1 | archetype (adl_version=1.4)
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2 | openEHR-EHR-EVALUATION.adverse.v1
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3 |
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4 | concept
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5 | [at0000] -- Adverse reaction
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6 | language
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7 | original_language = <[ISO_639-1::en]>
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8 | translations = <
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9 | ["de"] = <
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10 | language = <[ISO_639-1::de]>
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11 | author = <
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12 | ["name"] = <"Jasmin Buck, Sebastian Garde">
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13 | ["organisation"] = <"University of Heidelberg, Central Queensland University">
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14 | >
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15 | >
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16 | >
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17 | description
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18 | original_author = <
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19 | ["name"] = <"Sam Heard">
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20 | ["organisation"] = <"Ocean Informatics">
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21 | ["date"] = <"23/04/2006">
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22 | ["email"] = <"sam.heard@oceaninformatics.biz">
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23 | >
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24 | details = <
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25 | ["de"] = <
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26 | language = <[ISO_639-1::de]>
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27 | purpose = <"Zur Dokumentation von Nebenwirkungen auf einen bestimmten Wirkstoff. Die Art dieses Stoffes kann ebenfalls Dokumentiert werden. Früherer Aufzeichnungen können hinzugefügt werden und auch die Art der Reaktion beim jeweiligen Ereignis.">
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28 | use = <"">
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29 | keywords = <"Reaktion", "allergisch", "Allergie", "Intoleranz">
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30 | misuse = <"Nicht zur Dokumentation keines Verlaufs einer Reaktion auf eine Substanz. Für diesen Zweck openEHR-EVALUATION.excluded-adverse benutzen. Für unbekannte Reaktionen auf beliebige Wirkstoffe openEHR-EVALUATION.excluded benutzen.">
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31 | >
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32 | ["en"] = <
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33 | language = <[ISO_639-1::en]>
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34 | purpose = <"For recording adverse reaction(s) to a particular 'Agent' the type of which may be recorded also. Historical recordings may be added and the type of reaction on each occasion.">
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35 | use = <"">
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36 | keywords = <"reaction", "allergic", "allergy", "intolerance">
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37 | misuse = <"Do not use for recording no history of a reaction to a substance. Use openEHR-EVALUATION.excluded-adverse for this purpose. No known reactions to any agents, use openEHR-EVALUATION.excluded.">
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38 | >
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39 | >
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40 | lifecycle_state = <"AuthorDraft">
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41 | other_contributors = <"NEHTA data groups (Australia)", "General Practice Computing Group (Australia)">
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42 |
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43 | definition
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44 | EVALUATION[at0000] matches { -- Adverse reaction
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45 | data matches {
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46 | ITEM_TREE[at0002] matches { -- structure
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47 | items cardinality matches {0..*; unordered} matches {
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48 | ELEMENT[at0003] matches { -- Agent
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49 | value matches {
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50 | DV_TEXT matches {*}
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51 | }
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52 | }
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53 | ELEMENT[at0010] occurrences matches {0..1} matches { -- Agent category
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54 | value matches {
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55 | DV_CODED_TEXT matches {
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56 | defining_code matches {
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57 | [local::
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58 | at0011, -- Food
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59 | at0012, -- Animal
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60 | at0013, -- Medication
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61 | at0014, -- Other chemical or substance
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62 | at0031, -- Non-active ingredient of medication
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63 | at0033, -- Imaging dye or media
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64 | at0034] -- Environmental
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65 | }
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66 | }
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67 | }
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68 | }
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69 | CLUSTER[at0019] occurrences matches {0..*} matches { -- Exposure and reaction detail
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70 | items cardinality matches {1..*; unordered} matches {
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71 | ELEMENT[at0032] occurrences matches {0..1} matches { -- Specific substance
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72 | value matches {
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73 | DV_TEXT matches {*}
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74 | }
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75 | }
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76 | ELEMENT[at0015] occurrences matches {0..1} matches { -- Reaction category
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77 | value matches {
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78 | DV_CODED_TEXT matches {
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79 | defining_code matches {
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80 | [local::
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81 | at0016, -- Intolerance
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82 | at0017, -- Sensitivity
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83 | at0018, -- Allergy
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84 | at0030] -- No reaction
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85 | }
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86 | }
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87 | }
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88 | }
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89 | ELEMENT[at0004] occurrences matches {0..1} matches { -- Probability of causation
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90 | value matches {
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91 | DV_CODED_TEXT matches {
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92 | defining_code matches {
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93 | [local::
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94 | at0005, -- Certain/Highly likely
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95 | at0006, -- Probable
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96 | at0007] -- Possible
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97 | }
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98 | }
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99 | }
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100 | }
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101 | ELEMENT[at0020] occurrences matches {0..1} matches { -- Date of exposure
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102 | value matches {
