| 1 | archetype (adl_version=1.4)
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| 2 | openEHR-EHR-ITEM_TREE.referral.v1
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| 3 |
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| 4 | concept
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| 5 | [at0000] -- Referral data
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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"] = <"22/04/2006">
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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 Informationen einer Überweisung als Teil einer Anweisung (INSTRUCTION) oder Handlung (ACTION)">
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| 28 | use = <"*">
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| 29 | misuse = <"*">
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| 30 | >
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| 31 | ["en"] = <
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| 32 | language = <[ISO_639-1::en]>
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| 33 | purpose = <"For recording information about a referral as part of an instruction or action.">
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| 34 | use = <"">
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| 35 | misuse = <"">
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| 36 | >
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| 37 | >
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| 38 | lifecycle_state = <"Initial">
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| 39 | other_contributors = <>
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| 40 |
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| 41 | definition
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| 42 | ITEM_TREE[at0000] occurrences matches {0..*} matches { -- Referral data
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| 43 | items cardinality matches {0..*; unordered} matches {
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| 44 | ELEMENT[at0002] matches { -- Clinical issue
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| 45 | value matches {
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| 46 | DV_TEXT matches {*}
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| 47 | }
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| 48 | }
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| 49 | ELEMENT[at0035] occurrences matches {0..1} matches { -- Other details
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| 50 | value matches {
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| 51 | DV_TEXT matches {*}
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| 52 | }
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| 53 | }
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| 54 | CLUSTER[at0014] occurrences matches {0..1} matches { -- Referring provider details
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| 55 | items cardinality matches {1; unordered} matches {
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| 56 | ELEMENT[at0015] matches { -- Name of referring provider
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| 57 | value matches {
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| 58 | DV_TEXT matches {*}
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| 59 | }
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| 60 | }
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| 61 | ELEMENT[at0017] occurrences matches {0..1} matches { -- Role of referring provider
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| 62 | value matches {
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| 63 | DV_TEXT matches {*}
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| 64 | }
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| 65 | }
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| 66 | ELEMENT[at0016] occurrences matches {0..1} matches { -- Address of referring provider
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| 67 | value matches {
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| 68 | DV_TEXT matches {*}
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| 69 | }
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| 70 | }
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| 71 | CLUSTER[at0026] occurrences matches {0..1} matches { -- Contact details of the referring provider
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| 72 | items cardinality matches {0..*; unordered} matches {
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| 73 | ELEMENT[at0025] occurrences matches {0..*} matches { -- Telephone
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| 74 | name matches {
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| 75 | DV_CODED_TEXT matches {
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| 76 | defining_code matches {
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| 77 | [local::
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| 78 | at0029, -- Mobile
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| 79 | at0030, -- Work
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| 80 | at0031, -- Alternative work
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| 81 | at0032, -- Direct work line
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| 82 | at0033] -- Pager
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| 83 | }
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| 84 | }
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| 85 | }
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| 86 | value matches {
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| 87 | DV_TEXT matches {*}
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| 88 | }
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| 89 | }
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| 90 | ELEMENT[at0028] occurrences matches {0..1} matches { -- Email
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| 91 | value matches {
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| 92 | DV_TEXT matches {*}
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| 93 | }
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| 94 | }
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| 95 | ELEMENT[at0027] occurrences matches {0..1} matches { -- Faxsimile
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| 96 | value matches {
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| 97 | DV_TEXT matches {*}
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| 98 | }
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| 99 | }
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| 100 | }
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| 101 | }
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| 102 | }
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| 103 | }
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| 104 | CLUSTER[at0021] matches { -- Secondary provider details
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| 105 | items cardinality matches {1..*; unordered} matches {
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| 106 | ELEMENT[at0022] occurrences matches {0..1} matches { -- Name of secondary provider
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| 107 | value matches {
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| 108 | DV_TEXT matches {*}
