| LEGEND |
| Key field = must not be blank. Key fields, taken together, are used to uniquely identify and link records. |
| Data set classifications, i.e., SDS, MDS, and SuDS, apply to MH-TEDS admission variables only. |
|
| TEDS/MH-TEDS |
|
MH-CLD |
| Variable Name |
Data Field Reference Number |
Categories |
|
Variable Name |
Data Field Reference No. |
Categories |
| Admission Record |
Discharge/Update Record |
|
Data Files |
| Value taken from admission record |
Value taken at time of discharge or data update |
|
BCI |
SHR |
| SYSTEM DATA SET (SDS) |
|
|
| System Transaction Type |
SDS 1 |
|
DIS 1 |
|
|
Transaction Type |
C-00 |
R-00 |
|
|
|
|
A=Add |
|
|
|
A=Add |
|
|
|
C=Change |
|
|
|
C=Change |
|
|
|
D=Delete |
|
|
|
D=Delete |
| State Code –- Key field |
SDS 2 |
|
DIS 2 |
2 alphanumeric |
|
Reporting State Code |
H-02 |
H-01 |
2 alphanumeric |
| Reporting Date |
SDS 3 |
|
DIS 3 |
MMYYYY |
|
This information is contained in the file name algorithm |
|
|
MMDDYYYY |
| MINIMUM DATA SET (MDS) |
|
|
| State Provider Identifier – Key field |
MDS 1 |
DIS 11 |
DIS 4 |
1-15 alphanumeric |
|
Not reported |
| Client Identifier – Key field |
MDS 2 |
DIS 12 |
DIS 5 |
1-15 alphanumeric |
|
Client Identifier |
C-01 |
R-01 |
1-15 alphanumeric |
| Codependent or Collateral – Key field |
MDS 3 |
DIS 13 |
DIS 6 |
1=codependent/collateral 2=client |
|
Not reported |
| Client Transaction Type – Key field |
MDS 4 |
|
|
A=Initial Admission (SA) |
|
Not reported |
|
|
|
T=Transfer or change in service (SA) |
|
|
|
|
M=Initial Admission (MH) |
|
|
|
|
X=Transfer or change in service (MH) |
|
| Date of Admission – Key field |
MDS 5 |
DIS 15 |
|
MMDDYYYY |
|
Client Status - at Start of Reporting Period (Dateof Admission is used by the state to report this translated variable) |
C-02 |
|
1=New client |
|
2=Continuing client; |
| Prior Treatment Episodes |
MDS 6 |
|
|
Optional reporting MH clients with co-occurring SA |
|
Not reported |
|
|
|
0=0 Previous episodes |
|
|
|
|
1=1 |
|
|
|
|
2=2 |
|
|
|
|
3=3 |
|
|
|
|
4=4 |
|
|
|
|
5=5 or more |
|
|
|
|
7=unknown |
|
|
|
|
8=not collected |
|
| Referral Source |
MDS 7 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
01=Individual |
|
|
|
|
02=Alcohol/drug abuse care provider |
|
|
|
|
03=Other health care provider |
|
|
|
|
04=School |
|
|
|
|
05=Employer/EAP |
|
|
|
|
06=Other community referral |
|
|
|
|
07=court/criminal justice referral |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Date of Birth |
MDS 8 |
DIS 17 |
|
MMDDYYYY |
|
Age (Date of Birth is used by the state to report this calculated variable) |
C-05 |
|
|
|
|
|
01010007=unknown |
|
|
|
|
|
|
|
01010008=not collected |
|
|
|
|
| Gender |
MDS 9 |
DIS 18 |
|
|
|
Gender |
C-04 |
|
|
|
|
|
1=male |
|
|
|
1=male |
|
|
|
2=female |
|
|
|
2=female |
|
|
|
7=unknown |
|
|
|
7=unknown |
|
|
|
8=not collected |
|
|
|
8=not collected |
| Race |
MDS 10 |
DIS 19 |
|
|
|
Race |
C-06 |
|
|
|
|
|
01=Alaska Native |
|
|
|
|
|
|
|
02=American Indian and Alaska Native |
|
|
|
02=American Indian and Alaska Native |
|
|
|
13=Asian |
|
|
|
13=Asian |
|
|
|
23=Native Hawaiian or other Pacific Islander |
|
|
|
23=Native Hawaiian or other Pacific Islander |
|
|
|
03=Asian or Pacific Islander |
|
|
|
03=Asian or Pacific Islander (temporary code) |
|
|
|
04= Black or African American |
|
|
|
04= Black or African American |
|
|
|
05=White |
|
|
|
05=White |
|
|
|
20=Other single race |
|
|
|
20=Some other race alone |
|
|
|
21=Two or more races |
|
|
|
21=Two or more races |
|
|
|
|
|
|
|
22=Hispanic (temporary code) |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Hispanic or Latino Origin (Ethnicity) |
MDS 11 |
DIS 20 |
|
01=Puerto Rico |
|
Ethnicity |
C-07 |
|
11=Puerto Rican (optional) |
|
|
|
02=Mexican |
|
|
|
12=Mexican (optional) |
|
|
|
03=Cuban |
|
|
|
13=Cuban (optional) |
|
|
|
04=Other Specific Hispanic or Latino |
|
|
|
14=Other Specific Hispanic |
|
|
|
05 Not of Hispanic Origin |
|
|
|
02=Not of Hispanic Origin |
|
|
|
06=Hispanic, specific origin not specified |
|
|
|
01=Hispanic origin regardless of race |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=Not collected |
| Education |
MDS 12 |
|
MHD 5 |
|
|
School Grade Level |
C-25 |
|
|
|
|
|
00= less than one grade completed or no schooling |
|
|
|
00=no years of schooling |
|
|
|
01-11=grades 1 thru 11th |
|
|
|
01-11=grades 1 thru 11th |
|
|
|
12=12th grade or GED |
|
|
|
12 = 12th grade |
|
|
|
13=Freshman or first year in a 2-year (Associate) Degree |
|
|
|
17=freshman (1st year in College) |
|
|
|
