Mental Health Information System (MHIS) Manual
Page Posted: 06/02/14 | Page Reviewed: 8/22/2022 | Page Updated: 8/12/2019 |
6.1.2. Text File Record Layout – Mobile Crisis
The succeeding pages provide the client-level text file record layout for crisis records. All records reported using this layout require a Current Mental Health Program/Treatment = Crisis Assessment (23), Crisis Intervention (24), or Crisis Stabilization (25).
Batch templates for current text file layouts can be found at https://mn.gov/dhs/partners-and-providers/policies-procedures/adult-mental-health/mhis-technical-assistance/
Crisis Client Level Data Record Fields Layout (mobile crisis specific)
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 | H1 | H(39) | Identifies the provider, reporting year and period (06 for January–June or 12 for July–December). YYYY_Timeperiod,NPI,Zip,Taxonomy Example: 2019_06, 1234567891,123456789,1234567891 |
CLIENT-LEVEL DATA RECORD FIELDS LAYOUT |
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 |
Reason Grant Funded | CR5 | X(1) | Identify the reason why grant funding was used for all or part of the payment source. |
PMI | CR6 | X(8) | Unique MHCP identifier of the client – leads with zero |
AMH ID | CR7 | X(9) | Unique AMH identifier of the client |
SMI | CR8 | X(8) | Unique SMI 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 | CR14 | X(1) | Identifies the gender of the client |
Race | CR15 | X(5) | Identifies the race of the client |
Ethnicity | CR16 | X(1) | Identifies whether the client is of Hispanic origin or not |
County of Residence | CR17 | X(3) | Identifies the county the client resides |
Reside on Reservation | CR18 | X(2) | Identifies the reservation the client resides |
Location of initial face-to-face | X1 | X(2) | Client’s location of initial face- to-face assessment |
Primary reason for Intervention assessment | X2 | X(1) | Specifies the client’s primary reason for intervention |
Secondary reason for Intervention assessment | X3 | X(1) | Secondary reason for Intervention assessment (optional) |
Disposition at the end of Crisis Episode | X4 | X(2) | Client’s disposition at the end of the current crisis episode (excluding referrals). |
Psychiatric Advance Directive | X5 | X(1) | Did the client have a psychiatric advance directive prior to receiving services |
Psychiatric Advance Directive assistance | X6 | X(1) | Was the client offered assistance to develop a psychiatric advance directive? |
Client Referral | X7 | X(1) | Does client need a referral to other services? |
Crisis Referral to Assessment Time | X8 | 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. |
Initial Crisis referral Source | X9 | X(1) | Specifies the source from which the client was initially referred to crisis services. |
School District | X10 | X(7) | If assessment was done at a school, enter the school district. |
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. |
Grant Type | X16 | X(5) | Specify grant type(s) paying for services on the client record. |
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