Colorado BHA FHIR Implementation Guide
0.3.0-current - ci-build USA

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

Questionnaire: BHA Discharge Questionnaire

Official URL: http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHADischargeQuestionnaire Version: 0.3.0-current
Standards status: Trial-use Maturity Level: 1 Computable Name: BHADischargeQuestionnaire

Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services

Profile: SDC Base Questionnaire version: 4.0.0

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. BHADischargeQuestionnaire Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services Questionnaire http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHADischargeQuestionnaire#0.3.0-current
... lastUpdated Last Updated DateTime of the data in the QuestionnaireResponse 1..1 dateTime Value Set:
... DATE_OF_LAST_CONTACT Date of Last Contact 1..1 dateTime Value Set:
... DISCHARGE_DATE Discharge Date 1..1 dateTime Value Set:
... END_OF_TREATMENT_REASON End of Treatment Reason 0..1 choice Value Set: ValueSet for BHA End of Treatment Reasons
... ARRESTS_PAST_30_DAYS Arrests in Past 30 Days 1..1 integer Value Set:
... EMPLOYMENT_STATUS Employment Status 1..1 choice Value Set: ValueSet for BHA Employment Status
... LIVING_SITUATION Living Situation 1..1 choice Value Set: ValueSet for BHA Living Situation
... SELF_HELP_ATTENDANCE Self Help Attendance / Peer Support Attendance (Last 30 days at discharge) 1..1 integer Value Set:
... EDUCATION_LEVEL Education Level 1..1 choice Value Set: ValueSet for BHA Education Level
... SCHOOL_ATTENDANCE_STATUS School Attendance Status (in the previous 3 months) 1..1 choice Value Set: ValueSet for BHA School Attendance Status
... LEGAL_STATUS Legal Status 1..1 choice Value Set: ValueSet for BHA Legal Status
... episodeOfCare Episode of Care Information 1..* reference Value Set:
... diagnosis Diagnosis Information 1..* reference Value Set:

doco Documentation for this format

Profile: SDC Base Questionnaire version: 4.0.0

Last Updated DateTime of the data in the QuestionnaireResponse*

  • linkId: lastUpdated
  • Answers:

Date of Last Contact*

  • linkId: DATE_OF_LAST_CONTACT
  • Answers:

Discharge Date*

  • linkId: DISCHARGE_DATE
  • Answers:

Discharge Type*

End of Treatment Reason

Arrests in Past 30 Days*

  • linkId: ARRESTS_PAST_30_DAYS
  • Answers:

Employment Status*

Living Situation*

Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)*

  • linkId: SELF_HELP_ATTENDANCE
  • Answers:

Education Level*

School Attendance Status (in the previous 3 months)*

Legal Status*

Episode of Care Information*

  • linkId: episodeOfCare
  • Answers:

Diagnosis Information*

  • linkId: diagnosis
  • Answers:

Profile: SDC Base Questionnaire version: 4.0.0

LinkIDDescription & Constraintsdoco
.. lastUpdated Value Set:
.. DATE_OF_LAST_CONTACT Value Set:
.. DISCHARGE_DATE Value Set:
.. DISCHARGE_TYPE Value Set: ValueSet for BHA Discharge Type
.. END_OF_TREATMENT_REASON Value Set: ValueSet for BHA End of Treatment Reasons
.. ARRESTS_PAST_30_DAYS Value Set:
.. EMPLOYMENT_STATUS Value Set: ValueSet for BHA Employment Status
.. LIVING_SITUATION Value Set: ValueSet for BHA Living Situation
.. SELF_HELP_ATTENDANCE Value Set:
.. EDUCATION_LEVEL Value Set: ValueSet for BHA Education Level
.. SCHOOL_ATTENDANCE_STATUS Value Set: ValueSet for BHA School Attendance Status
.. LEGAL_STATUS Value Set: ValueSet for BHA Legal Status
.. episodeOfCare Value Set:
.. diagnosis Value Set:

doco Documentation for this format

Test this Questionnaire

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Responses for this Questionnaire