{
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"_filename": "StructureDefinition-irrs-question-list.json",
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"date": "2018-11-08T18:19:40-05:00",
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}
},
"definition": "Restricted Range of Interest"
}, {
"id": "QuestionList.iE14b",
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"min": 0,
"path": "QuestionList.iE14b",
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} ],
"label": "Excessive Preoccupation With an Activity or a Routine",
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"strength": "required",
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}
},
"definition": "Excessive Preoccupation With an Activity or a Routine"
}, {
"id": "QuestionList.iE14c",
"max": "*",
"min": 0,
"path": "QuestionList.iE14c",
"type": [ {
"code": "code"
} ],
"label": "Lack of Social and Emotional Conventions When Socializing",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Lack of Social and Emotional Conventions When Socializing"
}, {
"id": "QuestionList.iE14d",
"max": "*",
"min": 0,
"path": "QuestionList.iE14d",
"type": [ {
"code": "code"
} ],
"label": "Extreme Shyness",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Extreme Shyness"
}, {
"id": "QuestionList.iE15a",
"max": "*",
"min": 0,
"path": "QuestionList.iE15a",
"type": [ {
"code": "code"
} ],
"label": "Conduct Problem - Stealing ",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Conduct Problem - Stealing "
}, {
"id": "QuestionList.iE15d",
"max": "*",
"min": 0,
"path": "QuestionList.iE15d",
"type": [ {
"code": "code"
} ],
"label": "Elopement Attempts/Threats",
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"valueSetReference": {
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}
},
"definition": "Elopement Attempts/Threats"
}, {
"id": "QuestionList.iE15e",
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"min": 0,
"path": "QuestionList.iE15e",
"type": [ {
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} ],
"label": "Conduct Problem - Bullying Peers",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Conduct Problem - Bullying Peers"
}, {
"id": "QuestionList.iE16",
"max": "*",
"min": 0,
"path": "QuestionList.iE16",
"type": [ {
"code": "code"
} ],
"label": "Elopement Attempt for Safety",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-elopement-for-safety"
}
},
"definition": "Elopement Attempt for Safety"
}, {
"id": "QuestionList.iE17",
"max": "*",
"min": 0,
"path": "QuestionList.iE17",
"type": [ {
"code": "code"
} ],
"label": "Behaviour at Home and School",
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}
},
"definition": "Behaviour at Home and School"
}, {
"id": "QuestionList.iE18a",
"max": "*",
"min": 0,
"path": "QuestionList.iE18a",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Can Be Redirected",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Child/Youth Can Be Redirected"
}, {
"id": "QuestionList.iE18b",
"max": "*",
"min": 0,
"path": "QuestionList.iE18b",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Responds to Reinforcement",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Child/Youth Responds to Reinforcement"
}, {
"id": "QuestionList.iE19a",
"max": "*",
"min": 0,
"path": "QuestionList.iE19a",
"type": [ {
"code": "code"
} ],
"label": "Inappropriate Sexual Knowledge",
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"valueSetReference": {
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}
},
"definition": "Inappropriate Sexual Knowledge"
}, {
"id": "QuestionList.iE1a",
"max": "*",
"min": 0,
"path": "QuestionList.iE1a",
"type": [ {
"code": "code"
} ],
"label": "Made Negative Statements ",
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}
},
"definition": "Made Negative Statements "
}, {
"id": "QuestionList.iE1aaa",
"max": "*",
"min": 0,
"path": "QuestionList.iE1aaa",
"type": [ {
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} ],
"label": "Irritability ",
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}
},
"definition": "Irritability "
}, {
"id": "QuestionList.iE1aaaa",
"max": "*",
"min": 0,
"path": "QuestionList.iE1aaaa",
"type": [ {
"code": "code"
} ],
"label": "Falls Asleep During Day",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Falls Asleep During Day"
}, {
"id": "QuestionList.iE1b",
"max": "*",
"min": 0,
"path": "QuestionList.iE1b",
"type": [ {
"code": "code"
} ],
"label": "Persistent Anger With Self or Others",
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}
},
"definition": "Persistent Anger With Self or Others"
}, {
"id": "QuestionList.iE1bbb",
"max": "*",
"min": 0,
"path": "QuestionList.iE1bbb",
"type": [ {
"code": "code"
} ],
"label": "Pressured Speech or Racing Thoughts",
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}
},
"definition": "Pressured Speech or Racing Thoughts"
}, {
"id": "QuestionList.iE1bbbb",
"max": "*",
"min": 0,
"path": "QuestionList.iE1bbbb",
"type": [ {
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} ],
"label": "Resists Bedtime",
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}
},
"definition": "Resists Bedtime"
}, {
"id": "QuestionList.iE1c",
"max": "*",
"min": 0,
"path": "QuestionList.iE1c",
"type": [ {
"code": "code"
} ],
"label": "Unrealistic Fears",
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}
},
"definition": "Unrealistic Fears"
}, {
"id": "QuestionList.iE1ccc",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ccc",
"type": [ {
"code": "code"
} ],
"label": "Labile Affect",
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"strength": "required",
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}
},
"definition": "Labile Affect"
}, {
"id": "QuestionList.iE1cccc",
"max": "*",
"min": 0,
"path": "QuestionList.iE1cccc",
"type": [ {
"code": "code"
} ],
"label": "Episodes of Disorganized Speech",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Episodes of Disorganized Speech"
}, {
"id": "QuestionList.iE1d",
"max": "*",
"min": 0,
"path": "QuestionList.iE1d",
"type": [ {
"code": "code"
} ],
"label": "Repetitive Health Complaints",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Repetitive Health Complaints"
}, {
"id": "QuestionList.iE1ddd",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ddd",
"type": [ {
"code": "code"
} ],
"label": "Flat or Blunted Affect",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Flat or Blunted Affect"
}, {
"id": "QuestionList.iE1dddd",
"max": "*",
"min": 0,
"path": "QuestionList.iE1dddd",
"type": [ {
"code": "code"
} ],
"label": "Expressions Supportive of Criminal Activity",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Expressions Supportive of Criminal Activity"
}, {
"id": "QuestionList.iE1e",
"max": "*",
"min": 0,
"path": "QuestionList.iE1e",
"type": [ {
"code": "code"
} ],
"label": "Repetitive Anxious Complaints/Concerns ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Repetitive Anxious Complaints/Concerns "
}, {
"id": "QuestionList.iE1eee",
"max": "*",
"min": 0,
"path": "QuestionList.iE1eee",
"type": [ {
"code": "code"
} ],
"label": "Repetitive Anxious Complaints/Concerns ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Repetitive Anxious Complaints/Concerns "
}, {
"id": "QuestionList.iE1eeee",
"max": "*",
"min": 0,
"path": "QuestionList.iE1eeee",
"type": [ {
"code": "code"
} ],
"label": "Hypervigilance",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hypervigilance"
}, {
"id": "QuestionList.iE1f",
"max": "*",
"min": 0,
"path": "QuestionList.iE1f",
"type": [ {
"code": "code"
} ],
"label": "Sad, Pained or Worried Facial Expressions\n",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Sad, Pained or Worried Facial Expressions\n"
}, {
"id": "QuestionList.iE1fff",
"max": "*",
"min": 0,
"path": "QuestionList.iE1fff",
"type": [ {
"code": "code"
} ],
"label": "Unrealistic Fears",
"binding": {
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Unrealistic Fears"
}, {
"id": "QuestionList.iE1ffff",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ffff",
"type": [ {
"code": "code"
} ],
"label": "Phonic Tics",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Phonic Tics"
}, {
"id": "QuestionList.iE1g",
"max": "*",
"min": 0,
"path": "QuestionList.iE1g",
"type": [ {
"code": "code"
} ],
"label": "Crying, Tearfulness",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Crying, Tearfulness"
}, {
"id": "QuestionList.iE1ggg",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ggg",
"type": [ {
"code": "code"
} ],
"label": "Obsessive Thoughts",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Obsessive Thoughts"
}, {
"id": "QuestionList.iE1h",
"max": "*",
"min": 0,
"path": "QuestionList.iE1h",
"type": [ {
"code": "code"
} ],
"label": "Recurrent Statements Something Terrible About to Happen",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Recurrent Statements Something Terrible About to Happen"
}, {
"id": "QuestionList.iE1hhh",
"max": "*",
"min": 0,
"path": "QuestionList.iE1hhh",
"type": [ {
"code": "code"
} ],
"label": "Compulsive Behaviour",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Compulsive Behaviour"
}, {
"id": "QuestionList.iE1hhhh",
"max": "*",
"min": 0,
"path": "QuestionList.iE1hhhh",
"type": [ {
"code": "code"
} ],
"label": "Demonstrates Excessive Naiveté",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Demonstrates Excessive Naiveté"
}, {
"id": "QuestionList.iE1i",
"max": "*",
"min": 0,
"path": "QuestionList.iE1i",
"type": [ {
"code": "code"
} ],
"label": "Withdrawal From Activities of Interest",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Withdrawal From Activities of Interest"
}, {
"id": "QuestionList.iE1iii",
"max": "*",
"min": 0,
"path": "QuestionList.iE1iii",
"type": [ {
"code": "code"
} ],
"label": "Intrusive Thoughts or Flashbacks",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Intrusive Thoughts or Flashbacks"
}, {
"id": "QuestionList.iE1j",
"max": "*",
"min": 0,
"path": "QuestionList.iE1j",
"type": [ {
"code": "code"
} ],
"label": "Reduced Social Interactions",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Reduced Social Interactions"
}, {
"id": "QuestionList.iE1jjj",
"max": "*",
"min": 0,
"path": "QuestionList.iE1jjj",
"type": [ {
"code": "code"
} ],
"label": "Reenactment of Trauma Through Play",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Reenactment of Trauma Through Play"
}, {
"id": "QuestionList.iE1k",
"max": "*",
"min": 0,
"path": "QuestionList.iE1k",
"type": [ {
"code": "code"
} ],
"label": "Expressions, Including Non-Verbal, of a Lack of Pleasure in Life ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Expressions, Including Non-Verbal, of a Lack of Pleasure in Life "
}, {
"id": "QuestionList.iE1kkk",
"max": "*",
"min": 0,
"path": "QuestionList.iE1kkk",
"type": [ {
"code": "code"
} ],
"label": "Episodes of Panic",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Episodes of Panic"
}, {
"id": "QuestionList.iE1lll",
"max": "*",
"min": 0,
"path": "QuestionList.iE1lll",
"type": [ {
"code": "code"
} ],
"label": "Nightmares",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Nightmares"
}, {
"id": "QuestionList.iE1llll",
"max": "*",
"min": 0,
"path": "QuestionList.iE1llll",
"type": [ {
"code": "code"
} ],
"label": "Hyper Sexuality",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hyper Sexuality"
}, {
"id": "QuestionList.iE1mmm",
"max": "*",
"min": 0,
"path": "QuestionList.iE1mmm",
"type": [ {
"code": "code"
} ],
"label": "Hallucinations ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hallucinations "
}, {
"id": "QuestionList.iE1nnn",
"max": "*",
"min": 0,
"path": "QuestionList.iE1nnn",
"type": [ {
"code": "code"
} ],
"label": "Command Hallucinations",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Command Hallucinations"
}, {
"id": "QuestionList.iE1oo",
"max": "*",
"min": 0,
"path": "QuestionList.iE1oo",
"type": [ {
"code": "code"
} ],
"label": "Impulsive ",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Impulsive "
}, {
"id": "QuestionList.iE1ooo",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ooo",
"type": [ {
"code": "code"
} ],
"label": "Delusions",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Delusions"
}, {
"id": "QuestionList.iE1pp",
"max": "*",
"min": 0,
"path": "QuestionList.iE1pp",
"type": [ {
"code": "code"
} ],
"label": "Easily Distracted ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Easily Distracted "
}, {
"id": "QuestionList.iE1ppp",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ppp",
"type": [ {
"code": "code"
} ],
"label": "Abnormal Thought Process",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Abnormal Thought Process"
}, {
"id": "QuestionList.iE1qq",
"max": "*",
"min": 0,
"path": "QuestionList.iE1qq",
"type": [ {
"code": "code"
} ],
"label": "Hyperactivity ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hyperactivity "
}, {
"id": "QuestionList.iE1qqq",
"max": "*",
"min": 0,
"path": "QuestionList.iE1qqq",
"type": [ {
"code": "code"
} ],
"label": "Lack of Interest in Social Interaction",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Lack of Interest in Social Interaction"
}, {
"id": "QuestionList.iE1rr",
"max": "*",
"min": 0,
"path": "QuestionList.iE1rr",
"type": [ {
"code": "code"
} ],
"label": "Disorganization ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Disorganization "
}, {
"id": "QuestionList.iE1rrr",
"max": "*",
"min": 0,
"path": "QuestionList.iE1rrr",
"type": [ {
"code": "code"
} ],
"label": "Lack of Motivation",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Lack of Motivation"
}, {
"id": "QuestionList.iE1ss",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ss",
"type": [ {
"code": "code"
} ],
"label": "Sad, Pained or Worried Facial Expressions\n",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Sad, Pained or Worried Facial Expressions\n"
}, {
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} ],
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},
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} ],
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},
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} ],
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},
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} ],
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},
"definition": "Converses Only in Specific Social Situations "
}, {
"id": "QuestionList.iE1uu",
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} ],
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},
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}, {
"id": "QuestionList.iE1uuu",
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"path": "QuestionList.iE1uuu",
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} ],
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},
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}, {
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"path": "QuestionList.iE1vv",
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} ],