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| 109 | }
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| 110 | }
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| 111 | ELEMENT[at0024] occurrences matches {0..1} matches { -- Role of secondary provider
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| 112 | value matches {
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| 113 | DV_TEXT matches {*}
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| 114 | }
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| 115 | }
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| 116 | ELEMENT[at0023] occurrences matches {0..1} matches { -- Address of secondary provider
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| 117 | value matches {
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| 118 | DV_TEXT matches {*}
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| 119 | }
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| 120 | }
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| 121 | CLUSTER[at0034] occurrences matches {0..1} matches { -- Contact details of the secondary provider
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| 122 | items cardinality matches {0..*; unordered} matches {
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| 123 | use_node ELEMENT /items[at0014]/items[at0026]/items[at0025]
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| 124 | use_node ELEMENT /items[at0014]/items[at0026]/items[at0028]
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| 125 | use_node ELEMENT /items[at0014]/items[at0026]/items[at0027]
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| 126 | }
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| 127 | }
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| 128 | }
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| 129 | }
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| 130 | CLUSTER[at0003] occurrences matches {0..1} matches { -- Process
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| 131 | items cardinality matches {0..*; unordered} matches {
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| 132 | CLUSTER[at0004] occurrences matches {0..1} matches { -- Urgency
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| 133 | items cardinality matches {0..*; unordered} matches {
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| 134 | ELEMENT[at0005] occurrences matches {0..1} matches { -- Timing
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| 135 | value matches {
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| 136 | 0|[local::at0006], -- Emergency
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| 137 | 1|[local::at0007], -- Urgent
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| 138 | 2|[local::at0008] -- Non-urgent
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| 139 | }
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| 140 | }
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| 141 | ELEMENT[at0009] occurrences matches {0..1} matches { -- Impact
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| 142 | value matches {
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| 143 | 0|[local::at0010], -- High
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| 144 | 1|[local::at0011], -- Moderate
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| 145 | 2|[local::at0012] -- Low
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| 146 | }
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| 147 | }
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| 148 | ELEMENT[at0013] occurrences matches {0..1} matches { -- Maximal delay
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| 149 | value matches {
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| 150 | C_DV_QUANTITY <
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| 151 | property = <[openehr::128]>
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| 152 | list = <
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| 153 | ["1"] = <
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| 154 | units = <"h">
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| 155 | magnitude = <|>0.0|>
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| 156 | >
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| 157 | ["2"] = <
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| 158 | units = <"d">
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| 159 | magnitude = <|>0.0|>
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| 160 | >
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| 161 | ["3"] = <
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| 162 | units = <"wk">
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| 163 | magnitude = <|>0.0|>
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| 164 | >
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| 165 | ["4"] = <
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| 166 | units = <"mo">
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| 167 | magnitude = <|>0.0|>
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| 168 | >
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| 169 | ["5"] = <
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| 170 | units = <"min">
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| 171 | >
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| 172 | >
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| 173 | >
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| 174 | }
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| 175 | }
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| 176 | }
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| 177 | }
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| 178 | ELEMENT[at0018] occurrences matches {0..1} matches { -- Date referred
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| 179 | value matches {
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| 180 | DV_DATE_TIME matches {
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| 181 | value matches {yyyy-??-??T??:??:??}
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| 182 | }
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| 183 | }
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| 184 | }
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| 185 | ELEMENT[at0019] occurrences matches {0..1} matches { -- Date first attended
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| 186 | value matches {
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| 187 | DV_DATE_TIME matches {
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| 188 | value matches {yyyy-??-??T??:??:??}
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| 189 | }
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| 190 | }
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| 191 | }
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| 192 | ELEMENT[at0020] occurrences matches {0..1} matches { -- Date last attended
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| 193 | value matches {
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| 194 | DV_DATE_TIME matches {
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| 195 | value matches {yyyy-??-??T??:??:??}
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| 196 | }
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| 197 | }
