{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Data","Summary","Reference","Indicator"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":1,"defined_names":25,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Data","index":0,"n_rows":113,"n_cols":17,"rows_kept":113,"cut":false,"hidden":false,"merged":[[1,1,1,14],[7,7,8,9],[10,2,10,16]]}
[]
[null,{"$f":"CONCATENATE(\"Data collection tool for QUM Indicator \", Indicator_number, \":\n\", Indicator_name)","v":"Data collection tool for QUM Indicator 8.4:\nPercentage of older patients at high risk of medication-related harms that receive a hospital-based medication review and, if applicable, a deprescribing plan"}]
[null,"©Copyright NSW Therapeutic Advisory Group Inc 2020"]
[null,{"$f":"CONCATENATE(\"This form should be used in conjunction with the methodology in QUM Indicator \", Indicator_number)","v":"This form should be used in conjunction with the methodology in QUM Indicator 8.4"}]
[]
[null,"Date of audit:",null,null,"Number of adult beds in the hospital:"]
[null,"Hospital name:",null,null,"Who was the audited high risk population? \nE.g. all, inappropriate polypharmacy, falls risk, cognitive/physical impairment or other specified criteria (please describe):"]
[]
[]
[]
[null,null,"Indicator 8.4"]
[null,null,"Pre 1","Pre 2",1,2,3,"3a",4,"4a",5,"5a",6,"6a",7,8,9]
[null,"Patient Audit Number","Best Possible Medication History (BPMH) completed?","Medication reconciliation on admission completed?","Is there documentation that a hospital-based medication review (HBMR) was performed?","Are the findings and recommendations from the HBMR documented in the medical record (or other place as per local policy)?","Was the HBMR performed by an approved health care professional or team? ","If answer to Q3 is 'Yes', Which health care professional or team performed the HBMR?","Was the HBMR completed by the end of the third calendar day after admission? ","If answer to Q4 is 'No', was the HBMR completed at least one day prior to hospital discharge? ","Is there documentation a deprescribing plan was recommended in the HBMR? ","For what medicine(s) was a deprescribing plan recommended?","Has deprescribing/deprescribing plan been communicated in the discharge summary/letter?","Name the medicine(s) being deprescribed/with a deprescribing plan?","Age of Patient (Years)","Ward/Team","Comments"]
[null,"(HIGH Risk Patients Only) ","Yes, No","Yes, No","Yes, No"," Yes, No"," Yes, No","Optional Question\n(Free text, Geriatric team, general medicine team, clinical pharmacology, HBMR-approved pharmacist, other)"," Yes, No"," Yes, No"," Yes, No","Optional Question\nFree text"," Yes, No","Optional Question\nFree text","50-120","Free text","Free text"]
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{"sheet":"Summary","index":1,"n_rows":29,"n_cols":10,"rows_kept":29,"cut":false,"hidden":false,"merged":[[27,1,28,1],[0,1,0,8],[10,1,11,1],[19,1,21,1],[23,1,25,1],[15,1,17,1]]}
[null,{"$f":"CONCATENATE(\"Collated data for QUM Indicator \", Indicator_number, \":\n\", Indicator_name)","v":"Collated data for QUM Indicator 8.4:\nPercentage of older patients at high risk of medication-related harms that receive a hospital-based medication review and, if applicable, a deprescribing plan"}]
[null,"©Copyright NSW Therapeutic Advisory Group Inc 2020"]
[]
[]
[null,"Audit date:",{"$f":"IF(ISBLANK(Audit_date), \"\", Audit_date)","v":""}]
[null,"Hospital name:",{"$f":"IF(ISBLANK(Hospital_name), \"\", Hospital_name)","v":""}]
[null,"Number of adult beds in the hospital:",{"$f":"IF(ISBLANK(Adult_bed_number), \"\", Adult_bed_number)","v":""}]
[null,"Who was the audited high risk population? \nE.g. all, inappropriate polypharmacy, falls risk, cognitive/physical impairment or other specified criteria (please describe):",{"$f":"IF(ISBLANK(local_risk_tool), \"\", local_risk_tool)","v":""}]
[]
[null,"Total Number of Patients Audited","Criteria","Indicator 8.4: Percentage of older patients at high risk of medication-related harms that receive a hospital-based medication review and, if applicable, a deprescribing plan, before the end of the third calendar day following hospital admission.","Older patients at high risk of medication harms that have a documented hospital-based medication review and, if applicable, a deprescribing plan, at least one day prior to discharge."]
