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Minnesota Department of Human Services Mental Health Information System (MHIS) Manual
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Page Posted: 04/08/2016

Page Reviewed and Updated: 6/3/2016

Link to 5.2.3 Text File Record Layout PDF

5.2.3. Crisis Text File Record Layout

The succeeding pages provide the client-level text file record layout for crisis records. Records reported using this layout all need to have a Current Mental Health Program/Treatment = Crisis Assessment (23), Crisis Intervention (24), or Crisis Stabilization (25).

Table 7: Crisis Client-Level Data Record Fields Layout

HEADER RECORD: Only one header record is reported per data file and should be submitted along with the rest of the client record.

FIELD NAME

FIELD #

FORMAT

BRIEF DESCRIPTION

Provider reporting period

HC1

H(39)

Identifies the provider, reporting year and period (06 for January–June or 12 for July–December). YYYY_Timeperiod,NPI,Zip,Taxonomy Example: 2016_06, 1234567891,123456789,1234567891

CLIENT-LEVEL DATA RECORD FIELDS - REQUIRED FOR EACH CLIENT RECORD

FIELD NAME

FIELD #

FORMAT

BRIEF DESCRIPTION

NPI/UMPI

CR1

X(10)

Unique identifier of the provider

Zip-code

CR2

X(9)

Program location zip + 4 code

Taxonomy

CR3

X(10)

Taxonomy codes distinguish providers hierarchically, by type, classification, and specialization

Payment Source

CR4

X(1)

Identify the public payment source for treatment services

Grant Funding Reason

CR5

X(1)

Identify the reason why grant funding was used for all or part of the payment source.

PMIN

CR6

X(8)

Unique MHCP identifier of the client – leads with zero

SMI Number

CR7

X(9)

Unique SMI identifier of the client

AMH ID

CR8

X(8)

Unique AMH identifier of the client

Date of Birth

CR9

X(10)

Identifies the date the client was born

Client Status

CR10

X(2)

Indicates the client’s status at the time of reporting

Start Date

CR11

X(10)

Identifies the date the client started services

End Date

CR12

X(10)

Identifies the date of the client completed treatment or last day client received services

Program/Treatment

CR13

X(6)

Indicates the type of mobile crisis program(s) from which the client received services throughout the reporting period (Codes 23, 24, or 25)

Gender

CR15

X(1)

Identifies the gender of the client

Race

CR16

X(5)

Identifies the race of the client

Ethnicity

CR17

X(1)

Identifies whether the client is of Hispanic origin or not

County of Residence

CR18

X(3)

Identifies the county the client resides

Reside on Reservation

CR19

X(2)

Identifies the reservation the client resides

CRISIS RECORD- REQUIRED FOR EACH CLIENT WHO RECEIVED CRISIS SERVICES

FIELD NAME

FIELD #

FORMAT

BRIEF DESCRIPTION

Primary reason for Intervention assessment

X1

X(1)

Specifies the client’s primary reason for intervention

Secondary reason for Intervention assessment

X2

X(1)

Secondary reason for Intervention assessment (optional)

Initial Crisis Referral Source

X3

X(2)

The source from which the client was initially referred to crisis services

Location of initial face-to-face

X4

X(2)

Client’s location of initial face- to-face assessment

School District

X5

X(10)

If assessment was done at a school, enter the school district.

Crisis Referral to Assessment Time

X6

X(1)

Time interval between when the Initial Crisis Referral source referred client to crisis services and the time the face-to-face assessment occurred.

Disposition at the end of Crisis Episode

X7

X(2)

Client’s disposition at the end of the current crisis episode (excluding referrals).

Psychiatric Advance Directive

X8

X(1)

Did the client have a psychiatric advance directive prior to receiving services

Psychiatric Advance Directive assistance

X9

X(1)

Was the client offered assistance to develop a psychiatric advance directive?

Client Referral

X10

X(1)

Does client need a referral to other services?

Services client referred to (1)

X11

X(2)

Specify up to 5 services for which client received an assisted referral.

Services client referred to (2)

X12

X(2)

Specify up to 5 services for which client received an assisted referral.

Services client referred to (3)

X13

X(2)

Specify up to 5 services for which client received an assisted referral.

Services client referred to (4)

X14

X(2)

Specify up to 5 services for which client received an assisted referral.

Services client referred to (5)

X15

X(2)

Specify up to 5 services for which client received an assisted referral.

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