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payload-typeform-webhook.json
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| { | |
| "event_id": "01K72QTYJZZN3NMCAPX0X4PJXK", | |
| "event_type": "form_response", | |
| "form_response": { | |
| "form_id": "jUtWhefi", | |
| "token": "qjse836gie2jo3dnatqjse8v6aqv6f3n", | |
| "landed_at": "2025-10-08T20:21:55Z", | |
| "submitted_at": "2025-10-08T20:22:38Z", | |
| "hidden": { | |
| "email": "", | |
| "name": "", | |
| "phone_number": "", | |
| "user_id": "2320", | |
| "utm_campaign": "", | |
| "utm_medium": "", | |
| "utm_source": "" | |
| }, | |
| "variables": [ | |
| { | |
| "key": "correct_answers", | |
| "type": "number", | |
| "number": 7 | |
| }, | |
| { | |
| "key": "counter_39ca96c4_8f81_44cf_a21b_e2231dd37c19", | |
| "type": "number", | |
| "number": 0 | |
| }, | |
| { | |
| "key": "counter_470ba69b_701c_4705_b548_dbd058b98f64", | |
| "type": "number", | |
| "number": 0 | |
| }, | |
| { | |
| "key": "max_score", | |
| "type": "number", | |
| "number": 100 | |
| }, | |
| { | |
| "key": "quiz_score", | |
| "type": "number", | |
| "number": 70 | |
| }, | |
| { | |
| "key": "total_scorable_questions", | |
| "type": "number", | |
| "number": 10 | |
| }, | |
| { | |
| "key": "winning_outcome_id", | |
| "type": "outcome_id", | |
| "outcome_id": "XVqeQEMr6Wmc" | |
| }, | |
| { | |
| "key": "wrong_answer", | |
| "type": "text", | |
| "text": "\"\"" | |
| } | |
| ], | |
| "outcome": { | |
| "id": "XVqeQEMr6Wmc", | |
| "title": "Congratulations! You Passed! You scored {{var:quiz_score}} out of 100 possible points. " | |
| }, | |
| "definition": { | |
| "id": "jUtWhefi", | |
| "title": "Abuse and Neglect Awareness Test for Nurses - DESIGN", | |
| "fields": [ | |
| { | |
| "id": "ftIfI1zYoYTS", | |
| "ref": "f6998cb7-1be2-4a34-8699-1c0c56fe4efa", | |
| "type": "short_text", | |
| "title": "First name", | |
| "properties": {} | |
| }, | |
| { | |
| "id": "IkQjgqVSlBGN", | |
| "ref": "18373b07-9fdd-4f60-a32c-49e22ca9b9b6", | |
| "type": "short_text", | |
| "title": "Last name", | |
| "properties": {} | |
| }, | |
| { | |
| "id": "jUlGGLb3S6Dx", | |
| "ref": "7b1af91e-92a9-428d-874a-b32b6865ecc8", | |
| "type": "phone_number", | |
| "title": "Phone number", | |
| "properties": {} | |
| }, | |
| { | |
| "id": "YvSapY6B3Esq", | |
| "ref": "a69db1ec-9ffa-457b-ad79-b3e9892ee627", | |
| "type": "email", | |
| "title": "Email", | |
| "properties": {} | |
| }, | |
| { | |
| "id": "EVOMvemnOHlj", | |
| "ref": "a47a7be9-1f42-4911-aefa-fb0815e8a17c", | |
| "type": "multiple_choice", | |
| "title": "Which of the following is the MOST common sign of physical abuse in patients?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "4NlEK9PBOvub", | |
| "ref": "66a5fef2-5888-47b0-b6ab-53a952b8d6d3", | |
| "label": "Unexplained bruises, burns, or fractures" | |
| }, | |
| { | |
| "id": "cj1J9X0jVxQZ", | |
| "ref": "ff7551f2-87fc-475d-8826-89e1d4f6bcfd", | |
| "label": "Patient refusing to take medication" | |
| }, | |
| { | |
| "id": "xBO522FhFRvn", | |
| "ref": "fc9fd030-3208-48c4-9002-11ba384dda38", | |
| "label": "Patient requesting to leave the facility" | |
| }, | |
| { | |
| "id": "x4towvMfZqfX", | |
| "ref": "b582ca03-6f3d-46b3-b970-7759a439e829", | |
| "label": "Complaints of chronic pain without physical evidence" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "csv9jMxP0qOe", | |
| "ref": "ea76c5ba-1942-4e91-bbf1-51567f70a1cf", | |
| "type": "multiple_choice", | |
| "title": "A patient confides in you that they are being abused at home but asks you not to tell anyone. What should you do?\n", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "uw4vO9ICam8r", | |
| "ref": "05d5527d-1273-4d60-bde9-3eec02cde474", | |
