAX-204249036
payment_terms: NET_60
notes: Saudi medical supplier - Saudi Medical Supply Co.
created_at: 2025-10-03 17:43:43.399157
updated_at: 2025-10-03 17:43:43.399340
certifications:
  [{"name": "ISO 13485", "number": "ISO-22708", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-45798", "expiry": "2025-06-30"}]


supplier_id: 55bbecef06544d94b9edae5c23c5d6a4
supplier_code: SUP-002
name: Gulf Medical Equipment
supplier_type: MANUFACTURER
contact_person: Manager - Gulf Medical Equipment
phone: +966-13-345-6789
email: contact@gulfmedicalequipment.sa
website: https://www.gulfmedicalequipment.sa
address_line_1: 199 King Saud Road
city: Dammam
state: Dammam Province
postal_code: 10103
country: Saudi Arabia
tax_id: TAX-492079933
payment_terms: NET_60
notes: Saudi medical supplier - Gulf Medical Equipment
created_at: 2025-10-03 17:43:43.400780
updated_at: 2025-10-03 17:43:43.400786
certifications:
  [{"name": "ISO 13485", "number": "ISO-71464", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-30988", "expiry": "2025-06-30"}]


supplier_id: be30d2f26ca44ac1a3fd692c9abb9620
supplier_code: SUP-003
name: Arabian Healthcare Supplies
supplier_type: WHOLESALER
contact_person: Manager - Arabian Healthcare Supplies
phone: +966-12-456-7890
email: contact@arabianhealthcaresupplies.sa
website: https://www.arabianhealthcaresupplies.sa
address_line_1: 155 King Abdullah Road
city: Jeddah
state: Jeddah Province
postal_code: 72839
country: Saudi Arabia
tax_id: TAX-734178878
payment_terms: NET_30
notes: Saudi medical supplier - Arabian Healthcare Supplies
created_at: 2025-10-03 17:43:43.401518
updated_at: 2025-10-03 17:43:43.401522
certifications:
  [{"name": "ISO 13485", "number": "ISO-46438", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-95355", "expiry": "2025-06-30"}]


supplier_id: 5d35c3ac226346e3b4b05664b611a159
supplier_code: SUP-004
name: Riyadh Medical Trading
supplier_type: DISTRIBUTOR
contact_person: Manager - Riyadh Medical Trading
phone: +966-11-567-8901
email: contact@riyadhmedicaltrading.sa
website: https://www.riyadhmedicaltrading.sa
address_line_1: 798 King Fahd Road
city: Riyadh
state: Riyadh Province
postal_code: 14824
country: Saudi Arabia
tax_id: TAX-373967651
payment_terms: COD
notes: Saudi medical supplier - Riyadh Medical Trading
created_at: 2025-10-03 17:43:43.402207
updated_at: 2025-10-03 17:43:43.402210
certifications:
  [{"name": "ISO 13485", "number": "ISO-43887", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-48484", "expiry": "2025-06-30"}]


supplier_id: 9a9bc320dc09446a8166136b1acb238a
supplier_code: SUP-005
name: Al-Dawaa Medical
supplier_type: MANUFACTURER
contact_person: Manager - Al-Dawaa Medical
phone: +966-14-678-9012
email: contact@al-dawaamedical.sa
website: https://www.al-dawaamedical.sa
address_line_1: 637 King Fahd Road
city: Medina
state: Medina Province
postal_code: 39457
country: Saudi Arabia
tax_id: TAX-190705602
payment_terms: NET_60
notes: Saudi medical supplier - Al-Dawaa Medical
created_at: 2025-10-03 17:43:43.402843
updated_at: 2025-10-03 17:43:43.402847
certifications:
  [{"name": "ISO 13485", "number": "ISO-86318", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-67796", "expiry": "2025-06-30"}]