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},
"definition": "Made Negative Statements "
}, {
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} ],
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},
"definition": "Unusual or Abnormal Physical Movements "
}, {
"id": "QuestionList.iE1ww",
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"path": "QuestionList.iE1ww",
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} ],
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},
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}, {
"id": "QuestionList.iE1www",
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"path": "QuestionList.iE1www",
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} ],
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},
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}, {
"id": "QuestionList.iE1xx",
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} ],
"label": "Expressions of Guilt or Shame",
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},
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}, {
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"path": "QuestionList.iE1xxx",
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} ],
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},
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}, {
"id": "QuestionList.iE1yy",
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"path": "QuestionList.iE1yy",
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} ],
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},
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}, {
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} ],
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},
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}, {
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"path": "QuestionList.iE1zz",
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} ],
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},
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}, {
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"label": "Wakes Multiple Times at Night",
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},
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}, {
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"path": "QuestionList.iE2a",
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} ],
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},
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}, {
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},
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}, {
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} ],
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},
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}, {
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"path": "QuestionList.iE3a",
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} ],
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},
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}, {
"id": "QuestionList.iE3aa",
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} ],
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},
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}, {
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"path": "QuestionList.iE3b",
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} ],
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},
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}, {
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"path": "QuestionList.iE3c",
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} ],
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},
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}, {
"id": "QuestionList.iE3d",
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"min": 0,
"path": "QuestionList.iE3d",
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} ],
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},
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}, {
"id": "QuestionList.iE3e",
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"path": "QuestionList.iE3e",
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} ],
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},
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}, {
"id": "QuestionList.iE3f",
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"path": "QuestionList.iE3f",
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} ],
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},
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}, {
"id": "QuestionList.iE3l",
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} ],
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}
},
"definition": "Behaviour Symptoms - Verbal Abuse "
}, {
"id": "QuestionList.iE3m",
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"path": "QuestionList.iE3m",
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} ],
"label": "Behaviour Symptoms - Physical Abuse ",
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},
"definition": "Behaviour Symptoms - Physical Abuse "
}, {
"id": "QuestionList.iE3n",
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"min": 0,
"path": "QuestionList.iE3n",
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} ],
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},
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}, {
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} ],
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},
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}, {
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},
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} ],
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},
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}, {
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},
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}, {
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},
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},
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}, {
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},
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},
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},
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} ],
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},
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}, {
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"path": "QuestionList.iE5",
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} ],
"label": "Number of Lifetime Psychiatric Admissions",
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},
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}, {
"id": "QuestionList.iE6",
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"min": 0,
"path": "QuestionList.iE6",
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} ],
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},
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}, {
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} ],
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},
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}, {
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} ],
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},
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},
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} ],
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},
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} ],
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},
"definition": "Urgency - Mental Health Assessment"
}, {
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} ],
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},
"definition": "Urgency - Mental Health Services"
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"id": "QuestionList.iEEE6",
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"path": "QuestionList.iEEE6",
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} ],
"label": "Source of Information: Parent/Primary Caregiver",
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},
"definition": "Source of Information: Parent/Primary Caregiver"
}, {
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"path": "QuestionList.iEEE7",
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} ],
"label": "Source of Information: Staff at School",
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},
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"path": "QuestionList.iF13",
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} ],
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},
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} ],
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},
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}, {
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"path": "QuestionList.iF15b",
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} ],
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},
"definition": "Good School Performance"
}, {
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"min": 0,
"path": "QuestionList.iF15c",
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} ],
"label": "School Engagement",
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},
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},
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"definition": "Chair Prevents Rising"
}, {
"id": "QuestionList.iN7",
"max": "*",
"min": 0,
"path": "QuestionList.iN7",
"type": [ {
"code": "integer"
} ],
"label": "Number Days Physician Visits",
"definition": "Number Days Physician Visits"
}, {
"id": "QuestionList.iN8",
"max": "*",
"min": 0,
"path": "QuestionList.iN8",
"type": [ {
"code": "integer"
} ],
"label": "Number Days Physician Orders",
"definition": "Number Days Physician Orders"
}, {
"id": "QuestionList.iNN6a",
"max": "*",
"min": 0,
"path": "QuestionList.iNN6a",
"type": [ {
"code": "code"
} ],
"label": "Source of Information: Client",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
}
},
"definition": "Source of Information: Client"
}, {
"id": "QuestionList.iNN6d",
"max": "*",
"min": 0,
"path": "QuestionList.iNN6d",
"type": [ {
"code": "code"
} ],
"label": "Source of Information: Other Relative",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
}
},
"definition": "Source of Information: Other Relative"
}, {
"id": "QuestionList.iNN6f",
"max": "*",
"min": 0,
"path": "QuestionList.iNN6f",
"type": [ {
"code": "code"
} ],
"label": "Source of Information: Physician",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
}
},
"definition": "Source of Information: Physician"
}, {
"id": "QuestionList.iNN6l",
"max": "*",
"min": 0,
"path": "QuestionList.iNN6l",
"type": [ {
"code": "code"
} ],
"label": "Source of Information: Other ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
}
},
"definition": "Source of Information: Other "
}, {
"id": "QuestionList.iO2a",
"max": "*",
"min": 0,
"path": "QuestionList.iO2a",
"type": [ {
"code": "code"
} ],
"label": "Advance Directives: Do Not Resuscitate",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-advance-directive"
}
},
"definition": "Advance Directives: Do Not Resuscitate"
}, {
"id": "QuestionList.iO2c",
"max": "*",
"min": 0,
"path": "QuestionList.iO2c",
"type": [ {
"code": "code"
} ],
"label": "Advance Directives: Do Not Hospitalize",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-advance-directive"
}
},
"definition": "Advance Directives: Do Not Hospitalize"
}, {
"id": "QuestionList.iP15a",
"max": "*",
"min": 0,
"path": "QuestionList.iP15a",
"type": [ {
"code": "code"
} ],
"label": "Communicates Effectively With Child/Youth",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Communicates Effectively With Child/Youth"
}, {
"id": "QuestionList.iP15b",
"max": "*",
"min": 0,
"path": "QuestionList.iP15b",
"type": [ {
"code": "code"
} ],
"label": "Assists Child/Youth With the Regulation of Emotions ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Assists Child/Youth With the Regulation of Emotions "
}, {
"id": "QuestionList.iP15c",
"max": "*",
"min": 0,
"path": "QuestionList.iP15c",
"type": [ {
"code": "code"
} ],
"label": "Uses Appropriate Disciplinary Practices",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Uses Appropriate Disciplinary Practices"
}, {
"id": "QuestionList.iP15d",
"max": "*",
"min": 0,
"path": "QuestionList.iP15d",
"type": [ {
"code": "code"
} ],
"label": "Demonstrates Warmth and Support",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Demonstrates Warmth and Support"
}, {
"id": "QuestionList.iP15e",
"max": "*",
"min": 0,
"path": "QuestionList.iP15e",
"type": [ {
"code": "code"
} ],
"label": "Appropriate Supervision and Monitoring",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Appropriate Supervision and Monitoring"
}, {
"id": "QuestionList.iP15f",
"max": "*",
"min": 0,
"path": "QuestionList.iP15f",
"type": [ {
"code": "code"
} ],
"label": "Appropriate Limit-Setting or Expectations",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-parenting"
}
},
"definition": "Appropriate Limit-Setting or Expectations"
}, {
"id": "QuestionList.iP16a",
"max": "*",
"min": 0,
"path": "QuestionList.iP16a",
"type": [ {
"code": "code"
} ],
"label": "Reluctance to Accept Comfort From Parent(s)/Primary Caregiver",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-parent-primary-caregiver"
}
},
"definition": "Reluctance to Accept Comfort From Parent(s)/Primary Caregiver"
}, {
"id": "QuestionList.iP16b",
"max": "*",
"min": 0,
"path": "QuestionList.iP16b",
"type": [ {
"code": "code"
} ],
"label": "Anger and Ambivalence Toward Parent(s)/Primary Caregiver",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-parent-primary-caregiver"
}
},
"definition": "Anger and Ambivalence Toward Parent(s)/Primary Caregiver"
}, {
"id": "QuestionList.iP16c",
"max": "*",
"min": 0,
"path": "QuestionList.iP16c",
"type": [ {
"code": "code"
} ],
"label": "Seeks Comfort From Any Adult",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-parent-primary-caregiver"
}
},
"definition": "Seeks Comfort From Any Adult"
}, {
"id": "QuestionList.iP17a",
"max": "*",
"min": 0,
"path": "QuestionList.iP17a",
"type": [ {
"code": "code"
} ],
"label": "Family Outings for Recreation",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period"
}
},
"definition": "Family Outings for Recreation"
}, {
"id": "QuestionList.iP17b",
"max": "*",
"min": 0,
"path": "QuestionList.iP17b",
"type": [ {
"code": "code"
} ],
"label": "Family Sit-Down Meals",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period"
}
},
"definition": "Family Sit-Down Meals"
}, {
"id": "QuestionList.iP18a",
"max": "*",
"min": 0,
"path": "QuestionList.iP18a",
"type": [ {
"code": "code"
} ],
"label": "Crisis Situation Support",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-availability"
}
},
"definition": "Crisis Situation Support"
}, {
"id": "QuestionList.iP18b",