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| 198 | }
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| 199 | }
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| 200 | }
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| 201 | }
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| 202 | }
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| 203 |
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| 204 | ontology
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| 205 | term_definitions = <
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| 206 | ["de"] = <
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| 207 | items = <
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| 208 | ["at0000"] = <
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| 209 | description = <"Daten einer Überweisung, dokumentiert als Teil einer INSTRUCTION oder ACTION">
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| 210 | text = <"Überweisungsdaten">
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| 211 | >
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| 212 | ["at0002"] = <
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| 213 | description = <"die klinische Fragestellung, die eine Behandlung eines zweiten Gesundheitdienstleisters erfordert">
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| 214 | text = <"Klinische Fragestellung">
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| 215 | >
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| 216 | ["at0003"] = <
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| 217 | description = <"Informationen zum Ablauf der Überweisung">
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| 218 | text = <"Ablauf">
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| 219 | >
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| 220 | ["at0004"] = <
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| 221 | description = <"Informationen zur Dringlichkeit der Überweisung">
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| 222 | text = <"Dringlichkeit">
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| 223 | >
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| 224 | ["at0005"] = <
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| 225 | description = <"eine angemessene Zeitberechung des Auftrages">
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| 226 | text = <"Zeitliche Dringlichkeit ">
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| 227 | >
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| 228 | ["at0006"] = <
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| 229 | description = <"die Person benötigt sofortige Behandlung">
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| 230 | text = <"Notfall">
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| 231 | >
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| 232 | ["at0007"] = <
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| 233 | description = <"die Person benötigt so bald wie möglich eine Behandlung">
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| 234 | text = <"Eilig">
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| 235 | >
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| 236 | ["at0008"] = <
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| 237 | description = <"die Person benötigt zum nächstmöglichen Termin eine Behandlung">
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| 238 | text = <"nicht eilig">
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| 239 | >
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| 240 | ["at0009"] = <
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| 241 | description = <"der Einfluss des Zustandes auf das Leben der Person">
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| 242 | text = <"Einfluss">
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| 243 | >
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| 244 | ["at0010"] = <
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| 245 | description = <"der Zustand hat einen bedeutenden Einfluss auf die Körperfunktionen der Person">
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| 246 | text = <"hoch">
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| 247 | >
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| 248 | ["at0011"] = <
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| 249 | description = <"der Zustand hat einen Einfluss, aber die Person hat die meisten Körperfunktionen">
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| 250 | text = <"moderat">
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| 251 | >
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| 252 | ["at0012"] = <
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| 253 | description = <"der Zustand hat geringen oder keinen Einfluss auf die Körperfunktionen der Person">
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| 254 | text = <"gering">
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| 255 | >
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| 256 | ["at0013"] = <
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| 257 | description = <"Ein Angabe des maximalen Verzugs, der bis zur Behandlung der Person als vertretbar angesehen wird">
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| 258 | text = <"Maximaler Verzug">
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| 259 | >
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| 260 | ["at0014"] = <
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| 261 | description = <"Informationen über überweisenden Dienstleister bzw. den ersten Dienstleister">
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| 262 | text = <"Einzelheiten des überweisenden Dienstleisters">
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| 263 | >
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| 264 | ["at0015"] = <
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| 265 | description = <"Name des überweisenden Dienstleisters">
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| 266 | text = <"Name des überweisenden Dienstleisters">
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| 267 | >
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| 268 | ["at0016"] = <
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| 269 | description = <"*">
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| 270 | text = <"Adresse des überweisenden Dienstleisters">
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| 271 | >
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| 272 | ["at0017"] = <
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| 273 | description = <"*">
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| 274 | text = <"Aufgabe des überweisenden Dienstleisters">
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| 275 | >
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| 276 | ["at0018"] = <
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| 277 | description = <"das Datum der ursprünglichen Überweisung">
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| 278 | text = <"Datum der Überweisung">
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| 279 | >
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| 280 | ["at0019"] = <
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| 281 | description = <"das Datum, an dem die Person das erste Mal vom zweiten Gesundheitsdienstleister behandelt wurde">
