Legal Nurse Consultant Career Path Guide

A Legal Nurse Consultant (LNC) is a registered nurse who applies their clinical expertise and knowledge of medical terminology, standards of care, and healthcare regulations to assist legal professionals in cases involving medical issues. They act as a bridge between the medical and legal fields by reviewing medical records, consulting on healthcare practices, and offering expert insights to attorneys, insurance companies, or government agencies.

12%

growth rate

$90,000

median salary

remote-friendly

πŸ“ˆ Market Demand

Low
High
High

The demand for Legal Nurse Consultants is currently high, driven by increasing complexity in healthcare litigation, rising insurance claims, and the growth of specialized regulatory compliance needs. Law firms and insurance companies seek experienced nursing professionals who can demystify medical information, making this a promising career field.

πŸ‡ΊπŸ‡Έ Annual Salary (US, USD)

60,000β€”120,000
Median: $90,000
Entry-Level
$69,000
Mid-Level
$90,000
Senior-Level
$111,000

Top 10% of earners in this field can expect salaries starting from $120,000+ per year, especially with specialized skills in high-demand areas.

Core Functions of the Legal Nurse Consultant Role

Legal Nurse Consultants blend their nursing experience with legal knowledge to support attorneys and legal teams on cases that require medical expertise. They review and interpret medical records, analyze the validity of healthcare claims, and help determine whether standard medical care was met or breached.

These professionals assist in personal injury cases, medical malpractice lawsuits, worker’s compensation claims, product liability cases, and insurance disputes where medical issues are central. Their detailed understanding of healthcare systems and procedures allows them to identify inconsistencies, evaluate the severity of injuries, and establish causation links between medical events and legal outcomes.

Legal Nurse Consultants may prepare reports, participate in interviews, or serve as expert witnesses when needed. Their role ensures that attorneys have accurate, clinically relevant information to build cases, make strategic decisions, and negotiate settlements. Beyond litigation support, LNCs can also work in insurance companies to review claims, fraud investigations, or compliance audits.

The interdisciplinary nature of this profession requires familiarity with both nursing practice and the legal process, as well as excellent communication skills to translate complex medical details into understandable terms for legal stakeholders. As healthcare regulations and medical technologies evolve, Legal Nurse Consultants stay updated on the latest standards of care, medical devices, pharmaceuticals, and diagnostic tools.

They often work in collaboration with lawyers, paralegals, healthcare providers, and insurance professionals. The role demands a keen eye for detail, critical thinking, and strong analytical capabilities to recognize nuances in patient care and medical documentation. Legal Nurse Consultants are a vital asset in navigating the intersection of health and law, ensuring cases are supported by factual and scientifically grounded medical evidence.

Key Responsibilities

  • Review and analyze medical records pertaining to legal cases.
  • Assess standards of care and identify breaches or compliance issues.
  • Summarize complex medical information for attorneys and legal teams.
  • Consult with lawyers on medical aspects of cases and suggest relevant medical literature or guidelines.
  • Prepare detailed reports highlighting medical findings and opinions.
  • Assist in drafting medical interrogatories and discovery requests.
  • Provide expert testimony or serve as a witness when called upon.
  • Evaluate causation and injury severity in personal injury and malpractice claims.
  • Support insurance claims investigation teams to spot fraud or inaccuracies.
  • Research medical malpractice laws, healthcare regulations, and best practices.
  • Conduct site visits or interviews with healthcare providers if necessary.
  • Stay current on medical advances, technology, and changes in healthcare laws.
  • Collaborate with medical experts or specialists for deeper analysis.
  • Educate legal professionals on basic medical terminology and concepts.
  • Identify and flag discrepancies or errors in patient care documentation.

Work Setting

Legal Nurse Consultants primarily work in office settings, either within law firms, insurance companies, government agencies, or as independent consultants operating from home offices. Their role requires frequent interaction with attorneys, paralegals, and medical professionals, often involving detailed and focused review of voluminous medical records. Typically, the work involves computer-based research, report writing, and teleconferences. Deadlines can be tight, especially when preparing for trials or settlements, requiring a high level of organization and attention to detail. While the job is mostly sedentary, occasional court appearances or site visits may occur. Some Legal Nurse Consultants also work remotely, offering flexibility, though in-person collaboration is common when litigation intensifies. The environment is professional, detail-oriented, and demands confidentiality and adherence to legal and ethical standards.

