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Narrative

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

Generated Narrative: Questionnaire BHADischargeQuestionnaire

Profile: SDCBaseQuestionnaire

LinkID	Text	Cardinality	Type	Description & Constraints
BHADischargeQuestionnaire	Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services		Questionnaire	http://bha.colorado.gov/fhir/bha-test-ig/Questionnaire/BHA-discharge#0.1.0
END_OF_TREATMENT_REASON	End of Treatment Reason	0..1	choice	Value Set: BHA End of Treatment Reasons Value Set
ARRESTS_PAST_30_DAYS	Arrests in Past 30 Days	1..1	integer
EMPLOYMENT_STATUS	Employment Status	1..1	choice	Value Set: BHA Employment Status
LIVING_SITUATION	Living Situation	1..1	choice	Value Set: BHA Living Situation
SELF_HELP_ATTENDANCE	Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)	1..1	integer
EDUCATION_LEVEL	Education Level	1..1	choice	Value Set: BHA Education Level
SCHOOL_ATTENDANCE_STATUS	School Attendance Status (in the previous 3 months)	1..1	choice	Value Set: BHA School Attendance Status
LEGAL_STATUS	Legal Status	1..1	choice	Value Set: BHA Legal Status
Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "BHADischargeQuestionnaire",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://bha.colorado.gov/fhir/bha-test-ig/Questionnaire/BHA-discharge",
  "version": "0.1.0",
  "name": "BHADischargeQuestionnaire",
  "title": "BHA Discharge 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": "cdhs_bha_provider_support@state.co.us"
        }
      ]
    }
  ],
  "description": "Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "840"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "END_OF_TREATMENT_REASON",
      "text": "End of Treatment Reason",
      "type": "choice",
      "required": false,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-end-of-treatment-reason-vs"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueInteger": 0
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueInteger": 30
        }
      ],
      "linkId": "ARRESTS_PAST_30_DAYS",
      "text": "Arrests in Past 30 Days",
      "type": "integer",
      "required": true
    },
    {
      "linkId": "EMPLOYMENT_STATUS",
      "text": "Employment Status",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-employment-status-vs"
    },
    {
      "linkId": "LIVING_SITUATION",
      "text": "Living Situation",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-living-situation-vs"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueInteger": 0
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueInteger": 30
        }
      ],
      "linkId": "SELF_HELP_ATTENDANCE",
      "text": "Self Help Attendance / Peer Support Attendance (Last 30 days at discharge)",
      "type": "integer",
      "required": true
    },
    {
      "linkId": "EDUCATION_LEVEL",
      "text": "Education Level",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-education-level-vs"
    },
    {
      "linkId": "SCHOOL_ATTENDANCE_STATUS",
      "text": "School Attendance Status (in the previous 3 months)",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-school-attendance-status-vs"
    },
    {
      "linkId": "LEGAL_STATUS",
      "text": "Legal Status",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-legal-status-vs"
    }
  ]
}