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          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-observation-indigenous-identity" />
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        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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          <coding>
            <system value="http://snomed.info/sct" />
            <code value="29941000087100" />
            <display value="Person identified as Metis" />
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  <entry>
    <fullUrl value="urn:uuid:06058b4b-2da3-4219-b529-002a4d832fe5" />
    <resource>
      <Observation>
        <id value="ii-004" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-observation-indigenous-identity" />
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        <status value="final" />
        <category>
          <coding>
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            <code value="social-history" />
            <display value="Social History" />
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          <text value="Indigenous Identity" />
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          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
        </subject>
        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="29931000087106" />
            <display value="Person identified as Inuit" />
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        </valueCodeableConcept>
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  <entry>
    <fullUrl value="urn:uuid:2775d550-0711-4f35-8f33-b91294809eee" />
    <resource>
      <Observation>
        <id value="dis-003" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-observation-disability-status-type" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="101720-1" />
            <display value="Disability status" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
        </subject>
        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="373066001" />
            <display value="Yes" />
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="95377-8" />
              <display value="Disability type" />
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          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="406135009" />
              <display value="Sensory disability" />
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          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="95377-8" />
              <display value="Disability type" />
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          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="443265004" />
              <display value="Cognitive disorder" />
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          </valueCodeableConcept>
        </component>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:bdd5a2ee-1cea-495f-8f3d-be3e5ce0f56c" />
    <resource>
      <Observation>
        <id value="bic-002" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-observation-born-in-canada" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="315398004" />
            <display value="Born in Canada" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
        </subject>
        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="373067005" />
            <display value="No" />
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/arrive-in-canada" />
              <code value="ac-5 to 9" />
              <display value="Arrive in Canada 5 to 9 years ago" />
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            <text value="Arrive In Canada" />
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          <valueDateTime value="2005" />
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      </Observation>
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  <entry>
    <fullUrl value="urn:uuid:526811f8-6aca-49f0-964a-0ea22da0d60d" />
    <resource>
      <Observation>
        <id value="edu-001" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-level-of-education" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="82589-3" />
            <display value="Highest level of education" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:a5c0519f-51b0-4b9c-b737-a6fa8180a239" />
        </subject>
        <effectiveDateTime value="2025-06-25" />
        <valueCodeableConcept>
          <coding>
            <system value="http://ontariohealth.ca/fhir/CodeSystem/highest-level-of-education-attained" />
            <code value="college" />
            <display value="College, CEGEP or other non-university certificate or diploma (or ongoing)" />
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4aba8bd7-9247-4597-9366-e40a08a98b4d" />
    <resource>
      <Observation>
        <id value="hsup-002" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-number-of-people-income-supports" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="86639-2" />
            <display value="Number of People Household Income Supports" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <effectiveDateTime value="2025-06-21" />
        <valueInteger value="4" />
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    <fullUrl value="urn:uuid:037bfd6e-baf0-42df-80b4-47044d2983cb" />
    <resource>
      <Observation>
        <id value="hs-002" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-housing-status" />
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        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="71802-3" />
            <display value="Housing Status" />
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          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="32911000" />
            <display value="Homeless" />
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        </valueCodeableConcept>
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  <entry>
    <fullUrl value="urn:uuid:c8ce7213-baed-4e7f-87a9-e10056d96370" />
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      <Observation>
        <id value="inc-002" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-total-household-income" />
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        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="77244-2" />
            <display value="Total Household Income" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://ontariohealth.ca/fhir/CodeSystem/total-household-income" />
            <code value="5" />
            <display value="$90,000-$119,999" />
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        </valueCodeableConcept>
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  <entry>
    <fullUrl value="urn:uuid:e75d75ed-4478-4d20-8974-d3b7fdfe9e3e" />
    <resource>
      <Observation>
        <id value="gi-003" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-gender-identity" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="76691-5" />
            <display value="Gender Identity" />
          </coding>
        </code>
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          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="33791000087105" />
