I
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ia
n J
o
urna
l o
f
E
lect
rica
l En
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Science
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3
8
,
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.
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A
p
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20
2
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.
28
1
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291
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DOI
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ttp
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//ij
ee
cs
.
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esco
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co
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Enha
ncing
patien
t
na
v
ig
a
tion a
nd r
efer
ra
l
throug
h t
e
le
-
ref
erral
sy
stem wit
h
geo
g
ra
phica
l inf
o
rma
ti
o
n sy
stems
Wins
t
o
n G
.
Do
m
ing
o
1
,
Virdi C
.
G
o
nza
les
2
,
J
ennife
r
A
.
G
a
m
a
y
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C
o
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ticle
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R
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Ju
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R
ev
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Oct
29
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202
4
Acc
ep
ted
No
v
23
,
2
0
2
4
A
tele
-
re
fe
rra
l
sy
ste
m
with
a
g
e
o
g
ra
p
h
ic
in
f
o
rm
a
ti
o
n
sy
ste
m
(G
IS
)
in
teg
ra
tes
tele
h
e
a
lt
h
se
rv
ice
s
wit
h
sp
a
ti
a
l
d
a
ta
to
e
n
h
a
n
c
e
h
e
a
lt
h
c
a
re
d
e
li
v
e
r
y
.
Re
so
u
rc
e
c
o
n
stra
in
ts
c
a
n
sig
n
ifi
c
a
n
tl
y
i
m
p
a
c
t
th
e
e
ffe
c
ti
v
e
n
e
ss
o
f
a
tele
-
re
fe
rra
l
sy
ste
m
with
G
IS
.
Ad
d
re
ss
in
g
d
e
lay
e
d
o
r
m
isse
d
re
fe
rra
ls
is
c
rit
ica
l
to
e
n
su
rin
g
ti
m
e
ly
p
a
ti
e
n
t
c
a
re
a
n
d
i
m
p
ro
v
i
n
g
h
e
a
lt
h
o
u
tco
m
e
s.
Im
p
le
m
e
n
ti
n
g
a
tele
-
re
fe
rra
l
sy
ste
m
with
G
IS
c
a
n
sig
n
ifi
c
a
n
tl
y
e
n
h
a
n
c
e
h
e
a
lt
h
c
a
r
e
d
e
li
v
e
ry
b
y
lev
e
ra
g
i
n
g
s
p
a
ti
a
l
d
a
ta
a
n
d
t
e
leh
e
a
lt
h
tec
h
n
o
l
o
g
ies
to
imp
ro
v
e
a
c
c
e
ss
,
e
fficie
n
c
y
,
a
n
d
o
u
tc
o
m
e
s.
On
e
m
a
jo
r
issu
e
is t
h
e
lac
k
o
f
a
c
c
e
ss
to
sp
e
c
ialists,
p
a
rti
c
u
larly
in
u
n
d
e
rp
r
iv
il
e
g
e
d
c
o
m
m
u
n
it
ies
.
P
a
ti
e
n
ts
fa
c
e
a
c
c
e
s
sin
g
sp
e
c
ialize
d
c
a
re
d
u
e
to
a
c
u
m
b
e
rs
o
m
e
re
fe
rra
l
p
ro
c
e
ss
o
r
lo
n
g
wa
it
ti
m
e
s,
a
s
we
ll
a
s
th
e
lac
k
o
f
p
a
ti
e
n
t
e
n
g
a
g
e
m
e
n
t.
Th
e
re
su
l
ts
sh
o
we
d
th
a
t
th
e
G
IS
-
e
n
a
b
led
tele
-
re
fe
rra
l
sy
ste
m
sig
n
ifi
c
a
n
tl
y
re
d
u
c
e
d
p
a
ti
e
n
t
wa
it
i
n
g
t
ime
s
a
n
d
imp
ro
v
e
d
th
e
c
o
o
rd
in
a
ti
o
n
o
f
c
a
re
.
By
i
n
c
o
rp
o
ra
ti
n
g
t
h
e
se
fu
n
c
ti
o
n
a
li
ti
e
s a
n
d
stra
teg
ies
,
th
e
tele
-
re
fe
rr
a
l
sy
ste
m
with
G
IS
c
a
n
e
ffe
c
ti
v
e
ly
a
d
d
re
ss
issu
e
s
re
late
d
to
d
e
lay
e
d
o
r
m
isse
d
re
fe
rra
ls,
e
n
su
rin
g
ti
m
e
ly
p
a
ti
e
n
t
c
a
re
a
n
d
imp
ro
v
i
n
g
o
v
e
ra
ll
h
e
a
lt
h
o
u
tco
m
e
s.
By
in
c
o
r
p
o
ra
ti
n
g
th
e
se
str
a
teg
ies
a
n
d
fu
n
c
ti
o
n
a
li
ti
e
s,
t
h
e
tele
-
re
fe
rra
l
sy
ste
m
with
G
IS
c
a
n
e
ffe
c
ti
v
e
ly
a
d
d
re
ss
li
m
it
e
d
a
c
c
e
ss
to
sp
e
c
ialists,
e
n
s
u
rin
g
ti
m
e
ly
p
a
ti
e
n
t
c
a
re
a
n
d
o
p
t
i
m
a
l
u
se
o
f
a
v
a
il
a
b
le res
o
u
rc
e
s.
K
ey
w
o
r
d
s
:
GI
S
Hea
lth
ca
r
e
s
y
s
tem
Patien
t n
av
ig
atio
n
Patien
t r
ef
er
r
al
T
ele
-
r
ef
er
r
al
s
y
s
tem
T
h
is i
s
a
n
o
p
e
n
a
c
c
e
ss
a
rticle
u
n
d
e
r th
e
CC B
Y
-
SA
li
c
e
n
se
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
W
in
s
to
n
G.
Do
m
in
g
o
C
o
lleg
e
o
f
T
ea
ch
er
s
E
d
u
ca
tio
n
,
Qu
ir
in
o
State
Un
iv
er
s
ity
-
Ma
d
d
ela
C
am
p
u
s
Dip
in
tin
,
Ma
d
d
ela,
Qu
i
r
in
o
,
3
4
0
4
,
Ph
ilip
p
i
n
es
E
m
ail: w
in
s
to
n
.
d
o
m
in
g
o
@
q
s
u
.
ed
u
.
p
h
1.
I
NT
RO
D
UCT
I
O
N
Patien
t n
av
ig
atio
n
in
ter
v
en
tio
n
s
,
wh
ich
ar
e
d
esig
n
ed
to
en
a
b
le
p
atien
ts
ex
clu
d
ed
f
r
o
m
h
e
alth
s
y
s
tem
s
to
o
v
er
c
o
m
e
th
e
b
ar
r
ier
s
th
e
y
f
ac
e
in
ac
ce
s
s
in
g
ca
r
e,
h
a
v
e
m
u
ltip
lied
in
h
ig
h
-
in
c
o
m
e
co
u
n
tr
ies
s
in
ce
th
e
1
9
9
0
s
[
1
]
.
