Skip to content

Instantly share code, notes, and snippets.

@mherman22

mherman22/assessment.json

Created October 5, 2025 09:26
Show Gist options
  • Save mherman22/c68eb6e0fade207dc5b692ddd79538a7 to your computer and use it in GitHub Desktop.
Save mherman22/c68eb6e0fade207dc5b692ddd79538a7 to your computer and use it in GitHub Desktop.
Download ZIP
Raw
assessment.json
{
"uuid": "547c0814-eb78-3280-91a8-8d7c574e0301",
"display": "Assessment Form",
"name": "encounter.mhpssAdmissionForm",
"description": "Assessment Form",
"encounter": "encounter.mhpssAdmissionForm",
"version": "0.26",
"build": null,
"published": true,
"formFields": [],
"retired": false,
"pages": [
{
"label": "Consultation Details",
"sections": [
{
"label": "1. Consultation Details",
"isExpanded": "true",
"questions": [
{
"type": "encounterProvider",
"label": "Provider:",
"id": "provider",
"required": "true",
"default": "",
"questionOptions": {
"rendering": "ui-select-extended"
},
"hide": {
"hideWhenExpression": "true"
}
},
{
"prefix": "1.1. ",
"label": "Date of Consultation:",
"type": "encounterDatetime",
"required": "true",
"id": "encDate",
"questionOptions": {
"rendering": "date"
},
"validators": [
{
"type": "date"
}
]
},
{
"id": "isEmergencyResponse",
"type": "obs",
"required": "true",
"prefix": "1.2. ",
"questionOptions": {
"orientation": "horizontal",
"rendering": "radio",
"concept": "08c96d00-f729-4a49-b3a5-4d39d3744dd0",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "placeOfConsultation",
"type": "obs",
"required": "true",
"prefix": "1.3. ",
"questionOptions": {
"rendering": "select",
"concept": "b580901f-d909-461c-a768-628cd342e52a",
"answers": [
{
"concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "4eb48d92-6689-4304-8677-b009f2253dba"
},
{
"concept": "174c8f5d-a61b-4218-8db5-5cac014c2481"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "otherPlaceOfConsultation",
"type": "obs",
"prefix": "1.3.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "placeOfConsultation !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "otherIcrcId",
"type": "obs",
"prefix": "1.34 ",
"questionOptions": {
"concept": "1f7c1fb5-0a8c-46c3-8430-1e7dbc068a66",
"rendering": "text"
}
},
{
"id": "practitionerAffiliation",
"type": "obs",
"prefix": "1.5. ",
"questionOptions": {
"rendering": "radio",
"allowUnselect": "true",
"concept": "ef2af224-ffd4-11e9-8d71-362b9e155667",
"answers": [
{
"concept": "7a900381-aef6-40f6-bb52-11ca0ad84965"
},
{
"concept": "39236f71-1f09-4b92-99b5-2ed41df03812"
}
]
}
},
{
"id": "practitionerName",
"prefix": "1.6. ",
"label": "Practitioner Name",
"type": "obs",
"required": "true",
"questionOptions": {
"concept": "c99a222f-c0a1-40d7-bc6c-10cbc53196b0",
"rendering": "text"
}
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "7148b12c-a567-4dcc-bb35-50266cf6c04f",
"rendering": "group"
},
"questions": [
{
"id": "referredFrom",
"type": "obs",
"required": "true",
"prefix": "1.7. ",
"questionOptions": {
"concept": "7148b12c-a567-4dcc-bb35-50266cf6c04f",
"rendering": "select",
"answers": [
{
"concept": "160551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "ea7f99b1-873c-4392-abb8-6704f918e776"
},
{
"label": "Health ICRC",
"concept": "bbebe412-78b7-4576-ae26-6fbcfb860c33"
},
{
"concept": "9a1c3f32-c2b6-416a-b3cb-61ec4c760b85"
},
{
"concept": "c65e4adc-979e-4c10-ac82-bdc020b63816"
},
{
"concept": "42a1bf51-02db-49b2-8fa7-55f4acda8846"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "otherReferredFrom",
"type": "obs",
"prefix": "1.7.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "referredFrom !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "bbebe412-78b7-4576-ae26-6fbcfb860c33",
"rendering": "group"
},
"questions": [
{
"id": "healthcareOption",
"type": "obs",
"required": "referredFrom === 'bbebe412-78b7-4576-ae26-6fbcfb860c33'",
"prefix": "1.7.1. ",
"questionOptions": {
"rendering": "select",
"concept": "8a6cb43c-2d33-4e33-80f0-367e29bd3c51",
"answers": [
{
"concept": "a2d2d251-aeab-4120-aad2-dfc9affa8131"
},
{
"concept": "159372AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "4e3aafbe-5253-4e73-bc41-cfac59b7c754"
},
{
"concept": "cf9064a0-b56a-476c-b1a0-2401f2bc9f32"
},
{
"concept": "b95f6a5d-78ae-4f59-9fcf-d18e01199047"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "referredFrom != 'bbebe412-78b7-4576-ae26-6fbcfb860c33'"
}
},
{
"id": "otherHealthICRCOption",
"type": "obs",
"prefix": "1.7.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "healthcareOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "9a1c3f32-c2b6-416a-b3cb-61ec4c760b85",
"rendering": "group"
},
"questions": [
{
"id": "externalHealthServicesOption",
"type": "obs",
"required": "referredFrom === '9a1c3f32-c2b6-416a-b3cb-61ec4c760b85'",
"prefix": "1.7.1. ",
"questionOptions": {
"rendering": "select",
"concept": "77dae6c5-faf2-433c-9dfd-057c53f2dec4",
"answers": [
{
"concept": "ad86ebbd-fd5e-4747-9d83-9e411c4380a9"
},
{
"concept": "37fbc27f-167b-4aa6-8247-f1b974746b5c"
},
{
"concept": "8ec76ec9-ceb4-4b56-a986-75f162d2260a"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "referredFrom != '9a1c3f32-c2b6-416a-b3cb-61ec4c760b85'"
}
},
{
"id": "otherexternalHealthServicesOption",
"type": "obs",
"prefix": "1.7.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "externalHealthServicesOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "c65e4adc-979e-4c10-ac82-bdc020b63816",
"rendering": "group"
},
"questions": [
{
"id": "essentialICRCOption",
"type": "obs",
"required": "referredFrom === 'c65e4adc-979e-4c10-ac82-bdc020b63816'",
"prefix": "1.7.1. ",
"questionOptions": {
"rendering": "select",
"concept": "8d05411b-567c-4b5c-8995-6ba8f2c903eb",
"answers": [
{
"concept": "f35019ed-5ea8-4158-9c7b-e14677c4a743"
},
{
"concept": "8d8f2e1a-79a6-4257-8701-446249d0615f"
},
{
"concept": "c1179eb4-dc2f-49fb-8de3-404607fab645"
},
{
"concept": "28cf37fa-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "28cf3ade-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "28cf3cc8-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "referredFrom != 'c65e4adc-979e-4c10-ac82-bdc020b63816'"
}
},
{
"id": "otherEssentialICRCOptionICRCOption",
"type": "obs",
"prefix": "1.7.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "essentialICRCOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "42a1bf51-02db-49b2-8fa7-55f4acda8846",
"rendering": "group"
},
"questions": [
{
"id": "protectionICRCOption",
"type": "obs",
"required": "referredFrom != '42a1bf51-02db-49b2-8fa7-55f4acda8846'",
"prefix": "1.7.1. ",
"questionOptions": {
"rendering": "select",
"concept": "34e21147-c68c-4734-bc32-bd2427a9ce85",
"answers": [
{
"concept": "52b360f3-da18-4f16-8ee5-823b534449ee"
},
{
"concept": "7614245d-3048-41f7-9578-87d3f34d664c"
},
{
"concept": "2f79236b-86c3-4508-8c23-cde21b9dc096"
},
{
"concept": "161597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "eb6e7233-0cbe-4323-9948-25b2b4cb01a3"
},
{
"concept": "9623e37a-ec2c-492f-9b74-99bff2c8cffd"
},
{
"concept": "3f1bd2a0-a201-4ef5-a7fc-3fb24f43f646"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "referredFrom != '42a1bf51-02db-49b2-8fa7-55f4acda8846'"
}
},
{
"id": "otherProtectionICRCOption",
"type": "obs",
"prefix": "1.7.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "protectionICRCOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"id": "admissionType",
"type": "obs",
"prefix": "1.8. ",
"questionOptions": {
"rendering": "radio",
"allowUnselect": "true",
"concept": "a22def8e-5b66-11e9-8647-d663bd873d93",
"answers": [
{
"concept": "3171e6ab-cf85-4209-902a-05100777e8b8"
},
{
"concept": "8a852476-5c27-11e9-8647-d663bd873d93"
}
]
}
}
]
}
]
},
{
"label": "Demographics",
"sections": [
{
"label": "2. Demographics",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"questionOptions": {
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d994",
"rendering": "group"
},
"questions": [
{
"id": "education",
"type": "obs",
"prefix": "2.1. ",
"questionOptions": {
"rendering": "select",
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d994",
"answers": [
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d990"
},
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d991"
},
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d992"
},
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7e993"
},
{
"concept": "9cbb175e-a5d2-402f-bf10-7cb470270ec7"
}
]
}
},
{
"id": "otherEducation",
"type": "obs",
"prefix": "2.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "education !== '9cbb175e-a5d2-402f-bf10-7cb470270ec7'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "f571cc59-ecf9-4f1c-9e30-91cc8306d752",
"rendering": "group"
},
"questions": [
{
"id": "occupation",
"type": "obs",
"prefix": "2.2. ",
"questionOptions": {
"rendering": "select",
"concept": "f571cc59-ecf9-4f1c-9e30-91cc8306d752",
"answers": [
{
"concept": "ade1abdc-0074-11ea-8d71-362b9e155667"
},
{
"concept": "9fec40d1-2d8c-40cb-ae38-5a644fb86ad6"
},
{
"concept": "161382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "e7a384c9-26ab-49ed-a697-db9ea81d53fd"
},
{
"concept": "1c60bf41-d31f-4086-99bd-20e65e9a70a8"
},
{
"concept": "4d537ede-2f8a-448a-9842-47059aee1067"
},
{
