FHIR Implementation Guide for NJSAMS
0.1.0 - draft
New Jersey
0.1.0 - draft
New Jersey
NJSAMS - Local Development build (v0.1.0). See the Directory of published versions
| Official URL: http://dhs.nj.gov/njsams/Questionnaire/DischargeQuestionnaire | Version: 0.1.0 | |||
| Draft as of 2022-08-31 | Computable Name: | |||
| LinkId | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | http://dhs.nj.gov/njsams/Questionnaire/DischargeQuestionnaire#0.1.0 | ||
  discharge-details | null | 0..1 | group | |
  discharge-details.1 | Reason for discharge? | 1..1 | choice | Value Set: NJSAMS Reason For Discharge |
| discharge-details.2 | Continuing type | 0..1 | choice | Value Set: NJSAMS Continue Care Type |
 discharge-details.3 | Continuing Care NJSAMS Tx. Agency | 0..1 | reference | |
| discharge-details.4 | Treatment Level of Care at Continue Care | 1..1 | choice | Value Set: NJSAMS Treatment Level of Care |
| discharge-details.5 | Treatment not completed | 0..1 | choice | Value Set: NJSAMS Treatment Not Completed |
| discharge-details.6 | Living arrangement at the time of discharge | 1..1 | choice | Value Set: NJSAMS Living Arrangement |
 discharge-details.7 | If Dependent/Supervised Living | 1..1 | open-choice | Value Set: NJSAMS Dependent/Supervised Living Arrangement |
| education-employment | null | 0..1 | group | |
| education-employment.1 | Is client currently enrolled in school or a job training program? | 1..1 | open-choice | Value Set: NJSAMS Enrollment in School/Job Training |
| education-employment.2 | If not enrolled | 1..1 | choice | Value Set: NJSAMS reasons why client is not in School/Job Training |
| education-employment.3 | Which best describes your CURRENT employment situation? | 1..1 | choice | Value Set: NJSAMS Employment Situation |
| tobacco-use | null | 0..1 | group | |
| tobacco-use.1 | Does client currently use any tobacco products? | 1..1 | choice | Value Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html |
| tobacco-use.2 | Tobacco products used | 0..1 | choice | Value Set: NJSAMS Tobacco Products |
| tobacco-use.3 | Primary tobacco products used frequency | 0..1 | choice | Value Set: Smoking Status |
| tobacco-use.4 | What treatment techniques/tools were effective | 1..1 | choice | Value Set: NJSAMS Tobacco Use Treatments |
| tobacco-use.5 | Was this client referred to | 0..1 | choice | Value Set: NJSAMS Tobacco Treatment Agencies |
| drug-use | null | 0..1 | group | |
| drug-use.1 | Is client using drugs or alcohol at discharge? | 1..1 | choice | Value Set: NJSAMS Discharge Substance Use |
| primary-drug | null | 0..1 | group | |
| primary-drug.1 | Primary Drug Category | 0..1 | choice | Value Set: NJSAMS Drugs Used |
| primary-drug.2 | Primary Drug Frequency of Use | 0..1 | choice | Value Set: NJSAMS Drug Use Frequency |
| primary-drug.3 | Primary Drug Route of administration | 0..1 | choice | Value Set: NJSAMS Drug Route of Administration |
| secondary-drug | null | 0..1 | group | |
| secondary-drug.1 | Secondary Drug Category | 0..1 | choice | Value Set: NJSAMS Drugs Used |
| secondary-drug.2 | Secondary Drug Frequency of Use | 0..1 | choice | Value Set: NJSAMS Drug Use Frequency |
| secondary-drug.3 | Secondary Drug Route of administration | 0..1 | choice | Value Set: NJSAMS Drug Route of Administration |
| tertiary-drug | null | 0..1 | group | |
 tertiary-drug.1 | Tertiary Drug Category | 0..1 | choice | Value Set: NJSAMS Drugs Used |
| tertiary-drug.2 | Tertiary Drug Frequency of Use | 0..1 | choice | Value Set: NJSAMS Drug Use Frequency |
| tertiary-drug.3 | Tertiary Drug Route of administration | 0..1 | choice | Value Set: NJSAMS Drug Route of Administration |
| legal-info | null | 0..1 | group | |
