Generated Narrative: Organization BHAOrganizationExample

Profile: BHA Provider Organization Profile

Community Health Clinic (Provider) (http://hl7.org/fhir/sid/us-npi#NPI#1234567893)

Active:

true

Type:

Provider

Contact Detail

ph: (+1) 555-555-5555
hq@chc.example.org
100 Hope Place Denver CO 11111 USA


  
    
    
      
        
        
          
          
        
        
           Generated Narrative: Patient BHAClientExampleSouth
  Last updated: 2025-05-10 08:00:00+0000
Profile: BHA Client Profile
Gabriela Mar Torres (official) Female, DoB: 1991-12-05 ( Social Security number: SSN#444-44-4444)
Marital Status: Divorced
Other Id: State Identifier/1234567894
Contact Detail 1720 West 7th St Pueblo CO 81003 (home)
Language: Spanish (preferred)
us-veteran-status false
US Core Ethnicity Extension: text: Hispanic or Latino
ombCategory: Race & Ethnicity - CDC: 2135-2 (Hispanic or Latino)
US Core Birth Sex Extension F
US Core Race Extension: text: Black or African American
ombCategory: Race & Ethnicity - CDC: 2054-5 (Black or African American)
        
        
          
            
          
          
            
              
              
            
          
        
        
          
            
          
          
            
              
              
            
          
        
        
          
        
        
          
        
        
          
            
              
              
            
          
          
          
        
        
          
            
              
              
            
          
          
          
        
        
          
          
          
          
        
        
        
        
          
          
          
          
          
          
          
            
          
        
        
          
            
            
          
        
        
          
            
              
              
              
            
            
          
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
          
        
        
           Generated Narrative: EpisodeOfCare BHAEpisodeOfCareExampleSouthBH
  Last updated: 2025-01-10 09:00:00+0000
Profile: BHA EpisodeOfCare Profile
status: Finished
type: Mental Health
Diagnoses
- Condition Role
* Mental Health Diagnosis Admission diagnosis
patient: Gabriela Torres
managingOrganization: Community Health Clinic
period: 2025-01-10 --> 2025-12-15
        
        
        
          
            
            
          
        
        
          
            
            
          
          
            
              
              
            
          
        
        
          
          
        
        
          
          
            
            
          
          
        
        
          
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: Condition BHAEpisodeDiagnosisExampleSouthBH
  
Profile: BHA Episode Diagnosis Profile
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis, Mental Health
code: Mental Health Outpatient
subject: Gabriela Torres
        
        
          
            
            
            
          
        
        
          
            
            
            
          
        
        
          
            
            
          
        
        
          
            
            
          
        
        
          
            
            
            
          
          
            
            
            
          
          
            
            
          
        
        
          
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: QuestionnaireResponse BHAAdmissionQuestionnaireResponseExampleSouth
  
