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Instrumentation is the act of adding observability code to an app yourself.
If you're instrumenting an app, you need to use the OpenTelemetry SDK for your language. You'll then use the SDK to initialize OpenTelemetry and the API to instrument your code. This will emit telemetry from your app, and any library you installed that also comes with instrumentation.
If you're instrumenting a library, only install the OpenTelemetry API package for your language. Your library will not emit telemetry on its own. It will only emit telemetry when it is part of an app that uses the OpenTelemetry SDK. For more on instrumenting libraries, see Libraries.
For more information about the OpenTelemetry API and SDK, see the specification.