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Source1

{
  "resourceType": "ConceptMap",
  "id": "BHAServiceIdentifierICD10CM",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/us.co.bha-ig"
          }
        ]
      }
    }
  ],
  "url": "http://bha.colorado.gov/fhir/bha-ig/ConceptMap/BHAServiceIdentifierICD10CM",
  "version": "0.3.0-current",
  "name": "BHAServiceIdentifierICD10CM",
  "title": "CO BHA Service Identifier to ICD-10-CM ConceptMap",
  "status": "active",
  "experimental": false,
  "date": "2026-07-06T17:11:10+00:00",
  "publisher": "Colorado Behavioral Health Administration",
  "contact": [
    {
      "name": "Colorado Behavioral Health Administration",
      "telecom": [
        {
          "system": "url",
          "value": "https://bha.colorado.gov"
        },
        {
          "system": "email",
          "value": "FHIRFeedback@state.co.us"
        }
      ]
    }
  ],
  "description": "Informative (Colorado): Maps CO BHA service identifier codes to related ICD-10-CM diagnosis concepts used in Colorado implementation workflows.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "USA"
        }
      ]
    }
  ],
  "sourceUri": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-vs",
  "group": [
    {
      "source": "http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs",
      "target": "http://hl7.org/fhir/sid/icd-10-cm",
      "element": [
        {
          "code": "00",
          "display": "Differential Assessment (SUD) / Evaluation Only (MH)",
          "target": [
            {
              "code": "Z13.30",
              "display": "Encounter for screening examination for mental health and behavioral disorders, unspecified",
              "equivalence": "relatedto"
            },
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            },
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "01",
          "display": "Ambulatory Medical Withdrawal Management",
          "target": [
            {
              "code": "F19.239",
              "display": "Other psychoactive substance dependence with withdrawal, unspecified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "02",
          "display": "Residential (non-hospital) Withdrawal Management (RDX)",
          "target": [
            {
              "code": "F19.239",
              "display": "Other psychoactive substance dependence with withdrawal, unspecified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "03",
          "display": "Therapeutic Community (TC)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "04",
          "display": "Intensive Residential (IRT)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "05",
          "display": "Transitional Residential (TRT)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "06",
          "display": "Opioid Treatment Program (ORT/OTP)",
          "target": [
            {
              "code": "F11.20",
              "display": "Opioid dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "07",
          "display": "SUD Traditional Outpatient (OP and EOP)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "08",
          "display": "STIRT",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "09",
          "display": "SUD Intensive Outpatient (IOP)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "10",
          "display": "Day Treatment (DAY)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "11",
          "display": "Medically Managed Inpatient Other Than WM (Partial Hospital Program)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "12",
          "display": "Medically Managed Inpatient Withdrawal Management",
          "target": [
            {
              "code": "F19.239",
              "display": "Other psychoactive substance dependence with withdrawal, unspecified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "50",
          "display": "DUI Level I Education",
          "target": [
            {
              "code": "Z71.41",
              "display": "Alcohol abuse counseling and surveillance of alcoholic",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "51",
          "display": "DUI Level II Education Only",
          "target": [
            {
              "code": "Z71.41",
              "display": "Alcohol abuse counseling and surveillance of alcoholic",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "52",
          "display": "DUI Level II Therapy and Education",
          "target": [
            {
              "code": "Z71.41",
              "display": "Alcohol abuse counseling and surveillance of alcoholic",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "53",
          "display": "Minors in Possession Treatment (MIP)",
          "target": [
            {
              "code": "Z71.41",
              "display": "Alcohol abuse counseling and surveillance of alcoholic",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "30",
          "display": "Mental Health Outpatient",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "31",
          "display": "Mental Health Residential",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "32",
          "display": "Mental Health Inpatient",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "42",
          "display": "Crisis Stabilization",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "43",
          "display": "Crisis Respite",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "33",
          "display": "Psychiatric Hospitalization",
          "target": [
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "80",
          "display": "Co-Occurring (CIRCLE)",
          "target": [
            {
              "code": "F19.20",
              "display": "Other psychoactive substance dependence, uncomplicated",
              "equivalence": "relatedto"
            },
            {
              "code": "F99",
              "display": "Mental disorder, not otherwise specified",
              "equivalence": "relatedto"
            }
          ]
        }
      ]
    }
  ]
}