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Patient Data |
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Concept |
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Identification |
|
Concept |
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National Health Care patient ID (country of affiliation) |
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Other Identifier |
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Personal Information |
|
Concept |
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Full Name |
|
Concept |
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Given name |
|
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Family Name/Surname |
|
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Prefix |
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 |
Suffix |
|
|
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Date of Birth |
|
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Gender |
|
|
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Contact Information |
|
Concept |
 |
Address |
|
Concept |
 |
Street |
|
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Number of Street |
|
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City |
|
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Postal Code |
|
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State or Province |
|
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Country |
|
|
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Telecom |
|
Concept |
 |
Telephone No |
|
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Email |
|
|
 |
Preferred HP to contact |
|
Concept |
 |
Full Name |
|
Concept |
 |
Given Name |
|
 |
Family Name/Surname |
|
 |
Prefix |
|
 |
Suffix |
|
|
 |
Telephone No |
|
 |
Email |
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|
|
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Clinical Data |
|
Concept |
 |
Medication |
|
Concept |
 |
Prescription |
|
Concept |
 |
Prescription identification |
|
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Medicinal product code |
|
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Date of issue of prescription |
|
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Brand name |
|
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Active ingredient |
|
 |
Active ingredient code |
|
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Strength |
|
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Medicinal product package size |
|
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Pharmaceutical dose form |
|
 |
Number of packages |
|
 |
Number of units per intake |
|
 |
Frequency of intakes |
|
 |
Duration of treatment |
|
 |
Date of onset of treatment |
|
 |
Route of administration |
|
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Instructions to patient |
|
 |
Advice to dispenser |
|
 |
Prescriber |
|
Concept |
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Prescriber Profession |
|
 |
Prescriber Speciality |
|
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Timestamp of Prescribing |
|
 |
Prescriber Identification |
|
 |
Prescriber Full Name |
|
Concept |
 |
Given Name |
|
 |
Family Name/Surname |
|
 |
Prefix |
|
 |
Suffix |
|
|
 |
Prescriber Telecom |
|
Concept |
 |
Telephone No |
|
 |
Email |
|
|
 |
Prescriber Healthcare Facility |
|
Concept |
 |
Identifier |
|
 |
Name |
|
 |
Healthcare Facility Telecom |
|
Concept |
 |
Telephone No |
|
 |
Email |
|
|
|
 |
Prescriber Credentialing Organization |
|
Concept |
 |
Identifier |
|
 |
Name |
|
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