- Title
- FoRSE Discharge Survey
- instrumentId
- 7AR4
- Description
- Instructions
Questions
Q1: What is the highest level of care this client is discharging from?
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q1 |
| Allow 'Not Answered'? |
No |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Inpatient Hospital or Medical Detox |
| 2 |
Residential |
| 3 |
Partial Hospitalization |
| 4 |
Intensive Outpatient |
| 5 |
Outpatient |
| 6 |
Sober Living/Recovery Residence |
| 7 |
Recovery Support (e.g., recovery coaching) |
| 8 |
Other type of program |
Q2: Discharge type (select one)
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q2 |
| Allow 'Not Answered'? |
No |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Completed (discharged to home or transferred to a lower level of care at another facility) |
| 2 |
AMA (left against medical advice or discontinued care) |
| 3 |
Administrative (discharged/transferred due to difficulty conforming to community rules (e.g., fighting)) |
| 4 |
Medical (discharged/transferred due to medical condition outside the scope of current care environment) |
| 5 |
Psych (discharged/transferred due to psychiatric condition outside the scope of current care environment) |
| 6 |
Other (any other type of discharge) |
| 7 |
Financial (discharged/transferred due to personal financial restriction or insurance denial) |
Q3: How many days did this patient receive the following levels of care?
| Question Number |
Q3 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q3a: Inpatient Hospital or Medical Detox
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3a |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3b: Residential
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3b |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3c: Partial Hospitalization
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3c |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3d: Intensive Outpatient
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3d |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3e: Outpatient
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3e |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3f: Sober Living/Recovery Residence
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3f |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3g: Recovery Support
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3g |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q3h: Other type of program
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q3h |
| Allow 'Not Answered'? |
No |
| Question Type |
input_box |
| Answer Type |
number |
| Maximum Characters |
3 |
| Min |
0.00 |
| Max |
999.00 |
Q4: Primary payment type
| Question Number |
Q4 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Self-Pay |
| 2 |
Private Insurance |
| 4 |
Medicaid/Medicare or Other public funding |
| 5 |
Scholarship |
| 6 |
Other |
| Not Answered |
Not Answered |
Q5: What is the primary Substance Use Disorder category? (or “primary drug”)
Critical Item
A valid answer must be supplied for this question or the entire survey will be rejected.
"Not Answered" is NOT allowed.
| Question Number |
Q5 |
| Allow 'Not Answered'? |
No |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Alcohol |
| 2 |
Cannabis |
| 3 |
Hallucinogen |
| 4 |
Inhalant |
| 5 |
Opioid |
| 6 |
Sedative/Hypnotic/Anxiolytic |
| 7 |
Stimulant |
| 8 |
Tobacco |
| 9 |
Other |
| 10 |
None |
Q6: MAT medications received
| Question Number |
Q6 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_multiple |
Answer Options pick_multiple
| Value |
Text |
| 1 |
None |
| 2 |
Acamprosate/Campral |
| 3 |
Buprenorphine (Sublocade Injection) |
| 4 |
Buprenorphine (Subutex/Suboxone film) |
| 5 |
Disulfiram/Antabuse |
| 6 |
Naltrexone (ReVia Pill) |
| 7 |
Naltrexone (Vivitrol Injection) |
| 8 |
Methadone |
| 9 |
Medications for co-occurring disorder (e.g. anxiety or depression) |
| 10 |
Medication not listed |
| 11 |
Other |
| Not Answered |
Not Answered |
Q7: Mental Health Diagnosis
| Question Number |
Q7 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_multiple |
Answer Options pick_multiple
| Value |
Text |
| 1 |
None |
| 2 |
Anxiety Disorder |
| 3 |
Bipolar Disorder |
| 4 |
Depressive Disorder |
| 5 |
Disruptive/Impulse-Control/Conduct Disorder |
| 6 |
Dissociative Disorder |
| 7 |
Eating Disorder |
| 8 |
Neurocognitive Disorder |
| 9 |
Neurodevelopmental Disorder (e.g., ADHD, ASD, Intellectual Disability, Learning Disorder) |
| 10 |
Obsessive Compulsive and Related Disorder |
| 11 |
Trauma and Stressor Related Disorder (e.g., PTSD) |
| 12 |
Schizophrenia Spectrum and Other Psychotic Disorder |
| 13 |
Paraphilic Disorder |
| 14 |
Personality Disorder |
| 15 |
Sexual Dysfunction |
| 16 |
Sleep Disorder |
| 17 |
Somatic Symptom and Related Disorder |
| 18 |
Other Disorder |
| Not Answered |
Not Answered |
Q8: Was any portion of the client’s care delivered remotely/through telehealth?
| Question Number |
Q8 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Yes |
| 2 |
No |
| Not Answered |
Not Answered |
Scoring
The scoring details below are for information only. The scoring for this survey happens on our side. Please do not provide survey scores.