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| 282 | text = <"Datum der ersten Behandlung">
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| 283 | >
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| 284 | ["at0020"] = <
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| 285 | description = <"das Datum, an dem die Person das letzte Mal vom zweiten Gesundheitsdienstleister behandelt wurde">
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| 286 | text = <"Datum der letzten Behandlung">
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| 287 | >
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| 288 | ["at0021"] = <
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| 289 | description = <"Einzelheiten des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist">
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| 290 | text = <"Einzelheiten des zweiten Gesundheitsdienstleisters">
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| 291 | >
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| 292 | ["at0022"] = <
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| 293 | description = <"der Name des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist">
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| 294 | text = <"Name des zweiten Gesundheitsdienstleisters">
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| 295 | >
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| 296 | ["at0023"] = <
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| 297 | description = <"die Adresse des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist">
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| 298 | text = <"Adresse des zweiten Gesundheitsdienstleisters">
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| 299 | >
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| 300 | ["at0024"] = <
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| 301 | description = <"die Aufgabe des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist">
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| 302 | text = <"Aufgabe des zweiten Gesundheitsdienstleisters">
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| 303 | >
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| 304 | ["at0025"] = <
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| 305 | description = <"Telefonnummern">
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| 306 | text = <"Telefon">
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| 307 | >
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| 308 | ["at0026"] = <
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| 309 | description = <"die Kontakteinzelheiten des überweisenden Dienstleisters">
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| 310 | text = <"Kontakteinzelheiten des überweisenden Dienstleisters">
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| 311 | >
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| 312 | ["at0027"] = <
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| 313 | description = <"die Faxnummer des Anbieters">
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| 314 | text = <"Fax">
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| 315 | >
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| 316 | ["at0028"] = <
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| 317 | description = <"E-Mail Adresse des Anbieters">
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| 318 | text = <"E-Mail">
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| 319 | >
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| 320 | ["at0029"] = <
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| 321 | description = <"die Nummer eines mobilen Telefons oder Handys">
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| 322 | text = <"Mobil">
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| 323 | >
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| 324 | ["at0030"] = <
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| 325 | description = <"die Telefonnummer des Arbeitsplatzes">
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| 326 | text = <"Nummer">
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| 327 | >
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| 328 | ["at0031"] = <
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| 329 | description = <"eine Alternative Telefonnummer">
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| 330 | text = <"alternative Nummer">
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| 331 | >
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| 332 | ["at0032"] = <
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| 333 | description = <"eine Telefonnummer, die direkt zum Dienstleiter vermittlelt">
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| 334 | text = <"Durchwahl">
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| 335 | >
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| 336 | ["at0033"] = <
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| 337 | description = <"eine Pagernummer zum Hinterlassen von Nachrichten">
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| 338 | text = <"Pager">
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| 339 | >
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| 340 | ["at0034"] = <
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| 341 | description = <"*">
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| 342 | text = <"Kontaktdetails des zweiten Gesundheitsdienstleisters">
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| 343 | >
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| 344 | ["at0035"] = <
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| 345 | description = <"andere für die Überweisung relevante Einzelheiten">
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| 346 | text = <"Andere Einzelheiten">
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| 347 | >
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| 348 | >
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| 349 | >
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| 350 | ["en"] = <
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| 351 | items = <
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| 352 | ["at0000"] = <
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| 353 | description = <"Data about a referral recorded as part of an instruction or action">
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| 354 | text = <"Referral data">
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| 355 | >
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| 356 | ["at0002"] = <
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| 357 | description = <"The clinical issue that requires care from the second provider">
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| 358 | text = <"Clinical issue">
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| 359 | >
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| 360 | ["at0003"] = <
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| 361 | description = <"Information about the process of the referral">
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| 362 | text = <"Process">
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| 363 | >
