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REPORT CROSSWALK TO STATE
27-DEC-16 09:05Report Date :
Run by :
Report :
CWMS_PROXY
Filename :
Crosswalk Management System
CWMS_PROXY
Crosswalk Report
Page 2 of 62
Status : FN
Start Date : 01-JUL-10End Date :
Follow-up :
Media ID : Central Data Repository - CDR-MS
MississippiSystem
K
1
2
3
System Transaction Type
State Code
Reporting Date
1
2
3
4
9
-
Add Admissions Records
Add Transfer Records
Change Record (correction)
Change Record (update)
Delete
MS
Add
Add
Change
Change
Delete
State Postal Abbreviation
RCD_TRANS
FIPS State Code
RCD_TRANS
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Substance Abuse and Mental Health Services AdministrationCenter for Behavioral Health Statistics and Quality
Central Data Repository/CDRVersion : 1
A
A
C
C
D
-
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 3 of 62
MississippiMinimum
K
K
K
K
K
K
1
2
3
4
5
5
State Provider Identifer
Client Identifer (Admission)
Co-Dependent/Collateral
Client Transaction Type
Date of Admission
Date of Admission
1
2
3
1
2
-
Primary
Collateral
Unregistered
Add Admissions Records
Add Transfer Records
YYYYMMDD
No
Yes
No
Admission (SA)
Transfer/Change in Service (SA)
mmddyyyy
ORG_CODE
STATE_ID
ADM_TYPE
RCD_TRANS
ENTSA_DATE
ADM_TYPE
-
-
-
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2
1
2
A
T
m/d/y
No longer effective as of: 06-21-2016
1-15 Characters
Client Id is assigned by each provider, once the client is submitted to the CDR we perform an algorithm to determine if the client has been submitted to the CDR before. If they have we apply the existing state id, if not we assign a new state id. Both IDs can be to 9 numbers. Thestate id number are generated by the CDR sequentially.
YYYYMMDD
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 4 of 62
MississippiMinimum
6 Prior Treatment Episodes
0
1
2
3
4
5
8
None
1 previous episode
2 previous episodes
3 previous episodes
4 previous episodes
5 or more previous episodes
Unknown
0 Previous Episodes
1 Previous Episodes
2 Previous Episodes
3 Previous Episodes
4 Previous Episodes
5 Or More Previous Episodes
Unknown
NUM_PRIOR - SA History-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
0
1
2
3
4
5
7
CWMS_PROXY
Crosswalk Report
Page 5 of 62
MississippiMinimum
7 Principal Source of Referral
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
DMH Psychiatric Hospital
Other MS CMHC
DMH MR Facility
Private Psychiatric Hospital
Other MH Care Provider
Other MR Care Provider
Other A&D Care Provider
General Hospital/Other Healthcare Provider
Self
Family Friend
School/Educational Agency
Employer/EAP
Police/Sheriff
Court/Correctional Facility
Probation/Parole
Self Help Program
Vocational Rehabilitation/Job Placement
Nursing Home (non-DMH)
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Alcohol/Drug Abuse Provider
Other Health Care Provider
Individual (includes self-referral))
Individual (includes self-referral))
School (Educational)
Employer/Employer Assistance ProgramEAP
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Community Referral
Other Community Referral
Other Community Referral
ADM_REFER-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
03
03
03
03
03
02
03
01
01
04
05
07
07
07
06
06
06
CWMS_PROXY
Crosswalk Report
Page 6 of 62
MississippiMinimum
7 Principal Source of Referral
19
20
21
97
98
99
Boarding Home
Group Home (non-DMH)
Other Social Services Agency
Other
Unknown
None
Other Community Referral
Other Community Referral
Other Health Care Provider
Unknown
Unknown
Unknown
ADM_REFER-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
06
06
03
97
97
97
CWMS_PROXY
Crosswalk Report
Page 7 of 62
MississippiMinimum
7 Principal Source of Referral
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
DMH Psychiatric Hospital
Other MS CMHC
DMH MR Facility
Private Psychiatric Hospital
Other MH Care Provider
Other MR Care Provider
Other A&D Care Provider
General Hospital/Other Healthcare Provider
Self
Family Friend
School/Educational Agency
Employer/EAP
Police/Sheriff
Court/Correctional Facility
Probation/Parole
Self Help Program
Vocational Rehabilitation/Job Placement
Nursing Home (non-DMH)
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Alcohol/Drug Abuse Provider
Other Health Care Provider
Individual (includes self-referral))
Individual (includes self-referral))
School (Educational)
Employer/Employer Assistance ProgramEAP
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Community Referral
Other Community Referral
Other Community Referral
ADM_REFER-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
03
03
03
03
03
02
03
01
01
04
05
07
07
07
06
06
06
CWMS_PROXY
Crosswalk Report
Page 8 of 62
MississippiMinimum
7
8
9
Principal Source of Referral
Date of Birth
Gender
19
20
21
97
98
99
F
M
U
Boarding Home
Group Home (non-DMH)
Other Social Services Agency
Other
Unknown
None
Female
Male
Unknown
Other Community Referral
Other Community Referral
Other Community Referral
Unknown
Unknown
Unknown
Female
Male
Unknown
ADM_REFER
BIRTH_DATE
SEX
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
06
06
06
97
97
97
2
1
7
No longer effective as of: 06-21-2016
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 9 of 62
MississippiMinimum
10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
A
B
I
K
M
O
P
U
W
Asian
Black/African American
American Indian
Alaskan Native (Aleut, Eskimo, Indian)
Multiple Races
Other
Native Hawaiian or other Pacific Islander
Unknown
White/Caucasian
Asian
Black or African American
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Alaska Native (Aleut, Eskimo, Indian)
Two or More Races