supplier_id: 9d089192e67044118339d0f89ef54b49
supplier_code: SUP-006
name: Nahdi Medical Company
supplier_type: RETAILER
contact_person: Manager - Nahdi Medical Company
phone: +966-12-789-0123
email: contact@nahdimedicalcompany.sa
website: https://www.nahdimedicalcompany.sa
address_line_1: 607 King Saud Road
city: Jeddah
state: Jeddah Province
postal_code: 11137
country: Saudi Arabia
tax_id: TAX-415449348
payment_terms: NET_60
notes: Saudi medical supplier - Nahdi Medical Company
created_at: 2025-10-03 17:43:43.403525
updated_at: 2025-10-03 17:43:43.403532
certifications:
  [{"name": "ISO 13485", "number": "ISO-98486", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-47770", "expiry": "2025-06-30"}]


supplier_id: a632e16402b64aad976880ed53e1d19d
supplier_code: SUP-007
name: United Pharmaceuticals
supplier_type: MANUFACTURER
contact_person: Manager - United Pharmaceuticals
phone: +966-13-890-1234
email: contact@unitedpharmaceuticals.sa
website: https://www.unitedpharmaceuticals.sa
address_line_1: 75 King Abdullah Road
city: Khobar
state: Khobar Province
postal_code: 88845
country: Saudi Arabia
tax_id: TAX-393058518
payment_terms: COD
notes: Saudi medical supplier - United Pharmaceuticals
created_at: 2025-10-03 17:43:43.404169
updated_at: 2025-10-03 17:43:43.404173
certifications:
  [{"name": "ISO 13485", "number": "ISO-81136", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-37224", "expiry": "2025-06-30"}]


supplier_id: c9a5e8d1af1e492f9cb6cbd6c551da1c
supplier_code: SUP-008
name: Middle East Medical
supplier_type: DISTRIBUTOR
contact_person: Manager - Middle East Medical
phone: +966-12-901-2345
email: contact@middleeastmedical.sa
website: https://www.middleeastmedical.sa
address_line_1: 396 King Fahd Road
city: Taif
state: Taif Province
postal_code: 66829
country: Saudi Arabia
tax_id: TAX-186470931
payment_terms: NET_60
notes: Saudi medical supplier - Middle East Medical
created_at: 2025-10-03 17:43:43.404814
updated_at: 2025-10-03 17:43:43.404819
certifications:
  [{"name": "ISO 13485", "number": "ISO-44461", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-96338", "expiry": "2025-06-30"}]


supplier_id: c354a2a8002646619dbbad30fe5d67f5
supplier_code: SUP-009
name: Kingdom Medical Supplies
supplier_type: WHOLESALER
contact_person: Manager - Kingdom Medical Supplies
phone: +966-16-012-3456
email: contact@kingdommedicalsupplies.sa
website: https://www.kingdommedicalsupplies.sa
address_line_1: 59 King Fahd Road
city: Buraidah
state: Buraidah Province
postal_code: 95807
country: Saudi Arabia
tax_id: TAX-452613765
payment_terms: NET_60
notes: Saudi medical supplier - Kingdom Medical Supplies
created_at: 2025-10-03 17:43:43.405601
updated_at: 2025-10-03 17:43:43.405607
certifications:
  [{"name": "ISO 13485", "number": "ISO-36203", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-15909", "expiry": "2025-06-30"}]


supplier_id: d649e4ad8ddd4af8bd865aa81aca30f3
supplier_code: SUP-010
name: Eastern Province Medical Co.
supplier_type: DISTRIBUTOR
contact_person: Manager - Eastern Province Medical Co.
phone: +966-13-123-4567
email: contact@easternprovincemedicalco.sa
website: https://www.easternprovincemedicalco.sa
address_line_1: 816 King Fahd Road
city: Dhahran
state: Dhahran Province
postal_code: 90049
country: Saudi Arabia
tax_id: TAX-528454933
payment_terms: NET_30
notes: Saudi medical supplier - Eastern Province Medical Co.
created_at: 2025-10-03 17:43:43.406274
updated_at: 2025-10-03 17:43:43.406279
certifications:
  [{"name": "ISO 13485", "number": "ISO-27733", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-31246", "expiry": "2025-06-30"}]


