BEHAVIORAL HEALTH DATA SYSTEM Data Guide VERSION: 2.1 PUBLISH DATE: 2/23/2017 APPROVE DATE: 2/23/2017 EFFECTIVE DATE: 04/01/2017 LAST UPDATED: 2/23/2017 BHDS Data Guide Return to Table of Contents Contents Data Guide Overview: ................................................................................................................................... 6 Overview ............................................................................................................................................... 6 Terminology Guide ................................................................................................................................ 6 Use Guide .............................................................................................................................................. 7 General Considerations of Dictionary ........................................................................................................... 9 Reporting Organization ......................................................................................................................... 9 Service Episodes .................................................................................................................................... 9 Data File Format .................................................................................................................................... 9 Blanks/Unknowns ................................................................................................................................. 9 Add/Change Status ............................................................................................................................... 9 Special Characters ................................................................................................................................. 9 Appendices ............................................................................................................................................ 9 Transaction Definitions ................................................................................................................................ 10 Summary of Transactions ....................................................................................................................... 10 Header 000.01 ........................................................................................................................................ 16 Cascade Delete – 131.03........................................................................................................................ 17 Cascade Merge – 130.03 ........................................................................................................................ 18 Client Demographics – 020.07 ................................................................................................................ 19 Client Address – 022.02 .......................................................................................................................... 21 Client Profile – 035.09 ............................................................................................................................. 22 Program Identification – 060.05 .............................................................................................................. 24 Co-occurring Disorder – 121.04 .............................................................................................................. 25 Authorization – 023.02 ............................................................................................................................ 27 ASAM Placement – 030.02 ..................................................................................................................... 28 DMHP Investigation – 160.04 ................................................................................................................. 29 ITA Hearing – 162.04 .............................................................................................................................. 32 Service Episode – 170.05 ....................................................................................................................... 33 Substance Use – 036.03 ......................................................................................................................... 35 Data Element Definitions ............................................................................................................................. 37 Identifiers ..................................................................................................................................................... 38 BHO ID .................................................................................................................................................... 38 Client ID................................................................................................................................................... 39 Provider NPI ............................................................................................................................................ 40 Batch Number ......................................................................................................................................... 41 Batch Date............................................................................................................................................... 42 Cascade Merge ........................................................................................................................................... 43 Effective: Behavioral Health Data Consolidation 2 4/1/2017 BHDS Data Guide Return to Table of Contents Referenced Client ID ............................................................................................................................... 43 Common Transaction Elements: ................................................................................................................. 44 Effective Date .......................................................................................................................................... 44 Source Tracking ID ................................................................................................................................. 45 Client Demographics 020.07 ....................................................................................................................... 46 First Name ............................................................................................................................................... 46 Middle Name ........................................................................................................................................... 47 Last Name ............................................................................................................................................... 48 Alternate Last Name ............................................................................................................................... 49 Social Security Number ........................................................................................................................... 50 Birthdate .................................................................................................................................................. 51 Gender .................................................................................................................................................... 52 Hispanic Origin ........................................................................................................................................ 53 Primary Language ................................................................................................................................... 54 Races(s) .................................................................................................................................................. 55 Sexual Orientation ................................................................................................................................... 57 Client Address 022.02 ................................................................................................................................. 59 Address Line 1 ........................................................................................................................................ 59 Address Line 2 ........................................................................................................................................ 60 City .......................................................................................................................................................... 61 County ..................................................................................................................................................... 62 State ........................................................................................................................................................ 64 Zip Code .................................................................................................................................................. 66 Client Profile 035.09 .................................................................................................................................... 67 Profile Record Key .................................................................................................................................