"concept": "9cbb175e-a5d2-402f-bf10-7cb470270ec7"
}
]
}
},
{
"id": "otherOccupation",
"type": "obs",
"prefix": "2.2.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "occupation !== '9cbb175e-a5d2-402f-bf10-7cb470270ec7'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "bf38824b-194b-4517-81ed-189e9c50c1b7",
"rendering": "group"
},
"questions": [
{
"id": "residentImmigrationStatus",
"type": "obs",
"prefix": "2.3. ",
"questionOptions": {
"rendering": "select",
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d998",
"answers": [
{
"concept": "5ffd57c4-e477-4755-80fd-22df52f58cd3"
},
{
"concept": "d94bd8d8-8b29-44e0-8c4c-bf7f0a0be8c4"
},
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7e996"
},
{
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7e997"
},
{
"concept": "938fee46-0455-47ae-b9e6-0da6af8928fb"
},
{
"concept": "ade1a772-0074-11ea-8d71-362b9e155667"
},
{
"concept": "a57cfa3d-f53c-477a-80a1-c2bd63ad4248"
},
{
"concept": "9cbb175e-a5d2-402f-bf10-7cb470270ec7"
}
]
}
},
{
"id": "otherResidentImmigrationStatus",
"type": "obs",
"prefix": "2.3.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "residentImmigrationStatus !== '9cbb175e-a5d2-402f-bf10-7cb470270ec7'"
}
}
]
},
{
"id": "hasChildren",
"type": "obs",
"prefix": "2.4. ",
"questionOptions": {
"rendering": "radio",
"allowUnselect": "true",
"orientation": "horizontal",
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d988",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "howManyChildren",
"type": "obs",
"prefix": "2.4.1. ",
"questionOptions": {
"concept": "dda139ff-4d4d-4b07-8da2-f59c1ee7d989",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "hasChildren !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "f583cee5-572d-4e4c-859e-bd416f422f85",
"rendering": "group"
},
"questions": [
{
"id": "minorsLifeSituation",
"type": "obs",
"prefix": "2.5. ",
"questionOptions": {
"rendering": "checkbox",
"concept": "aa9d0ea3-156e-44cd-b28f-7332c59452af",
"answers": [
{
"concept": "dda138ff-4d4d-4b07-8da4-f59c1ee7d980"
},
{
"concept": "37944e7d-b5e9-4a0e-963e-9455f82218a2"
},
{
"concept": "dda139ff-4d4d-4b07-8da5-f59c1ee7d981"
},
{
"concept": "dda139ff-4d4d-4b07-8da6-f59c1ee7d982"
},
{
"concept": "dda139ff-4d4d-4b07-8da7-f59c1ee7d983"
},
{
"concept": "dda139ff-4d4d-4b07-8da8-f59c1ee7d984"
},
{
"concept": "dda139ff-4d4d-4b07-8da9-f59c1ee7d985"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "age > 18"
}
},
{
"id": "otherMinorsLifeSituation",
"type": "obs",
"prefix": "2.5.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "isEmpty(minorsLifeSituation) || !arrayContainsAny(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], minorsLifeSituation)"
}
}
]
}
]
}
]
},
{
"label": "Program Specifics",
"sections": [
{
"label": "3. Program Specifics",
"isExpanded": "true",
"questions": [
{
"id": "targetGroupProgramType",
"label": "Target Group / Program Type",
"type": "obs",
"required": "true",
"prefix": "3.1. ",
"questionOptions": {
"rendering": "radio",
"allowUnselect": "true",
"concept": "5d8f561d-f806-46f1-88ba-e32bda457a57",
"answers": [
{
"concept": "a56bda42-5f00-416d-9b3f-ff4cc2d5d9f8"
},
{
"concept": "d7fe7747-33ca-4e16-9eb3-1c413ddf1a9c"
},
{
"concept": "b8121d8c-dedf-46be-80fc-0285b71b7753"
},
{
"concept": "99d6edc9-91cf-4ad5-9a74-2bd46121cbf6"
},
{
"concept": "fc6cda70-9fc9-455c-860a-a5af617a05f2"
},
{
"concept": "b237fb84-bda2-473b-8156-0b02156e3296"
},
{
"concept": "a18d0319-6bef-47be-a336-556c060735f2"
}
]
}
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "9193d44d-d4ff-4a54-a459-04589b63bd2e",
"rendering": "group"
},
"questions": [
{
"id": "missingFamilyMember",
"type": "obs",
"required": "true",
"prefix": "3.1.1. ",
"questionOptions": {
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"concept": "688e127e-ba0a-4113-a503-dc780bd4260f",
"answers": [
{
"concept": "970AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "971AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "160730AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "160729AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "160727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "160728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "cb0b4e82-c515-4310-938e-c95be454d850"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "targetGroupProgramType !== 'a56bda42-5f00-416d-9b3f-ff4cc2d5d9f8'"
}
},
{
"id": "missingFamilyMemberDetails",
"type": "obs",
"prefix": "3.1.1.1. ",
"questionOptions": {
"concept": "69c3b0cc-023a-11ea-8d71-362b9e155667",
"rendering": "textarea",
"rows": 4
},
"hide": {
"hideWhenExpression": "!missingFamilyMember"
}
},
{
"id": "missingFamilyMemberOtherInformation",
"type": "obs",
"prefix": "3.1.1.2. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "missingFamilyMember != '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "3d173a0a-f374-428d-8d9d-584f1863109e",
"rendering": "group"
},
"questions": [
{
"id": "missingFamilyMemberRole",
"type": "obs",
"prefix": "3.1.2. ",
"questionOptions": {
"concept": "dc4ad610-d69a-491b-89bc-3c9ff7b0a530",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "a7f437a1-c9e6-4f92-a49d-79522912032b"
},
{
"concept": "28efeb1e-2fb5-40d9-af9a-83f5bc2b7f67"
}
]
},
"hide": {
"hideWhenExpression": "targetGroupProgramType !== 'a56bda42-5f00-416d-9b3f-ff4cc2d5d9f8'"
}
}
]
}
]
}
]
},
{
"label": "Genogram",
"sections": [
{
"label": "4. Genogram",
"isExpanded": "true",
"questions": [
{
"type": "obs",
"id": "genogram",
"prefix": "4.1. ",
"questionOptions": {
"concept": "27a40c39-06d4-4da4-9f50-14cf10dfc370",
"rendering": "textarea",
"rows": 4
}
}
]
}
]
},
{
"label": "Session Type",
"sections": [
{
"label": "5. Session Type",
"isExpanded": "true",
"questions": [
{
"id": "typeOfSession",
"type": "obs",
"required": "true",
"prefix": "5.1. ",
"questionOptions": {
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"concept": "4e24002a-b38d-11e9-a2a3-2a2ae2dbcce4",
"answers": [
{
"concept": "9bc5eb8c-7c82-11e9-8f9e-2a86e4085a59"
},
{
"concept": "9bc5ecea-7c82-11e9-8f9e-2a86e4085a59"
},
{
"concept": "3a826502-6d4a-4e84-82e2-13deb0a5f958"
}
],
"calculate": {
"calculateExpression": "typeOfSession && encDate ? typeOfSession : '9bc5eb8c-7c82-11e9-8f9e-2a86e4085a59'"
}
}
},
{
"id": "sessionFormat",
"type": "obs",
"required": "true",
"prefix": "5.2. ",
"questionOptions": {
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"concept": "69e9e915-21a9-4ad9-9fde-901326dd04df",
"answers": [
{
"concept": "f4887741-4b72-43de-bfaf-00fa7d0c9e57"
},
{
"concept": "c0f668d1-08f9-4b2e-b631-3671dbb5d00a"
}
]
}
}
]
}
]
},
{
"label": "Experience of Violence",
"sections": [
{
"label": "6. Types of Violence",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"questionOptions": {
"concept": "c1ef1195-63d0-453d-b24a-959086dd6cbf",
"rendering": "group"
},
"questions": [
{
"id": "typeOfViolence",
"type": "obs",
"prefix": "6.1. ",
"questionOptions": {
"concept": "07bff3d0-989a-4db9-8c8d-637aefed541c",
"rendering": "multiCheckbox",
"answers": [
{
"concept": "158358AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "09f5490e-4cc5-4b83-b7a6-e9c028f64e1d"
},
{
"concept": "4a53eccb-3f02-42ea-889f-02a566263410"
},
{
"concept": "1ae1448d-9acc-4d90-84d8-4b932ea15950"
},
{
"concept": "7e9a32cf-0357-489a-9218-1e0df965edd9"
},
{
"concept": "53084ade-2c0b-43c4-bd52-2e11c1d82c1e"
},
{
"concept": "1df7e97b-4662-4279-9478-bfc1c519e595"
},
{
"concept": "ed735a77-dc21-4d7f-bc66-88c41be20fcc"
},
{
"concept": "459f7d45-c44a-452b-b1c8-b1869b62f64c"
},
{
"concept": "9fbcc4a5-3474-450e-9bc4-14f2ce68beb3"
},
{
"concept": "18f29050-0087-11ea-8d71-362b9e155667"
},
{
"concept": "79b0a422-fd51-4f42-8d82-da11bee2b415"
},
{
"concept": "16a28835-a638-483d-9c49-5f855b54e140"
},
{
"concept": "127910AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "c4ea7123-eea4-4ab1-8372-aa53219c0438"
},
{
"concept": "d7e461ab-44c4-4587-9682-12e8e83d98a2"
},
{
"concept": "6b941491-1105-467e-a233-dfa526c8714e"
},
{
"concept": "f00e2108-31a4-4460-90d8-f02154c33b3c"
},
{
"concept": "141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1ecf8057-60ed-432a-a361-3c4d92437cf5"
},
{
"concept": "a8f02b28-1de0-4d41-a408-a3c6f0c92d86"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "otherTypeOfViolence",
"type": "obs",
"prefix": "6.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "isEmpty(typeOfViolence) || !arrayContainsAny(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], typeOfViolence)"
}
},
{
"id": "repeatedEpisodeOfViolence",
"type": "obs",
"prefix": "6.2. ",
"questionOptions": {
"concept": "de611a10-7fbb-45d7-be3a-c131febf72e0",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "violenceStillOngoing",
"type": "obs",
"prefix": "6.3. ",
"questionOptions": {
"concept": "feca519e-5921-4272-bed8-e0fb4541f25f",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
}
]
}
]
}
]
},
{
"label": "Additional Conditions of Vulnerability",
"sections": [
{
"label": "7. Additional Conditions of Vulnerability",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"questionOptions": {
"concept": "bc0c9ebb-bb29-4d3d-9036-6c49abe120a8",
"rendering": "group"
},
"questions": [
{
"id": "additionalVulnerabilityFactors",
"type": "obs",
"prefix": "7.1. ",
