{% capture childItems %}{% if QuestionnaireResponse.item.where(linkId = 'questionnaire').exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'questionnaire') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section89975948').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section89975948') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section47452923').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section47452923') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section35521488').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section35521488') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section76158872').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section76158872') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section25321155').exists() %}Si votre patient est en situation de crise et a besoin d’une aide immédiate:
{% for currentItem in currentItem.item.where(linkId = 'section25321155') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section38344247').exists() %}Consentement {% for currentItem in currentItem.item.where(linkId = 'section38344247') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item34143726' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item34143726' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient est-il au courant de cet aiguillage et consent-il à participer: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section2585986').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section2585986') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section32071016').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section32071016') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item31741452' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item31741452' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient est-il apte à consentir au traitement: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% if answer.value.code = 'Inconnu' %}Inconnu{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section65500470').exists() %}Mandataire spécial/Procureur au soin de la personne/Tuteur et curateur public
{% for currentItem in currentItem.item.where(linkId = 'section65500470') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item47490306' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47490306' and answer.exists()) %}{% if currentItem.answer.exists() %}Nom: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item22491526' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item22491526' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de téléphone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section72063455').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section72063455') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section61809637').exists() %}Renseignements sur le patient {% for currentItem in currentItem.item.where(linkId = 'section61809637') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item53251990' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item53251990' and answer.exists()) %}{% if currentItem.answer.exists() %}Principale langue parlée: {% for answer in currentItem.answer %}{% if answer.value.code = 'Anglais' %}Anglais{% endif %}{% if answer.value.code = 'Français' %}Français{% endif %}{% if answer.value.code = 'Autre' %}Autre{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item22100237' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item22100237' and answer.exists()) %}{% if currentItem.answer.exists() %}Veuillez préciser: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item67884924' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67884924' and answer.exists()) %}{% if currentItem.answer.exists() %}Francophone: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='item53251990').answer.exists(value = 'Français') %}
{% if %resource.repeat(item).where(linkId='item53251990').answer.exists(value = 'Français') %}Francophone: Oui{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item44359558' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44359558' and answer.exists()) %}{% if currentItem.answer.exists() %}Besoin de services en français: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='item67884924').answer.exists(value = 'Oui') %}
{% if %resource.repeat(item).where(linkId='item67884924').answer.exists(value = 'Oui') %}Besoin de services en français: Non{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69600178' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69600178' and answer.exists()) %}{% if currentItem.answer.exists() %}Besoin d’un interprète: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35202059' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35202059' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de téléphone préféré: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item76640929' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76640929' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient accepte-t-il d’être contacté par courriel: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item55030899' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55030899' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Courriel: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item42679017' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item42679017' and answer.exists()) %}{% if currentItem.answer.exists() %}Situation de logement: {% for answer in currentItem.answer %}{% if answer.value.code = 'Seul(e)' %}Seul(e){% endif %}{% if answer.value.code = 'Avec un(e) conjoint(e)/membre de la famille' %}Avec un(e) conjoint(e)/membre de la famille{% endif %}{% if answer.value.code = 'Logement supervisé' %}Logement supervisé{% endif %}{% if answer.value.code = 'Foyer d’accueil' %}Foyer d’accueil{% endif %}{% if answer.value.code = 'Résidence' %}Résidence{% endif %}{% if answer.value.code = 'Sans domicile fixe' %}Sans domicile fixe{% endif %}{% if answer.value.code = 'Autre' %}Autre{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item74434619' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item74434619' and answer.exists()) %}{% if currentItem.answer.exists() %}Veuillez préciser: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10326813' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10326813' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient a-t-il accès à la technologie pour recevoir des soins virtuels: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% if answer.value.code = 'Incertain' %}Incertain{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item20877941' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20877941' and answer.exists()) %}{% if currentItem.answer.exists() %}Veuillez fournir tout commentaire/renseignement supplémentaire: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98979066' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98979066' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Homme' %}Homme{% endif %}{% if answer.value.code = 'Femme' %}Femme{% endif %}{% if answer.value.code = 'Genre queer' %}Genre queer{% endif %}{% if answer.value.code = 'Intersexué(e)' %}Intersexué(e){% endif %}{% if answer.value.code = 'Non binaire' %}Non binaire{% endif %}{% if answer.value.code = 'En questionnement' %}En questionnement{% endif %}{% if answer.value.code = 'Transsexuel(le)' %}Transsexuel(le){% endif %}{% if answer.value.code = 'Bispirituel(le)' %}Bispirituel(le){% endif %}{% if answer.value.code = 'Inconnu' %}Inconnu{% endif %}{% if answer.value.code = 'Refuse de répondre' %}Refuse de répondre{% endif %}{% if answer.value.code = 'Autre' %}Autre{% endif %}{% endfor %}{% endcapture %}Genre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item29802281' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29802281' and answer.exists()) %}{% if currentItem.answer.exists() %}Veuillez préciser: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item81292217' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item81292217' and answer.exists()) %}{% if currentItem.answer.exists() %}Pharmacie préférée: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item90253663' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90253663' and answer.exists()) %}{% if currentItem.answer.exists() %}Continuerez-vous de fournir des soins à ce patient après son congé du programme auquel nous allons l’inscrir: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section62444278').exists() %}Détails de la demande Gériatrie {% for currentItem in currentItem.item.where(linkId = 'section62444278') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section25363119').exists() %}Raisons de l’aiguillage {% for currentItem in currentItem.item.where(linkId = 'section25363119') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item90686790' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90686790' and answer.exists(value.ofType(boolean)=true)) %}Diagnostic / clarification de diagnostic{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item20817558' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20817558' and answer.exists(value.ofType(boolean)=true)) %}Gestion du sevrage / stabilisation avec un traitement par agoniste des opiacés{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item7783840' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7783840' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de toxicomanie / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item64934451' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64934451' and answer.exists(value.ofType(boolean)=true)) %}Recommandations de médicaments / revue des médicaments{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item94072441' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94072441' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de santé mentale / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item81001366' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item81001366' and answer.exists(value.ofType(boolean)=true)) %}Gestion des comportements réactifs{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section58580704').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section58580704') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item55217085' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55217085' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section22510543').exists() %}Coordonnées pour fixer un rendez-vous
{% for currentItem in currentItem.item.where(linkId = 'section22510543') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item75905997' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item75905997' and answer.exists()) %}{% if currentItem.answer.exists() %}Nom: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33250019' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33250019' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de téléphone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section83789698').exists() %}Autres détails pertinents
{% for currentItem in currentItem.item.where(linkId = 'section83789698') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94306248' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94306248' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Détails des raisons de l’aiguillage: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item95635663' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item95635663' and answer.exists()) %}{% if currentItem.answer.exists() %}Antécédents: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section42308970').exists() %}Détails de la demande Enfants/jeunes {% for currentItem in currentItem.item.where(linkId = 'section42308970') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section25383964').exists() %}Raisons de l’aiguillage {% for currentItem in currentItem.item.where(linkId = 'section25383964') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item41822197' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41822197' and answer.exists(value.ofType(boolean)=true)) %}Diagnostic / clarification de diagnostic{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item73936819' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item73936819' and answer.exists(value.ofType(boolean)=true)) %}Gestion du sevrage / stabilisation avec un traitement par agoniste des opiacés{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89687517' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89687517' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de toxicomanie / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item64944709' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64944709' and answer.exists(value.ofType(boolean)=true)) %}Recommandations de médicaments / revue des médicaments{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35048963' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35048963' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de santé mentale / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item67814819' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67814819' and answer.exists(value.ofType(boolean)=true)) %}Automutilation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item48440940' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48440940' and answer.exists(value.ofType(boolean)=true)) %}Agressivité et violence envers les autres{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item5510019' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item5510019' and answer.exists(value.ofType(boolean)=true)) %}Victime de violence{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item65514873' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65514873' and answer.exists(value.ofType(boolean)=true)) %}Idées suicidaires / tentatives de suicide{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item94206719' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94206719' and answer.exists(value.ofType(boolean)=true)) %}Conflit familial, y compris des difficultés dans la relation parent-enfant{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item28424670' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item28424670' and answer.exists(value.ofType(boolean)=true)) %}Problèmes d’estime de soi{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80603308' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80603308' and answer.exists(value.ofType(boolean)=true)) %}Problèmes scolaires{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12159999' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12159999' and answer.exists(value.ofType(boolean)=true)) %}Identité de genre / orientation sexuelle{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item32002193' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32002193' and answer.exists(value.ofType(boolean)=true)) %}Difficulté à contrôler ses émotions{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item85037680' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item85037680' and answer.exists(value.ofType(boolean)=true)) %}Traumatisme{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section39087239').