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Applying a further grouped

to the above describes a procedure to replace a left hip by inserting a prosthesis. Note that this example mixes an ungrouped qualification and a grouped qualification. Where this is done, the the
tcanonical representation
GlosTermcanonical form
 of the expression includes all ungrouped attributes before the grouped ones (see  Terminology Services Guide for more details). Please also note that in the previous version of this standard a comma was not permitted between the last ungrouped attribute and the first attribute group – however this comma is now optional to avoid unexpected syntax errors.