Other Single Race
Native Hawaiians or Other Pacific Islanders
Unknown
White
RACE-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
13
04
02
01
21
20
23
97
05
CWMS_PROXY
Crosswalk Report
Page 10 of 62
MississippiMinimum
10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
A
B
I
K
M
N/A
P
U
W
Asian
Black/African American
American Indian
Alaskan Native (Aleut, Eskimo, Indian)
Multiple Races
Not an option in our system
Native Hawaiian or other Pacific Islander
Unknown
White/Caucasian
Asian
Black or African American
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Alaska Native (Aleut, Eskimo, Indian)
Two or More Races
Other Single Race
Native Hawaiians or Other Pacific Islanders
Unknown
White
RACE-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
13
04
02
01
21
20
23
97
05
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 11 of 62
MississippiMinimum
11
11
Hispanic or Latino Origin ( Ethnicity)
Hispanic or Latino Origin ( Ethnicity)
C
M
N
O
P
U
U
C
M
N
N/A
O
P
U
Cuban
Mexican
Not of Hispanic origin
Other Hispanic
Puerto Rican
Unknown
Unknown
Cuban
Mexican
Not of Hispanic origin
Not an option in our system
Other Hispanic
Puerto Rican
Unknown
Cuban
Mexican
Not of Hispanic or Latino Origin
Other Specific Hispanic
Puerto Rican
Unknown
Hispanic or Latino - Specific Origin not Specified
Cuban
Mexican
Not of Hispanic or Latino Origin
Other Specific Hispanic
Hispanic or Latino - Specific Origin not Specified
Puerto Rican
Unknown
HISPANIC
HISPANIC
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
02
05
04
01
97
06
03
02
05
04
06
01
97
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 12 of 62
MississippiMinimum
12 Education
01-12
13
14
15
16
17
18
19
51
52
98
99
First Grade - Twelfth Grade
GED
Technical/Trade School
Some College
Associates
Bachelors Degree
Masters Degree
PHD
Preschool/Kindergarten
Special Education
Unknown
Never attended school
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Less Than One Grade Completed
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Unknown
Less Than One Grade Completed
Education-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01-25
01-25
01-25
01-25
01-25
01-25
01-25
01-25
00
01-25
97
00
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 13 of 62
MississippiMinimum
12 Education
01-12
01-12
01-12
01-12
01-12
01-12
01-12
01-12
01-12
01-12
01-12
01-12
13
14
15
16
17
18
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
First Grade - Twelfth Grade
GED
Technical/Trade School
Some College
Associates
Bachelors Degree
Masters Degree
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
12th Grade or GED
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 6
12th Grade or GED
Vocational school - business, technical,secretarial, trade or correspondence
1st year of College/Iniversity (Freshman)
2nd year of College/Iniversity (Sophomore)
4th year of College/Iniversity (Senior) or Bachelor's Degree)
Master's Degree Completed
Education-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
12
07
08
09
10
11
06
12
71
13
14
16
18
CWMS_PROXY
Crosswalk Report
Page 14 of 62
MississippiMinimum
12 Education
19
51
52
98
99
PHD
Preschool/Kindergarten
Special Education
Unknown
Never attended school
Graduate or Professional school - medical, law - includes Master's and Doctorate
Kindergarten
Self-contained special education class
Unknown
Less Than One Grade Completed
Education-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
70
73
74
97
00
CWMS_PROXY
Crosswalk Report
Page 15 of 62
MississippiMinimum
13 Employment Status
01
02
03
04
05
06
07
08
09
10
11
97
98
Employed full time - (35+ hrs week)
Employed - part time
Employed - active military duty
Seasonal/migrant worker
Unemployed - seeking work
Unemployed - not seeking work
Homemaker
Student under 17
Retired
DIsabled
Correctional inmate
Other
Unknown
Full Time - works 35 or more hours a week- includes military
Part Time - works less tahn 35 hours per week
Full Time - works 35 or more hours a week- includes military
Part Time - works less tahn 35 hours per week
Unemployed - looking for work in past 30 days or on layoff from job
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Not Collected
EMPLOYMENT/DIS_EMP-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
01
02
03
04
04
04
04
04
04
97
98
CWMS_PROXY
Crosswalk Report
Page 16 of 62
MississippiMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
None
Alcohol
Cocaine/Crack
Marijuana/Hashish
Heroin
Non-perscriprtion Methadone
Other Opiates and Synthetics
PCP-phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepine
Other non Benzodiazepine Tranquilizers
Barbiturates
Other Sedatives or hyponotics
Inhalants
None
Alcohol
Cocaine, Crack
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Heroin
Non-Prescription Methadone
Other Opiates and Synthetics
PCP
Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepines
Other Non-Benzodiazapine Tranquilizers
Barbiturates
Other Non-Barbituate Sedatives or Hypnotics
Inhalants
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
CWMS_PROXY
Crosswalk Report
Page 17 of 62
MississippiMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
18
20
98
99
Over the counter
Other Drugs
Unknown
Not Available
Over-the-Counter
Other
Unknown
Unknown
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
18
20
97
97
CWMS_PROXY
Crosswalk Report
Page 18 of 62
MississippiMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
None
Alcohol
Cocaine/Crack
Marijuana/Hashish
Heroin
Non-perscriprtion Methadone
Other Opiates and Synthetics
PCP-phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepine
Other non Benzodiazepine Tranquilizers