"questionOptions": {
"rendering": "checkbox",
"concept": "e1b6800a-3b73-4844-a6f8-9b1967c6a572",
"answers": [
{
"concept": "d6935655-b09e-4c31-8a6a-36e6001a3171"
},
{
"concept": "e7ca950f-41f7-4b44-ba7e-6a566597a5cc"
},
{
"concept": "f31caab2-345a-11e9-b210-d66k23001376"
},
{
"concept": "4b156494-dac2-4c9a-9533-fb3d274ee89b"
},
{
"label": "Pregnant",
"concept": "1434AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "dda139ff-4d4d-4b07-8da8-f59c1ee7d984"
},
{
"concept": "4f6c90e9-f7bf-499f-94d7-9f1404c811f2"
},
{
"concept": "3e70729d-23af-42bf-861d-5c842e36b579"
},
{
"concept": "344c19a2-8a0f-422b-add0-5ed7311ca8eb"
},
{
"concept": "3e3095a6-187c-4eb1-9292-05f75442c01f"
},
{
"concept": "1ab73363-eb6a-4b4c-828f-f408ae27a759"
},
{
"concept": "d58837d8-8dab-443b-a54d-4fddaf49d552"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "otherAdditionalVulnerabilityFactor",
"type": "obs",
"prefix": "7.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "isEmpty(additionalVulnerabilityFactors) || !arrayContainsAny(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], additionalVulnerabilityFactors)"
}
}
]
}
]
}
]
},
{
"label": "Psychiatric History",
"sections": [
{
"label": "8. Psychiatric History",
"isExpanded": "true",
"questions": [
{
"id": "psychiatricHistory",
"type": "obs",
"prefix": "8.1. ",
"questionOptions": {
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"concept": "17cf3363-10d0-463a-a356-2106f483bffc",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "approximateDateStartSymptoms",
"type": "obs",
"label": "approximateDateStartSymptoms",
"prefix": "8.1.1. ",
"questionOptions": {
"concept": "a35ddf7a-a39c-4811-8485-9f376e8dcce2",
"rendering": "date"
},
"hide": {
"hideWhenExpression": "psychiatricHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "psychiatricDiagnosis",
"type": "obs",
"prefix": "8.1.2. ",
"questionOptions": {
"concept": "ff1219fe-211f-4696-bfdf-998b8e8f8eb6",
"rendering": "textarea"
},
"hide": {
"hideWhenExpression": "psychiatricHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "approximateDateDiagnosis",
"type": "obs",
"label": "approximateDateDiagnosis",
"prefix": "8.1.3. ",
"questionOptions": {
"concept": "a0774787-fe5e-4667-aa31-5e50576153e7",
"rendering": "date"
},
"hide": {
"hideWhenExpression": "psychiatricHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "psychiatricMedication",
"type": "obs",
"prefix": "8.1.4. ",
"questionOptions": {
"concept": "7d5a86f4-cd6f-4d12-8aca-a1f049be6bd7",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "psychiatricHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "patientStillUnderTreatment",
"type": "obs",
"prefix": "8.1.5 ",
"questionOptions": {
"concept": "31c201a5-dfc8-4ae5-9c93-62d6896796cd",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "psychiatricHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
}
]
},
{
"label": "Medical History",
"sections": [
{
"label": "9. Medical History",
"isExpanded": "true",
"questions": [
{
"id": "significantMedicalPhysicalCondition",
"type": "obs",
"prefix": "9.1. ",
"questionOptions": {
"concept": "17025441-0a0a-4330-9d2a-7ae774bcb4cb",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"label": "Primary Diagnosis",
"id": "primaryDiagnosisId",
"type": "diagnosis",
"questionOptions": {
"rendering": "repeating",
"rank": 1
},
"hide": {
"hideWhenExpression": "significantMedicalPhysicalCondition != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Secondary Diagnosis",
"id": "secondaryDiagnosisId",
"type": "diagnosis",
"questionOptions": {
"rendering": "repeating",
"rank": 2
},
"hide": {
"hideWhenExpression": "significantMedicalPhysicalCondition != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "medicalTreatment",
"type": "obs",
"prefix": "9.4. ",
"questionOptions": {
"concept": "229dba67-31e0-4417-805a-6026dd9942f1",
"orientation": "horizontal",
"rendering": "radio",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "significantMedicalPhysicalCondition != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "enterMedicalTreatmentDetails",
"type": "obs",
"prefix": "9.5. ",
"questionOptions": {
"rendering": "textarea",
"concept": "69c3b806-023a-11ea-8d71-362b9e155667"
},
"hide": {
"hideWhenExpression": "significantMedicalPhysicalCondition != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
}
]
}
]
},
{
"label": "Main Cluster Of Presented Symptoms",
"sections": [
{
"label": "10.1 Somatic",
"isExpanded": "true",
"questions": [
{
"id": "somatic",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "27bc1bd1-be4e-4a73-a1b3-51b9c888041d"
},
{
"concept": "7caf3072-6827-4e13-b4ca-82865257b146"
},
{
"concept": "3213d768-7569-4d57-8468-de037f5a1e52"
},
{
"concept": "2c7196a5-07ea-43d2-be9d-ba2b8a8f56ad"
},
{
"concept": "9fd91669-9d3f-42c3-9a58-6d44c6e18525"
},
{
"concept": "831b15c9-e54e-4e84-a1a8-d1a87407d329"
},
{
"concept": "fe5aa43a-eae1-4092-9f3b-af359c175bd9"
}
]
}
}
]
},
{
"label": "10.2 Cognitive",
"isExpanded": "true",
"questions": [
{
"id": "cognitive",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "f5f5d474-5601-4f46-b165-a402a065d141"
}
]
}
}
]
},
{
"label": "10.3 Mood-related",
"isExpanded": "true",
"questions": [
{
"id": "moodRelated",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "d7c3e9e4-1e1e-4032-9c0a-b68689c82028"
},
{
"concept": "ad36175f-aa7b-4fdb-8721-87e86019e468"
},
{
"concept": "3b4927fe-eff6-42a7-a746-1aca97ba806d"
},
{
"concept": "6af150b7-e5bb-4895-a6df-38a8dcec2f87"
},
{
"concept": "87eba4f6-3cf4-4280-9aeb-fe86a2963e57"
},
{
"concept": "583b4ffc-162d-41de-818a-4f6713e3ce10"
},
{
"concept": "70b74a9b-6c3a-4008-ba89-5997cb9f2dc7"
},
{
"concept": "02a5f271-ae54-4a99-9bb3-b5e0758f2e75"
},
{
"concept": "ef3b6ceb-1418-452d-bba1-2fc785da60c5"
},
{
"concept": "3248e184-8bd8-4e21-8ddf-cf8f814ccde1"
},
{
"concept": "2c393492-5d16-4930-8f6b-449efb0d49fe"
},
{
"concept": "57a894fd-aa41-48ae-93ef-212aea444a02"
},
{
"concept": "35966a31-b645-474b-b074-de48e2f89ec0"
}
]
}
}
]
},
{
"label": "10.4 Anxiety-related",
"isExpanded": "true",
"questions": [
{
"id": "anxiety",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "2544dcce-cbf5-41c0-a877-80d7c5eaee7d"
},
{
"concept": "d75c5945-8731-4185-8922-b4b6ef3c6d9d"
},
{
"concept": "1b6e3b18-e181-4c2e-a99b-b82f178203c4"
},
{
"concept": "95346064-d6d1-4ffd-95e5-c2cefaa991fa"
}
]
}
}
]
},
{
"label": "10.5 Trauma-related",
"isExpanded": "false",
"questions": [
{
"id": "traumaSpecific",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "258103c2-54d0-4261-ae61-aa32a1252052"
},
{
"concept": "f35f5465-2abc-4134-88c8-fd95fefb9ce7"
},
{
"concept": "06b64bfb-1ab5-411a-9743-da314f9475e2"
},
{
"concept": "9e15d5d3-6067-457f-95e9-1c46f4a34e3f"
},
{
"concept": "f328fa3a-fc3e-494e-b615-14f9e25a82d8"
},
{
"concept": "94d60423-cf9d-4872-aabd-84f2538c5a70"
},
{
"concept": "d5897833-66c8-4971-9ad3-7417a1f5acd2"
}
]
}
}
]
},
{
"label": "10.6 Psychotic",
"isExpanded": "false",
"questions": [
{
"id": "psychotic",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "531f1e32-758d-4d3d-9dc2-fb1db94b543e"
},
{
"concept": "382ecec2-c89a-40d6-a31c-e9a5903afc38"
},
{
"concept": "80713694-f98b-440a-aabd-4f87f87a09c2"
},
{
"concept": "6d978e1a-9851-405e-952a-b4f2e13f7d50"
}
]
}
}
]
},
{
"label": "10.7 Behavioral",
"isExpanded": "false",
"questions": [
{
"id": "behavioral",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "587d56fe-7765-449f-a21c-f217a3f5d38c"
},
{
"concept": "e633bf4d-e559-4c9c-b614-fecd10a6d790"
},
{
"concept": "cc082924-2c7d-4822-952b-90df8108c7dd"
},
{
"concept": "78747804-0fb1-4204-808f-41cbf230eea1"
},
{
"concept": "6340a328-0da5-447f-a840-d38cec49e31a"
},
{
"concept": "0087ec37-f115-4232-ae93-737b164dc431"
},
{
"concept": "6856baa4-0b6e-494a-a337-7c2f012db382"
},
{
"concept": "8562c63a-2a00-4b0b-9a50-d3b6e303c0d5"
}
]
}
}
]
},
{
"label": "10.8 Functionality",
"isExpanded": "false",
"questions": [
{
"id": "functionality",
"label": " ",
"type": "obs",
"questionOptions": {
"rendering": "checkbox",
"concept": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"answers": [
{
"concept": "83460109-7bbf-4af3-b9b2-4bfac54ff011"
},
{
"concept": "99c7db54-78c3-4224-907d-4d34f48f57fb"
},
{
"concept": "6df545e6-e81f-4c17-800e-a29b6e2358b8"
}
]
}
}
]
},
{
"label": "10.9 Other",
"isExpanded": "false",
"questions": [
{
"id": "otherMainComment",
"type": "obs",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "!arrayContains(['8371c97a-0477-49e5-9967-d29d11d69776'], otherMain)"
}
}
]
}
]
},
{
"label": "Intervention Plan",
"sections": [
{
"label": "11. Intervention Plan",
"isExpanded": "true",
"questions": [
{
"id": "reasonForConsultation",
"type": "obs",
"prefix": "11.1. ",
"questionOptions": {
"concept": "7bd1148d-7d62-4e1d-a1ee-b898d75c965b",
"rendering": "textarea"
}
},
{
"id": "copingMechanisms",
"type": "obs",
"prefix": "11.2. ",
"questionOptions": {
"concept": "a3998159-f2ad-4d54-8c50-b0c22a5bc2d9",
"rendering": "textarea"
}
},
{
"id": "whatIsTheInterventionPlan",
"type": "obs",
"prefix": "11.3. ",
"questionOptions": {
"concept": "763fae79-d6da-4b6a-a1ec-416eb393d2e4",
"rendering": "textarea"
}
}
]
}
]
},
{
"label": "Cash and Voucher Assistance (CVA)",
"sections": [
