Colorado BHA FHIR Implementation Guide
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Colorado BHA FHIR Implementation Guide, published by Colorado Behavioral Health Administration. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CoBHA/CoBHRM-FHIR-IG/ and changes regularly. See the Directory of published versions

Questionnaire: BHA Substance Use Disorder Questionnaire

Official URL: http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASubstanceUseDisorderQuestionnaire Version: 0.2.0
Standards status: Trial-use Active as of 2025-12-17 Maturity Level: 1 Computable Name: BHASubstanceUseDisorderQuestionnaire

Behavioral Health Administration substance use disorder questionnaire for collecting substance use information from a person receiving behavioral health services

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. BHASubstanceUseDisorderQuestionnaire Behavioral Health Administration substance use disorder questionnaire for collecting substance use information from a person receiving behavioral health services Questionnaire http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASubstanceUseDisorderQuestionnaire#0.2.0
... lastUpdated Last Updated DateTime of the data in the QuestionnaireResponse 1..1 dateTime Value Set:
... ASAM_LEVEL_OF_CARE ASAM Level of Care 0..1 choice Value Set: ValueSet for BHA ASAM Levels of Care
... PRIMARY_SUBSTANCE_USE Primary Substance Use 1..1 choice Value Set: ValueSet for BHA Primary Substance Use Codes
... PRIMARY_ROUTE_OF_USE Route of Use of Primary Substances 1..1 choice Enable When: PRIMARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set: ValueSet for BHA Substance Use Routes of Administration
... PRIMARY_START_AGE Age of First Use of Primary Substances 1..1 integer Enable When: PRIMARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set:
... SECONDARY_SUBSTANCE_USE Secondary Substance Use 1..1 choice Value Set: ValueSet for BHA Secondary and Tertiary Substance Use
... SECONDARY_LAST_USED_30_DAYS Times Used Secondary Substance in Last 30 Days 1..1 integer Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set:
... SECONDARY_ROUTE_OF_USE Route of Use of Secondary Substances 1..1 choice Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set: ValueSet for BHA Substance Use Routes of Administration
... SECONDARY_START_AGE Age of First Use of Secondary Substances 1..1 integer Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set:
... TERTIARY_SUBSTANCE_USE Tertiary Substance Use 1..1 choice Value Set: ValueSet for BHA Secondary and Tertiary Substance Use
... TERTIARY_LAST_USED_30_DAYS Times Used Tertiary Substance in Last 30 Days 1..1 integer Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set:
... TERTIARY_ROUTE_OF_USE Route of Use of Tertiary Substance 1..1 choice Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set: ValueSet for BHA Substance Use Routes of Administration
... TERTIARY_START_AGE Age of First Use of Tertiary Substance 1..1 integer Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0)
Value Set:

doco Documentation for this format

Last Updated DateTime of the data in the QuestionnaireResponse*

  • linkId: lastUpdated
  • Answers:

ASAM Level of Care

Primary Substance Use*

Times Used Primary Substance in Last 30 Days*

  • linkId: PRIMARY_LAST_USED_30_DAYS
  • Enable When: todo
  • Answers:

Route of Use of Primary Substances*

Age of First Use of Primary Substances*

  • linkId: PRIMARY_START_AGE
  • Enable When: todo
  • Answers:

Secondary Substance Use*

Times Used Secondary Substance in Last 30 Days*

  • linkId: SECONDARY_LAST_USED_30_DAYS
  • Enable When: todo
  • Answers:

Route of Use of Secondary Substances*

Age of First Use of Secondary Substances*

  • linkId: SECONDARY_START_AGE
  • Enable When: todo
  • Answers:

Tertiary Substance Use*

Times Used Tertiary Substance in Last 30 Days*

  • linkId: TERTIARY_LAST_USED_30_DAYS
  • Enable When: todo
  • Answers:

Route of Use of Tertiary Substance*

Age of First Use of Tertiary Substance*

  • linkId: TERTIARY_START_AGE
  • Enable When: todo
  • Answers:

LinkIDDescription & Constraintsdoco
.. lastUpdated Value Set:
.. ASAM_LEVEL_OF_CARE Value Set: ValueSet for BHA ASAM Levels of Care
.. PRIMARY_SUBSTANCE_USE Value Set: ValueSet for BHA Primary Substance Use Codes
.. PRIMARY_LAST_USED_30_DAYS Enable When: Not done yet
Value Set:
.. PRIMARY_ROUTE_OF_USE Enable When: Not done yet
Value Set: ValueSet for BHA Substance Use Routes of Administration
.. PRIMARY_START_AGE Enable When: Not done yet
Value Set:
.. SECONDARY_SUBSTANCE_USE Value Set: ValueSet for BHA Secondary and Tertiary Substance Use
.. SECONDARY_LAST_USED_30_DAYS Enable When: Not done yet
Value Set:
.. SECONDARY_ROUTE_OF_USE Enable When: Not done yet
Value Set: ValueSet for BHA Substance Use Routes of Administration
.. SECONDARY_START_AGE Enable When: Not done yet
Value Set:
.. TERTIARY_SUBSTANCE_USE Value Set: ValueSet for BHA Secondary and Tertiary Substance Use
.. TERTIARY_LAST_USED_30_DAYS Enable When: Not done yet
Value Set:
.. TERTIARY_ROUTE_OF_USE Enable When: Not done yet
Value Set: ValueSet for BHA Substance Use Routes of Administration
.. TERTIARY_START_AGE Enable When: Not done yet
Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire