USD 122.9 Billion
Advance Directives Market Size, Share, and Growth Analysis
Advance Directives Market By Document Type, By End-User, By Distribution Channel (Online Platforms, Healthcare Facilities, Legal Services, and Community Organization), By Region - Industry Forecast 2025-2032
Report ID:
SQMIG35D2334 |
Region:
Global |
Published Date: July, 2025
Pages:
193
|Tables:
93
|Figures:
77
Format -
Advance Directives Market Insights
Global Advance Directives Market size was valued at USD 122.9 Billion in 2023 poised to grow between USD 146.01 Billion in 2024 to USD 579.30 Billion by 2032, growing at a CAGR of 18.8% in the forecast period (2025-2032).
The global advance directives market growth is undergoing significant growth due to an increased focus on end-of-life care planning, and patient autonomy. As the population continues to age, the prevalence of chronic disease will push individuals to write down preferences regarding their future health care choices. Strong legal frameworks encourage people to move forward with advance directives and patient-centred care planning. The cultural shift towards more proactive healthcare decision-making, ensuring that individual's wishes are followed, continues to be a main driver for the growth of the market.
However, the global advance directives market analysis reveals several inherent challenges to the growth of this market that needs to be addressed. The main restraint is the lack of public awareness and education around advance directives. Cultural attitudes and taboos about death often serve as significant barriers. There are also legal barriers to advance directives and the growing adoption of digital tools that complicate the effort to sustain and develop an expanding market.
How are Artificial Intelligence and the Internet of Things Reshaping the Advance Directives Market?
The global advance directives market trends are being influenced as Artificial Intelligence (AI) and the Internet of Things (IoT) continue to expand in all aspects of life. AI has transformed how advance directives are drafted, managed and accessed. AI powered platforms can help individuals and their supporters navigate the complexities of drafting documents, ensuring legal completeness, and clarity. Such platforms can also review medical records and identify considerations related to advance directives that are personalized to everyone. Similarly, IoT connected health devices can provide the real-time health status updates that inform the activation or interpretation of directives, ensuring timely and accurate adherence to patient wishes.
Recently, there were emerging news articles and commentaries examining AI platforms for the simplified drafting and secured storage of advance directives. In 2024, a health technology company released and marketed an AI powered digital platform. Users can engage with questions the AI proposes, and it will later produce legally complaint advance directives and safely store them, so authorized health care providers have instantaneous access when needed. This shows how global advance directives market unit variability is changing strategies, to improve accessibility and reliability.
Market snapshot - (2025-2032)
Global Market Size
Largest Segment
Living Will
Fastest Growth
Durable Power of Attorney for Healthcare
Growth Rate
18.8% CAGR
Global Advance Directives Market ($ Bn)
Country Share by North America (%)
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Advance Directives Market Segments Analysis
The global advance directives market is segmented based on document type, end-user, distribution channel, and region. In terms of document type, the market is divided into living will, durable power of attorney for healthcare (DPOAHC), do not resuscitate (DNR) order, physician orders for life-sustaining treatment (POLST)/medical orders for life-sustaining treatment (MOLST), and other advance directives. Based on end-user, the market is bifurcated into individuals, healthcare providers, and legal professionals. By distribution channel, the market is grouped into online platforms, healthcare facilities, legal services, and community organizations. Based on region, the market is segmented into North America, Europe, Asia-Pacific, Latin America and the Middle East and Africa.
What Constitutes the Dominant Document Type within the Advance Directives Market?
Living will document type is dominating the global advance directives market. This is mainly because living will is often familiar, easy to use, and enables individuals to express their medical treatment preferences across a wide variety of health circumstances. It emphasizes self-determination in end-of-life choices, making it an essential part of advance care planning and promoting widespread and rapid adoption across different demographics.
Durable Power of Attorney for Healthcare (DPOAHC) document type segment is also experiencing a very key trends driving the advance directives industry. This trend is fuelled by awareness of the need for a defined decision-maker if individuals cannot participate in the decision-making process. The DPOAHC permits a trusted person to make a healthcare decision, complementing the Living Will and providing comprehensive coverage for unforeseen circumstances.