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section39087239') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item91657692' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item91657692' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section77958278').exists() %}Diagnostic / problème présenté {% for currentItem in currentItem.item.where(linkId = 'section77958278') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item77452728' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77452728' and answer.exists(value.ofType(boolean)=true)) %}Dépression{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39727284' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39727284' and answer.exists(value.ofType(boolean)=true)) %}Trouble bipolaire{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section15028140').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section15028140') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item70701164' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item70701164' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Trouble(s) anxieux: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item59458865' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59458865' and answer.exists(value.ofType(boolean)=true)) %}Trouble obsessionnel-compulsif{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item22412314' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item22412314' and answer.exists(value.ofType(boolean)=true)) %}Trouble de stress post-traumatique{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section97282068').exists() %}Schizophrénie / psychose: {% for currentItem in currentItem.item.where(linkId = 'section97282068') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item35793003' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35793003' and answer.exists(value.ofType(boolean)=true)) %}Pensées délirantes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98169383' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98169383' and answer.exists(value.ofType(boolean)=true)) %}Hallucinations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3675958' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3675958' and answer.exists(value.ofType(boolean)=true)) %}Pensées / comportements désorganisés{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77860442' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77860442' and answer.exists(value.ofType(boolean)=true)) %}Déclin fonctionnel{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68888897' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68888897' and answer.exists(value.ofType(boolean)=true)) %}Apathie{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54310787' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54310787' and answer.exists(value.ofType(boolean)=true)) %}Perte de motivation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item72250062' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72250062' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}{{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}, {% else %}, {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item48664374' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48664374' and answer.exists(value.ofType(boolean)=true)) %}Toxicomanie / dépendance{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section18023648').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section18023648') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item43893506' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item43893506' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Trouble de la personnalité: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item28514649' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item28514649' and answer.exists(value.ofType(boolean)=true)) %}Trouble alimentaire{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section19342376').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section19342376') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item68951342' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68951342' and answer.exists()) %}{% if currentItem.answer.exists() %}Votre patient est-il prêt à recevoir de l’aide pour son trouble alimentaire: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section51669044').exists() %}Symptômes: {% for currentItem in currentItem.item.where(linkId = 'section51669044') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section71725034').exists() %}Restriction alimentaire ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section71725034') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94042306' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94042306' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19565954' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19565954' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section41984059').exists() %}Frénésie alimentaire / hyperphagie ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section41984059') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item89638911' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89638911' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item52049471' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item52049471' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section1548573').exists() %}Vomissements ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section1548573') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item9112540' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9112540' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item72352704' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72352704' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section67917308').exists() %}Laxatifs ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section67917308') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item30125933' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item30125933' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item87235538' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87235538' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section60725777').exists() %}Diurétiques ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section60725777') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94382781' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94382781' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10709888' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10709888' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section35404355').exists() %}Ipéca / pilules amaigrissantes ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section35404355') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item32920931' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32920931' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92829072' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92829072' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section26047194').exists() %}Documents justificatifs
{% for currentItem in currentItem.item.where(linkId = 'section26047194') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item96265798' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item96265798' and answer.exists()) %}{% if currentItem.answer.exists() %}Résultats des examens de laboratoire (potassium, hémoglobine, électrocardiogramme): {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84364384' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84364384' and answer.exists(value.ofType(boolean)=true)) %}Résultats ci-joints (potassium, hémoglobine, électrocardiogramme){% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10093168' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10093168' and answer.exists(value.ofType(boolean)=true)) %}Trouble neurodéveloppemental{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89336505' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89336505' and answer.exists(value.ofType(boolean)=true)) %}Trouble déficitaire de l’attention avec hyperactivité{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80287888' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80287888' and answer.exists(value.ofType(boolean)=true)) %}Trouble / problèmes de comportement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item13730026' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item13730026' and answer.exists(value.ofType(boolean)=true)) %}Difficulté à gérer les facteurs de stress de la vie{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80474498' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80474498' and answer.exists(value.ofType(boolean)=true)) %}Trouble du sommeil{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section654059').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section654059') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item97447269' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97447269' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section39875921').exists() %}Renseignements sur les parents / tuteurs
{% for currentItem in currentItem.item.where(linkId = 'section39875921') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section49780474').exists() %}Parent / tuteur 1:
{% for currentItem in currentItem.item.where(linkId = 'section49780474') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item12021825' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12021825' and answer.exists()) %}{% if currentItem.answer.exists() %}Nom: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item28080466' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item28080466' and answer.exists()) %}{% if currentItem.answer.exists() %}Relation avec le patient: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item87046010' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87046010' and answer.exists()) %}{% if currentItem.answer.exists() %}Adresse: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item25729500' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25729500' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de tél.: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section41688168').exists() %}Parent / tuteur 2:
{% for currentItem in currentItem.item.where(linkId = 'section41688168') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item92193935' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92193935' and answer.exists()) %}{% if currentItem.answer.exists() %}Nom: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24852225' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24852225' and answer.exists()) %}{% if currentItem.answer.exists() %}Relation avec le patient: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item90386906' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90386906' and answer.exists()) %}{% if currentItem.answer.exists() %}Address: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item1853238' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item1853238' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de tél.: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39570112' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39570112' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Parent 1' %}Parent 1{% endif %}{% if answer.value.code = 'Parent 2' %}Parent 2{% endif %}{% if answer.value.code = 'Garde conjointe' %}Garde conjointe{% endif %}{% if answer.value.code = 'Autre' %}Autre{% endif %}{% endfor %}{% endcapture %}Who has custody: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68700431' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68700431' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}{{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item57168635' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57168635' and answer.exists()) %}{% if currentItem.answer.exists() %}Cas géré par la Société d’aide à l’enfance: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item53094760' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item53094760' and answer.exists()) %}{% if currentItem.answer.exists() %}Contact: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section81851903').exists() %}Coordonnées pour fixer un rendez-vous
{% for currentItem in currentItem.item.where(linkId = 'section81851903') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item16355724' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item16355724' and answer.exists()) %}{% if currentItem.answer.exists() %}Nom: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item26875064' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26875064' and answer.exists()) %}{% if currentItem.answer.exists() %}Numéro de téléphone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section30474379').exists() %}Autres détails pertinents