JSON Instrument Definition for developers
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"title": "FoRSE Discharge Survey",
"description": "",
"instructions": "",
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}
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},
{
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},
{
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},
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"instrumentId": "7AR4",
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"question_order": 5,
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"qNum": "Q3b",
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"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
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"question_text": "Partial Hospitalization",
"question_order": 6,
"question_type": "input_box",
"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
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"qNum": "Q3c",
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"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "Intensive Outpatient",
"question_order": 7,
"question_type": "input_box",
"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "999.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q3d",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "Outpatient",
"question_order": 8,
"question_type": "input_box",
"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
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"date_created": "2023-12-30 12:55:58",
"qNum": "Q3e",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "Sober Living\/Recovery Residence",
"question_order": 9,
"question_type": "input_box",
"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "999.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q3f",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "Recovery Support",
"question_order": 10,
"question_type": "input_box",
"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "999.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q3g",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "Other type of program",
"question_order": 11,
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"textbox_max_chars": 3,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
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"date_created": "2023-12-30 12:55:58",
"qNum": "Q3h",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Primary payment type",
"question_order": 12,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-30 12:55:58",
"qNum": "Q4",
"answer_options": [
{
"answer_text": "Self-Pay",
"answer_order": 1,
"answer_severity": null,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Private Insurance",
"answer_order": 2,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Medicaid\/Medicare or Other public funding",
"answer_order": 4,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Scholarship",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 19:20:06"
},
{
"answer_text": "Other",
"answer_order": 6,
"answer_severity": null,
"answer_value": "6.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 19:20:31"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "n",
"question_status": "ACTIVE",
"question_text": "What is the primary Substance Use Disorder category? (or \u201cprimary drug\u201d)",
"question_order": 13,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-30 12:55:58",
"qNum": "Q5",
"answer_options": [
{
"answer_text": "Alcohol",
"answer_order": 1,
"answer_severity": null,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_alcohol",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Cannabis",
"answer_order": 2,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_cannabis",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Hallucinogen",
"answer_order": 3,
"answer_severity": null,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_hallucinogen",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Inhalant",
"answer_order": 4,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_inhalant",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Opioid",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_opioid",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Sedative\/Hypnotic\/Anxiolytic",
"answer_order": 6,
"answer_severity": null,
"answer_value": "6.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_sedative",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Stimulant",
"answer_order": 7,
"answer_severity": null,
"answer_value": "7.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_stimulant",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Tobacco",
"answer_order": 8,
"answer_severity": null,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_tobacco",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Other",
"answer_order": 9,
"answer_severity": null,
"answer_value": "9.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_other",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "None",
"answer_order": 10,
"answer_severity": null,
"answer_value": "10.00",
"answer_status": "ACTIVE",
"clients_colName": "is_sud_none",
"date_created": "2023-12-31 19:23:57"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "MAT medications received",
"question_order": 14,
"question_type": "pick_multiple",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-30 12:55:58",
"qNum": "Q6",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": null,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Acamprosate\/Campral",
"answer_order": 2,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Buprenorphine (Sublocade Injection)",
"answer_order": 3,
