FHIR IG analytics| Package | bha-ig |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-BHASubstanceUseDisorderQuestionnaireResponseExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse BHASubstanceUseDisorderQuestionnaireResponseExample
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:BHA Substance Use Disorder Questionnaire | ||
![]() ![]() | ASAM Level of Care | BHA ASAM Levels of Care: 3.1 (ASAM Level 3.1 - Clinically Managed Low-Intensity Residential Services) | |
![]() ![]() | Primary Substance Use | BHA Substance Use Codes: 1 (Alcohol) | |
![]() ![]() | Times Used Primary Substance in Last 30 Days | 3 | |
![]() ![]() | Route of Use of Primary Substances | BHA Substance Use Route of Administration Codes: 1 (Oral) | |
![]() ![]() | Age of First Use of Primary Substances | 28 | |
![]() ![]() | Secondary Substance Use | BHA Substance Use Codes: 6 (Other tranquilizer) | |
![]() ![]() | Times Used Secondary Substance in Last 30 Days | 4 | |
![]() ![]() | Route of Use of Secondary Substances | BHA Substance Use Route of Administration Codes: 3 (Inhalation (nose/mouth)) | |
![]() ![]() | Age of First Use of Secondary Substances | 28 | |
![]() ![]() | Tertiary Substance Use | BHA Substance Use Codes: 10 (Other stimulants) | |
![]() ![]() | Times Used Tertiary Substance in Last 30 Days | 2 | |
![]() ![]() | Route of Use of Tertiary Substance | BHA Substance Use Route of Administration Codes: 1 (Oral) | |
![]() ![]() | Age of First Use of Tertiary Substance | 29 | |
{
"resourceType": "QuestionnaireResponse",
"id": "BHASubstanceUseDisorderQuestionnaireResponseExample",
"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/BHASubstanceUseDisorderQuestionnaire",
"status": "completed",
"subject": {
"reference": "Patient/example",
"display": "Mickey Mouse"
},
"authored": "2025-10-28T18:30:40-07:00",
"item": [
{
"linkId": "ASAM_LEVEL_OF_CARE",
"text": "ASAM Level of Care",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-asam-level-of-care-cs",
"code": "3.1"
}
}
]
},
{
"linkId": "PRIMARY_SUBSTANCE_USE",
"text": "Primary Substance Use",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-cs",
"code": "1"
}
}
]
},
{
"linkId": "PRIMARY_LAST_USED_30_DAYS",
"text": "Times Used Primary Substance in Last 30 Days",
"answer": [
{
"valueInteger": 3
}
]
},
{
"linkId": "PRIMARY_ROUTE_OF_USE",
"text": "Route of Use of Primary Substances",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-route-of-administration-cs",
"code": "1"
}
}
]
},
{
"linkId": "PRIMARY_START_AGE",
"text": "Age of First Use of Primary Substances",
"answer": [
{
"valueInteger": 28
}
]
},
{
"linkId": "SECONDARY_SUBSTANCE_USE",
"text": "Secondary Substance Use",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-cs",
"code": "6"
}
}
]
},
{
"linkId": "SECONDARY_LAST_USED_30_DAYS",
"text": "Times Used Secondary Substance in Last 30 Days",
"answer": [
{
"valueInteger": 4
}
]
},
{
"linkId": "SECONDARY_ROUTE_OF_USE",
"text": "Route of Use of Secondary Substances",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-route-of-administration-cs",
"code": "3"
}
}
]
},
{
"linkId": "SECONDARY_START_AGE",
"text": "Age of First Use of Secondary Substances",
"answer": [
{
"valueInteger": 28
}
]
},
{
"linkId": "TERTIARY_SUBSTANCE_USE",
"text": "Tertiary Substance Use",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-cs",
"code": "10"
}
}
]
},
{
"linkId": "TERTIARY_LAST_USED_30_DAYS",
"text": "Times Used Tertiary Substance in Last 30 Days",
"answer": [
{
"valueInteger": 2
}
]
},
{
"linkId": "TERTIARY_ROUTE_OF_USE",
"text": "Route of Use of Tertiary Substance",
"answer": [
{
"valueCoding": {
"system": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-substance-use-route-of-administration-cs",
"code": "1"
}
}
]
},
{
"linkId": "TERTIARY_START_AGE",
"text": "Age of First Use of Tertiary Substance",
"answer": [
{
"valueInteger": 29
}
]
}
]
}