{
"label": "12. Cash and Voucher Assistance (CVA)",
"isExpanded": "true",
"questions": [
{
"id": "ICRCAllocatingFinancialSupport",
"type": "obs",
"prefix": "12.1. ",
"questionOptions": {
"concept": "cefac6bf-00d6-43ee-a9fb-a51ed387f43a",
"rendering": "radio",
"orientation": "horizontal",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"type": "obsGroup",
"questionOptions": {
"concept": "447558ed-7cdb-46a4-b587-c7a1040fd525",
"rendering": "group"
},
"questions": [
{
"id": "financialSupportType",
"type": "obs",
"prefix": "12.1.1. ",
"questionOptions": {
"concept": "447558ed-7cdb-46a4-b587-c7a1040fd525",
"rendering": "checkbox",
"answers": [
{
"concept": "3b87ecc2-73cb-4edb-83fb-bb38ca4461ab"
},
{
"concept": "6605ccca-0d21-4637-952c-8fa54d59aa65"
},
{
"concept": "432e5cf0-7dde-4094-bf87-ad881d33fb2b"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "ICRCAllocatingFinancialSupport != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA']"
}
},
{
"id": "otherFinancialSupportType",
"type": "obs",
"prefix": "12.1.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "isEmpty(financialSupportType) || !arrayContainsAny(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], financialSupportType)"
}
}
]
},
{
"id": "HSUConsentSharingInformation",
"type": "obs",
"prefix": "12.2. ",
"questionOptions": {
"concept": "92f77a21-f6cb-4169-924f-4546a489c60c",
"rendering": "radio",
"orientation": "horizontal",
"allowUnselect": "true",
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
}
]
}
]
},
{
"label": "Referrals",
"sections": [
{
"label": "13. Referrals",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"questionOptions": {
"concept": "1e430274-3c10-11e9-b210-d663bd873d93",
"rendering": "group"
},
"questions": [
{
"id": "referralsMade",
"type": "obs",
"prefix": "13.1. ",
"questionOptions": {
"concept": "c092b1a2-10fc-4676-90a5-7eabc57496e6",
"rendering": "multiCheckbox",
"answers": [
{
"concept": "fed74fc3-375e-4544-9d86-2327cd37b5f7"
},
{
"concept": "9a1c3f32-c2b6-416a-b3cb-61ec4c760b85"
},
{
"concept": "c65e4adc-979e-4c10-ac82-bdc020b63816"
},
{
"concept": "42a1bf51-02db-49b2-8fa7-55f4acda8846"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
}
},
{
"id": "healthcareReferralsOption",
"type": "obs",
"required": "!isEmpty(referralsMade) && arrayContainsAny(['fed74fc3-375e-4544-9d86-2327cd37b5f7'], referralsMade)",
"prefix": "13.1.1. ",
"questionOptions": {
"rendering": "select",
"concept": "8a6cb43c-2d33-4e33-80f0-367e29bd3c51",
"answers": [
{
"concept": "159372AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "4e3aafbe-5253-4e73-bc41-cfac59b7c754"
},
{
"concept": "cf9064a0-b56a-476c-b1a0-2401f2bc9f32"
},
{
"concept": "b95f6a5d-78ae-4f59-9fcf-d18e01199047"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "isEmpty(referralsMade) || !arrayContainsAny(['fed74fc3-375e-4544-9d86-2327cd37b5f7'], referralsMade)"
}
},
{
"id": "otherReferralsHealthICRCOption",
"type": "obs",
"prefix": "13.1.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "healthcareReferralsOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "externalHealthServicesReferralsOption",
"type": "obs",
"required": "!isEmpty(referralsMade) && arrayContainsAny(['9a1c3f32-c2b6-416a-b3cb-61ec4c760b85'], referralsMade)",
"prefix": "13.1.1. ",
"questionOptions": {
"rendering": "select",
"concept": "77dae6c5-faf2-433c-9dfd-057c53f2dec4",
"answers": [
{
"concept": "ad86ebbd-fd5e-4747-9d83-9e411c4380a9"
},
{
"concept": "37fbc27f-167b-4aa6-8247-f1b974746b5c"
},
{
"concept": "1de4669d-292b-4b3c-9c90-1a4b56a13a53"
},
{
"concept": "f4f99176-7d18-4acf-a6eb-1f66d97029d4"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "isEmpty(referralsMade) || !arrayContainsAny(['9a1c3f32-c2b6-416a-b3cb-61ec4c760b85'], referralsMade)"
}
},
{
"id": "otherexternalHealthServicesReferralsOption",
"type": "obs",
"required": "externalHealthServicesReferralsOption === '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'",
"prefix": "13.1.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "externalHealthServicesReferralsOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "assistanceICRCReferralsOption",
"type": "obs",
"required": "!isEmpty(referralsMade) && arrayContainsAny(['c65e4adc-979e-4c10-ac82-bdc020b63816'], referralsMade)",
"prefix": "13.1.1. ",
"questionOptions": {
"rendering": "select",
"concept": "8d05411b-567c-4b5c-8995-6ba8f2c903eb",
"answers": [
{
"concept": "f35019ed-5ea8-4158-9c7b-e14677c4a743"
},
{
"concept": "8d8f2e1a-79a6-4257-8701-446249d0615f"
},
{
"concept": "c1179eb4-dc2f-49fb-8de3-404607fab645"
},
{
"concept": "28cf37fa-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "28cf3ade-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "28cf3cc8-fbe9-11e9-8f0b-362b9e155667"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "isEmpty(referralsMade) || !arrayContainsAny(['c65e4adc-979e-4c10-ac82-bdc020b63816'], referralsMade)"
}
},
{
"id": "otherAssistanceICRCReferralsOption",
"type": "obs",
"prefix": "13.1.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "assistanceICRCReferralsOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "protectionICRCReferralsOption",
"type": "obs",
"required": "!isEmpty(referralsMade) && arrayContainsAny(['42a1bf51-02db-49b2-8fa7-55f4acda8846'], referralsMade)",
"prefix": "13.1.1. ",
"questionOptions": {
"rendering": "select",
"concept": "34e21147-c68c-4734-bc32-bd2427a9ce85",
"answers": [
{
"concept": "52b360f3-da18-4f16-8ee5-823b534449ee"
},
{
"concept": "7614245d-3048-41f7-9578-87d3f34d664c"
},
{
"concept": "2f79236b-86c3-4508-8c23-cde21b9dc096"
},
{
"concept": "161597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"concept": "eb6e7233-0cbe-4323-9948-25b2b4cb01a3"
},
{
"concept": "9623e37a-ec2c-492f-9b74-99bff2c8cffd"
},
{
"concept": "3f1bd2a0-a201-4ef5-a7fc-3fb24f43f646"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"hide": {
"hideWhenExpression": "isEmpty(referralsMade) || !arrayContainsAny(['42a1bf51-02db-49b2-8fa7-55f4acda8846'], referralsMade)"
}
},
{
"id": "otherProtectionReferralsICRCOption",
"type": "obs",
"prefix": "11.1.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "protectionICRCReferralsOption !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"id": "otherReferrals",
"type": "obs",
"prefix": "13.1.1. ",
"questionOptions": {
"concept": "81b2de89-e228-434b-8610-cf12ed6d2603",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "isEmpty(referralsMade) || !arrayContainsAny(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], referralsMade)"
}
}
]
}
]
}
]
},
{
"label": "Comments",
"sections": [
{
"label": "14. Comments",
"isExpanded": "true",
"questions": [
{
"type": "obs",
"id": "comment",
"prefix": "14.1. ",
"questionOptions": {
"concept": "b8a853bf-80a3-4344-a730-fd6c46165014",
"rendering": "textarea",
"rows": 4
}
}
]
}
]
}
],
"referencedForms": [],
"processor": "EncounterFormProcessor",
"encounterType": {
"uuid": "0c63150d-ff39-42e1-9048-834mh76p2s72",
"display": "Assessment Form"
},
"translations": {
"Consultation Details": "Consultation Details",
"1. Consultation Details": "1. Consultation Details",
"Demographics": "Demographics",
"2. Demographics": "2. Demographics",
"Program Specifics": "Program Specifics",
"3. Program Specifics": "3. Program Specifics",
"Genogram": "Genogram",
"4. Genogram": "4. Genogram",
"Session Type": "Session Type",
"5. Session Type": "5. Session Type",
"Experience of Violence": "Experience of Violence",
"6. Experience of Violence": "6. Experience of Violence",
"Additional Conditions of Vulnerability": "Additional Conditions of Vulnerability",
"7. Additional Conditions of Vulnerability": "7. Additional Conditions of Vulnerability",
"Psychiatric History": "Psychiatric History",
"8. Psychiatric History": "8. Psychiatric History",
"Medical History": "Medical History",
"9. Medical History": "9. Medical History",
"Main Cluster Of Presented Symptoms": "Main Cluster Of Presented Symptoms",
"10.1 Somatic": "10.1 Somatic",
"10.2 Cognitive": "10.2 Cognitive",
"10.3 Mood-related": "10.3 Mood-related",
"10.4 Anxiety-related": "10.4 Anxiety-related",
"10.5 Trauma-related": "10.5 Trauma-related",
"10.6 Psychotic": "10.6 Psychotic",
"10.7 Behavioral": "10.7 Behavioral",
"10.8 Functionality": "10.8 Functionality",
"10.9 Other": "10.9 Other",
"Intervention Plan": "Intervention Plan",
"11. Intervention Plan": "11. Intervention Plan",
"Cash and Voucher Assistance (CVA)": "Cash and Voucher Assistance (CVA)",
"12. Cash and Voucher Assistance (CVA)": "12. Cash and Voucher Assistance (CVA)",
"Referrals": "Referrals",
"13, Referrals": "13. Referrals",
"Comments": "Comments",
"14. Comments": "14. Comments",
"Date of Consultation": "Date of Consultation",
"Practitioner Name": "Practitioner Name",
"Health ICRC": "Health ICRC",
"Pregnant": "Pregnant",
"Target Group / Program Type": "Target Group / Program Type",
"approximateDateStartSymptoms": "8.1.1. Approximate date of start of symptoms",
"approximateDateDiagnosis": "8.1.3. Approximate date of diagnosis"
},
"conceptReferences": {
"08c96d00-f729-4a49-b3a5-4d39d3744dd0": {
"uuid": "08c96d00-f729-4a49-b3a5-4d39d3744dd0",
"display": "Is this activity part of emergency response?"