| "label": "Keep their confidence because they requested secrecy" | |
| }, | |
| { | |
| "id": "LYCFWeNTGML8", | |
| "ref": "a331bcc1-0e5b-414b-8631-0c263aae25b6", | |
| "label": "Only report if the patient is under 18 or over 65" | |
| }, | |
| { | |
| "id": "T7EKDCyqRD4j", | |
| "ref": "24f2f78b-6831-47c7-8016-1e97219f4a02", | |
| "label": "Follow hospital policy and report the disclosure to the appropriate authorities" | |
| }, | |
| { | |
| "id": "59v83yBxB8ID", | |
| "ref": "01b63c44-ca1a-44f4-a495-cc8da7d7a39a", | |
| "label": "Ask the patient to provide written consent before reporting" | |
| } | |
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| }, | |
| { | |
| "id": "B0gGhbT6OMKH", | |
| "ref": "378a4753-9fbd-4f7b-8630-d0987764c7fa", | |
| "type": "multiple_choice", | |
| "title": "Which of the following situations would require mandatory reporting for potential elder abuse?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "OYp9mx2FAW16", | |
| "ref": "ebbcbdc5-3fda-4ea1-aa1c-4b04100b3a0c", | |
| "label": "A patient complains about their assisted living facility’s food quality" | |
| }, | |
| { | |
| "id": "WcW8HxfgMUHL", | |
| "ref": "e743b059-cd6c-4fce-894f-d7e76cde76b8", | |
| "label": "A nurse notices repeated injuries with inconsistent explanations from a caregiver" | |
| }, | |
| { | |
| "id": "FBLXdJ9kxsol", | |
| "ref": "d8067a26-f261-41cd-b500-1ea1d86117f3", | |
| "label": "An elderly patient refuses to participate in physical therapy" | |
| }, | |
| { | |
| "id": "mUfZTapYiKCw", | |
| "ref": "41840040-a61f-4177-ab07-b9851dc035d0", | |
| "label": "A family member insists on being present at all medical visits" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "9cegxScJ0uWD", | |
| "ref": "2b4d1b7d-e504-4c69-9ec8-a084234c5608", | |
| "type": "multiple_choice", | |
| "title": "What is an example of psychological abuse in a healthcare setting?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "9SgeG7fMkdYY", | |
| "ref": "29da747f-5178-49e4-82bf-13195c26d939", | |
| "label": "Not providing pain medication as prescribed" | |
| }, | |
| { | |
| "id": "xEBls8V51dnV", | |
| "ref": "92135bca-35d9-40a7-b2ec-b35fa0d8b44b", | |
| "label": "Ignoring a patient’s request for assistance due to a heavy workload" | |
| }, | |
| { | |
| "id": "5ePDDxgZRmXy", | |
| "ref": "7a1cf6e9-3ca3-4356-b129-c15303fc1b0c", | |
| "label": "Verbally threatening, humiliating, or isolating a patient" | |
| }, | |
| { | |
| "id": "daOP46Ot9LiJ", | |
| "ref": "32428d85-6c67-47e1-80cf-227427cae11b", | |
| "label": "Accidentally giving a patient the wrong meal tray" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "1QMT4FE262Sq", | |
| "ref": "1f22c998-405f-4e6d-afc8-c5c44df9c779", | |
| "type": "multiple_choice", | |
| "title": "Which of the following is a key indicator of neglect in a patient?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "FipBvw9F5opk", | |
| "ref": "a907dba0-d362-474e-be29-8caccd498a42", | |
| "label": "Patient making frequent complaints about hospital staff" | |
| }, | |
| { | |
| "id": "R2ZrrRnKyBp0", | |
| "ref": "d2544de2-6d9d-4085-bb27-fec4422e120a", | |
| "label": "Patient wearing the same clothes multiple days in a row" | |
| }, | |
| { | |
| "id": "7Y5g7ecjLjjs", | |
| "ref": "cd448381-7908-43e3-9795-8fd7dc31299b", | |
| "label": "Patient appearing malnourished, dehydrated, or lacking proper hygiene" | |
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| { | |
| "id": "DYXoEGJEgU4x", | |
| "ref": "2ad3377b-b5af-4dad-a2cf-95b46b6c7fa9", | |
| "label": "Patient experiencing difficulty sleeping in the hospital setting" | |
| } | |
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| }, | |
| { | |
| "id": "ja7pij0UwvHw", | |