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103 | DV_DATE_TIME matches {
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104 | value matches {yyyy-??-??T??:??:??}
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105 | }
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106 | }
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107 | }
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108 | ELEMENT[at0021] occurrences matches {0..1} matches { -- Duration of the exposure
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109 | value matches {
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110 | DV_DURATION matches {
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111 | value matches {PYMWDTHMS}
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112 | }
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113 | }
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114 | }
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115 | ELEMENT[at0023] occurrences matches {0..1} matches { -- Reaction severity
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116 | value matches {
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117 | DV_CODED_TEXT matches {
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118 | defining_code matches {
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119 | [local::
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120 | at0024, -- Mild
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121 | at0025, -- Disabling
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122 | at0026] -- Life threatening
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123 | }
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124 | }
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125 | }
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126 | }
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127 | ELEMENT[at0022] matches { -- Reaction description
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128 | value matches {
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129 | DV_TEXT matches {*}
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130 | }
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131 | }
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132 | ELEMENT[at0027] occurrences matches {0..1} matches { -- Date of onset of reaction
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133 | value matches {
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134 | DV_DATE_TIME matches {
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135 | value matches {yyyy-??-??T??:??:??}
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136 | }
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137 | }
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138 | }
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139 | ELEMENT[at0028] occurrences matches {0..1} matches { -- Duration of the reaction
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140 | value matches {
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141 | C_DV_QUANTITY <
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142 | property = <[openehr::128]>
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143 | >
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144 | }
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145 | }
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146 | }
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147 | }
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148 | }
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149 | }
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150 | }
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151 | }
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152 |
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153 | ontology
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154 | term_definitions = <
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155 | ["de"] = <
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156 | items = <
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157 | ["at0000"] = <
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158 | description = <"Zur Dokumentation des Vorhandenseins von schädlichen oder unerwünschten Reaktionen auf einen Wirkstoff oder eine Substanz, einschließlich Nahrung, festgestellt von einem Klinikarzt - Vergiftungen und unsachgemäßer Gebrauch ausgeschlossen">
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159 | text = <"Nebenwirkung">
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160 | >
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161 | ["at0002"] = <
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162 | description = <"@ internal @">
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163 | text = <"Structure">
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164 | >
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165 | ["at0003"] = <
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166 | description = <"Der Wirkstoff, die Substanz oder die Klasse, welche die Nebenwirkung ausgelöst hat">
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167 | text = <"Wirkstoff">
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168 | >
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169 | ["at0004"] = <
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170 | description = <"Grad an Sicherheit, dass der Wirkstoff der Auslöser der Reaktion war">
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171 | text = <"Wahrscheinlichkeit für kausalen Zusammenhang">
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172 | >
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173 | ["at0005"] = <
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174 | description = <"Die Reaktion ist laut einem Klinikarzt auf den Wirkstoff zurückzuführen">
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175 | text = <"Sicher/ sehr wahrscheinlich">
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176 | >
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177 | ["at0006"] = <
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178 | description = <"Die Reaktion ist wahrscheinlich auf den Wirkstoff zurückzuführen">
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179 | text = <"Wahrscheinlich">
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180 | >
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181 | ["at0007"] = <
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182 | description = <"Die Reaktion ist möglicherweise auf den Wirkstoff zurückzuführen">
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183 | text = <"Möglicherweise">
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184 | >
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185 | ["at0010"] = <
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186 | description = <"Die Gruppe des Wirkstoffs">
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187 | text = <"Wirkstoffgruppe">
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188 | >
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189 | ["at0011"] = <
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190 | description = <"Eine Substanz, die als Teil der Ernährung zugeführt wurde ">
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191 | text = <"Nahrungsmittel">
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192 | >
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193 | ["at0012"] = <
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194 | description = <"Ein lebender Organismus und dessen Gift oder produzierter Stoff">
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195 | text = <"Tier">
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196 | >
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197 | ["at0013"] = <
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198 | description = <"Eine Substanz, die aus medizinischen Gründen eingenommen oder verabreicht wurde">
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199 | text = <"Medikament">
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200 | >
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201 | ["at0014"] = <
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202 | description = <"Nicht-medizinische Chemikalie oder Substanz">
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203 | text = <"Andere Chemikalie oder Substanz">
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204 | >
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205 | ["at0015"] = <
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206 | description = <"Die Art der von der Person erfahrenen Reaktion, von einem Klinikarzt ermittelt">
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207 | text = <"Reaktionsart">
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208 | >
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209 | ["at0016"] = <
