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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire BHAClientQuestionnaire

Profile: SDCBaseQuestionnaireversion: null3.0.0)

LinkID	Text	Cardinality	Type	Description & Constraints
BHAClientQuestionnaire	Questionnaire used during a behavioral health episode of care to collect demographic and administrative information from patients receiving behavioral health services		Questionnaire	http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHAClientQuestionnaire#0.1.0-current
PEAK_ID	Colorado PEAK State ID / Universal ID (MEDICAID ID)	0..1	string
CCAR_ID	CCAR Identifier (data conversion)	0..1	string
DACODS_ID	DACODS Identifier (data conversion)	0..1	string
CHILD_WELFARE_INVOLVEMENT	Child Welfare Involvement	0..1	boolean
TRAILS_ID	Trails Identifier	1..1	string	Enable When: CHILD_WELFARE_INVOLVEMENT =
DISABILITY_CODES	Disability Code(s)	1..*	choice	Value Set: BHA Disability Codes Value Set
Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "BHAClientQuestionnaire",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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/BHAClientQuestionnaire",
  "version": "0.1.0-current",
  "name": "BHAClientQuestionnaire",
  "title": "BHA Client 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": "Questionnaire used during a behavioral health episode of care to collect demographic and administrative information from patients receiving behavioral health services",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "840"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "PEAK_ID",
      "text": "Colorado PEAK State ID / Universal ID (MEDICAID ID)",
      "type": "string",
      "required": false
    },
    {
      "linkId": "CCAR_ID",
      "text": "CCAR Identifier (data conversion)",
      "type": "string",
      "required": false
    },
    {
      "linkId": "DACODS_ID",
      "text": "DACODS Identifier (data conversion)",
      "type": "string",
      "required": false
    },
    {
      "linkId": "CHILD_WELFARE_INVOLVEMENT",
      "text": "Child Welfare Involvement",
      "type": "boolean",
      "required": false
    },
    {
      "linkId": "TRAILS_ID",
      "text": "Trails Identifier",
      "type": "string",
      "enableWhen": [
        {
          "question": "CHILD_WELFARE_INVOLVEMENT",
          "operator": "=",
          "answerBoolean": true
        }
      ],
      "required": true
    },
    {
      "linkId": "DISABILITY_CODES",
      "text": "Disability Code(s)",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-disability-codes-vs"
    }
  ]
}