FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | cmha_york_region_ont8365.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot4&canonical=http://ontariohealth.ca/legacy/Questionnaire/cmha-york-region-ont8365 |
| URL | http://ontariohealth.ca/legacy/Questionnaire/cmha-york-region-ont8365 |
| Version | 0 |
| Status | active |
| Title | CMHA York Region Ontario Structured Psychotherapy Program eReferral Form [FINAL FEB 2022] |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "cmha-york-region-ont8365",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
]
},
"contained": [
{
"resourceType": "Library",
"id": "liquid",
"status": "active",
"type": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types",
"code": "qr-narrative-liquid"
}
]
},
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"content": [
{
"contentType": "text/html",
"data": "<div>
{% for currentItem in QuestionnaireResponse.item.where(linkId='s') %}{% for currentItem in currentItem.item.where(linkId='section49999867') %}  <span style="font-weight:bold;text-decoration:underline;">Consent</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item37335906') %}{% if currentItem.answer.exists() %}Client is aware of and consented to this referral:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:green;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:green;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section3264854') %}STOP  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section38273739') %}  <span style="font-weight:bold;text-decoration:underline;">Program Referral Criteria</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item1967164') %}{% if currentItem.answer.exists() %}Is the client 18 years of age or older:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section39613765') %}Please Note  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section12847616') %}  <span style="font-weight:bold;">Inclusion Criteria</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item49714327') %}{% if currentItem.answer.exists() %}Client has a main concern of &amp;lt;b&amp;gt;anxiety, depression, or anxiety-related problem&amp;lt;/b&amp;gt; (e.g. post-traumatic stress, health anxiety, work stress, obsessive-compulsive concerns):{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:green;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:green;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section72429917') %}STOP  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section86254334') %}  <span style="font-weight:bold;">Exclusionary Criteria</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='item76121425') %}{% if currentItem.answer.exists() %}The client is actively suicidal and with impaired coping skills and/or has attempted suicide in the past 6 months:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section54495467') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item1990858') %}{% if currentItem.answer.exists() %}The client poses a high risk to themselves, risk to others or is at significant risk of severe self-neglect:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section95021338') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item456132') %}{% if currentItem.answer.exists() %}The client is self-harming, which is the immediate, primary concern:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section21890674') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item85478952') %}{% if currentItem.answer.exists() %}The client is experiencing significant symptoms of mania or hypomania currently or has experienced these symptoms within the past year. (not due to medication/substance use):{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section97698246') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item35961598') %}{% if currentItem.answer.exists() %}The client is experiencing significant symptoms of a psychotic disorder currently or has experienced these symptoms within the past year (not due to medication/substance use):{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section14136581') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item4954473') %}{% if currentItem.answer.exists() %}The client has a severe/complex personality disorder that would impact their ability to actively participate in CBT for anxiety or depression:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}\n{% for currentItem in currentItem.item.where(linkId='section10441379') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item7249653') %}{% if currentItem.answer.exists() %}The client has exclusively requested medication management:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section90430589') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item92961042') %}{% if currentItem.answer.exists() %}The client has moderate to severe impairment of cognitive function (e.g., dementia); or moderate to severe impairment due to a developmental disability or learning disability:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section6252983') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item67161689') %}{% if currentItem.answer.exists() %}The client currently has problematic substance use or has had problematic substance use in the past three months that would seriously impact their ability to actively participate in CBT (e.g., the client is unable to attend scheduled session, or unable to attempt assigned work required between sessions):{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section54876940') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item23443648') %}{% if currentItem.answer.exists() %}Client requires specialized concurrent disorders treatment:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section19600218') %}STOP  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item29163757') %}{% if currentItem.answer.exists() %}Client has a severe eating disorder that would impact their ability to actively participate in CBT for anxiety or depression:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:red;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:red;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section55142452') %}STOP  <br/>
\n{% endfor %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section44914524') %}{% for currentItem in currentItem.item.where(linkId='section33974133') %}  <span style="font-weight:bold;text-decoration:underline;">Client Information</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='item7989770') %}{% if currentItem.answer.exists() %}Email:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item29976128') %}{% if currentItem.answer.value.ofType(boolean) = true %}Patient does not have an email address  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='ptnt_cntctPrfrnc') %}{% if currentItem.answer.exists() %}Preferred method of contact:{% for answer in currentItem.answer %}{% if answer.value.code = 'Mobile' %}  <span style="color:blue;">Mobile</span>
{% endif %}{% if answer.value.code = 'Home' %}  <span style="color:blue;">Home</span>
{% endif %}{% if answer.value.code = 'Work' %}  <span style="color:blue;">Work</span>
{% endif %}{% if answer.value.code = 'Email' %}  <span style="color:blue;">Email</span>