Patien
t
n
av
ig
ati
o
n
is
th
e
lo
g
is
tical
an
d
em
o
tio
n
al
s
u
p
p
o
r
t
n
ec
ess
ar
y
to
ac
h
i
ev
e
d
iag
n
o
s
tic
an
d
tr
ea
tm
en
t
co
m
p
lian
ce
.
I
t
ca
n
i
m
p
r
o
v
e
th
e
tim
e
to
d
ia
g
n
o
s
is
,
in
itiatio
n
o
f
tr
ea
tm
en
t,
an
d
p
atien
t
s
atis
f
ac
tio
n
,
as
well
as
r
ed
u
ce
th
e
co
s
t
o
f
tr
ea
tm
en
t
[
2
]
.
R
ec
en
t
is
s
u
es
r
elate
d
to
h
u
m
a
n
h
ea
lth
in
th
e
wo
r
ld
h
av
e
s
h
o
wn
th
e
im
p
o
r
tan
ce
o
f
tel
em
ed
icin
e
co
n
s
id
er
i
n
g
th
e
n
ec
ess
ity
to
p
er
f
o
r
m
t
h
e
r
em
o
te
m
o
n
ito
r
i
n
g
o
f
p
atien
ts
[
3
]
.
T
h
e
ex
ec
u
tiv
e
b
r
a
n
ch
o
f
th
e
Ph
ilip
p
in
e
g
o
v
er
n
m
e
n
t,
th
e
Dep
ar
tm
en
t o
f
H
ea
lth
(
DOH)
,
is
r
esp
o
n
s
ib
le
f
o
r
p
r
o
v
id
in
g
h
ig
h
-
q
u
ality
m
ed
ical
ca
r
e
an
d
s
u
p
er
v
is
in
g
a
ll
m
ed
ical
s
er
v
ices
a
n
d
g
o
o
d
s
to
en
s
u
r
e
th
at
all
Fil
ip
in
o
s
h
av
e
ac
ce
s
s
to
b
as
ic
p
u
b
lic
h
ea
lth
s
er
v
ices.
I
t
was
m
an
d
ated
in
th
e
R
ep
u
b
lic
Act
No
.
1
1
2
2
3
,
also
k
n
o
wn
as
th
e
u
n
iv
er
s
al
h
ea
lth
ca
r
e
(
UHC)
Act
estab
lis
h
i
n
g
th
r
o
u
g
h
i
n
s
titu
tio
n
alizin
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h
ea
lth
tech
n
o
lo
g
y
ev
alu
atio
n
,
estab
lis
h
in
g
p
o
lic
ies,
p
r
o
g
r
am
s
,
laws,
an
d
s
elec
tin
g
v
ar
io
u
s
en
titl
em
en
ts
f
o
r
p
h
a
r
m
ac
eu
ticals,
m
ed
icatio
n
s
,
p
h
ar
m
ac
eu
tical
p
r
o
d
u
cts,
o
th
er
eq
u
i
p
m
en
t,
p
r
o
ce
d
u
r
es,
an
d
s
er
v
ices
f
air
ly
an
d
t
r
an
s
p
ar
en
tly
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
5
0
2
-
4
7
52
In
d
o
n
esian
J
E
lec
E
n
g
&
C
o
m
p
Sci
,
Vo
l.
3
8
,
No
.
1
,
Ap
r
il
20
2
5
:
28
1
-
2
9
1
282
Ma
k
in
g
s
u
r
e
p
atien
ts
ar
e
ac
cu
r
ately
s
en
t
to
th
e
r
ig
h
t
ca
r
e
at
th
e
r
ig
h
t
tim
e
an
d
h
ea
lth
f
ac
il
ity
is
a
c
r
u
cial
p
ar
t
o
f
UHC [
4
]
,
[
5
].
R
ec
en
tly
,
th
e
n
atio
n
al
p
atien
t n
av
i
g
atio
n
an
d
r
ef
er
r
al
s
y
s
tem
(
NPNR
S),
w
h
ich
was m
an
d
ated
b
y
Dep
ar
tm
en
t
o
r
d
er
(
DO)
2
0
2
2
-
0
2
1
0
f
r
o
m
t
h
e
DOH
,
m
u
s
t
r
ep
lace
th
e
OHCS
.
B
y
co
n
n
ec
tin
g
m
e
d
ical
f
ac
ilit
ies
an
d
o
r
g
an
izatio
n
s
a
cr
o
s
s
th
e
co
u
n
tr
y
,
t
h
e
NPNR
S
will
in
cr
ea
s
e
ac
ce
s
s
to
h
ea
lth
ca
r
e
s
er
v
ices.
A
n
etwo
r
k
o
f
p
ar
tn
er
s
an
d
i
n
ter
ested
p
ar
ties
,
p
h
y
s
ical
co
m
m
an
d
ce
n
ter
s
,
h
u
m
an
r
eso
u
r
c
es,
in
f
o
r
m
atio
n
a
n
d
co
m
m
u
n
icatio
n
tech
n
o
lo
g
y
c
ap
ab
ilit
ies,
as
wel
l
as
a
co
llectio
n
o
f
m
o
n
ito
r
in
g
an
d
ass
ess
m
en
t
to
o
ls
f
o
r
r
ef
er
r
al
a
n
d
n
av
ig
atio
n
will
a
ll
b
e
p
a
r
t
o
f
th
e
s
y
s
tem
[
6
]
.
Du
r
in
g
t
h
e
p
a
n
d
em
ic
er
a
i
n
2
0
2
0
,
o
n
e
h
o
s
p
ital
co
m
m
an
d
s
y
s
tem
(
OHCS
)
was
estab
lis
h
ed
to
ad
d
r
ess
p
atien
ts
with
C
OVI
D
-
1
9
co
n
ce
r
n
s
ab
o
u
t
h
ea
lth
ca
r
e
n
av
ig
atio
n
an
d
r
e
f
er
r
al.
T
h
is
s
y
s
tem
h
as
b
ee
n
in
ch
a
r
g
e
o
f
th
e
s
y
s
tem
atic
tr
iag
in
g
an
d
r
ef
e
r
r
al
o
f
p
atien
ts
with
C
OVI
D
-
1
9
s
u
s
p
icio
n
s
o
r
d
iag
n
o
s
es.
Ma
n
y
g
o
v
er
n
m
en
ts
an
d
p
r
iv
ately
o
wn
ed
h
ea
lth
ca
r
e
f
a
cilities
p
ar
ticip
ated
in
o
f
f
er
in
g
p
atien
ts
h
ea
lth
ca
r
e
s
er
v
ices
[
7
].
