"AnsweredQuestion contains the information related to the questions and answers included in an assessment and/or assessment subsection." - HL7 Behavioral Health Record DAM R2, AnsweredQuestion Note that the FHIM has a fully fleshed-out domain for Assessments, which FHIR calls Questionnaires. This class roughly corresponds to the FHIM ResponseItem class.

"The information recorded and exchanged between providers and state agencies about the type and overall score of an assessment that was administered to a behavioral health client during the episode of care. This class of information may be associated with a sub-score or a set of questions. This model allows for the exchange of questions associated with standardized assessment instruments or a specific sub-section of a standardized assessment instrument." - HL7 Behavioral Health Record DAM R2, AssessmentDetails Note that the FHIM has a fully fleshed-out domain for Assessments, which FHIR calls Questionnaires. This class roughly corresponds to the FHIM AssessmentEvent class.

"Describes the information recorded and exchanged between providers and state agencies about specific Behavioral Health assessments administered to behavioral health clients. In the first iteration of this domain analysis, only scores and sub-scores were intended for exchanged." - HL7 Behavioral Health Record DAM R2, Assessments Note that the FHIM has a fully fleshed-out domain for Assessments, which FHIR calls Questionnaires. This class therefore points to the FHIM Assessment classes.

"The information used to convey results from a section of a standardized Assessment instrument containing subscore(s)." - HL7 Behavioral Health Record DAM R2, AssessmentSubscore Note that the FHIM has a fully fleshed-out domain for Assessments, which FHIR calls Questionnaires. This class corresponds to the FHIM Subscore class.

"(no documentation)" - HL7 Behavioral Health Record DAM R2, Authorization

This class represents a specialization of the Patient role declared in the FHIM Person Demographics domain in which Behavioral Health specific properties are added. "This domain refers to the client - the person who receives, or has received, Behavioral Health services and contains the core set of demographic information to be exchanged." - HL7 Behavioral Health Record DAM R2, Client Note that the Client class in the BH DAM contains a number of properties that the FHIM has modeled in other domains, in this case Person. These properties are included for completeness, but are marked as derivied as they would be retreived from the Person or Patient classes.

This class specifies the summary report intended to exchange selected information relevant across specialties. It may not include the details of an assessment but it will contain many data elements that are based on the information collected through the assessment and generated from its processing. "This class represents a summary document for Behavioral Health exchange. For example, this could be in the form of a Continuity of Care document (CCD). It specifies the global characteristics of the record - the date when it was created, submitted, or revised and resubmitted. It contains other information organized into header and sections." - HL7 Behavioral Health Record DAM R2, BehavioralHealthReport

"Describes information related to the care or treatment plan for a behavioral health client. Currently it's a text description of the intended goals, interventions, etc. The care plan may be associated with a particular problem in the problem list. The date/time of the care plan and other information may be relevant for reporting and continuity/transfer of care. During analysis, we established that the care plan needs to be associated with problem list but we do not have detailed requirements regarding this association. Care Plans are dynamic and include scheduled (planned) procedures, diagnostic tests, services, nursing interventions, counseling etc., as well as patient goals based on their response to treatment/care." - HL7 Behavioral Health Record DAM R2, CarePlanDetails Note that the FHIM has a fully fleshed-out Care Plan domain, which would be used instead of this contstruct. Therefore, the properties of this class are marked as derived.

"This class captures information related to name of the case manager, or if referral made - when it was made, status of it, and contact person to verify application was done. Case Manager’s name, phone number, beeper number, and any other pertinent information related to case management visits (date, time and location)." - HL7 Behavioral Health Record DAM R2, CaseManager Note that in the FHIM, this information is handled via a participation of an Individual Provider, therefore the majority of the properties in this class are marked as derived.