supplier_id: 6b3f272efb7a4ffeab0733baa83fa8e0
supplier_code: SUP-001-1
name: Saudi Medical Supply Co.
supplier_type: DISTRIBUTOR
contact_person: Manager - Saudi Medical Supply Co.
phone: +966-11-234-5678
email: contact@saudimedicalsupplyco.sa
website: https://www.saudimedicalsupplyco.sa
address_line_1: 701 King Abdullah Road
city: Riyadh
state: Riyadh Province
postal_code: 82307
country: Saudi Arabia
tax_id: TAX-236288962
payment_terms: NET_30
notes: Saudi medical supplier - Saudi Medical Supply Co.
created_at: 2025-10-03 17:44:54.808296
updated_at: 2025-10-03 17:44:54.808489
certifications:
  [{"name": "ISO 13485", "number": "ISO-45889", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-81165", "expiry": "2025-06-30"}]


supplier_id: dd437031f9094a678d9ac552f5b5ae7c
supplier_code: SUP-002-1
name: Gulf Medical Equipment
supplier_type: MANUFACTURER
contact_person: Manager - Gulf Medical Equipment
phone: +966-13-345-6789
email: contact@gulfmedicalequipment.sa
website: https://www.gulfmedicalequipment.sa
address_line_1: 509 King Fahd Road
city: Dammam
state: Dammam Province
postal_code: 70089
country: Saudi Arabia
tax_id: TAX-903416324
payment_terms: COD
notes: Saudi medical supplier - Gulf Medical Equipment
created_at: 2025-10-03 17:44:54.810021
updated_at: 2025-10-03 17:44:54.810027
certifications:
  [{"name": "ISO 13485", "number": "ISO-18368", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-95098", "expiry": "2025-06-30"}]


supplier_id: 0b8db15390ac4e12ac2bfb52ebddb24a
supplier_code: SUP-003-1
name: Arabian Healthcare Supplies
supplier_type: WHOLESALER
contact_person: Manager - Arabian Healthcare Supplies
phone: +966-12-456-7890
email: contact@arabianhealthcaresupplies.sa
website: https://www.arabianhealthcaresupplies.sa
address_line_1: 89 King Saud Road
city: Jeddah
state: Jeddah Province
postal_code: 84439
country: Saudi Arabia
tax_id: TAX-357848920
payment_terms: NET_30
notes: Saudi medical supplier - Arabian Healthcare Supplies
created_at: 2025-10-03 17:44:54.810795
updated_at: 2025-10-03 17:44:54.810800
certifications:
  [{"name": "ISO 13485", "number": "ISO-55847", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-40966", "expiry": "2025-06-30"}]


supplier_id: 96283c38d5204a71851c0de6d37e21be
supplier_code: SUP-004-1
name: Riyadh Medical Trading
supplier_type: DISTRIBUTOR
contact_person: Manager - Riyadh Medical Trading
phone: +966-11-567-8901
email: contact@riyadhmedicaltrading.sa
website: https://www.riyadhmedicaltrading.sa
address_line_1: 889 King Fahd Road
city: Riyadh
state: Riyadh Province
postal_code: 57991
country: Saudi Arabia
tax_id: TAX-862758819
payment_terms: COD
notes: Saudi medical supplier - Riyadh Medical Trading
created_at: 2025-10-03 17:44:54.811469
updated_at: 2025-10-03 17:44:54.811473
certifications:
  [{"name": "ISO 13485", "number": "ISO-25543", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-50889", "expiry": "2025-06-30"}]


supplier_id: cdef57dc499e440987ef19aa257a8cea
supplier_code: SUP-005-1
name: Al-Dawaa Medical
supplier_type: MANUFACTURER
contact_person: Manager - Al-Dawaa Medical
phone: +966-14-678-9012
email: contact@al-dawaamedical.sa
website: https://www.al-dawaamedical.sa
address_line_1: 731 King Fahd Road
city: Medina
state: Medina Province
postal_code: 27867
country: Saudi Arabia
tax_id: TAX-856799393
payment_terms: NET_60
notes: Saudi medical supplier - Al-Dawaa Medical
created_at: 2025-10-03 17:44:54.812108
updated_at: 2025-10-03 17:44:54.812111
certifications:
  [{"name": "ISO 13485", "number": "ISO-66433", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-76579", "expiry": "2025-06-30"}]


