US Behavioral Health Profiles Implementation Guide
0.1.0 - CI Build

US Behavioral Health Profiles Implementation Guide - Downloaded Version 0.1.0 See the Directory of published versions

## +BH to FHIR Examples

This table provides a correlation between USCDI+ behavioral health data elements and their corresponding FHIR elements, illustrating how each data element is represented in the BH FHIR implementation guide. It includes specific examples and narratives for each matched representation, demonstrating how they are applied in practical scenarios, such as documenting allergies, health assessments, clinical notes, and patient demographics. This ensures that healthcare data is accurately represented and easily interoperable across different health information systems.

USCDI+ BH Data Class | USCDI+ BH Data Element | FHIR Example | FHIR Narrative
--- | --- | --- | ---
Allergies and Intolerances | Reaction | peanut-allergy-example penicillin-allergy-example | Examples of allergic response to peanuts and penicillin
Allergies and Intolerances | Substance (Medication) | penicillin-allergy-example | Example of patient documented penicillin allergy
Allergies and Intolerances | Substance (Non-Medication) | peanut-allergy-example | Example of patient documented peanut allergy
Care Team Member(s) | Care Team Member Role | care-team-example | Example of a mental health counselor as part of the care team
Care Team Member(s) | Care Team Member Telecom | physician-example pcp-provider-example mental-health-provider-example | Examples of a patient's emergency room provider, Primary care provider and mental health provider telecom
Care Team Member(s) | Care Team Member Identifier | physician-example pcp-provider-example mental-health-provider-example | Examples of a patient's emergency room provider, Primary care provider and mental health provider identifiers
Clinical Notes | Mental Health Consultation Note | mental-health-consult-note-example | Example of a mental health consult note. Clinical details of note content are encoded (base64)
Clinical Notes | Mental Health Discharge Summary Note | mental-health-discharge-note-example | Example of a mental health discharge summary note. Clinical details of note content are encoded (base64)
Clinical Notes | Mental Health History & Physical | mental-health-history-physical-note-example | Example of a mental health history and physical note. Clinical details of note content are encoded (base64)
Clinical Notes | Mental Health Procedure Note | mental-health-procedure-note-example | Example of a mental health procedure note. Clinical details of note content are encoded (base64)
Clinical Notes | Mental Health Progress Note | mental-health-progress-note-example | Example of a mental health progress note. Clinical details of note content are encoded (base64)
Clinical Tests | Clinical Test | hemoglobin-a1c-example | Example of laboratory test - Hemoglobin A1C
Clinical Tests | Clinical Test Result/Report | hemoglobin-a1c-example | Example of laboratory test result - elevated value
Consent | Consent | consent-disclosure-example | Example of a consent for information disclosure. Information is encoded (base64)
Diagnostic Imaging | Diagnostic Imaging Report | ekg-impression-report-example | Example of EKG impression report
Diagnostic Imaging | Diagnostic Imaging Test | ekg-impression-report-example | Example of EKG test report
Encounter Information | Diagnosis Rank | discharge-encounter-example | Example of the ranking of diagnosis in the discharge encounter
Encounter Information | Encounter Diagnosis | discharge-encounter-example | Example of encounter diagnosis
Encounter Information | Encounter Disposition | discharge-encounter-example | Example of encounter disposition
Encounter Information | Encounter Location | discharge-encounter-example | Example of encounter location
Encounter Information | Encounter Time | discharge-encounter-example | Example of encounter time
Encounter Information | Encounter Type | discharge-encounter-example | Example of encounter type such as observation or ambulatory
Facility Information | Facility Type | obs-location-example ed-location-example | Examples of facility locations
Family Health History | Family Health History | mental-health-physical-note-example | Example of clinical note that contains family health history. Clinical details of note content are encoded (base64)
Federal/State Grants Reporting Requirements | Grant Number | bh-grant-info-obs-example | Example of a grant with a unique identifier
Federal/State Grants Reporting Requirements | Grant Program ID | bh-grant-info-obs-example | Example of a grant program ID