"Pre-trial, court-based, or post-conviction supervision personnel receive drug testing results from treatment providers (or their laboratories) to support compliance monitoring, Pretrial, Courts, Supervision. These exchanges are used to verify that the patient complies with the conditions of their supervised released from the Criminal Justice System." - HL7 Behavioral Health Record DAM R2, ComplianceMonitoringMessage

"This class captures information related to Consent/Uniform Release. Consent must include, the name of the individual or organization to which disclosure is to be made, the purpose of the disclosure, how much and what kind of information is to be disclosed and the date, event, or condition upon which the consent will expire if not already revoked. This expiration date, event, or condition must insure that the consent will last no longer than reasonably necessary to serve the purpose for which it is given. After one year client consent must again be obtained. A consent form signed by the client must be on file before identifying information is shared across provider organizations. Note: HL7 has detailed standards that can be leveraged to manage consent and access control." - HL7 Behavioral Health Record DAM R2, ConsentOrUniformRelease

"This class captures information related to court-ordered commitment to inpatient or outpatient treatment, court ordered rulings, protective order information, and restraining order information. This information is provided by National Instant Criminal Background Check System (NICS) and contains records of mental health adjudications that can be exchanged with Substance abuse and Mental health treatment providers. This information is also supplied by Court Records System, Pretrial, Probation, or Parole Supervision Database. Currently it is only available as textual information and therefore, no value sets are relevant." - HL7 Behavioral Health Record DAM R2, CourtOrderedRuling

"Conveys information about behavioral health client involvement with the criminal justice system including the type of criminal justice system (e.g. adult, juvenile) and status (e.g. probation, incarceration, or parole). The intent is to include information that can be used to track a client's compliance in the criminal justice system. Changes in this status over time may be indicative of positive outcomes and the effective treatment delivered by providers for those incarcerated during an episode of care." - HL7 Behavioral Health Record DAM R2, CriminalJusticeSystemDetails

"This class captures information related to dependent children and is intended to convey how well the dependent child is doing. The term Dependent child generally refers to a child who has been placed in the legal custody of either the state or the county foster care system by the courts, usually due to the abandonment, abuse or neglect of the child by its parents or other caregivers. Nurturing families and permanent connections are critical to a child’s well-being. The dependent child is associated with the Client." - HL7 Behavioral Health Record DAM R2, DependentChild

"The discharge planning process begins at the time a client is admitted into treatment. Based upon information obtained during the initial assessment and authorization, immediate efforts may need to begin to secure housing, access case management services, obtain entitlements, or to refer the client to a more intensive and specialized program. A promising practice is for multiple providers to co-develop a single, integrated transition/reentry plan for each soon-to-be released inmate. This plan is developed in the last six months of incarceration and finalized 30-90 days prior to release. In this information exchange, corrections would first generate a list of inmates who are within the defined “pre-release” window of time, and then develop a draft transition plan for each inmate. The corrections discharge or reentry case manager would then send a draft transition plan to the specific service providers involved with or proposed for a given client, then receives and incorporates feedback from the other providers. Once the feedback is incorporated, the process is repeated for all service providers to review and approve the finalized transition/reentry plan." - HL7 Behavioral Health Record DAM R2, DischargeTransition/AfterCarePlan

"Education-related information that may be shared between behavioral health, physical medicine providers and state educational systems to help identify at-risk youth so they can be referred to appropriate services and programs. This information helps behavioral health providers understand whether the education situation of a patient is conducive to recovery and treatment. This information is also a way to evaluate progress." - HL7 Behavioral Health Record DAM R2, EducationDetails

This class represents the data elements found in the Encounter section of the Behavioral Health Summary Report. "The main visit or episode of care documented by a behavioral health report. An episode of care is defined as the period between the beginning and end of Behavioral Health services treatment for an individual. Within an episode of care, a person may transfer to a different service, facility, program or location. The beginning and end of an episode of care is marked by a demographic file submission. Over time, an individual may have multiple episodes of care. In addition, an episode may represent the start and end of a Crisis event." - HL7 Behavioral Health Record DAM R2, EpisodeOfCareReference Note that the EpisodeOfCareReference class in the BH DAM contains a number of properties that the FHIM has modeled in other domains, in this case Encounters. These properties are included for completeness, but are marked as derivied as they would be retreived from the Person or Encounter classes.