Which End-User Segment Exhibits the Foremost Prominence for Advance Directives?
Individual end-user segment is dominating the global advance directives market. This segment accounts for the primary demographic of individuals engaging in creating advance directives, driven by a growing desire for control over healthcare decisions and increasing awareness of end-of-life planning. Educational campaigns and easy access to documentation allow individuals to indicate their wishes, which make this the largest segment and a major opportunity for growth and penetration.
Healthcare providers is fastest growing in the global advance directives market outlook. This rapid upturn is due to the continued attention to patient-centred care, as well as regulatory mandates put forth by state and federal deadlines requiring healthcare facilities to promote and protect advance care planning. Healthcare providers are increasing their inclusion of discussing and documenting advance directives into routine patient care. Therefore, the sector presents opportunities for some significant growth soon.
Global Advance Directives Market By Document Type (%)
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Advance Directives Market Regional Insights
What Factors Contribute to North America's Prominence in the Global Advance Directives Market?
North America is the most advanced in the global advance directives regional outlook due to emphases on patient autonomy, established legal policies, and expanding public education efforts. North America has a developed healthcare system incentivizing advance care planning. Continued demand for formal end-of-life documentation and planning are fuelled by the growing elderly population and an increase in chronic diseases.
US Advance Directives Market
The United States leads the North American advance directives market. The country has a well-developed legal system supporting patient rights, active public health campaigns education advance care planning, and a multitude of digital platforms for documenting advance care planning. In early 2023 in the United States, digital registries for advance directives were widely sanctioned, which improves access for providers at these important times.
Canada Advance Directives Market
Canada is observing significant growth in the North American advance directives market. This is driven by increasing public awareness, changing provincial legislation to support advance care planning, and partnerships between healthcare organizations and legal partners. Recently, provincial governments have begun to develop online portals to produce and register personal directives, which can help citizens better utilize the directives and encourage electronic access to legal documents.
What are the Key Drivers Propelling the Rapid Expansion of the Asia Pacific Advance Directives Market?
The Asia Pacific region is projected to be the fastest-growing area within the global advance directives regional forecast. This is driven by quickly aging populations, a rise in healthcare expenditures, and a slowly changing cultural preference of discussing end-of-life decisions. Governments are also beginning to provide supportive legislation and public education initiatives, but awareness of advance directives is not as high as in western countries. The growing demand for patient-centred care continues to drive the growth of this area.
Japan Advance Directives Market
Japan is the most advanced country in the Asia Pacific advance directives market. This is due to an aging society and focus on advance care in healthcare delivery. A recent development includes Japanese hospitals and clinics are beginning to develop and promote advance care planning engagement. The idea is that routine patient consultations are driving these conversations, also stimulating a growing number of individuals formalizing their wishes about end-of-life care.
South Korea Advance Directives Market
South Korea is a fast growing in the Asia Pacific advance directives market. This is led by an aged society and looking at death with dignity, as well as recent legislation change that supports advance directives. Recent developments in this market include introduction from government public awareness campaigns, and information sources for how both individuals can prepare and register advance directives to support their care choices. These types of initiatives certainly help move the needle in respect of advance directives.
What is the Current Trajectory of Advance Directives Market Development in Europe?
Europe is a Key Region in the global advance directives market revenue, due to an aging population, developed healthcare systems, and a focus on ethics and patient rights and autonomy. While there are variations in legal frameworks across countries, there is a move towards more harmonized approaches and more public awareness and involvement in advance planning and end-of-life planning practices. Furthermore, Europe has a strong focus on providing dignified care.
Germany Advance Directives Market
Germany is leading the advance directives market as it has a stronger legal framework for patient autonomy, a high public awareness level, and medical and legal professionals working together to raise awareness of advance care planning practices. New pathways are emerging, with healthcare organizations and non-profit organizations developing holistic counselling services for the creation of legally binding advance directives.