"answer_severity": null,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Buprenorphine (Subutex\/Suboxone film)",
"answer_order": 4,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Disulfiram\/Antabuse",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Naltrexone (ReVia Pill)",
"answer_order": 6,
"answer_severity": null,
"answer_value": "6.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Naltrexone (Vivitrol Injection)",
"answer_order": 7,
"answer_severity": null,
"answer_value": "7.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Methadone",
"answer_order": 8,
"answer_severity": null,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Medications for co-occurring disorder (e.g. anxiety or depression)",
"answer_order": 9,
"answer_severity": null,
"answer_value": "9.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Medication not listed",
"answer_order": 10,
"answer_severity": null,
"answer_value": "10.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Other",
"answer_order": 11,
"answer_severity": null,
"answer_value": "11.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Mental Health Diagnosis",
"question_order": 15,
"question_type": "pick_multiple",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": null,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Anxiety Disorder",
"answer_order": 2,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Bipolar Disorder",
"answer_order": 3,
"answer_severity": null,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Depressive Disorder",
"answer_order": 4,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Disruptive\/Impulse-Control\/Conduct Disorder",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Dissociative Disorder",
"answer_order": 6,
"answer_severity": null,
"answer_value": "6.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Eating Disorder",
"answer_order": 7,
"answer_severity": null,
"answer_value": "7.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Neurocognitive Disorder",
"answer_order": 8,
"answer_severity": null,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Neurodevelopmental Disorder (e.g., ADHD, ASD, Intellectual Disability, Learning Disorder)",
"answer_order": 9,
"answer_severity": null,
"answer_value": "9.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Obsessive Compulsive and Related Disorder",
"answer_order": 12,
"answer_severity": null,
"answer_value": "10.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Trauma and Stressor Related Disorder (e.g., PTSD)",
"answer_order": 13,
"answer_severity": null,
"answer_value": "11.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Schizophrenia Spectrum and Other Psychotic Disorder",
"answer_order": 14,
"answer_severity": null,
"answer_value": "12.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Paraphilic Disorder",
"answer_order": 16,
"answer_severity": null,
"answer_value": "13.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Personality Disorder",
"answer_order": 17,
"answer_severity": null,
"answer_value": "14.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Sexual Dysfunction",
"answer_order": 18,
"answer_severity": null,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Sleep Disorder",
"answer_order": 19,
"answer_severity": null,
"answer_value": "16.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Somatic Symptom and Related Disorder",
"answer_order": 20,
"answer_severity": null,
"answer_value": "17.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Other Disorder",
"answer_order": 21,
"answer_severity": null,
"answer_value": "18.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "7AR4",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Was any portion of the client\u2019s care delivered remotely\/through telehealth?",
"question_order": 16,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-30 12:55:58",
"qNum": "Q8",
"answer_options": [
{
"answer_text": "Yes",
"answer_order": 1,
"answer_severity": null,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "No",
"answer_order": 2,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
}
]
}
Example Push for developers
URL Endpoint:
https://naatpdata.com/v2/api/surveys.php
Authentication
$FACILITY_ID = '123DEMO'; Provided By Us
$SECRET_KEY = 'aaaaaabbbbbbbbccccccccdddddddeeeeeefffffgggggg'; Provided By Us
$API_DATE = gmdate( time() ); Current UNIX UTC time = 1743752770
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); 559f66a9ad928d51f53bfe31f365d62c7e6fa53bca996d1b7bd55f6a16c644f0
Complete Post
{
"facilityId": "123DEMO",
"apiDate": "1743752770",
"apiSignature": "559f66a9ad928d51f53bfe31f365d62c7e6fa53bca996d1b7bd55f6a16c644f0",
"surveys": [
{
"instrumentId": "7AR4",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2024",
"yearCompleted": "2024",
"daysFromAdmit": -99,
"daysFromDischarge": 180,
"completedWhile": "postDischarge",
"answerStyle": "byText",
"Q1": "Partial Hospitalization",
"Q2": "Financial (discharged\/transferred due to personal financial restriction or insurance denial)",
"Q3": "--INFO: No Answer Expected--",
"Q3a": 627,
"Q3b": 790,
"Q3c": 775,
"Q3d": 454,
"Q3e": 202,
"Q3f": 150,
"Q3g": 507,
"Q3h": 295,
"Q4": "Private Insurance",
"Q5": "Opioid",
"Q6": "Acamprosate\/Campral|Disulfiram\/Antabuse",
"Q7": "Paraphilic Disorder|Somatic Symptom and Related Disorder",
"Q8": "Yes"
},
{
"instrumentId": "7AR4",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2024",
"yearCompleted": "2024",
"daysFromAdmit": 30,
"daysFromDischarge": -99,
"completedWhile": "inTreatment",
"answerStyle": "byValue",
"Q1": 3,
"Q2": 3,
"Q3": "--INFO: No Answer Expected--",
"Q3a": 97,
"Q3b": 888,
"Q3c": 742,
"Q3d": 826,
"Q3e": 477,
"Q3f": 598,
"Q3g": 253,
"Q3h": 379,
"Q4": 2,
"Q5": 5,
"Q6": "1|7",
"Q7": "10|16",
"Q8": 2
}
]
}
