| 1 | IBCEFG1 ;ALB/TMP - OUTPUT FORMATTER DATA DEFINITION UTILITIES ;18-JAN-96
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| 2 | ;;2.0;INTEGRATED BILLING;**52,51,137,181,197,232,288,349**;21-MAR-94;Build 46
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | EDIBILL(IBXFORM,IBXDA,IBINS,IBTYP) ; Find element associated with form fld
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| 6 | ; IBXFORM = (REQUIRED) actual form being extracted (in file 353)
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| 7 | ; IBXDA = (REQUIRED) form definition file (364.6) entry to use to find
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| 8 | ; extract data element definition entry (in file 364.7)
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| 9 | ; IBINS = (REQUIRED) insurance co. ien for the current insurance on bill
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| 10 | ; IBTYP = (REQUIRED) bill type (I/O)
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| 11 | ;
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| 12 | ; Returns ien of the entry in file 364.7 if a match on override criteria
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| 13 | ; was found. Returns -1 if a screen form and the criteria fails for a
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| 14 | ; field without an override
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| 15 | ;
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| 16 | N IBX,IBPARFM,IBSCREEN,IBNMATCH,EDIQ,IB1
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| 17 | I $G(IBXDA)=""!($G(IBXFORM)="") G EDIQ
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| 18 | S EDIQ=0
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| 19 | S IBPARFM=$P($G(^IBE(353,IBXFORM,2)),U,5) S:'IBPARFM IBPARFM=IBXFORM
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| 20 | S IBSCREEN=($P($G(^IBE(353,+IBXFORM,2)),U,2)="S")
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| 21 | S IB1=(IBPARFM=IBXFORM) ; Not a local field that is not a parent
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| 22 | ;
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| 23 | I $G(IBINS)'="",$G(IBTYP)'="" D:$O(^IBA(364.7,"AINTYP",IBXDA,""))'="" G:EDIQ EDIQ
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| 24 | . I '$D(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP)) S IBNMATCH=1 Q
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| 25 | . S IBX=+$O(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;by ins co and type of bill
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| 26 | ;
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| 27 | I $G(IBINS)'="" D:$O(^IBA(364.7,"AINS",IBXDA,""))'="" G:EDIQ EDIQ
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| 28 | . I '$D(^IBA(364.7,"AINS",IBXDA,IBINS)) S IBNMATCH=1 Q
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| 29 | . S IBX=+$O(^IBA(364.7,"AINS",IBXDA,IBINS,"")),EDIQ=1 S:IBX IBNMATCH=0 ;ins co only
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| 30 | ;
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| 31 | I $G(IBTYP)'="" D:$O(^IBA(364.7,"ATYPE",IBXDA,""))'="" G:EDIQ EDIQ
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| 32 | . I '$D(^IBA(364.7,"ATYPE",IBXDA,IBTYP)) S IBNMATCH=1 Q
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| 33 | . S IBX=+$O(^IBA(364.7,"ATYPE",IBXDA,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;type of bill only
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| 34 | ;
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| 35 | I IBXFORM,$S(IBXFORM'=IBPARFM:1,1:IBSCREEN) D G EDIQ
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| 36 | . S IBX=+$O(^IBA(364.7,"ALL",IBXDA,"")) ; Check for all ins co and types
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| 37 | . I IBX,+$O(^IBA(364.7,"ALL",IBXDA,IBX)) D ; Find override for 'ALL'
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| 38 | .. N Z
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| 39 | .. S Z=0 F S Z=$O(^IBA(364.7,"ALL",IBXDA,Z)) Q:'Z I $P($G(^IBA(364.7,Z,0)),U)'=IBXDA S IBX=Z Q
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| 40 | . I 'IBX,+$O(^IBA(364.7,"B",IBXDA,"")) S IBX=$O(^(""))
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| 41 | . S:IBX IBNMATCH=0
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| 42 | ;
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| 43 | I IBXFORM,$O(^IBA(364.6,"APAR",IBXFORM,IBXDA,"")) S IBX=+$O(^("")),IBX=+$O(^IBA(364.7,"B",IBX,0)) I IBX G EDIQ