},
"1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Yes"
},
"1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "No"
},
"b580901f-d909-461c-a768-628cd342e52a": {
"uuid": "b580901f-d909-461c-a768-628cd342e52a",
"display": "Place of Consultation"
},
"163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Community"
},
"1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "HEALTH FACILITY"
},
"4eb48d92-6689-4304-8677-b009f2253dba": {
"uuid": "4eb48d92-6689-4304-8677-b009f2253dba",
"display": "ICRC premises"
},
"174c8f5d-a61b-4218-8db5-5cac014c2481": {
"uuid": "174c8f5d-a61b-4218-8db5-5cac014c2481",
"display": "National Society Branch"
},
"5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Other"
},
"81b2de89-e228-434b-8610-cf12ed6d2603": {
"uuid": "81b2de89-e228-434b-8610-cf12ed6d2603",
"display": "Other Information"
},
"1f7c1fb5-0a8c-46c3-8430-1e7dbc068a66": {
"uuid": "1f7c1fb5-0a8c-46c3-8430-1e7dbc068a66",
"display": "Other ICRC ID (Prot6, etc.)"
},
"ef2af224-ffd4-11e9-8d71-362b9e155667": {
"uuid": "ef2af224-ffd4-11e9-8d71-362b9e155667",
"display": "Practitioner Affiliation"
},
"7a900381-aef6-40f6-bb52-11ca0ad84965": {
"uuid": "7a900381-aef6-40f6-bb52-11ca0ad84965",
"display": "ICRC"
},
"39236f71-1f09-4b92-99b5-2ed41df03812": {
"uuid": "39236f71-1f09-4b92-99b5-2ed41df03812",
"display": "Non-ICRC"
},
"c99a222f-c0a1-40d7-bc6c-10cbc53196b0": {
"uuid": "c99a222f-c0a1-40d7-bc6c-10cbc53196b0",
"display": "Staff Name"
},
"7148b12c-a567-4dcc-bb35-50266cf6c04f": {
"uuid": "7148b12c-a567-4dcc-bb35-50266cf6c04f",
"display": "Referral From"
},
"160551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "160551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Self-referral"
},
"ea7f99b1-873c-4392-abb8-6704f918e776": {
"uuid": "ea7f99b1-873c-4392-abb8-6704f918e776",
"display": "MHPSS awareness-raising Activities"
},
"bbebe412-78b7-4576-ae26-6fbcfb860c33": {
"uuid": "bbebe412-78b7-4576-ae26-6fbcfb860c33",
"display": "Referral From Health ICRC"
},
"9a1c3f32-c2b6-416a-b3cb-61ec4c760b85": {
"uuid": "9a1c3f32-c2b6-416a-b3cb-61ec4c760b85",
"display": "External Health Services"
},
"c65e4adc-979e-4c10-ac82-bdc020b63816": {
"uuid": "c65e4adc-979e-4c10-ac82-bdc020b63816",
"display": "Essential Services ICRC"
},
"42a1bf51-02db-49b2-8fa7-55f4acda8846": {
"uuid": "42a1bf51-02db-49b2-8fa7-55f4acda8846",
"display": "Protection ICRC"
},
"8a6cb43c-2d33-4e33-80f0-367e29bd3c51": {
"uuid": "8a6cb43c-2d33-4e33-80f0-367e29bd3c51",
"display": "Specify Health ICRC"
},
"a2d2d251-aeab-4120-aad2-dfc9affa8131": {
"uuid": "a2d2d251-aeab-4120-aad2-dfc9affa8131",
"display": "First Aid"
},
"159372AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "159372AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Primary Health Care Center"
},
"4e3aafbe-5253-4e73-bc41-cfac59b7c754": {
"uuid": "4e3aafbe-5253-4e73-bc41-cfac59b7c754",
"display": "Hospital"
},
"cf9064a0-b56a-476c-b1a0-2401f2bc9f32": {
"uuid": "cf9064a0-b56a-476c-b1a0-2401f2bc9f32",
"display": "PRP"
},
"b95f6a5d-78ae-4f59-9fcf-d18e01199047": {
"uuid": "b95f6a5d-78ae-4f59-9fcf-d18e01199047",
"display": "Healthcare in Detention (HCD)"
},
"77dae6c5-faf2-433c-9dfd-057c53f2dec4": {
"uuid": "77dae6c5-faf2-433c-9dfd-057c53f2dec4",
"display": "Specify External Health Services"
},
"ad86ebbd-fd5e-4747-9d83-9e411c4380a9": {
"uuid": "ad86ebbd-fd5e-4747-9d83-9e411c4380a9",
"display": "Local Primary Health Care Center"
},
"37fbc27f-167b-4aa6-8247-f1b974746b5c": {
"uuid": "37fbc27f-167b-4aa6-8247-f1b974746b5c",
"display": "Local hospital"
},
"8ec76ec9-ceb4-4b56-a986-75f162d2260a": {
"uuid": "8ec76ec9-ceb4-4b56-a986-75f162d2260a",
"display": "External MHPSS"
},
"8d05411b-567c-4b5c-8995-6ba8f2c903eb": {
"uuid": "8d05411b-567c-4b5c-8995-6ba8f2c903eb",
"display": "Specify Essential Service"
},
"f35019ed-5ea8-4158-9c7b-e14677c4a743": {
"uuid": "f35019ed-5ea8-4158-9c7b-e14677c4a743",
"display": "EcoSec"
},
"8d8f2e1a-79a6-4257-8701-446249d0615f": {
"uuid": "8d8f2e1a-79a6-4257-8701-446249d0615f",
"display": "WatHab"
},
"c1179eb4-dc2f-49fb-8de3-404607fab645": {
"uuid": "c1179eb4-dc2f-49fb-8de3-404607fab645",
"display": "WeC"
},
"28cf37fa-fbe9-11e9-8f0b-362b9e155667": {
"uuid": "28cf37fa-fbe9-11e9-8f0b-362b9e155667",
"display": "Legal Services"
},
"28cf3ade-fbe9-11e9-8f0b-362b9e155667": {
"uuid": "28cf3ade-fbe9-11e9-8f0b-362b9e155667",
"display": "Social Services"
},
"28cf3cc8-fbe9-11e9-8f0b-362b9e155667": {
"uuid": "28cf3cc8-fbe9-11e9-8f0b-362b9e155667",
"display": "Education Centers / Services"
},
"34e21147-c68c-4734-bc32-bd2427a9ce85": {
"uuid": "34e21147-c68c-4734-bc32-bd2427a9ce85",
"display": "Specify Protection ICRC"
},
"52b360f3-da18-4f16-8ee5-823b534449ee": {
"uuid": "52b360f3-da18-4f16-8ee5-823b534449ee",
"display": "Missing"
},
"7614245d-3048-41f7-9578-87d3f34d664c": {
"uuid": "7614245d-3048-41f7-9578-87d3f34d664c",
"display": "RFL"
},
"2f79236b-86c3-4508-8c23-cde21b9dc096": {
"uuid": "2f79236b-86c3-4508-8c23-cde21b9dc096",
"display": "PPC/PCP"
},
"161597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "161597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Child in need of protection"
},
"eb6e7233-0cbe-4323-9948-25b2b4cb01a3": {
"uuid": "eb6e7233-0cbe-4323-9948-25b2b4cb01a3",
"display": "Detention"
},
"9623e37a-ec2c-492f-9b74-99bff2c8cffd": {
"uuid": "9623e37a-ec2c-492f-9b74-99bff2c8cffd",
"display": "Forensics"
},
"3f1bd2a0-a201-4ef5-a7fc-3fb24f43f646": {
"uuid": "3f1bd2a0-a201-4ef5-a7fc-3fb24f43f646",
"display": "Global fight on terrorism"
},
"a22def8e-5b66-11e9-8647-d663bd873d93": {
"uuid": "a22def8e-5b66-11e9-8647-d663bd873d93",
"display": "Admission type"
},
"3171e6ab-cf85-4209-902a-05100777e8b8": {
"uuid": "3171e6ab-cf85-4209-902a-05100777e8b8",
"display": "New"
},
"8a852476-5c27-11e9-8647-d663bd873d93": {
"uuid": "8a852476-5c27-11e9-8647-d663bd873d93",
"display": "Readmission"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d994": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d994",
"display": "Education"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d990": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d990",
"display": "Illiterate"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d991": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d991",
"display": "Basic (elementary/primary school)"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d992": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d992",
"display": "Medium (secondary school)"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7e993": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7e993",
"display": "High (vocational school, college, diploma or university)"
},
"9cbb175e-a5d2-402f-bf10-7cb470270ec7": {
"uuid": "9cbb175e-a5d2-402f-bf10-7cb470270ec7",
"display": "Other (Please specify)"
},
"f571cc59-ecf9-4f1c-9e30-91cc8306d752": {
"uuid": "f571cc59-ecf9-4f1c-9e30-91cc8306d752",
"display": "Current Occupation"
},
"ade1abdc-0074-11ea-8d71-362b9e155667": {
"uuid": "ade1abdc-0074-11ea-8d71-362b9e155667",
"display": "Employed"
},
"9fec40d1-2d8c-40cb-ae38-5a644fb86ad6": {
"uuid": "9fec40d1-2d8c-40cb-ae38-5a644fb86ad6",
"display": "Unemployed/Non-Active"
},
"161382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "161382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Informal work / Self-employed"
},
"e7a384c9-26ab-49ed-a697-db9ea81d53fd": {
"uuid": "e7a384c9-26ab-49ed-a697-db9ea81d53fd",
"display": "Retired"
},
"1c60bf41-d31f-4086-99bd-20e65e9a70a8": {
"uuid": "1c60bf41-d31f-4086-99bd-20e65e9a70a8",
"display": "Student"
},
"4d537ede-2f8a-448a-9842-47059aee1067": {
"uuid": "4d537ede-2f8a-448a-9842-47059aee1067",
"display": "Housewife / Husband"
},
"bf38824b-194b-4517-81ed-189e9c50c1b7": {
"uuid": "bf38824b-194b-4517-81ed-189e9c50c1b7",
"display": "Resident Immigration Status Group"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d998": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d998",
"display": "Resident/Immigration Status"
},
"5ffd57c4-e477-4755-80fd-22df52f58cd3": {
"uuid": "5ffd57c4-e477-4755-80fd-22df52f58cd3",
"display": "Resident"
},
"d94bd8d8-8b29-44e0-8c4c-bf7f0a0be8c4": {
"uuid": "d94bd8d8-8b29-44e0-8c4c-bf7f0a0be8c4",
"display": "Internally Displaced Person"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7e996": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7e996",
"display": "Migrant (undocumented, without papers)"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7e997": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7e997",
"display": "Migrant (documented, with papers)"
},
"938fee46-0455-47ae-b9e6-0da6af8928fb": {
"uuid": "938fee46-0455-47ae-b9e6-0da6af8928fb",
"display": "Refugee (registered by UNHCR)"
},
"ade1a772-0074-11ea-8d71-362b9e155667": {
