Colorado BHA FHIR Implementation Guide
0.1.0-current - ci-build Unknown region code '840'

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 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RatioPBC/bha-ig/ and changes regularly. See the Directory of published versions

## Example QuestionnaireResponse: Example BHA Admission Questionnaire Responses

Page standards status: Informative

Profile: US Core QuestionnaireResponse Profileversion: null6.1.0)

LinkID | Text | Definition | Answer
--- | --- | --- | ---
BHAAdmissionQuestionnaireResponseExample |  |  | Questionnaire:BHA Admission Questionnaire
FIRST_CONTACT_DATE | Date of First Contact |  | 2025-07-01
FIRST_APPOINTMENT_OFFERED_DATE | Date of First Appointment Offered |  | 2025-07-15
MEDICATION_ASSISTED_OPIOID_THERAPY | Medication Assisted Opioid Therapy |  | true
REFERRAL_SOURCE | Referral Source |  | BHA Referral Source: 1 (Individual (self, family, friend))
ARRESTS_PAST_30_DAYS | Arrests in Past 30 Days |  | 1
EMPLOYMENT_STATUS | Employment Status |  | BHA Employment Status: 01 (Employed Full Time (35+ hours/week))
MARITAL_STATUS | Marital Status |  | BHA Marital Status: 01 (Never Married)
LIVING_SITUATION | Living Situation |  | BHA Living Situation: 1 (Correctional facility / Jail)
MONTHLY_INCOME | Monthly Income |  | 999
PRIMARY_INCOME_SOURCE | Primary Source of income/support for client (or for client's parent if client >18 years of age) |  | BHA Income Source: 2 (Public Assistance)
PREGNANCY_STATUS | Pregnancy Status |  | false
WITHIN_1_YEAR_POSTPARTUM_STATUS | Within 1 Year Postpartum Status |  | false
SPECIAL_CONNECTIONS_ENROLLMENT | Enrollment in Special Connections |  | false
ACT_ENROLLMENT | Enrollment in ACT? |  | false
ASCENT_ENROLLMENT | Enrollment in Ascent (FEP)? |  | false
NUMBER_DEPENDENT_CHILDREN | Number of Dependent Children |  | 0
SELF_HELP_ATTENDANCE | Self Help Attendance (Last 30 days at admission)/ Peer Support Attendance |  | 0
TOTAL_SUBSTANCE_USE_PRIOR_TREATMENT | Substance Use Prior Treatment (Total Lifetime admissions) |  | 9
PSYCHIATRIC_HOSPITAL_ADMISSION | Psychiatric Hospital Admission (Last 30 days) |  | true
LEGAL_STATUS | Legal Status |  | BHA Legal Status: 02 (Court-directed voluntary)
CRIMINAL_JUSTICE_INVOLVEMENT | Criminal Justice Involvement |  | false
EDUCATION_LEVEL | Education Level |  | BHA Education Level: 14 (Some College)
SCHOOL_ATTENDANCE_STATUS | School Attendance Status (in the previous 3 months) |  | BHA School Attendance Status: 03 (Not Applicable)
PSYCHIATRIC_ER_VISIT_6_MONTHS | Visit to Psychiatric ER in last 6 months |  | 0
COMMUNICATION_ACCOMMODATIONS | Communication Accommodations |  | true
Documentation for this format