{% endif %}{% if answer.value.code = 'Text' %}  <span style="color:blue;">Text</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item32218804') %}{% if currentItem.answer.exists() %}Permission to leave a voicemail:{% for answer in currentItem.answer %}{% if answer.value.code = 'No' %}  <span style="color:blue;">No</span>
{% endif %}{% if answer.value.code = 'Yes' %}  <span style="color:blue;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='ptnt_cntctCnsnt') %}{% if currentItem.answer.exists() %}Permission to speak with their parent/guardian/family member:{% for answer in currentItem.answer %}{% if answer.value.code = 'No' %}  <span style="color:blue;">No</span>
{% endif %}{% if answer.value.code = 'Yes' %}  <span style="color:blue;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item40054684') %}{% if currentItem.answer.exists() %}Preferred time of contact (core business hours are 8:30-4:30 PM with some evening and weekend availability):{% for answer in currentItem.answer %}{% if answer.value.code = 'Morning' %}Morning{% endif %}{% if answer.value.code = 'Afternoon' %}Afternoon{% endif %}{% if answer.value.code = 'Evening' %}Evening{% endif %}{% if answer.value.code = 'Unsure' %}Unsure{% endif %}{% if answer.value.code = 'Any' %}Any{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item46487425') %}{% if currentItem.answer.exists() %}Does the client require an interpreter:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item97047215') %}{% if currentItem.answer.exists() %}Language:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item17977898') %}{% if currentItem.answer.exists() %}How did you hear about the OSP program: $${% for answer in currentItem.answer %}{% if answer.value.code = 'CMHA Worker' %}CMHA Worker{% endif %}{% if answer.value.code = 'Event' %}Event{% endif %}{% if answer.value.code = 'Existing Client' %}Existing Client{% endif %}{% if answer.value.code = 'Website' %}Website{% endif %}{% if answer.value.code = 'Search Engine (Google, Yahoo, etc.)' %}Search Engine (Google, Yahoo, etc.){% endif %}{% if answer.value.code = 'Transit Advertisements' %}Transit Advertisements{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section22204334') %}  <span style="font-weight:bold;">Support Organizations</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='section52454146') %}{% for currentItem in currentItem.item.where(linkId='item38042256') %}{% if currentItem.answer.value.ofType(boolean) = true %}Across Boundaries  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item2629219') %}{% if currentItem.answer.value.ofType(boolean) = true %}Hong Fook Mental Health Association  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item35282384') %}{% if currentItem.answer.value.ofType(boolean) = true %}Client is not with any of the agencies listed above  <br/>
{% endif %}{% endfor %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section41558688') %}  <span style="font-weight:bold;">Primary Care Provider</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item30583415') %}{% if currentItem.answer.exists() %}Referring provider is Primary Care Provider:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}  <span style="color:green;">No</span>
{% endif %}{% if answer.value.code = 'Y' %}  <span style="color:green;">Yes</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item73714162') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:red;">Client does not have a primary care provider (PCP)</span>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section60358726') %}{% for currentItem in currentItem.item.where(linkId='item86194914') %}{% if currentItem.answer.exists() %}PCP Name:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item93996427') %}{% if currentItem.answer.exists() %}Email:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item31723932') %}{% if currentItem.answer.exists() %}Professional ID:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item34994179') %}{% if currentItem.answer.exists() %}OHIP Billing #:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item58543877') %}{% if currentItem.answer.exists() %}Clinic Name:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item91721567') %}{% if currentItem.answer.exists() %}Address:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item35304545') %}{% if currentItem.answer.exists() %}Address Line 2:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item1621758') %}{% if currentItem.answer.exists() %}City:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='PCPProvince') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item91112457') %}{% if currentItem.answer.exists() %}Postal Code:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item26155675') %}{% if currentItem.answer.exists() %}Phone Number:{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item82276690') %}{% if currentItem.answer.exists() %}Fax Number:{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item25608239') %}{% if currentItem.answer.exists() %}Other Information:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item40132366') %}{% if currentItem.answer.exists() %}Has the client provided consent to share information with the Primary Care Provider:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'NotSure' %}Not sure{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section85250608') %}  <span style="font-weight:bold;text-decoration:underline;">PHQ-9</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item65955818') %}{% if currentItem.answer.exists() %}PHQ-9 Score: $${% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item720500') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_health_quest') %}{% for currentItem in currentItem.item.where(linkId='phq9Q') %}Over the last two weeks:  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='q1') %}{% if currentItem.answer.exists() %}1. Little interest or pleasure in doing things{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q2') %}{% if currentItem.answer.exists() %}2. Feeling down, depressed, or hopeless{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q3') %}{% if currentItem.answer.exists() %}3. Trouble falling or staying asleep, or sleeping too much{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q4') %}{% if currentItem.answer.exists() %}4. Feeling tired or having little energy{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q5') %}{% if currentItem.answer.exists() %}5. Poor appetite or overeating{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q6') %}{% if currentItem.answer.exists() %}6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q7') %}{% if currentItem.answer.exists() %}7. Trouble concentrating on things, such as reading the newspaper or watching television{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q8') %}{% if currentItem.answer.exists() %}8. Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q9') %}{% if currentItem.answer.exists() %}9. Thoughts that you would be better off dead, or of hurting yourself in some way{% for answer in currentItem.answer %}{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'More than half the days' %}More than half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='q10') %}{% if currentItem.answer.exists() %}10. If you indicated any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not difficult at all' %}Not difficult at all{% endif %}{% if answer.value.code = 'Somewhat difficult' %}Somewhat difficult{% endif %}{% if answer.value.code = 'Very difficult' %}Very difficult{% endif %}{% if answer.value.code = 'Extremely difficult' %}Extremely difficult{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}\n{% endfor %}\n{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='section702092') %}  <span style="font-weight:bold;text-decoration:underline;">GAD-7</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item10370323') %}{% if currentItem.answer.exists() %}GAD-7 Score:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item83970870') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad_7') %}{% for currentItem in currentItem.item.where(linkId='gad7Qs') %}Over the last 2 weeks:  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='gad7q1') %}{% if currentItem.answer.exists() %}1. Feeling nervous, anxious, or on edge{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q2') %}{% if currentItem.answer.exists() %}2. Not being able to stop or control worrying{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q3') %}{% if currentItem.answer.exists() %}3. Worrying too much about different things{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q4') %}{% if currentItem.answer.exists() %}4. Trouble relaxing{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q5') %}{% if currentItem.answer.exists() %}5. Being so restless that it's hard to sit still{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q6') %}{% if currentItem.answer.exists() %}6. Becoming easily annoyed or irritable{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='gad7q7') %}{% if currentItem.answer.exists() %}7. Feeling afraid as if something awful might happen{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not at all' %}Not at all{% endif %}{% if answer.value.code = 'Several days' %}Several days{% endif %}{% if answer.value.code = 'Over half the days' %}Over half the days{% endif %}{% if answer.value.code = 'Nearly every day' %}Nearly every day{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item37281656') %}{% if currentItem.answer.exists() %}If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?{% for answer in currentItem.answer %}&amp;#x22;{% if answer.value.code = 'Not difficult at all' %}Not difficult at all{% endif %}{% if answer.value.code = 'Somewhat difficult' %}Somewhat difficult{% endif %}{% if answer.value.code = 'Very difficult' %}Very difficult{% endif %}{% if answer.value.code = 'Extremely difficult' %}Extremely difficult{% endif %}&amp;#x22;{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section13142135') %}{% for currentItem in currentItem.item.where(linkId='includeCPP') %}{% if currentItem.answer.value.ofType(boolean) = true %}Include CPP  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='s__section') %}  <span style="font-weight:bold;text-decoration:underline;">CPP</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='i_ncurrent_problems_n') %}  <span style="font-weight:bold;">Current Problems:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='prob') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='i_npast_medical_histo') %}  <span style="font-weight:bold;">Past Medical History:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='pmhx') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='i_nfamily_history_n') %}  <span style="font-weight:bold;">Family History:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='fhx') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='i_nmedications_n') %}  <span style="font-weight:bold;">Medications:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='rx') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='allergies') %}  <span style="font-weight:bold;">Allergies:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='allg') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='i_ntreatments_n') %}Treatments  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='tx') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='i_nsocial_history_n') %}  <span style="font-weight:bold;">Social History:</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='soc') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section41290342') %}  <span style="font-weight:bold;text-decoration:underline;">Thank you for completing this referral to the Ontario Structured Psychotherapy (OSP) program.</span>
  <br/>
{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section98896179') %}{% endfor %}{% endfor %}
</div>
"
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
}
],
"url": "http://ontariohealth.ca/legacy/Questionnaire/cmha-york-region-ont8365",
"version": "0",
"title": "CMHA York Region Ontario Structured Psychotherapy Program eReferral Form [FINAL FEB 2022]",
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "s",
"type": "group",
"item": [
{
"linkId": "item47143865",
"text": "<b>* Indicates a required field</b>",
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section49999867",
"text": "Consent",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:green;"
},
{
"url": "negativeStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "item37335906",
"text": "Client is aware of and consented to this referral:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "item91779989",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item78668948"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item37335906.r == 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section3264854",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item37335906",
"operator": "=",
"answerCoding": {
"code": "N"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item78668948",
"text": "<b>Please discuss this referral with the client and receive their consent prior to submitting a referral to this program.</b>",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item37335906.r != 'N'",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section38273739",
"text": "Program Referral Criteria",
"type": "group",
"item": [
{
"linkId": "item1967164",
"text": "Is the client 18 years of age or older:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item54409049"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item1967164.r == 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section39613765",
"text": "Please Note",
"type": "group",
"enableWhen": [
{
"question": "item1967164",
"operator": "=",
"answerCoding": {
"code": "N"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item54409049",
"text": "<b>This program is designed to support patients 18 years of age or older.</b>",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-supportHyperlink",
"extension": [
{
"url": "label",
"valueString": "Click here to access BounceBack Ontario"
},
{
"url": "link",
"valueUri": "https://ocean.cognisantmd.com/intake/IntakePortal.html?eReqRef=86b6adda-6749-4cd3-941b-fc10b4abffcf"
}
]
}
],
"linkId": "item37161478",
"text": "<b>If the client is 15-17 years of age and seeking services for anxiety and depression, they can submit a referral directly to BounceBack Ontario.</b>",
"type": "display"
},
{