"max": "*",
"min": 0,
"path": "QuestionList.iP18b",
"type": [ {
"code": "code"
} ],
"label": "Financial Problem Support",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-availability"
}
},
"definition": "Financial Problem Support"
}, {
"id": "QuestionList.iP18c",
"max": "*",
"min": 0,
"path": "QuestionList.iP18c",
"type": [ {
"code": "code"
} ],
"label": "Babysitting Support",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-availability"
}
},
"definition": "Babysitting Support"
}, {
"id": "QuestionList.iP18d",
"max": "*",
"min": 0,
"path": "QuestionList.iP18d",
"type": [ {
"code": "code"
} ],
"label": "Emotional Support",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-availability"
}
},
"definition": "Emotional Support"
}, {
"id": "QuestionList.iP18e",
"max": "*",
"min": 0,
"path": "QuestionList.iP18e",
"type": [ {
"code": "code"
} ],
"label": "Respite",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-availability"
}
},
"definition": "Respite"
}, {
"id": "QuestionList.iP19a",
"max": "*",
"min": 0,
"path": "QuestionList.iP19a",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Conflict With or Repeated Criticism of Family ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Conflict With or Repeated Criticism of Family "
}, {
"id": "QuestionList.iP19b",
"max": "*",
"min": 0,
"path": "QuestionList.iP19b",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Conflict With or Repeated Criticism of Close Friends ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Conflict With or Repeated Criticism of Close Friends "
}, {
"id": "QuestionList.iP19c",
"max": "*",
"min": 0,
"path": "QuestionList.iP19c",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Staff Report Persistent Frustration in Dealing With Child/Youth ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Staff Report Persistent Frustration in Dealing With Child/Youth "
}, {
"id": "QuestionList.iP19d",
"max": "*",
"min": 0,
"path": "QuestionList.iP19d",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Family Are Persistently Hostile or Critical of Child/Youth",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Family Are Persistently Hostile or Critical of Child/Youth"
}, {
"id": "QuestionList.iP19e",
"max": "*",
"min": 0,
"path": "QuestionList.iP19e",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Friends Are Persistently Hostile or Critical of Child/Youth",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Friends Are Persistently Hostile or Critical of Child/Youth"
}, {
"id": "QuestionList.iP19f",
"max": "*",
"min": 0,
"path": "QuestionList.iP19f",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Pervasive Conflict With Peers",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Pervasive Conflict With Peers"
}, {
"id": "QuestionList.iP19g",
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"min": 0,
"path": "QuestionList.iP19g",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Conflict or Repeated Criticism Between Parents/Primary Caregivers",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Conflict or Repeated Criticism Between Parents/Primary Caregivers"
}, {
"id": "QuestionList.iP19h",
"max": "*",
"min": 0,
"path": "QuestionList.iP19h",
"type": [ {
"code": "code"
} ],
"label": "Unsettled Relationships - Family Members Report Feeling Overwhelmed by Child's/Youth's Condition ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-not-applicable"
}
},
"definition": "Unsettled Relationships - Family Members Report Feeling Overwhelmed by Child's/Youth's Condition "
}, {
"id": "QuestionList.iP1a1",
"max": "*",
"min": 0,
"path": "QuestionList.iP1a1",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper: Relationship - 1",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-relationship"
}
},
"definition": "Informal Helper: Relationship - 1"
}, {
"id": "QuestionList.iP1a2",
"max": "*",
"min": 0,
"path": "QuestionList.iP1a2",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper: Relationship - 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-relationship"
}
},
"definition": "Informal Helper: Relationship - 2"
}, {
"id": "QuestionList.iP1b1",
"max": "*",
"min": 0,
"path": "QuestionList.iP1b1",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper: Lives With Person - 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-lives-with-person"
}
},
"definition": "Informal Helper: Lives With Person - 1"
}, {
"id": "QuestionList.iP1b2",
"max": "*",
"min": 0,
"path": "QuestionList.iP1b2",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper: Lives With Person - 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-lives-with-person"
}
},
"definition": "Informal Helper: Lives With Person - 2"
}, {
"id": "QuestionList.iP1c1",
"max": "*",
"min": 0,
"path": "QuestionList.iP1c1",
"type": [ {
"code": "code"
} ],
"label": "Areas of Informal Help: IADL Care - 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-informal-helper"
}
},
"definition": "Areas of Informal Help: IADL Care - 1"
}, {
"id": "QuestionList.iP1c2",
"max": "*",
"min": 0,
"path": "QuestionList.iP1c2",
"type": [ {
"code": "code"
} ],
"label": "Areas of Informal Help: IADL Care - 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-informal-helper"
}
},
"definition": "Areas of Informal Help: IADL Care - 2"
}, {
"id": "QuestionList.iP1d1",
"max": "*",
"min": 0,
"path": "QuestionList.iP1d1",
"type": [ {
"code": "code"
} ],
"label": "Areas of Informal Help: ADL Care - 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-informal-helper"
}
},
"definition": "Areas of Informal Help: ADL Care - 1"
}, {
"id": "QuestionList.iP1d2",
"max": "*",
"min": 0,
"path": "QuestionList.iP1d2",
"type": [ {
"code": "code"
} ],
"label": "Areas of Informal Help: ADL Care - 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no-no-informal-helper"
}
},
"definition": "Areas of Informal Help: ADL Care - 2"
}, {
"id": "QuestionList.iP21",
"max": "*",
"min": 0,
"path": "QuestionList.iP21",
"type": [ {
"code": "code"
} ],
"label": "Length of Time Without Parental Supervision in Typical 24-Hour Period in Usual Residence",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-without-parental-supervision"
}
},
"definition": "Length of Time Without Parental Supervision in Typical 24-Hour Period in Usual Residence"
}, {
"id": "QuestionList.iP22a1",
"max": "*",
"min": 0,
"path": "QuestionList.iP22a1",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Relationship to Child/Youth 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-caregiver-relationship"
}
},
"definition": "Caregiver Relationship to Child/Youth 1"
}, {
"id": "QuestionList.iP22a2",
"max": "*",
"min": 0,
"path": "QuestionList.iP22a2",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Relationship to Child/Youth 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-caregiver-relationship"
}
},
"definition": "Caregiver Relationship to Child/Youth 2"
}, {
"id": "QuestionList.iP22c1",
"max": "*",
"min": 0,
"path": "QuestionList.iP22c1",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Lives With Child/Youth 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-caregiver-lives-with-child-youth"
}
},
"definition": "Caregiver Lives With Child/Youth 1"
}, {
"id": "QuestionList.iP22c2",
"max": "*",
"min": 0,
"path": "QuestionList.iP22c2",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Lives With Child/Youth 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-caregiver-lives-with-child-youth"
}
},
"definition": "Caregiver Lives With Child/Youth 2"
}, {
"id": "QuestionList.iP23n1",
"max": "*",
"min": 0,
"path": "QuestionList.iP23n1",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Status: In School or Work Full Time 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-status-of-caregiver"
}
},
"definition": "Caregiver Status: In School or Work Full Time 1"
}, {
"id": "QuestionList.iP23n2",
"max": "*",
"min": 0,
"path": "QuestionList.iP23n2",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Status: In School or Work Full Time 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-status-of-caregiver"
}
},
"definition": "Caregiver Status: In School or Work Full Time 2"
}, {
"id": "QuestionList.iP23o1",
"max": "*",
"min": 0,
"path": "QuestionList.iP23o1",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Status: In School or Work Part Time 1",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-status-of-caregiver"
}
},
"definition": "Caregiver Status: In School or Work Part Time 1"
}, {
"id": "QuestionList.iP23o2",
"max": "*",
"min": 0,
"path": "QuestionList.iP23o2",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Status: In School or Work Part Time 2",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-status-of-caregiver"
}
},
"definition": "Caregiver Status: In School or Work Part Time 2"
}, {
"id": "QuestionList.iP25",
"max": "*",
"min": 0,
"path": "QuestionList.iP25",
"type": [ {
"code": "code"
} ],
"label": "Belief That Parent(s)/Primary Caregiver(s) Are Not Adequately Engaged in Child's/Youth's Life",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-belief"
}
},
"definition": "Belief That Parent(s)/Primary Caregiver(s) Are Not Adequately Engaged in Child's/Youth's Life"
}, {
"id": "QuestionList.iP2a",
"max": "*",
"min": 0,
"path": "QuestionList.iP2a",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper Status: Unable to Continue in Caring Activities",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Informal Helper Status: Unable to Continue in Caring Activities"
}, {
"id": "QuestionList.iP2b",
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"min": 0,
"path": "QuestionList.iP2b",
"type": [ {
"code": "code"
} ],
"label": "Informal Helper Status: Primary Informal Helper Feelings of Distress, Anger or Depression",
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"valueSetReference": {
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}
},
"definition": "Informal Helper Status: Primary Informal Helper Feelings of Distress, Anger or Depression"
}, {
"id": "QuestionList.iP3",
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"min": 0,
"path": "QuestionList.iP3",
"type": [ {
"code": "integer"
} ],
"label": "Hours of Informal Care",
"definition": "Hours of Informal Care"
}, {
"id": "QuestionList.iP8",
"max": "*",
"min": 0,
"path": "QuestionList.iP8",
"type": [ {
"code": "code"
} ],
"label": "Reports Having a Confidante",
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}
},
"definition": "Reports Having a Confidante"
}, {
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"min": 0,
"path": "QuestionList.iQ1a",
"type": [ {
"code": "code"
} ],
"label": "Disrepair of the Home",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Disrepair of the Home"
}, {
"id": "QuestionList.iQ1b",
"max": "*",
"min": 0,
"path": "QuestionList.iQ1b",
"type": [ {
"code": "code"
} ],
"label": "Squalid Condition",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Squalid Condition"
}, {
"id": "QuestionList.iQ1c",
"max": "*",
"min": 0,
"path": "QuestionList.iQ1c",
"type": [ {
"code": "code"
} ],
"label": "Inadequate Heating or Cooling",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Inadequate Heating or Cooling"
}, {
"id": "QuestionList.iQ1d",
"max": "*",
"min": 0,
"path": "QuestionList.iQ1d",
"type": [ {
"code": "code"
} ],
"label": "Lack of Personal Safety",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Lack of Personal Safety"
}, {
"id": "QuestionList.iQ1e",
"max": "*",
"min": 0,
"path": "QuestionList.iQ1e",
"type": [ {
"code": "code"
} ],
"label": "Limited Access to Home or Rooms in Home",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Limited Access to Home or Rooms in Home"
}, {
"id": "QuestionList.iQ2",
"max": "*",
"min": 0,
"path": "QuestionList.iQ2",
"type": [ {
"code": "code"
} ],
"label": "Apartment or House Re-Engineered for Persons With Disabilities",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Apartment or House Re-Engineered for Persons With Disabilities"
}, {
"id": "QuestionList.iQ3a",
"max": "*",
"min": 0,
"path": "QuestionList.iQ3a",
"type": [ {
"code": "code"
} ],
"label": "Availability of Emergency Assistance",
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}
},
"definition": "Availability of Emergency Assistance"
}, {
"id": "QuestionList.iQ3b",
"max": "*",
"min": 0,
"path": "QuestionList.iQ3b",
"type": [ {
"code": "code"
} ],
"label": "Accessibility to Grocery Store Without Assistance",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Accessibility to Grocery Store Without Assistance"
}, {
"id": "QuestionList.iQ3c",
"max": "*",
"min": 0,
"path": "QuestionList.iQ3c",
"type": [ {
"code": "code"
} ],
"label": "Availability of Home Delivery of Groceries",
"binding": {
"strength": "required",
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}
},
"definition": "Availability of Home Delivery of Groceries"
}, {
"id": "QuestionList.iQ4",
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"min": 0,
"path": "QuestionList.iQ4",
"type": [ {
"code": "code"
} ],
"label": "Finances - Made Trade-Offs",
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}
},
"definition": "Finances - Made Trade-Offs"
}, {
"id": "QuestionList.iQ5a",
"max": "*",
"min": 0,
"path": "QuestionList.iQ5a",
"type": [ {
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} ],
"label": "Home Environment - Disrepair",
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}
},
"definition": "Home Environment - Disrepair"
}, {
"id": "QuestionList.iQ5b",
"max": "*",
"min": 0,
"path": "QuestionList.iQ5b",
"type": [ {
"code": "code"
} ],
"label": "Home Environment - Squalid Condition",
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}
},
"definition": "Home Environment - Squalid Condition"
}, {
"id": "QuestionList.iQ5c",
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"min": 0,
"path": "QuestionList.iQ5c",
"type": [ {
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} ],
"label": "Home Environment - Inadequate Heating or Cooling",
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}
},
"definition": "Home Environment - Inadequate Heating or Cooling"
}, {
"id": "QuestionList.iQ5d",
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"min": 0,
"path": "QuestionList.iQ5d",
"type": [ {
"code": "code"
} ],
"label": "Home Environment - Lack of Personal Safety",
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}
},
"definition": "Home Environment - Lack of Personal Safety"
}, {
"id": "QuestionList.iQ5e",
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"min": 0,
"path": "QuestionList.iQ5e",
"type": [ {
"code": "code"
} ],
"label": "Home Environment - Limited Access to Home or Rooms",
"binding": {
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}
},
"definition": "Home Environment - Limited Access to Home or Rooms"
}, {
"id": "QuestionList.iR1",
"max": "*",
"min": 0,
"path": "QuestionList.iR1",
"type": [ {
"code": "code"
} ],
"label": "Care Goals Met",
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"valueSetReference": {