supplier_id: dfa85f3445ba4f0bac0ce99e707e112a
supplier_code: SUP-006-1
name: Nahdi Medical Company
supplier_type: RETAILER
contact_person: Manager - Nahdi Medical Company
phone: +966-12-789-0123
email: contact@nahdimedicalcompany.sa
website: https://www.nahdimedicalcompany.sa
address_line_1: 480 King Saud Road
city: Jeddah
state: Jeddah Province
postal_code: 19374
country: Saudi Arabia
tax_id: TAX-931547129
payment_terms: COD
notes: Saudi medical supplier - Nahdi Medical Company
created_at: 2025-10-03 17:44:54.812965
updated_at: 2025-10-03 17:44:54.812972
certifications:
  [{"name": "ISO 13485", "number": "ISO-55616", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-59312", "expiry": "2025-06-30"}]


supplier_id: 6152a160dbc94b8d92e218c84acb4362
supplier_code: SUP-007-1
name: United Pharmaceuticals
supplier_type: MANUFACTURER
contact_person: Manager - United Pharmaceuticals
phone: +966-13-890-1234
email: contact@unitedpharmaceuticals.sa
website: https://www.unitedpharmaceuticals.sa
address_line_1: 470 King Fahd Road
city: Khobar
state: Khobar Province
postal_code: 21481
country: Saudi Arabia
tax_id: TAX-449278648
payment_terms: NET_60
notes: Saudi medical supplier - United Pharmaceuticals
created_at: 2025-10-03 17:44:54.813693
updated_at: 2025-10-03 17:44:54.813697
certifications:
  [{"name": "ISO 13485", "number": "ISO-99418", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-78737", "expiry": "2025-06-30"}]


supplier_id: 695ab1206dc34cdbbfd93ff10a7439dc
supplier_code: SUP-008-1
name: Middle East Medical
supplier_type: DISTRIBUTOR
contact_person: Manager - Middle East Medical
phone: +966-12-901-2345
email: contact@middleeastmedical.sa
website: https://www.middleeastmedical.sa
address_line_1: 773 King Abdullah Road
city: Taif
state: Taif Province
postal_code: 68239
country: Saudi Arabia
tax_id: TAX-880849013
payment_terms: NET_30
notes: Saudi medical supplier - Middle East Medical
created_at: 2025-10-03 17:44:54.814334
updated_at: 2025-10-03 17:44:54.814338
certifications:
  [{"name": "ISO 13485", "number": "ISO-19349", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-52743", "expiry": "2025-06-30"}]


supplier_id: d905f138858b4cfba244d630d1694668
supplier_code: SUP-009-1
name: Kingdom Medical Supplies
supplier_type: WHOLESALER
contact_person: Manager - Kingdom Medical Supplies
phone: +966-16-012-3456
email: contact@kingdommedicalsupplies.sa
website: https://www.kingdommedicalsupplies.sa
address_line_1: 490 King Abdullah Road
city: Buraidah
state: Buraidah Province
postal_code: 61250
country: Saudi Arabia
tax_id: TAX-689367018
payment_terms: NET_60
notes: Saudi medical supplier - Kingdom Medical Supplies
created_at: 2025-10-03 17:44:54.814951
updated_at: 2025-10-03 17:44:54.814955
certifications:
  [{"name": "ISO 13485", "number": "ISO-88263", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-88417", "expiry": "2025-06-30"}]


