Data Submission Specs

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DIAGNOSISŒ
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EC_TYPE
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ID
in
End
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10
COMP
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REAS_ACT
EFF_DT
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4
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1
R
Len
Beg
Comment/Decode
30
MHPRIPOP
MHPRIPOP_REAS
6
AXIS_IND
FORM_TM
DSM11
5
DSM12
DSM13
DS
M14
DSM15
DSM16
DSM21
DSM22
DSM23
DSM24
DSM31
AXIS3_DT
DSM32
DSM33
DSM34
DSM35
DSM36
AXIS4
9
AXIS5
AXIS5_PREV
ABL_CUR
ABL_POT
AAMD_PRIM
AAMD_SEC
AAMD_TERT
GEN_COMP
CRAN_ANOM
SENS_IMPAIR
PERCEPT
CONVULS_DIS
PSY_IMPAIR
MOTOR_DYS MOTOR_LOC
MOTOR_SEV
AAMD_DT
DSM_VERS
ICD_VERS
AADM_VERS
IQ
IQ_TEST_DT
IQ_TEST
SQ
SQ_TEST_DT
SQ_TEST
- Identifies a client's CARE ID.£ DSM code for personality,
specific developmental disorders and mental retardation. Level 1
indicates the most significant diagnosis, level 4 the least
significant.
The previous AXIS 5 code.n Indicates whether the
diagnosis places the person in the MH priority population. Acceptable
values are Y or N.L Indicates which axis (I or II) a client's principal
diagnosis is determined.X Code to indicate a client's secondary AAMD
disorder, if one exists. For MR persons only., Version of the DSM codes
used for diagnosis., Version of the ICD codes used for diagnosis.Version of the AAMD codes used for diagnosis.
A person's IQ
score.
Date of the IQ test.
A person's SQ score.
Date of the SQ
test.
Component code.h Indicates a reason a person is not in the MH
priority population. See CARE reference manual for decodes.¥ DSM code
for psychiatric syndromes diagnoses. Level 1 indicates the most
significant diagnosis, level 6 the least significant. See CARE reference
manual for decodes.Ê DSM code for personality, specific developmental
disorders and mental retardation. Level 1 indicates the most significant
diagnosis, level 4 the least significant. See CARE reference manual for
decodes.š ICD-9 code for physical disorders. Level 1 indicates the most
significant diagnosis, level 6 the least significant. See CARE reference
manual for decodes.r Code for psychosocial stressors. There are up to 9
occurrences (stressors). See CARE reference manual for
decodes.ê Indicates a clinician's overall judgment of a person's
psychological, social, and occupational functioning using the Global
Assessment of Functioning Scale (GAF Scale) that assess mental illness.
See CARE reference manual for decodes.8 Identifies a person's potential
adaptive behavior level.] Identifies a client's current adaptive
behavior level. See CARE reference manual for decodes.} Code to indicate
a person's primary AAMD disorder, if one exists. For MR persons only. See
CARE reference manual for decodes.~ Code to indicate a person's tertiary
AAMD disorder, if one exists. For MR persons only. See CARE reference
manual for decodes.` Code to indicate whether a person has a cranial
anomaly. See CARE reference manual for decodes. b Code to indicate
whether a person has a sensory impairment. See CARE reference manual for
decodes.c Code to indicate whether a person has a perception disorder.
See CARE reference manual for decodes.c Code to indicate whether a
person has a convulsive disorder. See CARE reference manual for
decodes.f Code to indicate whether a person has a psychiatric
impairment. See CARE reference manual for decodes.Z Code to indicate a
person's motor dysfunction type. See CARE reference manual for
decodes.^ Code to indicate a person's motor dysfunction location. See
CARE reference manual for decodes.^ Code to indicate a person's motor
dysfunction severity. See CARE reference manual for decodes.c Date of
the physician's examination in which the AAMD diagnoses were determined.
Format = YYYYMMDD.7 Type of IQ test. See CARE reference manual for
decodes.7 Type of SQ test. See CARE reference manual for decodes.
Value = "DIAG"F Decision Date which is the date the client's diagnosis
was determined.^ Code to indicate whether a person has a genetic defect.
See CARE reference manual for decodes.
ADD_DT
LASTUP_DT
LASTUP_ID LASTUP_TM
226
234
242
250
Mainframe
housekeeping fields
NS_COMP
NS_ID
34
36
46
LOC_PROV_ID
254
NorthSTAR component code. _ NorthSTAR ID, if fewer
than 10 digits, it will be padded with leading zeros to a length of 10.
¦ Location/provider ID. The current input for this field is 6
characters. Nine field length has been allowed for expansion. The field
will be read from left to right.
CMP% Header Information to be
stripped out
SEMI_COL1
RPT_NM_WITH_YYJJJ
SEMI_COL27 1=Admission, 2=Reevaluation, 3 = Death, 4 =
Discharge. ² Date of the physician's examination in which the Axis 3
diagnosis was determined. Format = YYYYMMDD. Must be < = decision date.
No date required if only Axis III entry is NONE. ö Axis 3 level 1. ICD9 code for physical disorders. Level 1 indicates the most significant
diagnosis, level 6 the least significant. See 'ICDCODES' decode table
conditionally required: if principal diagnosis = MH or reason for action
= 3(death),å then Axis III Level I ICD code is required. If no Axis II
DX, then use the word 'NONE' to indicate that there is no diagnosis, but
that the diagnosis was reviewed at the time of update. Data entry is a
required field at update.@ Time recorded on the CARE -DG-1 form. HHMM
military time format.
NPI
Provider's NPI- To BHO Dxÿ ’
NPI NorthSTAR Dx LAYOUT 2/1/07!
Data Submission Specs
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