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}
},
"definition": "Care Goals Met"
}, {
"id": "QuestionList.iR14",
"max": "*",
"min": 0,
"path": "QuestionList.iR14",
"type": [ {
"code": "code"
} ],
"label": "How Long Child/Youth Expected to Receive Services",
"binding": {
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}
},
"definition": "How Long Child/Youth Expected to Receive Services"
}, {
"id": "QuestionList.iR16d",
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"min": 0,
"path": "QuestionList.iR16d",
"type": [ {
"code": "code"
} ],
"label": "Resources Available Upon Discharge - Mental Health Treatment",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Resources Available Upon Discharge - Mental Health Treatment"
}, {
"id": "QuestionList.iR16e",
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"min": 0,
"path": "QuestionList.iR16e",
"type": [ {
"code": "code"
} ],
"label": "Resources Available Upon Discharge - Case Coordination Services",
"binding": {
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}
},
"definition": "Resources Available Upon Discharge - Case Coordination Services"
}, {
"id": "QuestionList.iR16f",
"max": "*",
"min": 0,
"path": "QuestionList.iR16f",
"type": [ {
"code": "code"
} ],
"label": "Resources Available Upon Discharge - School Resources",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Resources Available Upon Discharge - School Resources"
}, {
"id": "QuestionList.iR2",
"max": "*",
"min": 0,
"path": "QuestionList.iR2",
"type": [ {
"code": "code"
} ],
"label": "Self-Sufficiency Has Changed",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Self-Sufficiency Has Changed"
}, {
"id": "QuestionList.iR3",
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"min": 0,
"path": "QuestionList.iR3",
"type": [ {
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} ],
"label": "Independent ADL Areas",
"definition": "Independent ADL Areas"
}, {
"id": "QuestionList.iR4",
"max": "*",
"min": 0,
"path": "QuestionList.iR4",
"type": [ {
"code": "integer"
} ],
"label": "Independent IADL Areas",
"definition": "Independent IADL Areas"
}, {
"id": "QuestionList.iR5",
"max": "*",
"min": 0,
"path": "QuestionList.iR5",
"type": [ {
"code": "code"
} ],
"label": "Time of Onset of Precipitating Event or Problem Related to Deterioration",
"binding": {
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}
},
"definition": "Time of Onset of Precipitating Event or Problem Related to Deterioration"
}, {
"id": "QuestionList.iR6a",
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"min": 0,
"path": "QuestionList.iR6a",
"type": [ {
"code": "code"
} ],
"label": "Preference to Return to or Remain in the Community",
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}
},
"definition": "Preference to Return to or Remain in the Community"
}, {
"id": "QuestionList.iR6b",
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"min": 0,
"path": "QuestionList.iR6b",
"type": [ {
"code": "code"
} ],
"label": "Support Person Positive About Discharge",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Support Person Positive About Discharge"
}, {
"id": "QuestionList.iR6c",
"max": "*",
"min": 0,
"path": "QuestionList.iR6c",
"type": [ {
"code": "code"
} ],
"label": "Has Housing Available in Community",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Has Housing Available in Community"
}, {
"id": "QuestionList.iR7",
"max": "*",
"min": 0,
"path": "QuestionList.iR7",
"type": [ {
"code": "code"
} ],
"label": "Expected Length of Stay",
"binding": {
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}
},
"definition": "Expected Length of Stay"
}, {
"id": "QuestionList.iR9",
"max": "*",
"min": 0,
"path": "QuestionList.iR9",
"type": [ {
"code": "code"
} ],
"label": "Change in Severity or Frequency of Psychiatric Symptoms",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Change in Severity or Frequency of Psychiatric Symptoms"
}, {
"id": "QuestionList.iS11a",
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"min": 0,
"path": "QuestionList.iS11a",
"type": [ {
"code": "code"
} ],
"label": "Involvement in Structured Activities in the Last 90 Days - Extracurricular Lessons/Classes",
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}
},
"definition": "Involvement in Structured Activities in the Last 90 Days - Extracurricular Lessons/Classes"
}, {
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"min": 0,
"path": "QuestionList.iS11b",
"type": [ {
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} ],
"label": "Involvement in Structured Activities in the Last 90 Days - Volunteers",
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}
},
"definition": "Involvement in Structured Activities in the Last 90 Days - Volunteers"
}, {
"id": "QuestionList.iS11c",
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"min": 0,
"path": "QuestionList.iS11c",
"type": [ {
"code": "code"
} ],
"label": "Involvement in Structured Activities in the Last 90 Days - Organized Club or Team Program ",
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}
},
"definition": "Involvement in Structured Activities in the Last 90 Days - Organized Club or Team Program "
}, {
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"min": 0,
"path": "QuestionList.iS1b",
"type": [ {
"code": "code"
} ],
"label": "Time involved in activities (LTCF coding)",
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}
},
"definition": "Time involved in activities (LTCF coding)"
}, {
"id": "QuestionList.iS2a",
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"min": 0,
"path": "QuestionList.iS2a",
"type": [ {
"code": "code"
} ],
"label": "Cards, Games or Puzzles",
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}
},
"definition": "Cards, Games or Puzzles"
}, {
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"min": 0,
"path": "QuestionList.iS2b",
"type": [ {
"code": "code"
} ],
"label": "Computer Activity",
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}
},
"definition": "Computer Activity"
}, {
"id": "QuestionList.iS2c",
"max": "*",
"min": 0,
"path": "QuestionList.iS2c",
"type": [ {
"code": "code"
} ],
"label": "Conversing/Talking on Phone",
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}
},
"definition": "Conversing/Talking on Phone"
}, {
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"min": 0,
"path": "QuestionList.iS2d",
"type": [ {
"code": "code"
} ],
"label": "Crafts or Arts",
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}
},
"definition": "Crafts or Arts"
}, {
"id": "QuestionList.iS2e",
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"min": 0,
"path": "QuestionList.iS2e",
"type": [ {
"code": "code"
} ],
"label": "Dancing ",
"binding": {
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}
},
"definition": "Dancing "
}, {
"id": "QuestionList.iS2f",
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"min": 0,
"path": "QuestionList.iS2f",
"type": [ {
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} ],
"label": "Exercise or Sports",
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}
},
"definition": "Exercise or Sports"
}, {
"id": "QuestionList.iS2g",
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"min": 0,
"path": "QuestionList.iS2g",
"type": [ {
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} ],
"label": "Gardening or Plants",
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}
},
"definition": "Gardening or Plants"
}, {
"id": "QuestionList.iS2h",
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"min": 0,
"path": "QuestionList.iS2h",
"type": [ {
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} ],
"label": "Helping Others",
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}
},
"definition": "Helping Others"
}, {
"id": "QuestionList.iS2i",
"max": "*",
"min": 0,
"path": "QuestionList.iS2i",
"type": [ {
"code": "code"
} ],
"label": "Music or Singing",
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}
},
"definition": "Music or Singing"
}, {
"id": "QuestionList.iS2j",
"max": "*",
"min": 0,
"path": "QuestionList.iS2j",
"type": [ {
"code": "code"
} ],
"label": "Pets",
"binding": {
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}
},
"definition": "Pets"
}, {
"id": "QuestionList.iS2k",
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"min": 0,
"path": "QuestionList.iS2k",
"type": [ {
"code": "code"
} ],
"label": "Reading",
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}
},
"definition": "Reading"
}, {
"id": "QuestionList.iS2l",
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"min": 0,
"path": "QuestionList.iS2l",
"type": [ {
"code": "code"
} ],
"label": "Spiritual Activities",
"binding": {
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}
},
"definition": "Spiritual Activities"
}, {
"id": "QuestionList.iS2m",
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"min": 0,
"path": "QuestionList.iS2m",
"type": [ {
"code": "code"
} ],
"label": "Trips or Shopping",
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}
},
"definition": "Trips or Shopping"
}, {
"id": "QuestionList.iS2n",
"max": "*",
"min": 0,
"path": "QuestionList.iS2n",
"type": [ {
"code": "code"
} ],
"label": "Walking or Wheeling Outdoors",
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}
},
"definition": "Walking or Wheeling Outdoors"
}, {
"id": "QuestionList.iS2o",
"max": "*",
"min": 0,
"path": "QuestionList.iS2o",
"type": [ {
"code": "code"
} ],
"label": "Watching TV or Listening to Radio",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Watching TV or Listening to Radio"
}, {
"id": "QuestionList.iS2r",
"max": "*",
"min": 0,
"path": "QuestionList.iS2r",
"type": [ {
"code": "code"
} ],
"label": "Reminiscing About Life",
"binding": {
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}
},
"definition": "Reminiscing About Life"
}, {
"id": "QuestionList.iS3",
"max": "*",
"min": 0,
"path": "QuestionList.iS3",
"type": [ {
"code": "code"
} ],
"label": "Time Asleep During Day",
"binding": {
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}
},
"definition": "Time Asleep During Day"
}, {
"id": "QuestionList.iT1",
"max": "*",
"min": 0,
"path": "QuestionList.iT1",
"type": [ {
"code": "date"
} ],
"label": "Last Day of Stay",
"definition": "Last Day of Stay"
}, {
"id": "QuestionList.iT10",
"max": "*",
"min": 0,
"path": "QuestionList.iT10",
"type": [ {
"code": "code"
} ],
"label": "Living Status After Discharge",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-living-arrangement1"
}
},
"definition": "Living Status After Discharge"
}, {
"id": "QuestionList.iT2",
"max": "*",
"min": 0,
"path": "QuestionList.iT2",
"type": [ {
"code": "code"
} ],
"label": "Residential/Living Status After Discharge",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-service-delivery-location-role-type"
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},
"definition": "Residential/Living Status After Discharge"
}, {
"id": "QuestionList.iT4",
"max": "*",
"min": 0,
"path": "QuestionList.iT4",
"type": [ {
"code": "code"
} ],
"label": "Home Care Services Scheduled at Discharge",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Home Care Services Scheduled at Discharge"
}, {
"id": "QuestionList.iT5",
"max": "*",
"min": 0,
"path": "QuestionList.iT5",
"type": [ {
"code": "code"
} ],
"label": "Person Left Against Medical Advice",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-discharge-disposition"
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},
"definition": "Person Left Against Medical Advice"
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"id": "QuestionList.iT9",
"max": "*",
"min": 0,
"path": "QuestionList.iT9",
"type": [ {
"code": "code"
} ],
"label": "Discharged To ",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-service-delivery-location-role-type"
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},
"definition": "Discharged To "
}, {
"id": "QuestionList.iU2",
"max": "*",
"min": 0,
"path": "QuestionList.iU2",
"type": [ {
"code": "date"
} ],
"label": "Date Assessment Signed as Complete",
"definition": "Date Assessment Signed as Complete"
}, {
"id": "QuestionList.iV1",
"max": "*",
"min": 0,
"path": "QuestionList.iV1",
"type": [ {
"code": "code"
} ],
"label": "Number Admissions in Last 2 Years",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-number-of-admissions"
}
},
"definition": "Number Admissions in Last 2 Years"
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"id": "QuestionList.iV3",
"max": "*",
"min": 0,
"path": "QuestionList.iV3",
"type": [ {
"code": "code"
} ],
"label": "Time Since Discharge From Last Admission",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-since-discharge"
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},
"definition": "Time Since Discharge From Last Admission"
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"max": "*",
"min": 0,
"path": "QuestionList.iV4",
"type": [ {
"code": "code"
} ],
"label": "Time Since Last Contact With CMH, Agency or Professional",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-since-last-contact"
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},
"definition": "Time Since Last Contact With CMH, Agency or Professional"
}, {
"id": "QuestionList.iV9",
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"min": 0,
"path": "QuestionList.iV9",
"type": [ {
"code": "code"
} ],
"label": "Age in Years at First Overnight Stay",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-age-range"
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},
"definition": "Age in Years at First Overnight Stay"
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"id": "QuestionList.iW1",
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"min": 0,
"path": "QuestionList.iW1",
"type": [ {
"code": "code"
} ],
"label": "Alcohol - Number of Drinks",
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},
"definition": "Alcohol - Number of Drinks"
}, {
"id": "QuestionList.iW10b",
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"min": 0,
"path": "QuestionList.iW10b",
"type": [ {
"code": "code"
} ],
"label": "Caffeine Use - ChYMH",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-caffeine-use"
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"definition": "Caffeine Use - ChYMH"
}, {
"id": "QuestionList.iW2",
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"min": 0,
"path": "QuestionList.iW2",
"type": [ {
"code": "code"
} ],
"label": "Number of Days Consumed Alcohol to Intoxication",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-alcohol-intoxication"
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},
"definition": "Number of Days Consumed Alcohol to Intoxication"
}, {
"id": "QuestionList.iW20a",
"max": "*",
"min": 0,
"path": "QuestionList.iW20a",
"type": [ {
"code": "code"
} ],
"label": "Smokes Tobacco Daily ",
"binding": {
"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-smoking"
}
},
"definition": "Smokes Tobacco Daily "
}, {
"id": "QuestionList.iW20b",
"max": "*",
"min": 0,
"path": "QuestionList.iW20b",
"type": [ {
"code": "code"
} ],
"label": "Uses Other Nicotine Product Daily",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-smoking"
}
},
"definition": "Uses Other Nicotine Product Daily"
}, {
"id": "QuestionList.iW21",
"max": "*",
"min": 0,
"path": "QuestionList.iW21",
"type": [ {
"code": "code"
} ],
"label": "Problem Video Gaming",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity1"
}
},
"definition": "Problem Video Gaming"
}, {
"id": "QuestionList.iW22",
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"min": 0,
"path": "QuestionList.iW22",
"type": [ {
"code": "code"
} ],
"label": "Problem Internet Use ",
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},
"definition": "Problem Internet Use "
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"id": "QuestionList.iW27",
"max": "*",
"min": 0,
"path": "QuestionList.iW27",
"type": [ {
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} ],
"label": "Family Concerned About Risky Sexual Behaviour",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Family Concerned About Risky Sexual Behaviour"
}, {
"id": "QuestionList.iW28a",
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"min": 0,
"path": "QuestionList.iW28a",
"type": [ {
"code": "code"
} ],
"label": "Substance Use in Last 14 Days - Drug Use",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Substance Use in Last 14 Days - Drug Use"
}, {
"id": "QuestionList.iW28b",
"max": "*",
"min": 0,
"path": "QuestionList.iW28b",
"type": [ {
"code": "code"
} ],
"label": "Substance Use in Last 14 Days - Intentional Misuse of Prescription or Over-the-Counter Medication",
"binding": {
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Substance Use in Last 14 Days - Intentional Misuse of Prescription or Over-the-Counter Medication"
}, {
"id": "QuestionList.iW29",
"max": "*",
"min": 0,
"path": "QuestionList.iW29",
"type": [ {
"code": "code"
} ],
"label": "Any Indicator of Eating Disorder in Last 30 Days",
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"valueSetReference": {
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}
},
"definition": "Any Indicator of Eating Disorder in Last 30 Days"
}, {
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"min": 0,
"path": "QuestionList.iW3a",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Inhalants",
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}
},
"definition": "Substance Use - Inhalants"
}, {
"id": "QuestionList.iW3b",
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"min": 0,
"path": "QuestionList.iW3b",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Hallucinogens",
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}
},
"definition": "Substance Use - Hallucinogens"
}, {
"id": "QuestionList.iW3c",
"max": "*",
"min": 0,
"path": "QuestionList.iW3c",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Cocaine/Crack",
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"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Cocaine/Crack"
}, {
"id": "QuestionList.iW3d",
"max": "*",
"min": 0,
"path": "QuestionList.iW3d",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Stimulants",
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}
},
"definition": "Substance Use - Stimulants"
}, {
"id": "QuestionList.iW3e",
"max": "*",
"min": 0,
"path": "QuestionList.iW3e",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Opiates (Including Synthetics)",
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"valueSetReference": {
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}
},
"definition": "Substance Use - Opiates (Including Synthetics)"
}, {
"id": "QuestionList.iW3f",
"max": "*",
"min": 0,
"path": "QuestionList.iW3f",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Cannabis",
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}
},
"definition": "Substance Use - Cannabis"
}, {
"id": "QuestionList.iW5",
"max": "*",
"min": 0,
"path": "QuestionList.iW5",
"type": [ {
"code": "code"
} ],
"label": "Withdrawal Symptoms",
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}
},
"definition": "Withdrawal Symptoms"
}, {
"id": "QuestionList.iW6e",
"max": "*",
"min": 0,
"path": "QuestionList.iW6e",
"type": [ {
"code": "code"
} ],
"label": "Social Environment Encourages or Facilitates Abuse of Drugs or Alcohol ",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Social Environment Encourages or Facilitates Abuse of Drugs or Alcohol "
}, {
"id": "QuestionList.iW8",
"max": "*",
"min": 0,
"path": "QuestionList.iW8",
"type": [ {
"code": "code"
} ],
"label": "Excessive Gambling ",
"binding": {
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Excessive Gambling "
}, {
"id": "QuestionList.iX13b",
"max": "*",
"min": 0,
"path": "QuestionList.iX13b",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Known to Carry Weapons in Last Year",
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"valueSetReference": {
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}
},
"definition": "Child/Youth Known to Carry Weapons in Last Year"
}, {
"id": "QuestionList.iX14a",
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"min": 0,
"path": "QuestionList.iX14a",
"type": [ {
"code": "code"
} ],
"label": "Summary of Risk - Danger to Self",
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}
},
"definition": "Summary of Risk - Danger to Self"
}, {
"id": "QuestionList.iX14b",
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"min": 0,
"path": "QuestionList.iX14b",
"type": [ {
"code": "code"
} ],
"label": "Summary of Risk - Danger to Others",
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}
},
"definition": "Summary of Risk - Danger to Others"
}, {
"id": "QuestionList.iX16b",
"max": "*",
"min": 0,
"path": "QuestionList.iX16b",
"type": [ {
"code": "code"
} ],
"label": "Cruelty to Animals",
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"valueSetReference": {
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}
},
"definition": "Cruelty to Animals"
}, {
"id": "QuestionList.iX16c",
"max": "*",
"min": 0,
"path": "QuestionList.iX16c",
"type": [ {
"code": "code"
} ],
"label": "Preoccupation With Violence",
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"valueSetReference": {
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}
},
"definition": "Preoccupation With Violence"
}, {
"id": "QuestionList.iX17a",
"max": "*",
"min": 0,
"path": "QuestionList.iX17a",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Self",
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"valueSetReference": {
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}
},
"definition": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Self"
}, {
"id": "QuestionList.iX17b",
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"min": 0,
"path": "QuestionList.iX17b",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Other",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Other"
}, {
"id": "QuestionList.iX18",
"max": "*",
"min": 0,
"path": "QuestionList.iX18",
"type": [ {
"code": "code"
} ],
"label": "Fire-Setting or Misuse of Ignition Materials or Accelerants",
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"valueSetReference": {
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}
},
"definition": "Fire-Setting or Misuse of Ignition Materials or Accelerants"
}, {
"id": "QuestionList.iX1a",
"max": "*",
"min": 0,
"path": "QuestionList.iX1a",
"type": [ {
"code": "code"
} ],
"label": "Most Recent Self-Injurious Attempt",
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}
},
"definition": "Most Recent Self-Injurious Attempt"
}, {
"id": "QuestionList.iX1b",
"max": "*",
"min": 0,
"path": "QuestionList.iX1b",
"type": [ {
"code": "code"
} ],
"label": "Intent of Any Self-Injurious Attempt Was to Kill Self",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-intent-to-kill-self"
}
},
"definition": "Intent of Any Self-Injurious Attempt Was to Kill Self"
}, {
"id": "QuestionList.iX1c",
"max": "*",
"min": 0,
"path": "QuestionList.iX1c",
"type": [ {
"code": "code"
} ],
"label": "Considered Performing Self-Injurious Act",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Considered Performing Self-Injurious Act"
}, {
"id": "QuestionList.iX1d",
"max": "*",
"min": 0,
"path": "QuestionList.iX1d",
"type": [ {
"code": "code"
} ],
"label": "Family/Caregiver/Friend/Staff Express Concern Person at Risk for Self-Injury",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Family/Caregiver/Friend/Staff Express Concern Person at Risk for Self-Injury"
}, {
"id": "QuestionList.iX1e",
"max": "*",
"min": 0,
"path": "QuestionList.iX1e",
"type": [ {
"code": "code"
} ],
"label": "Suicide Plan",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Suicide Plan"
}, {
"id": "QuestionList.iX2a",
"max": "*",
"min": 0,
"path": "QuestionList.iX2a",
"type": [ {
"code": "code"
} ],
"label": "Violence to Others",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Violence to Others"
}, {
"id": "QuestionList.iX2b",
"max": "*",
"min": 0,
"path": "QuestionList.iX2b",
"type": [ {
"code": "code"
} ],
"label": "Intimidation of or Threatened Violence to Others ",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Intimidation of or Threatened Violence to Others "
}, {
"id": "QuestionList.iX2c",
"max": "*",
"min": 0,
"path": "QuestionList.iX2c",
"type": [ {
"code": "code"
} ],
"label": "Violent Ideation",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Violent Ideation"
}, {
"id": "QuestionList.iX3",
"max": "*",
"min": 0,
"path": "QuestionList.iX3",
"type": [ {
"code": "code"
} ],
"label": "Perpetrator of Sexual Violence",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Perpetrator of Sexual Violence"
}, {
"id": "QuestionList.iX4",
"max": "*",
"min": 0,
"path": "QuestionList.iX4",
"type": [ {
"code": "code"
} ],
"label": "Extreme Behaviour Disturbance",
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}
},
"definition": "Extreme Behaviour Disturbance"
}, {
"id": "QuestionList.iY1aa",
"max": "*",
"min": 0,
"path": "QuestionList.iY1aa",
"type": [ {
"code": "code"
} ],
"label": "Life Events - Serious Accident or Physical Impairment",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Life Events - Serious Accident or Physical Impairment"
}, {
"id": "QuestionList.iY1ac",
"max": "*",
"min": 0,
"path": "QuestionList.iY1ac",
"type": [ {
"code": "code"
} ],
"label": "Life Events - Death of Close Family Member",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Life Events - Death of Close Family Member"
}, {
"id": "QuestionList.iY1af",
"max": "*",
"min": 0,
"path": "QuestionList.iY1af",
"type": [ {
"code": "code"
} ],
"label": "Life Events - Failed or Dropped Out of Education Program",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Life Events - Failed or Dropped Out of Education Program"
}, {
"id": "QuestionList.iY1ai",
"max": "*",
"min": 0,
"path": "QuestionList.iY1ai",
"type": [ {
"code": "code"
} ],
"label": "Life Events - Immigration, Including Refugee Status",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Life Events - Immigration, Including Refugee Status"
}, {
"id": "QuestionList.iY1aj",
"max": "*",
"min": 0,
"path": "QuestionList.iY1aj",
"type": [ {
"code": "code"
} ],
"label": "Life Events - Lived in War Zone or Area of Violent Conflict (Combatant or Civilian)",
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Life Events - Lived in War Zone or Area of Violent Conflict (Combatant or Civilian)"
}, {
"id": "QuestionList.iY1ak",
"max": "*",
"min": 0,
"path": "QuestionList.iY1ak",
"type": [ {
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"type": [ {
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} ],
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},
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} ],
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},
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"path": "QuestionList.iCC10n",
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} ],
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"path": "QuestionList.iD14d",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-understanding-other"
}
},
"definition": "Ability to Understand Others"
}, {
"id": "QuestionList.iD28",
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"path": "QuestionList.iD28",
"type": [ {
"code": "code"
} ],
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},
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}, {
"id": "QuestionList.iD29",
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"path": "QuestionList.iD29",
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} ],
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},
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}, {
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"min": 0,
"path": "QuestionList.iD2b",
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} ],
"label": "Ability to Understand Others (Comprehension) ",
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},
"definition": "Ability to Understand Others (Comprehension) "
}, {
"id": "QuestionList.iD3a",
"max": "*",
"min": 0,
"path": "QuestionList.iD3a",
"type": [ {
"code": "code"
} ],
"label": "Hearing",
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},
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}, {
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"max": "*",
"min": 0,
"path": "QuestionList.iD3b",
"type": [ {
"code": "code"
} ],
"label": "Hearing Aid Used",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Hearing Aid Used"
}, {
"id": "QuestionList.iD4a",
"max": "*",
"min": 0,
"path": "QuestionList.iD4a",
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} ],
"label": "Vision: Ability to See in Adequate Light",
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},
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}, {
"id": "QuestionList.iD4b",
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"min": 0,
"path": "QuestionList.iD4b",
"type": [ {
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} ],
"label": "Vision: Visual Appliance Used",
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}
},
"definition": "Vision: Visual Appliance Used"
}, {
"id": "QuestionList.iE13",
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"min": 0,
"path": "QuestionList.iE13",
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} ],
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},
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}, {
"id": "QuestionList.iE14a",
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"min": 0,
"path": "QuestionList.iE14a",
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} ],
"label": "Restricted Range of Interest",
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},
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}, {
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"min": 0,
"path": "QuestionList.iE14b",
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} ],
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},
