Generated Narrative: QuestionnaireResponse BHASUDResponseExampleNorth
Profile: US Core QuestionnaireResponse Profile version: 6.1.0
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  BHASUDResponseExampleNorth | Questionnaire:BHA Substance Use Disorder Questionnaire | ||
  lastUpdated | 2025-02-18T10:15:00Z | ||
| ASAM_LEVEL_OF_CARE | ASAM Level of Care: the ASAM Level of Care must match the LADDERS Provider/Clinic's ASAM Level of Care | BHA ASAM Levels of Care: 2.1 (ASAM Level 2.1 - Intensive Outpatient Services (IOP)) | |
| PRIMARY_SUBSTANCE_USE | Primary Substance Use | BHA Substance Use Codes: 1 (Alcohol) | |
| PRIMARY_LAST_USED_30_DAYS | Times Used Primary Substance in Last 30 Days | 3 | |
| PRIMARY_ROUTE_OF_USE | Route of Use of Primary Substances | BHA Substance Use Route of Administration Codes: 1 (Oral) | |
| PRIMARY_START_AGE | Age of First Use of Primary Substances | 28 | |
| SECONDARY_SUBSTANCE_USE | Secondary Substance Use | BHA Substance Use Codes: 6 (Other tranquilizer) | |
| SECONDARY_LAST_USED_30_DAYS | Times Used Secondary Substance in Last 30 Days | 4 | |
| SECONDARY_ROUTE_OF_USE | Route of Use of Secondary Substances | BHA Substance Use Route of Administration Codes: 3 (Inhalation (nose/mouth)) | |
| SECONDARY_START_AGE | Age of First Use of Secondary Substances | 28 | |
| TERTIARY_SUBSTANCE_USE | Tertiary Substance Use | BHA Substance Use Codes: 10 (Other stimulants) | |
| TERTIARY_LAST_USED_30_DAYS | Times Used Tertiary Substance in Last 30 Days | 2 | |
| TERTIARY_ROUTE_OF_USE | Route of Use of Tertiary Substance | BHA Substance Use Route of Administration Codes: 1 (Oral) | |
| TERTIARY_START_AGE | Age of First Use of Tertiary Substance | 29 | |
 episodeOfCare | Episode of Care Information | EpisodeOfCare: status = finished; type = Substance Use Disorder; period = 2023-06-01 --> 2025-02-18 | |
| Documentation for this format | |||