FHIR Implementation Guide for NJSAMS


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

Questionnaire: DischargeQuestionnaire

Official URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/DischargeQuestionnaire Version: 1.0.0
Draft as of 2022-08-31 Computable Name:

Generated Narrative: Questionnaire DischargeQuestionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttps://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/DischargeQuestionnaire#1.0.0
... discharge-detailsnull0..1group
.... discharge-details.1Reason for discharge?1..1open-choiceValue Set: NJSAMS Reason For Discharge
.... discharge-details.2Continuing type0..1choiceValue Set: NJSAMS Continue Care Type
.... discharge-details.3Continuing Care NJSAMS Tx. Agency0..1reference
.... discharge-details.4Treatment Level of Care at Continue Care1..1choiceValue Set: NJSAMS Treatment Level of Care
.... discharge-details.5Treatment not completed0..1choiceValue Set: NJSAMS Treatment Not Completed
.... discharge-details.6Living arrangement at the time of discharge1..1choiceValue Set: NJSAMS Living Arrangement
.... discharge-details.7If Dependent/Supervised Living1..1open-choiceValue Set: NJSAMS Dependent/Supervised Living Arrangement
.... discharge-details.8Date of Last Face-to-Face Client Contact0..1text
... education-employmentnull0..1group
.... education-employment.1Is client currently enrolled in school or a job training program?1..1open-choiceValue Set: NJSAMS Enrollment in School/Job Training
.... education-employment.2If not enrolled1..1choiceValue Set: NJSAMS reasons why client is not in School/Job Training
.... education-employment.3Which best describes your CURRENT employment situation?1..1choiceValue Set: NJSAMS Employment Situation
... tobacco-usenull0..1group
.... tobacco-use.1Does client currently use any tobacco products?1..1choiceValue Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html
.... tobacco-use.2Tobacco products used0..1choiceValue Set: NJSAMS Tobacco Products
.... tobacco-use.3Primary tobacco products used frequency0..1choiceValue Set: Smoking Status
.... tobacco-use.4What treatment techniques/tools were effective1..1choiceValue Set: NJSAMS Tobacco Use Treatments
.... tobacco-use.5Was this client referred to0..1choiceValue Set: NJSAMS Tobacco Treatment Agencies
... drug-usenull0..1group
.... drug-use.1Is client using drugs or alcohol at discharge?1..1choiceValue Set: NJSAMS Discharge Substance Use
.... primary-drugnull0..1group
..... primary-drug.1Primary Drug Category0..1choiceValue Set: NJSAMS Drugs Used
..... primary-drug.2Primary Drug Frequency of Use0..1choiceValue Set: NJSAMS Drug Use Frequency
..... primary-drug.3Primary Drug Route of administration0..1choiceValue Set: NJSAMS Drug Route of Administration
.... secondary-drugnull0..1group
..... secondary-drug.1Secondary Drug Category0..1choiceValue Set: NJSAMS Drugs Used
..... secondary-drug.2Secondary Drug Frequency of Use0..1choiceValue Set: NJSAMS Drug Use Frequency
..... secondary-drug.3Secondary Drug Route of administration0..1choiceValue Set: NJSAMS Drug Route of Administration
.... tertiary-drugnull0..1group
..... tertiary-drug.1Tertiary Drug Category0..1choiceValue Set: NJSAMS Drugs Used
..... tertiary-drug.2Tertiary Drug Frequency of Use0..1choiceValue Set: NJSAMS Drug Use Frequency
..... tertiary-drug.3Tertiary Drug Route of administration0..1choiceValue Set: NJSAMS Drug Route of Administration
... legal-infonull0..1group
.... legal-info.1What is clients current legal status?1..*open-choiceValue Set: NJSAMS Current Legal Status
.... legal-info.2How many times have you been arrested and charged for an offense in the past 30 days?1..1integer
... goal-achievementnull0..1group
.... goal-achievement.1Evaluation of Client Goal Achievemnt for Alcohol/Drug Problem1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.2Evaluation of Client Goal Achievemnt for Educational1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.3Evaluation of Client Goal Achievemnt for Employment/Vocational1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.4Evaluation of Client Goal Achievemnt for Legal1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.5Evaluation of Client Goal Achievemnt for Family Situation/Social1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.6Evaluation of Client Goal Achievemnt for Psychological/Mental Health1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.7Evaluation of Client Goal Achievemnt for Physical Health1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.8Evaluation of Client Goal Achievemnt for Gambling1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.9Evaluation of Client Goal Achievemnt for Tobacco1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.10Evaluation of Client Goal Achievemnt for Financial1..1choiceValue Set: NJSAMS Discharge goal achievement
.... goal-achievement.11Evaluation of Client Goal Achievemnt for Housing1..1choiceValue Set: NJSAMS Discharge goal achievement
... self-helpnull0..1group
.... self-help.1In the past 30 days did the client attend any Self-Help Groups?1..*choiceValue Set: NJSAMS Self-Help Groups
.... self-help.2Frequency of attendance0..1choiceValue Set: NJSAMS Frequency of attendance to self-help recovery groups
... medicationnull0..1group
.... medication.1Medication prescribed to treat substance abuse1..*open-choiceValue Set: NJSAMS Treatment Medications
.... medication.2Medication will be prescribed by0..1open-choiceValue Set: NJSAMS Prescription/Dispensation Medication
.... medication.3Medication was dispensed by0..1open-choiceValue Set: NJSAMS Prescription/Dispensation Medication
... tb-hep-hiv-testnull0..1group
.... tb-hep-hiv-test.1Was any Mantoux Tuberculin Skin Test during treatment?1..1choiceValue Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html
.... tb-hep-hiv-test.2Was any Mantoux Tuberculin Skin Test given during treatment?1..1choiceValue Set: NJSAMS Client/Lab Response to Testing
.... tb-hep-hiv-test.3Was patient tested for Hepatitis at this or any other Facility during Treatment?1..1choiceValue Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html
.... tb-hep-hiv-test.4Was patient tested for Hepatitis at this or any other Facility during Treatment?1..1choiceValue Set: NJSAMS Client/Lab Response to Testing
.... tb-hep-hiv-test.5If Hepatitis positive at this facility check Hepatitis Type0..*choiceValue Set: NJSAMS Hepatitis Types
.... tb-hep-hiv-test.6Did Client have HIV test while in the treatment at this facility?1..1choiceValue Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html
.... tb-hep-hiv-test.7Did Client have HIV test while in the treatment at this facility?1..1choiceValue Set: NJSAMS Client/Lab Response to Testing HIV
.... tb-hep-hiv-test.8If tested did client get HIV test result?1..1choiceValue Set: NJSAMS Client/Lab Response to Testing
... discharge-commentsnull0..1group
.... discharge-comments.1Discharge Comments0..1text

doco Documentation for this format