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How do we handle nulls - as absent or empty?

At the moment we will use 'attribute absent' method except for differential calls where value: null would mean delete existing value for that attribute and missing would mean leaving the attribute value as is.

 Revisit the question of @type: DV_INTERVAL vs @type: DV_INTERVAL<DV_QUANTITY> Already decided on @type = DV_INTERVAL
 EHR_ACCESS 

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