"linkId": "item19347136",
"text": "<i>BounceBack is a guided self-help program that is supported by a coach over the telephone and is available in multiple languages – in a feedback survey, 92% of respondents said that they would recommend the service to a family or friend.</i>",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-supportHyperlink",
"extension": [
{
"url": "label",
"valueString": "Click here to access Connex"
},
{
"url": "link",
"valueUri": "www.connexontario.ca"
}
]
}
],
"linkId": "item43979973",
"text": "<b>If the client needs other services or if they're younger than 15 years of age, additional services can be found at www.connexontario.ca or by calling at 1-866-531-2600.</b>",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "section12847616",
"text": "Inclusion Criteria",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:green;"
},
{
"url": "negativeStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "item49714327",
"text": "Client has a main concern of <b>anxiety, depression, or anxiety-related problem</b> (e.g. post-traumatic stress, health anxiety, work stress, obsessive-compulsive concerns):",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item10317633"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item49714327.r == 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section72429917",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item49714327",
"operator": "=",
"answerCoding": {
"code": "N"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-supportHyperlink",
"extension": [
{
"url": "label",
"valueString": "https://www.connexontario.ca/en-ca"
},
{
"url": "link",
"valueUri": "https://www.connexontario.ca/en-ca"
}
]
}
],
"linkId": "item10317633",
"text": "<b>This program is designed to support those with mild to moderate anxiety, depression or anxiety related problems. If these do not describe the client’s main concern, please refer to Connex Ontario to identify alternate resources for the client:\n</b>",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "section86254334",
"text": "Exclusionary Criteria",
"type": "group",
"item": [
{
"linkId": "item14589028",
"text": "<b>NOTE: In the circumstances below, the Ontario Structured Psychotherapy program would NOT be suitable for a client's needs.</b>\n\n<i>A note to 'STOP' will appear if the patient does not meet the program criteria. Even if the patient is not eligible for the current program, you may still review and select to see alternate resources and/or services available.</i>",
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item76121425",
"text": "The client is actively suicidal and with impaired coping skills and/or has attempted suicide in the past 6 months:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item64325896"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item76121425.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section54495467",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item76121425",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item64325896",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item2544954",
"text": "Paramedic services can be reached at 911. For crisis support services please refer to the resources below: \n\nIf you live in York Region, please refer to the Crisis Services at York Support Services Network: 1-855-310-COPE (2673). \n\nIf you live in North York, please refer to the Gerstein Crisis Centre at 416-929-5200. \n\nIf you live in North Etobicoke, Malton or West Woodbridge, please refer to the Peel Crisis Services at 905-278-9036.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item1990858",
"text": "The client poses a high risk to themselves, risk to others or is at significant risk of severe self-neglect:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item93430821"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item1990858.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section95021338",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item1990858",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item93430821",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item64923379",
"text": "Paramedic services can be reached at 911. For crisis support services please refer to the resources below: \n\nIf you live in York Region, please refer to the Crisis Services at York Support Services Network: 1-855-310-COPE (2673). \n\nIf you live in North York, please refer to the Gerstein Crisis Centre at 416-929-5200. \n\nIf you live in North Etobicoke, Malton or West Woodbridge, please refer to the Peel Crisis Services at 905-278-9036.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item456132",
"text": "The client is self-harming, which is the immediate, primary concern:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item8415293"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item456132.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section21890674",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item456132",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item8415293",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item52723333",
"text": "Paramedic services can be reached at 911. For crisis support services please refer to the resources below: \n\nIf you live in York Region, please refer to the Crisis Services at York Support Services Network: 1-855-310-COPE (2673). \n\nIf you live in North York, please refer to the Gerstein Crisis Centre at 416-929-5200. \n\nIf you live in North Etobicoke, Malton or West Woodbridge, please refer to the Peel Crisis Services at 905-278-9036.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item85478952",
"text": "The client is experiencing significant symptoms of mania or hypomania currently or has experienced these symptoms within the past year. (not due to medication/substance use):",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item10394391"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item85478952.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section97698246",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item85478952",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item10394391",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item16815458",
"text": "Connex Ontario (https://www.connexontario.ca/en-ca/; 1-866-531-2600) can help you find services that are a better fit for your concerns, age group, and geographical area. \n\nAn organization that provides services across Ontario is: Mood Disorder Association of Ontario at (416) 486-8046 ext. 237 (1-888-486-8236)\n\nIf you live in North York, you may wish to refer to; or Canadian Mental Health Association (CMHA) Toronto Branch’s Mood and Psychosis Early Intervention Program; or The Baycrest Mood Clinic (Older adults) (416-785-2500 ext. 4293).",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item35961598",
"text": "The client is experiencing significant symptoms of a psychotic disorder currently or has experienced these symptoms within the past year (not due to medication/substance use):",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item52812283"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item35961598.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section14136581",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item35961598",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item52812283",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item31242980",