Federal/State Grants Reporting Requirements | Grant/Funding Type | bh-grant-info-obs-example | Example of an identified grant funding type
Goals and Preferences | Care Experience Preference | provider-preference-obs-example | Example of a care experience preference for health professional
Goals and Preferences | Patient Goals | sdoh-referral-example | Example of a patient goal to improve toward adequate social participation
Goals and Preferences | SDOH Goals | food-insecurity-example housing-insecurity-example transportation-insecurity-example | Examples of food, housing, and transportation SDOH goals
Goals and Preferences | Treatment Intervention Preference | no-morphine-preference-obs-example | Example of a treatment intervention preference to avoid morphine based on past history of substance abuse
Health Insurance Information | Plan Name | medicaid-coverage-example | Example of health insurance coverage name
Health Insurance Information | Coverage Status | medicaid-coverage-example | Example of health insurance coverage status
Health Insurance Information | Coverage Type | medicaid-coverage-example | Example of health insurance coverage type
Health Insurance Information | Group Identifier | medicaid-coverage-example | Example of health insurance group identifier
Health Insurance Information | Member Identifier | medicaid-coverage-example | Example of health insurance member identifier
Health Insurance Information | Payer Identifier | medicaid-coverage-example | Example of health insurance payer identifier
Health Insurance Information | Relationship to Subscriber | medicaid-coverage-example | Example of health insurance relationship to subscriber
Health Insurance Information | Subscriber Identifier | medicaid-coverage-example | Example of health insurance subscriber ID
Health Status Assessments | Depression Assessment | Patient Health Questionnaire-9 (PHQ-9) | Example of a depression assessment/screening
Health Status Assessments | Mental/Cognitive Status | Mini-Mental State Examination [MMSE] | Example of a mental/cognitive health status assessment/screening
Health Status Assessments | Anxiety Assessment | anxiety-assessment-obs-example | Example of an anxiety assessment/screening
Health Status Assessments | Alcohol Use | Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] | Example of patient alcohol use status assessment/screening
Health Status Assessments | Disability Status | Comprehensive Universal Behavior Health Screen (CUBS)© | Example of disability status health status assessment/screening
Health Status Assessments | Food Insecurity | prapare-questionnaireresponse-example | Example of SDOH food assessment/screening
Health Status Assessments | Functional Status | barthel-index-example | Example of functional health status assessment/screening
Health Status Assessments | Housing Instability | prapare-questionnaireresponse-example | Example of SDOH housing assessment/screening
Health Status Assessments | SDOH Assessment | prapare-questionnaireresponse-example | Example of SDOH health status assessment
Health Status Assessments | Smoking Status | non-smoker-example | Example of patient smoking status assessment/screening
Health Status Assessments | Substance Use | substance-use-condition-example | Example of substance use health status assessment
Health Status Assessments | Transportation Insecurity | prapare-questionnaireresponse-example | Example of SDOH transportation assessment/screening
Health Status Assessments | Suicide Risk Assessment | Columbia-Suicide Severity Rating Scale (C-SSRS) | Example of suicide risk assessment/screening
Health Status Assessments | Interpersonal Violence | Humiliation, Afraid, Rape, and Kick questionnaire (HARK) | Example of Interpersonal Violence assessment/screening
Health Status Assessments | Mental Health Status Screen | Mini-Mental State Examination [MMSE] | Example of a behavioral health focused mental health status screening
Health Status Assessments | Mental Trauma and PTSD Assessment | Adverse Childhood Experiences (ACEs) Assessment | Example of a mental trauma or PTSD assessment/screening
Immunizations | Immunizations | flu-vaccine-example | Example of patient flu vaccine (immunization)
Laboratory | Tests | hemoglobin-a1c-example | Example of laboratory test - Hemogobin A1C
Laboratory | Values/Results | hemoglobin-a1c-example | Example of laboratory test result - elevated value
Medications | Discharge Medications | paroxetine-discharge-example metformin-discharge-example ativan-discharge-example | Example of discharge medications to be continued at home
Medications | Dose | paroxetine-discharge-example | Example of medication dose
Medications | Dose Unit of Measure | paroxetine-discharge-example | Example of medication dose unit of measure
