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Begin
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AXIS5
Comment/Decode
NSDIAG_TR
NS_ID
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Must equal "B": Consumer last name. Last name must match last name on
CAREE Consumer first name. First initial must match first initial on
CARE.
AXIS42
AXIS43
AXIS44
AXIS45
AXIS46
AXIS47
AXIS48
AXIS49
AXIS410¡ Axis 3 Level 3. ICD-9 code for physical
disorders. Level 1 indicates the most significant diagnosis, level 6 the
least significant. See 'ICDCODES' decode table.¡ Axis 3 Level 4. ICD-9
code for physical disorders. Level 1 indicates the most significant
diagnosis, level 6 the least significant. See 'ICDCODES' decode
table.¡ Axis 3 Level 5. ICD-9 code for physical disorders. Level 1
indicates the most significant diagnosis, level 6 the least significant.
See 'ICDCODES' decode table.€ Date of the physician's examination in
which the Axis 3 diagnosis was determined. Format = YYYYMMDD. Must be <
= decision date.4 Version of ICD codes used for diagnosis. Must =
'9'< Suffix to consumer's name, e.g., 'JR', 'SR', 'I', 'II',
etc.× Indicates a clinician's overall judgment of a person's
psychological, social and occupational functioning using the Global
Assessment Functioning Scale (GAF Scale) that assesses mental illness.
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required for MH diagnosis. See Axis IV decode table. Opt - up to 9
valuesÞ Axis 3 Level 1. ICD-9 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), 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.¢ Axis
3 Level 2. ICD-9 code for physical disorders. Level 1 indicates the most
significant diagnosis, level 6 the least significant. See 'ICDCODES'
decode table.¢ Axis 3 Level 6. ICD-9 code for physical disorders. Level
1 indicates the most significant diagnosis, level 6 the least
significant. See 'ICDCODES' decode table.. Date transaction was entered
(VO system date) c User ID of the person that entered the transaction on
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Filler¤ Must be within the client NS enrollment dates. If a
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date, this transaction will be rejected., Identifies principle axis
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occurrences (stressors).
MR field - Blank for Value‹ Axis I Level 2.
DSM code for psychiatric syndromes diagnoses. Level 1 indicates the most
significant diagnosis, level 6 least significant.Å Axis I Level I. DSM
code for psychiatric syndromes diagnoses. Level 1 indicates the most
significant diagnosis, level 6 least significant. This field is required
if principal Diag Axis equals '1'.• Axis I Level 3. DSM code for
psychiatric syndromes diagnoses. Level 1 indicates the most significant
diagnosis, level 6 least significant. • Axis I Level 4. DSM code for
psychiatric syndromes diagnoses. Level 1 indicates the most significant
diagnosis, level 6 least Significant. • Axis I Level 5. DSM code for
psychiatric syndromes diagnoses. Level 1 indicates the most significant
diagnosis, level 6 least Significant. Ž Axis I Level 6. DSM code for
psychiatric syndromes diagnoses. Level 1 indicates the most significant
diagnosis, level 6 least Significant. ï Axis 2 Level 1. DSM code for
personality, specific developmental disorders and mental retardation.
Level 1 indicates the most significant diagnosis, level 4 the least
significant. This field is required if principal DIAG AXIS equals '2'.
¶ Axis 2 Level 2. DSM code for personality, specific developmental
disorders and mental retardation. Level 1 indicates the most significant
diagnosis, level 4 the least Significant. ¶ Axis 2 Level 3. DSM code
for personality, specific developmental disorders and mental retardation.
Level 1 indicates the most significant diagnosis, level 4 the least
Significant. µ Axis 2 Level 4. DSM code for personality, specific
developmental disorders and mental retardation. Level 1 indicates the
most significant diagnosis, level 4 the least significant. @ Version of
DSM codes used for diagnosis. Must = '4' for DSMIV.
DSM IV code
Doc_no+ Document number for internal use by Value.
Consumer middle initial' The previous AXIS 5 code. May be
blank.7 1=Admission, 2=Reevaluation, 3 = Death, 4 = Discharge.
LOC_PROV_ID$ Local provider identification number
FILLER_SPACE: Time recorded o the CARE-DG-1 form.
format.* NPI VALUE FTP DIAGNOSIS FILE LAYOUT 2/1/07
HHMM military
NPI
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