# BHA Special Connections Baby Questionnaire - Colorado BHA FHIR Implementation Guide v0.1.0-current

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **BHA Special Connections Baby Questionnaire**

## Questionnaire: BHA Special Connections Baby Questionnaire 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASCBabyQuestionnaire | *Version*:0.1.0-current | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](maturity.md): 0 | *Computable Name*:BHASCBabyQuestionnaire |

 
Behavioral Health Administration Special Connections baby questionnaire for collecting information about a baby born to a person enrolled in the Special Connections program 

### Example Questionnaire Responses

* [BHA Special Connections Baby Questionnaire Response](QuestionnaireResponse-BHASCBabyQuestionnaireResponseExample.md)



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "BHASCBabyQuestionnaire",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"
      }]
    }
  }],
  "url" : "http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASCBabyQuestionnaire",
  "version" : "0.1.0-current",
  "name" : "BHASCBabyQuestionnaire",
  "title" : "BHA Special Connections Baby Questionnaire",
  "status" : "active",
  "subjectType" : ["Patient"],
  "date" : "2025-12-17",
  "publisher" : "Colorado Behavioral Health Administration",
  "contact" : [{
    "name" : "Colorado Behavioral Health Administration",
    "telecom" : [{
      "system" : "url",
      "value" : "https://bha.colorado.gov"
    },
    {
      "system" : "email",
      "value" : "FHIRFeedback@state.co.us"
    }]
  }],
  "description" : "Behavioral Health Administration Special Connections baby questionnaire for collecting information about a baby born to a person enrolled in the Special Connections program",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "840"
    }]
  }],
  "item" : [{
    "linkId" : "LIVE_BIRTH",
    "text" : "Live Birth",
    "type" : "boolean",
    "required" : true
  },
  {
    "linkId" : "DOB",
    "text" : "Baby Date of Birth",
    "type" : "date",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "[lb_av]"
      }
    }],
    "linkId" : "WEIGHT_LBS",
    "text" : "Baby Weight Pounds",
    "type" : "decimal",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "[oz_av]"
      }
    }],
    "linkId" : "WEIGHT_OZ",
    "text" : "Baby Weight Ounces",
    "type" : "decimal",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }]
  },
  {
    "linkId" : "LAST_NAME",
    "text" : "Baby Last Name",
    "type" : "string",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }]
  },
  {
    "linkId" : "FIRST_NAME",
    "text" : "Baby First Name",
    "type" : "string",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }]
  },
  {
    "linkId" : "MIDDLE_NAME_INITIAL",
    "text" : "Baby Middle Name or Initial",
    "type" : "string",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }],
    "required" : false
  },
  {
    "linkId" : "SEX_AT_BIRTH",
    "text" : "Baby Sex at Birth",
    "type" : "choice",
    "enableWhen" : [{
      "question" : "LIVE_BIRTH",
      "operator" : "=",
      "answerBoolean" : true
    }],
    "answerValueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender"
  }]
}

```