14=Sophomore or second year in a 2-year (Associate) Degree |
|
|
|
18=sophomore (2nd year in College) |
|
|
|
15=Junior in college |
|
|
|
19=junior (3rd year in College) |
|
|
|
16=Senior in college or Bachelor's Degree |
|
|
|
20=senior (4th year in College) |
|
|
|
17=Some Post-Graduate Study- Degree not completed |
|
|
|
|
|
|
|
18= Master's Degree completed |
|
|
|
|
|
|
|
19-25= Post graduate study |
|
|
|
|
|
|
|
70= graduate or professional school (can be used instead of codes 17-25) |
|
|
|
21=Graduate or professional school |
|
|
|
71=vocational school |
|
|
|
16=vocational school |
|
|
|
72=nursery school, pre-school |
|
|
|
13=nursery school, pre-school (head start) |
|
|
|
73=kindergarten |
|
|
|
14=kindergarten |
|
|
|
74=self-contained special education class |
|
|
|
15=self-contained special education class |
|
|
|
97=unknown |
|
|
|
97 = unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Employment Status |
MDS 13 |
|
DIS 24 |
|
|
Competitive Employment Status at admission and end of the reporting period |
C-09 and C-10 |
|
|
|
|
|
01=full time |
|
|
|
01=full time |
|
|
|
02=part-time |
|
|
|
02=part time |
|
|
|
03=unemployed |
|
|
|
03=unemployed |
|
|
|
04=not in the labor force |
|
|
|
84=not in the labor force |
|
|
|
05=employed, full/part-time not specified (temporary code) |
|
|
|
05=employed, full/part-time not specified (temporary code) |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Substance Abuse Problem (Primary, Secondary, Tertiary) |
MDS 14a MDS 14b MDS 14c |
|
DIS 21a DIS 21b DIS 21c |
Optional reporting for MH clients with co-occurring SA - see Manual for SA problem categories |
|
Not reported |
| Route of Administration (Primary, Secondary, Tertiary Substances) |
MDS 15a MDS 15b MDS 15c |
|
|
Optional reporting for MH clients with co-occurring SA - see Manual for SA route of administration categories |
|
Not reported |
| Frequency of Use (Primary, Secondary, Tertiary Substances) |
MDS 16a MDS 16b MDS 16c |
|
DIS 22a DIS 22b DIS 22c |
Optional reporting for MH clients with co-occurring SA - see Manual for SA frequency of use categories |
|
Not reported |
| Age at First Use (Primary, Secondary, Tertiary, Substances) |
MDS 17a MDS 17b MDS 17c |
|
|
Optional reporting for MH clients with co-occurring SA) |
|
Not reported |
| Type of Treatment Service/ Treatment Setting – Key field |
MDS 18 |
DIS 16 |
DIS 7 |
|
|
Service Setting Status Throughout the Reporting Period |
C-15 |
|
|
|
|
|
01=detox, 24-hr, hospital |
|
|
|
|
|
|
|
02= detox, 24-hr, residential |
|
|
|
|
|
|
|
03=rehabilitation/residential-hospital (not detox) |
|
|
|
|
|
|
|
04=rehabilitation/residential-short term (<30 days) |
|
|
|
|
|
|
|
05=rehabilitation/ residential-long term (>30 days) |
|
|
|
|
|
|
|
06=ambulatory-intensive outpatient |
|
|
|
|
|
|
|
07=ambulatory-non-intensive outpatient |
|
|
|
|
|
|
|
08=ambulatory-detoxification |
|
|
|
|
|
|
|
72=state psychiatric hospital |
|
|
|
1=state psychiatric hospital |
|
|
|
73=SMHA funded/operated community-based program |
|
|
|
2=SMHA funded/operated community-based program |
|
|
|
74=residential treatment center |
|
|
|
3=residential treatment center |
|
|
|
75=other psychiatric inpatient |
|
|
|
4=other psychiatric inpatient |
|
|
|
76=institutions under the justice system |
|
|
|
5=institutions under the justice system |
|
|
|
96=Not applicable (use only for codependents or collateral clients (SA) and for MH clients receiving MH assessments, evaluation, or screening only) |
|
|
|
|
| Medication-Assisted Opioid Therapy |
MDS 19 |
|
|
Optional reporting for MH clients with co-occurring SA |
|
Not reported |
|
|
|
1=Yes |
|
|
|
|
2=No |
|
|
|
|
6=Not applicable |
|
|
|
|
7=unknown |
|
|
|
|
8=not collected |
|
| SUPPLEMENTAL DATA SET (SuDS) |
|
|
| Detailed Drug Code (Primary, Secondary, Tertiary) |
SuDS 1 SuDS 2 SuDS 3 |
|
|
Optional reporting for MH clients with co-occurring SA - see Manual for SA drug code categories |
|
Not reported |
| Diagnostic Code (DSM/ICD) |
SuDS 4 |
|
|
xxx.xx, xxx.--, xxx.--, xxx.x- |
|
Not reported |
|
|
|
999.97=unknown |
|
|
|
|
999.98=not collected |
|
| Co-occurring substance abuse and mental health problems (old name in TEDS: Psychiatric problem in addition to alcohol and drug) |
SuDS 5 |
|
|
1=yes |
|
Substance abuse problem |
C-21 |
|
1=yes |
|
|
|
2=no |
|
|
|
2=no |
|
|
|
7=unknown |
|
|
|
7=unknown |
|
|
|
8=not collected |
|
|
|
8=not collected |
| Pregnant at Admission |
SuDS 6 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
1=Yes |
|
|
|
|
2=No |
|
|
|
|
6=Not applicable |
|
|
|
|
7=unknown |
|
|
|
|