| "ref": "b0c60e70-68cd-4341-ad0f-b5e713957446", | |
| "type": "multiple_choice", | |
| "title": "A nurse overhears a colleague yelling at a resident with dementia and calling them names. What should they do?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "wCE5X5NfPiaZ", | |
| "ref": "eb67a5b7-cbad-4fa1-8b47-73eb14caa6e4", | |
| "label": "Ignore it since no physical harm was done" | |
| }, | |
| { | |
| "id": "rLTYn5JOuA1W", | |
| "ref": "9c694fd4-559a-4f9b-bd4a-9069c00c0a44", | |
| "label": "Speak to the colleague privately and ask them to stop" | |
| }, | |
| { | |
| "id": "10GsXiewXYzD", | |
| "ref": "ccf6d11d-eadb-4dd4-b171-f754e13c4084", | |
| "label": "Report the incident immediately according to hospital policy" | |
| }, | |
| { | |
| "id": "keRLGSTabwCl", | |
| "ref": "1202b1a6-1ebf-4916-866e-4518690dbcc6", | |
| "label": "Assume the nurse was having a bad day and move on" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "czvUXanbWXwB", | |
| "ref": "bfde8695-cdfe-42d5-a7e5-93ed1db57f27", | |
| "type": "multiple_choice", | |
| "title": "Which of the following BEST describes financial abuse in a healthcare setting?\n", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "UmqMUbn2Okc0", | |
| "ref": "2e6c090e-d56c-4328-9dfa-21dcff2fa39c", | |
| "label": "A nurse accepting a small gift from a patient’s family" | |
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| { | |
| "id": "dCDtqxU1UGmP", | |
| "ref": "a2bec6ea-074e-40b8-b362-9d46862117f3", | |
| "label": "A caregiver withdrawing large sums of money from a patient’s account without permission" | |
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| { | |
| "id": "Ba3IIJOARVWJ", | |
| "ref": "a8c6dc4d-1a84-4b56-9c47-407c6ec0a596", | |
| "label": "A patient refusing to pay their hospital bill" | |
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| { | |
| "id": "pQf5R7RbSQ5N", | |
| "ref": "bd1843ac-57c1-4525-afc4-25fe1957f9ee", | |
| "label": "A doctor suggesting an expensive treatment option" | |
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| }, | |
| { | |
| "id": "FTGlfSUwVSPm", | |
| "ref": "a01af6ac-d34d-4bb7-b6a4-85fe0ecc6a7a", | |
| "type": "multiple_choice", | |
| "title": "A nurse is caring for an 82-year-old patient who has dementia. The patient flinches when touched and becomes anxious when their adult son visits. The son insists on being alone with the patient and becomes defensive when the nurse asks about recent bruises on the patient’s arms. What is the BEST course of action?", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "ChqoqqwUKAzm", | |
| "ref": "6087fb16-7c88-4893-ad3f-143ab03a884c", | |
| "label": "Respect the family's privacy and allow the son to visit alone since the patient has dementia" | |
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| { | |
| "id": "xq17qm6Ljsri", | |
| "ref": "71033fec-eef7-439a-907d-f836897375ff", | |
| "label": "Document the bruises and ask the son if the patient has fallen recently" | |
| }, | |
| { | |
| "id": "AAx6EdklF6pS", | |
| "ref": "75b3c1a1-6015-4d44-a78e-137cfdcbfe33", | |
| "label": "Speak privately with the patient to ask if they feel safe, then report the situation to the appropriate authorities" | |
| }, | |
| { | |
| "id": "sHKQ386KXHt7", | |
| "ref": "4b18bdaf-f101-4fa1-8567-a5228aa0a48a", | |
| "label": "Assume the patient is confused due to dementia and take no further action unless the patient explicitly states they are being abused" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "IndFdNV4P8QD", | |
| "ref": "3f612908-02df-4ab9-8047-cff0f9ec67e7", | |
| "type": "multiple_choice", | |
| "title": "If a nurse fails to report suspected abuse, what could be the consequence? ", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "95bm8TgB7Vxr", | |