"uuid": "ade1a772-0074-11ea-8d71-362b9e155667",
"display": "Asylum Seeker"
},
"a57cfa3d-f53c-477a-80a1-c2bd63ad4248": {
"uuid": "a57cfa3d-f53c-477a-80a1-c2bd63ad4248",
"display": "Returnee"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d988": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d988",
"display": "Does the patient have any children"
},
"dda139ff-4d4d-4b07-8da2-f59c1ee7d989": {
"uuid": "dda139ff-4d4d-4b07-8da2-f59c1ee7d989",
"display": "How many"
},
"f583cee5-572d-4e4c-859e-bd416f422f85": {
"uuid": "f583cee5-572d-4e4c-859e-bd416f422f85",
"display": "If below 18 specify minor's life situation group"
},
"aa9d0ea3-156e-44cd-b28f-7332c59452af": {
"uuid": "aa9d0ea3-156e-44cd-b28f-7332c59452af",
"display": "If below 18 specify minor's life situation"
},
"dda138ff-4d4d-4b07-8da4-f59c1ee7d980": {
"uuid": "dda138ff-4d4d-4b07-8da4-f59c1ee7d980",
"display": "Lives with family"
},
"37944e7d-b5e9-4a0e-963e-9455f82218a2": {
"uuid": "37944e7d-b5e9-4a0e-963e-9455f82218a2",
"display": "Lives with extended/adoptive family"
},
"dda139ff-4d4d-4b07-8da5-f59c1ee7d981": {
"uuid": "dda139ff-4d4d-4b07-8da5-f59c1ee7d981",
"display": "Demobilized"
},
"dda139ff-4d4d-4b07-8da6-f59c1ee7d982": {
"uuid": "dda139ff-4d4d-4b07-8da6-f59c1ee7d982",
"display": "Associated with armed group"
},
"dda139ff-4d4d-4b07-8da7-f59c1ee7d983": {
"uuid": "dda139ff-4d4d-4b07-8da7-f59c1ee7d983",
"display": "Separated minor"
},
"dda139ff-4d4d-4b07-8da8-f59c1ee7d984": {
"uuid": "dda139ff-4d4d-4b07-8da8-f59c1ee7d984",
"display": "Unaccompanied minor/Orphan"
},
"dda139ff-4d4d-4b07-8da9-f59c1ee7d985": {
"uuid": "dda139ff-4d4d-4b07-8da9-f59c1ee7d985",
"display": "Reunified"
},
"5d8f561d-f806-46f1-88ba-e32bda457a57": {
"uuid": "5d8f561d-f806-46f1-88ba-e32bda457a57",
"display": "Target Group / programme type (select all)"
},
"a56bda42-5f00-416d-9b3f-ff4cc2d5d9f8": {
"uuid": "a56bda42-5f00-416d-9b3f-ff4cc2d5d9f8",
"display": "Families of missing persons"
},
"d7fe7747-33ca-4e16-9eb3-1c413ddf1a9c": {
"uuid": "d7fe7747-33ca-4e16-9eb3-1c413ddf1a9c",
"display": "People affected by violence in health facilities"
},
"b8121d8c-dedf-46be-80fc-0285b71b7753": {
"uuid": "b8121d8c-dedf-46be-80fc-0285b71b7753",
"display": "People affected by violence at community level"
},
"99d6edc9-91cf-4ad5-9a74-2bd46121cbf6": {
"uuid": "99d6edc9-91cf-4ad5-9a74-2bd46121cbf6",
"display": "Children and women affected by violence and in the process of reunification"
},
"fc6cda70-9fc9-455c-860a-a5af617a05f2": {
"uuid": "fc6cda70-9fc9-455c-860a-a5af617a05f2",
"display": "MHPSS for helpers"
},
"b237fb84-bda2-473b-8156-0b02156e3296": {
"uuid": "b237fb84-bda2-473b-8156-0b02156e3296",
"display": "Hospitalized/Weapon Wounded patients and people with physical disabilities"
},
"a18d0319-6bef-47be-a336-556c060735f2": {
"uuid": "a18d0319-6bef-47be-a336-556c060735f2",
"display": "Persons deprived of their liberty"
},
"9193d44d-d4ff-4a54-a459-04589b63bd2e": {
"uuid": "9193d44d-d4ff-4a54-a459-04589b63bd2e",
"display": "If missing family member, specify who is the missing person group"
},
"688e127e-ba0a-4113-a503-dc780bd4260f": {
"uuid": "688e127e-ba0a-4113-a503-dc780bd4260f",
"display": "If missing family member, specify who is the missing person"
},
"970AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "970AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Mother"
},
"971AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "971AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Father"
},
"160730AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "160730AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Sister"
},
"160729AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "160729AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Brother"
},
"160727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "160727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Son"
},
"160728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "160728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Daughter"
},
"cb0b4e82-c515-4310-938e-c95be454d850": {
"uuid": "cb0b4e82-c515-4310-938e-c95be454d850",
"display": "Spouse"
},
"69c3b0cc-023a-11ea-8d71-362b9e155667": {
"uuid": "69c3b0cc-023a-11ea-8d71-362b9e155667",
"display": "Enter details of missing family member(s)"
},
"3d173a0a-f374-428d-8d9d-584f1863109e": {
"uuid": "3d173a0a-f374-428d-8d9d-584f1863109e",
"display": "If missing family member, specify role of missing person group"
},
"dc4ad610-d69a-491b-89bc-3c9ff7b0a530": {
"uuid": "dc4ad610-d69a-491b-89bc-3c9ff7b0a530",
"display": "If missing family member, specify role of missing person"
},
"a7f437a1-c9e6-4f92-a49d-79522912032b": {
"uuid": "a7f437a1-c9e6-4f92-a49d-79522912032b",
"display": "Civilian"
},
"28efeb1e-2fb5-40d9-af9a-83f5bc2b7f67": {
"uuid": "28efeb1e-2fb5-40d9-af9a-83f5bc2b7f67",
"display": "Weapon bearers"
},
"27a40c39-06d4-4da4-9f50-14cf10dfc370": {
"uuid": "27a40c39-06d4-4da4-9f50-14cf10dfc370",
"display": "Genogram"
},
"4e24002a-b38d-11e9-a2a3-2a2ae2dbcce4": {
"uuid": "4e24002a-b38d-11e9-a2a3-2a2ae2dbcce4",
"display": "Session type"
},
"9bc5eb8c-7c82-11e9-8f9e-2a86e4085a59": {
"uuid": "9bc5eb8c-7c82-11e9-8f9e-2a86e4085a59",
"display": "Individual"
},
"9bc5ecea-7c82-11e9-8f9e-2a86e4085a59": {
"uuid": "9bc5ecea-7c82-11e9-8f9e-2a86e4085a59",
"display": "Group"
},
"3a826502-6d4a-4e84-82e2-13deb0a5f958": {
"uuid": "3a826502-6d4a-4e84-82e2-13deb0a5f958",
"display": "Family"
},
"69e9e915-21a9-4ad9-9fde-901326dd04df": {
"uuid": "69e9e915-21a9-4ad9-9fde-901326dd04df",
"display": "Session format"
},
"f4887741-4b72-43de-bfaf-00fa7d0c9e57": {
"uuid": "f4887741-4b72-43de-bfaf-00fa7d0c9e57",
"display": "Face-to-face"
},
"c0f668d1-08f9-4b2e-b631-3671dbb5d00a": {
"uuid": "c0f668d1-08f9-4b2e-b631-3671dbb5d00a",
"display": "Remote"
},
"c1ef1195-63d0-453d-b24a-959086dd6cbf": {
"uuid": "c1ef1195-63d0-453d-b24a-959086dd6cbf",
"display": "Experiences of Violence"
},
"07bff3d0-989a-4db9-8c8d-637aefed541c": {
"uuid": "07bff3d0-989a-4db9-8c8d-637aefed541c",
"display": "Types of Violence"
},
"158358AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "158358AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Physical violence"
},
"09f5490e-4cc5-4b83-b7a6-e9c028f64e1d": {
"uuid": "09f5490e-4cc5-4b83-b7a6-e9c028f64e1d",
"display": "Psychological violence (yelling, insults, threats, bullying, harassment)"
},
"4a53eccb-3f02-42ea-889f-02a566263410": {
"uuid": "4a53eccb-3f02-42ea-889f-02a566263410",
"display": "Torture (e.g., in detention)"
},
"1ae1448d-9acc-4d90-84d8-4b932ea15950": {
"uuid": "1ae1448d-9acc-4d90-84d8-4b932ea15950",
"display": "Detention / incarceration (security detainees)"
},
"7e9a32cf-0357-489a-9218-1e0df965edd9": {
"uuid": "7e9a32cf-0357-489a-9218-1e0df965edd9",
"display": "Solitary confinement"
},
"53084ade-2c0b-43c4-bd52-2e11c1d82c1e": {
"uuid": "53084ade-2c0b-43c4-bd52-2e11c1d82c1e",
"display": "Disappearance of a family member/loved one"
},
"1df7e97b-4662-4279-9478-bfc1c519e595": {
"uuid": "1df7e97b-4662-4279-9478-bfc1c519e595",
"display": "Family separation due to conflict (e.g., displacement, detention etc)"
},
"ed735a77-dc21-4d7f-bc66-88c41be20fcc": {
"uuid": "ed735a77-dc21-4d7f-bc66-88c41be20fcc",
"display": "Forced to flee (as IDP, refugee, migrant)"
},
"459f7d45-c44a-452b-b1c8-b1869b62f64c": {
"uuid": "459f7d45-c44a-452b-b1c8-b1869b62f64c",
"display": "Family member/loved one killed"
},
"9fbcc4a5-3474-450e-9bc4-14f2ce68beb3": {
"uuid": "9fbcc4a5-3474-450e-9bc4-14f2ce68beb3",
"display": "Neglect or abandonment by caretaker"
},
"18f29050-0087-11ea-8d71-362b9e155667": {
"uuid": "18f29050-0087-11ea-8d71-362b9e155667",
"display": "Kidnapping / Hostage situations"
},
"79b0a422-fd51-4f42-8d82-da11bee2b415": {
"uuid": "79b0a422-fd51-4f42-8d82-da11bee2b415",
"display": "Forced recruitment (by armed groups)"
},
"16a28835-a638-483d-9c49-5f855b54e140": {
"uuid": "16a28835-a638-483d-9c49-5f855b54e140",
"display": "Combat experience"
},
"127910AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "127910AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Rape"
},
"c4ea7123-eea4-4ab1-8372-aa53219c0438": {
"uuid": "c4ea7123-eea4-4ab1-8372-aa53219c0438",
"display": "Other forms of sexual violence"
},
"d7e461ab-44c4-4587-9682-12e8e83d98a2": {
"uuid": "d7e461ab-44c4-4587-9682-12e8e83d98a2",
"display": "People affected by trafficking or smuggling"
},
"6b941491-1105-467e-a233-dfa526c8714e": {
"uuid": "6b941491-1105-467e-a233-dfa526c8714e",
"display": "Insecurity/ongoing conflict (e.g., shelling, civil unrest)"
},
"f00e2108-31a4-4460-90d8-f02154c33b3c": {
"uuid": "f00e2108-31a4-4460-90d8-f02154c33b3c",
"display": "Witnessing violence (e.g., killings, torture, physical/psychological violence, destruction of property, fields, or livestock etc.)"