Barbiturates
Other Sedatives or hyponotics
Inhalants
None
Alcohol
Cocaine, Crack
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Heroin
Non-Prescription Methadone
Other Opiates and Synthetics
PCP
Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepines
Other Non-Benzodiazapine Tranquilizers
Barbiturates
Other Non-Barbituate Sedatives or Hypnotics
Inhalants
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
CWMS_PROXY
Crosswalk Report
Page 19 of 62
MississippiMinimum
14
15
Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)
18
97
98
99
1
2
3
4
5
7
8
9
Over the counter
Other
Unknown
Not Available
Oral
Smoking
Inhalation
Injection
Suppositories
Other
UNknown
Not Available
Over-the-Counter
Other
Unknown
Unknown
Oral
Smoking
Inhalation
Injection (IV or intramuscular, intradermal or subcutaneous)
Other
Other
Unknown
Not Applicable
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
RT_ADMIN_1,RT_ADMIN_2,RT_ADMIN_3
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
18
20
97
97
01
02
03
04
20
20
97
96
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 20 of 62
MississippiMinimum
16
17
Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)
Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)
1
2
3
4
5
6
7
8
9
00
01-95
96
98
No use in past month
1-3 times in past month
1-2 times/wk past month
3-6 times/wk past month
Daily past month
2-3 times daily past month
3+ times daily past month
Unknown
Not applicable
Newborn with substance dependency problem
Age of first use
Not Applicable
Unknown
No use in the past month
1-3 times in past month
1-2 times per week
3-6 times per week
Daily
Daily
Daily
Unknown
Not Applicable
Newborn with a substance dependecy problem
Age at First Use, in years
Not Applicable
Unknown
FREQ_USE_1,FREQ_USE_2,FREQ_USE_3/EXIT_FREQ_1,EXIT_FREQ_2,EXIT_FREQ_3
FIRST_USE_1,FIRST_USE_2,FIRST_USE_3,
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
05
05
97
96
00
01-95
96
97
CWMS_PROXY
Crosswalk Report
Page 21 of 62
MississippiMinimum
K 18 Type of Services
-
-
110
111
112
161
206
207
309
313
402
404
406
416
417
418
419
420
Not an option in our system
Not an option in our system
Crisis Stablization Services
Chemical dependency unit
(MICA)
Community Hospital
Primary Residential Treatment
Teansitional REsidential treatment
Theraputic Day Treatment
Acute Parial Hospitalization
Family Therapy
Evaluation Only
Medication Evaluation & Monitoring
Intake/Biopsycho-social Assesment
Treatment Plan Review
Multi-family Group Therapy
Peer Support
Intensive Outpatient (supercedes 405)
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Rehabilitation/Residential - Hospital (other thandetox)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
02
03
01
01
01
01
04
05
07
07
07
07
07
07
07
07
07
06
CWMS_PROXY
Crosswalk Report
Page 22 of 62
MississippiMinimum
K 18 Type of Services
424
426
427
428
501
503
509
510
602
603
604
704
706
801
802
809
Integrated Treatment for Co-Occuring Disorder
Individual Therapy ( supercedes 401)
Group Therapy ( supercedes 403)
Nursing Assessment ( supercedes 407)
Case Management
Aftercare- substance abuse
Community Support Services
Targeted Case Management
Mobile Crisis Services
Telephone Emergency/Crisis Response Service
Walk-In Emergency/Crisis Response Service
Alcohol & Drug Prevention
DUI
Staffing - No Treatment Plan Review
No Shows/Cancellations
Urine Drug Screens
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
CWMS_PROXY
Crosswalk Report
Page 23 of 62
MississippiMinimum
K 18 Type of Services
-
-
110
111
112
206
207
309
402
404
406
415
416
417
418
420
424
426
Not an option in our system
Not an option in our system
Crisis Stablization Services
Chemical dependency unit
(MICA)
Primary Residential Treatment
Teansitional REsidential treatment
Theraputic Day Treatment
Family Therapy
Evaluation Only
Medication Evaluation & Monitoring
Crisis Intervention
Intake/Biopsycho-social Assesment
Treatment Plan Review
Multi-family Group Therapy
Intensive Outpatient (supercedes 405)
Integrated Treatment for Co-Occuring Disorder
Individual Therapy ( supercedes 401)
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Rehabilitation/Residential - Hospital (other thandetox)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
02
03
01
01
01
04
05
07
07
07
07
07
07
07
07
06
07
07
CWMS_PROXY
Crosswalk Report
Page 24 of 62
MississippiMinimum
K 18
19
Type of Services
Medication-Assisted Opioid Therapy
427
428
501
502
503
504
505
506
507
601
602
704
804
N
U
Y
Group Therapy ( supercedes 403)
Nursing Assessment ( supercedes 407)
Case Management
Intensive Case Management
Aftercare- substance abuse
MIMS
School Based Services
Individual Therapy Support
Case Management
Emergency Services
Mobile Crisis Services
Alcohol & Drug Prevention
Making a plan (MAP) Team Review meeting
No
Unknown
Yes
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
No
Unknown
Yes
Services File
METHADONE
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
07
07
07
07
07
07
07
07
07
07
07
07
07
2
7
1
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 25 of 62
MississippiSupplementalK = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
CWMS_PROXY
Crosswalk Report
Page 26 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
0201
0301
0302
0401
0501
0601
0701
0702
0703
0704
0705
0706
0707
0708
0709
0801
0901
0902
Alcohol
Crack
Other Cocaine
Marijuana/Hashish
Heroin
Non-prescription Methadone
Codeine
Propoxyphene (Darvon)
Oxycodone (Oxycontin)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Other Opiates or Synthetics
Pentazocine (Talwin)
Hydrocodone (Vicodin)
Tramadol (Ultram)
PCP or PCP Combination