T
h
e
m
a
n
ag
em
e
n
t
o
f
p
u
b
lic
h
ea
lth
in
s
titu
tio
n
s
in
th
e
Ph
ilip
p
in
es,
in
clu
d
in
g
d
is
tr
ict
an
d
p
r
o
v
in
ci
al
h
o
s
p
itals
an
d
r
u
r
al
h
ea
lth
u
n
its
(
R
HUs),
i
s
o
u
tlin
ed
in
th
e
DOH
’
s
m
an
u
al
o
f
p
r
o
ce
d
u
r
es
f
o
r
h
ea
lth
r
e
f
er
r
al
s
y
s
t
em
.
Dep
en
d
in
g
o
n
th
e
av
a
ilab
ilit
y
o
f
m
e
d
ical
s
taf
f
,
s
u
p
p
lies
,
lo
g
is
tics
,
an
d
s
er
v
ices,
v
ar
io
u
s
m
ed
ical
f
ac
i
liti
es
ad
d
r
ess
is
s
u
es
s
u
ch
as
c
h
allen
g
es
in
m
ater
n
ity
ca
r
e
an
d
em
er
g
en
cy
ca
s
es
(
s
u
ch
as
ac
cid
en
ts
o
r
d
is
ea
s
e
co
m
p
licatio
n
s
)
.
Usu
ally
,
ca
s
es
ar
e
f
o
r
war
d
e
d
f
r
o
m
th
e
R
UH
to
th
e
d
is
tr
ict
h
o
s
p
ital,
wh
ich
is
th
e
n
ex
t
h
ig
h
er
-
lev
el
f
ac
ilit
y
.
Dis
tr
ict
h
o
s
p
itals
s
en
d
u
n
r
eso
lv
ed
ca
s
es
to
ter
tiar
y
f
ac
ilit
ies
lik
e
p
r
o
v
i
n
cial
h
o
s
p
itals
an
d
m
ed
ical
ce
n
ter
s
.
T
h
e
m
e
d
ical
r
ec
o
r
d
s
m
u
s
t
b
e
r
etu
r
n
e
d
to
th
e
R
UH
f
o
r
ar
ch
iv
in
g
an
d
co
n
tin
u
ed
tr
ea
tm
en
t
af
ter
th
e
in
d
icate
d
p
atien
t
h
as
b
ee
n
m
an
ag
ed
.
T
h
ese
r
ef
er
r
als
ar
e
in
ten
d
ed
to
d
ea
l
with
s
itu
atio
n
s
in
wh
ich
th
e
p
atien
t
n
ee
d
s
in
-
p
atien
t
ca
r
e
(
i.
e.
,
co
n
f
in
em
en
t)
,
ex
p
er
t
ad
v
ice,
a
tech
n
ical
c
h
ec
k
n
o
t
o
f
f
er
ed
at
th
e
m
e
d
ical
f
ac
ilit
ies
o
r
a
tech
n
ical
in
ter
v
en
tio
n
n
o
t
co
v
er
ed
b
y
th
e
m
ed
ical
ce
n
ter
[
8
]
.
T
o
ad
d
r
ess
th
e
ch
allen
g
es
p
ati
en
ts
,
f
ac
e
i
n
ac
ce
s
s
in
g
s
p
ec
ialized
ca
r
e
d
u
e
to
a
cu
m
b
er
s
o
m
e
r
ef
er
r
al
p
r
o
ce
s
s
o
r
lo
n
g
wait
tim
es,
as
well
as
t
h
e
lack
o
f
p
atien
t
en
g
a
g
em
en
t,
it
’
s
im
p
o
r
tan
t
to
im
p
lem
en
t
s
p
ec
if
ic
f
ea
tu
r
es
an
d
s
tr
ateg
ies in
th
e
T
ele
-
R
ef
er
r
al
Sy
s
tem
with
GI
S
.
I
t
is
a
g
lo
b
al
p
er
s
p
ec
tiv
e
in
p
atien
t
r
ef
er
r
al
an
d
n
av
i
g
atio
n
th
at
h
as
b
eg
u
n
in
s
o
m
e
n
a
tio
n
s
lik
e
Am
er
ica
an
d
E
u
r
o
p
e
to
ass
is
t
p
atien
ts
in
n
av
ig
atin
g
th
r
o
u
g
h
th
e
co
m
p
lex
ity
o
f
ca
r
e
,
en
a
b
le
tim
ely
ac
ce
s
s
t
o
th
e
h
ea
lth
an
d
s
o
cial
ca
r
e
s
er
v
ices
th
ey
r
eq
u
i
r
e,
a
n
d
co
n
tr
i
b
u
te
to
b
etter
ca
r
e
in
teg
r
atio
n
[
9
]
,
[
10
].
Ma
n
a
g
in
g
p
atien
t
f
lo
w
th
r
o
u
g
h
o
u
t
a
h
o
s
p
ital
n
etwo
r
k
to
p
r
o
v
id
e
f
air
a
n
d
q
u
alif
ied
ac
ce
s
s
to
s
er
v
ices
is
o
n
e
o
f
th
e
m
ajo
r
p
r
o
b
lem
s
f
o
r
u
n
iv
er
s
al
h
ea
lth
s
y
s
tem
s
.
T
h
e
u
s
e
o
f
teleh
ea
lth
ap
p
r
o
ac
h
es
to
e
n
h
an
ce
r
ef
er
r
al
m
an
ag
em
e
n
t
h
as
b
ee
n
s
h
o
wn
to
in
cr
ea
s
e
p
r
im
ar
y
ca
r
e
r
eso
lu
tio
n
an
d
p
r
o
m
o
te
ca
r
e
co
o
r
d
in
atio
n
[
11
].
Patien
t
tele
-
r
ef
er
r
al
s
y
s
tem
s
ar
e
b
ec
o
m
in
g
in
c
r
ea
s
in
g
ly
p
o
p
u
lar
as
a
way
to
im
p
r
o
v
e
p
atien
t
ca
r
e
c
o
o
r
d
in
a
tio
n
an
d
t
h
e
o
v
e
r
all
p
atien
t
ex
p
er
ien
ce
.
T
ele
-
r
ef
e
r
r
al
s
y
s
tem
s
s
ig
n
if
ican
tly
r
e
d
u
c
ed
waitin
g
tim
es
f
o
r
s
p
ec
ialis
t
co
n
s
u
ltatio
n
s
a
n
d
in
cr
ea
s
ed
p
atien
t
s
atis
f
ac
tio
n
.
T
h
ese
s
y
s
tem
s
h
av
e
s
h
o
wn
p
o
ten
tial
in
r
ed
u
cin
g
u
n
n
ec
es
s
ar
y
h
o
s
p
ital
v
is
it
s
an
d
r
elate
d
c
o
s
ts
[
12
]
,
[1
3
].