Profile: US Core QuestionnaireResponse Profile version: 6.1.0
LinkID Text Definition Answer
 BHAAdmissionQuestionnaireResponseExampleSouth Questionnaire:BHA Admission Questionnaire
 BHAAdmissionQuestionnaireResponseExampleSouth / lastUpdated 2025-01-10T09:00:00Z
 BHAAdmissionQuestionnaireResponseExampleSouth / SERVICE_IDENTIFIER Service Identifier BHA Service Identifier Codes: 30 (Mental Health Outpatient)
 BHAAdmissionQuestionnaireResponseExampleSouth / FIRST_CONTACT_DATE Date of First Contact 2025-01-10
 BHAAdmissionQuestionnaireResponseExampleSouth / FIRST_APPOINTMENT_OFFERED_DATE Date of First Appointment Offered 2025-01-14
 BHAAdmissionQuestionnaireResponseExampleSouth / MEDICATION_ASSISTED_THERAPY Medication Assisted Therapy false
 BHAAdmissionQuestionnaireResponseExampleSouth / REFERRAL_SOURCE Referral Source BHA Referral Source: 1 (Individual (self, family, friend))
 BHAAdmissionQuestionnaireResponseExampleSouth / ARRESTS_PAST_30_DAYS Arrests in Past 30 Days 0
 BHAAdmissionQuestionnaireResponseExampleSouth / EMPLOYMENT_STATUS Employment Status BHA Employment Status: 02 (Employed Part Time (<35 hours/week))
 BHAAdmissionQuestionnaireResponseExampleSouth / LIVING_SITUATION Living Situation BHA Living Situation: 2 (Inpatient)
 BHAAdmissionQuestionnaireResponseExampleSouth / MONTHLY_INCOME Monthly Income 1800
 BHAAdmissionQuestionnaireResponseExampleSouth / PRIMARY_INCOME_SOURCE Primary Source of income/support for client (or for client's parent if client >18 years of age) BHA Income Source: 1 (Wages)
 BHAAdmissionQuestionnaireResponseExampleSouth / PREGNANCY_STATUS Pregnancy Status true
 BHAAdmissionQuestionnaireResponseExampleSouth / WITHIN_1_YEAR_POSTPARTUM_STATUS Within 1 Year Postpartum Status false
 BHAAdmissionQuestionnaireResponseExampleSouth / SPECIAL_CONNECTIONS_ENROLLMENT Enrollment in Special Connections true
 BHAAdmissionQuestionnaireResponseExampleSouth / ACT_ENROLLMENT Enrollment in ACT? false
 BHAAdmissionQuestionnaireResponseExampleSouth / ASCENT_ENROLLMENT Enrollment in Ascent (FEP)? false
 BHAAdmissionQuestionnaireResponseExampleSouth / NUMBER_DEPENDENT_CHILDREN Number of Dependent Children 0
 BHAAdmissionQuestionnaireResponseExampleSouth / SELF_HELP_ATTENDANCE Self Help Attendance (Last 30 days at admission)/ Peer Support Attendance 1
 BHAAdmissionQuestionnaireResponseExampleSouth / TOTAL_SUBSTANCE_USE_PRIOR_TREATMENT Substance Use Prior Treatment (Total Lifetime admissions) 0
 BHAAdmissionQuestionnaireResponseExampleSouth / PSYCHIATRIC_HOSPITAL_ADMISSION Psychiatric Hospital Admission (Last 30 days) false
 BHAAdmissionQuestionnaireResponseExampleSouth / LEGAL_STATUS Legal Status BHA Legal Status: 02 (Court-directed voluntary)
 BHAAdmissionQuestionnaireResponseExampleSouth / CRIMINAL_JUSTICE_INVOLVEMENT Criminal Justice Involvement false
 BHAAdmissionQuestionnaireResponseExampleSouth / EDUCATION_LEVEL Education Level BHA Education Level: 14 (Some College)
 BHAAdmissionQuestionnaireResponseExampleSouth / SCHOOL_ATTENDANCE_STATUS School Attendance Status (in the previous 3 months) BHA School Attendance Status: 03 (Not Applicable)
 BHAAdmissionQuestionnaireResponseExampleSouth / PSYCHIATRIC_ER_VISIT_6_MONTHS Visit to Psychiatric ER in last 6 months 0
 BHAAdmissionQuestionnaireResponseExampleSouth / COMMUNICATION_ACCOMMODATIONS Communication Accommodations false
 BHAAdmissionQuestionnaireResponseExampleSouth / episodeOfCare Episode of Care Information EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
 BHAAdmissionQuestionnaireResponseExampleSouth / diagnosis Diagnosis Information Mental disorder, not otherwise specified

 Documentation for this format
        
        
        
        
          
          
        
        
        
          
          
            
          
        
        
          
          
          
            
              
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
            
          
        
        
          
          
          
            
              
              
            
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: QuestionnaireResponse BHADischargeQuestionnaireResponseExampleSouth
  
