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Packagebha-test-ig
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-BHAClientQuestionnaireResponseExample.json
FHIR VersionR4

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Narrative

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

Generated Narrative: QuestionnaireResponse BHAClientQuestionnaireResponseExample

LinkIDTextDefinitionAnswerdoco
.. BHAClientQuestionnaireResponseExampleQuestionnaire:BHA Client Questionnaire
... PEAK_IDColorado PEAK State ID / Universal ID (MEDICAID ID)X000001
... TRAILS_IDTrails Identifier1234567890
... CCAR_IDCCAR Identifier (data conversion)1234567890
... DACODS_IDDACODS Identifier (data conversion)1234567890
... CHILD_WELFARE_INVOLVEMENTChild Welfare Involvementtrue
... DISABILITY_CODESDisability Code(s)

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "BHAClientQuestionnaireResponseExample",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://bha.colorado.gov/fhir/bha-test-ig/Questionnaire/BHA-client",
  "status": "completed",
  "subject": {
    "reference": "Patient/example",
    "display": "Mickey Mouse"
  },
  "authored": "2025-10-28T18:30:40-07:00",
  "item": [
    {
      "linkId": "PEAK_ID",
      "text": "Colorado PEAK State ID / Universal ID (MEDICAID ID)",
      "answer": [
        {
          "valueString": "X000001"
        }
      ]
    },
    {
      "linkId": "TRAILS_ID",
      "text": "Trails Identifier",
      "answer": [
        {
          "valueString": "1234567890"
        }
      ]
    },
    {
      "linkId": "CCAR_ID",
      "text": "CCAR Identifier (data conversion)",
      "answer": [
        {
          "valueString": "1234567890"
        }
      ]
    },
    {
      "linkId": "DACODS_ID",
      "text": "DACODS Identifier (data conversion)",
      "answer": [
        {
          "valueString": "1234567890"
        }
      ]
    },
    {
      "linkId": "CHILD_WELFARE_INVOLVEMENT",
      "text": "Child Welfare Involvement",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "DISABILITY_CODES",
      "text": "Disability Code(s)",
      "answer": [
        {
          "valueCoding": {
            "system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-disability-codes-cs",
            "code": "07"
          }
        },
        {
          "valueCoding": {
            "system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-disability-codes-cs",
            "code": "08"
          }
        },
        {
          "valueCoding": {
            "system": "http://bha.colorado.gov/fhir/bha-test-ig/CodeSystem/bha-disability-codes-cs",
            "code": "16"
          }
        }
      ]
    }
  ]
}