"definition": "Excessive Preoccupation With an Activity or a Routine"
}, {
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"min": 0,
"path": "QuestionList.iE14c",
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} ],
"label": "Lack of Social and Emotional Conventions When Socializing",
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},
"definition": "Lack of Social and Emotional Conventions When Socializing"
}, {
"id": "QuestionList.iE14d",
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"min": 0,
"path": "QuestionList.iE14d",
"type": [ {
"code": "code"
} ],
"label": "Extreme Shyness",
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},
"definition": "Extreme Shyness"
}, {
"id": "QuestionList.iE15a",
"max": "*",
"min": 0,
"path": "QuestionList.iE15a",
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} ],
"label": "Conduct Problem - Stealing ",
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"valueSetReference": {
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}
},
"definition": "Conduct Problem - Stealing "
}, {
"id": "QuestionList.iE15d",
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"min": 0,
"path": "QuestionList.iE15d",
"type": [ {
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} ],
"label": "Elopement Attempts/Threats",
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},
"definition": "Elopement Attempts/Threats"
}, {
"id": "QuestionList.iE15e",
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"min": 0,
"path": "QuestionList.iE15e",
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} ],
"label": "Conduct Problem - Bullying Peers",
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},
"definition": "Conduct Problem - Bullying Peers"
}, {
"id": "QuestionList.iE16",
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"min": 0,
"path": "QuestionList.iE16",
"type": [ {
"code": "code"
} ],
"label": "Elopement Attempt for Safety",
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},
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}, {
"id": "QuestionList.iE17",
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"min": 0,
"path": "QuestionList.iE17",
"type": [ {
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} ],
"label": "Behaviour at Home and School",
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},
"definition": "Behaviour at Home and School"
}, {
"id": "QuestionList.iE18a",
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"min": 0,
"path": "QuestionList.iE18a",
"type": [ {
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} ],
"label": "Child/Youth Can Be Redirected",
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},
"definition": "Child/Youth Can Be Redirected"
}, {
"id": "QuestionList.iE18b",
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"min": 0,
"path": "QuestionList.iE18b",
"type": [ {
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} ],
"label": "Child/Youth Responds to Reinforcement",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Child/Youth Responds to Reinforcement"
}, {
"id": "QuestionList.iE19a",
"max": "*",
"min": 0,
"path": "QuestionList.iE19a",
"type": [ {
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} ],
"label": "Inappropriate Sexual Knowledge",
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"valueSetReference": {
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}
},
"definition": "Inappropriate Sexual Knowledge"
}, {
"id": "QuestionList.iE1a",
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"min": 0,
"path": "QuestionList.iE1a",
"type": [ {
"code": "code"
} ],
"label": "Made Negative Statements ",
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}
},
"definition": "Made Negative Statements "
}, {
"id": "QuestionList.iE1aaa",
"max": "*",
"min": 0,
"path": "QuestionList.iE1aaa",
"type": [ {
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} ],
"label": "Irritability ",
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}
},
"definition": "Irritability "
}, {
"id": "QuestionList.iE1aaaa",
"max": "*",
"min": 0,
"path": "QuestionList.iE1aaaa",
"type": [ {
"code": "code"
} ],
"label": "Falls Asleep During Day",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Falls Asleep During Day"
}, {
"id": "QuestionList.iE1b",
"max": "*",
"min": 0,
"path": "QuestionList.iE1b",
"type": [ {
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} ],
"label": "Persistent Anger With Self or Others",
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}
},
"definition": "Persistent Anger With Self or Others"
}, {
"id": "QuestionList.iE1bbb",
"max": "*",
"min": 0,
"path": "QuestionList.iE1bbb",
"type": [ {
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} ],
"label": "Pressured Speech or Racing Thoughts",
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}
},
"definition": "Pressured Speech or Racing Thoughts"
}, {
"id": "QuestionList.iE1bbbb",
"max": "*",
"min": 0,
"path": "QuestionList.iE1bbbb",
"type": [ {
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} ],
"label": "Resists Bedtime",
"binding": {
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}
},
"definition": "Resists Bedtime"
}, {
"id": "QuestionList.iE1c",
"max": "*",
"min": 0,
"path": "QuestionList.iE1c",
"type": [ {
"code": "code"
} ],
"label": "Unrealistic Fears",
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"valueSetReference": {
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}
},
"definition": "Unrealistic Fears"
}, {
"id": "QuestionList.iE1ccc",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ccc",
"type": [ {
"code": "code"
} ],
"label": "Labile Affect",
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}
},
"definition": "Labile Affect"
}, {
"id": "QuestionList.iE1cccc",
"max": "*",
"min": 0,
"path": "QuestionList.iE1cccc",
"type": [ {
"code": "code"
} ],
"label": "Episodes of Disorganized Speech",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Episodes of Disorganized Speech"
}, {
"id": "QuestionList.iE1d",
"max": "*",
"min": 0,
"path": "QuestionList.iE1d",
"type": [ {
"code": "code"
} ],
"label": "Repetitive Health Complaints",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Repetitive Health Complaints"
}, {
"id": "QuestionList.iE1ddd",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ddd",
"type": [ {
"code": "code"
} ],
"label": "Flat or Blunted Affect",
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"valueSetReference": {
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}
},
"definition": "Flat or Blunted Affect"
}, {
"id": "QuestionList.iE1dddd",
"max": "*",
"min": 0,
"path": "QuestionList.iE1dddd",
"type": [ {
"code": "code"
} ],
"label": "Expressions Supportive of Criminal Activity",
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"valueSetReference": {
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},
"definition": "Expressions Supportive of Criminal Activity"
}, {
"id": "QuestionList.iE1e",
"max": "*",
"min": 0,
"path": "QuestionList.iE1e",
"type": [ {
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} ],
"label": "Repetitive Anxious Complaints/Concerns ",
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"valueSetReference": {
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}
},
"definition": "Repetitive Anxious Complaints/Concerns "
}, {
"id": "QuestionList.iE1eee",
"max": "*",
"min": 0,
"path": "QuestionList.iE1eee",
"type": [ {
"code": "code"
} ],
"label": "Repetitive Anxious Complaints/Concerns ",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Repetitive Anxious Complaints/Concerns "
}, {
"id": "QuestionList.iE1eeee",
"max": "*",
"min": 0,
"path": "QuestionList.iE1eeee",
"type": [ {
"code": "code"
} ],
"label": "Hypervigilance",
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"valueSetReference": {
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}
},
"definition": "Hypervigilance"
}, {
"id": "QuestionList.iE1f",
"max": "*",
"min": 0,
"path": "QuestionList.iE1f",
"type": [ {
"code": "code"
} ],
"label": "Sad, Pained or Worried Facial Expressions\n",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Sad, Pained or Worried Facial Expressions\n"
}, {
"id": "QuestionList.iE1fff",
"max": "*",
"min": 0,
"path": "QuestionList.iE1fff",
"type": [ {
"code": "code"
} ],
"label": "Unrealistic Fears",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Unrealistic Fears"
}, {
"id": "QuestionList.iE1ffff",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ffff",
"type": [ {
"code": "code"
} ],
"label": "Phonic Tics",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Phonic Tics"
}, {
"id": "QuestionList.iE1g",
"max": "*",
"min": 0,
"path": "QuestionList.iE1g",
"type": [ {
"code": "code"
} ],
"label": "Crying, Tearfulness",
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}
},
"definition": "Crying, Tearfulness"
}, {
"id": "QuestionList.iE1ggg",
"max": "*",
"min": 0,
"path": "QuestionList.iE1ggg",
"type": [ {
"code": "code"
} ],
"label": "Obsessive Thoughts",
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"valueSetReference": {
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}
},
"definition": "Obsessive Thoughts"
}, {
"id": "QuestionList.iE1h",
"max": "*",
"min": 0,
"path": "QuestionList.iE1h",
"type": [ {
"code": "code"
} ],
"label": "Recurrent Statements Something Terrible About to Happen",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Recurrent Statements Something Terrible About to Happen"
}, {
"id": "QuestionList.iE1hhh",
"max": "*",
"min": 0,
"path": "QuestionList.iE1hhh",
"type": [ {
"code": "code"
} ],
"label": "Compulsive Behaviour",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Compulsive Behaviour"
}, {
"id": "QuestionList.iE1hhhh",
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"min": 0,
"path": "QuestionList.iE1hhhh",
"type": [ {
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} ],
"label": "Demonstrates Excessive Naiveté",
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"valueSetReference": {
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}
},
"definition": "Demonstrates Excessive Naiveté"
}, {
"id": "QuestionList.iE1i",
"max": "*",
"min": 0,
"path": "QuestionList.iE1i",
"type": [ {
"code": "code"
} ],
"label": "Withdrawal From Activities of Interest",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Withdrawal From Activities of Interest"
}, {
"id": "QuestionList.iE1iii",
"max": "*",
"min": 0,
"path": "QuestionList.iE1iii",
"type": [ {
"code": "code"
} ],
"label": "Intrusive Thoughts or Flashbacks",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Intrusive Thoughts or Flashbacks"
}, {
"id": "QuestionList.iE1j",
"max": "*",
"min": 0,
"path": "QuestionList.iE1j",
"type": [ {
"code": "code"
} ],
"label": "Reduced Social Interactions",
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"valueSetReference": {
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},
"definition": "Reduced Social Interactions"
}, {
"id": "QuestionList.iE1jjj",
"max": "*",
"min": 0,
"path": "QuestionList.iE1jjj",
"type": [ {
"code": "code"
} ],
"label": "Reenactment of Trauma Through Play",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Reenactment of Trauma Through Play"
}, {
"id": "QuestionList.iE1k",
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"min": 0,
"path": "QuestionList.iE1k",
"type": [ {
"code": "code"
} ],
"label": "Expressions, Including Non-Verbal, of a Lack of Pleasure in Life ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period"
}
},
"definition": "Expressions, Including Non-Verbal, of a Lack of Pleasure in Life "
}, {
"id": "QuestionList.iE1kkk",
"max": "*",
"min": 0,
"path": "QuestionList.iE1kkk",
"type": [ {
"code": "code"
} ],
"label": "Episodes of Panic",
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"strength": "required",
"valueSetReference": {
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}
},
"definition": "Episodes of Panic"
}, {
"id": "QuestionList.iE1lll",
"max": "*",
"min": 0,
"path": "QuestionList.iE1lll",
"type": [ {
"code": "code"
} ],
"label": "Nightmares",
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"valueSetReference": {
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}
},
"definition": "Nightmares"
}, {
"id": "QuestionList.iE1llll",
"max": "*",
"min": 0,
"path": "QuestionList.iE1llll",
"type": [ {
"code": "code"
} ],
"label": "Hyper Sexuality",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hyper Sexuality"
}, {
"id": "QuestionList.iE1mmm",
"max": "*",
"min": 0,
"path": "QuestionList.iE1mmm",
"type": [ {
"code": "code"
} ],
"label": "Hallucinations ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period3"
}
},
"definition": "Hallucinations "
}, {
"id": "QuestionList.iE1nnn",
"max": "*",
"min": 0,
"path": "QuestionList.iE1nnn",
"type": [ {
"code": "code"
} ],
"label": "Command Hallucinations",
"binding": {
"strength": "required",
"valueSetReference": {
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}
},
"definition": "Command Hallucinations"
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},
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},
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},
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},
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"label": "Summary of Risk - Family/Placement Breakdown",
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},
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},
"definition": "IADL Managing Medications - Performance"
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},
"definition": "IADL Managing Medications - Capacity"
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},
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},
"definition": "IADL Phone Use - Capacity"
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"path": "QuestionList.iG1fa",
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"type": [ {
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} ],
"label": "Caregiver Lives With Child/Youth 1",
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}
},
"definition": "Caregiver Lives With Child/Youth 1"
}, {
"id": "QuestionList.iP22c2",
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"path": "QuestionList.iP22c2",
"type": [ {
"code": "code"
} ],
"label": "Caregiver Lives With Child/Youth 2",
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},
"definition": "Caregiver Lives With Child/Youth 2"
}, {
"id": "QuestionList.iP23n1",
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"path": "QuestionList.iP23n1",
"type": [ {
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} ],
"label": "Caregiver Status: In School or Work Full Time 1",
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},
"definition": "Caregiver Status: In School or Work Full Time 1"
}, {
"id": "QuestionList.iP23n2",
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"min": 0,
"path": "QuestionList.iP23n2",
"type": [ {
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} ],
"label": "Caregiver Status: In School or Work Full Time 2",
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}
},
"definition": "Caregiver Status: In School or Work Full Time 2"
}, {
"id": "QuestionList.iP23o1",
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"min": 0,
"path": "QuestionList.iP23o1",
"type": [ {
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} ],
"label": "Caregiver Status: In School or Work Part Time 1",
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}
},
"definition": "Caregiver Status: In School or Work Part Time 1"
}, {
"id": "QuestionList.iP23o2",
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"path": "QuestionList.iP23o2",
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} ],
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"definition": "Caregiver Status: In School or Work Part Time 2"
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"code": "code"
} ],
"label": "Belief That Parent(s)/Primary Caregiver(s) Are Not Adequately Engaged in Child's/Youth's Life",
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},
"definition": "Belief That Parent(s)/Primary Caregiver(s) Are Not Adequately Engaged in Child's/Youth's Life"
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"path": "QuestionList.iP2a",
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} ],
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}
},
"definition": "Informal Helper Status: Unable to Continue in Caring Activities"
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"path": "QuestionList.iP2b",
"type": [ {
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} ],
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},
"definition": "Informal Helper Status: Primary Informal Helper Feelings of Distress, Anger or Depression"
}, {
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"path": "QuestionList.iP3",
"type": [ {
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} ],
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"definition": "Hours of Informal Care"
}, {
"id": "QuestionList.iP8",
"max": "*",
"min": 0,
"path": "QuestionList.iP8",
"type": [ {
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} ],
"label": "Reports Having a Confidante",
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}
},
"definition": "Reports Having a Confidante"
}, {
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"path": "QuestionList.iQ1a",
"type": [ {
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} ],
"label": "Disrepair of the Home",
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},
"definition": "Disrepair of the Home"
}, {
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"min": 0,
"path": "QuestionList.iQ1b",
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} ],
"label": "Squalid Condition",
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}
},
"definition": "Squalid Condition"
}, {
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"min": 0,
"path": "QuestionList.iQ1c",
"type": [ {
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} ],
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}
},
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}, {
"id": "QuestionList.iQ1d",
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"min": 0,
"path": "QuestionList.iQ1d",
"type": [ {
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} ],
"label": "Lack of Personal Safety",
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},
"definition": "Lack of Personal Safety"
}, {
"id": "QuestionList.iQ1e",
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"min": 0,
"path": "QuestionList.iQ1e",
"type": [ {
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} ],
"label": "Limited Access to Home or Rooms in Home",
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}
},
"definition": "Limited Access to Home or Rooms in Home"
}, {
"id": "QuestionList.iQ2",
"max": "*",
"min": 0,
"path": "QuestionList.iQ2",
"type": [ {
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} ],
"label": "Apartment or House Re-Engineered for Persons With Disabilities",
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}
},
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}, {
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"path": "QuestionList.iQ3a",
"type": [ {
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} ],
"label": "Availability of Emergency Assistance",
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},
"definition": "Availability of Emergency Assistance"
}, {
"id": "QuestionList.iQ3b",
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"min": 0,
"path": "QuestionList.iQ3b",
"type": [ {
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} ],
"label": "Accessibility to Grocery Store Without Assistance",
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}
},
"definition": "Accessibility to Grocery Store Without Assistance"
}, {
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"min": 0,
"path": "QuestionList.iQ3c",
"type": [ {
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} ],
"label": "Availability of Home Delivery of Groceries",
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},
"definition": "Availability of Home Delivery of Groceries"
}, {
"id": "QuestionList.iQ4",
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"min": 0,
"path": "QuestionList.iQ4",
"type": [ {
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} ],
"label": "Finances - Made Trade-Offs",
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},
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"path": "QuestionList.iQ5a",
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} ],
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},
"definition": "Home Environment - Disrepair"
}, {
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} ],
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"path": "QuestionList.iQ5c",
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} ],
"label": "Home Environment - Inadequate Heating or Cooling",
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}
},
"definition": "Home Environment - Inadequate Heating or Cooling"
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"path": "QuestionList.iQ5d",
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} ],
"label": "Home Environment - Lack of Personal Safety",
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}
},
"definition": "Home Environment - Lack of Personal Safety"
}, {
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"path": "QuestionList.iQ5e",
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} ],
"label": "Home Environment - Limited Access to Home or Rooms",
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}
},
"definition": "Home Environment - Limited Access to Home or Rooms"
}, {
"id": "QuestionList.iR1",
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"min": 0,
"path": "QuestionList.iR1",
"type": [ {
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} ],
"label": "Care Goals Met",
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}
},
"definition": "Care Goals Met"
}, {
"id": "QuestionList.iR14",
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"min": 0,
"path": "QuestionList.iR14",
"type": [ {
"code": "code"
} ],
"label": "How Long Child/Youth Expected to Receive Services",
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},
"definition": "How Long Child/Youth Expected to Receive Services"
}, {
"id": "QuestionList.iR16d",
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"min": 0,
"path": "QuestionList.iR16d",
"type": [ {
"code": "code"
} ],
"label": "Resources Available Upon Discharge - Mental Health Treatment",
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},
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}, {
"id": "QuestionList.iR16e",
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"path": "QuestionList.iR16e",
"type": [ {
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} ],
"label": "Resources Available Upon Discharge - Case Coordination Services",
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},
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}, {
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"min": 0,
"path": "QuestionList.iR16f",
"type": [ {
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} ],
"label": "Resources Available Upon Discharge - School Resources",
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},
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}, {
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"path": "QuestionList.iR2",
"type": [ {
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} ],
"label": "Self-Sufficiency Has Changed",
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},
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}, {
"id": "QuestionList.iR3",
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"path": "QuestionList.iR3",
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} ],
"label": "Independent ADL Areas",
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}, {
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"path": "QuestionList.iR4",
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} ],
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}, {
"id": "QuestionList.iR5",
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"min": 0,
"path": "QuestionList.iR5",
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} ],
"label": "Time of Onset of Precipitating Event or Problem Related to Deterioration",
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}
},
"definition": "Time of Onset of Precipitating Event or Problem Related to Deterioration"
}, {
"id": "QuestionList.iR6a",
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"min": 0,
"path": "QuestionList.iR6a",
"type": [ {
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} ],
"label": "Preference to Return to or Remain in the Community",
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},
"definition": "Preference to Return to or Remain in the Community"
}, {
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"min": 0,
"path": "QuestionList.iR6b",
"type": [ {
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} ],
"label": "Support Person Positive About Discharge",
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},
"definition": "Support Person Positive About Discharge"
}, {
"id": "QuestionList.iR6c",
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"min": 0,
"path": "QuestionList.iR6c",
"type": [ {
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} ],
"label": "Has Housing Available in Community",
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},
"definition": "Has Housing Available in Community"
}, {
"id": "QuestionList.iR7",
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"min": 0,
"path": "QuestionList.iR7",
"type": [ {
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} ],
"label": "Expected Length of Stay",
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}
},
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}, {
"id": "QuestionList.iR9",
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"min": 0,
"path": "QuestionList.iR9",
"type": [ {
"code": "code"
} ],
"label": "Change in Severity or Frequency of Psychiatric Symptoms",
"binding": {
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}
},
"definition": "Change in Severity or Frequency of Psychiatric Symptoms"
}, {
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"path": "QuestionList.iS11a",
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} ],
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},
"definition": "Involvement in Structured Activities in the Last 90 Days - Extracurricular Lessons/Classes"
}, {
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"path": "QuestionList.iS11b",
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} ],
"label": "Involvement in Structured Activities in the Last 90 Days - Volunteers",
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},
"definition": "Involvement in Structured Activities in the Last 90 Days - Volunteers"
}, {
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"path": "QuestionList.iS11c",
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} ],
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},
"definition": "Involvement in Structured Activities in the Last 90 Days - Organized Club or Team Program "
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"path": "QuestionList.iS1b",
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} ],
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},
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}, {
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"path": "QuestionList.iS2a",
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} ],
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}
},
"definition": "Cards, Games or Puzzles"
}, {
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"path": "QuestionList.iS2b",
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} ],
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}
},
"definition": "Computer Activity"
}, {
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"path": "QuestionList.iS2c",
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} ],
"label": "Conversing/Talking on Phone",
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},
"definition": "Conversing/Talking on Phone"
}, {
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"path": "QuestionList.iS2d",
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} ],
"label": "Crafts or Arts",
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},
"definition": "Crafts or Arts"
}, {
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"path": "QuestionList.iS2e",
"type": [ {
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} ],
"label": "Dancing ",
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}
},
"definition": "Dancing "
}, {
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"min": 0,
"path": "QuestionList.iS2f",
"type": [ {
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} ],
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},
"definition": "Exercise or Sports"
}, {
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"path": "QuestionList.iS2g",
"type": [ {
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} ],
"label": "Gardening or Plants",
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},
"definition": "Gardening or Plants"
}, {
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"path": "QuestionList.iS2h",
"type": [ {
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} ],
"label": "Helping Others",
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},
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"min": 0,
"path": "QuestionList.iS2i",
"type": [ {
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} ],
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},
"definition": "Music or Singing"
}, {
"id": "QuestionList.iS2j",
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"min": 0,
"path": "QuestionList.iS2j",
"type": [ {
"code": "code"
} ],
"label": "Pets",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Pets"
}, {
"id": "QuestionList.iS2k",
"max": "*",
"min": 0,
"path": "QuestionList.iS2k",
"type": [ {
"code": "code"
} ],
"label": "Reading",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Reading"
}, {
"id": "QuestionList.iS2l",
"max": "*",
"min": 0,
"path": "QuestionList.iS2l",
"type": [ {
"code": "code"
} ],
"label": "Spiritual Activities",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Spiritual Activities"
}, {
"id": "QuestionList.iS2m",
"max": "*",
"min": 0,
"path": "QuestionList.iS2m",
"type": [ {
"code": "code"
} ],
"label": "Trips or Shopping",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Trips or Shopping"
}, {
"id": "QuestionList.iS2n",
"max": "*",
"min": 0,
"path": "QuestionList.iS2n",
"type": [ {
"code": "code"
} ],
"label": "Walking or Wheeling Outdoors",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
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},
"definition": "Walking or Wheeling Outdoors"
}, {
"id": "QuestionList.iS2o",
"max": "*",
"min": 0,
"path": "QuestionList.iS2o",
"type": [ {
"code": "code"
} ],
"label": "Watching TV or Listening to Radio",
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"strength": "required",
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"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Watching TV or Listening to Radio"
}, {
"id": "QuestionList.iS2r",
"max": "*",
"min": 0,
"path": "QuestionList.iS2r",
"type": [ {
"code": "code"
} ],
"label": "Reminiscing About Life",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-activity-preference-and-involvement"
}
},
"definition": "Reminiscing About Life"
}, {
"id": "QuestionList.iS3",
"max": "*",
"min": 0,
"path": "QuestionList.iS3",
"type": [ {
"code": "code"
} ],
"label": "Time Asleep During Day",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-asleep-during-day"
}
},
"definition": "Time Asleep During Day"
}, {
"id": "QuestionList.iT1",
"max": "*",
"min": 0,
"path": "QuestionList.iT1",
"type": [ {
"code": "date"
} ],
"label": "Last Day of Stay",
"definition": "Last Day of Stay"
}, {
"id": "QuestionList.iT10",
"max": "*",
"min": 0,
"path": "QuestionList.iT10",
"type": [ {
"code": "code"
} ],
"label": "Living Status After Discharge",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-living-arrangement1"
}
},
"definition": "Living Status After Discharge"
}, {
"id": "QuestionList.iT2",
"max": "*",
"min": 0,
"path": "QuestionList.iT2",
"type": [ {
"code": "code"
} ],
"label": "Residential/Living Status After Discharge",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-service-delivery-location-role-type"
}
},
"definition": "Residential/Living Status After Discharge"
}, {
"id": "QuestionList.iT4",
"max": "*",
"min": 0,
"path": "QuestionList.iT4",
"type": [ {
"code": "code"
} ],
"label": "Home Care Services Scheduled at Discharge",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Home Care Services Scheduled at Discharge"
}, {
"id": "QuestionList.iT5",
"max": "*",
"min": 0,
"path": "QuestionList.iT5",
"type": [ {
"code": "code"
} ],
"label": "Person Left Against Medical Advice",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-discharge-disposition"
}
},
"definition": "Person Left Against Medical Advice"
}, {
"id": "QuestionList.iT9",
"max": "*",
"min": 0,
"path": "QuestionList.iT9",
"type": [ {
"code": "code"
} ],
"label": "Discharged To ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-service-delivery-location-role-type"
}
},
"definition": "Discharged To "
}, {
"id": "QuestionList.iU2",
"max": "*",
"min": 0,
"path": "QuestionList.iU2",
"type": [ {
"code": "date"
} ],
"label": "Date Assessment Signed as Complete",
"definition": "Date Assessment Signed as Complete"
}, {
"id": "QuestionList.iV1",
"max": "*",
"min": 0,
"path": "QuestionList.iV1",
"type": [ {
"code": "code"
} ],
"label": "Number Admissions in Last 2 Years",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-number-of-admissions"
}
},
"definition": "Number Admissions in Last 2 Years"
}, {
"id": "QuestionList.iV3",
"max": "*",
"min": 0,
"path": "QuestionList.iV3",
"type": [ {
"code": "code"
} ],
"label": "Time Since Discharge From Last Admission",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-since-discharge"
}
},
"definition": "Time Since Discharge From Last Admission"
}, {
"id": "QuestionList.iV4",
"max": "*",
"min": 0,
"path": "QuestionList.iV4",
"type": [ {
"code": "code"
} ],
"label": "Time Since Last Contact With CMH, Agency or Professional",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-since-last-contact"
}
},
"definition": "Time Since Last Contact With CMH, Agency or Professional"
}, {
"id": "QuestionList.iV9",
"max": "*",
"min": 0,
"path": "QuestionList.iV9",
"type": [ {
"code": "code"
} ],
"label": "Age in Years at First Overnight Stay",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-age-range"
}
},
"definition": "Age in Years at First Overnight Stay"
}, {
"id": "QuestionList.iW1",
"max": "*",
"min": 0,
"path": "QuestionList.iW1",
"type": [ {
"code": "code"
} ],
"label": "Alcohol - Number of Drinks",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-alcohol-intake"
}
},
"definition": "Alcohol - Number of Drinks"
}, {
"id": "QuestionList.iW10b",
"max": "*",
"min": 0,
"path": "QuestionList.iW10b",
"type": [ {
"code": "code"
} ],
"label": "Caffeine Use - ChYMH",
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"valueSetReference": {
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}
},
"definition": "Caffeine Use - ChYMH"
}, {
"id": "QuestionList.iW2",
"max": "*",
"min": 0,
"path": "QuestionList.iW2",
"type": [ {
"code": "code"
} ],
"label": "Number of Days Consumed Alcohol to Intoxication",
"binding": {
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-alcohol-intoxication"
}
},
"definition": "Number of Days Consumed Alcohol to Intoxication"
}, {
"id": "QuestionList.iW20a",
"max": "*",
"min": 0,
"path": "QuestionList.iW20a",
"type": [ {
"code": "code"
} ],
"label": "Smokes Tobacco Daily ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-smoking"
}
},
"definition": "Smokes Tobacco Daily "
}, {
"id": "QuestionList.iW20b",
"max": "*",
"min": 0,
"path": "QuestionList.iW20b",
"type": [ {
"code": "code"
} ],
"label": "Uses Other Nicotine Product Daily",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-smoking"
}
},
"definition": "Uses Other Nicotine Product Daily"
}, {
"id": "QuestionList.iW21",
"max": "*",
"min": 0,
"path": "QuestionList.iW21",
"type": [ {
"code": "code"
} ],
"label": "Problem Video Gaming",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity1"
}
},
"definition": "Problem Video Gaming"
}, {
"id": "QuestionList.iW22",
"max": "*",
"min": 0,
"path": "QuestionList.iW22",
"type": [ {
"code": "code"
} ],
"label": "Problem Internet Use ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity1"
}
},
"definition": "Problem Internet Use "
}, {
"id": "QuestionList.iW27",
"max": "*",
"min": 0,
"path": "QuestionList.iW27",
"type": [ {
"code": "code"
} ],
"label": "Family Concerned About Risky Sexual Behaviour",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Family Concerned About Risky Sexual Behaviour"
}, {
"id": "QuestionList.iW28a",
"max": "*",
"min": 0,
"path": "QuestionList.iW28a",
"type": [ {
"code": "code"
} ],
"label": "Substance Use in Last 14 Days - Drug Use",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Substance Use in Last 14 Days - Drug Use"
}, {
"id": "QuestionList.iW28b",
"max": "*",
"min": 0,
"path": "QuestionList.iW28b",
"type": [ {
"code": "code"
} ],
"label": "Substance Use in Last 14 Days - Intentional Misuse of Prescription or Over-the-Counter Medication",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Substance Use in Last 14 Days - Intentional Misuse of Prescription or Over-the-Counter Medication"
}, {
"id": "QuestionList.iW29",
"max": "*",
"min": 0,
"path": "QuestionList.iW29",
"type": [ {
"code": "code"
} ],
"label": "Any Indicator of Eating Disorder in Last 30 Days",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Any Indicator of Eating Disorder in Last 30 Days"
}, {
"id": "QuestionList.iW3a",
"max": "*",
"min": 0,
"path": "QuestionList.iW3a",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Inhalants",
"binding": {
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"valueSetReference": {
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}
},
"definition": "Substance Use - Inhalants"
}, {
"id": "QuestionList.iW3b",
"max": "*",
"min": 0,
"path": "QuestionList.iW3b",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Hallucinogens",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Hallucinogens"
}, {
"id": "QuestionList.iW3c",
"max": "*",
"min": 0,
"path": "QuestionList.iW3c",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Cocaine/Crack",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Cocaine/Crack"
}, {
"id": "QuestionList.iW3d",
"max": "*",
"min": 0,
"path": "QuestionList.iW3d",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Stimulants",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Stimulants"
}, {
"id": "QuestionList.iW3e",
"max": "*",
"min": 0,
"path": "QuestionList.iW3e",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Opiates (Including Synthetics)",
"binding": {
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"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Opiates (Including Synthetics)"
}, {
"id": "QuestionList.iW3f",
"max": "*",
"min": 0,
"path": "QuestionList.iW3f",
"type": [ {
"code": "code"
} ],
"label": "Substance Use - Cannabis",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Substance Use - Cannabis"
}, {
"id": "QuestionList.iW5",
"max": "*",
"min": 0,
"path": "QuestionList.iW5",
"type": [ {
"code": "code"
} ],
"label": "Withdrawal Symptoms",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-withdrawal-symptoms"
}
},
"definition": "Withdrawal Symptoms"
}, {
"id": "QuestionList.iW6e",
"max": "*",
"min": 0,
"path": "QuestionList.iW6e",
"type": [ {
"code": "code"
} ],
"label": "Social Environment Encourages or Facilitates Abuse of Drugs or Alcohol ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Social Environment Encourages or Facilitates Abuse of Drugs or Alcohol "
}, {
"id": "QuestionList.iW8",
"max": "*",
"min": 0,
"path": "QuestionList.iW8",
"type": [ {
"code": "code"
} ],
"label": "Excessive Gambling ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Excessive Gambling "
}, {
"id": "QuestionList.iX13b",
"max": "*",
"min": 0,
"path": "QuestionList.iX13b",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Known to Carry Weapons in Last Year",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Child/Youth Known to Carry Weapons in Last Year"
}, {
"id": "QuestionList.iX14a",
"max": "*",
"min": 0,
"path": "QuestionList.iX14a",
"type": [ {
"code": "code"
} ],
"label": "Summary of Risk - Danger to Self",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity-of-risk"
}
},
"definition": "Summary of Risk - Danger to Self"
}, {
"id": "QuestionList.iX14b",
"max": "*",
"min": 0,
"path": "QuestionList.iX14b",
"type": [ {
"code": "code"
} ],
"label": "Summary of Risk - Danger to Others",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity-of-risk"
}
},
"definition": "Summary of Risk - Danger to Others"
}, {
"id": "QuestionList.iX16b",
"max": "*",
"min": 0,
"path": "QuestionList.iX16b",
"type": [ {
"code": "code"
} ],
"label": "Cruelty to Animals",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Cruelty to Animals"
}, {
"id": "QuestionList.iX16c",
"max": "*",
"min": 0,
"path": "QuestionList.iX16c",
"type": [ {
"code": "code"
} ],
"label": "Preoccupation With Violence",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Preoccupation With Violence"
}, {
"id": "QuestionList.iX17a",
"max": "*",
"min": 0,
"path": "QuestionList.iX17a",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Self",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Self"
}, {
"id": "QuestionList.iX17b",
"max": "*",
"min": 0,
"path": "QuestionList.iX17b",
"type": [ {
"code": "code"
} ],
"label": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Other",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Child/Youth Has Caused Serious Injury to Self or Another in Last 90 Days - To Other"
}, {
"id": "QuestionList.iX18",
"max": "*",
"min": 0,
"path": "QuestionList.iX18",
"type": [ {
"code": "code"
} ],
"label": "Fire-Setting or Misuse of Ignition Materials or Accelerants",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Fire-Setting or Misuse of Ignition Materials or Accelerants"
}, {
"id": "QuestionList.iX1a",
"max": "*",
"min": 0,
"path": "QuestionList.iX1a",
"type": [ {
"code": "code"
} ],
"label": "Most Recent Self-Injurious Attempt",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Most Recent Self-Injurious Attempt"
}, {
"id": "QuestionList.iX1b",
"max": "*",
"min": 0,
"path": "QuestionList.iX1b",
"type": [ {
"code": "code"
} ],
"label": "Intent of Any Self-Injurious Attempt Was to Kill Self",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-intent-to-kill-self"
}
},
"definition": "Intent of Any Self-Injurious Attempt Was to Kill Self"
}, {
"id": "QuestionList.iX1c",
"max": "*",
"min": 0,
"path": "QuestionList.iX1c",
"type": [ {
"code": "code"
} ],
"label": "Considered Performing Self-Injurious Act",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Considered Performing Self-Injurious Act"
}, {
"id": "QuestionList.iX1d",
"max": "*",
"min": 0,
"path": "QuestionList.iX1d",
"type": [ {
"code": "code"
} ],
"label": "Family/Caregiver/Friend/Staff Express Concern Person at Risk for Self-Injury",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Family/Caregiver/Friend/Staff Express Concern Person at Risk for Self-Injury"
}, {
"id": "QuestionList.iX1e",
"max": "*",
"min": 0,
"path": "QuestionList.iX1e",
"type": [ {
"code": "code"
} ],
"label": "Suicide Plan",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
}
},
"definition": "Suicide Plan"
}, {
"id": "QuestionList.iX2a",
"max": "*",
"min": 0,
"path": "QuestionList.iX2a",
"type": [ {
"code": "code"
} ],
"label": "Violence to Others",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Violence to Others"
}, {
"id": "QuestionList.iX2b",
"max": "*",
"min": 0,
"path": "QuestionList.iX2b",
"type": [ {
"code": "code"
} ],
"label": "Intimidation of or Threatened Violence to Others ",
"binding": {
"strength": "required",
"valueSetReference": {
"reference": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-period1"
}
},
"definition": "Intimidation of or Threatened Violence to Others "
}, {
"id": "QuestionList.iX2c",
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},
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},
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},
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},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}