| "ref": "44467942-2b20-4aba-92a5-18a7893d36e6", | |
| "label": "A verbal warning from their supervisor" | |
| }, | |
| { | |
| "id": "KjeklcaOJqyf", | |
| "ref": "6652f8a4-5de7-4320-9f1c-e71f5addfd27", | |
| "label": "No consequence since it’s the doctor’s responsibility" | |
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| { | |
| "id": "q75b9uWe2nyt", | |
| "ref": "2e3080c3-e3c2-4ab7-a1af-803ea6c40a2c", | |
| "label": "Legal penalties, loss of nursing license, or termination" | |
| }, | |
| { | |
| "id": "L6txSwdqXny8", | |
| "ref": "bc82e594-5b7b-434e-bba6-29f668c86b55", | |
| "label": "The patient’s abuser being required to take counseling" | |
| } | |
| ] | |
| }, | |
| { | |
| "id": "Yip7tU9BVCRA", | |
| "ref": "dd406ce0-4ba1-4b62-933b-04d2e25fb5db", | |
| "type": "multiple_choice", | |
| "title": "A patient with a disability reports that their caregiver is withholding food and medication. What is the nurse’s first priority?\n", | |
| "properties": {}, | |
| "choices": [ | |
| { | |
| "id": "lpJr9fJJaYoR", | |
| "ref": "2f2ac906-e204-4a92-bfa1-ad7ca19eec86", | |
| "label": "Contact the caregiver to discuss the accusations" | |
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| "id": "D28D2WnuKBRq", | |
| "ref": "689518f3-35a1-4bde-8915-f007ad819ec1", | |
| "label": "Inform the patient that they need proof before making a report" | |
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| "label": "Ensure the patient’s immediate safety and report the abuse" | |
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| { | |
| "id": "enM7gWNpNsii", | |
| "ref": "4291cedf-d6bd-49b9-b20d-13753e2ba553", | |
| "label": "Document the complaint but take no further action unless injuries appear" | |
| } | |
| ] | |
| } | |
| ], | |
| "outcome": { | |
| "variable": "winning_outcome_id", | |
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| { | |
| "id": "XVqeQEMr6Wmc", | |
| "ref": "06eb6503-a0fc-4537-bbb3-9e19b018da7a", | |
| "title": "Congratulations! You Passed! You scored {{var:quiz_score}} out of 100 possible points. ", | |
| "counter_variable": "counter_470ba69b_701c_4705_b548_dbd058b98f64", | |
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| { | |
| "id": "q0s6mUGjbIDu", | |
| "ref": "c7c0ed5a-d15d-4b6e-93eb-257d9551a009", | |
| "title": "Unfortunately you did not pass the test this time. You scored {{var:quiz_score}} out of 100 possible points. \n\nBelow are the questions you got incorrect. Click below to retake the test.", | |
| "counter_variable": "counter_39ca96c4_8f81_44cf_a21b_e2231dd37c19", | |
| "thankyou_screen_ref": "ed326962-f5a2-4999-a326-4eeb667afc85" | |
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| "endings": [ | |
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| "title": "Congratulations! You Passed! You scored {{var:quiz_score}} out of 100 possible points. ", | |
| "type": "thankyou_screen", | |
| "properties": { | |
| "button_text": "again", | |
| "show_button": false, | |
| "share_icons": false, | |
| "button_mode": "default_redirect" | |
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| "attachment": { | |
| "type": "image", | |
| "href": "https://images.typeform.com/images/nz74r5PPn9bq", | |
| "properties": { | |
| "description": "Logo Small2" | |
| } | |
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| "layout": { | |
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| "viewport_overrides": { | |
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| ], | |
| "settings": { | |
| "partial_responses_to_all_integrations": false | |
| } | |
| }, | |
| "answers": [ | |
| { | |
| "type": "text", | |
| "text": "Miko", | |
| "field": { | |
| "id": "ftIfI1zYoYTS", | |
