Inclusion Criteria:  For the study, the single inclusion criteria is that the patient is offered a consultation or treatment at the HIA clinic.  Exclusion Criteria:  Aged younger than 23 years at time of referral. The HIA clinics have guidelines that describe eligibility for treatment, and excludes patients that are either too healthy for the measure, too sick for the measure, not relevant diagnosis or otherwise not considered being in the target group for the measure.