{% for currentItem in currentItem.item.where(linkId = 'section30474379') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item45619268' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45619268' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Détails des raisons de l’aiguillage: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item79029357' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item79029357' and answer.exists()) %}{% if currentItem.answer.exists() %}Antécédents: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section44169758').exists() %}Détails de la demande Adultes {% for currentItem in currentItem.item.where(linkId = 'section44169758') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section74309636').exists() %}Raisons de l’aiguillage {% for currentItem in currentItem.item.where(linkId = 'section74309636') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item75512976' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item75512976' and answer.exists(value.ofType(boolean)=true)) %}Diagnostic / clarification de diagnostic{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item7665406' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7665406' and answer.exists(value.ofType(boolean)=true)) %}Recommandations de médicaments / revue des médicaments{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item28409703' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item28409703' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de santé mentale / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item6660334' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item6660334' and answer.exists(value.ofType(boolean)=true)) %}Traitement pour un problème de toxicomanie / recommandations de traitement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93970593' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93970593' and answer.exists(value.ofType(boolean)=true)) %}Gestion du sevrage / stabilisation avec un traitement par agoniste des opiacés{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section93522950').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section93522950') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item52682575' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item52682575' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section68930005').exists() %}Diagnostic / problème présenté {% for currentItem in currentItem.item.where(linkId = 'section68930005') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item80118709' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80118709' and answer.exists(value.ofType(boolean)=true)) %}Dépression{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84138704' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84138704' and answer.exists(value.ofType(boolean)=true)) %}Trouble bipolaire{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section24771134').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section24771134') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item62480832' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62480832' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Trouble(s) anxieux: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item50658526' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50658526' and answer.exists(value.ofType(boolean)=true)) %}Trouble obsessionnel-compulsif{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item27761130' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27761130' and answer.exists(value.ofType(boolean)=true)) %}Trouble de stress post-traumatique{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section42110192').exists() %}Schizophrénie / psychose: {% for currentItem in currentItem.item.where(linkId = 'section42110192') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item3006542' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3006542' and answer.exists(value.ofType(boolean)=true)) %}Pensées délirantes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77871641' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77871641' and answer.exists(value.ofType(boolean)=true)) %}Hallucinations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84505679' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84505679' and answer.exists(value.ofType(boolean)=true)) %}Pensées / comportements désorganisés{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item627555' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item627555' and answer.exists(value.ofType(boolean)=true)) %}Déclin fonctionnel{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item27211257' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27211257' and answer.exists(value.ofType(boolean)=true)) %}Apathie{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item37290313' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item37290313' and answer.exists(value.ofType(boolean)=true)) %}Perte de motivation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item31986211' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item31986211' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}, {% else %}, {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item71728972' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71728972' and answer.exists(value.ofType(boolean)=true)) %}Toxicomanie / dépendance{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section64556902').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section64556902') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item64762825' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64762825' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Trouble de la personnalité: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item99992061' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item99992061' and answer.exists(value.ofType(boolean)=true)) %}Trouble alimentaire{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section88334295').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section88334295') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item20123230' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20123230' and answer.exists()) %}{% if currentItem.answer.exists() %}Votre patient est-il prêt à recevoir de l’aide pour son trouble alimentaire: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section91852048').exists() %}Symptômes: {% for currentItem in currentItem.item.where(linkId = 'section91852048') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section55770179').exists() %}Restriction alimentaire ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section55770179') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item87799750' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87799750' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66113446' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66113446' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section51255713').exists() %}Frénésie alimentaire / hyperphagie ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section51255713') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item64698719' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64698719' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item34926111' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item34926111' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section72829055').exists() %}Vomissements ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section72829055') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item33365833' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33365833' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39335449' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39335449' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section12225867').exists() %}Laxatifs ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section12225867') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item7330151' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7330151' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19916884' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19916884' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section86887923').exists() %}Diurétiques ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section86887923') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item43117195' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item43117195' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69932235' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69932235' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section8936068').exists() %}Ipéca / pilules amaigrissantes ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section8936068') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item61063463' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61063463' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par jour: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item17414590' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item17414590' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence par semaine: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section17551649').exists() %}Documents justificatifs
{% for currentItem in currentItem.item.where(linkId = 'section17551649') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item19786921' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19786921' and answer.exists()) %}{% if currentItem.answer.exists() %}Résultats des examens de laboratoire (potassium, hémoglobine, électrocardiogramme): {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item95170223' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item95170223' and answer.exists(value.ofType(boolean)=true)) %}Résultats ci-joints (potassium, hémoglobine, électrocardiogramme){% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item2356348' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item2356348' and answer.exists(value.ofType(boolean)=true)) %}Démence{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item47953947' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47953947' and answer.exists(value.ofType(boolean)=true)) %}Trouble neurodéveloppemental{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item43437113' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item43437113' and answer.exists(value.ofType(boolean)=true)) %}Trouble déficitaire de l’attention avec hyperactivité{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19133749' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19133749' and answer.exists(value.ofType(boolean)=true)) %}Trouble / problèmes de comportement{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46418991' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46418991' and answer.exists(value.ofType(boolean)=true)) %}Difficulté à gérer les facteurs de stress de la vie{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item86471184' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item86471184' and answer.exists(value.ofType(boolean)=true)) %}Trouble du sommeil{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section30991256').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section30991256') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item90158318' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90158318' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section33533705').exists() %}Autres détails pertinents
{% for currentItem in currentItem.item.where(linkId = 'section33533705') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item89857237' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89857237' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Détails des raisons de l’aiguillage: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98249284' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98249284' and answer.exists()) %}{% if currentItem.answer.exists() %}Antécédents: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section55467446').exists() %}Toxicomanie / dépendance
{% for currentItem in currentItem.item.where(linkId = 'section55467446') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item15213756' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item15213756' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient consomme-t-il de l’alcool ou des drogues une fois par semaine ou plus souvent: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section31036662').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section31036662') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item99112655' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item99112655' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient passe-t-il beaucoup de temps à se procurer, à consommer ou à se remettre des effets de l’alcool ou des drogues: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item70587319' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item70587319' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient continue-t-il de consommer de l’alcool ou des drogues, même si cela lui cause des problèmes: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item97592021' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97592021' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient éprouve-t-il des problèmes de sevrage ou consomme-t-il d’autres substances pour en gérer les effets: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item62861577' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62861577' and answer.exists()) %}{% if currentItem.answer.exists() %}Le patient est-il intéressé à recevoir une aide pour son problème de toxicomanie/dépendance: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section41095308').exists() %}Substance(s) {% for currentItem in currentItem.item.where(linkId = 'section41095308') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item59783904' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59783904' and answer.exists(value.ofType(boolean)=true)) %}Alcool{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section37582687').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section37582687') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item18207012' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18207012' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66923904' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66923904' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item31581567' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item31581567' and answer.exists(value.ofType(boolean)=true)) %}Amphétamines / autres stimulants{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section86149707').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section86149707') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item41923594' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41923594' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item4506979' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4506979' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item64895139' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64895139' and answer.exists(value.ofType(boolean)=true)) %}Barbituriques{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section26270926').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section26270926') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item30444070' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item30444070' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item87777257' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87777257' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item27329146' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27329146' and answer.exists(value.ofType(boolean)=true)) %}Benzodiazépines{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section44869588').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section44869588') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item98921464' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98921464' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item94878573' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94878573' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69266901' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69266901' and answer.exists(value.ofType(boolean)=true)) %}Cannabis{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section45442584').