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A general note about clinical data. If an annotation has both a comment and flags, the flags should be related to the comment.

The SeqNum attribute (a small positive integer) uniquely identifies the annotation within its parent entity.

Include Page
Annotation Element
Annotation Element

Include Page
Annotation Attribute
Annotation Attribute
An empty Annotation (one with no annotation value, no comment and no flags) is not allowed unless the TransactionType is Remove. On Update, the entire value of the annotation is replaced.

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