Medications | Medications | benzo-medication-example | Example of benzodiazepine medication
Medications | Medication Adherence | paroxetine-discharge-med-example | Example of medication adherence - not taking antidepressant
Medications | Medication Instructions | paroxetine-discharge-example benzo-order-example | Example of medication instructions - paroxetine
Medications | Medication Quantity | paroxetine-discharge-example | Example of medication quantity
Medications | Medications Dispensed | bupropion-dispense-example | Example of dispensed medication - bupropion
Patient Demographics | Current Address | patient-example | Example of patient address
Patient Demographics | Date of Birth | patient-example | Example of patient date of birth
Patient Demographics | Email Address | patient-example | Example of patient email address
Patient Demographics | Ethnicity | patient-example | Example of patient ethnicity
Patient Demographics | First Name | patient-example | Example of patient first name
Patient Demographics | Last Name | patient-example | Example of patient last name
Patient Demographics | Name Suffix | patient-example | Example of patient name suffix
Patient Demographics | Phone Number | patient-example | Example of patient phone number
Patient Demographics | Preferred Language | patient-example | Example of patient preferred language
Patient Demographics | Race | patient-example | Example of patient race
Patient Demographics | Related Person's Name | adult-child-relatedperson-example | Example of patient related person's name
Patient Demographics | Relationship Type | adult-child-relatedperson-example | Example of patient related person's relationship
Patient Demographics | Sex | patient-example | Example of patient sex
Patient Demographics | Tribal Affiliation | patient-example | Example of patient tribal affiliation
Patient Demographics | Date of Death | patient-example | Example of patient date of death
Patient Demographics | Identifier | patient-example | Example of patient patient identifier
Patient Summary and Plan | Assessment and Plan of Treatment | mental-health-progress-note-example | Example of assessment and plan of treatment recorded within a note. Clinical details of note content are encoded (base64)
Problems | Problems/Conditions | panic-attack-example chest-pain-example grief-example substance-abuse-condition-example diabetes-example | Examples of diagnosis
Problems | SDOH Problems/Health Concerns | substance-abuse-condition-example | Example of patient history of substance abuse
Problems | Date of Diagnosis | panic-attack-example chest-pain-example grief-example substance-abuse-condition-example diabetes-example | Example of diagnosis date
Problems | Date of Onset | panic-attack-example chest-pain-example grief-example substance-abuse-condition-example diabetes-example | Example of diagnosis onset date
Problems | Date of Resolution | panic-attack-example chest-pain-example grief-example substance-abuse-condition-example diabetes-example | Example of diagnosis resolution date
Procedures | Harm Reduction Activities | harm-reduction-activities-example | Example of patient harm reduction program
Procedures | Performance Time | alcohol-prevention-edu-example | Example of a documented time when alcohol harm reduction information was provided
Procedures | Procedures | alcohol-prevention-edu-example | Example of patient alcohol harm reduction education
Procedures | Reason for Referral | sdoh-referral-example | Example of patient referral to a peer coaching program
Procedures | SDOH Interventions | sdoh-referral-example | Example of social connection intervention
Procedures | Peer Coaching or Mentoring | sdoh-referral-example | Example of a referral for peer support or mentoring
Procedures | Recovery Planning | alcohol-prevetion-edu-example | Example of recovery planning services
Vital Signs | Body Height | height-example | Example of body height
Vital Signs | Body Temperature | temperature-example | Example of body temperature
Vital Signs | Body Weight | weight-example | Example of body weight
Vital Signs | Diastolic Blood Pressure | blood-pressure-example | Example of diastolic blood pressure
Vital Signs | Heart Rate | heart-rate-example | Example of heart rate
Vital Signs | Pulse Oximetry | oxygen-saturation-example | Example of pulse oximetry
Vital Signs | Respiratory Rate | respiratory-rate-example | Example of respiratory rate
Vital Signs | Systolic Blood Pressure | blood-pressure-example | Example of systolic blood pressure
Vital Signs | Average Blood Pressure | average-bp-example | Example of average blood pressure
Work Information | Veteran Status | patient-example | Example of patient with a veteran status equals true