T
h
e
in
c
r
ea
s
e
o
f
g
e
o
g
r
a
p
h
ic
i
n
f
o
r
m
atio
n
s
y
s
tem
s
(
GI
S)
in
teg
r
atio
n
n
o
wad
ay
s
,
h
as
p
r
o
v
en
in
v
alu
ab
le
in
v
ar
io
u
s
f
ield
s
,
in
cl
u
d
in
g
h
ea
lth
ca
r
e.
GI
S
o
f
f
er
s
g
eo
s
p
atial
d
ata
an
aly
s
is
,
v
is
u
aliza
t
io
n
,
an
d
m
ap
p
i
n
g
ca
p
ab
ilit
ies
th
at
aid
in
i
d
en
ti
f
y
in
g
g
eo
g
r
ap
h
ical
p
atter
n
s
r
elate
d
to
h
ea
lth
ca
r
e
s
er
v
ices
an
d
ac
ce
s
s
ib
ilit
y
.
GI
S
ca
n
o
p
tim
ize
h
ea
lth
ca
r
e
r
eso
u
r
ce
allo
ca
tio
n
an
d
im
p
r
o
v
e
p
atien
t
o
u
tco
m
es
i
n
u
n
d
er
s
er
v
ed
r
eg
io
n
s
[
1
4
]
.
A
s
tu
d
y
in
th
e
in
teg
r
atio
n
o
f
GI
S
tech
n
o
lo
g
y
in
to
p
atien
t
te
le
-
r
ef
er
r
al
s
y
s
tem
s
allo
ws
p
r
i
m
ar
y
ca
r
e
p
h
y
s
ician
s
to
id
en
tif
y
th
e
m
o
s
t
s
u
itab
le
s
p
ec
ialis
t
f
o
r
ea
ch
p
atien
t
b
ased
o
n
g
e
o
g
r
a
p
h
ical
p
r
o
x
im
ity
an
d
s
p
ec
ialt
y
av
ailab
ilit
y
.
T
h
e
r
esu
lts
s
h
o
wed
th
at
th
e
GI
S
-
en
ab
led
te
le
-
r
ef
er
r
al
s
y
s
tem
s
ig
n
if
ican
t
ly
r
ed
u
ce
d
p
atien
t
waitin
g
tim
es
an
d
im
p
r
o
v
ed
t
h
e
co
o
r
d
in
atio
n
o
f
ca
r
e.
B
y
i
n
co
r
p
o
r
atin
g
th
ese
f
u
n
ctio
n
ali
ties
an
d
s
tr
ateg
ies,
th
e
tele
-
r
ef
er
r
al
s
y
s
tem
with
GI
S
ca
n
e
f
f
ec
tiv
ely
ad
d
r
ess
is
s
u
es
r
elate
d
to
d
ela
y
ed
o
r
m
is
s
ed
r
ef
er
r
als,
en
s
u
r
in
g
tim
ely
p
atien
t c
ar
e
a
n
d
im
p
r
o
v
in
g
o
v
e
r
all
h
ea
lth
o
u
tco
m
es.
Hen
ce
,
th
e
cu
r
r
en
t
s
tu
d
y
en
t
itled
en
h
an
cin
g
p
atien
t
n
av
i
g
atio
n
an
d
r
ef
er
r
al
th
r
o
u
g
h
tele
-
r
ef
er
r
al
s
y
s
te
m
with
GI
S
f
o
r
So
u
th
er
n
I
s
ab
ela
Me
d
ical
C
en
ter
ai
m
s
to
co
m
p
u
ter
ize
th
e
p
atien
t
n
av
ig
atio
n
an
d
r
e
f
er
r
al
p
r
o
ce
s
s
in
th
e
h
o
s
p
ital,
m
o
s
t
e
s
p
ec
ially
,
it
s
ee
k
s
to
in
v
esti
g
ate
th
e
im
p
lem
e
n
tatio
n
,
im
p
ac
t
,
an
d
ef
f
ec
tiv
e
n
ess
o
f
p
atien
t
tele
-
r
e
f
er
r
al
with
G
I
S
in
th
e
h
ea
lth
ca
r
e
d
o
m
ai
n
.
T
h
e
in
teg
r
atio
n
o
f
G
I
S
tech
n
o
lo
g
y
in
tele
-
r
ef
er
r
al
s
y
s
tem
s
p
r
o
v
id
es
v
alu
ab
le
in
s
ig
h
ts
in
to
g
eo
g
r
a
p
h
ical
h
ea
lth
ca
r
e
d
is
p
ar
ities
an
d
aid
s
in
o
p
tim
izin
g
r
eso
u
r
ce
allo
ca
tio
n
.
Ad
d
r
ess
in
g
d
elay
e
d
o
r
m
is
s
ed
r
ef
er
r
als
is
cr
it
ic
al
to
en
s
u
r
in
g
tim
ely
p
atien
t
ca
r
e
an
d
im
p
r
o
v
in
g
h
ea
lth
o
u
tco
m
es.
O
n
e
m
aj
o
r
is
s
u
e
is
th
e
lack
o
f
ac
ce
s
s
to
s
p
ec
ialis
ts
,
p
ar
ticu
lar
l
y
i
n
u
n
d
er
p
r
iv
ileg
ed
co
m
m
u
n
ities
.
B
y
s
tr
ea
m
lin
in
g
th
e
r
ef
er
r
al
p
r
o
ce
d
u
r
e,
b
o
o
s
tin
g
p
atien
t
ac
ce
s
s
to
s
p
e
cialize
d
ca
r
e,
an
d
m
ax
im
izin
g
r
eso
u
r
ce
allo
ca
tio
n
,
a
tele
-
r
ef
er
r
al
s
y
s
tem
wit
h
GI
S
ca
n
ass
is
t
less
en
th
i
s
p
r
o
b
lem
.
H
o
wev
er
,
ch
allen
g
es
s
u
ch
as
d
ata
p
r
iv
a
cy
,
in
ter
o
p
er
ab
ilit
y
,
a
n
d
in
itia
l
im
p
lem
en
tatio
n
c
o
s
ts
n
ee
d
to
b
e
ad
d
r
ess
ed
to
en
s
u
r
e
th
e
wid
esp
r
ea
d
ad
o
p
ti
o
n
o
f
t
h
is
ap
p
r
o
ac
h
.
Data
p
r
i
v
ac
y
a
n
d
s
ec
u
r
ity
a
r
e
p
ar
am
o
u
n
t
in
a
tele
-
r
ef
er
r
al
s
y
s
tem
with
GI
S,
as
th
e
s
y
s
tem
h
an
d
les
s
en
s
itiv
e
p
atien
t
in
f
o
r
m
ati
o
n
.