[null,{"$f":"COUNTA(Data!C15:C113)","v":0},"Number of patients",{"$f":"COUNTIFS(Data!$E$15:$E$113, \"Yes\",Data!$F$15:$F$113, \"Yes\",Data!$G$15:$G$113, \"Yes\",Data!$I$15:$I$113, \"Yes\",Data!$K$15:$K$113, \"Yes\",Data!$M$15:$M$113, \"Yes\")","v":0},{"$f":"indicator2_pts","v":0}]
[null,null,"Percentage ",{"$f":"IF(Total_Audits>0, D11/Total_Audits, \"\")","v":""},{"$f":"IF(Total_Audits>0, E11/Total_Audits, \"\")","v":""}]
[]
[]
[null,"Summary of each data point"]
[null,"Indicator 8.4","Data point","Best Possible Medication History (BPMH) completed?","Medication reconciliation on admission completed?",null,null,"Health care professional or team that performed HBMR","Absolute number","Percentage of Total Audit"]
[null,null,"Absolute number",{"$f":"COUNTIF(Data!C11:C109, \"Yes\")","v":0},{"$f":"COUNTIF(Data!D11:D109, \"Yes\")","v":0},null,null,"Geriatric team",{"$f":"COUNTIF(Data!$H$15:$H$113, $H17)","v":0},{"$f":"IF(Total_Audits>0, IF(I17>0,I17/Total_Audits, 0), \"\")","v":""}]
[null,null,"Percentage of total audits",{"$f":"IF(Total_Audits>0, D17/Total_Audits, \"\")","v":""},{"$f":"IF(Total_Audits>0, E17/Total_Audits, \"\")","v":""},null,null,"General Medicine team",{"$f":"COUNTIF(Data!$H$15:$H$113, $H18)","v":0},{"$f":"IF(Total_Audits>0, IF(I18>0,I18/Total_Audits, 0), \"\")","v":""}]
[null,null,null,null,null,null,null,"Clinical Pharmacology",{"$f":"COUNTIF(Data!$H$15:$H$113, $H19)","v":0},{"$f":"IF(Total_Audits>0, IF(I19>0,I19/Total_Audits, 0), \"\")","v":""}]
[null,"Indicator 8.4","Data point","Older patients at high risk of medication-related harms who have documentation they received a hospital based medication review (HBMR)","Findings and recommendations from the HBMR documented in the medical record (or other place as per local policy)","Approved health care professional performed the HBMR",null,"Pharmacist (HBMR-approved)",{"$f":"COUNTIF(Data!$H$15:$H$113, $H20)","v":0},{"$f":"IF(Total_Audits>0, IF(I20>0,I20/Total_Audits, 0), \"\")","v":""}]
[null,null,"Absolute number",{"$f":"COUNTIF(Data!E15:E113, \"Yes\")","v":0},{"$f":"COUNTIF(Data!F15:F113, \"Yes\")","v":0},{"$f":"COUNTIF(Data!G15:G113, \"Yes\")","v":0},null,"Other",{"$f":"COUNTIF(Data!$H$15:$H$113,\"<>\")-SUM(I17:I20, I26)-COUNTIF(Data!H15:H113,\"N/A\")","v":0},{"$f":"IF(Total_Audits>0, IF(I21>0,I21/Total_Audits, 0), \"\")","v":""}]
[null,null,"Percentage of total audits",{"$f":"IF(Total_Audits>0, D21/Total_Audits, \"\")","v":""},{"$f":"IF(Total_Audits>0, E21/Total_Audits, \"\")","v":""},{"$f":"IF(Total_Audits>0, F21/Total_Audits, \"\")","v":""}]
[]
[null,"Indicator 8.4","Data point","Documentation that a deprescribing plan was recommended in the HBMR","Documentation deprescribing/deprescribing plan was communicated in the discharge summary/letter"]
[null,null,"Absolute number",{"$f":"COUNTIF(Data!K15:K113, \"Yes\")","v":0},{"$f":"COUNTIF(Data!M15:M113, \"Yes\")","v":0}]
[null,null,"Percentage of total audits",{"$f":"IF(Total_Audits>0, D25/Total_Audits, \"\")","v":""},{"$f":"IF(Total_Audits>0, E25/Total_Audits, \"\")","v":""}]
[]
[null,"Age data (years)","Average age","Youngest age","Oldest age"]
[null,null,{"$f":"IF(Total_Audits>0, ROUND(AVERAGE(pt_age),0), \"\")","v":""},{"$f":"IF(Total_Audits>0, MIN(pt_age), \"\")","v":""},{"$f":"IF(Total_Audits>0, MAX(pt_age), \"\")","v":""}]

{"sheet":"Reference","index":2,"n_rows":112,"n_cols":17,"rows_kept":112,"cut":false,"hidden":true,"merged":[[7,6,8,6],[11,6,12,6],[14,6,18,6],[11,9,11,16],[32,6,36,6],[12,9,12,10],[26,6,30,6],[20,6,23,6]]}
["Reference sheet"]
[]
["The reference sheet should only be edited by an authorised IT consulant or executive members of NSW TAG. Inadvertent changes can have impact across the entire workbook."]
[]
["This sheet contains the common variable areas within each tool to allow for rapid development and alteration."]
["It contains information regarding formula derivation and effects."]
[]
["Common variables",null,null,"Derived information",null,null,"YesNo List","Yes"]
["Indicator number:",8.4,null,"Hospital name:",{"$f":"IF(ISBLANK(Hospital_name), \"\", Hospital_name)","v":""},null,null,"No"]
["Indicator name:","Percentage of older patients at high risk of medication-related harms that receive a hospital-based medication review and, if applicable, a deprescribing plan",null,"Number of adult beds:",{"$f":"IF(ISBLANK(Adult_bed_number), \"\", Adult_bed_number)","v":""},null,"[N/A]","N/A"]
["Local guideline affected:",null,null,null,null,null,null,null,null,"Total Pts Calculated:",{"$f":"COUNTIF(Q14:Q112,TRUE)","v":0}]
[null,null,null,null,null,null,"Risk categories","High risk",null,"Summary Tab - Cell E11 Calculation Table"]
