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* 1. Name

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* 2. Title/Role

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* 3. What is the name of the country and organization you are representing?

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* 4. Does your country/organization/partners currently require the use of specific terminologies within your health system?

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* 5. Do you have a plan to specify/use standard terminologies in the future?

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* 6. Do you have a specific group or organization, such as a standards body, responsible for the selection, endorsement, management and customization of your standard terminologies?

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* 7. Do you have a central location where your selected terminologies are available for access/downloading by stakeholders, or are the component partners responsible for their own integration?

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* 8. If you answered "Yes" to the above question, please describe in detail the central location used to publish your terminologies. If there is a public website, please paste the URL here as well.

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* 9. Do you believe OpenHIE should maintain a central terminology repository that would provide access/downsizing of up-to-date versions of standard terminologies important to low- and middle-income countries?

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* 10. Do you think this central repository should support capabilities for country-specific customization, e.g. subsetting of standard terminologies?

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* 11. Do you think this central repository should support capabilities for mapping country-specific terminologies to standard terminologies?

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* 12. What is your standard terminology for Clinical Diagnoses (not Billing Diagnoses)?

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* 13. What is your standard terminology for Procedures?

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* 14. What is your standard terminology for Laboratory Tests?

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* 15. What is your standard terminology for Medications?

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* 16. What is your standard terminology for Medical Devices?

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* 17. What is your standard terminology for Billing?

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* 18. What is your standard terminology for Workforce Classification?

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* 19. Do you use country/organization-specific subsets of the above terminologies in your applications?

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* 20. Is there a representative within your organization that we could follow up with in an interview to get more detailed information? Please provide contact details.

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