            <display value="Nonbinary gender identity" />
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  <entry>
    <fullUrl value="urn:uuid:44186314-eb19-4af8-8131-f939517ffff3" />
    <resource>
      <Observation>
        <id value="gi-004" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-gender-identity" />
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        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
          </coding>
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="76691-5" />
            <display value="Gender Identity" />
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        </code>
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          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="51381000087109" />
            <display value="Gender-fluid" />
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  <entry>
    <fullUrl value="urn:uuid:3bb9c541-e00b-4663-b974-eac79d9eb077" />
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      <Observation>
        <id value="ti-003" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-transgender-identity" />
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        <status value="final" />
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          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="social-history" />
            <display value="Social History" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="76691-5" />
            <display value="Transgender Identity" />
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          <text value="Transgender Identity" />
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          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <effectiveDateTime value="2025-06-21" />
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="373066001" />
            <display value="Yes" />
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    <fullUrl value="urn:uuid:42317219-8feb-4bf6-9d2e-9bbc853edc6b" />
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      <QuestionnaireResponse>
        <id value="qr-1001" />
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          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-questionnaireresponse" />
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        <questionnaire value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-gambling-questionnaire-template" />
        <status value="completed" />
        <subject>
          <reference value="urn:uuid:a3fb7d98-a471-42fa-ae94-d655f2393cc0" />
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        <authored value="2024-02-15T10:00:00-05:00" />
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            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-help-seeking-reason" />
              <code value="1" />
              <display value="Own gambling problem" />
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            <valueInteger value="6" />
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          <linkId value="Q3" />
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            <valueInteger value="45" />
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          <linkId value="Q4" />
          <text value="Sequence of Gambling Problem Identification" />
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            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/sequence-of-gambling-problem" />
              <code value="gt" />
              <display value="Patient came to this agency specifically for gambling treatment" />
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        <item>
          <linkId value="Q5" />
          <text value="Primary Gambling Activity in the last 12 months" />
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            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-activities-in-last-year" />
              <code value="roulette for money" />
              <display value="Played roulette for money" />
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            <item>
              <linkId value="Q5-a" />
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                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-frequency" />
                  <code value="gf-1-2 times weekly" />
                  <display value="1-2 times weekly" />
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            </item>
            <item>
              <linkId value="Q5-b" />
              <text value="Primary Gambling Location in last 12 months" />
              <answer>
                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-location" />
                  <code value="commercial casino" />
                  <display value="In a commercial casino" />
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              </answer>
            </item>
            <item>
              <linkId value="Q5-c" />
              <text value="Primary Gambling Location Frequency in last 12 months" />
              <answer>
                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-frequency" />
                  <code value="gf-1-2 times weekly" />
                  <display value="1-2 times weekly" />
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              </answer>
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        <item>
          <linkId value="Q6" />
          <text value="Additional Gambling Activity in the last 12 months" />
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            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-activities-in-last-year" />
              <code value="card for money" />
              <display value="Played Cards for money" />
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            <item>
              <linkId value="Q6-a" />
              <text value="Additional Gambling Activity Frequency in last 12 months" />
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                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-frequency" />
                  <code value="gf-1-3 times a month" />
                  <display value="1-3 times a month" />
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          <answer>
            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-activities-in-last-year" />
              <code value="mohjong for money" />
              <display value="Played Mahjong for money" />
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            <item>
              <linkId value="Q6-a" />
              <text value="Additional Gambling Activity Frequency in last 12 months" />
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                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-frequency" />
                  <code value="gf-less than once a month" />
                  <display value="Less than once a month" />
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            </item>
            <item>
              <linkId value="Q6-b" />
              <text value="Additional Gambling Location in last 12 months" />