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section45442584') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item42613443' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item42613443' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item36534623' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item36534623' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54944000' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54944000' and answer.exists(value.ofType(boolean)=true)) %}Cocaïne / crack{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section70704239').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section70704239') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item68149312' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68149312' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39860160' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39860160' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item11246286' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item11246286' and answer.exists(value.ofType(boolean)=true)) %}Ecstasy / MDMA{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section31173566').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section31173566') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item59301481' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59301481' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item4411100' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4411100' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item13659713' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item13659713' and answer.exists(value.ofType(boolean)=true)) %}Colle / inhalants{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section58084914').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section58084914') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item64375724' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64375724' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89770041' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89770041' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93357619' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93357619' and answer.exists(value.ofType(boolean)=true)) %}Hallucinogènes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section51030762').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section51030762') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item32256201' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32256201' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item81453479' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item81453479' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item31412993' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item31412993' and answer.exists(value.ofType(boolean)=true)) %}Héroïne / opium{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section46170223').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section46170223') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item21304239' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item21304239' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item61886107' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61886107' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9981176' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9981176' and answer.exists(value.ofType(boolean)=true)) %}Méthamphétamines (p. ex.: en cristaux){% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section28618465').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section28618465') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item10766224' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10766224' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33611918' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33611918' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77781362' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77781362' and answer.exists(value.ofType(boolean)=true)) %}Autres substances psychoactives{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section58276332').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section58276332') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item54342245' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54342245' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item76088976' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76088976' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12551278' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12551278' and answer.exists(value.ofType(boolean)=true)) %}Médicaments en vente libre{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section53828476').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section53828476') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item90127806' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90127806' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item94560130' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94560130' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item97087037' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97087037' and answer.exists(value.ofType(boolean)=true)) %}Codéine{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section36627059').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section36627059') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item98745804' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98745804' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item83681744' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item83681744' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item70965381' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item70965381' and answer.exists(value.ofType(boolean)=true)) %}Opiacés d’ordonnance{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section16760639').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section16760639') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item20229253' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20229253' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66782972' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66782972' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12746617' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12746617' and answer.exists(value.ofType(boolean)=true)) %}Stéroïdes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section90020901').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section90020901') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item24302256' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24302256' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35462422' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35462422' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section44070320').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section44070320') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item50789363' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50789363' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Autre: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46581955' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46581955' and answer.exists()) %}{% if currentItem.answer.exists() %}Quantité consommée: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item34170004' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item34170004' and answer.exists()) %}{% if currentItem.answer.exists() %}Fréquence: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section35428278').exists() %}Risques
{% for currentItem in currentItem.item.where(linkId = 'section35428278') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item1131572' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item1131572' and answer.exists()) %}{% if currentItem.answer.exists() %}Visites à l’urgence / hospitalisations pertinentes: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item57097806' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57097806' and answer.exists()) %}{% if currentItem.answer.exists() %}Idées suicidaires / tentatives de suicide: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item85423664' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item85423664' and answer.exists()) %}{% if currentItem.answer.exists() %}Automutilation: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item90244509' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90244509' and answer.exists()) %}{% if currentItem.answer.exists() %}Idées / menaces d’homicide: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item25263968' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25263968' and answer.exists()) %}{% if currentItem.answer.exists() %}Comportement violent: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9851311' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9851311' and answer.exists()) %}{% if currentItem.answer.exists() %}Problèmes judiciaires: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item67727582' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67727582' and answer.exists()) %}{% if currentItem.answer.exists() %}Victime de violence: {% for answer in currentItem.answer %}{% if answer.value.code = 'Non' %}Non{% endif %}{% if answer.value.code = 'Oui' %}Oui{% endif %}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section46900844').exists() %}Traitements / soutiens actuels en santé mentale ou toxicomanie / dépendance
{% for currentItem in currentItem.item.where(linkId = 'section46900844') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item46740689' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46740689' and answer.exists(value.ofType(boolean)=true)) %}Psychiatre{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80275365' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80275365' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41124283' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41124283' and answer.exists(value.ofType(boolean)=true)) %}Psychologue{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33017003' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33017003' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item892559' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item892559' and answer.exists(value.ofType(boolean)=true)) %}Travailleur social / gestionnaire de cas{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item83851630' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item83851630' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item58118764' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item58118764' and answer.exists(value.ofType(boolean)=true)) %}Autres organismes / programmes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92728945' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92728945' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section25707508').exists() %}Traitements / soutiens précédents en santé mentale ou toxicomanie / dépendance
{% for currentItem in currentItem.item.where(linkId = 'section25707508') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item77373658' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77373658' and answer.exists(value.ofType(boolean)=true)) %}Psychiatre{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item51237322' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item51237322' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item26506079' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26506079' and answer.exists(value.ofType(boolean)=true)) %}Psychologue{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3956018' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3956018' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item67092060' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67092060' and answer.exists(value.ofType(boolean)=true)) %}Travailleur social / gestionnaire de cas{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item783738' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item783738' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33359111' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33359111' and answer.exists(value.ofType(boolean)=true)) %}Autres organismes / programmes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item43109241' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item43109241' and answer.exists()) %}{% if currentItem.answer.exists() %}Détails: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section82740575').exists() %}Alertes
{% for currentItem in currentItem.item.where(linkId = 'section82740575') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item69369569' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69369569' and answer.exists(value.ofType(boolean)=true)) %}Enceinte / période post-partum{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section40067287').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section40067287') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item82360849' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item82360849' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Allergies: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section23519481').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section23519481') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item69837220' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69837220' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Autre(s) alerte(s): {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section80630026').exists() %}Profil cumulatif du patient
{% for currentItem in currentItem.item.where(linkId = 'section80630026') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section82537102').exists() %}Problèmes actuels:
{% for currentItem in currentItem.item.where(linkId = 'section82537102') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item16201253' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item16201253' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section45363302').exists() %}Antécédents médicaux:
{% for currentItem in currentItem.item.where(linkId = 'section45363302') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item25739934' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25739934' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section94430790').exists() %}Liste des médicaments actuels:
