 0 Table of Contents |
  1 Home |
  2 Implementation Guidance |
  3 Profiles |
  4 Questionnaires |
  5 Terminology |
  6 Workflow |
  7 Validation & Testing |
  8 About |
  9 Redefined FMM |
  10 Changes and Questions |
  11 Artifacts Summary |
   11.1 BHA Admission Questionnaire |
   11.2 BHA Client Questionnaire |
   11.3 BHA Diagnosis Questionnaire |
   11.4 BHA Discharge Questionnaire |
   11.5 BHA Special Connections Baby Questionnaire |
   11.6 BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire |
   11.7 BHA Substance Use Disorder Questionnaire |
   11.8 BHA Client Profile |
   11.9 BHA Encounter Profile |
   11.10 BHA Episode Diagnosis Profile |
   11.11 BHA EpisodeOfCare Profile |
   11.12 BHA Provider Organization Profile |
   11.13 BHA Action Type |
   11.14 BHA Ethnicity Value Set |
   11.15 BHA Gender Identity ValueSet |
   11.16 BHA Household Language ValueSet |
   11.17 BHA Sexual Orientation ValueSet |
   11.18 CO BHA Service Identifier Billing and Diagnosis ValueSet |
   11.19 CO BHA Service Identifiers from ICD-10-CM |
   11.20 ValueSet for BHA Access to Other Drug/Alcohol Treatment |
   11.21 ValueSet for BHA Action Type |
   11.22 ValueSet for BHA ASAM Levels of Care |
   11.23 ValueSet for BHA Children Ages Living in Home |
   11.24 ValueSet for BHA Client Identifier Types |
   11.25 ValueSet for BHA Counties |
   11.26 ValueSet for BHA Diagnosis Type |
   11.27 ValueSet for BHA Disability Codes |
   11.28 ValueSet for BHA Discharge Type |
   11.29 ValueSet for BHA Drug Using Partner |
   11.30 ValueSet for BHA Education Level |
   11.31 ValueSet for BHA Employment Status |
   11.32 ValueSet for BHA End of Treatment Reasons |
   11.33 ValueSet for BHA Family Substance Use Disorder |
   11.34 ValueSet for BHA Family/Social Support |
   11.35 ValueSet for BHA HIV Risk |
   11.36 ValueSet for BHA Home Stability and Safety |
   11.37 ValueSet for BHA Income Source |
   11.38 ValueSet for BHA Involuntary Commitment Reason |
   11.39 ValueSet for BHA Legal Status |
   11.40 ValueSet for BHA Living Situation |
   11.41 ValueSet for BHA Marital Status |
   11.42 ValueSet for BHA Mental Health History |
   11.43 ValueSet for BHA Personal Safety |
   11.44 ValueSet for BHA Pregnancy / Postpartum Status |
   11.45 ValueSet for BHA Pregnancy/Postpartum Care Status |
   11.46 ValueSet for BHA Primary Substance Use Codes |
   11.47 ValueSet for BHA Prior Alcohol/Drug Treatment |
   11.48 ValueSet for BHA Prior Criminal Record |
   11.49 ValueSet for BHA Race |
   11.50 ValueSet for BHA Referral Source |
   11.51 ValueSet for BHA School Attendance Status |
   11.52 ValueSet for BHA Secondary and Tertiary Substance Use |
   11.53 ValueSet for BHA Service Identifier Codes |
   11.54 ValueSet for BHA SMI / SED Statuses |
   11.55 ValueSet for BHA Substance Use Routes of Administration |
   11.56 BHA Access to Other Drug/Alcohol Treatment |
   11.57 BHA Action Type Codes |
   11.58 BHA ASAM Levels of Care |
   11.59 BHA Children Ages Living in Home |
   11.60 BHA Client Identifier Types |
   11.61 BHA County Codes |
   11.62 BHA Diagnosis Type Codes |
   11.63 BHA Disability Codes |
   11.64 BHA Discharge Type |
   11.65 BHA Drug Using Partner |
   11.66 BHA Education Level |
   11.67 BHA Employment Status |
   11.68 BHA End of Treatment Reasons |
   11.69 BHA Ethnicity Codes |
   11.70 BHA Family Substance Use Disorder |
   11.71 BHA Family/Social Support |
   11.72 BHA Gender Identity Codes |
   11.73 BHA HIV Risk |
   11.74 BHA Home Stability and Safety |
   11.75 BHA Household Language Codes |
   11.76 BHA Income Source |
   11.77 BHA Involuntary Commitment Reason |
   11.78 BHA Legal Status |
   11.79 BHA Living Situation |
   11.80 BHA Marital Status |
