198 lines
12 KiB
C#
198 lines
12 KiB
C#
using EntityFrameworkCore.Triggered;
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using IRaCIS.Core.Domain.Share;
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using IRaCIS.Core.Infrastructure;
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namespace IRaCIS.Core.Application.Triggers
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{
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/// <summary>
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/// 处理 项目访视计划确认，记录影像的检查，另外批量插入访视数据
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/// </summary>
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public class TrialVisitPlanConfirmTrigger : IAfterSaveTrigger<Trial>
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{
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private readonly IRepository<SubjectVisit> _subjectVisitRepository;
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private readonly IRepository<Subject> _subjectRepository;
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private readonly IRepository<VisitStage> _visitStageRepository;
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private readonly IRepository<VisitPlanInfluenceStat> _visitPlanInfluenceStatRepository;
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public TrialVisitPlanConfirmTrigger(IRepository<SubjectVisit> subjectVisitRepository,
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IRepository<Subject> subjectRepository,IRepository<VisitStage> visitStageRepository,
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IRepository<VisitPlanInfluenceStat> visitPlanInfluenceStatRepository)
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{
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_subjectVisitRepository = subjectVisitRepository;
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_subjectRepository = subjectRepository;
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_visitStageRepository = visitStageRepository;
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_visitPlanInfluenceStatRepository = visitPlanInfluenceStatRepository;
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}
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public async Task AfterSave(ITriggerContext<Trial> context, CancellationToken cancellationToken)
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{
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var trial = context.Entity;
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var trialId = context.Entity.Id;
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if (context.ChangeType == ChangeType.Modified)
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{
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//项目访视计划确认 状态改变触发
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if (trial.VisitPlanConfirmed && trial.VisitPlanConfirmed != context.UnmodifiedEntity?.VisitPlanConfirmed)
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{
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//找到访视计划修改的Item
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var changedList = await _visitStageRepository.Where(t => t.TrialId == trial.Id && t.IsConfirmed == false)
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.Select(t => new
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{
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t.Trial.IsHaveFirstGiveMedicineDate,
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t.Id,
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t.VisitName,
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t.TrialId,
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t.VisitWindowLeft,
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t.VisitWindowRight,
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t.VisitDay,
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t.VisitNum,
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t.IsBaseLine,
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t.BlindName,
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t.Description,
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IsConfirmed = true,
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}).ToListAsync();
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var visitPlanInfluenceStat = new VisitPlanInfluenceStat() { TrialId = trial.Id };
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foreach (var changedItem in changedList)
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{
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//找到该项目 访视已经执行，并且配置了有首次给药日期 并且更新后超窗的访视，要把超窗之前的值也要查询出来
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var qcPassedVisitList = await _subjectVisitRepository.Where(t => t.TrialId == trialId
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&& t.VisitExecuted == VisitExecutedEnum.Executed
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&& t.AuditState == AuditStateEnum.QCPassed
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&& t.Trial.IsHaveFirstGiveMedicineDate == true
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&& t.VisitStageId == changedItem.Id
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&& t.Subject.FirstGiveMedicineTime != null
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).Select(k => new
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{
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SubjectVisitId = k.Id,
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SelfWindowLeft = k.Subject.FirstGiveMedicineTime!.Value.AddDays(k.VisitDay + k.VisitWindowLeft),
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SelfWindowRight = k.Subject.FirstGiveMedicineTime!.Value.AddDays(k.VisitDay + k.VisitWindowRight + 1).AddSeconds(-1),
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NowWindowLeft = k.Subject.FirstGiveMedicineTime!.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowLeft),
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NowWindowRight = k.Subject.FirstGiveMedicineTime!.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowRight + 1).AddSeconds(-1),
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NoneDicomStudyList =
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k.NoneDicomStudyList //之前是查询调整之后超窗的 现在调整前超窗 调整后 没超窗的也要记录
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//.Where(study => study.ImageDate <k.Subject.FirstGiveMedicineTime.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowLeft??0)
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//|| study.ImageDate >k.Subject.FirstGiveMedicineTime.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowRight??0 + 1).AddSeconds(-1))
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.Select(t => new { NoneDicomStudyId = t.Id, t.Modality, StudyTime = t.ImageDate }),
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DicomStudyList = k.StudyList
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//.Where(study => study.StudyTime <k.Subject.FirstGiveMedicineTime.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowLeft??0)
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// || study.StudyTime >k.Subject.FirstGiveMedicineTime.Value.AddDays(changedItem.VisitDay + changedItem.VisitWindowRight??0 + 1).AddSeconds(-1))
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.Select(t => new { StudyId = t.Id, Modality = t.Modalities, t.StudyTime })
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}).ToListAsync();
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foreach (var visit in qcPassedVisitList)
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{
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//找到本身没有超窗的数据 修改后超窗的
