{% capture childItems %}{% if QuestionnaireResponse.item.where(linkId = 'KidneyWiseForm').exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'KidneyWiseForm') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'body').exists() %}{% for currentItem in currentItem.item.where(linkId = 'body') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'AdditionalPatientInfo').exists() %}Additional Patient Information
{% for currentItem in currentItem.item.where(linkId = 'AdditionalPatientInfo') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'PreferredLanguage' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English') or %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'PreferredLanguage' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English') or %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true and answer.exists()) %}{% if %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English') or %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true %}{% if currentItem.answer.exists() %}Preferred Language: {% for answer in currentItem.answer %}{% if answer.value.code = 'eng' %}eng{% endif %}{% if answer.value.code = 'fre' %}fre{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item55155068' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55155068' and answer.exists()) %}{% if currentItem.answer.exists() %}Preferred Language: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'Translator' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'Translator' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true and answer.exists(value.ofType(boolean)=true)) %}{% if %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true %}Translator needed{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'BestContactMethod' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'BestContactMethod' and answer.exists()) %}{% if currentItem.answer.exists() %}Best Method of Contact: {% for answer in currentItem.answer %}{% if answer.value.code = 'OTHER' %}OTHER{% endif %}{% if answer.value.code = 'HOME' %}HOME{% endif %}{% if answer.value.code = 'BUSINESS' %}BUSINESS{% endif %}{% if answer.value.code = 'EMAIL' %}EMAIL{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item73068595' and %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item73068595' and %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true and answer.exists(value.ofType(boolean)=true)) %}{% if %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true %}Voicemail acceptable: Yes{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'AlternateContact' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'AlternateContact' and answer.exists(value.ofType(boolean)=true)) %}Appointment booking contact{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item6554535' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item6554535' 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 = 'item80027355' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80027355' 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 %}{% if currentItem.item.where(linkId = 'item38347402' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item38347402' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Special Considerations: {{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 = 'PreferredLoc').exists() %}Preferred Location(s) {% for currentItem in currentItem.item.where(linkId = 'PreferredLoc') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section95718570').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section95718570') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item7852115' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item7852115' and answer.exists(value.ofType(boolean)=true)) %}Hamilton{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section31627363').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section31627363') %}{% 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 = 'item59448874' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item59448874' and answer.exists(value.ofType(boolean)=true)) %}St. Catharines{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section55723098').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section55723098') %}{% 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 = 'item44065286' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item44065286' and answer.exists(value.ofType(boolean)=true)) %}Cambridge Memorial Hospital{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section18070968').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section18070968') %}{% 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 %}{% 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 = 'section9816307').exists() %}Service Request(s) {% for currentItem in currentItem.item.where(linkId = 'section9816307') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section68958263').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section68958263') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item84731201' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84731201' and answer.exists(value.ofType(boolean)=true)) %}• Sleep study; consult; treatment if required{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item45390734' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item45390734' and answer.exists(value.ofType(boolean)=true)) %}• Diagnostic sleep study only, no consult, no treatment{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46379923' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46379923' and answer.exists(value.ofType(boolean)=true)) %}• Consult; followed by diagnosis and treatment if required{% 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 = 'reasonforreferralsec').exists() %}Reason for Referral {% for currentItem in currentItem.item.where(linkId = 'reasonforreferralsec') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'Urgency' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'Urgency' and answer.exists()) %}{% if currentItem.answer.exists() %}Urgency: {% for answer in currentItem.answer %}{% if answer.value.code = 'Routine' %}Routine{% endif %}{% if answer.value.code = 'High Priority' %}High Priority{% endif %}{% if answer.value.code = 'Urgent' %}Urgent{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item40810108' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item40810108' and answer.exists()) %}{% if currentItem.answer.exists() %}Rationale for Urgent Referral: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section75710709').exists() %}Symptom(s) Leading to Referral {% for currentItem in currentItem.item.where(linkId = 'section75710709') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'reason_for_referral').exists() %}{% for