44 Medical services; Medical services in the field of rheumatological disorders; Medical services in the field of osteoporosis management; Medical services, namely, rheumatology; Medical screening services in the field of rheumatoid arthritis, lupus, psoriatic arthritis, ankylosing spondylitis, gout, vasculitis, myositis, scleroderma, Sjogren disease, Raynaud's phenomenon, joint pain, and joint swelling