UK Advance Directives Market
The United Kingdom is the fastest-growing country in the European advance directives market. This is primarily fuelled by increasing public awareness campaigns, a greater focus on personalized care within the NHS, and access to simple online resources for creating lasting powers of attorney. Recent initiatives are also being run by charities and healthcare trusts to encourage people to have very normal conversations about their wishes for end-of-life care.
France Advance Directives Market
France is seeing a lot of progress in the European advance directives market. The movement is triggered by the recent legislation that protects patient rights around end-of-life decision-making, along with greater acceptance by society to have these sensitive conversations. Recent movements include healthcare professionals getting better training in advance care planning conversations with patients and their families.
Global Advance Directives Market By Geography
- Largest
- Fastest
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Advance Directives Market Dynamics
Advance Directives Market Drivers
Aging Global Population and Rising Chronic Illnesses
- The growing population of older adults and the increasing incidence of chronic diseases across the globe are critical factors. As a result, there will be an increase in proactive advance planning, since a greater number of individuals are attempting to formalize their healthcare choices and ensure they maintain control over their medical choices.
Enhanced Legal Recognition and Public Awareness
- Increased acceptance of advance directives legally in different jurisdictions and greater public education campaigns that inform people, lead to a greater likelihood of acceptance. Individuals feel more empowered to participate in advance care planning once they understand, their rights as a patient and the importance of documenting their wishes.
Advance Directives Market Restraints
Cultural and Societal Taboos Surrounding Death
- Persistent cultural and social reluctance to openly discuss death and dying remains a major obstacle as it can inhibit people from engaging in advance care planning even as they see the benefits it provides. This barrier inhibits the proliferation of advance directives.
Complexity of Legal Frameworks and Interoperability Issues
- Legal requirements vary based on jurisdiction while the range of digital platforms is virtually unstandardized. The determination of the legal validity and subsequent accessibility of advance directives among competing healthcare systems is problematic, thereby limiting market reach.
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Advance Directives Market Competitive Landscape
The global advance directives industry trends show a competitive landscape made up of a mixture of technology companies with digital solutions, legal service companies, and non-profit organizations with specific focuses on advocacy and education. Companies like the tech sector using technology are creating digital solutions for documents and secure storage of documents, while legal solutions are providing legal expertise to meet compliance requirements. This is a diverse ecosystem that showcases the multi-faceted approach to advance care planning, and care planning requires technical proficiency, legal knowledge, and the skills to enter the market.
The advanced directives industry is also changing in dynamic ways due to partnerships between healthcare systems, legal professionals, and technology developers. These teams are working on more routine workflows, and to introduce the directives into the care planning workflows for health care systems and make the advancements more accessible to the public. Start-up companies are bringing forth digital tools that embrace usability while the established organizations are credible and trustworthy. The fusion of these capabilities is producing new innovations and creating a competitive, demanding reproducible ease of use, legal integrity, and access security.
- Founded in 2016, Vynca (US), Vynca's primary purpose is to ensure all person's end-of-life preferences are known and honoured. Vynca offers a complete digital platform to help healthcare organizations create, store, and retrieve advance care plans across settings. Their innovation is enhancing the interoperability and accessibility of advance directives throughout healthcare systems, so clinicians have a patient's preferences when they need them to decide.
- Established in 2017, MyDirectives (US), MyDirectives's primary purpose is to secure that your wishes for healthcare are captured and able to share those wishes anywhere in the world. MyDirectives offers a free, secure online site to create legally valid advance directives such as living wills and healthcare powers of attorney, in multiple languages. Their innovation is universal access and interoperability by empowering individuals to record their preferences and share them into the healthcare system globally so their voice (intentions) can be included, regardless of where they are.