currentItem in currentItem.item.where(linkId = 'reason_for_referral') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item72495479' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72495479' and answer.exists(value.ofType(boolean)=true)) %}Snoring{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item83826274' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item83826274' and answer.exists(value.ofType(boolean)=true)) %}Snoring with apnea{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item3849613' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item3849613' and answer.exists(value.ofType(boolean)=true)) %}Obesity{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item97391358' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item97391358' and answer.exists(value.ofType(boolean)=true)) %}Unrefreshing sleep{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49869991' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49869991' and answer.exists(value.ofType(boolean)=true)) %}Excessive daytime sleepiness{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item74170896' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item74170896' and answer.exists(value.ofType(boolean)=true)) %}Frequent awakenings{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item9633588' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item9633588' and answer.exists(value.ofType(boolean)=true)) %}Difficulty initiating or maintaining sleep{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92573517' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92573517' and answer.exists(value.ofType(boolean)=true)) %}Restless legs{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item55426052' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item55426052' and answer.exists(value.ofType(boolean)=true)) %}Unusual movement during sleep{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item22456535' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item22456535' and answer.exists(value.ofType(boolean)=true)) %}Abnormal behaviour during sleep{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item65409751' and %resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y') and %resource.repeat(item).where(linkId='item24344238').answer.empty() and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65409751' and %resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y') and %resource.repeat(item).where(linkId='item24344238').answer.empty() and answer.exists(value.ofType(boolean)=true)) %}{% if %resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y') and %resource.repeat(item).where(linkId='item24344238').answer.empty() %}Oxygen{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24344238' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24344238' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endcapture %}Oxygen ({{answer}} L/min){% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section8708662').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section8708662') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item50097539' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50097539' 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 %}{% if currentItem.item.where(linkId = 'section27575149').exists() %}Obesity Details {% for currentItem in currentItem.item.where(linkId = 'section27575149') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'htFeet' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'htFeet' and answer.exists()) %}{% if currentItem.answer.exists() %}Feet: {% for answer in currentItem.answer %}{% if answer.value.code = '1'' %}1'{% endif %}{% if answer.value.code = '2'' %}2'{% endif %}{% if answer.value.code = '3'' %}3'{% endif %}{% if answer.value.code = '4'' %}4'{% endif %}{% if answer.value.code = '5'' %}5'{% endif %}{% if answer.value.code = '6'' %}6'{% endif %}{% if answer.value.code = '7'' %}7'{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'htInches' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'htInches' and answer.exists()) %}{% if currentItem.answer.exists() %}Inches: {% for answer in currentItem.answer %}{% if answer.value.code = '0"' %}0"{% endif %}{% if answer.value.code = '1"' %}1"{% endif %}{% if answer.value.code = '2"' %}2"{% endif %}{% if answer.value.code = '3"' %}3"{% endif %}{% if answer.value.code = '4"' %}4"{% endif %}{% if answer.value.code = '5"' %}5"{% endif %}{% if answer.value.code = '6"' %}6"{% endif %}{% if answer.value.code = '7"' %}7"{% endif %}{% if answer.value.code = '8"' %}8"{% endif %}{% if answer.value.code = '9"' %}9"{% endif %}{% if answer.value.code = '10"' %}10"{% endif %}{% if answer.value.code = '11"' %}11"{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'htCm' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'htCm' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Height: {{answer}} cm{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'wtKgs' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'wtKgs' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Weight: {{answer}} kg{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'wtLbs' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'wtLbs' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Weight: {{answer}} lb{% 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 %}{% if %resource.repeat(item).where(linkId='item41557024').answer.value.weight()!='' and %resource.repeat(item).where(linkId='item86156137').answer.value.weight()!='' %}
{% if %resource.repeat(item).where(linkId='item41557024').answer.value.weight()!='' and %resource.repeat(item).where(linkId='item86156137').answer.value.weight()!='' %}{% 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 %}{% 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 = 'section63116961').exists() %}Other Medical Diagnosis: {% for currentItem in currentItem.item.where(linkId = 'section63116961') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item71421940' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item71421940' and answer.exists(value.ofType(boolean)=true)) %}None{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section84703123').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section84703123') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item49626582' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49626582' and answer.exists(value.ofType(boolean)=true)) %}Cardiac History{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item35200400' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35200400' and answer.exists(value.ofType(boolean)=true)) %}Diabetes Mellitus{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item15402985' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item15402985' and answer.exists(value.ofType(boolean)=true)) %}Hypertension{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item80087810' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item80087810' and answer.exists(value.ofType(boolean)=true)) %}Medically Stable{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section10143812').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section10143812') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item73008812' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item73008812' 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 %}{% 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 = 'section11292337').exists() %}Medical History