E
n
s
u
r
in
g
co
m
p
lian
ce
with
leg
al
r
eq
u
ir
em
e
n
ts
an
d
im
p
lem
e
n
tin
g
r
o
b
u
s
t secu
r
ity
m
ea
s
u
r
es a
r
e
ess
en
tial to
p
r
o
tect
p
atien
t d
at
a.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
d
o
n
esian
J
E
lec
E
n
g
&
C
o
m
p
Sci
I
SS
N:
2
5
0
2
-
4
7
52
E
n
h
a
n
ci
n
g
p
a
tien
t n
a
vi
g
a
tio
n
a
n
d
r
eferr
a
l th
r
o
u
g
h
…
(
Win
s
to
n
G.
Do
min
g
o
)
283
2.
M
E
T
H
O
D
2
.
1
.
Resea
rc
h
d
esig
n
T
h
is
s
tu
d
y
u
s
ed
th
e
tele
-
r
e
f
er
r
al
s
y
s
tem
with
a
GI
S
th
at
was
b
u
ilt
th
r
o
u
g
h
r
esear
ch
an
d
d
e
v
elo
p
m
en
t
(
R
&
D)
.
T
h
is
s
tu
d
y
is
cr
ea
ted
u
s
in
g
th
e
m
eth
o
d
s
an
d
p
r
o
ce
d
u
r
es
o
f
s
y
s
tem
an
aly
s
is
an
d
d
esig
n
.
Fu
r
th
er
m
o
r
e
,
th
is
r
esear
ch
u
s
ed
th
e
p
r
in
cip
les
an
d
m
eth
o
d
o
l
o
g
ies
o
f
th
e
p
r
o
to
ty
p
in
g
m
o
d
el
ca
lled
ag
ile
d
ev
elo
p
m
en
t
m
eth
o
d
wh
ic
h
is
s
h
o
wn
in
Fig
u
r
e
1
[
1
5
]
.
Descr
ip
tiv
e
s
u
r
v
ey
s
tu
d
y
wa
s
u
s
ed
as
a
r
esear
ch
d
esig
n
f
o
r
th
e
ev
alu
atio
n
o
f
th
e
d
ev
elo
p
e
d
co
m
p
u
ter
ized
s
y
s
tem
.
T
h
is
ai
m
ed
to
s
ee
k
th
e
r
esp
o
n
d
en
ts
’
p
er
s
p
ec
tiv
es
o
r
ex
p
e
r
ien
ce
s
in
u
s
in
g
th
e
s
y
s
tem
in
a
p
r
ed
eter
m
i
n
ed
s
tr
u
ctu
r
e
d
m
a
n
n
er
.
Fig
u
r
e
1
.
Ag
ile
p
r
o
to
t
y
p
in
g
m
o
d
el
o
f
s
o
f
twar
e
d
ev
el
o
p
m
en
t
T
h
e
f
o
llo
win
g
s
tep
s
d
etailed
an
d
d
escr
ib
ed
h
o
w
th
e
co
m
p
u
ter
ized
s
y
s
tem
was
cr
ea
te
d
:
B
r
ain
s
to
r
m
:
i
n
th
is
s
tag
e,
s
y
s
tem
r
eq
u
ir
em
en
ts
wer
e
s
p
ec
if
ied
.
T
h
e
f
u
n
ctio
n
al
an
d
n
o
n
-
f
u
n
ctio
n
al
r
eq
u
ir
em
en
ts
wer
e
in
clu
d
ed
to
d
escr
ib
e
all
th
e
in
ter
ac
tio
n
s
th
at
t
h
e
e
n
d
-
u
s
er
s
h
ad
with
t
h
e
c
o
m
p
u
ter
ized
s
y
s
t
em
;
Desig
n
:
i
n
th
is
s
tag
e,
th
e
d
ev
elo
p
e
d
s
y
s
tem
s
p
ec
if
ies
its
f
ea
tu
r
es,
it
s
en
tire
s
tr
u
ctu
r
e,
an
d
t
h
e
in
ter
-
r
ela
tio
n
s
h
ip
am
o
n
g
th
e
co
m
p
o
n
en
ts
o
f
th
e
s
y
s
tem
.
T
h
e
p
r
o
g
r
am
m
in
g
la
n
g
u
a
g
e
an
d
th
e
p
latf
o
r
m
in
wh
ich
th
e
c
o
m
p
u
ter
ized
s
y
s
tem
was
co
m
p
atib
le
wer
e
also
d
e
f
in
ed
;
Dev
elo
p
m
en
t
:
i
n
th
is
p
h
ase,
th
e
d
esig
n
o
f
th
e
s
y
s
tem
p
r
o
to
t
y
p
e
was
co
n
v
er
ted
in
to
a
co
m
p
u
ter
-
u
n
d
er
s
tan
d
ab
le
lan
g
u
ag
e
an
d
p
r
o
g
r
am
.
T
h
e
d
ev
elo
p
e
r
co
m
b
i
n
ed
all
th
e
p
r
o
d
u
ct
r
eq
u
ir
em
e
n
ts
an
d
cu
s
to
m
er
f
e
ed
b
ac
k
,
tu
r
n
in
g
th
e
d
esig
n
in
to
co
d
e
;
Qu
ality
ass
u
r
an
ce
:
af
ter
th
e
d
ev
elo
p
m
e
n
t
o
f
th
e
tele
-
r
ef
er
r
al
s
y
s
tem
,
a
test
r
u
n
was
d
o
n
e
to
r
em
o
v
e
al
l
th
e
b
u
g
s
.
Af
ter
co
d
if
y
i
n
g
th
e
wh
o
le
p
r
o
g
r
a
m
o
f
th
e
d
ev
elo
p
ed
s
y
s
tem
,
a
test
r
u
n
was
co
n
d
u
cted
o
n
a
g
i
v
en
s
et
o
f
test
d
ata.
I
n
th
is
p
h
ase,
in
itial
u
s
er
ev
alu
atio
n
is
also
in
itiated
to
test
if
th
e
o
u
tp
u
t
o
f
th
e
test
r
u
n
m
atch
es
th
e
ex
p
ec
ted
r
esu
lts
.
Ho
wev
er
,
wh
en
er
r
o
r
s
s
till
ex
is
t,
p
h
ase
1
–
b
r
ain
s
to
r
m
in
g
s
h
all
h
av
e
t
o
b
e
p
er
f
o
r
m
ed
a
g
ain
to
s
p
ec
if
y
th
e
lack
in
g
r
eq
u
ir
em
e
n
ts
o
f
th
e
p
r
o
to
ty
p
e
id
en
tifie
d
in
th
e
test
in
g
a
n
d
g
o
th
r
o
u
g
h
th
e
f
o
llo
win
g
p
r
o
ce
s
s
es
u
n
til
th
e
p
r
o
to
ty
p
e
h
as
b
ee
n
r
ef
in
ed
;
Dep
lo
y
m
en
t
:
af
te
r
th
e
u
s
er
a
cc
ep
ts
th
e
d
ev
el
o
p
ed
s
y
s
tem
,
p
ar
allel
test
in
g
was
em
p
lo
y
ed
in
t
h
e
o
p
er
atio
n
.
