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The first part of this page contains the information about the variable from the CPHN Guide for Common Indicators for Canadian Physician Health Programs, version v1.0. CPHN is editing the guide and will eventually produce a new version, v1.1. Concurrently, we are also writing a new version of the guide, for use with CiviCase. We will call this stream v2.0.
Case Referral Source
v1.0 (Refers to CPHN indicator 14 "Case Referral Source")
The referral source answers the question "Who asked you to call the PHP?"
Case Referral Source |
Check all that apply (√) |
Definition |
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1.0 Self |
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The client contacted PHP independently without pressure form another person or organization (as far as is known by the PHP) |
2.0 Personal Relationship to client: |
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2.1 Spouse/Partner |
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2.2 Other family member |
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2.3 Personal physician |
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2.4 Other regulated health professional |
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2.5 Other professional or service provider |
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2.6 Other personal relationship |
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3.0 Professional relationship to client: |
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3.1 Employment |
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3.2 Colleague |
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3.3 Any other co-worker |
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3.4 Professional regulatory body |
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3.5 Professional association |
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3.6 House staff organization or hospital |
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3.7 Resident organization |
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3.8 Student organization |
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