US Behavioral Health Profiles Implementation Guide
0.1.0 - CI Build United States of America flag

This page is part of the US Behavioral Health Profiles (v0.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: Columbia-Suicide Severity Rating Scale (C-SSRS)

LinkIDTextDefinitionAnswerdoco
.. C-SSRS-example-1Questionnaire:https://www.cms.gov/files/document/cssrs-screen-version-instrument.pdf
... /93246-7Have you wished you were dead or wished you could go to sleep and not wake up?LOINC LA32-8: No
... /93247-5Have you actually had any thoughts of killing yourself?LOINC LA32-8: No
... /93248-3Have you been thinking about how you might do this?LOINC LA32-8: No
... /93249-1Have you had these thoughts and had some intention of acting on them?LOINC LA32-8: No
... /93250-9Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?LOINC LA32-8: No
... /93267-3Have you ever done anything, started to do anything, or prepared to do anything to end your life?LOINC LA32-8: No
... /93269-9Was this within the past 3 months?LOINC LA32-8: No
... /93374-7Suicide risk levelLOINC LA9194-7: Low

doco Documentation for this format