Profile: US Core QuestionnaireResponse Profile version: 6.1.0
LinkID Text Definition Answer
 BHADischargeQuestionnaireResponseExampleSouth Questionnaire:BHA Discharge Questionnaire
 BHADischargeQuestionnaireResponseExampleSouth / lastUpdated 2025-12-15T16:30:00Z
 BHADischargeQuestionnaireResponseExampleSouth / DATE_OF_LAST_CONTACT Date of Last Contact 2025-12-15T15:30:00Z
 BHADischargeQuestionnaireResponseExampleSouth / DISCHARGE_DATE Discharge Date 2025-12-15T16:30:00Z
 BHADischargeQuestionnaireResponseExampleSouth / DISCHARGE_TYPE Discharge Type BHA Discharge Type: 01 (Treatment Completed At This Facility)
 BHADischargeQuestionnaireResponseExampleSouth / END_OF_TREATMENT_REASON End of Treatment Reason BHA End of Treatment Reasons: 2 (Client Decision)
 BHADischargeQuestionnaireResponseExampleSouth / ARRESTS_PAST_30_DAYS Arrests in Past 30 Days 0
 BHADischargeQuestionnaireResponseExampleSouth / EMPLOYMENT_STATUS Employment Status BHA Employment Status: 01 (Employed Full Time (35+ hours/week))
 BHADischargeQuestionnaireResponseExampleSouth / LIVING_SITUATION Living Situation BHA Living Situation: 2 (Inpatient)
 BHADischargeQuestionnaireResponseExampleSouth / SELF_HELP_ATTENDANCE Self Help Attendance / Peer Support Attendance (Last 30 days at discharge) 2
 BHADischargeQuestionnaireResponseExampleSouth / EDUCATION_LEVEL Education Level BHA Education Level: 14 (Some College)
 BHADischargeQuestionnaireResponseExampleSouth / SCHOOL_ATTENDANCE_STATUS School Attendance Status (in the previous 3 months) BHA School Attendance Status: 03 (Not Applicable)
 BHADischargeQuestionnaireResponseExampleSouth / LEGAL_STATUS Legal Status BHA Legal Status: 02 (Court-directed voluntary)
 BHADischargeQuestionnaireResponseExampleSouth / episodeOfCare Episode of Care Information EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
 BHADischargeQuestionnaireResponseExampleSouth / diagnosis Diagnosis Information Mental disorder, not otherwise specified

 Documentation for this format
        
        
        
        
          
          
        
        
        
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
            
          
        
        
          
          
          
            
              
              
            
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: QuestionnaireResponse BHASCPregnancyQuestionnaireResponseExampleSouth
  
Profile: US Core QuestionnaireResponse Profile version: 6.1.0
LinkID Text Definition Answer
 BHASCPregnancyQuestionnaireResponseExampleSouth Questionnaire:BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire
 BHASCPregnancyQuestionnaireResponseExampleSouth / lastUpdated 2025-06-15T08:00:00Z
 BHASCPregnancyQuestionnaireResponseExampleSouth / EVALUATION_DATE Evaluation Date 2025-06-15
 BHASCPregnancyQuestionnaireResponseExampleSouth / PREGNANCY_POSTPARTUM_STATUS Pregnancy/Postpartum Status BHA Pregnancy / Postpartum Status: 03 (Third trimester)
 BHASCPregnancyQuestionnaireResponseExampleSouth / PREGNANCY_POSTPARTUM_CARE_STATUS Pregnancy/Postpartum Care Status BHA Pregnancy/Postpartum Care Status: 01 (Already receiving prenatal care routinely)
 BHASCPregnancyQuestionnaireResponseExampleSouth / DRUG_ALCOHOL_TREATMENT_ACCESS Access to other drug/alcohol treatment BHA Access to Other Drug/Alcohol Treatment: 02 (Limited access to other treatment)
 BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SOCIAL_SUPPORT Family/Social Support BHA Family/Social Support: 01 (Strong)
 BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SUD_HISTORY Family substance use disorder history BHA Family Substance Use Disorder: 05 (Spouse/Partner)
 BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SUD_CURRENT Family substance use disorder current BHA Family Substance Use Disorder: 04 (Extended Family)
 BHASCPregnancyQuestionnaireResponseExampleSouth / DRUG_USING_PARTNER Drug using partner BHA Drug Using Partner: 01 (No drug using partner)
 BHASCPregnancyQuestionnaireResponseExampleSouth / HIV_RISK HIV Risk BHA HIV Risk: 01 (No reported history of high risk behaviors)
 BHASCPregnancyQuestionnaireResponseExampleSouth / HOME_STABILITY_SAFETY Home Stability and Safety BHA Home Stability and Safety: 01 (Stable and safe housing)
 BHASCPregnancyQuestionnaireResponseExampleSouth / PERSONAL_SAFETY Personal Safety BHA Personal Safety: 02 (One to two incidents of emotional, verbal or physical abuse between the beginning of pregnancy and now.)
 BHASCPregnancyQuestionnaireResponseExampleSouth / PRIOR_CRIMINAL_RECORD Prior Criminal Record BHA Prior Criminal Record: 02 (One felony or misdemeanor conviction.)
 BHASCPregnancyQuestionnaireResponseExampleSouth / MENTAL_HEALTH_HISTORY Mental Health History BHA Mental Health History: 01 (No symptoms of mental disorder, no apparent impairment in functioning.)
 BHASCPregnancyQuestionnaireResponseExampleSouth / PRIOR_ALCOHOL_DRUG_TREATMENT Prior alcohol/drug treatment BHA Prior Alcohol/Drug Treatment: 03 (Two or more treatment experiences.)
 BHASCPregnancyQuestionnaireResponseExampleSouth / CHILDREN_LIVING_WITH_CLIENT Children Living in home with you true
 BHASCPregnancyQuestionnaireResponseExampleSouth / CHILDREN_AGES_LIVING_WITH_CLIENT Children Ages living in home with you BHA Children Ages Living in Home: 01 (0-5)
 BHASCPregnancyQuestionnaireResponseExampleSouth / episodeOfCare Episode of Care Information EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15

