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Minnesota Department of Human Services Mental Health Information System (MHIS) Manual
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Page Posted: 06/02/2014

Page Reviewed and Updated: 11/3/2015

Link to 5.1.8 Health Indicators PDF

5.1.8. Health Indicators

VARIABLE NAME: HEALTH INDICATOR OPTIONAL DATA

  • DESCRIPTION: Identifies that the provider is completing the Health Indicator fields.
  • VALID ENTRIES:
  • • 1 Yes
  • GUIDELINES: ACT providers enter 1, while other provider types enter 1 for “Yes” otherwise leave blank
  • FIELD NUMBER: T1
  • FIELD LENGTH: 1
  • FIELD TYPE: Text
  • FORMAT: X
  • VARIABLE NAME: GENERAL PHYSICAL EXAM DATE

  • DESCRIPTION: Identifies the most recent date the General Physical exam was completed.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: If a Physical Exam date does not exist or is over two years old, then enter 01/01/1900 as the date.
  • FIELD NUMBER: T2
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: HEIGHT/WEIGHT DATE

  • DESCRIPTION: Identifies the most recent date the Height/Weight was measured.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Report the date client’s height/weight was last measured. If client’s height/weight was not measured, then enter 01/01/1900.
  • FIELD NUMBER: T3
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: HEIGHT

  • DESCRIPTION: Specifies the client’s Height in inches (rounded up).
  • VALID ENTRIES
  • • 36-96
  • • 97 Unknown
  • GUIDELINES: Report the client’s Height in inches.
  • FIELD NUMBER: T4
  • FIELD LENGTH: 2
  • FIELD TYPE: NUMERIC
  • FORMAT: XX
  • VARIABLE NAME: WEIGHT

  • DESCRIPTION: Specifies the client’s Weight in pounds (rounded up).
  • VALID ENTRIES
  • • 050-996
  • • 997 Unknown
  • GUIDELINES: Report the client’s Weight in pounds-field must be updated when measure changes.
  • FIELD NUMBER: T5
  • FIELD LENGTH: 2
  • FIELD TYPE: NUMERIC
  • FORMAT: XX
  • VARIABLE NAME: BLOOD PRESSURE DATE

  • DESCRIPTION: Identifies the most recent date the client’s Blood Pressure was measured.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Enter the most recent date the client’s blood pressure was measured. If it was not measured, then enter 01/01/1900.
  • FIELD NUMBER: T6
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: SYSTOLIC BLOOD PRESSURE READING

  • DESCRIPTION: Specifies the client’s Systolic Blood Pressure reading.
  • VALID ENTRIES
  • • 060-250
  • • 997 Unknown
  • GUIDELINES: Report the client’s Systolic Blood Pressure reading
  • FIELD NUMBER: T7
  • FIELD LENGTH: 3
  • FIELD TYPE: NUMERIC
  • FORMAT: XXX
  • VARIABLE NAME: DIASTOLIC BLOOD PRESSURE READING

  • DESCRIPTION: Specifies the client’s Diastolic Blood Pressure reading
  • VALID ENTRIES
  • • 0-150
  • • 997 Unknown
  • GUIDELINES: Report the client’s Diastolic Blood Pressure reading
  • FIELD NUMBER: T8
  • FIELD LENGTH: 3
  • FIELD TYPE: NUMERIC
  • FORMAT: XXX
  • VARIABLE NAME: LDL DATE

  • DESCRIPTION: Identifies the most recent date the client’s LDL was measured.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Most recent date the client’s LDL was measured. If it was not measured, then enter 01/01/1900.
  • FIELD NUMBER: T9
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: LDL LEVEL

  • DESCRIPTION: Specifies the client’s LDL level
  • VALID ENTRIES:
  • • 1 Less than or equal to 129
  • • 2 Greater than or equal to 130
  • • 8 Not Tested
  • • 9 Unknown
  • GUIDELINES: Select the range that represents the client’s LDL level.
  • FIELD NUMBER: T10
  • FIELD LENGTH: 1
  • FIELD TYPE: TEXT
  • FORMAT: X
  • VARIABLE NAME: BLOOD SUGAR LEVEL DATE

