| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 9002011.65 | MHSS SUICIDE FORMS | Mental Health Social Services |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | CASE # | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .02 | LOCAL CASE # | 0;2 | FREE TEXT |
|
| .03 | PROVIDER | 0;3 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
|
| .031 | PROVIDER INITIALS | COMPUTED |
|
|
| .032 | PROVIDER DISCIPLINE | COMPUTED |
|
|
| .033 | PROVIDER DISCIPLINE CODE | COMPUTED |
|
|
| .04 | PATIENT | 0;4 | POINTER TO PATIENT FILE (#9000001) | ************************REQUIRED FIELD************************ PATIENT(#9000001)
|
| .041 | SEX OF PATIENT | COMPUTED |
|
|
| .042 | DOB OF PATIENT | COMPUTED DATE |
|
|
| .043 | AGE OF PATIENT ON DATE OF ACT | COMPUTED |
|
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| .044 | TRIBE OF ENROLLMENT | COMPUTED |
|
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| .045 | COMMUNITY OF RESIDENCE | COMPUTED |
|
|
| .05 | EMPLOYMENT STATUS | 0;5 | SET |
|
| .06 | DATE OF ACT | 0;6 | DATE | ************************REQUIRED FIELD************************
|
| .07 | COMMUNITY WHERE ACT OCCURRED | 0;7 | POINTER TO COMMUNITY FILE (#9999999.05) | COMMUNITY(#9999999.05)
|
| .08 | RELATIONSHIP STATUS | 0;8 | SET |
|
| .09 | *RELATIONSHIP IF OTHER CHECKED | 0;9 | FREE TEXT |
|
| .11 | EDUCATION LEVEL | 0;11 | SET |
|
| .12 | IF LESS 12 YRS HIGHEST GRADE | 0;12 | NUMBER |
|
| .13 | SUICIDAL BEHAVIOR | 0;13 | SET |
|
| .131 | SUICIDE BEHAVIOR | COMPUTED |
|
|
| .14 | PREVIOUS ATTEMPTS | 0;14 | SET |
|
| .15 | LOCATION OF ACT | 0;15 | SET |
|
| .16 | *INTERVENTION | 0;16 | SET |
|
| .17 | *INTERVENTION (COMPLETED) | 0;17 | SET |
|
| .18 | DATE CREATED | 0;18 | DATE |
|
| .19 | USER WHO CREATED | 0;19 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .21 | DATE LAST MODIFIED | 0;21 | DATE |
|
| .22 | USER LAST MODIFIED | 0;22 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .23 | DATE EXPORTED | 0;23 | DATE |
|
| .24 | LETHALITY | 0;24 | SET |
|
| .25 | DISPOSITION | 0;25 | POINTER TO MHSS SUICIDE DISPOSITION TYPES FILE (#9002014.6) | MHSS SUICIDE DISPOSITION TYPES(#9002014.6)
|
| .26 | SUBSTANCE INVOLVED | 0;26 | SET |
|
| .27 | DATE/TIME LAST MODIFIED | 0;27 | DATE |
|
| .28 | LOGGED ON FACILITY | 0;28 | POINTER TO LOCATION FILE (#9999999.06) | LOCATION(#9999999.06)
|
| 1101 | METHOD | 11;0 | SET Multiple #9002011.6511 | 9002011.6511 |
| 1201 | *SUBSTANCE INVOLVED | 12;0 | SET Multiple #9002011.6512 | 9002011.6512
|
| 1301 | CONTRIBUTING FACTORS | 13;0 | POINTER Multiple #9002011.6513 | 9002011.6513 |
| 1401 | LOCATION OF ACT IF OTHER | 14;1 | FREE TEXT |
|
| 1402 | DISPOSITION IF OTHER | 14;2 | FREE TEXT |
|
| 1501 | SUBSTANCE DRUGS | 15;0 | POINTER Multiple #9002011.651501 | 9002011.651501 |
| 4100 | OTHER RELEVANT INFORMATION | 41;0 | WORD-PROCESSING #9002011.6541 |
|
| 5100 | LOG OF EDITING | 51;0 | DATE Multiple #9002011.6551 | 9002011.6551 |
| 9901 | PATCH 4 CONVERSION DONE | 99;1 | SET |
|