Top Player’s Company Profiles
- Kaiser Foundation Health Plan Inc. (United States)
- Providence Health & Services (United States)
- Lantern Health Inc. (United States)
- Dignity Health (United States)
- Geisinger Health Plan (United States)
- Sharp HealthCare (United States)
- Island Health Authority (Canada)
- Bronson Healthcare Group Inc. (United States)
- Affirm Health Inc. (United States)
- LegalZoom.com Inc. (United States)
- National Hospice and Palliative Care Organization (United States)
- Vital Decisions LLC (United States)
- Caring Conversations LLC (United States)
- Trust & Will Inc. (United States)
- Tulip Cremation (United States)
- Advance Care Planning Australia Ltd (Australia)
- ThroughCare Inc. (United States)
- DocuBank Ltd. (United States)
- Everplans Inc. (United States)
- ADVault Inc. (United States)
- OneAccord Health LLC (United States)
Recent Developments in Advance Directives Market
- In January 2025, Kaiser Foundation Health Plan Inc. (United States) introduced a modernized digital platform, embedding advance care planning tools in patient portals. This advance care planning platform will aid their members in creating, updating, and sharing their healthcare wishes with their care teams to ensure a higher rate of respect for patient autonomy.
- In March 2025, Trust & Will Inc. (United States) announced a corporate alliance with a major national hospital system. This collaboration will help patients and families create advance directives that are legally-compliant in an accessible process, documenting wishes for end-of-life care.
- In April 2025, ADVault Inc. (United States) launched new interoperability functions for its national advance directive registry, which allows patients' preferences to be shared seamlessly across a variety of electronic health records' systems so that important healthcare wishes are available to providers throughout the country.
Advance Directives Key Market Trends
- Digitalization & Accessibility of Advance Directives: Digitalization has a huge impact on the global advance directives market outlook. Digital storage has allowed for make it easier for individuals to create, store and share directives. Online platforms and mobile apps have made them much more accessible and less of a burden while helping to make sure individuals critical healthcare wishes are easily available to healthcare professionals thereby, having an impact on patient's autonomy and care.
- Integration with Electronic Health Records (EHRs): One of the more notable trends is the increase in advance directives being incorporated into EHRs. Patients' wishes can be immediately visible through healthcare teams. This trend leads to a better adherence to patient's wishes, fewer errors, and helps coordinate care, while leading the overall global advance directives market revenue towards efficient, patient-centred systems.
Advance Directives Market SkyQuest Analysis
SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Correlates, and Analyses the Data collected by means of Primary Exploratory Research backed by robust Secondary Desk research.
As per SkyQuest analysis, the global advance directives market is rapidly evolving, driven by growing recognition of end-of-life care planning and patient autonomy. The emergence of technological innovations, such as digital platforms and AI-supported document creation tools, are simplifying the creation and access of advance directives for individuals and healthcare providers, while improving efficiency and reliability.
Regional markets, led by North America due to its strong emphasis on patient rights and well-established legal frameworks, reflect varied growth drivers. Although there are de-stabilizing aspects such as cultural taboos and the complexities of the legal firmament. The competitive landscape of the market is proving to be dynamic with noted presence of companies involved in technology, legal services, and non-profits, which promote a degree of innovation. The Living Will document type continues to be the largest share in the market, which is reflective of its familiarity to consumers, and is fundamentally important in establishing personal healthcare choices.
