<link:linkbase
    xmlns:link="http://www.xbrl.org/2003/linkbase"
    xmlns:xlink="http://www.w3.org/1999/xlink"
    xmlns:xbrldt="http://xbrl.org/2005/xbrldt"
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   <link:roleRef xlink:type="simple" xlink:href="815600C851C90CAE6438-2021-12-31.xsd#id_159" roleURI="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000"/>
   <link:roleRef xlink:type="simple" xlink:href="815600C851C90CAE6438-2021-12-31.xsd#id_9" roleURI="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-320000"/>
   <link:roleRef xlink:type="simple" xlink:href="815600C851C90CAE6438-2021-12-31.xsd#id_161" roleURI="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-410000"/>
   <link:roleRef xlink:type="simple" xlink:href="815600C851C90CAE6438-2021-12-31.xsd#id_10" roleURI="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-610000"/>
   <link:roleRef xlink:type="simple" xlink:href="815600C851C90CAE6438-2021-12-31.xsd#id_181" roleURI="https://www.garofalohealthcare.com/xbrl/role/all/ias_7_role-520000"/>
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   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_NoncurrentLiabilities" xlink:label="ifrs-full_NoncurrentLiabilities" xlink:type="locator"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_DeferredTaxLiabilities" xlink:label="ifrs-full_DeferredTaxLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_DeferredTaxLiabilities"
                            order="30.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherNoncurrentFinancialLiabilities" xlink:label="ifrs-full_OtherNoncurrentFinancialLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_OtherNoncurrentFinancialLiabilities"
                            order="50.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_NoncurrentProvisionsForEmployeeBenefits" xlink:label="ifrs-full_NoncurrentProvisionsForEmployeeBenefits" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_NoncurrentProvisionsForEmployeeBenefits"
                            weight="1.0"
                            order="51.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherLongtermProvisions" xlink:label="ifrs-full_OtherLongtermProvisions" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_OtherLongtermProvisions"
                            weight="1.0"
                            order="52.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherNoncurrentLiabilities" xlink:label="ifrs-full_OtherNoncurrentLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_OtherNoncurrentLiabilities"
                            weight="1.0"
                            order="53.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_NoncurrentDerivativeFinancialLiabilities" xlink:label="ifrs-full_NoncurrentDerivativeFinancialLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentLiabilities"
                          xlink:to="ifrs-full_NoncurrentDerivativeFinancialLiabilities"
                            weight="1.0"
                            order="54.0"
                          xlink:type="arc"/>
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   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale" xlink:label="ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale" xlink:type="locator"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_TradeAndOtherCurrentPayables" xlink:label="ifrs-full_TradeAndOtherCurrentPayables" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale"
                          xlink:to="ifrs-full_TradeAndOtherCurrentPayables"
                            order="20.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CurrentTaxLiabilitiesCurrent" xlink:label="ifrs-full_CurrentTaxLiabilitiesCurrent" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale"
                          xlink:to="ifrs-full_CurrentTaxLiabilitiesCurrent"
                            order="30.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherCurrentFinancialLiabilities" xlink:label="ifrs-full_OtherCurrentFinancialLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale"
                          xlink:to="ifrs-full_OtherCurrentFinancialLiabilities"
                            order="40.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherCurrentNonfinancialLiabilities" xlink:label="ifrs-full_OtherCurrentNonfinancialLiabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentLiabilitiesOtherThanLiabilitiesIncludedInDisposalGroupsClassifiedAsHeldForSale"
                          xlink:to="ifrs-full_OtherCurrentNonfinancialLiabilities"
                            order="50.0"
                            weight="1.0"
                          xlink:type="arc"/>
   </link:calculationLink>
   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_Assets" xlink:label="ifrs-full_Assets" xlink:type="locator"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_NoncurrentAssets" xlink:label="ifrs-full_NoncurrentAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_Assets"
                          xlink:to="ifrs-full_NoncurrentAssets"
                            order="10.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners" xlink:label="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_Assets"
                          xlink:to="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                            weight="1.0"
                            order="11.0"
                          xlink:type="arc"/>
   </link:calculationLink>
   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_NoncurrentAssets" xlink:label="ifrs-full_NoncurrentAssets" xlink:type="locator"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_PropertyPlantAndEquipment" xlink:label="ifrs-full_PropertyPlantAndEquipment" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_PropertyPlantAndEquipment"
                            order="10.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_InvestmentProperty" xlink:label="ifrs-full_InvestmentProperty" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_InvestmentProperty"