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| 44 | S IBX=+$O(^IBA(364.7,"B",IBXDA,""))
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| 45 | EDIQ I IBSCREEN,$G(IBNMATCH) S IBX=-1
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| 46 | Q $G(IBX)
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| 47 | ;
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| 48 | DT(DATE1,DATE2,FORMAT) ; Return date in DATE1 (and optionally DATE2)
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| 49 | ; (input in Fileman format) converted to X12 format
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| 50 | ; FORMAT (required)
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| 51 | ; DATE1,DATE2 in FILEMAN date format
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| 52 | N DATE S DATE=""
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| 53 | I DATE1=0 S DATE1=""
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| 54 | I $E(FORMAT)="D" D G DTQ
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| 55 | .S DATE=$E(DATE1,2,7) Q:$P(FORMAT,"D",2)=6 ;YYMMDD
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| 56 | .S:DATE1 DATE=($E(DATE1)+17)_DATE ;CCYYMMDD
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| 57 | I $E(FORMAT)="R" D
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| 58 | .S:DATE1 DATE=$E(DATE1,2,7)_"-"_$E($S($G(DATE2):DATE2,1:DATE1),2,7) ;YYMMDD-YYMMDD
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| 59 | .Q:FORMAT["6"
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| 60 | .S DATE=($E(DATE1)+17)_DATE,$P(DATE,"-",2)=($E($S($G(DATE2):DATE2,1:DATE1))+17)_$P(DATE,"-",2) ;CCYYMMDD-CCYYMMDD
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| 61 | DTQ Q DATE
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| 62 | ;
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| 63 | NAME(IBNM1,COMB) ; Parse person's nm into 5 pieces LAST^FIRST^MIDDLE^CRED^SUFFIX
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| 64 | ; IBNM1 = NAME in LAST,FIRST MIDDLE^vp file ien (200 or 355.93)^bill ien^prv type
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| 65 | ; OR FIRST MIDDLE LAST^vp file ien (200 or 355.93)^bill ien^prv type
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| 66 | ; COMB = if set to 1, then combine the first and middle name
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| 67 | ; if set to 2, combine the last and middle names
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| 68 | N PC,IBIEN,IBCRED,IBNM,IBNMC,IBPIEN
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| 69 | S IBIEN=$P(IBNM1,U,2),IBNMC=$P(IBNM1,U)
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| 70 | S IBPIEN=+$O(^DGCR(399,+$P(IBNM1,U,3),"PRV","B",+$P(IBNM1,U,4),0))
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| 71 | S IBCRED=$$CRED^IBCEU(IBIEN,+$P(IBNM1,U,3),IBPIEN) ;Degree
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| 72 | I IBNMC="DEPT VETERANS AFFAIRS" S IBNMC="VETERANS AFFAIRS,DEPT"
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| 73 | I IBNMC["," D G NAMEQ
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| 74 | . S IBNMC=$TR(IBNMC,".") D NAMECOMP^XLFNAME(.IBNMC)
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| 75 | . S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
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| 76 | D STDNAME^XLFNAME(.IBNMC,"C")
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| 77 | S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
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| 78 | I $P(IBNM1,U,2)["355.93",$P($G(^IBA(355.93,+$P(IBNM1,U,2),0)),U,2)=1 D G NAMEQ ; group performing provider
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| 79 | . S IBNM=$P(IBNM1,U)_U_U_U_IBCRED_U
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| 80 | I $G(COMB)=1,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_U_$P(IBNM,U,2)_" "_$P(IBNM,U,3)_U_IBCRED_U_$P(IBNM,U,5)
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| 81 | I $G(COMB)=2,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_" "_$P(IBNM,U,3)_U_$P(IBNM,U,2)_U_IBCRED_U_$P(IBNM,U,5)
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| 82 | ;
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| 83 | NAMEQ Q IBNM
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| 84 | ;
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| 85 | DOLLAR(AMT) ; Format amount in AMT so it is numeric including cents, without
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| 86 | ; the decimal and commas.
