314 lines
10 KiB
Plaintext
314 lines
10 KiB
Plaintext
--
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-- Example of an openEHR Archetype, written in the Archetype Definition Language (ADL)
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-- Definition available here: http://www.openehr.org/releases/trunk/architecture/am/adl2.pdf
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-- Author: derived from the openEHR-EHR-EVALUATION.adverse_reaction.v1 archetype at http://www.openEHR.org/ckm
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--
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archetype (adl_version=2.0.5; rm_release=1.0.2; generated)
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openEHR-EHR-EVALUATION.adverse_reaction.v1.0.0
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language
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original_language = <[ISO_639-1::en]>
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description
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lifecycle_state = <"unmanaged">
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original_author = <
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["name"] = <"Heather Leslie">
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["organisation"] = <"Ocean Informatics">
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["email"] = <"heather.leslie@oceaninformatics.com">
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["date"] = <"2010-11-08">
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>
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copyright = <"© openEHR Foundation">
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details = <
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["en"] = <
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language = <[ISO_639-1::en]>
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purpose = <"To record information about any harmful...">
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use = <"Use to record all information about the presence ...">
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keywords = <"reaction", "allergy", "allergic", "adverse">
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misuse = <"Not to be used for recording the absence (or ...">
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>
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>
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other_contributors = <"Jane Doe, Australia">
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other_details = <
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["references"] = <"Adverse Reaction, draft archetype, ...">
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["MD5-CAM-1.0.1"] = <"260699D2EFDE4F7C7BC3C6C501A51A61">
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>
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definition
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EVALUATION[id1] matches { -- Adverse Reaction
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data matches {
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ITEM_TREE[id2] matches {
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items cardinality matches {1..*; unordered} matches {
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ELEMENT[id3] matches { -- Substance/Agent
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value matches {
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DV_TEXT[id51]
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}
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}
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ELEMENT[id5] occurrences matches {0..1} matches { -- Absolute Contraindication?
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value matches {
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DV_BOOLEAN[id52] matches {
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value matches {True}
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}
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}
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}
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ELEMENT[id50] occurrences matches {0..1} matches { -- Future Use
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value matches {
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DV_TEXT[id53]
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}
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}
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ELEMENT[id7] occurrences matches {0..1} matches { -- Overall Comment
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value matches {
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DV_TEXT[id54]
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}
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}
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CLUSTER[id10] matches { -- Reaction Event
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items matches {
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ELEMENT[id11] occurrences matches {0..1} matches { -- Specific Substance/Agent
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value matches {
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DV_TEXT[id55]
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}
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}
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ELEMENT[id12] matches { -- Manifestation
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value matches {
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DV_TEXT[id56]
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}
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}
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ELEMENT[id17] occurrences matches {0..1} matches { -- Reaction Type
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value matches {
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DV_TEXT[id57]
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}
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}
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ELEMENT[id22] occurrences matches {0..1} matches { -- Certainty
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value matches {
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DV_CODED_TEXT[id58] matches {
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defining_code matches {[ac1]} -- Certainty (synthesised)
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}
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}
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}
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ELEMENT[id13] occurrences matches {0..1} matches { -- Reaction Description
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value matches {
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DV_TEXT[id59]
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}
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}
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ELEMENT[id28] occurrences matches {0..1} matches { -- Onset of Reaction
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value matches {
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DV_DATE_TIME[id60]
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}
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}
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ELEMENT[id29] occurrences matches {0..1} matches { -- Duration of Reaction
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value matches {
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DV_DURATION[id61]
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}
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}
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allow_archetype CLUSTER[id30] matches { -- Additional Reaction Detail
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include
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archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-a-zA-Z0-9_]+)*\.v1/}
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}
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ELEMENT[id19] occurrences matches {0..1} matches { -- Exposure Description
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value matches {
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DV_TEXT[id62]
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}
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}
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ELEMENT[id21] occurrences matches {0..1} matches { -- Earliest Exposure
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value matches {
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DV_DATE_TIME[id63]
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}
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}
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ELEMENT[id26] occurrences matches {0..1} matches { -- Duration of Exposure
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value matches {
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DV_DURATION[id64]
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}
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}
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allow_archetype CLUSTER[id20] matches { -- Additional Exposure Detail
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include
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archetype_id/value matches {/openEHR-EHR-CLUSTER\.amount(-a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.medication_admin(-a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.timing(-a-zA-Z0-9_]+)*\.v1/}
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}
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ELEMENT[id41] occurrences matches {0..1} matches { -- Clinical Management Description
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value matches {
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DV_TEXT[id65]
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}
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}
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ELEMENT[id32] matches { -- Multimedia
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value matches {
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DV_MULTIMEDIA[id66] matches {
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media_type
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}
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}
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}
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allow_archetype CLUSTER[id42] matches { -- Reporting Details
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include
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archetype_id/value matches {/.*/}
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}
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ELEMENT[id33] occurrences matches {0..1} matches { -- Reaction Comment
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value matches {
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DV_TEXT[id67]
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}
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}
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}
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}
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}
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}
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}
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protocol matches {
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ITEM_TREE[id43] matches {
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items matches {
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ELEMENT[id45] occurrences matches {0..1} matches { -- Reaction Reported?