"Housing status information that can be exchanged between Behavioral Health systems and the Homeless Management Information System Initiative (HMIS). This information helps behavioral health providers understand whether the housing situation of a patient is conducive to recovery and treatment. This information is also a way to evaluate progress." - HL7 Behavioral Health Record DAM R2, HomelessDetails

"The source and amount of income that a client receives, including cash and non-cash benefits." - HL7 Behavioral Health Record DAM R2, IncomeDetails

"One of the major ways in which the efficacy of PostPartum and Pregnant Women residential programs are evaluated is by tracking infant birth and outcomes. Infants will be born within normal ranges for Apgar score, birth weight, head circumference, length and gestational age full term. Infant Births are evaluated based on the following norms: Apgar score: 7-10; Head circumference: 33 to 38 cm; Birth weight: 6 lb, 2 oz to 9 lb, 2oz; Length: 19-21 inches long; Gestation: 37- 42 weeks" - HL7 Behavioral Health Record DAM R2, InfantBirthOutcomesTracking

"This class represents a Mental Status Exam (MSE) data set identified in reference literature. The information described in this class is captured during the initial mental health exam to determine general appearance, psychomotor behavior, mood, affect, speech, cognition, thought patterns, level of consciousness, suicidal or homicidal ideation. etc. Our team focused on the most commonly identified classifiers that may be documented during an MSE." - HL7 Behavioral Health Record DAM R2, MentalStatusExamination

"Information about clients who are Veterans of the United States military. This information is used by BH providers to evaluate the patient at the beginning of an episode." - HL7 Behavioral Health Record DAM R2, MilitaryServiceDetails Note that in the Behavioral Health Record DAM contains four properties for this class: militaryBranch, militaryDischargeStatus, militaryHistoryStatus, and militaryServiceEra, all of which are in the Person.asUniformedServicePerson or Person.asVeteran constructs in the FHIM. Therefore, this class does not contain any properties in the FHIM, but could rather re-use the FHIM Person constructs.

"The class captures information related to outreach to under-served demographic groups. This analysis was based on SAMHSA's Residential Treatment for Pregnant and Postpartum Women (PPW) program and its efforts to expand the availability of comprehensive, high quality residential treatment, recovery support, and family services for pregnant and postpartum women who suffer from alcohol and other drug problems, and their minor children impacted by perinatal and environmental effects of maternal substance use and abuse." - HL7 Behavioral Health Record DAM R2, OutreachContinuityOfCareMessage

"This class describes a client's current participation in peer group support and the duration of involvement with each support group. The number of times a client has participated in the past 30 days for each group is also captured." - HL7 Behavioral Health Record DAM R2, PeerGroupInvolvementDetails

"This is a placeholder to address the data required to capture and exchange information about the details of a client enrolled in programs to support Pregnant and Postpartum Women (PPW)." - HL7 Behavioral Health Record DAM R2, PregnantAndPostpartumWomen

"The Problem data structure describes relevant information related to each problem documented for the behavioral health client during the episode of care. This may include active (or relevant inactive/resolved) problems from previous episodes of care as well as any documented during the current encounter." - HL7 Behavioral Health Record DAM R2, Problem Note that this class corresponds to the FHIM HealthConcern class, and therefore, the HealthConcern may be substituted for this class. Thus, the attributes are all marked as derived.

"The ProblemsDiagnoses domain describes information related to the client's problems - behavioral health as well as physical conditions. This class represents the typical set of diagnoses and repetitions typical of BH reports. The Problem data structure describes additional properties of Problems, including the standards-based code representing the problem, the provider who noted the problem/diagnosis, the date problem recorded (likely to be the assessment date), date of onset if known and date of resolution if problem is no longer active. Meaningful Use Stage 2 requires that problems included in a Problem List section of a CDA document must be exchanged using the SNOMED-CT code system, however behavioral health systems are required to support currently DSM-IV and migrate to DSM-5. The solution will require value sets and mappings to be created to facilitate adoption of MU standards by Behavioral Health providers." - HL7 Behavioral Health Record DAM R2, ProblemsDiagnoses

"The Procedures domain is used to convey information about the procedures/services (behavioral health or physical/medical) that has been provided to Behavioral Health client during a Behavioral Health episode of care. Note: Behavioral health providers do not have additional requirements related to the exchange of procedures. Implementers are encouraged to use Procedure base standard implementation guidance. For instance if the target implementation is CDA R2, then implementers should reference templates specified in the Consolidated CDA implementation guide" - HL7 Behavioral Health Record DAM R2, Procedure