 Documentation for this format
        
        
        
        
          
          
        
        
        
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
            
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: QuestionnaireResponse BHASCBabyQuestionnaireResponseExampleSouth
  
Profile: US Core QuestionnaireResponse Profile version: 6.1.0
LinkID Text Definition Answer
 BHASCBabyQuestionnaireResponseExampleSouth Questionnaire:BHA Special Connections Baby Questionnaire
 BHASCBabyQuestionnaireResponseExampleSouth / lastUpdated 2025-09-20T18:30:40-07:00
 BHASCBabyQuestionnaireResponseExampleSouth / LIVE_BIRTH Live Birth true
 BHASCBabyQuestionnaireResponseExampleSouth / DOB Baby Date of Birth 2025-09-20
 BHASCBabyQuestionnaireResponseExampleSouth / WEIGHT_LBS Baby Weight Pounds 7
 BHASCBabyQuestionnaireResponseExampleSouth / WEIGHT_OZ Baby Weight Ounces 3
 BHASCBabyQuestionnaireResponseExampleSouth / LAST_NAME Baby Last Name Torres
 BHASCBabyQuestionnaireResponseExampleSouth / FIRST_NAME Baby First Name Mateo
 BHASCBabyQuestionnaireResponseExampleSouth / MIDDLE_NAME_INITIAL Baby Middle Name or Initial A
 BHASCBabyQuestionnaireResponseExampleSouth / SEX_AT_BIRTH Baby Sex at Birth AdministrativeGender: male (Male)
 BHASCBabyQuestionnaireResponseExampleSouth / Baby_Patient_Reference Reference to the Baby's Patient Resource Mateo Torres  Male, DoB: 2025-09-20 ( Medical record number: 789012 (use: usual))
 BHASCBabyQuestionnaireResponseExampleSouth / episodeOfCare Episode of Care Information EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15

 Documentation for this format
        
        
        
        
          
          
        
        
        
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
          
        
        
          
          
          
            
              
              
            
          
        
        
          
          
          
            
              
            
          
        
        
          
          
          
            
              
            
          
        
      
    
    
      
      
    
  
  
    
    
      
        
        
          
          
        
        
           Generated Narrative: Patient BabyPatientExampleSouth
  Last updated: 2025-09-20 18:30:40-0700
Profile: US Core Patient Profile version: 6.1.0
Mateo Torres  Male, DoB: 2025-09-20 ( Medical record number: 789012 (use: usual))
Active: true
US Core Birth Sex Extension M