"text": "Connex Ontario (https://www.connexontario.ca/en-ca/; 1-866-531-2600) can help you find services that are a better fit for your concerns, age group, and geographical area. \n\nAn organization that provides services across Ontario is: Mood Disorder Association of Ontario at (416) 486-8046 ext. 237 (1-888-486-8236)\n\nIf you live in North York, you may wish to refer to; or Canadian Mental Health Association (CMHA) Toronto Branch’s Mood and Psychosis Early Intervention Program; or The Baycrest Mood Clinic (Older adults) (416-785-2500 ext. 4293).",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item4954473",
"text": "The client has a severe/complex personality disorder that would impact their ability to actively participate in CBT for anxiety or depression:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"linkId": "item96990073",
"text": "<i>Note: This program is not appropriate for clients for which personality disorder is the problem currently causing the most distress and impairment.</i>",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item73674408"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item4954473.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section10441379",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item4954473",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item73674408",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item24357537",
"text": "Connex Ontario (https://www.connexontario.ca/en-ca/; 1-866-531-2600) can help you find services that are a better fit for your concerns, age group, and geographical area. \n\nAn organization that provides services across Ontario is: Ontario Shores Borderline Personality Disorder Program at https://www.ontarioshores.ca/services/borderline-personality-self-regulation-clinic at 1.866.345.0183, ext. 3321 \n\nIf you live in North York, you may wish to refer to the Centre of Addiction and Mental Health’s Borderline Personality Disorder Clinic at 416 535-8501 ext. 32437; or Toronto’s Youth Wellness Hub at 416-482-0081 ext. 5. \n \nIf you live in North Etobicoke, Malton or West Woodbridge, you may wish to refer to William Osler Hospital at 905-494-2120 ext 56709.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item7249653",
"text": "The client has exclusively requested medication management:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item68139337"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item7249653.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section90430589",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item7249653",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item68139337",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item46110349",
"text": "You can receive medication management through your Primary Care Practitioner (Nurse practitioner, family doctor, etc.) or have your PCP refer you to a psychiatrist who can oversee medication management.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item92961042",
"text": "The client has moderate to severe impairment of cognitive function (e.g., dementia); or moderate to severe impairment due to a developmental disability or learning disability:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item20569774"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item92961042.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section6252983",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item92961042",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item20569774",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item83790660",
"text": "Connex Ontario (https://www.connexontario.ca/en-ca/; 1-866-531-2600) can help you find services that are a better fit for your concerns, age group, and geographical area. \n\nAn organization that provides services across Ontario is: Developmental Services Ontario at 1-855-277-2121.\n\nIf you live in York Region, you may wish to refer to York Support Services Network at https://yssn.ca/case-management-children-and-adults\n\nIf you live in North York, you may wish to refer to Surrey Place at https://www.surreyplace.ca/directory/developmental-services-ontario-toronto-region/#1621272376201-e833bfa6-b680.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item67161689",
"text": "The client currently has problematic substance use or has had problematic substance use in the past three months that would seriously impact their ability to actively participate in CBT (e.g., the client is unable to attend scheduled session, or unable to attempt assigned work required between sessions):",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item28837504"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item67161689.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section54876940",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item67161689",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item28837504",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item18871507",
"text": "If you live in York Region, you may wish to refer to a Rapid Access to Addictions Management Clinic (RAAM) at Major Mackenzie Health Hospital (Richmond Hill), Oak Valley Health (Markham) or Southlake Regional Health Centre (Newmarket) 289-221-4839 or 1-888-399-8342. You may also refer to Connex Ontario at 1-866-531-2600.\n\nIf you live in North York, you may wish to refer to Rapid Access to Addictions Management Clinic (RAAM) at 289-221-4839 OR Toll Free:1- 888-399-8342 or North York General Hospital Addiction Program 416-756-6919 or Connex Ontario at 1-866-531-2600\n\nIf you live in North Etobicoke, Malton or West Woodbridge, you may wish to refer to Etobicoke General Hospital Addiction Counselling Service 905-494-2120 ext 29385, Vitanova Foundation Outpatient Counselling at 416-744-8940 ext. 232 or Connex Ontario at 1-866-531-2600.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item23443648",
"text": "Client requires specialized concurrent disorders treatment:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item67181026"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item23443648.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section19600218",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item23443648",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item67181026",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item2488452",
"text": "You may wish to refer to Connex Ontario at www.connexontario.ca or 1-866-531-2600 for alternate services.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:red;"
},
{
"url": "negativeStyle",
"valueString": "color:green;"
}
]
}
],
"linkId": "item29163757",
"text": "Client has a severe eating disorder that would impact their ability to actively participate in CBT for anxiety or depression:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item88646779"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "item29163757.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
}
]
}
],
"linkId": "section55142452",
"text": "STOP",
"type": "group",
"enableWhen": [