D
u
r
in
g
th
is
p
h
ase,
all
th
e
p
r
o
g
r
am
s
o
f
th
e
s
y
s
tem
wer
e
i
n
s
talled
o
n
to
th
e
u
s
er
’
s
co
m
p
u
ter
,
p
r
ac
ticin
g
th
e
co
m
p
u
ter
ized
o
p
er
atio
n
wh
ile
co
n
d
u
ctin
g
m
a
n
u
al
o
p
e
r
atio
n
in
p
atien
t
n
av
ig
atio
n
an
d
r
e
f
er
r
al.
T
h
is
is
d
o
n
e
to
d
em
o
n
s
tr
ate
h
o
w
m
u
c
h
m
o
r
e
e
f
f
ec
tiv
e
a
u
to
m
ated
p
r
o
ce
s
s
es
ar
e
th
an
m
an
u
al
o
n
es.
Af
ter
th
e
c
r
e
ated
s
y
s
tem
was
in
s
tal
led
,
u
s
er
tr
ain
in
g
also
s
tar
ted
;
Feed
b
ac
k
:
a
f
ter
th
e
d
ev
elo
p
e
d
s
y
s
tem
h
as
b
ee
n
i
n
itially
ev
alu
ated
,
th
e
d
ev
elo
p
er
co
llects
in
p
u
t
f
r
o
m
th
e
en
d
u
s
er
s
an
d
wo
r
k
s
th
r
o
u
g
h
it.
2
.
2
.
Sy
s
t
e
m
a
rc
hite
ct
ure
Fig
u
r
e
2
s
h
o
ws
a
co
n
ce
p
tu
al
d
iag
r
am
o
f
s
y
s
tem
d
ep
lo
y
m
en
t
o
f
th
e
d
e
v
elo
p
ed
s
y
s
tem
.
Pa
r
ticip
atin
g
h
ea
lth
f
ac
ilit
ies
an
d
r
escu
e
g
r
o
u
p
s
ca
n
ac
ce
s
s
th
e
s
y
s
tem
b
y
co
n
n
ec
tin
g
to
th
e
in
ter
n
et.
T
ele
-
r
ef
er
r
al
s
y
s
tem
with
GI
S
wa
s
u
p
lo
ad
ed
to
th
e
clo
u
d
wh
er
e
all
d
ata
en
tr
ies
ar
e
also
r
ec
o
r
d
ed
.
Patien
t
r
ec
o
r
d
s
r
ec
o
r
d
e
d
in
a
co
m
p
u
ter
ized
s
y
s
tem
ar
e
p
r
o
ce
s
s
ed
o
n
t
h
e
web
s
er
v
er
an
d
v
er
if
ied
with
th
e
d
atab
ase
o
f
th
e
h
o
s
p
ital
in
f
o
r
m
atio
n
s
y
s
tem
o
f
SIM
C
,
wh
ich
h
ea
lth
wo
r
k
er
s
an
d
p
atien
t
n
av
ig
ato
r
s
u
s
e.
A
v
is
u
aliza
tio
n
tech
n
iq
u
e
ca
lled
m
o
d
elin
g
o
f
s
y
s
tem
a
r
c
h
itectu
r
e
en
a
b
les
s
ev
er
al
p
a
r
ties
to
wo
r
k
to
g
et
h
er
o
n
s
y
s
tem
d
esig
n
,
d
is
co
v
er
its
in
ef
f
icien
cies,
an
d
s
u
g
g
est im
p
r
o
v
em
e
n
ts
[
1
6
].
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
5
0
2
-
4
7
52
In
d
o
n
esian
J
E
lec
E
n
g
&
C
o
m
p
Sci
,
Vo
l.
3
8
,
No
.
1
,
Ap
r
il
20
2
5
:
28
1
-
2
9
1
284
Fig
u
r
e
2
.
Sy
s
tem
ar
c
h
itectu
r
e
o
f
th
e
d
e
v
elo
p
e
d
s
y
s
tem
2
.
3
.
P
r
o
ce
s
s
f
lo
w
Fig
u
r
e
3
d
escr
ib
es
th
e
p
r
o
ce
s
s
f
lo
w
o
f
p
atien
t
n
a
v
ig
atio
n
an
d
r
ef
e
r
r
al
wh
er
e
h
ea
lth
f
ac
ilit
ies
an
d
r
escu
e
r
ef
er
p
atien
ts
o
n
lin
e
.
W
h
en
a
p
atien
t
r
e
f
er
r
al
is
ac
ce
p
ted
,
it
will
p
r
o
ce
ed
to
tele
-
tr
iag
e
to
p
r
ep
a
r
e
p
atien
t
tr
an
s
p
o
r
t
to
SIM
C
;
h
o
wev
er
,
r
e
f
er
r
als
n
o
t
ac
ce
p
ted
will
b
e
r
ef
er
r
ed
to
o
th
e
r
h
ea
lth
f
ac
ilit
ies.
Patien
ts
tr
an
s
p
o
r
ted
to
SIM
C
will
p
r
o
ce
ed
to
OPD/ER
f
o
r
tr
ea
tm
en
t.
I
f
th
e
ca
s
e
is
ad
m
is
s
i
b
le,
th
e
p
atien
t
will
b
e
tr
ea
ted
in
-
p
atien
t;
o
th
er
wis
e,
th
e
p
atien
t
will
b
e
d
is
ch
ar
g
ed
an
d
r
e
p
o
r
ted
to
t
h
e
r
e
f
er
r
i
n
g
f
ac
ilit
y
f
o
r
b
ac
k
r
ef
er
r
al.
A
f
r
am
ew
o
r
k
with
a
p
r
o
ce
s
s
f
lo
w
d
iag
r
a
m
th
at
ta
ck
les
th
ese
th
r
ee
cir
c
u
m
s
tan
c
es.
d
er
iv
ed
f
r
o
m
a
co
n
ce
p
tu
al
m
o
d
el
th
at
u
s
es d
ata
f
lo
w
d
iag
r
a
m
s
,
a
co
m
m
o
n
in
f
o
r
m
atio
n
s
y
s
tem
d
esig
n
to
o
l
[
1
7
].
Fig
u
r
e
3
.
Pro
ce
s
s
f
lo
w
d
iag
r
a
m
o
f
p
atien
t
n
av
ig
atio
n
an
d
r
e
f
er
r
al
s
y
s
tem
2
.
4
.
Use
-
ca
s
e
dia
g
r
a
m
Fig
u
r
e
4
d
is
p
lay
s
th
e
tele
-
r
ef
e
r
r
al
s
y
s
tem
with
GI
S
u
s
e
ca
s
e
d
iag
r
am
.