[null,null,null,null,null,null,null,"Minimal risk",null,"Q4/4a Answer = Yes",null,"Q1_Flag","Q2_Flag","Q3_Flag","Q5_Flag","Q6_Flag","Final_Indicator_Flag"]
[null,null,null,null,null,null,null,null,null,1,{"$f":"OR(Data!I15=\"Yes\",Data!J15=\"Yes\")","v":false},{"$f":"IF(Data!$E15=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F15=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G15=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K15=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M15=\"Yes\",TRUE)","v":false},{"$f":"IF(COUNTIF(K14:P14,TRUE)=6,TRUE)","v":false}]
[null,null,null,null,null,null,"Patient categories","Medical",null,2,{"$f":"OR(Data!I16=\"Yes\",Data!J16=\"Yes\")","v":false},{"$f":"IF(Data!$E16=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F16=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G16=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K16=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M16=\"Yes\",TRUE)","v":false},{"$f":"IF(COUNTIF(K15:P15,TRUE)=6,TRUE)","v":false}]
[null,null,null,null,null,null,null,"Surgical",null,3,{"$f":"OR(Data!I17=\"Yes\",Data!J17=\"Yes\")","v":false},{"$f":"IF(Data!$E17=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F17=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G17=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K17=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M17=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Oncology",null,4,{"$f":"OR(Data!I18=\"Yes\",Data!J18=\"Yes\")","v":false},{"$f":"IF(Data!$E18=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F18=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G18=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K18=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M18=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Obstetrics",null,5,{"$f":"OR(Data!I19=\"Yes\",Data!J19=\"Yes\")","v":false},{"$f":"IF(Data!$E19=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F19=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G19=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K19=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M19=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Other",null,6,{"$f":"OR(Data!I20=\"Yes\",Data!J20=\"Yes\")","v":false},{"$f":"IF(Data!$E20=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F20=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G20=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K20=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M20=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,null,null,7,{"$f":"OR(Data!I21=\"Yes\",Data!J21=\"Yes\")","v":false},{"$f":"IF(Data!$E21=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F21=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G21=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K21=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M21=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,"Documentation location","NIMC",null,8,{"$f":"OR(Data!I22=\"Yes\",Data!J22=\"Yes\")","v":false},{"$f":"IF(Data!$E22=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F22=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G22=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K22=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M22=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Medical notes",null,9,{"$f":"OR(Data!I23=\"Yes\",Data!J23=\"Yes\")","v":false},{"$f":"IF(Data!$E23=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F23=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G23=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K23=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M23=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Nursing notes",null,10,{"$f":"OR(Data!I24=\"Yes\",Data!J24=\"Yes\")","v":false},{"$f":"IF(Data!$E24=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F24=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G24=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K24=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M24=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Other",null,11,{"$f":"OR(Data!I25=\"Yes\",Data!J25=\"Yes\")","v":false},{"$f":"IF(Data!$E25=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F25=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G25=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K25=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M25=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,null,null,12,{"$f":"OR(Data!I26=\"Yes\",Data!J26=\"Yes\")","v":false},{"$f":"IF(Data!$E26=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F26=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G26=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K26=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M26=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,null,null,13,{"$f":"OR(Data!I27=\"Yes\",Data!J27=\"Yes\")","v":false},{"$f":"IF(Data!