{
"question": "item29163757",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item88646779",
"text": "<b>Based on your response, this program is not suitable for the client’s needs.</b>",
"type": "display"
},
{
"linkId": "item12955452",
"text": "If you live in York Region, you may wish to refer to Southlake Regional Health Centre at 905-895-4521, ext. 2825; Ontario Shores Eating Disorder Clinic at 1.877.767.9642; or Connex Ontario at 1-866-531-2600.\n\nIf you live in North York, you may wish to refer to the Centre of Addictions and Mental Health (CAMH) at 416 535-8501, option 2; Sheena’s Place at 416 927-8900; or Connex Ontario at 1-866-531-2600.\nIf you live in North Etobicoke, Malton or West Woodbridge, you can find additional support through Peel Memorial Hospital Eating Disorder Clinic at 905-494-2120 ext. 56709 ; or Connex Ontario at 1-866-531-2600.",
"type": "display"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "item53407338",
"type": "display"
}
]
},
{
"linkId": "section44914524",
"type": "group",
"enableWhen": [
{
"question": "item1967164",
"operator": "=",
"answerCoding": {
"code": "Y"
}
},
{
"question": "item49714327",
"operator": "=",
"answerCoding": {
"code": "Y"
}
},
{
"question": "item76121425",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item1990858",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item456132",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item85478952",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item35961598",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item4954473",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item7249653",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item92961042",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item67161689",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item23443648",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item23443648",
"operator": "=",
"answerCoding": {
"code": "N"
}
},
{
"question": "item29163757",
"operator": "=",
"answerCoding": {
"code": "N"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "section33974133",
"text": "Client Information",
"type": "group",
"item": [
{
"linkId": "item9696892",
"text": "<i>As emailed materials are an essential component of program, please note that referrals without email addresses may result in considerably longer wait time to access service.</i>",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item29976128.r != 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptEmail",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item7989770",
"text": "Email:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item29976128",
"text": "Patient does not have an email address",
"type": "boolean",
"enableWhen": [
{
"question": "item7989770",
"operator": "exists",
"answerBoolean": true
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:blue;"
}
]
}
],
"linkId": "ptnt_cntctPrfrnc",
"text": "Preferred method of contact:",
"type": "choice",
"required": true,
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Mobile"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Home"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Work"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Email"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Text"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:blue;"
},
{
"url": "negativeStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "item32218804",
"text": "Permission to leave a voicemail:",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "No"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:blue;"
},
{
"url": "negativeStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "ptnt_cntctCnsnt",
"text": "Permission to speak with their parent/guardian/family member:",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "No"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down"
}
]
}
}
],
"linkId": "item40054684",
"text": "Preferred time of contact (core business hours are 8:30-4:30 PM with some evening and weekend availability):",
"type": "choice",
"required": true,
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Morning"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Afternoon"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Evening"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "Unsure"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Any"
}
}
]
},
{
"linkId": "item46487425",
"text": "Does the client require an interpreter:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptLanguage",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item97047215",
"text": "Language:",
"type": "string",
"enableWhen": [
{
"question": "item46487425",
"operator": "=",
"answerCoding": {
"code": "Y"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "How did you hear about the OSP program: $"
}
]
}
],
"linkId": "item17977898",
"text": "How did you hear about the OSP program?",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "CMHA Worker"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Event"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Existing Client"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "Website"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueCoding": {
"code": "Search Engine (Google, Yahoo, etc.)"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Transit Advertisements"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item95061810"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section22204334 ) != 0",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Support Organizations"
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "section22204334",
"text": "Support Organizations *",
"type": "group",
"item": [
{
"linkId": "item95061810",
"text": "<b>Is the client part of any of the following organizations:</b>",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item35282384.r != 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "section52454146",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item38042256",
"text": "Across Boundaries",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item2629219",
"text": "Hong Fook Mental Health Association",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item35282384",
"text": "Client is not with any of the agencies listed above",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "section41558688",
"text": "Primary Care Provider",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "answerStyle",
"valueString": "color:green;"
},
{
"url": "negativeStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "item30583415",
"text": "Referring provider is Primary Care Provider:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
},
"initialSelected": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Client does not have a primary care provider (PCP)"
},
{
"url": "answerStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "item73714162",
"text": "Client does not have a Primary Care Provider (PCP)",
"type": "boolean",
"enableWhen": [
{
"question": "item30583415",
"operator": "=",
"answerCoding": {
"code": "N"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item73714162.r != 'Y' && item30583415.r == 'N'",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "text-decoration:underline;"
}
]