LinkID	Text	Answer
BHAAdmissionQuestionnaireResponseExampleSouth		Questionnaire:BHA Admission Questionnaire
BHAAdmissionQuestionnaireResponseExampleSouth / lastUpdated		2025-01-10T09:00:00Z
BHAAdmissionQuestionnaireResponseExampleSouth / SERVICE_IDENTIFIER	Service Identifier	BHA Service Identifier Codes: 30 (Mental Health Outpatient)
BHAAdmissionQuestionnaireResponseExampleSouth / FIRST_CONTACT_DATE	Date of First Contact	2025-01-10
BHAAdmissionQuestionnaireResponseExampleSouth / FIRST_APPOINTMENT_OFFERED_DATE	Date of First Appointment Offered	2025-01-14
BHAAdmissionQuestionnaireResponseExampleSouth / MEDICATION_ASSISTED_THERAPY	Medication Assisted Therapy	false
BHAAdmissionQuestionnaireResponseExampleSouth / REFERRAL_SOURCE	Referral Source	BHA Referral Source: 1 (Individual (self, family, friend))
BHAAdmissionQuestionnaireResponseExampleSouth / ARRESTS_PAST_30_DAYS	Arrests in Past 30 Days	0
BHAAdmissionQuestionnaireResponseExampleSouth / EMPLOYMENT_STATUS	Employment Status	BHA Employment Status: 02 (Employed Part Time (<35 hours/week))
BHAAdmissionQuestionnaireResponseExampleSouth / LIVING_SITUATION	Living Situation	BHA Living Situation: 2 (Inpatient)
BHAAdmissionQuestionnaireResponseExampleSouth / MONTHLY_INCOME	Monthly Income	1800
BHAAdmissionQuestionnaireResponseExampleSouth / PRIMARY_INCOME_SOURCE	Primary Source of income/support for client (or for client's parent if client >18 years of age)	BHA Income Source: 1 (Wages)
BHAAdmissionQuestionnaireResponseExampleSouth / PREGNANCY_STATUS	Pregnancy Status	true
BHAAdmissionQuestionnaireResponseExampleSouth / WITHIN_1_YEAR_POSTPARTUM_STATUS	Within 1 Year Postpartum Status	false
BHAAdmissionQuestionnaireResponseExampleSouth / SPECIAL_CONNECTIONS_ENROLLMENT	Enrollment in Special Connections	true
BHAAdmissionQuestionnaireResponseExampleSouth / ACT_ENROLLMENT	Enrollment in ACT?	false
BHAAdmissionQuestionnaireResponseExampleSouth / ASCENT_ENROLLMENT	Enrollment in Ascent (FEP)?	false
BHAAdmissionQuestionnaireResponseExampleSouth / NUMBER_DEPENDENT_CHILDREN	Number of Dependent Children	0
BHAAdmissionQuestionnaireResponseExampleSouth / SELF_HELP_ATTENDANCE	Self Help Attendance (Last 30 days at admission)/ Peer Support Attendance	1
BHAAdmissionQuestionnaireResponseExampleSouth / TOTAL_SUBSTANCE_USE_PRIOR_TREATMENT	Substance Use Prior Treatment (Total Lifetime admissions)	0
BHAAdmissionQuestionnaireResponseExampleSouth / PSYCHIATRIC_HOSPITAL_ADMISSION	Psychiatric Hospital Admission (Last 30 days)	false
BHAAdmissionQuestionnaireResponseExampleSouth / LEGAL_STATUS	Legal Status	BHA Legal Status: 02 (Court-directed voluntary)
BHAAdmissionQuestionnaireResponseExampleSouth / CRIMINAL_JUSTICE_INVOLVEMENT	Criminal Justice Involvement	false
BHAAdmissionQuestionnaireResponseExampleSouth / EDUCATION_LEVEL	Education Level	BHA Education Level: 14 (Some College)
BHAAdmissionQuestionnaireResponseExampleSouth / SCHOOL_ATTENDANCE_STATUS	School Attendance Status (in the previous 3 months)	BHA School Attendance Status: 03 (Not Applicable)
BHAAdmissionQuestionnaireResponseExampleSouth / PSYCHIATRIC_ER_VISIT_6_MONTHS	Visit to Psychiatric ER in last 6 months	0
BHAAdmissionQuestionnaireResponseExampleSouth / COMMUNICATION_ACCOMMODATIONS	Communication Accommodations	false
BHAAdmissionQuestionnaireResponseExampleSouth / episodeOfCare	Episode of Care Information	EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
BHAAdmissionQuestionnaireResponseExampleSouth / diagnosis	Diagnosis Information	Mental disorder, not otherwise specified
Documentation for this format