   11.81 BHA Mental Health History |
   11.82 BHA Personal Safety |
   11.83 BHA Pregnancy / Postpartum Status |
   11.84 BHA Pregnancy/Postpartum Care Status |
   11.85 BHA Prior Alcohol/Drug Treatment |
   11.86 BHA Prior Criminal Record |
   11.87 BHA Race Codes |
   11.88 BHA Referral Source |
   11.89 BHA School Attendance Status |
   11.90 BHA Service Identifier Codes |
   11.91 BHA Sexual Orientation Codes |
   11.92 BHA SMI / SED Status Codes |
   11.93 BHA Substance Use Codes |
   11.94 BHA Substance Use Route of Administration Codes |
   11.95 BHA Client Race ConceptMap |
   11.96 BHA Education Level ConceptMap |
   11.97 BHA Ethnicity ConceptMap |
   11.98 BHA Ethnicity Detailed ConceptMap |
   11.99 BHA Gender Identity ConceptMap |
   11.100 BHA Household Language ConceptMap |
   11.101 BHA Marital Status ConceptMap |
   11.102 BHA Service Identifier to US Core Condition Code ConceptMap |
   11.103 BHA Sexual Orientation ConceptMap |
   11.104 BHA Substance Use Route of Administration ConceptMap |
   11.105 CO BHA Service Identifier to CPT/HCPCS ConceptMap |
   11.106 CO BHA Service Identifier to ICD-10-CM ConceptMap |
   11.107 All of Central data |
   11.108 All of Emma data |
   11.109 All of North data |
   11.110 All of South data |
   11.111 Example Baby Patient Resource |
   11.112 Example Baby Patient Resource South |
   11.113 Example BHA Admission Questionnaire Responses |
   11.114 Example BHA Admission Questionnaire Responses Central |
   11.115 Example BHA Admission Questionnaire Responses North |
   11.116 Example BHA Admission Questionnaire Responses South |
   11.117 Example BHA Client |
   11.118 Example BHA Client Central |
   11.119 Example BHA Client North |
   11.120 Example BHA Client Questionnaire Responses |
   11.121 Example BHA Client South |
   11.122 Example BHA Episode Diagnosis - Mental Health Central |
   11.123 Example BHA Episode Diagnosis - Mental Health South |
   11.124 Example BHA Episode Diagnosis - Substance Use Disorder North |
   11.125 Example BHA Episode Diagnosis 2 — Mental Health |
   11.126 Example BHA Episode Diagnosis — Mental Health |
   11.127 Example BHA Episode Diagnosis — Substance Use Disorder |
   11.128 Example Diagnosis Questionnaire Responses |
   11.129 Example Discharge Questionnaire Responses |
   11.130 Example Discharge Questionnaire Responses Central |
   11.131 Example Discharge Questionnaire Responses North |
   11.132 Example Discharge Questionnaire Responses South |
   11.133 Example Encounter for a BHA Episode |
   11.134 Example Encounter for a BHA Episode of both Behavioral Health and Pregnancy for a Pregnant Client |
   11.135 Example Episode |
   11.136 Example Episode of Care for Mental Health - Mental Health Central |
   11.137 Example Episode of Care for Mental Health - Mental Health South |
   11.138 Example Episode of Care for Pregnant Client |
   11.139 Example Episode of Care for Substance Use Disorder |
   11.140 Example Episode of Care for SUD Program |
   11.141 Example Organization |
   11.142 Example Pregnancy Condition |
   11.143 Example Pregnancy Status Observation |
   11.144 Example SC Baby Questionnaire Resource Responses |
   11.145 Example SC Baby Questionnaire Responses |
   11.146 Example SC Baby Questionnaire Responses South |
   11.147 Example SC no Baby Questionnaire Responses |
   11.148 Example SC Pregnancy and Postpartum Risk Screening Questionnaire Responses |
   11.149 Example SC Pregnancy and Postpartum Risk Screening Questionnaire Responses South |
   11.150 Example Substance Use Disorder Questionnaire Responses |
   11.151 Example Substance Use Disorder Questionnaire Responses North |
   11.152 Second Example Encounter for a BHA Episode |