{% capture childItems %}{% if QuestionnaireResponse.item.where(linkId = 'questionnaire').exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'questionnaire') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section47163071').exists() %}Patient Information
{% for currentItem in currentItem.item.where(linkId = 'section47163071') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item29578021' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29578021' and answer.exists()) %}{% if currentItem.answer.exists() %}Height (cm): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item67890802' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67890802' and answer.exists()) %}{% if currentItem.answer.exists() %}Weight (kg): {% 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 = 'section2763158').exists() %}Referral Information
{% for currentItem in currentItem.item.where(linkId = 'section2763158') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item48807357' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item48807357' and answer.exists()) %}{% if currentItem.answer.exists() %}Reason for Referral: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section42000384').exists() %}Pregnancy History
{% for currentItem in currentItem.item.where(linkId = 'section42000384') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item67762889' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67762889' and answer.exists()) %}{% if currentItem.answer.exists() %}Total number of pregnancies: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item91252875' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item91252875' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of vaginal deliveries: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item47328769' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47328769' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of C-sections: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item36834119' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item36834119' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of miscarriages/pregnancy losses/ectopic pregnancies: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item29828101' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29828101' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of abortions/pregnancy terminations: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% 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 = 'section41623208').exists() %}Menstrual History
{% for currentItem in currentItem.item.where(linkId = 'section41623208') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item68062550' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68062550' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35661442' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35661442' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of days between periods: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item34464904' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item34464904' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of days period lasts: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item12983596' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item12983596' and answer.exists()) %}{% if currentItem.answer.exists() %}Are patient's periods painful: {% 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 = 'item93188178' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93188178' and answer.exists()) %}{% if currentItem.answer.exists() %}Are patient's periods heavy: {% 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 = 'item9542494' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9542494' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of pads/tampons used on the heaviest day of period: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% 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 = 'section87236956').exists() %}Gynecologic History
{% for currentItem in currentItem.item.where(linkId = 'section87236956') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section90671878').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section90671878') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item27527635' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item27527635' and answer.exists(value.ofType(boolean)=true)) %}None{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section95740632').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section95740632') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item97846576' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97846576' and answer.exists(value.ofType(boolean)=true)) %}Abnormal pap tests{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item76524094' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76524094' and answer.exists(value.ofType(boolean)=true)) %}Fibroids{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item62031353' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item62031353' and answer.exists(value.ofType(boolean)=true)) %}Endometriosis{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item78555427' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item78555427' and answer.exists(value.ofType(boolean)=true)) %}Ovarian cysts{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item86136829' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item86136829' and answer.exists(value.ofType(boolean)=true)) %}Sexually transmitted infection(s){% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item50977523' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50977523' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Gonorrhea' %}Gonorrhea{% endif %}{% if answer.value.code = 'Chlamydia' %}Chlamydia{% endif %}{% if answer.value.code = 'Herpes' %}Herpes{% endif %}{% if answer.value.code = 'Genital warts' %}Genital warts{% endif %}{% if answer.value.code = 'Syphilis' %}Syphilis{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% 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 %}{% 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 = 'item127317' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item127317' and answer.exists()) %}{% if currentItem.answer.exists() %}Date of last pap test: {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item54300787' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item54300787' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient is sexually active: {% 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 = 'item96682694' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item96682694' and answer.exists()) %}{% if currentItem.answer.exists() %}With: {% for answer in currentItem.answer %}{% if answer.value.code = 'Men' %}Men{% endif %}{% if answer.value.code = 'Women' %}Women{% endif %}{% if answer.value.code = 'Both' %}Both{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item86913170' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item86913170' and answer.exists()) %}{% if currentItem.answer.exists() %}Form of birth control used: {% for answer in currentItem.answer %}{% if answer.value.code = 'Birth Control pill / patch / ring' %}Birth Control pill / patch / ring{% endif %}{% if answer.value.code = 'Condoms' %}Condoms{% endif %}{% if answer.value.code = 'IUD (hormone)' %}IUD (hormone){% endif %}{% if answer.value.code = 'IUD (copper)' %}IUD (copper){% endif %}{% if answer.value.code = 'Pull-out/withdrawal' %}Pull-out/withdrawal{% endif %}{% if answer.value.code = 'Calendar / Natural Family Planning' %}Calendar / Natural Family Planning{% endif %}{% if answer.value.code = 'Partner had vasectomy' %}Partner had vasectomy{% endif %}{% if answer.value.code = 'Permanent tubal sugery' %}Permanent tubal sugery{% endif %}{% if answer.value.code = 'Subdermal implant' %}Subdermal implant{% endif %}{% if answer.value.code = 'None' %}None{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% 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 %}{% 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 = 'section4572141').exists() %}Medical History