LinkID	Text	Answer
BHADischargeQuestionnaireResponseExampleSouth		Questionnaire:BHA Discharge Questionnaire
BHADischargeQuestionnaireResponseExampleSouth / lastUpdated		2025-12-15T16:30:00Z
BHADischargeQuestionnaireResponseExampleSouth / DATE_OF_LAST_CONTACT	Date of Last Contact	2025-12-15T15:30:00Z
BHADischargeQuestionnaireResponseExampleSouth / DISCHARGE_DATE	Discharge Date	2025-12-15T16:30:00Z
BHADischargeQuestionnaireResponseExampleSouth / DISCHARGE_TYPE	Discharge Type	BHA Discharge Type: 01 (Treatment Completed At This Facility)
BHADischargeQuestionnaireResponseExampleSouth / END_OF_TREATMENT_REASON	End of Treatment Reason	BHA End of Treatment Reasons: 2 (Client Decision)
BHADischargeQuestionnaireResponseExampleSouth / ARRESTS_PAST_30_DAYS	Arrests in Past 30 Days	0
BHADischargeQuestionnaireResponseExampleSouth / EMPLOYMENT_STATUS	Employment Status	BHA Employment Status: 01 (Employed Full Time (35+ hours/week))
BHADischargeQuestionnaireResponseExampleSouth / LIVING_SITUATION	Living Situation	BHA Living Situation: 2 (Inpatient)
BHADischargeQuestionnaireResponseExampleSouth / SELF_HELP_ATTENDANCE	Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)	2
BHADischargeQuestionnaireResponseExampleSouth / EDUCATION_LEVEL	Education Level	BHA Education Level: 14 (Some College)
BHADischargeQuestionnaireResponseExampleSouth / SCHOOL_ATTENDANCE_STATUS	School Attendance Status (in the previous 3 months)	BHA School Attendance Status: 03 (Not Applicable)
BHADischargeQuestionnaireResponseExampleSouth / LEGAL_STATUS	Legal Status	BHA Legal Status: 02 (Court-directed voluntary)
BHADischargeQuestionnaireResponseExampleSouth / episodeOfCare	Episode of Care Information	EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
BHADischargeQuestionnaireResponseExampleSouth / diagnosis	Diagnosis Information	Mental disorder, not otherwise specified
Documentation for this format