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| 87 | N DOLR,CENT
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| 88 | I AMT'="" S DOLR=$P(AMT,"."),CENT=$E($P(AMT,".",2)_"00",1,2),AMT=DOLR_CENT
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| 89 | Q $TR(AMT,",")
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| 90 | ;
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| 91 | STATE(CODE) ;Return state code from state pointer
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| 92 | Q $P($G(^DIC(5,+CODE,0)),U,2)
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| 93 | ;
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| 94 | SEX(CODE) ;Return the X12 code for sex
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| 95 | ; CODE = DHCP code for sex
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| 96 | Q $S(CODE="":"U","MF"[$E(CODE):$E(CODE),1:"U")
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| 97 | ;
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| 98 | RELATION(CODE) ;Return the X12 code for relationship
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| 99 | ; CODE = DHCP code for relationship
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| 100 | N X12
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| 101 | S X12=""
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| 102 | S:CODE'="" X12=$P($S(CODE="01":"18^SELF",CODE="02":"01^SPOUSE",CODE="03":"19^NATURAL CHILD",CODE="08":"20^EMPLOYEE",CODE="32":"32^MOTHER",CODE="33":"33^FATHER",CODE="11":"39^ORGAN DONOR",CODE="15":"41^INJURED PLAINTIFF",1:""),U)
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| 103 | Q X12
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| 104 | ;
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| 105 | EMPLST(CODE) ;Return the X12 code for employment status
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| 106 | ; CODE = DHCP code for employment status
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| 107 | N X12
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| 108 | S X12=""
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| 109 | S:CODE'="" X12=$P($P("1;FT^2;PT^3;NE^4;SE^5;RT^6;AU^9;UK",CODE_";",2),U)
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| 110 | S:X12="" X12="UK"
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| 111 | Q X12
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| 112 | ;
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| 113 | MARITAL(CODE) ;Return the X12 code for marital status
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| 114 | ; CODE = ien of code for marital status
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| 115 | N X12
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| 116 | S X12=$P($G(^DIC(11,+CODE,0)),U,3)
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| 117 | I X12'="" S X12=$P($P("D;D^M;M^N;I^S;X^W;W^U;K",X12_";",2),U)
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| 118 | Q X12
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| 119 | ;
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| 120 | TOS(CODE) ;Return the X12 code for type of service
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| 121 | ; CODE = DHCP code for type of service
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| 122 | N X12
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| 123 | S X12=$S(CODE>0&(CODE<10):CODE,1:$P($P("0;10^A;11^B;13^H;45^L;18^M;15^N;63^V;19^Y;20^Z;21^43;96^53;96",CODE_";",2),U)) S:X12="" X12=CODE
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| 124 | Q X12
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| 125 | ;
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| 126 | FIXLEN(DATA,LEN) ; Create a fixed length field from data DATA length LEN
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| 127 | Q $E(DATA_$J("",LEN),1,LEN)
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| 128 | ;
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| 129 | RCDT(IBXSAVE,IBXDATA,IBDT) ; Format date for multiple revenue code transmission)
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| 130 | ;IBXSAVE = array containing the extracted service line data for the UB format bill
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| 131 | ;IBXDATA = array returned with service line dates formatted in YYYYMMDD format
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| 132 | ;IBDT = the default date for the revenue codes on the bill
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| 133 | N Q,W
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| 134 | S Q=0 F S Q=$O(IBXSAVE("INPT",Q)) Q:'Q S W=$$DT($P(IBXSAVE("INPT",1),U,10),,"D8"),IBXDATA(Q)=$S(W:W,1:IBDT)
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| 135 | Q
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