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210 | description = <"Führt zu unerfreulichen Symptomen, die ausreichen um einen Gebrauch in der Zukunft zu vermeiden">
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211 | text = <"Intoleranz">
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212 | >
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213 | ["at0017"] = <
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214 | description = <"Führt zu Krankhaftigkeit die eventuell zum Wohle des Patienten behandelt werden muss">
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215 | text = <"Empfindlichkeit">
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216 | >
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217 | ["at0018"] = <
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218 | description = <"Führt zu einer IgE Reaktion">
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219 | text = <"Allergie">
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220 | >
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221 | ["at0019"] = <
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222 | description = <"Einzelheiten der von der Person erfahrenen Reaktion">
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223 | text = <"Exposition und Einzelheiten der Reaktion">
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224 | >
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225 | ["at0020"] = <
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226 | description = <"Das Datum (+/- Zeit) wann die Person gegenüber dem Wirkstoff exponiert wurde">
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227 | text = <"Datum der Exposition">
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228 | >
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229 | ["at0021"] = <
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230 | description = <"Die Dauer der Exposition gegenüber dem Wirkstoff">
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231 | text = <"Dauer der Exposition">
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232 | >
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233 | ["at0022"] = <
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234 | description = <"Eine Beschreibung der von einer Person erfahrenen Reaktion auf einen Wirkstoff">
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235 | text = <"Beschreibung der Reaktion">
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236 | >
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237 | ["at0023"] = <
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238 | description = <"Die Klasse der Reaktion für zukünftige Empfehlungen">
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239 | text = <"Schweregrad der Reaktion">
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240 | >
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241 | ["at0024"] = <
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242 | description = <"Eine Reaktion, die wenig Leiden und keinen Verlust der Arbeitsfähigkeit/ Schulfähigkeit verursacht">
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243 | text = <"Gelinde">
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244 | >
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245 | ["at0025"] = <
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246 | description = <"Eine Reaktion, die Krankheit und/oder den Verlust Funktionen verursacht">
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247 | text = <"Unfähig machend">
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248 | >
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249 | ["at0026"] = <
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250 | description = <"Eine Reaktion die lebensbedrohlich wahr oder sein kann">
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251 | text = <"Lebensbedrohlich">
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252 | >
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253 | ["at0027"] = <
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254 | description = <"Das Datum, an dem die Reaktion eintrat">
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255 | text = <"Datum des Beginns der Reaktion">
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256 | >
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257 | ["at0028"] = <
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258 | description = <"Die Dauer der Reaktion">
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259 | text = <"Dauer der Reaktion">
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260 | >
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261 | ["at0030"] = <
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262 | description = <"Die Person war ohne Reaktion exponiert">
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263 | text = <"Keine Reaktion">
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264 | >
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265 | ["at0031"] = <
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266 | description = <"Ein nicht-medizinischer Bestandteil des Medikaments, wie Farbstoff, Konservierungsstoff, usw. (Untertyp von andere Chemikalien)">
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267 | text = <"Inaktiver Bestandteil des Medikaments">
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268 | >
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269 | ["at0032"] = <
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270 | description = <"Die charakteristische Substanz, die die Reaktion verursacht, falls verschieden vom Wirkstoff (z.B. Marken oder Teile einer Klasse)">
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271 | text = <"Charakteristische Substanz">
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272 | >
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273 | ["at0033"] = <
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274 | description = <"Zur diagnostischen Bildgebung benutzter Farbstoff oder Medium (Untertyp von anderen Chemikalien)">
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275 | text = <"Abbildender Farbstoff oder Medium">
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276 | >
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277 | ["at0034"] = <
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278 | description = <"Ein in der Umwelt vorhandener Wirkstoff">
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279 | text = <"Umgebend">
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280 | >
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281 | >
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282 | >
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283 | ["en"] = <
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284 | items = <
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285 | ["at0000"] = <
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286 | description = <"Recording the presence of a harmful or undesirable response to an agent or substance including food, as determined by the clinician - excluding poisoning and abnormal use">
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287 | text = <"Adverse reaction">
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288 | >
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289 | ["at0002"] = <
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290 | description = <"@ internal @">
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291 | text = <"structure">
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292 | >
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293 | ["at0003"] = <
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294 | description = <"The agent or substance or class that caused the adverse reaction">
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295 | text = <"Agent">
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296 | >
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297 | ["at0004"] = <
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298 | description = <"Degree of certainty that the agent was the cause of the reaction">
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299 | text = <"Probability of causation">
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300 | >
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301 | ["at0005"] = <
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302 | description = <"A reaction to the agent is deemed to be or have been present by the clinician">
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303 | text = <"Certain/Highly likely">
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304 | >
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305 | ["at0006"] = <
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306 | description = <"The reaction is deemed to be the probable cause of the reaction">
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307 | text = <"Probable">
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308 | >
