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Handling cardinality restrictions with SPARQL is difficult as if one considers a cardinality restriction with a cardinality of n, one needs to (1) search the n relations, (2) verify that they are all distinct, and (3) remove duplicates (eg, if n=2 and one finds the a,b relation, then b,a should not be considered as a distinct result).
JMIR Cancer 2022;8(1):e29289
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Reference 6: (https://www.healthitoutcomes.com/doc/ehr-failure-what-s-a-practice-to-do-0001)
JMIR Med Inform 2020;8(5):e16980
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