Colorado BHA FHIR Implementation Guide
0.3.0-current - ci-build United States of America flag

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 0.3.0-current 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

Example QuestionnaireResponse: Example BHA Admission Questionnaire Responses Central

Page standards status: Informative
LinkIDTextDefinitionAnswerdoco
.. BHAAdmissionQuestionnaireResponseExampleCentralQuestionnaire:BHA Admission Questionnaire
... lastUpdated2025-03-03T09:30:00Z
... SERVICE_IDENTIFIERService IdentifierBHA Service Identifier Codes: 30 (Mental Health Outpatient)
... FIRST_CONTACT_DATEDate of First Contact2023-01-15
... FIRST_APPOINTMENT_OFFERED_DATEDate of First Appointment Offered2023-01-20
... MEDICATION_ASSISTED_THERAPYMedication Assisted Therapyfalse
... REFERRAL_SOURCEReferral SourceBHA Referral Source: 1 (Individual (self, family, friend))
... ARRESTS_PAST_30_DAYSArrests in Past 30 Days0
... EMPLOYMENT_STATUSEmployment StatusBHA Employment Status: 02 (Employed Part Time (<35 hours/week))
... LIVING_SITUATIONLiving SituationBHA Living Situation: 2 (Inpatient)
... MONTHLY_INCOMEMonthly Income2800
... PRIMARY_INCOME_SOURCEPrimary Source of income/support for client (or for client's parent if client >18 years of age)BHA Income Source: 1 (Wages)
... PREGNANCY_STATUSPregnancy Statusfalse
... WITHIN_1_YEAR_POSTPARTUM_STATUSWithin 1 Year Postpartum Statusfalse
... SPECIAL_CONNECTIONS_ENROLLMENTEnrollment in Special Connectionsfalse
... ACT_ENROLLMENTEnrollment in ACT?false
... ASCENT_ENROLLMENTEnrollment in Ascent (FEP)?false
... NUMBER_DEPENDENT_CHILDRENNumber of Dependent Children0
... SELF_HELP_ATTENDANCESelf Help Attendance (Last 30 days at admission)/ Peer Support Attendance2
... TOTAL_SUBSTANCE_USE_PRIOR_TREATMENTSubstance Use Prior Treatment (Total Lifetime admissions)0
... PSYCHIATRIC_HOSPITAL_ADMISSIONPsychiatric Hospital Admission (Last 30 days)false
... LEGAL_STATUSLegal StatusBHA Legal Status: 02 (Court-directed voluntary)
... CRIMINAL_JUSTICE_INVOLVEMENTCriminal Justice Involvementfalse
... EDUCATION_LEVELEducation LevelBHA Education Level: 14 (Some College)
... SCHOOL_ATTENDANCE_STATUSSchool Attendance Status (in the previous 3 months)BHA School Attendance Status: 03 (Not Applicable)
... PSYCHIATRIC_ER_VISIT_6_MONTHSVisit to Psychiatric ER in last 6 months0
... COMMUNICATION_ACCOMMODATIONSCommunication Accommodationsfalse
... episodeOfCareEpisode of Care InformationEpisodeOfCare: status = finished; type = Mental Health; period = 2023-01-15 --> 2025-03-03
... diagnosisDiagnosis InformationMental disorder, not otherwise specified

doco Documentation for this format