| legal-info.1 | What is clients current legal status? | 1..* | open-choice | Value Set: NJSAMS Current Legal Status |
 legal-info.2 | How many times have you been arrested and charged for an offense in the past 30 days? | 1..1 | integer | |
| goal-achievement | null | 0..1 | group | |
| goal-achievement.1 | Evaluation of Client Goal Achievemnt for Alcohol/Drug Problem | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.2 | Evaluation of Client Goal Achievemnt for Educational | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.3 | Evaluation of Client Goal Achievemnt for Employment/Vocational | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.4 | Evaluation of Client Goal Achievemnt for Legal | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.5 | Evaluation of Client Goal Achievemnt for Family Situation/Social | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.6 | Evaluation of Client Goal Achievemnt for Psychological/Mental Health | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.7 | Evaluation of Client Goal Achievemnt for Physical Health | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.8 | Evaluation of Client Goal Achievemnt for Gambling | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.9 | Evaluation of Client Goal Achievemnt for Tobacco | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.10 | Evaluation of Client Goal Achievemnt for Financial | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| goal-achievement.11 | Evaluation of Client Goal Achievemnt for Housing | 1..1 | choice | Value Set: NJSAMS Discharge goal achievement |
| self-help | null | 0..1 | group | |
| self-help.1 | In the past 30 days did the client attend any Self-Help Groups? | 1..* | choice | Value Set: NJSAMS Self-Help Groups |
| self-help.2 | Frequency of attendance | 0..1 | choice | Value Set: NJSAMS Frequency of attendance to self-help recovery groups |
| medication | null | 0..1 | group | |
| medication.1 | Medication prescribed to treat substance abuse | 1..* | open-choice | Value Set: NJSAMS Treatment Medications |
| medication.2 | Medication will be prescribed by | 0..1 | open-choice | Value Set: NJSAMS Prescription/Dispensation Medication |
| medication.3 | Medication was dispensed by | 0..1 | open-choice | Value Set: NJSAMS Prescription/Dispensation Medication |
| tb-hep-hiv-test | null | 0..1 | group | |
| tb-hep-hiv-test.1 | Was any Mantoux Tuberculin Skin Test during treatment? | 1..1 | choice | Value Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html |
| tb-hep-hiv-test.2 | Was any Mantoux Tuberculin Skin Test given during treatment? | 1..1 | choice | Value Set: NJSAMS Client/Lab Response to Testing |
| tb-hep-hiv-test.3 | Was patient tested for Hepatitis at this or any other Facility during Treatment? | 1..1 | choice | Value Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html |
| tb-hep-hiv-test.4 | Was patient tested for Hepatitis at this or any other Facility during Treatment? | 1..1 | choice | Value Set: NJSAMS Client/Lab Response to Testing |
| tb-hep-hiv-test.5 | If Hepatitis positive at this facility check Hepatitis Type | 0..* | choice | Value Set: NJSAMS Hepatitis Types |
| tb-hep-hiv-test.6 | Did Client have HIV test while in the treatment at this facility? | 1..1 | choice | Value Set: https://hl7.org/fhir/R4/valueset-example-yesnodontknow.html |
| tb-hep-hiv-test.7 | Did Client have HIV test while in the treatment at this facility? | 1..1 | choice | Value Set: NJSAMS Client/Lab Response to Testing HIV |
| tb-hep-hiv-test.8 | If tested did client get HIV test result? | 1..1 | choice | Value Set: NJSAMS Client/Lab Response to Testing |
| discharge-comments | null | 0..1 | group | |
 discharge-comments.1 | Discharge Comments | 0..1 | text | |
| Documentation for this format | ||||