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The journey of positive ANA referrals through the referral system and the final diagnosis category. Primary care providers (PCP) choose the initial consult method (E-consult or in-person visit). A rheumatologist reviews all consults before appointments are scheduled and can change clinic visits to E-consults (or vice versa) if their chart review deems this appropriate. No in-person visits were changed to E-consults during our project
