FHIR IG analytics| Package | us.co.bha-ig |
| Resource Type | Questionnaire |
| Id | Questionnaire-BHADischargeQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/CoBHA/CoBHRM-FHIR-IG/Questionnaire-BHADischargeQuestionnaire.html |
| URL | http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHADischargeQuestionnaire |
| Version | 0.3.0-current |
| Status | active |
| Date | 2025-12-17 |
| Name | BHADischargeQuestionnaire |
| Title | BHA Discharge Questionnaire |
| Realm | us |
| Description | Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire BHADischargeQuestionnaire
Profile: SDC Base Questionnaire version: 4.0.0-ci-build
| 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-ig/Questionnaire/BHADischargeQuestionnaire#0.3.0-current | |
  lastUpdated | Last Updated DateTime of the data in the QuestionnaireResponse | 1..1 | dateTime | |
| DATE_OF_LAST_CONTACT | Date of Last Contact | 1..1 | dateTime | |
| DISCHARGE_DATE | Discharge Date | 1..1 | dateTime | |
 DISCHARGE_TYPE | Discharge Type | 1..1 | choice | Value Set: ValueSet for BHA Discharge Type |
| END_OF_TREATMENT_REASON | End of Treatment Reason | 0..1 | choice | Value Set: ValueSet for BHA End of Treatment Reasons |
 ARRESTS_PAST_30_DAYS | Arrests in Past 30 Days | 1..1 | integer | |
| EMPLOYMENT_STATUS | Employment Status | 1..1 | choice | Value Set: ValueSet for BHA Employment Status |
| LIVING_SITUATION | Living Situation | 1..1 | choice | Value Set: ValueSet for 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: ValueSet for BHA Education Level |
| SCHOOL_ATTENDANCE_STATUS | School Attendance Status (in the previous 3 months) | 1..1 | choice | Value Set: ValueSet for BHA School Attendance Status |
| LEGAL_STATUS | Legal Status | 1..1 | choice | Value Set: ValueSet for BHA Legal Status |
 episodeOfCare | Episode of Care Information | 1..* | reference | |
 diagnosis | Diagnosis Information | 1..* | reference | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "BHADischargeQuestionnaire",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|4.0.0-ci-build"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver",
"display": "SemVer"
}
},
{
"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/Questionnaire/BHADischargeQuestionnaire",
"version": "0.3.0-current",
"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": "FHIRFeedback@state.co.us"
}
]
}
],
"description": "Questionnaire used to collect demographic and administrative information from patients being discharged from behavioral health services",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "USA"
}
]
}
],
"item": [
{
"linkId": "lastUpdated",
"text": "Last Updated DateTime of the data in the QuestionnaireResponse",
"type": "dateTime",
"required": true
},
{
"linkId": "DATE_OF_LAST_CONTACT",
"text": "Date of Last Contact",
"type": "dateTime",
"required": true
},
{
"linkId": "DISCHARGE_DATE",
"text": "Discharge Date",
"type": "dateTime",
"required": true
},
{
"linkId": "DISCHARGE_TYPE",
"text": "Discharge Type",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-discharge-type-vs"
},
{
"linkId": "END_OF_TREATMENT_REASON",
"text": "End of Treatment Reason",
"type": "choice",
"required": false,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-ig/ValueSet/bha-employment-status-vs"
},
{
"linkId": "LIVING_SITUATION",
"text": "Living Situation",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-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-ig/ValueSet/bha-school-attendance-status-vs"
},
{
"linkId": "LEGAL_STATUS",
"text": "Legal Status",
"type": "choice",
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-legal-status-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "EpisodeOfCare"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
"valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/StructureDefinition/bha-episodeOfCare"
}
],
"linkId": "episodeOfCare",
"text": "Episode of Care Information",
"type": "reference",
"required": true,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "Condition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
"valueCanonical": "http://bha.colorado.gov/fhir/bha-ig/StructureDefinition/BHAEpisodeDiagnosis"
}
],
"linkId": "diagnosis",
"text": "Diagnosis Information",
"type": "reference",
"required": true,
"repeats": true
}
]
}