FHIR IG analytics| Package | bha-ig |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-BHASCPregnancyQuestionnaireResponseExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse BHASCPregnancyQuestionnaireResponseExample
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  BHASCPregnancyQuestionnaireResponseExample | Questionnaire:BHA Special Connections Pregnancy/Postpartum Risk Screening Questionnaire | ||
  EVALUATION_DATE | Evaluation Date | 2025-07-15 | |
| PREGNANCY_POSTPARTUM_STATUS | Pregnancy/Postpartum Status | BHA Pregnancy / Postpartum Status: 03 (Third trimester) | |
| PREGNANCY_POSTPARTUM_CARE_STATUS | Pregnancy/Postpartum Care Status | BHA Pregnancy/Postpartum Care Status: 01 (Already receiving prenatal care routinely) | |
| DRUG_ALCOHOL_TREATMENT_ACCESS | Access to other drug/alcohol treatment | BHA Access to Other Drug/Alcohol Treatment: 02 (Limited access to other treatment) | |
| FAMILY_SOCIAL_SUPPORT | Family/Social Support | BHA Family/Social Support: 01 (Strong) | |
| FAMILY_SUD_HISTORY | Family substance use disorder history | BHA Family Substance Use Disorder: 05 (Spouse/Partner) | |
| FAMILY_SUD_CURRENT | Family substance use disorder current | BHA Family Substance Use Disorder: 04 (Extended Family) | |
| DRUG_USING_PARTNER | Drug using partner | BHA Drug Using Partner: 01 (No drug using partner) | |
| HIV_RISK | HIV Risk | BHA HIV Risk: 01 (No reported history of high risk behaviors) | |
| HOME_STABILITY_SAFETY | Home Stability and Safety | BHA Home Stability and Safety: 01 (Stable and safe housing) | |
| PERSONAL_SAFETY | Personal Safety | BHA Personal Safety: 02 (One to two incidents of emotional, verbal or physical abuse between the beginning of pregnancy and now.) | |
| PRIOR_CRIMINAL_RECORD | Prior Criminal Record | BHA Prior Criminal Record: 02 (One felony or misdemeanor conviction.) | |
| MENTAL_HEALTH_HISTORY | Mental Health History | BHA Mental Health History: 01 (No symptoms of mental disorder, no apparent impairment in functioning.) | |
| PRIOR_ALCOHOL_DRUG_TREATMENT | Prior alcohol/drug treatment | BHA Prior Alcohol/Drug Treatment: 03 (Two or more treatment experiences.) | |
| CHILDREN_LIVING_WITH_CLIENT | Children Living in home with you | true | |
 CHILDREN_AGES_LIVING_WITH_CLIENT | Children Ages living in home with you | BHA Children Ages Living in Home: 01 (0-5) | |
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "BHASCPregnancyQuestionnaireResponseExample",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASCPregnancyPostpartumRiskQuestionnaire",
"status": "completed",
"subject": {
"reference": "Patient/example",
"display": "Mickey Mouse"
},
"authored": "2025-10-28T18:30:40-07:00",
"item": [
{
"linkId": "EVALUATION_DATE",
"text": "Evaluation Date",
"answer": [
{
"valueDate": "2025-07-15"
}
]
},
{
"linkId": "PREGNANCY_POSTPARTUM_STATUS",
"text": "Pregnancy/Postpartum Status",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-pregnancy-postpartum-status-cs",
"code": "03"
}
}
]
},
{
"linkId": "PREGNANCY_POSTPARTUM_CARE_STATUS",
"text": "Pregnancy/Postpartum Care Status",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-pregnancy-postpartum-care-status-cs",
"code": "01"
}
}
]
},
{
"linkId": "DRUG_ALCOHOL_TREATMENT_ACCESS",
"text": "Access to other drug/alcohol treatment",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-access-to-other-treatment-cs",
"code": "02"
}
}
]
},
{
"linkId": "FAMILY_SOCIAL_SUPPORT",
"text": "Family/Social Support",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-social-support-cs",
"code": "01"
}
}
]
},
{
"linkId": "FAMILY_SUD_HISTORY",
"text": "Family substance use disorder history",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-substance-use-disorder-cs",
"code": "05"
}
}
]
},
{
"linkId": "FAMILY_SUD_CURRENT",
"text": "Family substance use disorder current",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-family-substance-use-disorder-cs",
"code": "04"
}
}
]
},
{
"linkId": "DRUG_USING_PARTNER",
"text": "Drug using partner",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-drug-using-partner-cs",
"code": "01"
}
}
]
},
{
"linkId": "HIV_RISK",
"text": "HIV Risk",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-hiv-risk-cs",
"code": "01"
}
}
]
},
{
"linkId": "HOME_STABILITY_SAFETY",
"text": "Home Stability and Safety",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-home-stability-safety-cs",
"code": "01"
}
}
]
},
{
"linkId": "PERSONAL_SAFETY",
"text": "Personal Safety",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-personal-safety-cs",
"code": "02"
}
}
]
},
{
"linkId": "PRIOR_CRIMINAL_RECORD",
"text": "Prior Criminal Record",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-prior-criminal-record-cs",
"code": "02"
}
}
]
},
{
"linkId": "MENTAL_HEALTH_HISTORY",
"text": "Mental Health History",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-mental-health-history-cs",
"code": "01"
}
}
]
},
{
"linkId": "PRIOR_ALCOHOL_DRUG_TREATMENT",
"text": "Prior alcohol/drug treatment",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-prior-alcohol-drug-treatment-cs",
"code": "03"
}
}
]
},
{
"linkId": "CHILDREN_LIVING_WITH_CLIENT",
"text": "Children Living in home with you",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "CHILDREN_AGES_LIVING_WITH_CLIENT",
"text": "Children Ages living in home with you",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-children-ages-living-in-home-cs",
"code": "01"
}
}
]
}
]
}