}
],
"linkId": "section60358726",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item86194914",
"text": "PCP Name:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item93996427",
"text": "Email:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item31723932",
"text": "Professional ID:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item34994179",
"text": "OHIP Billing #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item58543877",
"text": "Clinic Name:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item91721567",
"text": "Address:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item35304545",
"text": "Address Line 2:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item1621758",
"text": "City:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "PCPProvince",
"definition": "urn:uri:ontariolegacy:province",
"text": "Province:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "AB"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "BC"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "NB"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "MB"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueCoding": {
"code": "NL"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 6
}
],
"valueCoding": {
"code": "NT"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 7
}
],
"valueCoding": {
"code": "NS"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 8
}
],
"valueCoding": {
"code": "NU"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 9
}
],
"valueCoding": {
"code": "ON"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 10
}
],
"valueCoding": {
"code": "PE"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 11
}
],
"valueCoding": {
"code": "QC"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 12
}
],
"valueCoding": {
"code": "SK"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 13
}
],
"valueCoding": {
"code": "YT"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptFamilyDoc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item91112457",
"text": "Postal Code:",
"type": "string"
},
{
"linkId": "item26155675",
"text": "Phone Number:",
"type": "decimal"
},
{
"linkId": "item82276690",
"text": "Fax Number:",
"type": "decimal"
},
{
"linkId": "item25608239",
"text": "Other Information:",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item73714162.r != 'Y'",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "item40132366",
"text": "Has the client provided consent to share information with the Primary Care Provider:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "N",
"display": "No"
}
},
{
"valueCoding": {
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"code": "NotSure",
"display": "Not sure"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "item14509730",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section85250608",
"text": "PHQ-9",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "PHQ-9 Score: $"
}
]
}
],
"linkId": "item65955818",
"text": "Please enter the Client's / Patient's most recent PHQ-9 score:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item720500",
"text": "If there is no available PHQ-9 score, please click here to complete PHQ-9",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "patient_health_quest",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Over the last two weeks:",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Over the last two weeks:<br/>"
}
]
}
},
{
"url": "listSeparator",
"valueString": "\\n"
},
{
"url": "quoteAnswers",
"valueBoolean": true
}
]
}
],
"linkId": "phq9Q",
"text": "Ask the Client: \"Over the last two weeks, how often have you been bothered by any of the following symptoms?\"",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q1",
"text": "1. Little interest or pleasure in doing things",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q2",
"text": "2. Feeling down, depressed, or hopeless",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q3",
"text": "3. Trouble falling or staying asleep, or sleeping too much",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q4",
"text": "4. Feeling tired or having little energy",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q5",
"text": "5. Poor appetite or overeating",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q6",
"text": "6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q7",
"text": "7. Trouble concentrating on things, such as reading the newspaper or watching television",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q8",
"text": "8. Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "q9",
"text": "9. Thoughts that you would be better off dead, or of hurting yourself in some way",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "More than half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "q10",
"text": "10. If you indicated any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not difficult at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Somewhat difficult"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Very difficult"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Extremely difficult"
}
}
]
}
]
},
{
"linkId": "phq9SS",
"text": "PHQ-9 Score: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "q1.p + q2.p + q3.p + q4.p + q5.p + q6.p + q7.p + q8.p + q9.p",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "item83238507",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section702092",
"text": "GAD-7",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "GAD-7 Score:"
}
]
}
],
"linkId": "item10370323",
"text": "Please enter the Client's / Patient's most recent GAD-7 score:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item83970870",
"text": "If there is no available GAD-7 score, please click here to complete GAD-7",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "gad_7",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Over the last 2 weeks:",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Over the last 2 weeks:<br/>"
}
]
}
},
{
"url": "quoteAnswers",
"valueBoolean": true
}
]
}
],
"linkId": "gad7Qs",
"text": "Ask the Client: \"Over the last 2 weeks, how often have you been bothered by the following problems?\"",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q1",
"text": "1. Feeling nervous, anxious, or on edge",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q2",
"text": "2. Not being able to stop or control worrying",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q3",
"text": "3. Worrying too much about different things",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q4",
"text": "4. Trouble relaxing",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q5",
"text": "5. Being so restless that it's hard to sit still",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q6",
"text": "6. Becoming easily annoyed or irritable",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "gad7q7",
"text": "7. Feeling afraid as if something awful might happen",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Several days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "Over half the days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:yellow;"
}
]
}
],
"valueCoding": {
"code": "Nearly every day"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?"
