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There have been reports of particularly severe acute pancreatitis, including necrotising and fatal pancreatitis, however, they are uncommon

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doi: 10.1016/S0140-6736(08)60694-7 47 GrysiewiczRAThomasKPandeyDK

(1)(i) For multiple data submissions received in the quality and improvement activities ASM performance categories in accordance with paragraphs (a)(1)(i) and (ii) of this section for an individual ASM participant from submitters in multiple organizations (for example, qualified registry, practice administrator, or EHR vendor), CMS calculates and scores each submission received and assign the highest of the scores