8=not collected |
|
| Veteran Status |
SuDS 7 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
1=Veteran |
|
|
|
|
2=Not a veteran |
|
|
|
|
7=unknown |
|
|
|
|
8=not collected |
|
| Living Arrangements |
SuDS 8 |
|
DIS 23 |
|
|
Residential status at start and end of the reporting period |
C-12 and C-13 |
|
|
|
|
|
01=homeless |
|
|
|
01=homeless |
|
|
|
02=dependent living (under age 18 living with parents, relatives, or guardians) |
|
|
|
37=private residence (children only) |
|
|
|
22=dependent living: residential care and other residential status |
|
|
|
03=residential care |
|
|
|
|
|
|
|
08=other residential status |
|
|
|
32=dependent living: foster home/foster care |
|
|
|
02=fosterhome/foster care |
|
|
|
42=dependent living: crisis residence |
|
|
|
04=crisis residence |
|
|
|
52=dependent living:institutional setting |
|
|
|
05=institutional setting |
|
|
|
62=dependent living: jail and other institutions under the justice system |
|
|
|
06=jail/correctional facility |
|
|
|
72=dependent living: adults in private residence who needs assistance in daily living |
|
|
|
27=private residence, dependent living (adult) |
|
|
|
03=independent living |
|
|
|
17=private residence, independent living (adult) |
|
|
|
04=private residence, living arrangement not specified, adults (temporary code) |
|
|
|
07=private residence, living arrangement not specified (adult) |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Source of Income/Support |
SuDS 9 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
01=wages/salary |
|
|
|
|
02=public assistance |
|
|
|
|
03=retirement/pension |
|
|
|
|
04=disability |
|
|
|
|
20=other |
|
|
|
|
21=none |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Health Insurance |
SuDS 10 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
01=private insurance |
|
|
|
|
02=Blue Cross/Blue Shield |
|
|
|
|
03=Medicare |
|
|
|
|
04=Medicaid |
|
|
|
|
06=HMO |
|
|
|
|
20=other |
|
|
|
|
21=none |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Payment Source, Primary (Expected or Actual) |
SuDS 11 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
01=self-pay |
|
|
|
|
02=Blue Cross/Blue Shield |
|
|
|
|
03=Medicare |
|
|
|
|
04=Medicaid |
|
|
|
|
05=Other government payments |
|
|
|
|
06=Worker's compensation |
|
|
|
|
07=other health insurance companies |
|
|
|
|
08=no charge |
|
|
|
|
09=other |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Detailed Not-in-Labor Force |
SuDS 12 |
|
DIS 25 |
|
|
Competitive Employment Status - at start and end of the reporting period (as a selection category) |
C-09 and C-10 |
|
|
|
|
|
01=homemaker |
|
|
|
14=homemaker |
|
|
|
02=student |
|
|
|
24=student |
|
|
|
03=retired |
|
|
|
34=retired |
|
|
|
04=disabled |
|
|
|
44=disabled |
|
|
|
05= resident of institution or persons receiving services from institutional facilities such as hospitals, jails, prisons, etc. |
|
|
|
|
|
|
|
06=other |
|
|
|
64=other reported classification |
|
|
|
07=sheltered/non-competitive employment |
|
|
|
74=sheltered/non-competitive employment |
|
|
|
96=not applicable (if employment status is not 04, NILF) |
|
|
|
96=not applicable |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
|
|
|
|
84=NILF, classification not specified |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Detailed Criminal Justice Referral |
SuDS 13 |
|
|
Optional reporting for MH |
|
Not reported |
|
|
|
01=state/federal court |
|
|
|
|
02=other court |
|
|
|
|
03=probation/parole |
|
|
|
|
04=other recognized legal entity |
|
|
|
|
05=diversionary program |
|
|
|
|
06=prison |
|
|
|
|
07=DUI/DWI |
|
|
|
|
08=other |
|
|
|
|
96=not applicable |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Marital Status |
SuDS 14 |
|
|
Optional reporting for MH |
|
Marital Status |
O-1 |
|
optional reporting |
|
|
|
01=never married |
|
|
|
01=never married |
|
|
|
02=now married/living as couple or cohabiting |
|
|
|
02=married/living as couple |
|
|
|
03=separated |
|
|
|
03=separated |
|
|
|
04=divorced |
|
|
|
04=divorced |
|
|
|
05=widowed |
|
|
|
05=widowed |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Days Waiting to Enter Treatment |
SuDS 15 |
|
|
optional reporting for MH clients with co-occurring SA |
|
Not reported |
|
|
|
000-996=number of days waiting |
|
|
|
|
997=unknown |
|
|
|
|
998=not collected |
|
| Arrests in Past 30 Days |
SuDS 16 |
|
DIS 26 |
|
|
Number of Arrests in Prior 30 days - at start and end of the reporting period |
C-22 and C-23 |
|
|
|
|
|
00-96=number of arrests |
|
|
|
00-96=number of arrests |
|
|
|
97=unknown |