{% for currentItem in currentItem.item.where(linkId = 'section94430790') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item51211229' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item51211229' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section16934864').exists() %}Supporting Documentation Attached {% for currentItem in currentItem.item.where(linkId = 'section16934864') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item65123098' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65123098' and answer.exists(value.ofType(boolean)=true)) %}Profil cumulatif du patient{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item65033221' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65033221' and answer.exists(value.ofType(boolean)=true)) %}Liste des médicaments actuels{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9309258' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9309258' and answer.exists(value.ofType(boolean)=true)) %}Résultats des examens de laboratoire pertinents{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section20479968').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section20479968') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section24117073').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section24117073') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section80579193').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section80579193') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section82774710').exists() %}If your patient is in crisis and requires immediate help:
{% for currentItem in currentItem.item.where(linkId = 'section82774710') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section7327232').exists() %}Consent {% for currentItem in currentItem.item.where(linkId = 'section7327232') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'consent1' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'consent1' and answer.exists()) %}{% if currentItem.answer.exists() %}Is patient aware of and in agreement with this referral: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section8127287').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section8127287') %}{% capture childItems %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section93356971').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section93356971') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'consent2' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'consent2' and answer.exists()) %}{% if currentItem.answer.exists() %}Is patient capable to consent to treatment: {% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}N{% endif %}{% if answer.value.code = 'Y' %}Y{% endif %}{% if answer.value.code = 'Unknown' %}Unknown{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section23411132').exists() %}Substitute Decision Maker/Power of Attorney/Public Guardian & Trustee
{% for currentItem in currentItem.item.where(linkId = 'section23411132') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item46990902' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46990902' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item25445618' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25445618' and answer.exists()) %}{% if currentItem.answer.exists() %}Telephone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section67083359').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section67083359') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section19247319').exists() %}Patient Information {% for currentItem in currentItem.item.where(linkId = 'section19247319') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'lang' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'lang' and answer.exists()) %}{% if currentItem.answer.exists() %}Main spoken language: {% for answer in currentItem.answer %}{% if answer.value.code = 'English' %}English{% endif %}{% if answer.value.code = 'French' %}French{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69641905' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69641905' and answer.exists()) %}{% if currentItem.answer.exists() %}Please specify: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'francophone' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'francophone' and answer.exists()) %}{% if currentItem.answer.exists() %}Francophone: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='lang').answer.exists(value = 'French') %}
{% if %resource.repeat(item).where(linkId='lang').answer.exists(value = 'French') %}Francophone: Yes{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item97277940' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97277940' and answer.exists()) %}{% if currentItem.answer.exists() %}French language services required: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='francophone').answer.exists(value = 'Y') %}
{% if %resource.repeat(item).where(linkId='francophone').answer.exists(value = 'Y') %}French language services required: No{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'interpreterServices' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'interpreterServices' and answer.exists()) %}{% if currentItem.answer.exists() %}Interpreter required: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item8684758' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item8684758' and answer.exists()) %}{% if currentItem.answer.exists() %}Preferred phone number: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89989692' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89989692' and answer.exists()) %}{% if currentItem.answer.exists() %}Does patient consent to being contacted via email: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item90635821' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90635821' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Email Address: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'ptLivingSituation' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'ptLivingSituation' and answer.exists()) %}{% if currentItem.answer.exists() %}Living Situation: {% for answer in currentItem.answer %}{% if answer.value.code = 'Alone' %}Alone{% endif %}{% if answer.value.code = 'With Family/Spouse' %}With Family/Spouse{% endif %}{% if answer.value.code = 'Supportive Housing' %}Supportive Housing{% endif %}{% if answer.value.code = 'Foster Home' %}Foster Home{% endif %}{% if answer.value.code = 'Residence' %}Residence{% endif %}{% if answer.value.code = 'No Fixed Address' %}No Fixed Address{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'ptLivingSituationOther' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'ptLivingSituationOther' and answer.exists()) %}{% if currentItem.answer.exists() %}Specify Other: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92766213' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92766213' and answer.exists()) %}{% if currentItem.answer.exists() %}Does patient have access to technology for virtual care: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'NotSure' %}Not sure{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item60373042' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item60373042' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Additional details/information: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item47156976' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47156976' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Male' %}Male{% endif %}{% if answer.value.code = 'Female' %}Female{% endif %}{% if answer.value.code = 'Gender queer' %}Gender queer{% endif %}{% if answer.value.code = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'Nonbinary' %}Nonbinary{% endif %}{% if answer.value.code = 'Questioning' %}Questioning{% endif %}{% if answer.value.code = 'Transsexual' %}Transsexual{% endif %}{% if answer.value.code = 'Two spirit' %}Two spirit{% endif %}{% if answer.value.code = 'Unknown' %}Unknown{% endif %}{% if answer.value.code = 'Declined to say' %}Declined to say{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endcapture %}Gender: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item95522413' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item95522413' and answer.exists()) %}{% if currentItem.answer.exists() %}Specify: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46201687' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46201687' and answer.exists()) %}{% if currentItem.answer.exists() %}Preferred pharmacy: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item87562344' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87562344' and answer.exists()) %}{% if currentItem.answer.exists() %}Will you continue to provide care for this patient once discharged from the program they have been matched to: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section26493963').exists() %}Geriatric Service(s) Requested {% for currentItem in currentItem.item.where(linkId = 'section26493963') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section74007085').exists() %}Reason for Referral {% for currentItem in currentItem.item.where(linkId = 'section74007085') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'r4r1' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'r4r1' and answer.exists(value.ofType(boolean)=true)) %}Diagnosis / Diagnostic clarification{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'r4r2' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'r4r2' and answer.exists(value.ofType(boolean)=true)) %}Substance use withdrawal management / Stabilization on Opioid Agonist Therapy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'r4r3' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'r4r3' and answer.exists(value.ofType(boolean)=true)) %}Substance use treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item44376849' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44376849' and answer.exists(value.ofType(boolean)=true)) %}Medication recommendations / review{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35681571' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35681571' and answer.exists(value.ofType(boolean)=true)) %}Mental health treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item32743465' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32743465' and answer.exists(value.ofType(boolean)=true)) %}Responsive Behaviour Management{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'r4rOther' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'r4rOther' and answer.exists(value.ofType(boolean)=true)) %}Other{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section22948054').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section22948054') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'r4rOtherSpecified' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'r4rOtherSpecified' and answer.exists()) %}{% if currentItem.answer.exists() %}Please specify: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section35972024').exists() %}Contact to Book Appointment
{% for currentItem in currentItem.item.where(linkId = 'section35972024') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item73344060' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item73344060' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49952973' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49952973' and answer.exists()) %}{% if currentItem.answer.exists() %}Phone number: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section97884944').exists() %}Additional Relevant Details
{% for currentItem in currentItem.item.where(linkId = 'section97884944') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item29068319' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29068319' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Details on reason for referral: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item56782650' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item56782650' and answer.exists()) %}{% if currentItem.answer.exists() %}History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section69847124').exists() %}Child / Youth Service(s) Requested {% for currentItem in currentItem.item.where(linkId = 'section69847124') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section99492249').exists() %}Reason for Referral {% for currentItem in currentItem.item.where(linkId = 'section99492249') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item76744208' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76744208' and answer.exists(value.ofType(boolean)=true)) %}Diagnosis / Diagnostic clarification{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item7916443' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7916443' and answer.exists(value.ofType(boolean)=true)) %}Substance use withdrawal management / Stabilization on Opioid Agonist Therapy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item64392358' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64392358' and answer.exists(value.ofType(boolean)=true)) %}Substance use treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item14275892' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item14275892' and answer.exists(value.ofType(boolean)=true)) %}Medication recommendations / review{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84616916' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84616916' and answer.exists(value.ofType(boolean)=true)) %}Mental health treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3104556' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3104556' and answer.exists(value.ofType(boolean)=true)) %}Self-harming behaviours{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item53574417' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item53574417' and answer.exists(value.ofType(boolean)=true)) %}Aggression and violence towards others{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item45753134' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45753134' and answer.exists(value.ofType(boolean)=true)) %}Experiencing violence{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54312281' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54312281' and answer.exists(value.ofType(boolean)=true)) %}Suicidal ideation or attempts{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item71572236' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71572236' and answer.exists(value.ofType(boolean)=true)) %}Family conflict including child / parent relationship difficulties{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93941389' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93941389' and answer.exists(value.ofType(boolean)=true)) %}Self-esteem issues{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24861720' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24861720' and answer.exists(value.ofType(boolean)=true)) %}School related issues{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46190781' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46190781' and answer.exists(value.ofType(boolean)=true)) %}Gender identity / sexual orientation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49247275' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49247275' and answer.exists(value.ofType(boolean)=true)) %}Difficulties regulating emotions{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10332520' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10332520' and answer.exists(value.ofType(boolean)=true)) %}Trauma{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section35671588').