Example Discharge Questionnaire Responses North - XML Representation - Colorado BHA FHIR Implementation Guide v0.3.0-current

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 Discharge Questionnaire Responses North

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="BHADischargeQuestionnaireResponseExampleNorth"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse BHADischargeQuestionnaireResponseExampleNorth</b></p><a name="BHADischargeQuestionnaireResponseExampleNorth"> </a><a name="hcBHADischargeQuestionnaireResponseExampleNorth"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-questionnaireresponse.html">US Core QuestionnaireResponse Profile</a> version: 6.1.0</p></div><table border="1" cellpadding="0" cellspacing="0" class="xhtTableBorder1"><tr class="xhtRowBorder2"><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> BHADischargeQuestionnaireResponseExampleNorth</td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1">Questionnaire:<a href="Questionnaire-BHADischargeQuestionnaire.html">BHA Discharge Questionnaire</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>lastUpdated</td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">2025-02-18T18:00:00Z</td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>DATE_OF_LAST_CONTACT</td><td style="" class="hierarchy xhtCellBorder1">Date of Last Contact</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">2025-02-18T16:45:00Z</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>DISCHARGE_DATE</td><td style="" class="hierarchy xhtCellBorder1">Discharge Date</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">2025-02-18T18:00:00Z</td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>DISCHARGE_TYPE</td><td style="" class="hierarchy xhtCellBorder1">Discharge Type</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-discharge-type-cs.html#bha-discharge-type-cs-01">BHA Discharge Type: 01</a> (Treatment Completed At This Facility)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>END_OF_TREATMENT_REASON</td><td style="" class="hierarchy xhtCellBorder1">End of Treatment Reason</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-end-of-treatment-reason-cs.html#bha-end-of-treatment-reason-cs-2">BHA End of Treatment Reasons: 2</a> (Client Decision)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>ARRESTS_PAST_30_DAYS</td><td style="" class="hierarchy xhtCellBorder1">Arrests in Past 30 Days</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">1</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>EMPLOYMENT_STATUS</td><td style="" class="hierarchy xhtCellBorder1">Employment Status</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-employment-status-cs.html#bha-employment-status-cs-01">BHA Employment Status: 01</a> (Employed Full Time (35+ hours/week))</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>LIVING_SITUATION</td><td style="" class="hierarchy xhtCellBorder1">Living Situation</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-living-situation.html#bha-living-situation-1">BHA Living Situation: 1</a> (Correctional facility / Jail)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>SELF_HELP_ATTENDANCE</td><td style="" class="hierarchy xhtCellBorder1">Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">3</td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>EDUCATION_LEVEL</td><td style="" class="hierarchy xhtCellBorder1">Education Level</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-education-level-cs.html#bha-education-level-cs-14">BHA Education Level: 14</a> (Some College)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>SCHOOL_ATTENDANCE_STATUS</td><td style="" class="hierarchy xhtCellBorder1">School Attendance Status (in the previous 3 months)</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-school-attendance-status.html#bha-school-attendance-status-03">BHA School Attendance Status: 03</a> (Not Applicable)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>LEGAL_STATUS</td><td style="" class="hierarchy xhtCellBorder1">Legal Status</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-legal-status.html#bha-legal-status-02">BHA Legal Status: 02</a> (Court-directed voluntary)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>episodeOfCare</td><td style="" class="hierarchy xhtCellBorder1">Episode of Care Information</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="EpisodeOfCare-BHAEpisodeOfCareExampleNorthSUD.html">EpisodeOfCare: status = finished; type = Substance Use Disorder; period = 2023-06-01 --&gt; 2025-02-18</a></span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">BHADischargeQuestionnaireResponseExampleNorth / </span>diagnosis</td><td style="" class="hierarchy xhtCellBorder1">Diagnosis Information</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="Condition-BHAEpisodeDiagnosisExampleNorthSUD.html">Other psychoactive substance dependence, uncomplicated</a></span></span></td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <questionnaire
                 value="http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHADischargeQuestionnaire"/>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/BHAClientExampleNorth"/>
    <display value="Sofia Martinez"/>
  </subject>
  <authored value="2025-02-18T18:00:00Z"/>
  <item>
    <linkId value="lastUpdated"/>
    <answer>
      <valueDateTime value="2025-02-18T18:00:00Z"/>
    </answer>
  </item>
  <item>
    <linkId value="DATE_OF_LAST_CONTACT"/>
    <text value="Date of Last Contact"/>
    <answer>
      <valueDateTime value="2025-02-18T16:45:00Z"/>
    </answer>
  </item>
  <item>
    <linkId value="DISCHARGE_DATE"/>
    <text value="Discharge Date"/>
    <answer>
      <valueDateTime value="2025-02-18T18:00:00Z"/>
    </answer>
  </item>
  <item>
    <linkId value="DISCHARGE_TYPE"/>
    <text value="Discharge Type"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-discharge-type-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="END_OF_TREATMENT_REASON"/>
    <text value="End of Treatment Reason"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-end-of-treatment-reason-cs"/>
        <code value="2"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="ARRESTS_PAST_30_DAYS"/>
    <text value="Arrests in Past 30 Days"/>
    <answer>
      <valueInteger value="1"/>
    </answer>
  </item>
  <item>
    <linkId value="EMPLOYMENT_STATUS"/>
    <text value="Employment Status"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-employment-status-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="LIVING_SITUATION"/>
    <text value="Living Situation"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-living-situation"/>
        <code value="1"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="SELF_HELP_ATTENDANCE"/>
    <text
          value="Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)"/>
    <answer>
      <valueInteger value="3"/>
    </answer>
  </item>
  <item>
    <linkId value="EDUCATION_LEVEL"/>
    <text value="Education Level"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-education-level-cs"/>
        <code value="14"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="SCHOOL_ATTENDANCE_STATUS"/>
    <text value="School Attendance Status (in the previous 3 months)"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-school-attendance-status"/>
        <code value="03"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="LEGAL_STATUS"/>
    <text value="Legal Status"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-legal-status"/>
        <code value="02"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="episodeOfCare"/>
    <text value="Episode of Care Information"/>
    <answer>
      <valueReference>🔗 
        <reference value="EpisodeOfCare/BHAEpisodeOfCareExampleNorthSUD"/>
      </valueReference>
    </answer>
  </item>
  <item>
    <linkId value="diagnosis"/>
    <text value="Diagnosis Information"/>
    <answer>
      <valueReference>🔗 
        <reference value="Condition/BHAEpisodeDiagnosisExampleNorthSUD"/>
        <display
                 value="Other psychoactive substance dependence, uncomplicated"/>
      </valueReference>
    </answer>
  </item>
</QuestionnaireResponse>