$E27=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F27=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G27=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K27=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M27=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,"recommendation location","Discharge summary",null,14,{"$f":"OR(Data!I28=\"Yes\",Data!J28=\"Yes\")","v":false},{"$f":"IF(Data!$E28=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F28=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G28=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K28=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M28=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Discharge letter",null,15,{"$f":"OR(Data!I29=\"Yes\",Data!J29=\"Yes\")","v":false},{"$f":"IF(Data!$E29=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F29=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G29=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K29=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M29=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Phone call",null,16,{"$f":"OR(Data!I30=\"Yes\",Data!J30=\"Yes\")","v":false},{"$f":"IF(Data!$E30=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F30=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G30=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K30=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M30=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Telehealth",null,17,{"$f":"OR(Data!I31=\"Yes\",Data!J31=\"Yes\")","v":false},{"$f":"IF(Data!$E31=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F31=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G31=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K31=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M31=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Other",null,18,{"$f":"OR(Data!I32=\"Yes\",Data!J32=\"Yes\")","v":false},{"$f":"IF(Data!$E32=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F32=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G32=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K32=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M32=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,null,null,19,{"$f":"OR(Data!I33=\"Yes\",Data!J33=\"Yes\")","v":false},{"$f":"IF(Data!$E33=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F33=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G33=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K33=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M33=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,"Health Professionals","Geriatric team",null,20,{"$f":"OR(Data!I34=\"Yes\",Data!J34=\"Yes\")","v":false},{"$f":"IF(Data!$E34=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F34=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G34=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K34=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M34=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"General Medicine team",null,21,{"$f":"OR(Data!I35=\"Yes\",Data!J35=\"Yes\")","v":false},{"$f":"IF(Data!$E35=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F35=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G35=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K35=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M35=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Clinical Pharmacology",null,22,{"$f":"OR(Data!I36=\"Yes\",Data!J36=\"Yes\")","v":false},{"$f":"IF(Data!$E36=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F36=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G36=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K36=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M36=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Pharmacist (HBR-approved)",null,23,{"$f":"OR(Data!I37=\"Yes\",Data!J37=\"Yes\")","v":false},{"$f":"IF(Data!$E37=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F37=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G37=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K37=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M37=\"Yes\",TRUE)","v":false},false]
[null,null,null,null,null,null,null,"Other",null,24,{"$f":"OR(Data!I38=\"Yes\",Data!J38=\"Yes\")","v":false},{"$f":"IF(Data!$E38=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$F38=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$G38=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$K38=\"Yes\",TRUE)","v":false},{"$f":"IF(Data!$M38=\"Yes\",TRUE)","v":false},false]
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