Example SC Pregnancy and Postpartum Risk Screening Questionnaire Responses South - 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 SC Pregnancy and Postpartum Risk Screening Questionnaire Responses South

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="BHASCPregnancyQuestionnaireResponseExampleSouth"/>
  <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 BHASCPregnancyQuestionnaireResponseExampleSouth</b></p><a name="BHASCPregnancyQuestionnaireResponseExampleSouth"> </a><a name="hcBHASCPregnancyQuestionnaireResponseExampleSouth"> </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"/> BHASCPregnancyQuestionnaireResponseExampleSouth</td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1">Questionnaire:<a href="Questionnaire-BHASCPregnancyPostpartumRiskQuestionnaire.html">BHA Special Connections Pregnancy/Postpartum Risk Screening 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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>lastUpdated</td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">2025-06-15T08:00:00Z</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>EVALUATION_DATE</td><td style="" class="hierarchy xhtCellBorder1">Evaluation Date</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">2025-06-15</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>PREGNANCY_POSTPARTUM_STATUS</td><td style="" class="hierarchy xhtCellBorder1">Pregnancy/Postpartum Status</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-pregnancy-postpartum-status-cs.html#bha-pregnancy-postpartum-status-cs-03">BHA Pregnancy / Postpartum Status: 03</a> (Third trimester)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>PREGNANCY_POSTPARTUM_CARE_STATUS</td><td style="" class="hierarchy xhtCellBorder1">Pregnancy/Postpartum Care Status</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-pregnancy-postpartum-care-status-cs.html#bha-pregnancy-postpartum-care-status-cs-01">BHA Pregnancy/Postpartum Care Status: 01</a> (Already receiving prenatal care routinely)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>DRUG_ALCOHOL_TREATMENT_ACCESS</td><td style="" class="hierarchy xhtCellBorder1">Access to other drug/alcohol treatment</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-access-to-other-treatment-cs.html#bha-access-to-other-treatment-cs-02">BHA Access to Other Drug/Alcohol Treatment: 02</a> (Limited access to other treatment)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>FAMILY_SOCIAL_SUPPORT</td><td style="" class="hierarchy xhtCellBorder1">Family/Social Support</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-family-social-support-cs.html#bha-family-social-support-cs-01">BHA Family/Social Support: 01</a> (Strong)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>FAMILY_SUD_HISTORY</td><td style="" class="hierarchy xhtCellBorder1">Family substance use disorder history</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-family-substance-use-disorder-cs.html#bha-family-substance-use-disorder-cs-05">BHA Family Substance Use Disorder: 05</a> (Spouse/Partner)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>FAMILY_SUD_CURRENT</td><td style="" class="hierarchy xhtCellBorder1">Family substance use disorder current</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-family-substance-use-disorder-cs.html#bha-family-substance-use-disorder-cs-04">BHA Family Substance Use Disorder: 04</a> (Extended Family)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>DRUG_USING_PARTNER</td><td style="" class="hierarchy xhtCellBorder1">Drug using partner</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-drug-using-partner-cs.html#bha-drug-using-partner-cs-01">BHA Drug Using Partner: 01</a> (No drug using partner)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>HIV_RISK</td><td style="" class="hierarchy xhtCellBorder1">HIV Risk</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-hiv-risk-cs.html#bha-hiv-risk-cs-01">BHA HIV Risk: 01</a> (No reported history of high risk behaviors)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>HOME_STABILITY_SAFETY</td><td style="" class="hierarchy xhtCellBorder1">Home Stability and Safety</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-home-stability-safety-cs.html#bha-home-stability-safety-cs-01">BHA Home Stability and Safety: 01</a> (Stable and safe housing)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>PERSONAL_SAFETY</td><td style="" class="hierarchy xhtCellBorder1">Personal Safety</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-personal-safety-cs.html#bha-personal-safety-cs-02">BHA Personal Safety: 02</a> (One to two incidents of emotional, verbal or physical abuse between the beginning of pregnancy and now.)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>PRIOR_CRIMINAL_RECORD</td><td style="" class="hierarchy xhtCellBorder1">Prior Criminal Record</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-prior-criminal-record-cs.html#bha-prior-criminal-record-cs-02">BHA Prior Criminal Record: 02</a> (One felony or misdemeanor conviction.)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>MENTAL_HEALTH_HISTORY</td><td style="" class="hierarchy xhtCellBorder1">Mental Health History</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-mental-health-history-cs.html#bha-mental-health-history-cs-01">BHA Mental Health History: 01</a> (No symptoms of mental disorder, no apparent impairment in functioning.)