FHIR IG analytics| Package | bha-ig |
| Resource Type | Questionnaire |
| Id | Questionnaire-BHASCPregnancyPostpartumRiskQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/RatioPBC/bha-ig/Questionnaire-BHASCPregnancyPostpartumRiskQuestionnaire.html |
| URL | http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASCPregnancyPostpartumRiskQuestionnaire |
| Version | 0.1.0-current |
| Status | active |
| Date | 2025-12-17 |
| Name | BHASCPregnancyPostpartumRiskQuestionnaire |
| Title | BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire |
| Realm | us |
| Description | Behavioral Health Administration Special Connections Pregnancy/Postpartum Risk Screening questionnaire for collecting information about a pregnant or postpartum person's risk factors |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire BHASCPregnancyPostpartumRiskQuestionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  BHASCPregnancyPostpartumRiskQuestionnaire | Behavioral Health Administration Special Connections Pregnancy/Postpartum Risk Screening questionnaire for collecting information about a pregnant or postpartum person's risk factors | Questionnaire | http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASCPregnancyPostpartumRiskQuestionnaire#0.1.0-current | |
  EVALUATION_DATE | Evaluation Date | 1..1 | date | |
 PREGNANCY_POSTPARTUM_STATUS | Pregnancy/Postpartum Status | 1..1 | choice | Value Set: BHA Pregnancy / Postpartum Status |
| PREGNANCY_POSTPARTUM_CARE_STATUS | Pregnancy/Postpartum Care Status | 1..1 | choice | Value Set: BHA Pregnancy/Postpartum Care Status |
| DRUG_ALCOHOL_TREATMENT_ACCESS | Access to other drug/alcohol treatment | 1..1 | choice | Value Set: BHA Access to Other Drug/Alcohol Treatment |
| FAMILY_SOCIAL_SUPPORT | Family/Social Support | 1..1 | choice | Value Set: BHA Family/Social Support |
| FAMILY_SUD_HISTORY | Family substance use disorder history | 1..* | choice | Value Set: BHA Family Substance Use Disorder |
| FAMILY_SUD_CURRENT | Family substance use disorder current | 1..* | choice | Value Set: BHA Family Substance Use Disorder |
| DRUG_USING_PARTNER | Drug using partner | 1..1 | choice | Value Set: BHA Drug Using Partner |
| HIV_RISK | HIV Risk | 1..1 | choice | Value Set: BHA HIV Risk |
| HOME_STABILITY_SAFETY | Home Stability and Safety | 1..1 | choice | Value Set: BHA Home Stability and Safety |
| PERSONAL_SAFETY | Personal Safety | 1..1 | choice | Value Set: BHA Personal Safety |
| PRIOR_CRIMINAL_RECORD | Prior Criminal Record | 1..1 | choice | Value Set: BHA Prior Criminal Record |
| MENTAL_HEALTH_HISTORY | Mental Health History | 1..1 | choice | Value Set: BHA Mental Health History |
| PRIOR_ALCOHOL_DRUG_TREATMENT | Prior alcohol/drug treatment | 1..1 | choice | Value Set: BHA Prior Alcohol/Drug Treatment |
 CHILDREN_LIVING_WITH_CLIENT | Children Living in home with you | 1..1 | boolean | |
 CHILDREN_AGES_LIVING_WITH_CLIENT | Children Ages living in home with you | 1..* | choice | Enable When: CHILDREN_LIVING_WITH_CLIENT = Value Set: BHA Children Ages Living in Home |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "BHASCPregnancyPostpartumRiskQuestionnaire",
"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/BHASCPregnancyPostpartumRiskQuestionnaire",
"version": "0.1.0-current",
"name": "BHASCPregnancyPostpartumRiskQuestionnaire",
"title": "BHA Special Connections Pregnancy/Postpartum Risk Screening 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 Pregnancy/Postpartum Risk Screening questionnaire for collecting information about a pregnant or postpartum person's risk factors",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "840"
}
]
}
],
"item": [
{
"linkId": "EVALUATION_DATE",
"text": "Evaluation Date",
"type": "date",
"required": true
},
{
"linkId": "PREGNANCY_POSTPARTUM_STATUS",
"text": "Pregnancy/Postpartum Status",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-pregnancy-postpartum-status-vs"
},
{
"linkId": "PREGNANCY_POSTPARTUM_CARE_STATUS",
"text": "Pregnancy/Postpartum Care Status",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-pregnancy-postpartum-care-status-vs"
},
{
"linkId": "DRUG_ALCOHOL_TREATMENT_ACCESS",
"text": "Access to other drug/alcohol treatment",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-access-to-other-treatment-vs"
},
{
"linkId": "FAMILY_SOCIAL_SUPPORT",
"text": "Family/Social Support",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-family-social-support-vs"
},
{
"linkId": "FAMILY_SUD_HISTORY",
"text": "Family substance use disorder history",
"type": "choice",
"required": true,
"repeats": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-family-substance-use-disorder-vs"
},
{
"linkId": "FAMILY_SUD_CURRENT",
"text": "Family substance use disorder current",
"type": "choice",
"required": true,
"repeats": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-family-substance-use-disorder-vs"
},
{
"linkId": "DRUG_USING_PARTNER",
"text": "Drug using partner",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-drug-using-partner-vs"
},
{
"linkId": "HIV_RISK",
"text": "HIV Risk",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-hiv-risk-vs"
},
{
"linkId": "HOME_STABILITY_SAFETY",
"text": "Home Stability and Safety",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-home-stability-safety-vs"
},
{
"linkId": "PERSONAL_SAFETY",
"text": "Personal Safety",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-personal-safety-vs"
},
{
"linkId": "PRIOR_CRIMINAL_RECORD",
"text": "Prior Criminal Record",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-prior-criminal-record-vs"
},
{
"linkId": "MENTAL_HEALTH_HISTORY",
"text": "Mental Health History",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-mental-health-history-vs"
},
{
"linkId": "PRIOR_ALCOHOL_DRUG_TREATMENT",
"text": "Prior alcohol/drug treatment",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-prior-alcohol-drug-treatment-vs"
},
{
"linkId": "CHILDREN_LIVING_WITH_CLIENT",
"text": "Children Living in home with you",
"type": "boolean",
"required": true
},
{
"linkId": "CHILDREN_AGES_LIVING_WITH_CLIENT",
"text": "Children Ages living in home with you",
"type": "choice",
"enableWhen": [
{
"question": "CHILDREN_LIVING_WITH_CLIENT",
"operator": "=",
"answerBoolean": true
}
],
"required": true,
"repeats": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-children-ages-living-in-home-vs"
}
]
}