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visit.DicomStudyList.Where(t => (t.StudyTime > visit.SelfWindowLeft && t.StudyTime < visit.SelfWindowRight) && (t.StudyTime < visit.NowWindowLeft || t.StudyTime > visit.NowWindowRight)).ForEach(t =>
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{
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visitPlanInfluenceStat.InconsistentCount++;
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visitPlanInfluenceStat.InfluenceStudyList.Add(new VisitPlanInfluenceStudy()
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{
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IsOverWindowNowNotOverWindow = false,
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Modality = t.Modality,
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SubjectVisitId = visit.SubjectVisitId,
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StudyId = t.StudyId,
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IsDicomStudy = true,
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StudyTime = t.StudyTime,
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TrialId = trialId,
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HistoryWindow = visit.SelfWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.SelfWindowRight.ToString("yyyy-MM-dd"),
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NowWindow = visit.NowWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.NowWindowRight.ToString("yyyy-MM-dd")
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});
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});
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visit.NoneDicomStudyList.Where(t => (t.StudyTime > visit.SelfWindowLeft && t.StudyTime < visit.SelfWindowRight) && (t.StudyTime < visit.NowWindowLeft || t.StudyTime > visit.NowWindowRight)).ForEach(t =>
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{
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visitPlanInfluenceStat.InconsistentCount++;
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visitPlanInfluenceStat.InfluenceStudyList.Add(new VisitPlanInfluenceStudy()
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{
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IsOverWindowNowNotOverWindow = false,
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Modality = t.Modality,
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SubjectVisitId = visit.SubjectVisitId,
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StudyId = t.NoneDicomStudyId,
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IsDicomStudy = false,
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StudyTime = t.StudyTime,
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TrialId = trialId,
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HistoryWindow = visit.SelfWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.SelfWindowRight.ToString("yyyy-MM-dd"),
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NowWindow = visit.NowWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.NowWindowRight.ToString("yyyy-MM-dd")
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});
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});
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//本身超窗 修改后没超窗的
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visit.DicomStudyList.Where(t => (t.StudyTime < visit.SelfWindowLeft || t.StudyTime > visit.SelfWindowRight) && (t.StudyTime > visit.NowWindowLeft && t.StudyTime < visit.NowWindowRight)).ForEach(t =>
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{
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visitPlanInfluenceStat.InconsistentCount++;
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visitPlanInfluenceStat.InfluenceStudyList.Add(new VisitPlanInfluenceStudy()
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{
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IsOverWindowNowNotOverWindow = true,
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Modality = t.Modality,
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SubjectVisitId = visit.SubjectVisitId,
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StudyId = t.StudyId,
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IsDicomStudy = true,
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StudyTime = t.StudyTime,
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TrialId = trialId,
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HistoryWindow = visit.SelfWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.SelfWindowRight.ToString("yyyy-MM-dd"),
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NowWindow = visit.NowWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.NowWindowRight.ToString("yyyy-MM-dd")
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});
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});
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visit.NoneDicomStudyList.Where(t => (t.StudyTime < visit.SelfWindowLeft || t.StudyTime > visit.SelfWindowRight) && (t.StudyTime > visit.NowWindowLeft && t.StudyTime < visit.NowWindowRight)).ForEach(t =>
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{
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visitPlanInfluenceStat.InconsistentCount++;
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visitPlanInfluenceStat.InfluenceStudyList.Add(new VisitPlanInfluenceStudy()
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{
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IsOverWindowNowNotOverWindow = true,
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Modality = t.Modality,
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SubjectVisitId = visit.SubjectVisitId,
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StudyId = t.NoneDicomStudyId,
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IsDicomStudy = false,
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StudyTime = t.StudyTime,
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TrialId = trialId,
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HistoryWindow = visit.SelfWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.SelfWindowRight.ToString("yyyy-MM-dd"),
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NowWindow = visit.NowWindowLeft.ToString("yyyy-MM-dd") + " ~ " + visit.NowWindowRight.ToString("yyyy-MM-dd")
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});
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});
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//变更某一访视计划Item 受试者访视相关字段
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await _subjectVisitRepository.BatchUpdateNoTrackingAsync(t => t.TrialId == trialId && t.VisitStageId == changedItem.Id, k => new SubjectVisit()
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{
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IsBaseLine = changedItem.IsBaseLine,
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VisitName = changedItem.VisitName,
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VisitNum = changedItem.VisitNum,
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VisitDay = changedItem.VisitDay,
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VisitWindowLeft = changedItem.VisitWindowLeft,
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VisitWindowRight = changedItem.VisitWindowRight
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});
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}
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}
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await _visitPlanInfluenceStatRepository.AddAsync(visitPlanInfluenceStat,true);
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}
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}
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}
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}
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} |