Tech Stack

  • Electronic Medical Records (EMR) systems
  • Legal research platforms (LexisNexis, Westlaw)
  • Medical databases (PubMed, Medline)
  • Claims management software
  • Microsoft Office Suite (Word, Excel, PowerPoint)
  • PDF annotation and eDiscovery tools (Adobe Acrobat, Relativity)
  • Medical billing and coding software familiarity
  • Video conferencing tools (Zoom, Microsoft Teams)
  • Case management systems
  • Healthcare compliance databases
  • Medical dictionary and terminology software
  • Healthcare analytics platforms
  • Time tracking and billing software
  • Data visualization tools (Tableau, Power BI) for case analysis
  • Project management software (Trello, Asana)
  • Online certification platforms
  • Document review software
  • Statistical software (SAS, SPSS) for complex case data
  • Medical device and pharmaceutical reference tools

Skills and Qualifications

Education Level

Candidates aspiring to become Legal Nurse Consultants must first obtain a nursing degree and become a Registered Nurse (RN). This foundational step entails completing an accredited nursing program, which can be at the bachelor's (BSN), associate’s (ADN), or diploma level. Most employers and certification bodies prefer a BSN for its comprehensive coursework and clinical training.

After securing RN licensure by passing the NCLEX-RN examination, gaining clinical experience is essential. Typically, a minimum of 3 to 5 years working in acute care or specialized nursing areas such as critical care, emergency, or medical-surgical nursing helps build a strong clinical foundation. This experience enables nurses to understand complex medical conditions, interventions, and patient care standards deeply.

Formal education in legal nurse consulting is not mandatory but highly recommended. Many professionals pursue specialized certification programs to develop expertise in legal procedures, malpractice law, claims management, and medico-legal documentation. National organizations such as the American Association of Legal Nurse Consultants (AALNC) and the American Legal Nurse Consultant Certification Board (ALNCCB) offer credentials that boost credibility and career prospects.

A background in legal studies, health law, or forensic nursing can be an added advantage, enriching the candidate’s ability to navigate the overlapping challenges of healthcare and legal systems effectively. Continued education, attending workshops, webinars, and staying updated on healthcare regulations and litigation trends are critical to thriving as a Legal Nurse Consultant.

Tech Skills

  • Medical record analysis and interpretation
  • Clinical assessment and evaluation
  • Legal terminology comprehension
  • Medical coding and billing knowledge
  • Healthcare compliance and regulatory understanding
  • Medical malpractice and tort law basics
  • Expert report writing
  • Data organization and case documentation
  • Litigation support and discovery process
  • Medical terminology proficiency
  • Forensic nursing principles
  • Use of electronic medical record (EMR) systems
  • Use of legal research databases
  • Medical device and pharmaceutical knowledge
  • Understanding of diagnostic tests and lab results
  • Claims adjudication processes
  • Time management and deadline adherence
  • Basic statistical analysis
  • Presentation and testimony preparation
  • Patient safety and quality assurance standards

Soft Abilities

  • Analytical thinking
  • Attention to detail
  • Clear written and verbal communication
  • Problem-solving
  • Critical thinking
  • Interpersonal collaboration
  • Ethical judgment
  • Time management
  • Adaptability
  • Confidentiality and discretion

Path to Legal Nurse Consultant

Embarking on a career as a Legal Nurse Consultant starts with earning a nursing degree and becoming a licensed Registered Nurse by passing the NCLEX-RN exam. Focus on gaining at least three to five years of hands-on nursing experience in settings that provide exposure to diverse medical conditions and procedures, such as hospitals, trauma centers, or specialty clinics. Experience in critical care, surgery, or emergency departments is particularly beneficial due to the complexity of cases.

After building solid clinical experience, pursue targeted legal nurse consulting education. This can be achieved through certificate programs offered by recognized bodies such as AALNC or other accredited continuing education providers. These courses cover essentials like medical-legal terminology, case management techniques, medical record review strategies, and litigation procedures.

Obtain professional certification as a Legal Nurse Consultant (LNCC) to enhance your marketability. Certifications demonstrate your specialized knowledge and commitment to the field, potentially leading to higher salary prospects and more complex case assignments.