LSD
Other Hallucinogens
Alcohol
Crack
Other Cocaine
Marijuana/Hashish,THC and any other cannabis sativa preparation
Heroine
Non - Prescription Methadone
Codeine
Propoxyphene (Darvon)
Oxycodone (Oxycotin)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Other Opiates or Synthetics
Pentazocine (Talwin)
Hydrocodone (Vicodin)
Tramadol (Ultram)
PCP or PCP Combinations
LSD
DMT, mescaline, peyote,STD and Other Hallucinogens
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
0201
0301
0302
0401
0501
0601
0701
0702
0703
0704
0705
0706
0707
0708
0709
0801
0901
0902
CWMS_PROXY
Crosswalk Report
Page 27 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
1001
1101
1102
1103
1109
1201
1202
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1401
1403
Methamphetamine/Speed
Amphetamine
Methylphenidate
MDMA, Ecstasy
Other Amphetamines
Other Stimulants
Methylphenidate (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Triazolam (Halcion)
Other Benzodiazepine
Flunitrazepam (Rohypnol)
Clonazepam (Klonopin, Rivotril)
Meprobamate (Miltown)
Other Tranquilizer
Methamphetamine/Speed
Amphetamine
Methylphenidate (Ritalin)
Methyleneioxymethampetamine (MDMA, Ecstacy
Other Amphetamines
Other Stimulants
Methylphenidate - (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Triazolam (Halcion)
Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other
Flutirazepram (Rohypnol)
Clonazepam - (Klonopin, Rivotril)
Meprobamate (Miltown)
Other non-benzodiazepineTranquilizer
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
1001
1101
1102
1103
1109
1201
1202
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1401
1403
CWMS_PROXY
Crosswalk Report
Page 28 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
1501
1502
1503
1509
1601
1602
1603
1604
1605
1701
1702
1703
1704
1705
1801
1809
2001
2002
2003
Phenobarbital
Secobarbital/Amobarbital (Tuinal)
Secobarbital (Seconal)
Other Barbiturate Sedatives
Ethchlorvynol (Placidyl)
Glutethimide (Doriden)
Methaqualone
Other Non-Barbiturate Sedatives
Other Sedatives
Aerosols
Nitrites
Other Inhalants
Solvents
Anesthetics
Diphenhydramine
Other Over-the-counter
Diphenylhydantoin/Phenytoin (Dilantin)
Other Drugs
GHB/GBL
Phenobarbital
Secobarbital/Amobarbital (Tuinal)
Secobarbital (Seconal)
Other Barbiturate Sedatives
Ethclorvynol (Placidyl)
Glutethimide (Doriden)
Methaqualone
Other Non-Barbiturate Sedatives
Other Sedatives
Aerosols
Nitrites
Gasoline,glue, and other inapproriately inhaled products
Solvents (paint thinners and other solvents)
Anesthetics (Choloform,ether, nitrous oxzide and other anesthetics)
Diphenhydramine
Other Over-The-Counter
Dephenylhydantoin/Phenytoin (Dilantin)
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
1501
1502
1503
1509
1601
1602
1603
1604
1605
1701
1702
1703
1704
1705
1801
1809
2001
2002
2003
CWMS_PROXY
Crosswalk Report
Page 29 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
2004
9998
9999
Ketamine (Special K)
Unknown
Not available
Ketamine - ( Special K)
Unknown
Not Applicable
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2004
9997
9996
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 30 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
0201
0301
0302
0401
0501
0601
0701
0702
0703
0704
0705
0706
0707
0708
0709
0710
0801
0901
Alcohol
Crack
Other Cocaine
Marijuana/Hashish
Heroin
Non-prescription Methadone
Codeine
Propoxyphene (Darvon)
Oxycodone (Oxycontin)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Other Opiates or Synthetics
Pentazocine (Talwin)
Hydrocodone (Vicodin)
Tramadol (Ultram)
Buprenorphine (Subutex, Suboxone)
PCP or PCP Combination
LSD
Alcohol
Crack
Other Cocaine
Marijuana/Hashish,THC and any other cannabis sativa preparation
Heroine
Non - Prescription Methadone
Codeine
Propoxyphene (Darvon)
Oxycodone (Oxycotin)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Other Opiates or Synthetics
Pentazocine (Talwin)
Hydrocodone (Vicodin)
Tramadol (Ultram)
Buprenorphine (Subutex,Suboxone)
PCP or PCP Combinations
LSD
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
0201
0301
0302
0401
0501
0601
0701
0702
0703
0704
0705
0706
0707
0708
0709
0710
0801
0901
CWMS_PROXY
Crosswalk Report
Page 31 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
0902
1001
1101
1102
1103
1109
1201
1202
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1401
Other Hallucinogens
Methamphetamine/Speed
Amphetamine
Methylphenidate
MDMA, Ecstasy
Other Amphetamines
Other Stimulants
Methylphenidate (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Triazolam (Halcion)
Other Benzodiazepine
Flunitrazepam (Rohypnol)
Clonazepam (Klonopin, Rivotril)
Meprobamate (Miltown)
DMT, mescaline, peyote,STD and Other Hallucinogens
Methamphetamine/Speed
Amphetamine
Methylphenidate (Ritalin)
Methyleneioxymethampetamine (MDMA, Ecstacy
Other Amphetamines
Other Stimulants
Methylphenidate - (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Triazolam (Halcion)
Halazepam,oxazepam(Serax),Prazepam,Temazepam(Restoril) and other
Flutirazepram (Rohypnol)
Clonazepam - (Klonopin, Rivotril)
Meprobamate (Miltown)
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
0902
1001
1101
1102
1103
1109
1201
1202
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1401
CWMS_PROXY
Crosswalk Report
Page 32 of 62
MississippiSupplemental
1 Detail Drug Code, Primary
1403
1501
1502
1503
1509
1601
1602
1603
1604
1701
1702
1703
1704
1705
1801
1809
2001
2002
2003
Other Tranquilizer
Phenobarbital
Secobarbital/Amobarbital (Tuinal)
Secobarbital (Seconal)
Other Barbiturate Sedatives
Ethchlorvynol (Placidyl)
Glutethimide (Doriden)
Methaqualone
Other Non-Barbiturate Sedatives
Aerosols