  • DESCRIPTION: Identifies the most recent date the client’s blood sugar level was measured.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Most recent date the client’s blood sugar level was measured. If it was not measured, then enter 01/01/1900.
  • FIELD NUMBER: T11
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: BLOOD SUGAR LEVEL

  • DESCRIPTION: Specifies the client’s Blood Sugar Level.
  • VALID ENTRIES:
  • • 1 Non diabetic: fasting – less than or equal to 125
  • • 2 Non diabetic: fasting – greater than or equal to 126
  • • 3 Hemoglobin A1c – less than 8
  • • 4 Hemoglobin A1c – greater than or equal to 8
  • • 8 Not Tested
  • • 9 Unknown
  • GUIDELINES: Select the range the represents the client’s Blood Sugar Level
  • FIELD NUMBER: T12
  • FIELD LENGTH: 1
  • FIELD TYPE: TEXT
  • FORMAT: X
  • VARIABLE NAME: TOBACCO USE DATE

  • DESCRIPTION: Identifies the most recent date the client used tobacco during the previous 30 days.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Most recent date client used tobacco during the previous 30 days. If date is not available, then enter 01/01/1900.
  • FIELD NUMBER: T13
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: TOBACCO USE

  • DESCRIPTION: Specifies the client’s tobacco use in the previous 30 days.
  • VALID ENTRIES
  • • 1 No tobacco use
  • • 2 Ongoing tobacco use
  • • 9 Unknown
  • GUIDELINES: Select the client’s tobacco usage.
  • FIELD NUMBER: T14
  • FIELD LENGTH: 1
  • FIELD TYPE: TEXT
  • FORMAT: X
  • VARIABLE NAME: ALCOHOL USE DATE

  • DESCRIPTION: Identifies the most recent date the client used alcohol in the previous 30 days.
  • VALID ENTRIES:
  • • 2–digit month and day followed by the 4-digit year. The numeric format for months and day 1-9 must have a zero as the leading digit.
  • GUIDELINES: Most recent date client used alcohol during the previous 30 days. If date is not available, then enter 01/01/1900.
  • FIELD NUMBER: T15
  • FIELD LENGTH: 10
  • FIELD TYPE: DATE
  • FORMAT: MM/DD/YYYY
  • VARIABLE NAME: HOW MANY DAYS PER WEEK DID THE CLIENT DRINK: PREVIOUS 30 DAYS

  • DESCRIPTION: Specifies the average number of days per week the client drank an alcoholic beverage in the previous 30 days.
  • VALID ENTRIES
  • • 0-7
  • • 9 Unknown
  • GUIDELINES: Enter the number that represents the client’s alcohol use per week.
  • FIELD NUMBER: T16
  • FIELD LENGTH: 1
  • FIELD TYPE: NUMERIC
  • FORMAT: X
  • VARIABLE NAME: HOW MANY DRINKS PER DAY DID THE CLIENT DRINK: PREVIOUS 30 DAYS

  • DESCRIPTION: Specifies the average number of drinks per day the client drank an alcoholic beverage in the previous 30 days
  • VALID ENTRIES
  • • 0-25
  • • 97 Unknown
  • GUIDELINES: Enter the number that represents the client’s alcohol use per day.
  • FIELD NUMBER: T17
  • FIELD LENGTH: 2
  • FIELD TYPE: NUMERIC
  • FORMAT: XX
  • VARIABLE NAME: TOTAL NUMBER OF ALCOHOL DRINKS ON A GIVEN OCCASION: PREVIOUS 30 DAYS

  • DESCRIPTION: Specifies the maximum number of alcohol drinks on a given occasion in the previous 30 days
  • VALID ENTRIES
  • • 0-25
  • • 97 Unknown
  • GUIDELINES: Enter the number that represents the client’s alcohol use per day.
  • FIELD NUMBER: T18
  • FIELD LENGTH: 2
  • FIELD TYPE: NUMERIC
  • FORMAT: XX
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