FHIR Implementation Guide for NJSAMS
1.0.0 - release
1.0.0 - release
NJSAMS - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/Dimension2 | Version: 1.0.0 | |||
| Draft as of 2022-08-31 | Computable Name: | |||
Justification for level of care score (see ServiceRequest) in Dimension 2
Generated Narrative: Questionnaire Dimension2
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Justification for level of care score (see ServiceRequest) in Dimension 2 | Questionnaire | https://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/Dimension2#1.0.0 | |
  LOCI3Dimension2 | null | 0..1 | group | |
   LOCI3Dimension2.D2Proceed | a.There are no biomedical problems requiring attention | 0..1 | boolean | |
| LOCI3Dimension2.D2Proceed | b.There are biomedical problems requiring attention | 0..1 | boolean | |
| Level0.5 | LEVEL 0.5 – EARLY INTERVENTION | 0..1 | group | |
 LOCI3Dimension2.Level0.5.D2Level0_5OPa | a. Biomedical conditions and problems, if any, are stable or being actively addressed, and thus will not interfere with therapeutic interventions. | 0..1 | boolean | |
| Level1 | LEVEL 1- OUTPATIENT TREATMENT | 0..1 | group | |
| LOCI3Dimension2.Level1.D2Level1OPa | a. Biomedical conditions and problems, if any, are stable or being actively addressed, and thus will not interfere with therapeutic interventions. | 0..1 | boolean | |
| Level2.1 | LEVEL 2.1 - INTENSIVE OUTPATIENT TREATMENT | 0..1 | group | |
| LOCI3Dimension2.Level2.1.D2Level2_1OPa | Biomedical conditions and problems, if any, are sufficiently stable to permit participation in outpatient treatment. | 0..1 | boolean | |
| Level2.5 | LEVEL 2.5 – PARTIAL HOSPITALIZATION | 0..1 | group | |
| LOCI3Dimension2.Level2.5.D2Level2_5OPa | a. Biomedical conditions and problems, if any, are not sufficient to interfere with treatment, but are severe enough to distract from recovery efforts; such problems require medical monitoring and/or medical management, which can be provided by a Level 2.5 program either directly or through arrangement with another treatment provider. | 0..1 | boolean | |
| Level3.1or3.3 | LEVEL 3.1 – CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL and LEVEL 3.3 – CLINICALLY MANAGED POPULATION SPECIFIC HIGH-INTENSITY RESIDENTIAL SERVICES | 0..1 | group | |
| LOCI3Dimension2.Level3.1or3.3.D2Level3_1or3_3HHa | a. Biomedical problems, if any, are stable and do not require medical or nurse monitoring; patient is capable of self-administering any prescribed medications; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level3.1or3.3.D2Level3_1or3_3HHb | b. A current biomedical condition is not severe enough to warrant inpatient treatment but sufficient to distract from treatment or recovery efforts. The problem requires medical monitoring, which can be provided by the program or through an established arrangement with another provider. OR | 0..1 | boolean | |
| LOCI3Dimension2.Level3.1or3.3.D2Level3_1or3_3HHbio | Patient’s biomedical problem requires a degree of staff attention that is not available in other Level 3.1 or Level 3.3 programs is in need of biomedical enhanced services. | 0..1 | boolean | |
| Level3.5 | LEVEL 3.5 - CLINICALLY MANAGED HIGH-INTENSITY RESIDENTIAL TREATMENT | 0..1 | group | |
| LOCI3Dimension2.Level3.5.D2Level3_5LTRa | a. Biomedical problems, if any, are stable and do not require medical or nurse monitoring; patient is capable of self-administering any prescribed medications; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level3.5.D2Level3_5LTRb | b. A current biomedical condition is not severe enough to warrant inpatient treatment but sufficient to distract from treatment or recovery efforts. The problem requires medical monitoring, which can be provided by the program or through an established arrangement with another provider. OR | 0..1 | boolean | |
| LOCI3Dimension2.Level3.5.D2Level3_5LTRbio | Patient’s biomedical problem requires a degree of staff attention that is not available in other Level 3.5 programs. | 0..1 | boolean | |
| Level3.7 | LEVEL 3.7 - MEDICALLY MONITORED INTENSIVE INPATIENT SERVICES | 0..1 | group | |
| LOCI3Dimension2.Level3.7.D2Level3_7STRa | a. Interaction of patient’s biomedical condition and continued use places him or her at significant risk of serious damage to physical health or concomitant biomedical conditions;OR | 0..1 | boolean | |
| LOCI3Dimension2.Level3.7.D2Level3_7STRb | b. A current biomedical condition is not severe enough to warrant inpatient treatment but is sufficient to distract from treatment or recovery efforts. The problem requires medical monitoring, which can be provided by the program or through an established arrangement with another provider. | 0..1 | boolean | |
| LOCI3Dimension2.Level3.7.D2Level3_7STRbio | Patient’s biomedical problem requires a degree of staff attention that is not available in other Level 3.7 programs. | 0..1 | boolean | |
| Level4 | LEVEL 4 - MEDICALLY MANAGED INPATIENT SERVICES | 0..1 | group | |
| LOCI3Dimension2.Level4.D2Level4HBRa | a. Biomedical complications require medical management and skilled nursing care; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRb | b. A concurrent biomedical illness or pregnancy requires stabilization and daily medical management, with daily primary nursing interventions; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRc | c. Has a concurrent biomedical condition[s] [including pregnancy] in which continued use presents imminent danger to life or severe danger to health; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRd | d. Experiencing recurrent or multiple seizures; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRe | e. Experiencing a disulfiram-alcohol reaction; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRf | f. Life-threatening symptoms related to use; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRg | g. Use is gravely complicating or exacerbating a previously diagnosed medical condition; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRh | h. Changes in patient’s medical status, such as significant worsening of a medical condition, make abstinence imperative; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRi | i. Significant improvement in a previously unstable medical condition allows patient to respond to addiction treatment; OR | 0..1 | boolean | |
| LOCI3Dimension2.Level4.D2Level4HBRj | j. Another biomedical problem[s] that requires 24-hour observation and evaluation.S | 0..1 | boolean | |
| Documentation for this format | ||||