Network with legal professionals, attend healthcare law seminars, and join professional organizations related to legal nurse consulting to deepen your understanding of the legal aspects and stay up to date on industry trends. Building relationships with law firms, insurance companies, and healthcare organizations is crucial for securing consulting projects.

Develop strong report-writing skills and learn to communicate complex medical information effectively to non-medical audiences. Experience with legal technology tools, like electronic discovery platforms and legal research databases, is increasingly important.

Consider gaining additional education or training in related fields such as forensic nursing, healthcare compliance, or risk management. Continuing professional development, including attending conferences and workshops, will keep your expertise relevant.

Finally, decide whether to work in-house for a legal or insurance firm, join a consulting agency, or establish yourself as an independent consultant. Each path offers differing workloads, specialty focuses, and work environments. A successful Legal Nurse Consultant blends clinical expertise with legal acumen and effective communication to deliver invaluable insights across the healthcare-legal intersection.

Required Education

Registered Nurse licensure is the foundational educational milestone for entering legal nurse consulting. This requires completion of an accredited nursing program followed by successful passage of the NCLEX-RN examination. Accredited programs can be associate degrees (ADN), Bachelor of Science in Nursing (BSN), or diploma programs, but BSN is increasingly preferred for its comprehensive preparation.

Nursing experience plays a critical role in building requisite skills and specialization. Working in clinical settings such as hospitals, trauma centers, or outpatient surgical centers provides exposure to real-world patient care, medical protocols, and healthcare documentation. Many LNCs begin their careers in critical care areas where complex and acute cases sharpen their assessment and analytical abilities.

Specialized certifications in legal nurse consulting elevate the clinical background with legal knowledge. National certification programs, such as the Legal Nurse Consultant Certified (LNCC), require a minimum number of clinical hours and passing a rigorous exam covering legal issues, nursing principles, and ethical considerations unique to the role. These credentials are offered by organizations like the American Legal Nurse Consultant Certification Board (ALNCCB).

Supplementary training in healthcare law, medical malpractice, risk management, forensic nursing, or compliance enhances expertise. Many universities and training centers offer such courses online and in classroom formats.

Ongoing education is vital due to continuous changes in healthcare regulations, technology, and legal precedents. Webinars, workshops, professional conferences, legal updates, and healthcare seminars are excellent resources to maintain currency and expand skillsets.

Legal Nurse Consultants also benefit from training in legal research tools, electronic medical records systems, and technical writing. Specialized software training in eDiscovery and case management platforms acquires practical skills essential for modern litigation support.

Many LNCs choose to build niche expertise in areas like personal injury, workers’ compensation, product liability, or medical device litigation to stand out in the market. Maintaining interdisciplinary knowledge across nursing and legal domains ensures readiness to handle evolving case complexities with precision.

Career Path Tiers

Junior Legal Nurse Consultant

Experience: 0-3 years

At this entry-level stage, the Junior Legal Nurse Consultant is primarily focused on mastering the fundamentals of medical record review and legal terminology under supervision. Responsibilities include assisting senior consultants with preparing basic medical summaries, learning to analyze standards of care, and supporting the legal team with document organization. This role emphasizes gaining exposure to various case types and understanding the interface between nursing practice and legal procedures. Juniors work closely with attorneys and more experienced LNCs, developing communication and report-writing skills, while gradually taking on small independent case assessments.

Mid-level Legal Nurse Consultant

Experience: 3-7 years

Mid-level consultants handle moderately complex cases, often managing their own caseloads independently. They perform comprehensive medical record analyses, prepare detailed expert reports, and advise attorneys on causation and liability aspects. Collaborating with expert witnesses and assisting in the discovery phase become common duties. At this level, the LNC refines specialty knowledge, such as focusing on specific areas like malpractice or worker’s compensation. They're expected to mentor junior consultants and contribute to business development initiatives within consulting firms or departments.

Senior Legal Nurse Consultant

Experience: 7+ years

Senior consultants lead large-scale and complex litigation projects, provide strategic guidance to legal teams, and often function as principal expert advisors. Tasks include reviewing voluminous medical documentation, supervising teams of consultants, and delivering expert testimony in court. Seniors coordinate with legal professionals to develop case strategies and manage client relationships. They may specialize further in high-stakes legal areas and stay involved in professional education or publication. Leadership, negotiation skills, and deep expertise characterize this advanced tier.

