FileMan FileNo | FileMan Filename | Package |
---|---|---|
9002011.11 | MHSS RECORD NAVAJO REFERRAL FORM | Mental Health Social Services |
Package | Total | Routines |
---|---|---|
Mental Health Social Services | 2 | AMHNAVR AMHNAVRP |
Local Area Programs | 1 | AZAXDPM1 |
Package | Total | Routines |
---|---|---|
Mental Health Social Services | 1 | AMHNAVR |
Package | Total | FileMan Files |
---|---|---|
Mental Health Social Services | 2 | MHSS RECORD(#9002011)[.03] MHSS NAVAJO REF CONTENT(#9002013.1)[#9002011.1145(.01)] |
IHS Patient | 1 | PATIENT(#9000001)[.02] |
Kernel | 1 | NEW PERSON(#200)[.06] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE OF REFERRAL | 0;1 | DATE | ************************REQUIRED FIELD************************
|
.02 | PATIENT NAME | 0;2 | POINTER TO PATIENT FILE (#9000001) | ************************REQUIRED FIELD************************ PATIENT(#9000001)
|
.03 | MHSS RECORD | 0;3 | POINTER TO MHSS RECORD FILE (#9002011) | ************************REQUIRED FIELD************************ MHSS RECORD(#9002011)
|
.04 | ACCEPTING FACILITY | 0;4 | FREE TEXT |
|
.05 | ACCEPTING PHYSICIAN | 0;5 | FREE TEXT |
|
.06 | CONTRACT CARE APPROVED BY | 0;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
.07 | TRANSPORTATION TO FACILTY BY | 0;7 | FREE TEXT |
|
.08 | CATEGORY | 0;8 | FREE TEXT |
|
.09 | REASON FOR REFERRAL | 0;9 | FREE TEXT |
|
.11 | PATIENT MEDICALLY CLEARED | 0;11 | SET |
|
2201 | APPEARANCE | 22;1 | SET |
|
2203 | EYE CONTACT | 22;3 | SET |
|
2204 | ORIENTATION - TIME | 22;4 | SET |
|
2205 | ORIENTATION - PLACE | 22;5 | SET |
|
2206 | ORIENTATION - PERSON | 22;6 | SET |
|
2207 | ORIENTATION - SITUATION | 22;7 | SET |
|
2208 | CONCENTRATION | 22;8 | SET |
|
2210 | SPEECH | 22;10 | SET |
|
2211 | AFFECT | 22;11 | SET |
|
2212 | THOUGHT PROCESS | 22;12 | SET |
|
2213 | PERCEPTION | 22;13 | SET |
|
2214 | MEMORY RECENT | 22;14 | SET |
|
2215 | MEMORY REMOTE | 22;15 | SET |
|
2216 | JUDGMENT | 22;16 | SET |
|
2217 | INSIGHT | 22;17 | SET |
|
2218 | IMPULSE CONTROL | 22;18 | SET |
|
2219 | SUICIDE RISK CURRENT | 22;19 | SET |
|
2220 | SUICIDE CURRENT PLAN | 22;20 | SET |
|
2221 | SUICIDE PRIOR ATTEMPTS | 22;21 | SET |
|
2222 | HARM TO OTHERS CURRENT | 22;22 | SET |
|
2223 | HARM TO OTHERS RECENT | 22;23 | SET |
|
2224 | HARM TO OTHERS PRIOR | 22;24 | SET |
|
2225 | HARM TO OTHERS CURRENT PLAN | 22;25 | SET |
|
2226 | HARM TO OTHER PRIOR ATTEMPTS | 22;26 | SET |
|
2227 | ACCEPTING FACILITY PHONE | 22;30 | FREE TEXT |
|
4101 | ATTITUDE TOWARD EXAMINER | 41;0 | SET Multiple #9002011.1141 | 9002011.1141 |
4201 | MOTOR ACTIVITY | 42;0 | SET Multiple #9002011.1142 | 9002011.1142 |
4301 | SPEECH | 43;0 | SET Multiple #9002011.1143 | 9002011.1143 |
4401 | MOOD | 44;0 | SET Multiple #9002011.1144 | 9002011.1144 |
4501 | CONTENT | 45;0 | POINTER Multiple #9002011.1145 | 9002011.1145 |
8100 | HISTORY OF PRESENTING PROBLEM | 81;0 | WORD-PROCESSING #9002011.1181 | |
8200 | CURRENT MEDICATIONS | 82;0 | WORD-PROCESSING #9002011.1182 | |
8300 | PAT/FAMILY PSYCHIATRIC HX | 83;0 | WORD-PROCESSING #9002011.1183 | |
8400 | CURRENT MEDICAL PROBLEMS | 84;0 | WORD-PROCESSING #9002011.1184 | |
8500 | AXIS I | 85;0 | WORD-PROCESSING #9002011.1185 | |
8600 | AXIS II | 86;0 | WORD-PROCESSING #9002011.1186 | |
8700 | AXIS III | 87;0 | WORD-PROCESSING #9002011.1187 | |
8800 | TX REQUESTS/RECOMMENDATIONS | 88;0 | WORD-PROCESSING #9002011.1188 |