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309 | ["at0007"] = <
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310 | description = <"The agent is deemed to be a possible cause of the reaction">
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311 | text = <"Possible">
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312 | >
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313 | ["at0010"] = <
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314 | description = <"The category of the agent">
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315 | text = <"Agent category">
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316 | >
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317 | ["at0011"] = <
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318 | description = <"A substance taken as part of the diet">
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319 | text = <"Food">
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320 | >
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321 | ["at0012"] = <
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322 | description = <"A living organism or its venom or produce">
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323 | text = <"Animal">
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324 | >
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325 | ["at0013"] = <
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326 | description = <"A substance taken or applied for medicinal purposes">
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327 | text = <"Medication">
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328 | >
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329 | ["at0014"] = <
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330 | description = <"Non-medicinal chemicals or substances">
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331 | text = <"Other chemical or substance">
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332 | >
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333 | ["at0015"] = <
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334 | description = <"The type of reaction experience by the person as determined by the clinician">
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335 | text = <"Reaction category">
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336 | >
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337 | ["at0016"] = <
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338 | description = <"Leads to unpleasant symptoms which are sufficient to avoid use in the future">
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339 | text = <"Intolerance">
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340 | >
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341 | ["at0017"] = <
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342 | description = <"Leads to morbidity which is potentially threatening to the wellbeing of the person">
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343 | text = <"Sensitivity">
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344 | >
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345 | ["at0018"] = <
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346 | description = <"Leads to an IgE mediated reaction">
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347 | text = <"Allergy">
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348 | >
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349 | ["at0019"] = <
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350 | description = <"Details of the reaction experienced by the person">
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351 | text = <"Exposure and reaction detail">
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352 | >
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353 | ["at0020"] = <
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354 | description = <"The date (+/- time) when the person became exposed to the agent">
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355 | text = <"Date of exposure">
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356 | >
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357 | ["at0021"] = <
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358 | description = <"The duration of the exposure to the agent">
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359 | text = <"Duration of the exposure">
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360 | >
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361 | ["at0022"] = <
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362 | description = <"A description of the reaction to this agent as experienced by the person">
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363 | text = <"Reaction description">
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364 | >
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365 | ["at0023"] = <
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366 | description = <"The category of the reaction for future reference">
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367 | text = <"Reaction severity">
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368 | >
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369 | ["at0024"] = <
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370 | description = <"A reaction which causes little distress and no loss of work/school">
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371 | text = <"Mild">
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372 | >
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373 | ["at0025"] = <
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374 | description = <"A reaction which causes morbidity and/or loss of function">
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375 | text = <"Disabling">
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376 | >
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377 | ["at0026"] = <
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378 | description = <"A reaction which was or could be lifethreatening">
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379 | text = <"Life threatening">
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380 | >
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381 | ["at0027"] = <
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382 | description = <"The date the reaction began">
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383 | text = <"Date of onset of reaction">
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384 | >
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385 | ["at0028"] = <
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386 | description = <"The duration of the reaction">
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387 | text = <"Duration of the reaction">
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388 | >
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389 | ["at0030"] = <
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390 | description = <"Person has been exposed with no reaction">
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391 | text = <"No reaction">
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392 | >
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393 | ["at0031"] = <
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394 | description = <"A non-medicinal ingredient of medication such as colouring, preservative, etc (subtype of other chemical)">
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395 | text = <"Non-active ingredient of medication">
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396 | >
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397 | ["at0032"] = <
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398 | description = <"The specific substance that caused the reaction if different from the agent (e.g. brands or members of a class)">
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399 | text = <"Specific substance">
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400 | >
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401 | ["at0033"] = <
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402 | description = <"A dye or media used in diagnostic imaging (subtype of other chemical)">
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403 | text = <"Imaging dye or media">
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404 | >
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405 | ["at0034"] = <
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406 | description = <"An agent present in the environment">
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407 | text = <"Environmental">
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408 | >
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409 | >
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410 | >
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411 | >
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