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>PRIOR_ALCOHOL_DRUG_TREATMENT</td><td style="" class="hierarchy xhtCellBorder1">Prior alcohol/drug treatment</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-prior-alcohol-drug-treatment-cs.html#bha-prior-alcohol-drug-treatment-cs-03">BHA Prior Alcohol/Drug Treatment: 03</a> (Two or more treatment experiences.)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>CHILDREN_LIVING_WITH_CLIENT</td><td style="" class="hierarchy xhtCellBorder1">Children Living in home with you</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">true</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </span>CHILDREN_AGES_LIVING_WITH_CLIENT</td><td style="" class="hierarchy xhtCellBorder1">Children Ages living in home with you</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="CodeSystem-bha-children-ages-living-in-home-cs.html#bha-children-ages-living-in-home-cs-01">BHA Children Ages Living in Home: 01</a> (0-5)</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">BHASCPregnancyQuestionnaireResponseExampleSouth / </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-BHAEpisodeOfCareExampleSouthBH.html">EpisodeOfCare: status = finished; type = Mental Health; period = 2025-01-10 --&gt; 2025-12-15</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/BHASCPregnancyPostpartumRiskQuestionnaire"/>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/BHAClientExampleSouth"/>
    <display value="Gabriela Torres"/>
  </subject>
  <authored value="2025-06-15T08:00:00Z"/>
  <item>
    <linkId value="lastUpdated"/>
    <answer>
      <valueDateTime value="2025-06-15T08:00:00Z"/>
    </answer>
  </item>
  <item>
    <linkId value="EVALUATION_DATE"/>
    <text value="Evaluation Date"/>
    <answer>
      <valueDate value="2025-06-15"/>
    </answer>
  </item>
  <item>
    <linkId value="PREGNANCY_POSTPARTUM_STATUS"/>
    <text value="Pregnancy/Postpartum Status"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-pregnancy-postpartum-status-cs"/>
        <code value="03"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="PREGNANCY_POSTPARTUM_CARE_STATUS"/>
    <text value="Pregnancy/Postpartum Care Status"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-pregnancy-postpartum-care-status-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="DRUG_ALCOHOL_TREATMENT_ACCESS"/>
    <text value="Access to other drug/alcohol treatment"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-access-to-other-treatment-cs"/>
        <code value="02"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="FAMILY_SOCIAL_SUPPORT"/>
    <text value="Family/Social Support"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-social-support-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="FAMILY_SUD_HISTORY"/>
    <text value="Family substance use disorder history"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-substance-use-disorder-cs"/>
        <code value="05"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="FAMILY_SUD_CURRENT"/>
    <text value="Family substance use disorder current"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-substance-use-disorder-cs"/>
        <code value="04"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="DRUG_USING_PARTNER"/>
    <text value="Drug using partner"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-drug-using-partner-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="HIV_RISK"/>
    <text value="HIV Risk"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-hiv-risk-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="HOME_STABILITY_SAFETY"/>
    <text value="Home Stability and Safety"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-home-stability-safety-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="PERSONAL_SAFETY"/>
    <text value="Personal Safety"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-personal-safety-cs"/>
        <code value="02"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="PRIOR_CRIMINAL_RECORD"/>
    <text value="Prior Criminal Record"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-prior-criminal-record-cs"/>
        <code value="02"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="MENTAL_HEALTH_HISTORY"/>
    <text value="Mental Health History"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-mental-health-history-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="PRIOR_ALCOHOL_DRUG_TREATMENT"/>
    <text value="Prior alcohol/drug treatment"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-prior-alcohol-drug-treatment-cs"/>
        <code value="03"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="CHILDREN_LIVING_WITH_CLIENT"/>
    <text value="Children Living in home with you"/>
    <answer>
      <valueBoolean value="true"/>
    </answer>
  </item>
  <item>
    <linkId value="CHILDREN_AGES_LIVING_WITH_CLIENT"/>
    <text value="Children Ages living in home with you"/>
    <answer>
      <valueCoding>
        <system
                value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-children-ages-living-in-home-cs"/>
        <code value="01"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="episodeOfCare"/>
    <text value="Episode of Care Information"/>
    <answer>
      <valueReference>🔗 
        <reference value="EpisodeOfCare/BHAEpisodeOfCareExampleSouthBH"/>
      </valueReference>
    </answer>
  </item>
</QuestionnaireResponse>