| 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)">
|
|---|
| 395 | text = <"Non-active ingredient of medication">
|
|---|
| 396 | >
|
|---|
| 397 | ["at0032"] = <
|
|---|
| 398 | description = <"The specific substance that caused the reaction if different from the agent (e.g. brands or members of a class)">
|
|---|
| 399 | text = <"Specific substance">
|
|---|
| 400 | >
|
|---|
| 401 | ["at0033"] = <
|
|---|
| 402 | description = <"A dye or media used in diagnostic imaging (subtype of other chemical)">
|
|---|
| 403 | text = <"Imaging dye or media">
|
|---|
| 404 | >
|
|---|
| 405 | ["at0034"] = <
|
|---|
| 406 | description = <"An agent present in the environment">
|
|---|
| 407 | text = <"Environmental">
|
|---|
| 408 | >
|
|---|
| 409 | >
|
|---|
| 410 | >
|
|---|
| 411 | >
|
|---|
