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">
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406 | text = <"Referring provider details">
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407 | >
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408 | ["at0015"] = <
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409 | description = <"The name of the referring provider">
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410 | text = <"Name of referring provider">
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411 | >
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412 | ["at0016"] = <
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413 | description = <"*">
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414 | text = <"Address of referring provider">
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415 | >
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416 | ["at0017"] = <
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417 | description = <"*">
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418 | text = <"Role of referring provider">
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419 | >
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420 | ["at0018"] = <
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421 | description = <"The date of the original referral">
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422 | text = <"Date referred">
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423 | >
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424 | ["at0019"] = <
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425 | description = <"The date the person first attended the secondary provider">
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426 | text = <"Date first attended">
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427 | >
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428 | ["at0020"] = <
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429 | description = <"The date the person last attended the second provider">
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430 | text = <"Date last attended">
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431 | >
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432 | ["at0021"] = <
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433 | description = <"Details about the provider to whom the referral is directed">
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434 | text = <"Secondary provider details">
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435 | >
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436 | ["at0022"] = <
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437 | description = <"The name of the provider to which the referral is directed">
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438 | text = <"Name of secondary provider">
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439 | >
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440 | ["at0023"] = <
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441 | description = <"The address of the provider to which the referral is directed">
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442 | text = <"Address of secondary provider">
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443 | >
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444 | ["at0024"] = <
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445 | description = <"The role of the provider to which the referral is directed">
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446 | text = <"Role of secondary provider">
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447 | >
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448 | ["at0025"] = <
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449 | description = <"Telephone contact information">
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450 | text = <"Telephone">
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451 | >
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452 | ["at0026"] = <
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453 | description = <"Contact details of the referring provider">
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454 | text = <"Contact details of the referring provider">
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455 | >
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456 | ["at0027"] = <
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457 | description = <"The faxsimile number of the provider">
|
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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 | >
|
---|