Lead Legal Nurse Consultant / Consultant Manager

Experience: 10+ years

Consultant Managers oversee multiple consulting projects and teams, shaping organizational processes for medico-legal review. They act as liaisons between healthcare providers and law firms, applying in-depth knowledge to resolve complex clinical-legal issues, setting quality standards for documentation and review, and representing the organization in high-profile cases. Beyond casework, they drive training programs, business development, and thought leadership within the profession. This executive tier demands robust leadership, business acumen, and the ability to influence large-scale legal outcomes.

Global Outlook

Legal Nurse Consulting opportunities are growing internationally due to rising complexities in healthcare litigation, insurance claims, and regulatory compliance worldwide. The United States remains the primary hub due to its litigious legal environment and advanced healthcare system, fostering substantial demand for LNCs at law firms, insurance companies, and government agencies. Canada and the United Kingdom also offer expanding roles, particularly in medical malpractice and patient safety cases, supported by evolving legal frameworks.

Australia and parts of Western Europe are witnessing increased utilization of legal nurse consultants as healthcare regulations tighten and patient advocacy rises. Countries like Germany, France, and the Netherlands have emerging markets where cross-disciplinary expertise is needed for complex legal proceedings involving medical information.

Language proficiency and cultural competence enhance global employability, allowing consultants to advise multinational corporations or participate in cross-border litigation. Regions with developing healthcare infrastructures, such as parts of Asia and the Middle East, present future growth potential as medical-legal systems mature.

Remote consulting possibilities are expanding, enabling global case review and expert opinion provision through digital platforms. Freelance Legal Nurse Consultants can serve clients worldwide with telemedicine records analysis and virtual legal support. Understanding international healthcare systems and legal statutes enriches consultants’ versatility and value across global markets.

Job Market Today

Role Challenges

Legal Nurse Consultants face challenges including the need to constantly update their knowledge amidst rapid changes in medical technology, healthcare laws, and insurance regulations. The volume and complexity of medical records requiring review can be overwhelming, demanding exceptional organizational skills and attention to detail. Competition is increasing as more RNs explore legal nurse consulting, necessitating specialization to stand out. Additionally, ensuring clear communication between the clinical and legal fields can be difficult, as misunderstandings about medical nuances or legal requirements may arise. Independent consultants often face unpredictability in case flow and billing, which can impact financial stability.

Growth Paths

Expansion of healthcare litigation, medical malpractice claims, and insurance investigations continues to drive demand for Legal Nurse Consultants. The rise of medical device lawsuits and pharmaceutical trials also generates specialized consulting needs. Health systems focusing on compliance, risk management, and patient safety increasingly employ LNCs to guide internal investigations and quality assurance. Digital transformation in healthcare and legal sectors creates openings for consultants proficient in eDiscovery and data management technologies. Additionally, niche expertise like forensic nursing and toxicology is becoming more sought after, broadening career horizons and potential income streams.

Industry Trends

Integrating artificial intelligence and machine learning into medical record analysis is transforming how consultants review data, enabling faster and more accurate case assessments. Telehealth proliferation introduces new dimensions of legal scrutiny where consultants advise on standard of care delivered remotely. Emphasis on interdisciplinary collaboration is growing, where Legal Nurse Consultants partner more closely with attorneys, insurance adjusters, forensic experts, and IT professionals. Continuous certification and professional development are becoming standard expectations to maintain credibility. There is a noticeable trend toward independent consulting with flexible remote work, supported by more digital tools designed to facilitate virtual medico-legal collaboration.

A Day in the Life

Morning (9:00 AM - 12:00 PM)

Focus: Medical Record Review & Case Analysis
  • Thoroughly examine new medical records received for cases.
  • Flag inconsistencies or deviations from standard protocols.
  • Outline reports summarizing clinical findings relevant to the legal questions.
  • Attend video calls with attorneys to discuss case progress and strategy.

Afternoon (12:00 PM - 3:00 PM)

Focus: Report Writing & Legal Collaboration
  • Draft detailed medico-legal reports with evidence-based opinions.
  • Respond to legal team inquiries about medical terminology or treatment implications.
  • Prepare interrogatories and discovery document requests regarding patient care.
  • Review deposition transcripts or expert witness statements.