|
|
|
97=unknown |
|
|
|
98=not collected |
|
|
|
98=not collected |
| Attendance at Self-Help Groups in Past 30 Days |
SuDS 17 |
|
DIS 27 |
optional reporting for MH clients with co-occurring SA |
|
Not reported |
|
|
|
01=no attendance |
|
|
|
|
02=less than once a week |
|
|
|
|
03=about once a week |
|
|
|
|
04=2 to 3 times per week |
|
|
|
|
05=at least 4 times a week |
|
|
|
|
06=some attendance |
|
|
|
|
97=unknown |
|
|
|
|
98=not collected |
|
| Diagnostic Code Set Identifier |
SuDS 18 |
|
MHD 1 |
|
|
Diagnostic Code Identifier |
H-08 |
|
|
|
|
|
1=DSM-IV |
|
|
|
1=DSM IV |
|
|
|
2=ICD-9 |
|
|
|
2=ICD-9 |
|
|
|
3=ICD-10 |
|
|
|
3=ICD 10 |
|
|
|
4=DSM-V |
|
|
|
4=DSM V |
|
|
|
5=DSM-IIIR |
|
|
|
|
|
|
|
7=unknown |
|
|
|
|
|
|
|
8=not collected |
|
|
|
|
| Diagnostic Code - ICD 10 Compatible, Substance Abuse |
SuDS 19 |
|
|
|
|
Substance Abuse Diagnosis |
C-20 |
|
|
|
|
|
xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx- |
|
|
|
xxx.xxxx; xxx.xxx-; xxx.xx--; xxx.x---; xxx---- |
|
|
|
|
|
|
|
999.9996=no substance abuse diagnosis |
|
|
|
999.9997=unknown |
|
|
|
|
|
|
|
999.9998=not collected |
|
|
|
|
| Other Variables |
|
|
|
|
|
| Date of Discharge - Key field |
|
|
DIS 9 |
MMDDYYYY |
|
Client status - at end of the reporting period (Date of Discharge is used by the state to report this translated variable) |
C-03 |
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| Reason for Discharge, Transfer, or Discontinuance of Treatment |
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DIS 10 |
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Discharge reasons |
BCI (C-03) |
SHR (R-03) |
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12=treatment completed |
01=completed SH inpatient treatment |
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22= lost contact or administrative discharge |
03=left against medical advise, eloped, failed to return from leave, non-compliance with treatment and/or policy; 04=client choice |
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03=terminated by facility |
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04=transferred to another treatment program or facility provider |
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07=discharged to other inpatient provider |
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14=transferred to another treatment program/facility but did not report |
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05=incarcerated or released by or to courts |
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32=discharged to corrections, jail |
02=released by or to courts |
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06=death |
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43=death of client |
06=death |
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07=Other (includes aging out of the children's MH system, extended placement (conditional release), and all other reasons) |
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52=aged out; 62= other specified reasons |
05=extended placement; 09=reason not classified elsewhere |
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08= Unknown - This code will continue to be accepted. However, states are encouraged to use the code 97 Unknown instead |
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24=transferred to another treatment program or facility that is not in the state reporting system |
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34 =discharged temporarily to an acute medical facility for medical services |
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08=discharged to an acute medical facility for medical services |
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96 = Not appliciable |
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97=unknown |
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72=reason unknown |
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97=unknown |
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98=not collected |
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82=reason not collected |
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98=not collected |
| Client Discharge Transaction Type - Key field |
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DIS 14 |
DIS 28 |
D=Discharge (SA client) E=Discharge (MH client) U=Data update (MH client) |
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Not reported |
| MH Diagnostic Code - one (ICD-10 Compatible) |
MHA 1a |
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MHD 2a |
xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx- |
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Mental Health Diagnosis - one |
C-17 |
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xxx.xxxx; xxx.xxx-; xxx.xx--; xxx.x---; xxx---- |
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999.9997 unknown |
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999.9997=unknown |
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999.9998=not collected |
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999.9998=not collected |
| MH Diagnostic Code - two (ICD-10 Compatible) |
MHA 1b |
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MHD 2b |
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Mental Health Diagnosis - two |
C-18 |
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xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx-; |
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xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx- |
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999.9996 no second diagnosis |
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999.9997 unknown |
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999.9997=unknown |
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999.9998=not collected |
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999.9998=not collected |
| MH Diagnostic Code - three (ICD-10 Compatible) |
MHA 1c |
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MHD 2c |
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Mental Health Diagnosis - three |
C-19 |
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xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx- |
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xxx.xxxx; xxx.xxx-; xxx.xx--; xxx.x---; xxx---- |
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999.9996 no third diagnosis |
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999.9997 unknown |
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999.9997=unknown |
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999.9998=not collected |
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999.9998=not collected |
| SMI/SED Status |
MHA 2 |
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MHD 3 |
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SMI/SED Status |
C-08 |
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1=SMI |
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1=SMI |
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2=SED |
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2=SED |
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3=at risk for SED (optional) |
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3=at risk for SED (optional) |
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4=Not SMI/SED |
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4=Not SMI/SED |
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7=unknown |
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7=unknown |
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8=not collected |
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8=not collected |
| School Attendance Status |
MHA 3 |
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MHD 4 |
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School Attendance Status |
C-24 |
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1=Yes, client has attended school at any time in the past 3 months |
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1=Yes, client has attended school at any time in the past 3 months |
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2=No, client has not attended school at any time in the past three months |
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2=No, client has not attended school at any time in the past three months |
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6=not applicable ( non-school age) |
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6=not applicable |
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7=unknown |
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7=unknown |
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8=not collected |
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8=not collected |
| SH-Legal Status at Admission |
MHA 4 |
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State Hospital-Admission Legal Status |
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R-05 |
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01=voluntary-self |
