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Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "short": "Additional Content defined by implementations", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. 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Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "short": "Additional Content defined by implementations", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. 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