{% for currentItem in currentItem.item.where(linkId = 'section4572141') %}{% 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 %}{% if currentItem.item.where(linkId = 'section61677093').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section61677093') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item16667176' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item16667176' and answer.exists(value.ofType(boolean)=true)) %}High blood pressure{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item18948376' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18948376' and answer.exists(value.ofType(boolean)=true)) %}Diabetes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35434575' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35434575' and answer.exists(value.ofType(boolean)=true)) %}Blood clots in lungs/legs{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item69273958' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item69273958' and answer.exists(value.ofType(boolean)=true)) %}Migraine headaches{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item47066864' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item47066864' and answer.exists(value.ofType(boolean)=true)) %}Liver disease/hepatitis{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item75358255' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item75358255' and answer.exists(value.ofType(boolean)=true)) %}Osteoporosis{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41631847' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41631847' and answer.exists(value.ofType(boolean)=true)) %}Infertility{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item18292760' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18292760' and answer.exists(value.ofType(boolean)=true)) %}Cancer{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66877002' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66877002' and answer.exists()) %}{% if currentItem.answer.exists() %}Type(s): {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77134898' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77134898' and answer.exists(value.ofType(boolean)=true)) %}Thyroid problems{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item880791' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item880791' and answer.exists(value.ofType(boolean)=true)) %}Asthma{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item72238932' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72238932' and answer.exists(value.ofType(boolean)=true)) %}Anxiety/ Depression{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item37884318' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item37884318' and answer.exists(value.ofType(boolean)=true)) %}Incontinence (urine/stool){% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41904126' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41904126' and answer.exists(value.ofType(boolean)=true)) %}Constipation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item51470870' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item51470870' and answer.exists(value.ofType(boolean)=true)) %}Frequent bladder infections{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item78475900' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item78475900' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% 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 = '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 %}{% if currentItem.item.where(linkId = 'allergies').exists() %}Allergies
{% for currentItem in currentItem.item.where(linkId = 'allergies') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'allg' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'allg' 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 = 'section68506771').exists() %}Family History
{% for currentItem in currentItem.item.where(linkId = 'section68506771') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'fhx' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'fhx' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section48519309').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section48519309') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item65894204' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65894204' and answer.exists(value.ofType(boolean)=true)) %}High blood pressure{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item82516489' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item82516489' and answer.exists(value.ofType(boolean)=true)) %}Heart Disease/Stroke{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item30885585' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item30885585' and answer.exists(value.ofType(boolean)=true)) %}Diabetes{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item4088333' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4088333' and answer.exists(value.ofType(boolean)=true)) %}Bad reaction to anesthetic{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item37784990' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item37784990' and answer.exists(value.ofType(boolean)=true)) %}Breast Cancer{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item53504294' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item53504294' and answer.exists(value.ofType(boolean)=true)) %}Uterine Cancer{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item4801402' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4801402' and answer.exists(value.ofType(boolean)=true)) %}Ovarian Cancer{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item75842905' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item75842905' and answer.exists(value.ofType(boolean)=true)) %}Colon/Bowel Cancer{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item29254997' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29254997' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other Cancer(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 = 'i_nsocial_history_n').exists() %}Social History
{% for currentItem in currentItem.item.where(linkId = 'i_nsocial_history_n') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'soc' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'soc' and answer.exists()) %}{% if currentItem.answer.exists() %} {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section64573544').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section64573544') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item57834583' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item57834583' and answer.exists()) %}{% if currentItem.answer.exists() %}Smoker: {% for answer in currentItem.answer %}{% if answer.value.code = 'No' %}No{% endif %}{% if answer.value.code = 'Yes' %}Yes{% endif %}{% if answer.value.code = 'Ex-Smoker' %}Ex-Smoker{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item10529961' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item10529961' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of years: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item44127211' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44127211' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of cigarettes per day: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item41506070' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item41506070' and answer.exists()) %}{% if currentItem.answer.exists() %}Quit date: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item151992' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item151992' and answer.exists()) %}{% if currentItem.answer.exists() %}Consumes alcohol: {% 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 = 'item94627251' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94627251' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of drinks per week on average: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93764222' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93764222' and answer.exists()) %}{% if currentItem.answer.exists() %}Uses recreational and/or street 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 = 'item74607677' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item74607677' and answer.exists()) %}{% if currentItem.answer.exists() %}Specify: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item33664919' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item33664919' and answer.exists()) %}{% if currentItem.answer.exists() %}Consumes caffeine: {% 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 = 'item45718527' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45718527' and answer.exists()) %}{% if currentItem.answer.exists() %}Number of cups of coffee/tea/cola per day: {% 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 %}{% 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 %}