},
{
"url": "quoteAnswer",
"valueBoolean": true
}
]
}
],
"linkId": "item37281656",
"text": "8. If you indicated any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "Not difficult at all"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "Somewhat difficult"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Very difficult"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "color:red;"
}
]
}
],
"valueCoding": {
"code": "Extremely difficult"
}
}
]
},
{
"linkId": "gad7Score",
"text": "GAD-7 Score: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "gad7q1.p + gad7q2.p + gad7q3.p + gad7q4.p + gad7q5.p + gad7q6.p + gad7q7.p",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "prob.r != '' || pmhx.r != '' || fhx.r != '' || rx.r != '' || allg.r != '' || tx.r != '' || soc.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "section13142135",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "prob.r != '' || pmhx.r != '' || fhx.r != '' || rx.r != '' || allg.r != '' || tx.r != '' || soc.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "includeCPP",
"text": "Include CPP",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "CPP"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "s__section",
"type": "group",
"enableWhen": [
{
"question": "includeCPP",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "prob.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "i_ncurrent_problems_n",
"text": "Current Problems:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.prob",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "prob",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "pmhx.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "i_npast_medical_histo",
"text": "Past Medical History:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.pmhx",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "pmhx",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "fhx.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "i_nfamily_history_n",
"text": "Family History:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.fhx",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "fhx",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "rx.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "i_nmedications_n",
"text": "Medications:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.rx",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "rx",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "allg.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "answerStyle",
"valueString": "color:red;"
}
]
}
],
"linkId": "allergies",
"text": "Allergies:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.allg",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "allg",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "tx.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Treatments",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Treatments<br/>"
}
]
}
}
]
}
],
"linkId": "i_ntreatments_n",
"text": "Treatments:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.tx",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "tx",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "soc.r != ''",
"language": "text/fhirpath",
"expression": "true"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "i_nsocial_history_n",
"text": "Social History:",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"description": "@ptCpp.soc",
"language": "text/fhirpath",
"expression": "true"
}
}
],
"linkId": "soc",
"type": "text"
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section41290342",
"text": "Thank you for completing this referral to the Ontario Structured Psychotherapy (OSP) program.",
"type": "group",
"item": [
{
"linkId": "item29241412",
"text": "<b>Next Steps:\n \nPlease note that an email with subject title \"OSP Referral Follow up – Information Required\" will be sent to the email address provided within the next 72 hours. If no email is received beyond that time and you have checked your Junk Mail or Spam folder for the message, please call 1-866-345-0224 ext 1343 to follow-up.</b>",
"type": "display"
}
]
}
]
},
{
"linkId": "section98670638",
"type": "display",
"item": [
{
"linkId": "item7654630",
"text": "See image",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<img src=\"New English Crisis Notification (1).png-074b436a-e47e-4ba8-ab83-0ab1e73fce79\" alt=\"untitled\" />"
}
]
},
"type": "display"
},
{
"linkId": "item45542220",
"text": "See image",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<img src=\"New French Crisis Notification (1).png-ff12858c-0b6c-4002-924e-b4b7396727c8\" alt=\"untitled\" />"
}
]
},
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "section98896179",
"text": "Export Analytics",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referralService",
"text": "referralService: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function () { var svcs = []; { svcs.push('MENTAL_HEALTH_ASSESSMENT_AND_REFERRAL'); } return svcs.join('|'); }())",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referralDescription",
"text": "referralDescription: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() { var descs = []; { descs.push('Ontario Structured Psychotherapy Program'); } return descs.join('; '); })()",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_reasonForReferral",
"text": "ax_reasonForReferral: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; {descs+='Ontario Structured Psychotherapy Program';} return descs.substring(0, (descs.length-0)); })()",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_diagnosis",
"text": "ax_diagnosis: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (gad7Score.p != '' && gad7Score.p <= '4') {descs+='Minimal Anxiety' + '; ';} if (gad7Score.p >= '5' && gad7Score.p <= '9') {descs+='Mild Anxiety' + '; ';} if (gad7Score.p >= '10' && gad7Score.p <= '14') {descs+='Moderate Anxiety' + '; ';} if (gad7Score.p >= '15' && gad7Score.p <= '21') {descs+='Severe Anxiety' + '; ';} if (phq9SS.p >= '5' && phq9SS.p <= '9') {descs+='Mild Depression' + '; ';} if (phq9SS.p >= '10' && phq9SS.p <= '14') {descs+='Moderate Depression' + '; ';} if (phq9SS.p >= '15' && phq9SS.p <= '19') {descs+='Moderately Severe Depression' + '; ';} if (phq9SS.p >= '20' && phq9SS.p <= '27') {descs+='Severe Depression' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "fx_SupportOrgs",
"text": "fx_SupportOrgs: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (item38042256.p) {descs+='Across Boundaries' + '; ';} if (item2629219.p) {descs+='Hong Fook Mental Health Association' + '; ';} if (item35282384.p) {descs+='No Agencies' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_v_bp",
"text": "ax_v_bp: $",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; {descs+='CMHA York Region Ontario Structured Psychotherapy Program eReferral Form [FINAL FEB 2022]; 2022.02.15';} return descs.substring(0, (descs.length-0)); })()",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
"type": "display"
}
]
}
]
}
]
}