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                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-location" />
                  <code value="bingo hall" />
                  <display value="In a bingo hall" />
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            <item>
              <linkId value="Q6-c" />
              <text value="Additional Gambling Location Frequency in last 12 months" />
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                <valueCoding>
                  <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-frequency" />
                  <code value="gf-1-3 times a month" />
                  <display value="1-3 times a month" />
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        </item>
        <item>
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          <item>
            <linkId value="Q7-a" />
            <text value="Percentage of Time Spent Gambling in Ontario" />
            <answer>
              <valueInteger value="100" />
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          </item>
          <item>
            <linkId value="Q7-b" />
            <text value="Percentage of Time Spent Gambling in another province" />
            <answer>
              <valueInteger value="0" />
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          </item>
          <item>
            <linkId value="Q7-c" />
            <text value="Percentage of Time Spent Gambling Outside of Canada" />
            <answer>
              <valueInteger value="0" />
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          </item>
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      </QuestionnaireResponse>
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  <entry>
    <fullUrl value="urn:uuid:509c6f75-e4e3-449f-a919-c1d4df610303" />
    <resource>
      <QuestionnaireResponse>
        <id value="clinical-1001" />
        <meta>
          <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-questionnaireresponse" />
        </meta>
        <questionnaire value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-clinical-summary-questionnaire-template" />
        <status value="completed" />
        <subject>
          <reference value="urn:uuid:84f70359-f444-4748-87f0-d655f2393cc0" />
        </subject>
        <authored value="2024-02-16T11:00:00-05:00" />
        <item>
          <linkId value="Q1" />
          <text value="Symptoms of Clinical Concern" />
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            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="700364009" />
              <display value="Neurodevelopmental disorder" />
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          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="225452001" />
              <display value="Paranoid delusion" />
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          </answer>
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="7011001" />
              <display value="Hallucinations" />
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          </answer>
        </item>
        <item>
          <linkId value="Q2" />
          <text value="Behavioural Addictions and/or Problematic Substance Use" />
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="15167005" />
              <display value="Alcohol abuse" />
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          </answer>
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="37344009" />
              <display value="Cannabis abuse" />
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          </answer>
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="18085000" />
              <display value="Compulsive gambling" />
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        </item>
        <item>
          <linkId value="Q3" />
          <text value="Other Reasons for Seeking Service" />
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            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/help-seeking-reason" />
              <code value="relation-p" />
              <display value="Relation Problems" />
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          <answer>
            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/help-seeking-reason" />
              <code value="abuseneglect-p" />
              <display value="Abuse &amp; Neglect" />
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          </answer>
        </item>
        <item>
          <linkId value="Q4" />
          <text value="Prescribed pharmacotherapy or anti-craving medication for alcohol use disorder" />
          <item>
            <linkId value="Q4-a" />
            <text value="Are you receiving prescribed pharmacotherapy or anti-craving medication for alcohol use disorder?" />
            <answer>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="373066001" />
                <display value="Yes" />
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="Q4-b" />
            <text value="What anti-craving medication prescribed?" />
            <answer>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="373546002" />
                <display value="Naltrexone" />
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="391698009" />
                <display value="Acamprosate" />
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="Q5" />
          <text value="Prescribed pharmacotherapy or Opioid agonist therapy for Opioid Use Disorder" />
          <item>
            <linkId value="Q5-a" />
            <text value="Are you receiving prescribed pharmacotherapy or Opioid agonist therapy for Opioid Use Disorder?" />
            <answer>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="373066001" />
                <display value="Yes" />
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="Q5-b" />
            <text value="What opioid Agonist therapy is prescribed?" />
            <answer>
              <valueCoding>
                <system value="http://ontariohealth.ca/fhir/CodeSystem/opioid-agonist-medication" />
                <code value="c" />
                <display value="Methadone" />
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="Q6" />
          <text value="Gambling Problem Identified" />
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373066001" />
              <display value="Yes" />
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="Q7" />
          <text value="Reason for Non-completion of Gambling Data Form" />
          <answer>
            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-form-non-completion-reason" />
              <code value="declined" />
              <display value="Client declined treatment" />
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="Q8" />
          <text value="Gambling Treatment Plan Status" />
          <answer>
            <valueCoding>
              <system value="http://ontariohealth.ca/fhir/CodeSystem/gambling-treatment-plan-status" />
              <code value="declined" />
              <display value="Declined treatment" />
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
</Bundle>