I
t
illu
s
tr
ates
h
o
w
s
y
s
tem
en
d
u
s
er
s
in
ter
ac
t
an
d
h
o
w
th
eir
p
o
s
itio
n
s
as
th
e
s
y
s
tem
’
s
cr
e
ated
en
d
u
s
er
s
ar
e
lim
ited
.
D
r
awin
g
a
u
s
e
ca
s
e
d
iag
r
am
f
o
r
a
GI
S
-
b
ased
tele
-
r
ef
er
r
al
s
y
s
tem
r
eq
u
ir
es
f
ig
u
r
in
g
o
u
t
wh
o
th
e
im
p
o
r
ta
n
t
p
lay
er
s
ar
e
an
d
h
o
w
th
ey
in
ter
ac
t w
ith
th
e
s
y
s
tem
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
d
o
n
esian
J
E
lec
E
n
g
&
C
o
m
p
Sci
I
SS
N:
2
5
0
2
-
4
7
52
E
n
h
a
n
ci
n
g
p
a
tien
t n
a
vi
g
a
tio
n
a
n
d
r
eferr
a
l th
r
o
u
g
h
…
(
Win
s
to
n
G.
Do
min
g
o
)
285
Fig
u
r
e
4
.
T
ele
-
r
ef
er
r
al
s
y
s
tem
with
GI
S
u
s
e
ca
s
e
d
iag
r
am
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
3
.
1
.
I
dentif
ied
pro
blem
s
a
nd
is
s
ue
s
in t
he
pro
ce
s
s
o
f
pa
t
ient
na
v
ig
a
t
io
n a
nd
r
ef
er
r
a
l
A
co
m
m
o
n
a
n
d
p
er
s
is
ten
t
p
r
o
b
lem
in
p
atien
t
n
a
v
ig
atio
n
an
d
r
ef
e
r
r
al
s
y
s
tem
s
is
in
ef
f
ec
tiv
e
o
r
in
s
u
f
f
icien
t
co
o
r
d
in
atio
n
an
d
co
m
m
u
n
icatio
n
b
etwe
en
h
ea
lt
h
ca
r
e
p
r
o
f
ess
io
n
als
an
d
p
atien
ts
[
1
8
]
.
T
h
is
ca
n
lead
to
v
ar
io
u
s
ch
allen
g
es
an
d
is
s
u
es,
s
u
ch
as:
d
elay
ed
o
r
m
is
s
ed
r
ef
er
r
als
:
wh
en
th
er
e
i
s
a
lack
o
f
ef
f
ec
tiv
e
co
m
m
u
n
icatio
n
b
etwe
en
h
ea
lt
h
ca
r
e
p
r
o
v
id
er
s
,
r
ef
er
r
als
m
ay
n
o
t
b
e
s
en
t
o
r
r
ec
eiv
ed
in
a
ti
m
ely
m
an
n
er
.
T
h
is
ca
n
lead
to
d
elay
s
in
p
atien
t
s
r
ec
eiv
in
g
th
e
n
ec
ess
ar
y
ca
r
e
an
d
m
ay
wo
r
s
en
th
eir
h
ea
l
th
co
n
d
itio
n
s
;
L
o
s
t
p
atien
t
in
f
o
r
m
atio
n
:
i
n
ef
f
icien
t
in
f
o
r
m
atio
n
m
a
n
ag
em
en
t
ca
n
r
esu
lt
in
p
atien
t
d
ata
g
ettin
g
lo
s
t
o
r
m
is
p
lace
d
d
u
r
in
g
th
e
r
ef
e
r
r
al
p
r
o
ce
s
s
.
T
h
is
ca
n
lea
d
to
co
n
f
u
s
io
n
an
d
p
o
ten
tial
e
r
r
o
r
s
in
p
atien
t
ca
r
e;
Po
o
r
f
o
llo
w
-
up
:
I
n
a
d
eq
u
ate
f
o
llo
w
-
u
p
a
f
ter
a
r
ef
e
r
r
al
is
m
ad
e
ca
n
r
esu
lt
in
p
atien
ts
n
o
t
r
ec
eiv
in
g
th
e
n
ec
ess
ar
y
ca
r
e
o
r
s
er
v
ices
th
ey
wer
e
r
ef
er
r
e
d
to
.
T
h
is
lack
o
f
f
o
llo
w
-
u
p
ca
n
im
p
ac
t
p
atien
t
o
u
tco
m
es
n
eg
ativ
ely
;
Fra
g
m
en
te
d
ca
r
e
:
t
h
e
tr
ea
tm
en
t
p
lan
m
ay
n
o
t
b
e
co
n
tin
u
o
u
s
o
r
co
h
e
r
en
t
if
m
u
ltip
le
h
ea
lth
ca
r
e
p
r
ac
titi
o
n
er
s
in
v
o
l
v
ed
in
th
e
p
atien
t
’
s
ca
r
e
ar
e
n
o
t
p
r
o
p
er
l
y
co
o
r
d
in
ated
.
T
h
is
m
ay
r
es
u
lt
in
in
co
n
s
is
ten
t
p
atien
t
ca
r
e
an
d
f
r
a
g
m
en
ted
ca
r
e;
L
im
ited
ac
ce
s
s
to
s
p
ec
i
alis
ts
:
p
atien
ts
m
ay
f
ac
e
ch
allen
g
es
in
ac
ce
s
s
in
g
s
p
ec
ialized
ca
r
e
if
t
h
e
r
e
f
er
r
al
p
r
o
ce
s
s
is
cu
m
b
er
s
o
m
e
o
r
if
th
er
e
ar
e
lo
n
g
wait
tim
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f
o
r
ap
p
o
in
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n
ts
with
s
p
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ialis
t
s
;
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ac
k
o
f
p
atien
t
en
g
ag
em
en
t
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atien
ts
m
ay
n
o
t
b
e
ac
tiv
ely
en
g
a
g
ed
i
n
th
e
r
e
f
er
r
al
p
r
o
ce
s
s
,
lead
in
g
to
n
o
n
-
c
o
m
p
lian
ce
o
r
d
is
in
te
r
est
in
f
o
llo
win
g
th
r
o
u
g
h
wi
th
th
e
r
ec
o
m
m
e
n
d
ed
r
e
f
er
r
al
s
;
C
o
m
m
u
n
icatio
n
b
ar
r
ier
s
:
l
an
g
u
ag
e
b
a
r
r
ier
s
,
tech
n
ical
is
s
u
es,
o
r
m
is
co
m
m
u
n
icatio
n
b
etwe
en
p
r
o
v
id
er
s
an
d
p
atien
ts
ca
n
h
in
d
er
th
e
r
ef
er
r
al
p
r
o
ce
s
s
an
d
cr
ea
t
e
m
is
u
n
d
er
s
tan
d
in
g
s
;
R
eso
u
r
ce
co
n
s
tr
ain
ts
:
i
n
s
o
m
e
h
ea
lth
ca
r
e
s
y
s
tem
s
,
th
er
e
m
ay
b
e
lim
ited
r
eso
u
r
ce
s
av
ai
lab
le
f
o
r
p
atien
t
n
av
ig
atio
n
an
d
r
ef
er
r
al
m
an
ag
em
e
n
t,
lead
in
g
to
o
v
e
r
wh
elm
ed
s
taf
f
an
d
i
n
ef
f
icien
t p
r
o
ce
s
s
es;
an
d
Data
p
r
iv
ac
y
an
d
s
ec
u
r
ity
co
n
ce
r
n
s
:
p
atien
t
d
ata
s
h
ar
in
g
b
etwe
en
d
if
f
er
en
t
h
ea
lth
ca
r
e
p
r
o
v
id
e
r
s
ca
n
r
aise
p
r
iv
ac
y
an
d
s
ec
u
r
ity
c
o
n
ce
r
n
s
if
n
o
t
h
a
n
d
led
ap
p
r
o
p
r
iately
.
