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Images: Examples of products linked to liver toxicity Symptoms and investigations Patients have experience various symptoms including: tiredness or malaise jaundice abdominal pain dark urine abnormal bruising Investigation results include abnormal liver function tests showing transaminitis with possible raised bilirubin and coagulopathy

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Final action: After consideration of public comments, we are finalizing, as proposed, the requirement that, beginning January 1, 2026, hospitals must report, in a newly created general data element in the MRF, any Type 2 NPI(s) that are associated with a primary taxonomy code starting with `28' (indicating hospital) or `27' (indicating hospital unit) and that is active as of the date of the most recent update to the standard charge information