{% for currentItem in currentItem.item.where(linkId = 'section11292337') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section80683868').exists() %}Please Note
{% for currentItem in currentItem.item.where(linkId = 'section80683868') %}{% 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 = 'item29958538' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29958538' and answer.exists()) %}{% if currentItem.answer.exists() %}Has the patient had a previous sleep study: {% 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 = 'item83627595' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item83627595' and answer.exists()) %}{% if currentItem.answer.exists() %}Sleep Study Date: {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item94706514' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item94706514' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient has had a CPAP titration within past 2 years: {% 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 = 'item24476567' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24476567' and answer.exists()) %}{% if currentItem.answer.exists() %}Patient is currently on CPAP: {% 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 = 'item49202473' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49202473' and answer.exists()) %}{% if currentItem.answer.exists() %}Current Pressure: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item36684397' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item36684397' and answer.exists()) %}{% if currentItem.answer.exists() %}BIPAP: {% 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 = 'item23042001' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item23042001' and answer.exists()) %}{% if currentItem.answer.exists() %}IPAP (cm H2O): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item18617737' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item18617737' and answer.exists()) %}{% if currentItem.answer.exists() %}EPAP (cm H2O): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section26623026').exists() %}Patient Condition(s): {% for currentItem in currentItem.item.where(linkId = 'section26623026') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item14347288' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item14347288' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'TB' %}TB{% endif %}{% if answer.value.code = 'MRSA' %}MRSA{% endif %}{% if answer.value.code = 'VRE' %}VRE{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endcapture %}Infectious Disease ({{answer}}){% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item29873156' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item29873156' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Urinary' %}Urinary{% endif %}{% if answer.value.code = 'Fecal' %}Fecal{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endcapture %}{{answer}} Continence{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section1950903').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section1950903') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item72394837' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item72394837' and answer.exists(value.ofType(boolean)=true)) %}Problems with mobility{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46214380' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46214380' and answer.exists(value.ofType(boolean)=true)) %}Communication (Hearing impaired, language, etc.){% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68588107' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68588107' and answer.exists(value.ofType(boolean)=true)) %}Developmental / Psychological Disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item96864328' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item96864328' and answer.exists(value.ofType(boolean)=true)) %}History of Violence{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item24665256' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item24665256' and answer.exists(value.ofType(boolean)=true)) %}History of Seizure Disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item2388556' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item2388556' and answer.exists(value.ofType(boolean)=true)) %}Neuromuscular Disorder{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section27925817').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section27925817') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item67848934' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item67848934' 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 %}{% 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 = 'section61428617').exists() %}Cumulative Patient Profile
{% for currentItem in currentItem.item.where(linkId = 'section61428617') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'CPPAttachment' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'CPPAttachment' and answer.exists(value.ofType(boolean)=true)) %}CPP Attached Separately{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section58148321').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section58148321') %}{% 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() %}Current Medications: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% 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() %}Current Problems: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% 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() %}Past Medical History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19532475' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19532475' and answer.exists()) %}{% if currentItem.answer.exists() %}Allergies: {% 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 = 'section79119148').exists() %}Supporting Documentation
{% for currentItem in currentItem.item.where(linkId = 'section79119148') %}
{% 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 %}{% 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 %}