LinkID	Text	Answer
BHASCPregnancyQuestionnaireResponseExampleSouth		Questionnaire:BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire
BHASCPregnancyQuestionnaireResponseExampleSouth / lastUpdated		2025-06-15T08:00:00Z
BHASCPregnancyQuestionnaireResponseExampleSouth / EVALUATION_DATE	Evaluation Date	2025-06-15
BHASCPregnancyQuestionnaireResponseExampleSouth / PREGNANCY_POSTPARTUM_STATUS	Pregnancy/Postpartum Status	BHA Pregnancy / Postpartum Status: 03 (Third trimester)
BHASCPregnancyQuestionnaireResponseExampleSouth / PREGNANCY_POSTPARTUM_CARE_STATUS	Pregnancy/Postpartum Care Status	BHA Pregnancy/Postpartum Care Status: 01 (Already receiving prenatal care routinely)
BHASCPregnancyQuestionnaireResponseExampleSouth / DRUG_ALCOHOL_TREATMENT_ACCESS	Access to other drug/alcohol treatment	BHA Access to Other Drug/Alcohol Treatment: 02 (Limited access to other treatment)
BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SOCIAL_SUPPORT	Family/Social Support	BHA Family/Social Support: 01 (Strong)
BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SUD_HISTORY	Family substance use disorder history	BHA Family Substance Use Disorder: 05 (Spouse/Partner)
BHASCPregnancyQuestionnaireResponseExampleSouth / FAMILY_SUD_CURRENT	Family substance use disorder current	BHA Family Substance Use Disorder: 04 (Extended Family)
BHASCPregnancyQuestionnaireResponseExampleSouth / DRUG_USING_PARTNER	Drug using partner	BHA Drug Using Partner: 01 (No drug using partner)
BHASCPregnancyQuestionnaireResponseExampleSouth / HIV_RISK	HIV Risk	BHA HIV Risk: 01 (No reported history of high risk behaviors)
BHASCPregnancyQuestionnaireResponseExampleSouth / HOME_STABILITY_SAFETY	Home Stability and Safety	BHA Home Stability and Safety: 01 (Stable and safe housing)
BHASCPregnancyQuestionnaireResponseExampleSouth / PERSONAL_SAFETY	Personal Safety	BHA Personal Safety: 02 (One to two incidents of emotional, verbal or physical abuse between the beginning of pregnancy and now.)
BHASCPregnancyQuestionnaireResponseExampleSouth / PRIOR_CRIMINAL_RECORD	Prior Criminal Record	BHA Prior Criminal Record: 02 (One felony or misdemeanor conviction.)
BHASCPregnancyQuestionnaireResponseExampleSouth / MENTAL_HEALTH_HISTORY	Mental Health History	BHA Mental Health History: 01 (No symptoms of mental disorder, no apparent impairment in functioning.)
BHASCPregnancyQuestionnaireResponseExampleSouth / PRIOR_ALCOHOL_DRUG_TREATMENT	Prior alcohol/drug treatment	BHA Prior Alcohol/Drug Treatment: 03 (Two or more treatment experiences.)
BHASCPregnancyQuestionnaireResponseExampleSouth / CHILDREN_LIVING_WITH_CLIENT	Children Living in home with you	true
BHASCPregnancyQuestionnaireResponseExampleSouth / CHILDREN_AGES_LIVING_WITH_CLIENT	Children Ages living in home with you	BHA Children Ages Living in Home: 01 (0-5)
BHASCPregnancyQuestionnaireResponseExampleSouth / episodeOfCare	Episode of Care Information	EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
Documentation for this format

LinkID	Text	Answer
BHASCBabyQuestionnaireResponseExampleSouth		Questionnaire:BHA Special Connections Baby Questionnaire
BHASCBabyQuestionnaireResponseExampleSouth / lastUpdated		2025-09-20T18:30:40-07:00
BHASCBabyQuestionnaireResponseExampleSouth / LIVE_BIRTH	Live Birth	true
BHASCBabyQuestionnaireResponseExampleSouth / DOB	Baby Date of Birth	2025-09-20
BHASCBabyQuestionnaireResponseExampleSouth / WEIGHT_LBS	Baby Weight Pounds	7
BHASCBabyQuestionnaireResponseExampleSouth / WEIGHT_OZ	Baby Weight Ounces	3
BHASCBabyQuestionnaireResponseExampleSouth / LAST_NAME	Baby Last Name	Torres
BHASCBabyQuestionnaireResponseExampleSouth / FIRST_NAME	Baby First Name	Mateo
BHASCBabyQuestionnaireResponseExampleSouth / MIDDLE_NAME_INITIAL	Baby Middle Name or Initial	A
BHASCBabyQuestionnaireResponseExampleSouth / SEX_AT_BIRTH	Baby Sex at Birth	AdministrativeGender: male (Male)
BHASCBabyQuestionnaireResponseExampleSouth / Baby_Patient_Reference	Reference to the Baby's Patient Resource	Mateo Torres Male, DoB: 2025-09-20 ( Medical record number: 789012 (use: usual))
BHASCBabyQuestionnaireResponseExampleSouth / episodeOfCare	Episode of Care Information	EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --> 2025-12-15
Documentation for this format