},
"141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "Domestic Violence"
},
"1ecf8057-60ed-432a-a361-3c4d92437cf5": {
"uuid": "1ecf8057-60ed-432a-a361-3c4d92437cf5",
"display": "Destroyed or lost property / livelihood/ food insecurity"
},
"a8f02b28-1de0-4d41-a408-a3c6f0c92d86": {
"uuid": "a8f02b28-1de0-4d41-a408-a3c6f0c92d86",
"display": "Experience of discrimination/stigma/marginalization"
},
"de611a10-7fbb-45d7-be3a-c131febf72e0": {
"uuid": "de611a10-7fbb-45d7-be3a-c131febf72e0",
"display": "Repeated episode(s) of violence"
},
"feca519e-5921-4272-bed8-e0fb4541f25f": {
"uuid": "feca519e-5921-4272-bed8-e0fb4541f25f",
"display": "The violence is still ongoing"
},
"bc0c9ebb-bb29-4d3d-9036-6c49abe120a8": {
"uuid": "bc0c9ebb-bb29-4d3d-9036-6c49abe120a8",
"display": "Additional vulnerability factors group"
},
"e1b6800a-3b73-4844-a6f8-9b1967c6a572": {
"uuid": "e1b6800a-3b73-4844-a6f8-9b1967c6a572",
"display": "Additional vulnerability factors"
},
"d6935655-b09e-4c31-8a6a-36e6001a3171": {
"uuid": "d6935655-b09e-4c31-8a6a-36e6001a3171",
"display": "Lack of access to basic services (healthcare, education)"
},
"e7ca950f-41f7-4b44-ba7e-6a566597a5cc": {
"uuid": "e7ca950f-41f7-4b44-ba7e-6a566597a5cc",
"display": "Mother head of household"
},
"f31caab2-345a-11e9-b210-d66k23001376": {
"uuid": "f31caab2-345a-11e9-b210-d66k23001376",
"display": "Elderly"
},
"4b156494-dac2-4c9a-9533-fb3d274ee89b": {
"uuid": "4b156494-dac2-4c9a-9533-fb3d274ee89b",
"display": "Widow/Widower"
},
"1434AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA": {
"uuid": "1434AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"display": "CURRENTLY PREGNANT"
},
"4f6c90e9-f7bf-499f-94d7-9f1404c811f2": {
"uuid": "4f6c90e9-f7bf-499f-94d7-9f1404c811f2",
"display": "Woman in a polygamous marriage"
},
"3e70729d-23af-42bf-861d-5c842e36b579": {
"uuid": "3e70729d-23af-42bf-861d-5c842e36b579",
"display": "Disability (Person with physical/intellectual disabilities)"
},
"344c19a2-8a0f-422b-add0-5ed7311ca8eb": {
"uuid": "344c19a2-8a0f-422b-add0-5ed7311ca8eb",
"display": "Substance abuse in the family"
},
"3e3095a6-187c-4eb1-9292-05f75442c01f": {
"uuid": "3e3095a6-187c-4eb1-9292-05f75442c01f",
"display": "Family member with a severe medical condition"
},
"1ab73363-eb6a-4b4c-828f-f408ae27a759": {
"uuid": "1ab73363-eb6a-4b4c-828f-f408ae27a759",
"display": "Family member with a severe mental health condition"
},
"d58837d8-8dab-443b-a54d-4fddaf49d552": {
"uuid": "d58837d8-8dab-443b-a54d-4fddaf49d552",
"display": "Affected by natural disaster"
},
"17cf3363-10d0-463a-a356-2106f483bffc": {
"uuid": "17cf3363-10d0-463a-a356-2106f483bffc",
"display": "Psychiatric history or mental disability"
},
"a35ddf7a-a39c-4811-8485-9f376e8dcce2": {
"uuid": "a35ddf7a-a39c-4811-8485-9f376e8dcce2",
"display": "Approximate date of start of symptoms"
},
"ff1219fe-211f-4696-bfdf-998b8e8f8eb6": {
"uuid": "ff1219fe-211f-4696-bfdf-998b8e8f8eb6",
"display": "If applicable: Psychiatric diagnosis (clinical diagnosis given by clinical psychologist, psychiatrist, GP trained in MH)"
},
"a0774787-fe5e-4667-aa31-5e50576153e7": {
"uuid": "a0774787-fe5e-4667-aa31-5e50576153e7",
"display": "Approximate date of diagnosis"
},
"7d5a86f4-cd6f-4d12-8aca-a1f049be6bd7": {
"uuid": "7d5a86f4-cd6f-4d12-8aca-a1f049be6bd7",
"display": "If, psychiatric medication prescribed/ taken, specify what"
},
"31c201a5-dfc8-4ae5-9c93-62d6896796cd": {
"uuid": "31c201a5-dfc8-4ae5-9c93-62d6896796cd",
"display": "Is the patient still under treatment?"
},
"17025441-0a0a-4330-9d2a-7ae774bcb4cb": {
"uuid": "17025441-0a0a-4330-9d2a-7ae774bcb4cb",
"display": "Significant medical/physical conditions or disabilities"
},
"229dba67-31e0-4417-805a-6026dd9942f1": {
"uuid": "229dba67-31e0-4417-805a-6026dd9942f1",
"display": "Medical treatment"
},
"69c3b806-023a-11ea-8d71-362b9e155667": {
"uuid": "69c3b806-023a-11ea-8d71-362b9e155667",
"display": "Treatment details (medications, physiotherapy etc.)"