Late Afternoon (3:00 PM - 6:00 PM)

Focus: Research & Professional Development
  • Stay updated on new healthcare laws or medical guidelines related to ongoing cases.
  • Participate in webinars or training related to legal nurse consulting innovations.
  • Organize case files and update time/billing records.
  • Network with legal and medical professionals to cultivate new consulting opportunities.

Work-Life Balance & Stress

Stress Level: Moderate

Balance Rating: Good

The nature of the work requires managing deadlines and attention to detail, which can create moderate stress, especially during active litigation phases. However, many consulting roles offer flexibility such as remote work and adjustable schedules that help maintain a healthy work-life balance. Effective time management and setting clear boundaries between case work and personal time are crucial to avoiding burnout. The variety of cases and autonomy in working arrangements often contribute positively to overall job satisfaction.

Skill Map

This map outlines the core competencies and areas for growth in this profession, showing how foundational skills lead to specialized expertise.

Foundational Skills

Essential nursing knowledge and legal basics necessary for accurate and reliable consultation.

  • Medical Record Analysis
  • Medical Terminology
  • Understanding Standards of Care
  • Legal Terminology
  • Clinical Assessment Principles

Specialization Paths

Advanced areas of expertise to differentiate and deepen impact in specific case types.

  • Medical Malpractice Review
  • Forensic Nursing
  • Insurance Claims Analysis
  • Pharmaceutical and Device Litigation
  • Risk Management and Compliance

Professional & Software Skills

Tools and soft skills that improve efficiency, collaboration, and client interaction.

  • Litigation Support Software
  • Legal Research Platforms
  • Report Writing Skills
  • Effective Communication
  • Time Management
  • Critical Thinking

Pros & Cons for Legal Nurse Consultant

βœ… Pros

  • Combines expertise in nursing and law, creating a unique and respected professional niche.
  • Offers diverse work environments including law firms, insurance companies, and government agencies.
  • Can work as an independent consultant, providing flexibility and control over caseload.
  • High demand due to increasing medical-legal complexity and litigation.
  • Opportunities to specialize in various medical and legal disciplines.
  • Professional certifications enhance credibility and earning potential.

❌ Cons

  • Requires continuous education to stay current with evolving medical and legal standards.
  • Workload can become heavy during litigation or settlement deadlines.
  • Must manage large volumes of complex medical documentation, which can be time-consuming.
  • Independent consultants face variable income and unstable case flow.
  • Bridging jargon and concepts between healthcare and law can be challenging.
  • Some cases involve emotionally difficult or distressing medical situations.

Common Mistakes of Beginners

  • Underestimating the depth of legal knowledge required beyond nursing expertise.
  • Failing to develop clear, concise report-writing skills tailored for legal audiences.
  • Overlooking the importance of understanding healthcare laws and malpractice regulations.
  • Inadequate documentation and organization of case notes and evidence.
  • Neglecting ongoing continuing education and certification updates.
  • Communicating too technically without considering non-medical legal professionals’ comprehension.
  • Accepting cases without verifying appropriate clinical experience for the subject matter.
  • Not establishing clear boundaries between healthcare advice and legal consulting roles.

Contextual Advice

  • Pursue certification early to validate your expertise and improve job prospects.
  • Build strong relationships with attorneys and legal professionals to generate steady work.
  • Stay current on medical advancements and healthcare regulations.
  • Develop top-notch report writing to effectively convey medical facts in legal contexts.
  • Specialize in a niche area like malpractice, forensic, or insurance claims to differentiate yourself.
  • Use digital tools and legal research platforms to streamline case preparation.
  • Maintain confidentiality and professional ethics at all times.
  • Balance case workload carefully to sustain quality and avoid burnout.

Examples and Case Studies

Supporting a Complex Medical Malpractice Claim

An LNC was engaged by a prominent law firm to review extensive hospital records related to a misdiagnosis claim that resulted in permanent injury. The consultant analyzed patient charts, diagnostic tests, and treatment timelines, applying her critical care background to identify deviations from accepted standards of care. Her detailed report highlighted critical omissions and helped secure a favorable settlement for the client.

Key Takeaway: Deep clinical knowledge combined with precise record analysis can reveal case strengths and weaknesses, impacting legal outcomes significantly.