Nitrites
Other Inhalants
Solvents
Anesthetics
Diphenhydramine
Other Over-the-counter
Diphenylhydantoin/Phenytoin (Dilantin)
Other Drugs
GHB/GBL
Other non-benzodiazepineTranquilizer
Phenobarbital
Secobarbital/Amobarbital (Tuinal)
Secobarbital (Seconal)
Other Barbiturate Sedatives
Ethclorvynol (Placidyl)
Glutethimide (Doriden)
Methaqualone
Other Non-Barbiturate Sedatives
Aerosols
Nitrites
Gasoline,glue, and other inapproriately inhaled products
Solvents (paint thinners and other solvents)
Anesthetics (Choloform,ether, nitrous oxzide and other anesthetics)
Diphenhydramine
Other Over-The-Counter
Dephenylhydantoin/Phenytoin (Dilantin)
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)
DETAIL_1,DETAIL_2,DETAIL_3,~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
1403
1501
1502
1503
1509
1601
1602
1603
1604
1701
1702
1703
1704
1705
1801
1809
2001
2002
2003
CWMS_PROXY
Crosswalk Report
Page 33 of 62
MississippiSupplemental
1
2
3
4
4
Detail Drug Code, Primary
Detail Drug Code, Secondary
Detail Drug Code, Tertiary
Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i
Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i
2004
9998
9999
V7109
xxx.xx
999.98
Ketamine (Special K)
Unknown
Not available
No Diagnosis
DSM Code
Not collected
Ketamine - ( Special K)
Unknown
Not Applicable
Same as Detail Drug Code, Primary
Same as Detail Drug Code, Primary
Unknown
DSM/ICD codes
Not Collected
DETAIL_1,DETAIL_2,DETAIL_3,
DETAIL_1,DETAIL_2,DETAIL_3,
DETAIL_1,DETAIL_2,DETAIL_3,
DSM_1
Not collected
~
~
~
~
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2004
9997
9996
_
_
999.97
XXX.XX
999.98
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 34 of 62
MississippiSupplemental
5
6
6
Psychiatric Problem in Addition to Alcohol or Drug Problem
Pregnant at Admission
Pregnant at Admission
N
U
Y
N
U
X
Y
N
U
Y
No
Unknown
Yes
No
Unknown
Not Applicable
Yes
No
Unknown
Yes
No
Unknown
Yes
No - female client was not pregnant at admission
Unknown
Not Applicable - use this code for male clients or children in prepuberty age
Yes - female client was pregnant at admission
No - female client was not pregnant at admission
Unknown
Yes - female client was pregnant at admission
PSYCHIAT
PREGNANT
PREGNANT
~
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2
7
1
2
7
6
1
2
7
1
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 35 of 62
MississippiSupplemental
7
8
Veteran Status
Living Arrangements
N
U
Y
01
02
03
04
05
06
08
09
10
11
99
No
Unknown
Yes
Private Residence
Other Independent
Homeless Shelter
Institution
Community Program
Correctional Facility
Foster Care
Residential Care
Crisis Residence
Childrens Residential Treatment
Unknown
No
Unknown
Yes
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Unknown
VET_STATUS
RESID_ARR/DIS_RES
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2
7
1
03
03
01
02
02
02
02
02
02
02
97
CWMS_PROXY
Crosswalk Report
Page 36 of 62
MississippiSupplemental
9
10
Source of Income/Support
Health Insurance
1
2
3
4
7
8
9
01
02
03
04
05
97
98
99
Wages/Salary
Public Assisstance
Retirement/Pension
Disability
Other
Unknown
None
Private Insurance
Blue Cross/Blue Shield
Medicare
Medicaid
Health Maintenance Organization (HMO)
Other (E.G. TriCare)
Unknown
None
Wages/Salary
Public Assistance
Retirement/Pension
Disability
Other
Unknown
None
Private Insurance (other than BCBS or HMO)
Blue Cross/Blue Shield
Medicare
Medicaid
Health Maintenance Organization (HMO)
Other (e.g. TriCare)
Unknown
None
INCOME_SRC
INSURAN_1
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
20
97
21
01
02
03
04
06
20
97
21
CWMS_PROXY
Crosswalk Report
Page 37 of 62
MississippiSupplemental
11 Expected/Actual Primary Source of Payment
-
-
-
-
-
-
-
-
-
-
-
-
-
Non-Medicaid
Non-Medicaid
Non-Medicaid
Non-Medicaid
Non-Medicaid
Non-Medicaid
Non-Medicaid
Non-Medicaid
None
Both Medicaid & Non-Medicaid
Not Reported/Unknown
Medicaid
Non-Medicaid
Self-Pay
Blue Cross/Blue Shield
Medicare
Other Government Payments
Other Government Payments
Other Government Payments
Other Health Insurance Companies
Worker's Compensation
No Charge ( Free, Charity, Special Research or Teaching)
Other
Unknown
Medicaid
Other Government Payments
PAYMENT~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
05
05
05
07
06
08
09
97
04
05
CWMS_PROXY
Crosswalk Report
Page 38 of 62
MississippiSupplemental
11 Expected/Actual Primary Source of Payment
01
02
03
04
05
06
07
08
09
10
11
12
97
98
None
Personal Resources
Service Contract
Blue Cross/Blue Shield
TriCare
Other Commercial Insurance
Medicare
Medicaid
VA
Worker's Comp
Other public (government)
CHIP (Children's Health Insurance Program)
Other Source of Payment
Unknown
No Charge ( Free, Charity, Special Research or Teaching)
Self-Pay
Other Government Payments
Blue Cross/Blue Shield
Other Government Payments
Other Health Insurance Companies
Medicare
Medicaid
Other Government Payments
Worker's Compensation
Other Government Payments
Other Government Payments
Other
Unknown
PAYMENT~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
08
01
05
02
05
07
03
04
05
06
05
05
09
97
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 39 of 62
MississippiSupplemental
12
12
Detailed Not in Labor Force
Detailed Not in Labor Force
06
07
08
09
10
11
97
98
01-05
07
08
09
10
11
97
98
Unemployed - not seeking work
Homemaker
Student under 17
Retired
DIsabled
Correctional inmate
Other
Unknown
Employed statuses will be reported as 96 N/A
Homemaker
Student under 17
Retired
DIsabled
Correctional inmate
Other
Unknown
Other
Homemaker
Student
Retired
Disabled
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Other
Unknown
Not Applicable