},
"eb2756cf-dc74-4643-835c-e6edb55bbc64": {
"uuid": "eb2756cf-dc74-4643-835c-e6edb55bbc64",
"display": "Main cluster of presented symptoms"
},
"27bc1bd1-be4e-4a73-a1b3-51b9c888041d": {
"uuid": "27bc1bd1-be4e-4a73-a1b3-51b9c888041d",
"display": "S1. Psychosomatic complaints (headache, stomachache, body ache, hair loss, skin problems, muscular tension, pain) without a clear medical cause"
},
"7caf3072-6827-4e13-b4ca-82865257b146": {
"uuid": "7caf3072-6827-4e13-b4ca-82865257b146",
"display": "S2. Eating/appetite changes (decreased or excessive)"
},
"3213d768-7569-4d57-8468-de037f5a1e52": {
"uuid": "3213d768-7569-4d57-8468-de037f5a1e52",
"display": "S3. Sleeping changes"
},
"2c7196a5-07ea-43d2-be9d-ba2b8a8f56ad": {
"uuid": "2c7196a5-07ea-43d2-be9d-ba2b8a8f56ad",
"display": "S4. Decreased energy, fatigue"
},
"9fd91669-9d3f-42c3-9a58-6d44c6e18525": {
"uuid": "9fd91669-9d3f-42c3-9a58-6d44c6e18525",
"display": "S5. Psychomotor changes (agitation, slowness)"
},
"831b15c9-e54e-4e84-a1a8-d1a87407d329": {
"uuid": "831b15c9-e54e-4e84-a1a8-d1a87407d329",
"display": "S6. Sexual problems"
},
"fe5aa43a-eae1-4092-9f3b-af359c175bd9": {
"uuid": "fe5aa43a-eae1-4092-9f3b-af359c175bd9",
"display": "S7. Bedwetting / Enuresis"
},
"f5f5d474-5601-4f46-b165-a402a065d141": {
"uuid": "f5f5d474-5601-4f46-b165-a402a065d141",
"display": "C1. Difficulties in concentration, memory, decision-making)"
},
"d7c3e9e4-1e1e-4032-9c0a-b68689c82028": {
"uuid": "d7c3e9e4-1e1e-4032-9c0a-b68689c82028",
"display": "M1. Irritability"
},
"ad36175f-aa7b-4fdb-8721-87e86019e468": {
"uuid": "ad36175f-aa7b-4fdb-8721-87e86019e468",
"display": "M2. Anger"
},
"3b4927fe-eff6-42a7-a746-1aca97ba806d": {
"uuid": "3b4927fe-eff6-42a7-a746-1aca97ba806d",
"display": "M3. Low mood / sadness"
},
"6af150b7-e5bb-4895-a6df-38a8dcec2f87": {
"uuid": "6af150b7-e5bb-4895-a6df-38a8dcec2f87",
"display": "M4. Emotional numbing"
},
"87eba4f6-3cf4-4280-9aeb-fe86a2963e57": {
"uuid": "87eba4f6-3cf4-4280-9aeb-fe86a2963e57",
"display": "M5. Unusually elevated, expansive mood"
},
"583b4ffc-162d-41de-818a-4f6713e3ce10": {
"uuid": "583b4ffc-162d-41de-818a-4f6713e3ce10",
"display": "M6. Loss of interest / anhedonia"
},
"70b74a9b-6c3a-4008-ba89-5997cb9f2dc7": {
"uuid": "70b74a9b-6c3a-4008-ba89-5997cb9f2dc7",
"display": "M7. Hopelessness / despair"
},
"02a5f271-ae54-4a99-9bb3-b5e0758f2e75": {
"uuid": "02a5f271-ae54-4a99-9bb3-b5e0758f2e75",
"display": "M8. Guilt / self-blame"
},
"ef3b6ceb-1418-452d-bba1-2fc785da60c5": {
"uuid": "ef3b6ceb-1418-452d-bba1-2fc785da60c5",
"display": "M9. Shame"
},
"3248e184-8bd8-4e21-8ddf-cf8f814ccde1": {
"uuid": "3248e184-8bd8-4e21-8ddf-cf8f814ccde1",
"display": "M10. Feeling worthless / low self-esteem / lack of confidence"
},
"2c393492-5d16-4930-8f6b-449efb0d49fe": {
"uuid": "2c393492-5d16-4930-8f6b-449efb0d49fe",
"display": "M11. Apathy"
},
"57a894fd-aa41-48ae-93ef-212aea444a02": {
"uuid": "57a894fd-aa41-48ae-93ef-212aea444a02",
"display": "M12. Suicidal thoughts / ideation"
},
"35966a31-b645-474b-b074-de48e2f89ec0": {
"uuid": "35966a31-b645-474b-b074-de48e2f89ec0",
"display": "M13. Suicide attempt"
},
"2544dcce-cbf5-41c0-a877-80d7c5eaee7d": {
"uuid": "2544dcce-cbf5-41c0-a877-80d7c5eaee7d",
"display": "A1. Anxiety / stress"
},
"d75c5945-8731-4185-8922-b4b6ef3c6d9d": {
"uuid": "d75c5945-8731-4185-8922-b4b6ef3c6d9d",
"display": "A2. Constant worrying"
},
"1b6e3b18-e181-4c2e-a99b-b82f178203c4": {
"uuid": "1b6e3b18-e181-4c2e-a99b-b82f178203c4",
"display": "A3. Excessive fear/phobia"
},
"95346064-d6d1-4ffd-95e5-c2cefaa991fa": {
"uuid": "95346064-d6d1-4ffd-95e5-c2cefaa991fa",
"display": "A14. Separation anxiety/clinging (children)"
},
"258103c2-54d0-4261-ae61-aa32a1252052": {
"uuid": "258103c2-54d0-4261-ae61-aa32a1252052",
"display": "T1. Nightmares"
},
"f35f5465-2abc-4134-88c8-fd95fefb9ce7": {
"uuid": "f35f5465-2abc-4134-88c8-fd95fefb9ce7",
"display": "T2. Intrusive feelings, thoughts about the event"
},
"06b64bfb-1ab5-411a-9743-da314f9475e2": {
"uuid": "06b64bfb-1ab5-411a-9743-da314f9475e2",
"display": "T3. Flashbacks / reliving experiences"
},
"9e15d5d3-6067-457f-95e9-1c46f4a34e3f": {
"uuid": "9e15d5d3-6067-457f-95e9-1c46f4a34e3f",
"display": "T4. Hypervigilance/ startle response"
},
"f328fa3a-fc3e-494e-b615-14f9e25a82d8": {
"uuid": "f328fa3a-fc3e-494e-b615-14f9e25a82d8",
"display": "T5. Avoidance (of reminders of the event)"
},
"94d60423-cf9d-4872-aabd-84f2538c5a70": {
"uuid": "94d60423-cf9d-4872-aabd-84f2538c5a70",
"display": "T6. Repetitive play expressing themes of traumatic event (children)"
},
"d5897833-66c8-4971-9ad3-7417a1f5acd2": {
"uuid": "d5897833-66c8-4971-9ad3-7417a1f5acd2",
"display": "T7. Dissociation"
},
"531f1e32-758d-4d3d-9dc2-fb1db94b543e": {
"uuid": "531f1e32-758d-4d3d-9dc2-fb1db94b543e",
"display": "P1. Delusions"
},
"382ecec2-c89a-40d6-a31c-e9a5903afc38": {
"uuid": "382ecec2-c89a-40d6-a31c-e9a5903afc38",
"display": "P2. Hallucinations"
},
"80713694-f98b-440a-aabd-4f87f87a09c2": {
"uuid": "80713694-f98b-440a-aabd-4f87f87a09c2",
"display": "P3. Disorganized thoughts / speech"
},
"6d978e1a-9851-405e-952a-b4f2e13f7d50": {
"uuid": "6d978e1a-9851-405e-952a-b4f2e13f7d50",
"display": "P4. Bizarre/abnormal behaviour"
},
"587d56fe-7765-449f-a21c-f217a3f5d38c": {
"uuid": "587d56fe-7765-449f-a21c-f217a3f5d38c",
"display": "B1. Impulsiveness"
},
"e633bf4d-e559-4c9c-b614-fecd10a6d790": {
"uuid": "e633bf4d-e559-4c9c-b614-fecd10a6d790",
"display": "B2. Aggressiveness"
},
"cc082924-2c7d-4822-952b-90df8108c7dd": {
"uuid": "cc082924-2c7d-4822-952b-90df8108c7dd",
"display": "B3. Substance-use problems (alcohol / drugs / medication abuse)"
},
"78747804-0fb1-4204-808f-41cbf230eea1": {
"uuid": "78747804-0fb1-4204-808f-41cbf230eea1",
"display": "B4. Risky Behavior"
},
"6340a328-0da5-447f-a840-d38cec49e31a": {
"uuid": "6340a328-0da5-447f-a840-d38cec49e31a",
"display": "B5. Social / interpersonal isolation and withdrawal"
},
"0087ec37-f115-4232-ae93-737b164dc431": {
"uuid": "0087ec37-f115-4232-ae93-737b164dc431",
"display": "B6. Self-harm"
},
"6856baa4-0b6e-494a-a337-7c2f012db382": {
"uuid": "6856baa4-0b6e-494a-a337-7c2f012db382",
"display": "B7. Compulsive or repetitive behaviour or thoughts"
},
"8562c63a-2a00-4b0b-9a50-d3b6e303c0d5": {
"uuid": "8562c63a-2a00-4b0b-9a50-d3b6e303c0d5",
"display": "B8. Behavior changes/regression (children)"
},
"83460109-7bbf-4af3-b9b2-4bfac54ff011": {
"uuid": "83460109-7bbf-4af3-b9b2-4bfac54ff011",
"display": "F1. Difficulty to manage personal self-care routines"
},
"99c7db54-78c3-4224-907d-4d34f48f57fb": {
"uuid": "99c7db54-78c3-4224-907d-4d34f48f57fb",
"display": "F2. Difficulty to perform daily work/activities"
},
"6df545e6-e81f-4c17-800e-a29b6e2358b8": {
"uuid": "6df545e6-e81f-4c17-800e-a29b6e2358b8",
"display": "F3. Difficulty to maintain relationships with family or friends"
},
"7bd1148d-7d62-4e1d-a1ee-b898d75c965b": {
"uuid": "7bd1148d-7d62-4e1d-a1ee-b898d75c965b",
"display": "What is the reason for consultation? Who is requesting it? List the main identified problems/issues"
},
"a3998159-f2ad-4d54-8c50-b0c22a5bc2d9": {
"uuid": "a3998159-f2ad-4d54-8c50-b0c22a5bc2d9",
"display": "Coping mechanisms/skills/strategies (how the person has been dealing with the difficulties presented)"
},
"763fae79-d6da-4b6a-a1ec-416eb393d2e4": {
"uuid": "763fae79-d6da-4b6a-a1ec-416eb393d2e4",
"display": "What is the intervention plan / objectives? (Discussed and agreed with the person)"
},
"cefac6bf-00d6-43ee-a9fb-a51ed387f43a": {
"uuid": "cefac6bf-00d6-43ee-a9fb-a51ed387f43a",
"display": "Is ICRC allocating financial support to access MHPSS?"
},
"447558ed-7cdb-46a4-b587-c7a1040fd525": {
"uuid": "447558ed-7cdb-46a4-b587-c7a1040fd525",
"display": "Financial support type"
},
"3b87ecc2-73cb-4edb-83fb-bb38ca4461ab": {
"uuid": "3b87ecc2-73cb-4edb-83fb-bb38ca4461ab",
"display": "Transportation allowance for Specialized Mental Health care consultation"
},
"6605ccca-0d21-4637-952c-8fa54d59aa65": {
"uuid": "6605ccca-0d21-4637-952c-8fa54d59aa65",
"display": "Specialized Mental Health Consultation"
},
"432e5cf0-7dde-4094-bf87-ad881d33fb2b": {
"uuid": "432e5cf0-7dde-4094-bf87-ad881d33fb2b",
"display": "Psychiatric Medication"
},
"92f77a21-f6cb-4169-924f-4546a489c60c": {
"uuid": "92f77a21-f6cb-4169-924f-4546a489c60c",
"display": "HSU consent was collected for the sharing of information"
},
"1e430274-3c10-11e9-b210-d663bd873d93": {
"uuid": "1e430274-3c10-11e9-b210-d663bd873d93",
"display": "Referred to"
},
"c092b1a2-10fc-4676-90a5-7eabc57496e6": {
"uuid": "c092b1a2-10fc-4676-90a5-7eabc57496e6",
"display": "Referrals made"
},
"fed74fc3-375e-4544-9d86-2327cd37b5f7": {
"uuid": "fed74fc3-375e-4544-9d86-2327cd37b5f7",
"display": "Health ICRC"
},
"1de4669d-292b-4b3c-9c90-1a4b56a13a53": {
"uuid": "1de4669d-292b-4b3c-9c90-1a4b56a13a53",
"display": "Other Psychological (specialist)"
},
"f4f99176-7d18-4acf-a6eb-1f66d97029d4": {
"uuid": "f4f99176-7d18-4acf-a6eb-1f66d97029d4",
"display": "Other Psychosocial"
},
"b8a853bf-80a3-4344-a730-fd6c46165014": {
"uuid": "b8a853bf-80a3-4344-a730-fd6c46165014",
"display": "Comment"
}
}
}
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment