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 |
|
|
.044 | TRIBE OF ENROLLMENT | COMPUTED |
|
|
.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 |
|