Homemaker
Student
Retired
Disabled
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Other
Unknown
EMPLOYMENT/DIS_EMP
EMPLOYMENT/DIS_EMP
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
06
01
02
03
04
05
06
97
96
01
02
03
04
05
06
97
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 40 of 62
MississippiSupplemental
13
14
Detailed Criminal Justice Referral Categories
Marital Status
01
02
03
04
05
06
07
97
98
D
M
P
S
U
W
State/Federal Court
Formal Adjudication Process
Probation/Parole
Other Recognized Legal Entity
Diversionary Program
Prison
DUI/DWI
Other
Unknown
Divorced
Married
Separated
Single
Unknown
Widowed
State/Federal Court
Other Court ( Not State or Federal)
Probation/Parole
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Diversionary Program (E.G. TASC)
Prison
DUI/DWI
Other
Unknown
Divorced
Now Married ( includes those living together as married)
Separated (legally seperated or otherwise absentbecasue of marital discord))
Never Married - includes clients who are single or whose
Unknown
Widowed
JUS_REFER
MARITAL
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
06
07
08
97
04
02
03
01
97
05
CWMS_PROXY
Crosswalk Report
Page 41 of 62
MississippiSupplemental
15
16
17
18
19
Days Waiting to Enter Treatment
Number of Arrests in the 30 Days Prior to Admission
Frequency of Attendance at Self-Help Programs in 30 days prior to Admission
Diagnostic Code Set
Diagnostic Code (ICD-10 Form)
000-996
998
00
01-96
98
4
5
6
xxx.xxxx
Days Waiting
Unknown
None
Number of Arrests
Unknown
DSM-IV
DS-5 (ICD-9 code)
DSM-5 (ICD-10 code)
xxx.xxxx
Number of Days waiting
Unknown
Number of Arrests
Number of Arrests
Unknown
DSM-IV
DSM-V
ICD-10
7 digit code
DAYS_WAIT
ARRESTS/DIS_ARREST
Not Currently in Our System
DCS_ID
DIAGNOSIS_1
~
~
-
~
~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
000-996
997
00-96
00-96
97
1
4
3
xxx.xxxx
CWMS_PROXY
Crosswalk Report
Page 42 of 62
MississippiDischarge/NOMS
1
2
3
4
5
6
System Transaction at Discharge
State Code at Discharge
Reporting Date at Discharge
State Provider Identifer at Discharge
Client Identifier at Discharge
Co-Dependent/Collateral at Discharge
1
2
3
4
9
-
Add Admissions Records
Add Transfer Records
Change Record (correction)
Change Record (update)
Delete
MS
Add
Add
Change
Change
Delete
State abreviation according postal codes
Same as admission file
RCD_TRANS
FIPS State Code
Date Reported Submitted
ORG_CODE
STATE_ID
ADM_TYPE
-
-
-
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
A
A
C
C
D
-
-
YYYYMMDD
1-15 Characters
Client Id is assigned by each provider, once the client is submitted to the CDR we perform an algorithm to determine if the client has been submitted to the CDR before. If they have we apply the existing state id, if not we assign a new state id. Both IDs can be to 9 numbers. Thestate id number are generated by the CDR sequentially.
CWMS_PROXY
Crosswalk Report
Page 43 of 62
MississippiDischarge/NOMS
7
8
9
10
Type of Treatment Service/Treatment Setting at Discharge
Date of Last Contact or Data Update
Date of Discharge
Reason for Discharge, Transfer, or Discontinuance of Treatment
-
-
1
2
3
4
5
6
7
8
Not Collected in our System
Not Collected in our System
Evaluation Only
Treatment Completed
Therapist Terminated Treatment
CLient Referred Elsewhere
Client Terminated Treatment
Client Moved from Region
Client deceased
No Contact with Consumer within Specified Time Range
Same as admission file
Incarerated or released by or to courts
Transferred to Trtment Prog or Facil, but did notreport
Other - includes aging out of MH childrens system, extended placement (condition
Treatment Completed
Ternimated by Facility
Transferred to Another Treatment Program or Facility
Dropped out of treatment (lost contact, Left Against Professional Advice
Other - includes aging out of MH childrens system, extended placement (condition
Death
Dropped out of treatment (lost contact, Left Against Professional Advice
Services File
SA_EXT_DATE
SA_DIS_DATE
SA_DIS_STAT
-
*
*
*
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
-
05
14
07
01
03
04
02
07
06
02
YYYYMMDD
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 44 of 62
MississippiDischarge/NOMS
10
11
12
Reason for Discharge, Transfer, or Discontinuance of Treatment
Provider Identifier at Admission
Client Identifier at Admission
-
-
1
2
3
4
5
6
7
8
Not Collected in our System
Not Collected in our System
Evaluation Only
Treatment Completed
Therapist Terminated Treatment
CLient Referred Elsewhere
Client Terminated Treatment
Client Moved from Region
Client deceased
No Contact with Consumer within Specified Time Range
Transferred to Trtment Prog or Facil, but did notreport
Incarerated or released by or to courts
Other - includes aging out of MH childrens system, extended placement (condition
Treatment Completed
Ternimated by Facility
Transferred to Another Treatment Program or Facility
Dropped out of treatment (lost contact, Left Against Professional Advice
Other - includes aging out of MH childrens system, extended placement (condition
Death
Other - includes aging out of MH childrens system, extended placement (condition
SA_DIS_STAT
ORG_CODE
STATE_ID
*
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
14
05
07
01
03
04
02
07
06
07
No longer effective as of: 06-21-2016
1-15 Characters
Client ID is assigned by each provider, once the client is submitted to the CDR we perform an algorithm to determine if the client has beensubmitted to the CDR before. If they have, we apply the existing state id, if not we assign a new state id. Both IDs can be to 9 numbers. The state id number are generated by tthe CDR sequentially.