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section35671588') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item58778456' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item58778456' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Other: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section6468568').exists() %}Working Diagnosis/Presenting Problem {% for currentItem in currentItem.item.where(linkId = 'section6468568') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94424455' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94424455' and answer.exists(value.ofType(boolean)=true)) %}Depression{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item60166022' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item60166022' and answer.exists(value.ofType(boolean)=true)) %}Bipolar disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section24987206').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section24987206') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item87953533' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87953533' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Anxiety Disorder(s): {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item7871097' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7871097' and answer.exists(value.ofType(boolean)=true)) %}Obsessive compulsive disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35653741' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35653741' and answer.exists(value.ofType(boolean)=true)) %}Post-traumatic stress disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section82717742').exists() %}Schizophrenia/Psychosis: {% for currentItem in currentItem.item.where(linkId = 'section82717742') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item33609770' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33609770' and answer.exists(value.ofType(boolean)=true)) %}Delusions{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item42139539' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item42139539' and answer.exists(value.ofType(boolean)=true)) %}Hallucinations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item20895854' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20895854' and answer.exists(value.ofType(boolean)=true)) %}Disorganization of thinking and behaviour{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item81534007' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item81534007' and answer.exists(value.ofType(boolean)=true)) %}Functional decline{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item20680763' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20680763' and answer.exists(value.ofType(boolean)=true)) %}Apathy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item64680671' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64680671' and answer.exists(value.ofType(boolean)=true)) %}Decreased motivation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item57525098' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57525098' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}{{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}, {% else %}, {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item65652334' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65652334' and answer.exists(value.ofType(boolean)=true)) %}Substance use and addiction{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section76044159').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section76044159') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item15023581' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item15023581' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Personality Disorder: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12081173' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12081173' and answer.exists(value.ofType(boolean)=true)) %}Eating disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section28118605').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section28118605') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item63786721' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item63786721' and answer.exists()) %}{% if currentItem.answer.exists() %}Is your patient willing to get help for their eating disorder: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section43189380').exists() %}Eating Disorder Symptoms: {% for currentItem in currentItem.item.where(linkId = 'section43189380') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section86876890').exists() %}Food Restriction ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section86876890') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item51125262' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item51125262' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item59981602' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59981602' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section66417605').exists() %}Binge Eating ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section66417605') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item27950801' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27950801' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item87675656' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87675656' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section22301000').exists() %}Vomiting ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section22301000') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item24147970' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24147970' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35568361' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35568361' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section61364453').exists() %}Laxatives ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section61364453') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item26935054' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26935054' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item60714459' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item60714459' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section63385369').exists() %}Diuretics ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section63385369') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item50599805' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50599805' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54566189' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54566189' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section41065967').exists() %}Ipecac Diet Pills ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section41065967') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item54590026' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54590026' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92592944' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92592944' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section37298905').exists() %}Eating Disorder Supporting Documentation: {% for currentItem in currentItem.item.where(linkId = 'section37298905') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item70500531' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item70500531' and answer.exists()) %}{% if currentItem.answer.exists() %}Lab results (potassium, hemoglobin, EKG): {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3081140' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3081140' and answer.exists(value.ofType(boolean)=true)) %}Labs (potassium, hemoglobin, EKG) attached{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80944161' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80944161' and answer.exists(value.ofType(boolean)=true)) %}Neurodevelopmental disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item38161937' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item38161937' and answer.exists(value.ofType(boolean)=true)) %}Attention deficit hyperactivity disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24951129' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24951129' and answer.exists(value.ofType(boolean)=true)) %}Behavioural issues / disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39395736' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39395736' and answer.exists(value.ofType(boolean)=true)) %}Difficulty coping with life stressors{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93828343' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93828343' and answer.exists(value.ofType(boolean)=true)) %}Sleep disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section84197402').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section84197402') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item60502787' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item60502787' and answer.exists()) %}{% if currentItem.answer.exists() %}Other: {{answer}} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section18972728').exists() %}Parent / Guardian Information
{% for currentItem in currentItem.item.where(linkId = 'section18972728') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section83259951').exists() %}Parent / Guardian #1:
{% for currentItem in currentItem.item.where(linkId = 'section83259951') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item44699531' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44699531' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item48287495' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48287495' and answer.exists()) %}{% if currentItem.answer.exists() %}Relationship to patient: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9171159' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9171159' and answer.exists()) %}{% if currentItem.answer.exists() %}Address: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9354350' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9354350' and answer.exists()) %}{% if currentItem.answer.exists() %}Telephone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section84918692').exists() %}Parent / Guardian #2:
{% for currentItem in currentItem.item.where(linkId = 'section84918692') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94806245' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94806245' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item11114743' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item11114743' and answer.exists()) %}{% if currentItem.answer.exists() %}Relationship to patient: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49771817' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49771817' and answer.exists()) %}{% if currentItem.answer.exists() %}Address: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item14995305' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item14995305' and answer.exists()) %}{% if currentItem.answer.exists() %}Telephone: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10648746' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10648746' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Parent #1' %}Parent #1{% endif %}{% if answer.value.code = 'Parent #2' %}Parent #2{% endif %}{% if answer.value.code = 'Joint' %}Joint{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endcapture %}Who has custody: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3076250' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3076250' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}{{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item40784438' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item40784438' and answer.exists()) %}{% if currentItem.answer.exists() %}CAS involvement: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46660985' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46660985' and answer.exists()) %}{% if currentItem.answer.exists() %}Contact information: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section21872532').exists() %}Contact to Book Appointment
{% for currentItem in currentItem.item.where(linkId = 'section21872532') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item32202077' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32202077' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item70278476' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item70278476' and answer.exists()) %}{% if currentItem.answer.exists() %}Phone number: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section66346248').exists() %}Additional Relevant Details
{% for currentItem in currentItem.item.where(linkId = 'section66346248') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item77636870' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77636870' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Details on reason for referral: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item96302958' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item96302958' and answer.exists()) %}{% if currentItem.answer.exists() %}History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section6772368').exists() %}Adult Service(s) Requested {% for currentItem in currentItem.item.where(linkId = 'section6772368') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section82421758').exists() %}Reason for Referral {% for currentItem in currentItem.item.where(linkId = 'section82421758') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item54060805' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54060805' and answer.exists(value.ofType(boolean)=true)) %}Diagnosis / Diagnostic clarification{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item83689316' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item83689316' and answer.exists(value.ofType(boolean)=true)) %}Medication recommendations / review{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46224624' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46224624' and answer.exists(value.ofType(boolean)=true)) %}Mental health treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12841092' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12841092' and answer.exists(value.ofType(boolean)=true)) %}Substance use treatment / treatment recommendations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item37517159' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item37517159' and answer.exists(value.ofType(boolean)=true)) %}Substance use withdrawal management / Stabilization on Opioid Agonist Therapy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section66931410').