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01=voluntary-self |
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02=voluntary-others (parents, guardians, etc) |
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02=voluntary-others (parents, guardians, etc) |
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03=involuntary-civil |
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03=involuntary-civil |
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04=involuntary-criminal |
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04=involuntary-criminaL |
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05=involuntary-juvenile justice |
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05=involuntary-juvenile justice |
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06=involuntary-civil, sexual |
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06=involuntary-civil, sexual |
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96=not applicable |
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97=unknown |
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97=unknown |
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98=not collected |
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98=not collected |
| GAF/CGAS Score – Optional |
MHA 5 |
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MHD 6 |
optional reporting |
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GAF/CGAS Score |
O-02 |
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optional reporting |
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0-100 GAF/CGAS Score |
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0-100 GAF/CGAS score |
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997 = Unknown |
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997=unknown |
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998 = Not collected |
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| Not reported |
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SH-Discharge Sequence Number |
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R-02 |
## - chronological order of discharge events from the earliest (numbering starts at 1 per client) |
| Not reported |
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SH-Number of Days Elapsed Before State Hospital Readmission |
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R-04 |
### - calculated difference between the discharge date and next admission date |
| Not reported |
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Competitive Employment - Update Flag |
C-11 |
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0=no update |
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1=C-10 is an update |
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8=unknown |
| Not reported |
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Residential Status - Update Flag |
C-14 |
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0=no update |
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1=C13 is an update |
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8=unknown |
| Not reported |
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One-service date flag |
C-16 |
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1=one service date |
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2=multiple service dates |
| Not reported |
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Record Type |
H-01 |
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H=header record |
| Not reported |
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File Type |
H-03 |
H-02 |
P=production; T=test |
| Not reported |
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Start of the reporting period |
H-04 |
H-03 |
YYYYMM |
| Not reported |
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End of the reporting period |
H-05 |
H-04 |
YYYYMM |
| Not reported |
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Client record count |
H-06 |
H-05 |
######## - total # of client records |
| Not reported |
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Optional Data Elements Report Flag |
H-07 |
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1=Yes, state is reporting some or all of the optional data elements |
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2=No, state is not reporting any of the optional data elements |
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| Report Date: July 17, 2015 |
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