CWMS_PROXY
Crosswalk Report
Page 45 of 62
MississippiDischarge/NOMS
13
14
15
Co-Depentent/Collateral at Admission
Client Transaction Type (pulled from admission dataset)
Date of Admission (pulled from admission dataset)
1
2
3
1
2
Primary
Collateral
Unregistered
Add Admissions Records
Add Transfer Records
Client
Codependent/collateral
Client
Initial Admission (SA)
Transfer or change in service (SA)
ADM_TYPE
RCD_TRANS
ADM_TYPE
-
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2
1
2
A
T
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 46 of 62
MississippiDischarge/NOMS
16 Type of Service at Admission (pulled from admission dataset)
-
-
110
111
112
206
207
309
402
404
406
415
416
417
418
420
424
426
Not an option in our system
Not an option in our system
Crisis Stablization Services
Chemical dependency unit
(MICA)
Primary Residential Treatment
Teansitional REsidential treatment
Theraputic Day Treatment
Family Therapy
Evaluation Only
Medication Evaluation & Monitoring
Crisis Intervention
Intake/Biopsycho-social Assesment
Treatment Plan Review
Multi-family Group Therapy
Intensive Outpatient (supercedes 405)
Integrated Treatment for Co-Occuring Disorder
Individual Therapy ( supercedes 401)
Detoxification , 24 hour service , Free-StandingResidential
Rehabilitation/Residential - Hospital (other thanDetoxification)
Detoxification, 24-hour service - Hospital Inpatient
Detoxification, 24-hour service - Hospital Inpatient
Detoxification, 24-hour service - Hospital Inpatient
Rehabilitation/Residential - Short Term (30 days or fewer)
Rehabilitation/Residential - Long Term (more than 30 days)
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
02
03
01
01
01
04
05
07
07
07
07
07
07
07
07
06
07
07
CWMS_PROXY
Crosswalk Report
Page 47 of 62
MississippiDischarge/NOMS
16 Type of Service at Admission (pulled from admission dataset)
427
428
501
502
503
504
505
506
507
601
602
704
804
Group Therapy ( supercedes 403)
Nursing Assessment ( supercedes 407)
Case Management
Intensive Case Management
Aftercare- substance abuse
MIMS
School Based Services
Individual Therapy Support
Case Management
Emergency Services
Mobile Crisis Services
Alcohol & Drug Prevention
Making a plan (MAP) Team Review meeting
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
07
07
07
07
07
07
07
07
07
07
07
07
07
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 48 of 62
MississippiDischarge/NOMS
16 Type of Service at Admission (pulled from admission dataset)
-
-
110
111
112
161
206
207
309
313
402
404
406
416
417
418
419
420
Not an option in our system
Not an option in our system
Crisis Stablization Services
Chemical dependency unit
(MICA)
Community Hospital
Primary Residential Treatment
Teansitional REsidential treatment
Theraputic Day Treatment
Acute Parial Hospitalization
Family Therapy
Evaluation Only
Medication Evaluation & Monitoring
Intake/Biopsycho-social Assesment
Treatment Plan Review
Multi-family Group Therapy
Peer Support
Intensive Outpatient (supercedes 405)
Detoxification , 24 hour service , Free-StandingResidential
Rehabilitation/Residential - Hospital (other thanDetoxification)
Detoxification, 24-hour service - Hospital Inpatient
Detoxification, 24-hour service - Hospital Inpatient
Detoxification, 24-hour service - Hospital Inpatient
Detoxification, 24-hour service - Hospital Inpatient
Rehabilitation/Residential - Short Term (30 days or fewer)
Rehabilitation/Residential - Long Term (more than 30 days)
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Services File-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
02
03
01
01
01
01
04
05
07
07
07
07
07
07
07
07
07
06
CWMS_PROXY
Crosswalk Report
Page 49 of 62
MississippiDischarge/NOMS
16
17
Type of Service at Admission (pulled from admission dataset)
Date of Birth (pulled from admission dataset)
424
426
427
428
503
509
510
602
603
604
704
706
801
802
809
Integrated Treatment for Co-Occuring Disorder
Individual Therapy ( supercedes 401)
Group Therapy ( supercedes 403)
Nursing Assessment ( supercedes 407)
Aftercare- substance abuse
Community Support Services
Targeted Case Management
Mobile Crisis Services
Telephone Emergency/Crisis Response Service
Walk-In Emergency/Crisis Response Service
Alcohol & Drug Prevention
DUI
Staffing - No Treatment Plan Review
No Shows/Cancellations
Urine Drug Screens
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Ambulatory - Non-Intensive Outpatient
Services File
BIRTH_DATE
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
YYYYMMDD
CWMS_PROXY
Crosswalk Report
Page 50 of 62
MississippiDischarge/NOMS
18
19
Gender (pulled from admission dataset)
Race (pulled from admission dataset)
F
M
U
A
B
I
K
M
N/A
P
U
W
Female
Male
Unknown
Asian
Black/African American
American Indian
Alaskan Native (Aleut, Eskimo, Indian)
Multiple Races
Not an option in our system
Native Hawaiian or other Pacific Islander
Unknown
White/Caucasian
Female
Male
Unknown
Asian
Black or African American
American Indian
Alaskan Native (Aleut, Eskimo)
Two or more races
Other single race
Native Hawaiian or other Pacific Islander
Unknown
White
SEX
RACE
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
2
1
7
13
04
02
01
21
20
23
97
05
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 51 of 62
MississippiDischarge/NOMS
19 Race (pulled from admission dataset)
A
B
I
K
M
O
P
U
W
Asian
Black/African American
American Indian
Alaskan Native (Aleut, Eskimo, Indian)
Multiple Races
Other
Native Hawaiian or other Pacific Islander
Unknown
White/Caucasian
Asian
Black or African American
American Indian
Alaskan Native (Aleut, Eskimo)
Two or more races
Other single race
Native Hawaiian or other Pacific Islander
Unknown
White
RACE-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
13
04
02
01
21
20
23
97
05
CWMS_PROXY
Crosswalk Report
Page 52 of 62
MississippiDischarge/NOMS
20
20
Ethnicity (pulled from admission dataset)
Ethnicity (pulled from admission dataset)
C
M
N
N/A
O
P
U
C
M
N
O
P
U
U
Cuban
Mexican
Not of Hispanic origin
Not an option in our system
Other Hispanic
Puerto Rican
Unknown
Cuban
Mexican
Not of Hispanic origin
Other Hispanic
Puerto Rican
Unknown
Unknown
Cuban
Mexican
Not of Specific Hispanic or Latino Origin
Other Specific Hispanic or Latino
Hispanic or Latino - specific origin not specified
