Mental Health Information System (MHIS) Manual

Page Posted: 06/02/14

Page Reviewed: 8/22/2022

Page Updated: 8/12/2019

5.1.7 Health Indicators

VARIABLE NAME: Health Indicator Optional Data

DESCRIPTION: Identifies that the provider is completing the Health Indicator fields.

VALID ENTRIES:

[1] Yes

Data value [1] is required for ACT. Option to leave this field null for all other program/treatment selections.

GUIDELINES:

· Required reporting for ACT providers

· ACT providers report [1] Yes

· Optional provider types enter [1] Yes if you intend to report on Health Indicator fields, 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.

[01/01/1900] Unknown

GUIDELINES:

· If a Physical Exam date does not exist or is over two years old enter 01/01/1900.

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.

[01/01/1900] Unknown

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.

[01/01/1900] Unknown

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 in mmHg

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 in mmHg

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.

[01/01/1900] Unknown

GUIDELINES:

· Most recent date the client’s LDL was measured. If it was not measured, 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.

[01/01/1900] Unknown

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 or equal to 7

[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.

[01/01/1900] Unknown

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.

[01/01/1900] Unknown

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 average 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 average 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