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| 364 | ["at0004"] = <
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| 365 | description = <"information about the urgency of the referral">
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| 366 | text = <"Urgency">
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| 367 | >
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| 368 | ["at0005"] = <
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| 369 | description = <"The appropriate timing of the appointment">
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| 370 | text = <"Timing">
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| 371 | >
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| 372 | ["at0006"] = <
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| 373 | description = <"Person requires care immediately">
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| 374 | text = <"Emergency">
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| 375 | >
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| 376 | ["at0007"] = <
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| 377 | description = <"Person requires care as soon as possible">
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| 378 | text = <"Urgent">
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| 379 | >
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| 380 | ["at0008"] = <
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| 381 | description = <"Person requires care at providers convenience">
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| 382 | text = <"Non-urgent">
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| 383 | >
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| 384 | ["at0009"] = <
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| 385 | description = <"The impact of the condition on the person's life">
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| 386 | text = <"Impact">
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| 387 | >
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| 388 | ["at0010"] = <
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| 389 | description = <"The condition is having major impact on the person's ability to function">
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| 390 | text = <"High">
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| 391 | >
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| 392 | ["at0011"] = <
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| 393 | description = <"The condition is having an impact but the person is able to function to a large extent">
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| 394 | text = <"Moderate">
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| 395 | >
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| 396 | ["at0012"] = <
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| 397 | description = <"The condition is having little or no impact on the person's ability to function">
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| 398 | text = <"Low">
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| 399 | >
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| 400 | ["at0013"] = <
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| 401 | description = <"An indication of the maximum delay that would be reasonable before the person is seen">
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| 402 | text = <"Maximal delay">
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| 403 | >
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| 404 | ["at0014"] = <
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| 405 | description = <"Information about the referrer or primary provider">
|
|---|
| 406 | text = <"Referring provider details">
|
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| 407 | >
|
|---|
| 408 | ["at0015"] = <
|
|---|
| 409 | description = <"The name of the referring provider">
|
|---|
| 410 | text = <"Name of referring provider">
|
|---|
| 411 | >
|
|---|
| 412 | ["at0016"] = <
|
|---|
| 413 | description = <"*">
|
|---|
| 414 | text = <"Address of referring provider">
|
|---|
| 415 | >
|
|---|
| 416 | ["at0017"] = <
|
|---|
| 417 | description = <"*">
|
|---|
| 418 | text = <"Role of referring provider">
|
|---|
| 419 | >
|
|---|
| 420 | ["at0018"] = <
|
|---|
| 421 | description = <"The date of the original referral">
|
|---|
| 422 | text = <"Date referred">
|
|---|
| 423 | >
|
|---|
| 424 | ["at0019"] = <
|
|---|
| 425 | description = <"The date the person first attended the secondary provider">
|
|---|
| 426 | text = <"Date first attended">
|
|---|
| 427 | >
|
|---|
| 428 | ["at0020"] = <
|
|---|
| 429 | description = <"The date the person last attended the second provider">
|
|---|
| 430 | text = <"Date last attended">
|
|---|
| 431 | >
|
|---|
| 432 | ["at0021"] = <
|
|---|
| 433 | description = <"Details about the provider to whom the referral is directed">
|
|---|
| 434 | text = <"Secondary provider details">
|
|---|
| 435 | >
|
|---|
| 436 | ["at0022"] = <
|
|---|
| 437 | description = <"The name of the provider to which the referral is directed">
|
|---|
| 438 | text = <"Name of secondary provider">
|
|---|
| 439 | >
|
|---|
| 440 | ["at0023"] = <
|
|---|
| 441 | description = <"The address of the provider to which the referral is directed">
|
|---|
| 442 | text = <"Address of secondary provider">
|
|---|
| 443 | >
|
|---|
| 444 | ["at0024"] = <
|
|---|
| 445 | description = <"The role of the provider to which the referral is directed">
|
|---|
| 446 | text = <"Role of secondary provider">
|
|---|
| 447 | >
|
|---|
| 448 | ["at0025"] = <
|
|---|
| 449 | description = <"Telephone contact information">
|
|---|
| 450 | text = <"Telephone">
|
|---|
| 451 | >
|
|---|
| 452 | ["at0026"] = <
|
|---|
| 453 | description = <"Contact details of the referring provider">
|
|---|
| 454 | text = <"Contact details of the referring provider">
|
|---|
| 455 | >
|
|---|
| 456 | ["at0027"] = <
|
|---|
| 457 | description = <"The faxsimile number of the provider">
|
|---|
| 458 | text = <"Faxsimile">
|
|---|
| 459 | >
|
|---|
| 460 | ["at0028"] = <
|
|---|
| 461 | description = <"Email address of the provider">
|
|---|
| 462 | text = <"Email">
|
|---|
| 463 | >
|
|---|
| 464 | ["at0029"] = <
|
|---|
| 465 | description = <"The mobile or cell phone number">
|
|---|
| 466 | text = <"Mobile">
|
|---|
| 467 | >
|
|---|
| 468 | ["at0030"] = <
|
|---|
| 469 | description = <"The work telephone number">
|
|---|
| 470 | text = <"Work">
|
|---|
| 471 | >
|
|---|
| 472 | ["at0031"] = <
|
|---|
| 473 | description = <"An alternative work telephone number">
|
|---|
| 474 | text = <"Alternative work">
|
|---|
| 475 | >
|
|---|
| 476 | ["at0032"] = <
|
|---|
| 477 | description = <"A phone number that is direct to the provider">
|
|---|
| 478 | text = <"Direct work line">
|
|---|
| 479 | >
|
|---|
| 480 | ["at0033"] = <
|
|---|
| 481 | description = <"A pager number to leave messages">
|
|---|
| 482 | text = <"Pager">
|
|---|
| 483 | >
|
|---|
| 484 | ["at0034"] = <
|
|---|
| 485 | description = <"*">
|
|---|
| 486 | text = <"Contact details of the secondary provider">
|
|---|
| 487 | >
|
|---|
| 488 | ["at0035"] = <
|
|---|
| 489 | description = <"Other details relevant to the referral">
|
|---|
| 490 | text = <"Other details">
|
|---|
| 491 | >
|
|---|
| 492 | >
|
|---|
| 493 | >
|
|---|
| 494 | >
|
|---|
