FHIR IG analytics| Package | us.co.bha-ig |
| Resource Type | Questionnaire |
| Id | Questionnaire-BHASubstanceUseDisorderQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/CoBHA/CoBHRM-FHIR-IG/Questionnaire-BHASubstanceUseDisorderQuestionnaire.html |
| URL | http://bha.colorado.gov/fhir/bha-ig/Questionnaire/BHASubstanceUseDisorderQuestionnaire |
| Version | 0.3.0-current |
| Status | active |
| Date | 2025-12-17 |
| Name | BHASubstanceUseDisorderQuestionnaire |
| Title | BHA Substance Use Disorder Questionnaire |
| Realm | us |
| Description | Behavioral Health Administration substance use disorder questionnaire for collecting substance use information from a person receiving behavioral health services |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire BHASubstanceUseDisorderQuestionnaire
Profile: SDC Base Questionnaire version: 4.0.0-ci-build
| 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-ig/Questionnaire/BHASubstanceUseDisorderQuestionnaire#0.3.0-current | |
  lastUpdated | Last Updated DateTime of the data in the QuestionnaireResponse | 1..1 | dateTime | |
 ASAM_LEVEL_OF_CARE | ASAM Level of Care: the ASAM Level of Care must match the LADDERS Provider/Clinic's ASAM Level of Care | 0..1 | choice | Value Set: ValueSet for BHA ASAM Levels of Care |
| PRIMARY_SUBSTANCE_USE | Primary Substance Use | 1..1 | choice | Value Set: ValueSet for BHA Primary Substance Use Codes |
 PRIMARY_LAST_USED_30_DAYS | Times Used Primary Substance in Last 30 Days | 1..1 | integer | Enable When: PRIMARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
| PRIMARY_ROUTE_OF_USE | Route of Use of Primary Substances | 1..1 | choice | Enable When: PRIMARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) Value Set: ValueSet for BHA Substance Use Routes of Administration |
| PRIMARY_START_AGE | Age of First Use of Primary Substances | 1..1 | integer | Enable When: PRIMARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
| SECONDARY_SUBSTANCE_USE | Secondary Substance Use | 1..1 | choice | Value Set: ValueSet for BHA Secondary and Tertiary Substance Use |
| SECONDARY_LAST_USED_30_DAYS | Times Used Secondary Substance in Last 30 Days | 1..1 | integer | Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
| SECONDARY_ROUTE_OF_USE | Route of Use of Secondary Substances | 1..1 | choice | Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) Value Set: ValueSet for BHA Substance Use Routes of Administration |
| SECONDARY_START_AGE | Age of First Use of Secondary Substances | 1..1 | integer | Enable When: SECONDARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
| TERTIARY_SUBSTANCE_USE | Tertiary Substance Use | 1..1 | choice | Value Set: ValueSet for BHA Secondary and Tertiary Substance Use |
| TERTIARY_LAST_USED_30_DAYS | Times Used Tertiary Substance in Last 30 Days | 1..1 | integer | Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
| TERTIARY_ROUTE_OF_USE | Route of Use of Tertiary Substance | 1..1 | choice | Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) Value Set: ValueSet for BHA Substance Use Routes of Administration |
| TERTIARY_START_AGE | Age of First Use of Tertiary Substance | 1..1 | integer | Enable When: TERTIARY_SUBSTANCE_USE != None (valid only for differential assessment) (BHA Substance Use Codes#0) |
  episodeOfCare | Episode of Care Information | 1..* | reference | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "BHASubstanceUseDisorderQuestionnaire",
"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/BHASubstanceUseDisorderQuestionnaire",
"version": "0.3.0-current",
"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": "FHIRFeedback@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": "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": "ASAM_LEVEL_OF_CARE",
"text": "ASAM Level of Care: the ASAM Level of Care must match the LADDERS Provider/Clinic's ASAM Level of Care",
"type": "choice",
"required": false,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-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-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-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-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-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-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-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-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-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-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-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true,
"answerValueSet": "http://bha.colorado.gov/fhir/bha-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-ig/CodeSystem/bha-substance-use-cs",
"code": "0"
}
}
],
"required": true
},
{
"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
}
]
}