Puerto Rican
Unknown
Cuban
Mexican
Not of Specific Hispanic or Latino Origin
Other Specific Hispanic or Latino
Puerto Rican
Hispanic or Latino - specific origin not specified
Unknown
HISPANIC
HISPANIC
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
02
05
04
06
01
97
03
02
05
04
01
06
97
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 53 of 62
MississippiDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
None
Alcohol
Cocaine/Crack
Marijuana/Hashish
Heroin
Non-perscriprtion Methadone
Other Opiates and Synthetics
PCP-phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepine
Other non Benzodiazepine Tranquilizers
Barbiturates
Other Sedatives or hyponotics
Inhalants
Over the counter
None
Alcohol
Cocaine/Crack
Marijuana/Hashish
Heroin
Non-Prescription Methadone
Other Opiates and Synthetics
PCP- phencyclidine
Hallucinogens
Methampetamine/SPeed
Other Amphetamines
Other Stimulants
Benzodiazepines
Other Tranquilizer
Barbiturates
Other Sedatives or Hypontics
Inhalants
Over-The-Counter medicines
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
CWMS_PROXY
Crosswalk Report
Page 54 of 62
MississippiDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
20
98
99
Other Drugs
Unknown
Not Available
Other
Unknown
Unknown
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
20
97
97
CWMS_PROXY
Crosswalk Report
Page 55 of 62
MississippiDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
01
02
03
05
06
07
08
09
10
11
12
13
14
15
16
17
18
97
None
Alcohol
Cocaine/Crack
Heroin
Non-perscriprtion Methadone
Other Opiates and Synthetics
PCP-phencyclidine
Other Hallucinogens
Methamphetamine
Other Amphetamines
Other Stimulants
Benzodiazepine
Other non Benzodiazepine Tranquilizers
Barbiturates
Other Sedatives or hyponotics
Inhalants
Over the counter
Other
None
Alcohol
Cocaine/Crack
Heroin
Non-Prescription Methadone
Other Opiates and Synthetics
PCP- phencyclidine
Hallucinogens
Methampetamine/SPeed
Other Amphetamines
Other Stimulants
Benzodiazepines
Other Tranquilizer
Barbiturates
Other Sedatives or Hypontics
Inhalants
Over-The-Counter medicines
Other
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
03
05
06
07
08
09
10
11
12
13
14
15
16
17
18
20
CWMS_PROXY
Crosswalk Report
Page 56 of 62
MississippiDischarge/NOMS
21
22
Substance Problem At Discharge, (Primary, Secondary, Tertiary)
Frequency of Use at Discharge (Primary, Secondary, Tertiary)
98
99
1
2
3
4
5
6
7
8
9
Unknown
Not Available
No use in past month
1-3 times in past month
1-2 times/wk past month
3-6 times/wk past month
Daily past month
2-3 times daily past month
3+ times daily past month
Unknown
Not applicable
Unknown
Unknown
No Use in the Past Month
1-3 Times in the Past Month
1-2 Times in the Past Week
3-6 Times in the Past Week
Daily
Daily
Daily
Unknown
Not Applicable
SUB_CODE_1, SUB_CODE_2,SUB_CODE_3/EXT_SUB_1,EXT_SUB_21,EXT_SUB_3
FREQ_USE_1,FREQ_USE_2,FREQ_USE_3/EXIT_FREQ_1,EXIT_FREQ_2,EXIT_FREQ_3
-
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
97
97
01
02
03
04
05
05
05
97
96
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 57 of 62
MississippiDischarge/NOMS
23 Living Arrangements at Discharge
01
02
03
04
05
06
08
09
10
11
99
Private Residence
Other Independent
Homeless Shelter
Institution
Community Program
Correctional Facility
Foster Care
Residential Care
Crisis Residence
Childrens Residential Treatment
Unknown
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Unknown
RESID_ARR/DIS_RES~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
03
01
02
02
02
02
02
02
02
97
No longer effective as of: 06-21-2016
CWMS_PROXY
Crosswalk Report
Page 58 of 62
MississippiDischarge/NOMS
23 Living Arrangements at Discharge
01
02
03
04
05
06
07
08
09
10
11
99
Private Residence
Other Independent
Homeless Shelter
Institution
Community Program
Correctional Facility
Other
Foster Care
Residential Care
Crisis Residence
Childrens Residential Treatment
Unknown
Independent Living - clients living alone or with others but no supervision
Independent Living - clients living alone or with others but no supervision
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Unknown
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Dependent Living - clients living in a supervised setting
Unknown
RESID_ARR/DIS_RES~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
03
03
01
02
02
02
97
02
02
02
02
97
CWMS_PROXY
Crosswalk Report
Page 59 of 62
MississippiDischarge/NOMS
24 Employment at Discharge
01
02
03
04
05
06
07
08
09
10
11
97
98
Employed full time - (35+ hrs week)
Employed - part time
Employed - active military duty
Seasonal/migrant worker
Unemployed - seeking work
Unemployed - not seeking work
Homemaker
Student under 17
Retired
DIsabled
Correctional inmate
Other
Unknown
Full Time - works 35 or more hours a week- includes military
Part Time - works less tahn 35 hours per week
Full Time - works 35 or more hours a week- includes military
Part Time - works less tahn 35 hours per week
Unemployed - looking for work in past 30 days or on layoff from job
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Unknown
Not Collected
EMPLOYMENT/DIS_EMP-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
01
02
01
02
03
04
04
04
04
04
04
97
98
CWMS_PROXY
Crosswalk Report
Page 60 of 62
MississippiDischarge/NOMS
25
26
27
Detailed Not In Labor Force at Discharge
Number of Arrests in 30 Days Priorto Discharge
Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge
06
07
08
09
10
11
97
98
00
01-96
98
Unemployed - not seeking work
Homemaker
Student under 17
Retired
DIsabled
Correctional inmate
Other
Unknown
None
Number of Arrests
Unknown
Other
Homemaker
Student
Retired
Disabled
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Other
Unknown
Number of Arrests
Number of Arrests
Unknown
EMPLOYMENT/DIS_EMP
ARRESTS/DIS_ARREST
Not Currently in Our System
-
~
-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
06
01
02
03
04
05
06
97
00-96
00-96
97
CWMS_PROXY
Crosswalk Report
Page 61 of 62
MississippiDischarge/NOMS
28 Client Transaction Type - Discharge
09
10
Discharged
Discharged - outpatient commitment (SPHs)
Discharge (SA)
Discharge (SA)
CLI_STATUS-
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
Central Data Repository/CDRVersion : 1
D
D
REPORT CROSSWALK TO STATE
Crosswalk Management System
End of Report