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

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

Profile: US Core QuestionnaireResponse Profileversion: null6.1.0)

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