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section66931410') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item64681868' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item64681868' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Other: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section79937927').exists() %}Working Diagnosis/Presenting Problem {% for currentItem in currentItem.item.where(linkId = 'section79937927') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item15643336' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item15643336' and answer.exists(value.ofType(boolean)=true)) %}Depression{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item30343743' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item30343743' and answer.exists(value.ofType(boolean)=true)) %}Bipolar disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section63384506').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section63384506') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item76992896' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76992896' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Anxiety Disorder(s): {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93984015' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93984015' and answer.exists(value.ofType(boolean)=true)) %}Obsessive compulsive disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item27659494' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27659494' and answer.exists(value.ofType(boolean)=true)) %}Post-traumatic stress disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section64603508').exists() %}Schizophrenia/Psychosis: {% for currentItem in currentItem.item.where(linkId = 'section64603508') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item36522846' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item36522846' and answer.exists(value.ofType(boolean)=true)) %}Delusions{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item74768430' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item74768430' and answer.exists(value.ofType(boolean)=true)) %}Hallucinations{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24838065' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24838065' and answer.exists(value.ofType(boolean)=true)) %}Disorganization of thinking and behaviour{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39531524' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39531524' and answer.exists(value.ofType(boolean)=true)) %}Functional decline{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item32356945' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item32356945' and answer.exists(value.ofType(boolean)=true)) %}Apathy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84949422' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84949422' and answer.exists(value.ofType(boolean)=true)) %}Decreased motivation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93130751' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93130751' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}{{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}, {% else %}, {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69836295' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69836295' and answer.exists(value.ofType(boolean)=true)) %}Substance use and addiction{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section21470922').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section21470922') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item78056373' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item78056373' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Personality Disorder: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49957366' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49957366' and answer.exists(value.ofType(boolean)=true)) %}Eating disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section49945054').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section49945054') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item14172544' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item14172544' and answer.exists()) %}{% if currentItem.answer.exists() %}Is your patient willing to get help for their eating disorder: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section48634770').exists() %}Eating Disorder Symptoms: {% for currentItem in currentItem.item.where(linkId = 'section48634770') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section25775304').exists() %}Food Restriction ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section25775304') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item61635110' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61635110' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98651256' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98651256' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section95278861').exists() %}Binge Eating ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section95278861') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item57159239' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57159239' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41565133' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41565133' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section99603636').exists() %}Vomiting ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section99603636') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item84040836' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84040836' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item55269309' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55269309' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section38063481').exists() %}Laxatives ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section38063481') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item8579740' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item8579740' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item18591742' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18591742' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section46355324').exists() %}Diuretics ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section46355324') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item57163107' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57163107' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item13755415' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item13755415' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section28796065').exists() %}Ipecac Diet Pills ({{answer}}) {% for currentItem in currentItem.item.where(linkId = 'section28796065') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item35385735' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35385735' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68045590' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68045590' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency per week: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section76234248').exists() %}Eating Disorder Supporting Documentation: {% for currentItem in currentItem.item.where(linkId = 'section76234248') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item58458531' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item58458531' and answer.exists()) %}{% if currentItem.answer.exists() %}Lab results (potassium, hemoglobin, EKG): {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item73052895' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item73052895' and answer.exists(value.ofType(boolean)=true)) %}Lab results (potassium, hemoglobin, EKG) attached{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item58135328' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item58135328' and answer.exists(value.ofType(boolean)=true)) %}Dementia{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98201917' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98201917' and answer.exists(value.ofType(boolean)=true)) %}Neurodevelopmental disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item52303515' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item52303515' and answer.exists(value.ofType(boolean)=true)) %}Attention deficit hyperactivity disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item48648203' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48648203' and answer.exists(value.ofType(boolean)=true)) %}Behavioural issues / disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66256289' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66256289' and answer.exists(value.ofType(boolean)=true)) %}Difficulty coping with life stressors{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69695776' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69695776' and answer.exists(value.ofType(boolean)=true)) %}Sleep disorders{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section57284993').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section57284993') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item58990948' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item58990948' and answer.exists()) %}{% if currentItem.answer.exists() %}Other: {{answer}} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section8754391').exists() %}Additional Relevant Details
{% for currentItem in currentItem.item.where(linkId = 'section8754391') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item52716823' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item52716823' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Details on reason for referral: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item26666461' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26666461' and answer.exists()) %}{% if currentItem.answer.exists() %}History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'alertsSection').exists() %}Substance Use
{% for currentItem in currentItem.item.where(linkId = 'alertsSection') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item35092606' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35092606' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient uses alcohol or drugs weekly or more often: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section22804305').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section22804305') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item52764779' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item52764779' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient spends a lot of time either getting, using, or recovering from the effects of alcohol/drugs: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item38942058' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item38942058' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient continues to use alcohol or drugs even though it’s causing problems: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item61002259' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61002259' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient experiences withdrawal problems or use substances to stop being sick: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item56765754' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item56765754' and answer.exists()) %}{% if currentItem.answer.exists() %}Is your patient interested in receiving help for their substance use: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section49565195').exists() %}Substance(s) {% for currentItem in currentItem.item.where(linkId = 'section49565195') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94125625' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94125625' and answer.exists(value.ofType(boolean)=true)) %}Alcohol{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section3261989').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section3261989') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item4537802' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4537802' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41146844' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41146844' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77072016' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77072016' and answer.exists(value.ofType(boolean)=true)) %}Amphetamine / other stimulants{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section83457961').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section83457961') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item76908948' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76908948' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41949111' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41949111' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item6432321' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item6432321' and answer.exists(value.ofType(boolean)=true)) %}Barbiturates{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section20477687').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section20477687') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item62314885' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62314885' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item57225242' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57225242' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66274125' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66274125' and answer.exists(value.ofType(boolean)=true)) %}Benzodiazepines{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section75200176').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section75200176') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item26436063' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26436063' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item62292065' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62292065' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item2610466' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item2610466' and answer.exists(value.ofType(boolean)=true)) %}Cannabis{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section62243220').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section62243220') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item39207942' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39207942' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item14210867' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item14210867' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item44896292' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44896292' and answer.exists(value.ofType(boolean)=true)) %}Cocaine / Crack{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section41199031').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section41199031') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item40411559' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item40411559' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54214687' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54214687' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77009770' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77009770' and answer.exists(value.ofType(boolean)=true)) %}Ecstasy / MDMA{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section78036375').