Consulting on a Pharmaceutical Product Liability Case

In a case involving alleged adverse effects from a new medication, a Legal Nurse Consultant reviewed clinical trial data, patient reports, and FDA regulatory documents. She worked with the legal team to interpret complex pharmacological information and advised on causation issues, helping shape the legal strategy in multidistrict litigation.

Key Takeaway: Specialized knowledge of drug safety and regulatory processes is invaluable in product liability and pharmaceutical litigation.

Forensic Nursing Expertise in Criminal Cases

An LNC with forensic nursing certification collaborated with a defense attorney in a criminal case where injury causation was disputed. By analyzing trauma reports, photographs, and witness statements, she provided expert opinions clarifying the medical facts. Her testimony influenced jury understanding and contributed to an acquittal.

Key Takeaway: Forensic nursing skills broaden LNC roles beyond civil litigation, offering impactful support in criminal justice.

Portfolio Tips

A strong portfolio is crucial for Legal Nurse Consultants to demonstrate expertise and professionalism. Including well-organized samples of medico-legal reports, case summaries, and expert witness statements showcases your ability to translate clinical data into legal insights. Highlighting your certifications, educational background, and years of nursing experience builds credibility. Testimonials or references from attorneys or previous clients can further reinforce your value. Use clear formatting with confidential information redacted to protect privacy.

In addition to documents, consider describing complex cases (without violating confidentiality) to illustrate your analytical approach and problem-solving skills. Showcasing continuing education achievements and specialized training emphasizes your commitment to staying current. Presentations, published articles, or speaking engagements related to legal nurse consulting add weight to your portfolio. Be prepared to tailor your portfolio to the prospective client’s needs, emphasizing relevant case types or specialties such as malpractice, insurance claims, or forensic nursing.

Keep your portfolio digital for easy sharing and include contact information and professional affiliations. This portfolio acts as a primary marketing tool when pursuing consulting opportunities or negotiating engagements with legal teams.

Job Outlook & Related Roles

Growth Rate: 12%
Status: Growing faster than average
Source: U.S. Bureau of Labor Statistics and American Association of Legal Nurse Consultants

Related Roles

Frequently Asked Questions

What qualifications are required to become a Legal Nurse Consultant?

You must first be a Registered Nurse (RN) with clinical experience, generally 3-5 years in a hospital or related setting. Additional specialized certification in legal nurse consulting, such as the LNCC credential, is highly recommended to demonstrate expertise in medico-legal issues.

Can Legal Nurse Consultants work remotely?

Yes, many Legal Nurse Consultants work remotely by reviewing digital medical records and communicating with legal teams via video conferencing and email. Remote work flexibility depends on client preferences and case requirements.

Is previous legal experience necessary to enter this field?

While not mandatory, knowledge of legal principles and procedures enhances your effectiveness as an LNC. Many training programs cover legal basics, and working closely with attorneys provides on-the-job learning.

What types of cases do Legal Nurse Consultants typically work on?

Common case types include medical malpractice, personal injury, workers’ compensation, product liability, insurance claims, and healthcare regulatory compliance investigations.

How do Legal Nurse Consultants interact with attorneys?

LNCs assist attorneys by clarifying medical facts, providing reports, preparing expert interrogatories, and occasionally testifying as expert witnesses to support litigation strategies.

What is the average salary range for a Legal Nurse Consultant?

In the United States, annual salaries typically range from $60,000 to $120,000 depending on experience, certification, specialization, and consulting arrangement.

Do Legal Nurse Consultants testify in court?

Yes, many Legal Nurse Consultants serve as expert witnesses to provide objective medical opinions based on their analysis of records and standards of care, which can significantly influence case outcomes.

How can I gain credibility as a new Legal Nurse Consultant?

Obtain professional certification, pursue continuing education, build a portfolio of case studies, and network actively with legal professionals. Volunteering for pro bono cases or mentorships can also build experience and reputation.

What are common challenges faced by Legal Nurse Consultants?

Keeping up with evolving healthcare laws, managing extensive documentation, communicating complex medical facts effectively to legal audiences, and securing consistent consulting opportunities are common challenges.

Is there room for specialization within legal nurse consulting?

Absolutely. Many Legal Nurse Consultants specialize in areas like forensic nursing, pharmaceutical litigation, medical device cases, insurance claims, or risk management, which can enhance career growth and job satisfaction.

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