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value matches {
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DV_BOOLEAN[id68] matches {
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value matches {True, False}
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}
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}
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}
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ELEMENT[id49] occurrences matches {0..1} matches { -- Report Comment
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value matches {
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DV_TEXT[id69]
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}
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}
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ELEMENT[id46] matches { -- Adverse Reaction Report
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value matches {
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DV_URI[id70]
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}
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}
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ELEMENT[id48] occurrences matches {0..1} matches { -- Supporting Clinical Record Information
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value matches {
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DV_EHR_URI[id71]
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}
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}
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}
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}
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}
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}
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terminology
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term_definitions = <
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["en"] = <
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["id1"] = <
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text = <"Adverse Reaction">
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description = <"A harmful or undesirable, unexpected effect associated with exposure to any substance or agent, including food, plants, animals, venom from animal stings, or a medication at therapeutic or sub-therapeutic doses.">
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>
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["id3"] = <
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text = <"Substance/Agent">
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description = <"Identification of a substance, agent, or a class of substance, that is considered to be responsible for the Adverse Reaction.">
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>
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["id5"] = <
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text = <"Absolute Contraindication?">
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description = <"Is administration of this Substance/Agent absolutely contraindicated in this individual?">
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>
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["id7"] = <
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text = <"Overall Comment">
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description = <"Additional narrative about the Adverse Reaction as a whole, not captured in other fields.">
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>
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["id10"] = <
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text = <"Reaction Event">
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description = <"Details about each Adverse Reaction Event.">
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>
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["id11"] = <
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text = <"Specific Substance/Agent">
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description = <"Specific identification of the actual Substance/Agent considered to be responsible for the Adverse Reaction event.">
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>
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["id12"] = <
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text = <"Manifestation">
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description = <"Clinical manifestation of the Adverse Reaction expressed as a single word, phrase or brief description, e.g. nausea or rash.">
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>
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["id13"] = <
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text = <"Reaction Description">
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description = <"Narrative description of the Adverse Reaction.">
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>
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["id17"] = <
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text = <"Reaction Type">
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description = <"The type of Adverse Reaction as determined by the clinician.">
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>
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["id19"] = <
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text = <"Exposure Description">
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description = <"Description about exposure to the Substance/Agent.">
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>
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["id20"] = <
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text = <"Additional Exposure Detail">
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description = <"Additional detail about exposure/s for this Adverse Reaction event, including structured medication amount/frequency/route information.">
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>
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["id21"] = <
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text = <"Earliest Exposure">
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description = <"Record of the date and/or time of the earliest or initial exposure to the Substance/Agent.">
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>
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["id22"] = <
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text = <"Certainty">
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description = <"Degree of certainty, as assessed by a clinician, that the specific Substance/Agent was the cause of the Adverse Reaction.">
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>
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["at23"] = <
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text = <"Suspected">
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description = <"Possibly the causative agent.">
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>
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["at24"] = <
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text = <"Probable">
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description = <"Likely to be the causative agent, but not confirmed by testing or rechallenge.">
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>
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["at25"] = <
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text = <"Confirmed">
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description = <"Confirmed as the causative agent, by testing or rechallenge.">
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>
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["id26"] = <
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text = <"Duration of Exposure">
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description = <"The amount of time of exposure to the Substance/Agent.">
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>
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["id28"] = <
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text = <"Onset of Reaction">
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description = <"Record of the date and/or time of the onset of the Adverse Reaction.">
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>
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["id29"] = <
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text = <"Duration of Reaction">
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description = <"The amount of time that the Adverse Reaction was present.">
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>
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["id30"] = <
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text = <"Additional Reaction Detail">
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description = <"Additional detail about the Adverse Reaction, including anatomical location.">
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>
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["id32"] = <
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text = <"Multimedia">
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description = <"Inclusion of any multimedia file to support the recording of the Adverse Reaction event.">
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>
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["id33"] = <
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text = <"Reaction Comment">
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description = <"Additional narrative about the Adverse Reaction event not captured in other fields.">
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>
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["id41"] = <
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text = <"Clinical Management Description">
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description = <"Narrative description of the clinical management provided.">
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>
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["id42"] = <
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text = <"Reporting Details">
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description = <"Further details required for reporting to regulatory bodies.">
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>
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["id45"] = <
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text = <"Reaction Reported?">
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description = <"Was the Adverse Reaction reported to a regulatory body?">
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>
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["id46"] = <
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text = <"Adverse Reaction Report">
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description = <"Link to an Adverse Reaction Report sent to a regulatory body.">
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>
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["id48"] = <
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text = <"Supporting Clinical Record Information">
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description = <"Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports.">
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>
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["id49"] = <
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text = <"Report Comment">
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description = <"Additional narrative about the Adverse Reaction Report, including the reason for non-reporting, if required.">
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>
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["id50"] = <
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text = <"Future Use">
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description = <"Narrative description of clinician instructions or advice related to future exposure to, or administration of, the Substance/Agent.">
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>
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["ac1"] = <
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text = <"Certainty (synthesised)">
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description = <"Degree of certainty, as assessed by a clinician, that the specific Substance/Agent was the cause of the Adverse Reaction. (synthesised)">
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>
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>
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>
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value_sets = <
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["ac1"] = <
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id = <"ac1">
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members = <"at23", "at24", "at25">
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>
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>
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