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section78036375') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item11614353' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item11614353' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10159180' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10159180' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item47069965' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47069965' and answer.exists(value.ofType(boolean)=true)) %}Glue / Inhalants{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section30474031').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section30474031') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item72751725' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72751725' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item25083610' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25083610' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item59722140' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59722140' and answer.exists(value.ofType(boolean)=true)) %}Hallucinogens{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section39082915').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section39082915') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item16149586' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item16149586' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item81520184' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item81520184' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item96329619' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item96329619' and answer.exists(value.ofType(boolean)=true)) %}Heroin / Opium{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section64087752').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section64087752') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item61958916' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61958916' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item71381338' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71381338' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item61053169' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61053169' and answer.exists(value.ofType(boolean)=true)) %}Methamphetamines (e.g. crystal meth){% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section68093255').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section68093255') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item27857212' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27857212' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77928975' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77928975' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item53114676' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item53114676' and answer.exists(value.ofType(boolean)=true)) %}Other psycho-active substances{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section43016997').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section43016997') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item94432223' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94432223' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19904264' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19904264' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item48559313' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48559313' and answer.exists(value.ofType(boolean)=true)) %}Over-the-counter{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section15915996').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section15915996') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item47492338' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47492338' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89642224' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89642224' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item79621342' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item79621342' and answer.exists(value.ofType(boolean)=true)) %}Codeine{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section64058651').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section64058651') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item82689508' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item82689508' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item39431728' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item39431728' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item55594173' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55594173' and answer.exists(value.ofType(boolean)=true)) %}Prescription opioids{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section46146356').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section46146356') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item65520315' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65520315' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item45732685' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45732685' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item62931644' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62931644' and answer.exists(value.ofType(boolean)=true)) %}Steroids{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section14094081').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section14094081') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item46494006' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46494006' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33747841' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33747841' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section97001254').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section97001254') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item89811835' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89811835' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Other: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item82275320' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item82275320' and answer.exists()) %}{% if currentItem.answer.exists() %}Amount used: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93180189' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93180189' and answer.exists()) %}{% if currentItem.answer.exists() %}Frequency: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskIssueSection').exists() %}Risk Issue(s)
{% for currentItem in currentItem.item.where(linkId = 'riskIssueSection') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'riskHospitalization' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskHospitalization' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Relevant Hospital Visit / Hospitalization:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Relevant Hospital Visit / Hospitalization:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskSuicide' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskSuicide' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Suicide Attempt / Ideation:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Suicide Attempt / Ideation:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskSelfHarm' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskSelfHarm' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Deliberate Self-Harm:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Deliberate Self-Harm:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskHomicidalThreats' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskHomicidalThreats' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Homicidal Threats / Ideation:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Homicidal Threats / Ideation:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskViolence' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskViolence' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Violent Behaviour:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Violent Behaviour:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'riskLegal' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'riskLegal' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Legal Involvement:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Legal Involvement:
{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item20409433' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item20409433' and answer.exists()) %}{% if currentItem.answer.exists() %}{% if currentItem.answer.value.ofType(Coding).code = 'Y' %}Experiencing Violence:{% elsif currentItem.answer.value.ofType(Coding).code = 'N' %}Non Experiencing Violence:
{% endif %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section50848440').exists() %}Current Mental Health / Substance Use Supports / Treatments
{% for currentItem in currentItem.item.where(linkId = 'section50848440') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item18600294' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18600294' and answer.exists(value.ofType(boolean)=true)) %}Psychiatrist{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item25570573' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item25570573' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89288084' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89288084' and answer.exists(value.ofType(boolean)=true)) %}Psychologist{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item76981462' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76981462' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item71298135' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71298135' and answer.exists(value.ofType(boolean)=true)) %}Case Worker{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item21107102' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item21107102' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item26391012' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item26391012' and answer.exists(value.ofType(boolean)=true)) %}Other Agencies / Programs{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84673008' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84673008' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section56633689').exists() %}Past Mental Health / Substance Use Supports / Treatments
{% for currentItem in currentItem.item.where(linkId = 'section56633689') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item80445267' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80445267' and answer.exists(value.ofType(boolean)=true)) %}Psychiatrist{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item40661955' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item40661955' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item11986289' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item11986289' and answer.exists(value.ofType(boolean)=true)) %}Psychologist{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33474757' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33474757' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item76753898' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76753898' and answer.exists(value.ofType(boolean)=true)) %}Case Worker{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item45747256' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45747256' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item56421735' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item56421735' and answer.exists(value.ofType(boolean)=true)) %}Other Agencies / Programs{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item62676779' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62676779' and answer.exists()) %}{% if currentItem.answer.exists() %}Details: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}
$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section60045200').exists() %}Alert(s)
{% for currentItem in currentItem.item.where(linkId = 'section60045200') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item71240775' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71240775' and answer.exists(value.ofType(boolean)=true)) %}Pregnant/Post-partum{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section45860591').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section45860591') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item62106942' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62106942' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Allergies: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section26075565').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section26075565') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'alertOtherDetails' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'alertOtherDetails' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other Alert(s): {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section21033319').exists() %}Patient CPP
{% for currentItem in currentItem.item.where(linkId = 'section21033319') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'i_ncurrent_problems_n').exists() %}Current Problems:
{% for currentItem in currentItem.item.where(linkId = 'i_ncurrent_problems_n') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'prob' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'prob' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'i_npast_medical_histo').exists() %}Past Medical History:
{% for currentItem in currentItem.item.where(linkId = 'i_npast_medical_histo') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'pmhx' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'pmhx' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'i_nmedications_n').exists() %}Medications:
{% for currentItem in currentItem.item.where(linkId = 'i_nmedications_n') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'rx' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'rx' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}
{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section57590463').exists() %}Supporting Documentation Attached {% for currentItem in currentItem.item.where(linkId = 'section57590463') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item87137746' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item87137746' and answer.exists(value.ofType(boolean)=true)) %}Patient CPP{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69598044' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69598044' and answer.exists(value.ofType(boolean)=true)) %}Current medication list{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item626051' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item626051' and answer.exists(value.ofType(boolean)=true)) %}Relevant labs{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}
{% else %}
{% endif %}{% endif %}{% endfor %}