The duration (or anticipated duration) of a REFERRAL TO TREATMENT PERIOD adjusted to take account of the duration of the time between the earliest of at least two Reasonable Offers and the date from which the PATIENT makes themselves available again for admission.

• For a REFERRAL TO TREATMENT PERIOD which does not end with First Definitive Treatment during an Elective Admission it is the same as REFERRAL TO TREATMENT PERIOD DURATION (UNADJUSTED).
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• For a REFERRAL TO TREATMENT PERIOD which ends with First Definitive Treatment during an Elective Admission and the PATIENT has declined at least two Reasonable Offers, it is REFERRAL TO TREATMENT PERIOD DURATION (UNADJUSTED) less the number of completed days between the EARLIEST REASONABLE OFFER DATE of the Elective Admission and the REFERRAL TO TREATMENT PERIOD END DATE.
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• For a REFERRAL TO TREATMENT PERIOD which ends with First Definitive Treatment during an Elective Admission where the PATIENT has not declined at least two Reasonable Offers, it is the same as REFERRAL TO TREATMENT PERIOD DURATION (UNADJUSTED).

Example:
Where a REFERRAL TO TREATMENT PERIOD which ends with First Definitive Treatment during an Elective Admission has a REFERRAL TO TREATMENT PERIOD START DATE of 1 January, REFERRAL TO TREATMENT PERIOD END DATE of 30 January and EARLIEST REASONABLE OFFER DATE of 28 January the REFERRAL TO TREATMENT PERIOD DURATION (ADJUSTED) will be 0027 days (29 days REFERRAL TO TREATMENT PERIOD DURATION (UNADJUSTED) less 2 days for the adjustment).

This data element is also known by these names:

Context	Alias
plural	REFERRAL TO TREATMENT PERIOD DURATIONS (ADJUSTED)