| Report Metric | Details |
|---|---|
| Market size value in 2023 | USD 122.9 Billion |
| Market size value in 2032 | USD 579.30 Billion |
| Growth Rate | 18.8% |
| Base year | 2024 |
| Forecast period | (2025-2032) |
| Forecast Unit (Value) | USD Billion |
| Segments covered |
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| Regions covered | North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA) |
| Companies covered |
|
| Customization scope | Free report customization with purchase. Customization includes:-
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Table Of Content
Executive Summary
Market overview
- Exhibit: Executive Summary – Chart on Market Overview
- Exhibit: Executive Summary – Data Table on Market Overview
- Exhibit: Executive Summary – Chart on Advance Directives Market Characteristics
- Exhibit: Executive Summary – Chart on Market by Geography
- Exhibit: Executive Summary – Chart on Market Segmentation
- Exhibit: Executive Summary – Chart on Incremental Growth
- Exhibit: Executive Summary – Data Table on Incremental Growth
- Exhibit: Executive Summary – Chart on Vendor Market Positioning
Parent Market Analysis
Market overview
Market size
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- SWOT Analysis
KEY MARKET INSIGHTS
- Technology Analysis
- (Exhibit: Data Table: Name of technology and details)
- Pricing Analysis
- (Exhibit: Data Table: Name of technology and pricing details)
- Supply Chain Analysis
- (Exhibit: Detailed Supply Chain Presentation)
- Value Chain Analysis
- (Exhibit: Detailed Value Chain Presentation)
- Ecosystem Of the Market
- Exhibit: Parent Market Ecosystem Market Analysis
- Exhibit: Market Characteristics of Parent Market
- IP Analysis
- (Exhibit: Data Table: Name of product/technology, patents filed, inventor/company name, acquiring firm)
- Trade Analysis
- (Exhibit: Data Table: Import and Export data details)
- Startup Analysis
- (Exhibit: Data Table: Emerging startups details)
- Raw Material Analysis
- (Exhibit: Data Table: Mapping of key raw materials)
- Innovation Matrix
- (Exhibit: Positioning Matrix: Mapping of new and existing technologies)
- Pipeline product Analysis
- (Exhibit: Data Table: Name of companies and pipeline products, regional mapping)
- Macroeconomic Indicators
COVID IMPACT
- Introduction
- Impact On Economy—scenario Assessment
- Exhibit: Data on GDP - Year-over-year growth 2016-2022 (%)
- Revised Market Size
- Exhibit: Data Table on Advance Directives Market size and forecast 2021-2027 ($ million)
- Impact Of COVID On Key Segments
- Exhibit: Data Table on Segment Market size and forecast 2021-2027 ($ million)
- COVID Strategies By Company
- Exhibit: Analysis on key strategies adopted by companies
MARKET DYNAMICS & OUTLOOK
- Market Dynamics
- Exhibit: Impact analysis of DROC, 2021
- Drivers
- Opportunities
- Restraints
- Challenges
- Exhibit: Impact analysis of DROC, 2021
- Regulatory Landscape
- Exhibit: Data Table on regulation from different region
- SWOT Analysis
- Porters Analysis
- Competitive rivalry
- Exhibit: Competitive rivalry Impact of key factors, 2021
- Threat of substitute products
- Exhibit: Threat of Substitute Products Impact of key factors, 2021
- Bargaining power of buyers
- Exhibit: buyers bargaining power Impact of key factors, 2021
- Threat of new entrants
- Exhibit: Threat of new entrants Impact of key factors, 2021
- Bargaining power of suppliers
- Exhibit: Threat of suppliers bargaining power Impact of key factors, 2021
- Competitive rivalry
- Skyquest special insights on future disruptions
- Political Impact
- Economic impact
- Social Impact
- Technical Impact
- Environmental Impact
- Legal Impact
Market Size by Region
- Chart on Market share by geography 2021-2027 (%)
- Data Table on Market share by geography 2021-2027(%)
- North America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- USA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Canada
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Europe
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Germany
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Spain
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- France
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- UK
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Europe
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Asia Pacific
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- China
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- India
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Japan
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Korea
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of Asia Pacific
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Latin America
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- Brazil
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of South America
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Middle East & Africa (MEA)
- Chart on Market share by country 2021-2027 (%)
- Data Table on Market share by country 2021-2027(%)
- GCC Countries
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- South Africa
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
- Rest of MEA
- Exhibit: Chart on Market share 2021-2027 (%)
- Exhibit: Market size and forecast 2021-2027 ($ million)
KEY COMPANY PROFILES
- Competitive Landscape
- Total number of companies covered
- Exhibit: companies covered in the report, 2021
- Top companies market positioning
- Exhibit: company positioning matrix, 2021
- Top companies market Share
- Exhibit: Pie chart analysis on company market share, 2021(%)
- Total number of companies covered
Methodology
For the Advance Directives Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:
1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.
2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Advance Directives Market.
3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.
4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.
Analyst Support
Customization Options
With the given market data, our dedicated team of analysts can offer you the following customization options are available for the Advance Directives Market:
Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.
Regional Analysis: Further analysis of the Advance Directives Market for additional countries.
Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.
Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.
Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.
Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.
Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.
Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.
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