| "type": "short_text", | |
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| { | |
| "type": "text", | |
| "text": "MJ", | |
| "field": { | |
| "id": "IkQjgqVSlBGN", | |
| "type": "short_text", | |
| "ref": "18373b07-9fdd-4f60-a32c-49e22ca9b9b6" | |
| } | |
| }, | |
| { | |
| "type": "phone_number", | |
| "phone_number": "+16465386463", | |
| "field": { | |
| "id": "jUlGGLb3S6Dx", | |
| "type": "phone_number", | |
| "ref": "7b1af91e-92a9-428d-874a-b32b6865ecc8" | |
| } | |
| }, | |
| { | |
| "type": "email", | |
| "email": "[email protected]", | |
| "field": { | |
| "id": "YvSapY6B3Esq", | |
| "type": "email", | |
| "ref": "a69db1ec-9ffa-457b-ad79-b3e9892ee627" | |
| } | |
| }, | |
| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "x4towvMfZqfX", | |
| "label": "Complaints of chronic pain without physical evidence", | |
| "ref": "b582ca03-6f3d-46b3-b970-7759a439e829" | |
| }, | |
| "field": { | |
| "id": "EVOMvemnOHlj", | |
| "type": "multiple_choice", | |
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| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "T7EKDCyqRD4j", | |
| "label": "Follow hospital policy and report the disclosure to the appropriate authorities", | |
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| }, | |
| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "WcW8HxfgMUHL", | |
| "label": "A nurse notices repeated injuries with inconsistent explanations from a caregiver", | |
| "ref": "e743b059-cd6c-4fce-894f-d7e76cde76b8" | |
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| "field": { | |
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| "type": "multiple_choice", | |
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| { | |
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| "id": "daOP46Ot9LiJ", | |
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| }, | |
| { | |
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| "choice": { | |
| "id": "7Y5g7ecjLjjs", | |
| "label": "Patient appearing malnourished, dehydrated, or lacking proper hygiene", | |
| "ref": "cd448381-7908-43e3-9795-8fd7dc31299b" | |
| }, | |
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| } | |
| }, | |
| { | |
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| "label": "Report the incident immediately according to hospital policy", | |
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| { | |
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| "label": "A doctor suggesting an expensive treatment option", | |
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| } | |
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| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "AAx6EdklF6pS", | |
| "label": "Speak privately with the patient to ask if they feel safe, then report the situation to the appropriate authorities", | |
| "ref": "75b3c1a1-6015-4d44-a78e-137cfdcbfe33" | |
| }, | |
| "field": { | |
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| } | |
| }, | |
| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "q75b9uWe2nyt", | |
| "label": "Legal penalties, loss of nursing license, or termination", | |
| "ref": "2e3080c3-e3c2-4ab7-a1af-803ea6c40a2c" | |
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| }, | |
| { | |
| "type": "choice", | |
| "choice": { | |
| "id": "ww7d1GyQgkGy", | |
| "label": "Ensure the patient’s immediate safety and report the abuse", | |
| "ref": "66c552c9-f05c-4dd7-9c42-18abfc986b58" | |
| }, | |
| "field": { | |
| "id": "Yip7tU9BVCRA", | |
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| "ending": { | |
| "id": "z1UwcUWVdUkN", | |
| "ref": "8695ec62-b2dc-411e-b133-5c9bdaa668d6" | |
| } | |
| } | |
| } |
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