                            order="20.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_Goodwill" xlink:label="ifrs-full_Goodwill" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_Goodwill"
                            order="30.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_IntangibleAssetsOtherThanGoodwill" xlink:label="ifrs-full_IntangibleAssetsOtherThanGoodwill" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_IntangibleAssetsOtherThanGoodwill"
                            order="40.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_DeferredTaxAssets" xlink:label="ifrs-full_DeferredTaxAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_DeferredTaxAssets"
                            order="100.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherNoncurrentFinancialAssets" xlink:label="ifrs-full_OtherNoncurrentFinancialAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_OtherNoncurrentFinancialAssets"
                            order="120.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherNoncurrentNonfinancialAssets" xlink:label="ifrs-full_OtherNoncurrentNonfinancialAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ifrs-full_OtherNoncurrentNonfinancialAssets"
                            order="130.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="815600C851C90CAE6438-2021-12-31.xsd#ext_EquityInvestments" xlink:label="ext_EquityInvestments" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_NoncurrentAssets"
                          xlink:to="ext_EquityInvestments"
                            weight="1.0"
                            order="131.0"
                          xlink:type="arc"/>
   </link:calculationLink>
   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners" xlink:label="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners" xlink:type="locator"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_Inventories" xlink:label="ifrs-full_Inventories" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_Inventories"
                            order="10.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_TradeAndOtherCurrentReceivables" xlink:label="ifrs-full_TradeAndOtherCurrentReceivables" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_TradeAndOtherCurrentReceivables"
                            order="20.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CurrentTaxAssetsCurrent" xlink:label="ifrs-full_CurrentTaxAssetsCurrent" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_CurrentTaxAssetsCurrent"
                            order="30.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherCurrentFinancialAssets" xlink:label="ifrs-full_OtherCurrentFinancialAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_OtherCurrentFinancialAssets"
                            order="50.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_OtherCurrentNonfinancialAssets" xlink:label="ifrs-full_OtherCurrentNonfinancialAssets" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_OtherCurrentNonfinancialAssets"
                            order="60.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_CashAndCashEquivalents" xlink:label="ifrs-full_CashAndCashEquivalents" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_CurrentAssetsOtherThanAssetsOrDisposalGroupsClassifiedAsHeldForSaleOrAsHeldForDistributionToOwners"
                          xlink:to="ifrs-full_CashAndCashEquivalents"
                            order="70.0"
                            weight="1.0"
                          xlink:type="arc"/>
   </link:calculationLink>
   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
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      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_EquityAndLiabilities"
                          xlink:to="ifrs-full_Equity"
                            order="10.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_Liabilities" xlink:label="ifrs-full_Liabilities" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_EquityAndLiabilities"
                          xlink:to="ifrs-full_Liabilities"
                            order="20.0"
                            weight="1.0"
                          xlink:type="arc"/>
   </link:calculationLink>
   <link:calculationLink xlink:role="https://www.garofalohealthcare.com/xbrl/role/all/ias_1_role-210000" xlink:type="extended">
      <link:loc xlink:href="http://xbrl.ifrs.org/taxonomy/2020-03-16/full_ifrs/full_ifrs-cor_2020-03-16.xsd#ifrs-full_Equity" xlink:label="ifrs-full_Equity" xlink:type="locator"/>
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      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_Equity"
                          xlink:to="ifrs-full_EquityAttributableToOwnersOfParent"
                            order="10.0"
                            weight="1.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="815600C851C90CAE6438-2021-12-31.xsd#ext_MinorityInterestCapitalAndReserves" xlink:label="ext_MinorityInterestCapitalAndReserves" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_Equity"
                          xlink:to="ext_MinorityInterestCapitalAndReserves"
                            weight="1.0"
                            order="11.0"
                          xlink:type="arc"/>
      <link:loc xlink:href="815600C851C90CAE6438-2021-12-31.xsd#ext_MinorityInterestResult" xlink:label="ext_MinorityInterestResult" xlink:type="locator"/>
      <link:calculationArc
                          xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item"
                          xlink:from="ifrs-full_Equity"
                          xlink:to="ext_MinorityInterestResult"
                            weight="1.0"
                            order="12.0"
                          xlink:type="arc"/>
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