supplier_id: b27020f5a2f5488899f83cf9a60efba7
supplier_code: SUP-010-1
name: Eastern Province Medical Co.
supplier_type: DISTRIBUTOR
contact_person: Manager - Eastern Province Medical Co.
phone: +966-13-123-4567
email: contact@easternprovincemedicalco.sa
website: https://www.easternprovincemedicalco.sa
address_line_1: 272 King Saud Road
city: Dhahran
state: Dhahran Province
postal_code: 89052
country: Saudi Arabia
tax_id: TAX-997363998
payment_terms: COD
notes: Saudi medical supplier - Eastern Province Medical Co.
created_at: 2025-10-03 17:44:54.815546
updated_at: 2025-10-03 17:44:54.815550
certifications:
  [{"name": "ISO 13485", "number": "ISO-93319", "expiry": "2025-12-31"}, {"name": "Saudi FDA", "number": "SFDA-46384", "expiry": "2025-06-30"}]


# operating_theatre_or_block

block_id: 89cba80378dd4faeb5f43a23e30d91d2
date: 2025-10-08
start_time: 15:30:00
end_time: 21:30:00
block_type: CLEANING
service: TRAUMA
status: DELAYED
special_setup: Additional monitoring required
notes: Patient has multiple comorbidities
created_at: 2025-10-03 17:43:04.580793
updated_at: 2025-10-03 17:43:04.580796
special_equipment:
  ["Drager Anesthesia Machine", "Heart-Lung Machine", "Carl Zeiss Laparoscope", "Electrocautery Unit"]


block_id: 6f9c4edd983f4991bce8817733718357
date: 2025-10-28
start_time: 20:00:00
end_time: 23:00:00
block_type: EMERGENCY
service: ORTHOPEDIC
status: ACTIVE
special_setup: Special positioning needed
notes: Priority case
created_at: 2025-10-03 17:43:04.581542
updated_at: 2025-10-03 17:43:04.581546
special_equipment:
  ["Portable CT Scanner", "Heart-Lung Machine", "Carl Zeiss Laparoscope", "Drager Anesthesia Machine"]


block_id: 503bf34c95cc43b69ecbad29a981fba2
date: 2025-10-08
start_time: 18:30:00
end_time: 23:30:00
block_type: SCHEDULED
service: PEDIATRIC
status: DELAYED
special_setup: Special positioning needed
notes: Complex procedure expected
created_at: 2025-10-03 17:43:04.582695
updated_at: 2025-10-03 17:43:04.582699
special_equipment:
  ["Electrocautery Unit", "Drager Anesthesia Machine", "Portable CT Scanner", "Carl Zeiss Laparoscope"]


block_id: 4ef088ff91764e75982f6d5b47f4d093
date: 2025-10-16
start_time: 12:30:00
end_time: 17:30:00
block_type: RESERVED
service: UROLOGY
status: SCHEDULED
special_setup: Additional monitoring required
notes: Standard block
created_at: 2025-10-03 17:43:04.588407
updated_at: 2025-10-03 17:43:04.588410
special_equipment:
  ["Leica Surgical Microscope", "Drager Anesthesia Machine", "Electrocautery Unit", "Portable CT Scanner"]


block_id: b251ddcfcf2244bdb46781e1b1944638
date: 2025-10-06
start_time: 11:00:00
end_time: 13:00:00
block_type: RESERVED
service: UROLOGY
status: SCHEDULED
special_setup: Additional monitoring required
notes: Priority case
created_at: 2025-10-03 17:43:04.594964
updated_at: 2025-10-03 17:43:04.594967
special_equipment:
  ["Drager Anesthesia Machine", "Leica Surgical Microscope", "Heart-Lung Machine", "Electrocautery Unit"]


# radiology_dicom_image

image_id: 0960a4e2728c4b2d85cf5da3cf269a9f
sop_instance_uid: 1.2.826.0.1.6463670.1.3
image_type: SECONDARY
sop_class_uid: 1.2.840.10008.5.1.4.1.1.74
image_position: -84.63\-55.24\10
image_orientation: 1\0\0\0\1\0
transfer_syntax_uid: 1.2.840.10008.1.2.1
content_date: 2025-09-05
content_time: 22:21:00
acquisition_datetime: 2025-09-05 19:21:04
image_quality: EXCELLENT
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