T
o
a
d
d
r
ess
th
ese
p
er
s
is
ten
t
p
r
o
b
lem
s
,
h
ea
lth
c
ar
e
o
r
g
an
izatio
n
s
an
d
s
y
s
tem
s
n
ee
d
to
im
p
lem
en
t
s
tr
ateg
ies
th
at
im
p
r
o
v
e
co
m
m
u
n
icatio
n
,
s
tr
ea
m
lin
e
r
e
f
er
r
al
p
r
o
ce
s
s
es,
an
d
en
h
a
n
ce
p
atien
t
e
n
g
ag
em
e
n
t.
T
h
is
m
a
y
in
v
o
lv
e
a
d
o
p
tin
g
h
ea
lth
in
f
o
r
m
atio
n
tech
n
o
l
o
g
y
s
o
lu
tio
n
s
,
u
tili
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ec
u
r
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lth
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o
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d
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d
estab
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h
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m
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atien
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In
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C
T
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h
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r
e
d
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e
t
o
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ts
.
W
ith
th
e
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lth
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ce
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s
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er
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ices lo
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lly
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f
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m
a
d
is
tan
ce
[
20
]
.
(
a)
(
b
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Fig
u
r
e
5
.
Patien
t
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a
v
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ac
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in
g
a
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d
m
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ito
r
in
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a)
n
a
v
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r
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r
r
ed
p
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r
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r
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p
atien
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Fig
u
r
e
6
is
d
ash
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Fig
u
r
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6
(
a)
r
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tim
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o
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r
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GI
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Fig
u
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6
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GI
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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ap
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ar
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in
tellig
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(
AI
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[
21
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ash
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m
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2
2
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f
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tu
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d
ev
elo
p
m
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[
2
3
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(
a)
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b
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Fig
u
r
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6
.
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r
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r
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(
j)
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d
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f
im
p
lem
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tatio
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[
2
5
]
.
Fig
u
r
e
7
.
Hea
t m
a
p
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s
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p
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s
en
tatio
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
:
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5
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52
In
d
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lity
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th
at
th
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d
ev
e
lo
p
ed
tele
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r
e
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wit
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GI
S
as
ass
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ly
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ased
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3
.
5
3
.
Am
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g
th
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h
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f
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ce
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SO/IE
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5
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d
s
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o
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was
to
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as we
ll
as sev
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ac
tiv
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,
wer
e
r
eq
u
ir
ed
f
o
r
th
e
ev
alu
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n
[
2
7
].
Ho
wev
er
,
th
e
s
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d
y
at
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d
o
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th
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eir
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icien
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1
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a
p
p
s
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m
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s
t so
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g
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t q
u
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ty
ch
ar
ac
ter
is
tics
.
T
ab
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2
.
T
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e
lev
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f
ac
ce
p
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f
th
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elo
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ter
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a
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t
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ce
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th
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p
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z
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4
9
,
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3
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.
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h
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ejec
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m
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ter
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r
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r
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eiv
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h
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h
ly
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v
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.
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th
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r
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r
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in
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h
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at
o
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atin
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r
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tr
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esen
t.
T
h
e
s
y
s
tem
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ec
eiv
ed
g
r
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t
g
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a
d
es
f
o
r
u
s
ab
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,
s
ec
u
r
ity
,
a
n
d
f
u
n
ctio
n
al
ad
e
q
u
ac
y
f
r
o
m
s
t
af
f
n
u
r
s
es
f
r
o
m
th
e
m
ed
ical
an
d
s
u
r
g
ical
clin
ics
wh
o
h
av
e
u
s
ed
it
p
r
ev
i
o
u
s
ly
as
well
as
f
r
o
m
s
taf
f
n
u
r
s
es
f
r
o
m
o
t
h
er
h
o
s
p
ital
d
ep
ar
tm
en
ts
a
n
d
o
th
er
m
ed
ic
al
f
ac
ilit
ies
wh
o
h
a
v
e
n
o
t
[
2
8
]
.
E
-
h
ea
lth
is
a
n
ef
f
icien
t
wa
y
o
f
ac
ce
s
s
in
g
a
n
d
in
f
o
r
m
atio
n
an
d
c
o
m
m
u
n
icatio
n
tech
n
o
lo
g
ies
(
I
C
T
)
ac
r
o
s
s
d
if
f
er
en
t
f
ield
s
o
f
a
p
p
licatio
n
th
at
af
f
ec
t
th
e
h
ea
lth
s
ec
to
r
,
f
r
o
m
th
e
ex
p
er
ien
ce
d
s
p
ec
ialis
t
d
o
cto
r
s
to
th
e
h
o
s
p
ital
m
an
ag
er
,
v
ia
n
u
r
s
e
s
,
d
ata
p
r
o
ce
s
s
in
g
s
p
ec
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t
s
,
s
o
cial
s
ec
u
r
ity
a
d
m
in
is
tr
ato
r
s
,
an
d
p
atien
ts
[
2
9
]
.
T
h
e
tech
n
ical
q
u
ality
o
f
a
m
o
b
ile
ap
p
licatio
n
t
o
s
u
p
p
o
r
t th
e
n
u
r
s
e
’
s
d
ec
is
io
n
w
as e
v
alu
ated
in
th
e
s
tu
d
y
o
f
th
e
ass
e
s
s
m
en
t o
f
a
q
u
ality
s
o
f
t
war
e
ap
p
licatio
n
f
o
r
th
e
p
r
ev
e
n
tio
n
o
f
s
k
in
lesi
o
n
s
in
in
f
an
ts
u
s
in
g
t
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52
In
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3
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