FHIR IG analytics| Package | bha-test-ig |
| Resource Type | Questionnaire |
| Id | Questionnaire-BHASubstanceUseDisorderQuestionnaire.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire BHASubstanceUseDisorderQuestionnaire
Profile: SDCBaseQuestionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  BHASubstanceUseDisorderQuestionnaire | Behavioral Health Administration substance use disorder questionnaire for collecting substance use information from a person receiving behavioral health services | Questionnaire | http://bha.colorado.gov/fhir/bha-test-ig/Questionnaire/BHA-sc-pregnant-postpartum-risk#0.1.0 | |
  ASAM_LEVEL_OF_CARE | ASAM Level of Care | 0..1 | choice | Value Set: BHA ASAM Levels of Care Value Set |
| PRIMARY_SUBSTANCE_USE | Primary Substance Use | 1..1 | choice | Value Set: BHA Primary Substance Use Codes Value Set |
 PRIMARY_LAST_USED_30_DAYS | Times Used Primary Substance in Last 30 Days | 1..1 | integer | Enable When: PRIMARY_SUBSTANCE_USE != |
| PRIMARY_ROUTE_OF_USE | Route of Use of Primary Substances | 1..1 | choice | Enable When: PRIMARY_SUBSTANCE_USE != Value Set: BHA Substance Use Routes of Administration Value Set |
| PRIMARY_START_AGE | Age of First Use of Primary Substances | 1..1 | integer | Enable When: PRIMARY_SUBSTANCE_USE != |
| SECONDARY_SUBSTANCE_USE | Secondary Substance Use | 1..1 | choice | Value Set: BHA Secondary and Tertiary Substance Use Codes Value Set |
| SECONDARY_LAST_USED_30_DAYS | Times Used Secondary Substance in Last 30 Days | 1..1 | integer | Enable When: SECONDARY_SUBSTANCE_USE != |
| SECONDARY_ROUTE_OF_USE | Route of Use of Secondary Substances | 1..1 | choice | Enable When: SECONDARY_SUBSTANCE_USE != Value Set: BHA Substance Use Routes of Administration Value Set |
| SECONDARY_START_AGE | Age of First Use of Secondary Substances | 1..1 | integer | Enable When: SECONDARY_SUBSTANCE_USE != |
| TERTIARY_SUBSTANCE_USE | Tertiary Substance Use | 1..1 | choice | Value Set: BHA Secondary and Tertiary Substance Use Codes Value Set |
| TERTIARY_LAST_USED_30_DAYS | Times Used Tertiary Substance in Last 30 Days | 1..1 | integer | Enable When: TERTIARY_SUBSTANCE_USE != |
| TERTIARY_ROUTE_OF_USE | Route of Use of Tertiary Substance | 1..1 | choice | Enable When: TERTIARY_SUBSTANCE_USE != Value Set: BHA Substance Use Routes of Administration Value Set |
 TERTIARY_START_AGE | Age of First Use of Tertiary Substance | 1..1 | integer | Enable When: TERTIARY_SUBSTANCE_USE != |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "BHASubstanceUseDisorderQuestionnaire",
"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-sc-pregnant-postpartum-risk",
"version": "0.1.0",
"name": "BHASubstanceUseDisorderQuestionnaire",
"title": "BHA Substance Use Disorder 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": "Behavioral Health Administration substance use disorder questionnaire for collecting substance use information from a person receiving behavioral health services",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "840"
}
]
}
],
"item": [
{
"linkId": "ASAM_LEVEL_OF_CARE",
"text": "ASAM Level of Care",
"type": "choice",
"required": false,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-asam-level-of-care-vs"
},
{
"linkId": "PRIMARY_SUBSTANCE_USE",
"text": "Primary Substance Use",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-primary-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 30
}
],
"linkId": "PRIMARY_LAST_USED_30_DAYS",
"text": "Times Used Primary Substance in Last 30 Days",
"type": "integer",
"enableWhen": [
{
"question": "PRIMARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"linkId": "PRIMARY_ROUTE_OF_USE",
"text": "Route of Use of Primary Substances",
"type": "choice",
"enableWhen": [
{
"question": "PRIMARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-route-of-administration-vs"
},
{
"linkId": "PRIMARY_START_AGE",
"text": "Age of First Use of Primary Substances",
"type": "integer",
"enableWhen": [
{
"question": "PRIMARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"linkId": "SECONDARY_SUBSTANCE_USE",
"text": "Secondary Substance Use",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-secondary-tertiary-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 30
}
],
"linkId": "SECONDARY_LAST_USED_30_DAYS",
"text": "Times Used Secondary Substance in Last 30 Days",
"type": "integer",
"enableWhen": [
{
"question": "SECONDARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"linkId": "SECONDARY_ROUTE_OF_USE",
"text": "Route of Use of Secondary Substances",
"type": "choice",
"enableWhen": [
{
"question": "SECONDARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-route-of-administration-vs"
},
{
"linkId": "SECONDARY_START_AGE",
"text": "Age of First Use of Secondary Substances",
"type": "integer",
"enableWhen": [
{
"question": "SECONDARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"linkId": "TERTIARY_SUBSTANCE_USE",
"text": "Tertiary Substance Use",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-secondary-tertiary-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 30
}
],
"linkId": "TERTIARY_LAST_USED_30_DAYS",
"text": "Times Used Tertiary Substance in Last 30 Days",
"type": "integer",
"enableWhen": [
{
"question": "TERTIARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"linkId": "TERTIARY_ROUTE_OF_USE",
"text": "Route of Use of Tertiary Substance",
"type": "choice",
"enableWhen": [
{
"question": "TERTIARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-test-ig/ValueSet/bha-substance-use-route-of-administration-vs"
},
{
"linkId": "TERTIARY_START_AGE",
"text": "Age of First Use of Tertiary Substance",
"type": "integer",
"enableWhen": [
{
"question": "TERTIARY_SUBSTANCE_USE",
"operator": "!=",
"answerCoding": {
"system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
}
]
}