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Transcript of Crosswalk Management System - Dasis Home Page · Crosswalk Management System. ... K = Key Field...
REPORT CROSSWALK TO STATE
27-DEC-16 09:12Report Date :
Run by :
Report :
CWMS_PROXY
Filename :
Crosswalk Management System
CWMS_PROXY
Crosswalk Report
Page 2 of 67
Status : VA
Start Date : 01-JAN-05End Date :
Follow-up :
Media ID : NJ-SAMS
New JerseySystem
K
1
2
3
System Transaction Type
State Code
Reporting Date
A
C
D
-
Add
Change
Delete
NJ
Add
Change
Delete
State Postal Abbreviation
System Transaction Type
FIPS State Code
Month and year data file submitted
~
NJ
~
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
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
A
C
D
-
.
MMYYYY Format
General reporting comments: [.] denotes [TableName.FieldName(s)]
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 3 of 67
New JerseyMinimum
K
K
K
K
K
1
2
3
4
5
State Provider Identifer
Client Identifer (Admission)
Co-Dependent/Collateral
Client Transaction Type
Date of Admission
-
1
2
A
T
Unknown (None of the above)
Alcohol/Drug Abuser
Co-Dependent/Family
Admission
Transfer
No
No
Yes
Admission (SA)
Transfer/Change in Service (SA)
Provider ID
ID Combo (Client ID + Episode Code + Event Code)
Co-Dependent/collateral
Client Transaction Type
Date of Admission
~~
~~
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
2
2
1
A
T
"NJ" + 6 characters
14 or 15 characters (depending if episode is 1 or 2 digits)
MMDDYYYY Format
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 4 of 67
New JerseyMinimum
6 Prior Treatment Episodes
-
0
1
2
3
4
>4
Unknown (None of the above)
0
1
2
3
4
5 or more
Unknown
0 Previous Episodes
1 Previous Episodes
2 Previous Episodes
3 Previous Episodes
4 Previous Episodes
5 Or More Previous Episodes
No. of Prior treatment episodes~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
7
0
1
2
3
4
5
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 5 of 67
New JerseyMinimum
7 Principal Source of Referral
-
-
1
10
11
2
31
32
33
34
41
42
43
44
45
46
47
48
Unknown (None of the above)
n/a
Self
Hot Line
Other Referral Source
Family/Friend
AddictionTreatment Program
County Drug and Alcohol Coordinator
South New Jersey Initiative
Other Addictions Services
Municipality - Municipal Court
County - Family Court
County - Drug Court
County - Probation
County - Detention Center
County - Other (Pre-Trial Intervention,Judge,....)
STATE - NJ Department of Corrections
STATE - NJ State Parole Board/DistrictOffice
Unknown
Other Health Care Provider
Individual (includes self-referral))
Other Community Referral
Unknown
Individual (includes self-referral))
Alcohol/Drug Abuse Provider
Alcohol/Drug Abuse Provider
Alcohol/Drug Abuse Provider
Other Health Care Provider
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Principal source of referral~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
03
01
06
97
01
02
02
02
03
07
07
07
07
07
07
07
07
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 6 of 67
New JerseyMinimum
7 Principal Source of Referral
49
5
50
51
52
61
62
63
64
65
71
72
73
74
75
81
82
83
84
FEDERAL - US Federal Prison
IDRC
FEDERAL - US Federal Court
Juvenile Justice Commission (JJC)
Other Corrections Program
Mental Health Screening Center
Mental Health Provider/Clinic
Hospital
Other Mental Health
MICA Program
County or Municipal Health Department
Hospital, Crisis Emergency Room
Other Hospital
Health Care Agency/Private Physician
Other Medical/Health
NJ Dept. Human Services - DYFS
WFNJ - Substance Abuse Initiative (SAI)
Substance Abuse Research Demonstration
Other Welfare/Social Service
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Community Referral
Other Community Referral
Other Community Referral
Other Community Referral
Principal source of referral~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
07
07
07
07
03
03
03
03
03
03
03
03
03
03
06
06
06
06
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 7 of 67
New JerseyMinimum
7 Principal Source of Referral
9 Employee Assistance ProgramEmployer/Employer Assistance ProgramEAP
Principal source of referral~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
05
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 8 of 67
New JerseyMinimum
7 Principal Source of Referral
-
-
1
10
11
2
31
32
33
34
41
42
43
44
45
46
47
48
Unknown (None of the above)
n/a
Self
Hot Line
Other Referral Source
Family/Friend
AddictionTreatment Program
County Drug and Alcohol Coordinator
South New Jersey Initiative
Other Addictions Services
Municipality - Municipal Court
County - Family Court
County - Drug Court
County - Probation
County - Detention Center
County - Other (Pre-Trial Intervention,Judge,....)
STATE - NJ Department of Corrections
STATE - NJ State Parole Board/DistrictOffice
Unknown
School (Educational)
Individual (includes self-referral))
Other Community Referral
Other Community Referral
Individual (includes self-referral))
Alcohol/Drug Abuse Provider
Alcohol/Drug Abuse Provider
Alcohol/Drug Abuse Provider
Alcohol/Drug Abuse Provider
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Principal source of referral~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
04
01
06
06
01
02
02
02
02
07
07
07
07
07
07
07
07
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 9 of 67
New JerseyMinimum
7 Principal Source of Referral
49
5
50
51
52
61
62
63
64
65
71
72
73
74
75
81
82
83
84
FEDERAL - US Federal Prison
IDRC
FEDERAL - US Federal Court
Juvenile Justice Commission (JJC)
Other Corrections Program
Mental Health Screening Center
Mental Health Provider/Clinic
Hospital
Other Mental Health
MICA Program
County or Municipal Health Department
Hospital, Crisis Emergency Room
Other Hospital
Health Care Agency/Private Physician
Other Medical/Health
NJ Dept. Human Services - DYFS
WFNJ - Substance Abuse Initiative (SAI)
Substance Abuse Research Demonstration
Other Welfare/Social Service
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Court/Criminal Justice/DUI/DWI
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Health Care Provider
Other Community Referral
Other Community Referral
Other Community Referral
Other Community Referral
Principal source of referral~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
07
07
07
07
03
03
03
03
03
03
03
03
03
03
06
06
06
06
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 10 of 67
New JerseyMinimum
7
8
9
Principal Source of Referral
Date of Birth
Gender
9
-
1
2
3
4
Employee Assistance Program
Unknown (None of the above)
Male
Female
Transgender
Other
Employer/Employer Assistance ProgramEAP
Unknown
Male
Female
Unknown
Unknown
Principal source of referral
DOB
Gender
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
05
7
1
2
7
7
mmddyyyy
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 11 of 67
New JerseyMinimum
10 Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
-
-
-
1
2
3
4
5
6
n/a
Unknown (None of the above)
if Race2 has value between and 6 inclusive and equal to Race1
White
Black
Asian
Alaskan Native
American Indian
Native Hawaiian or other Pacific Islander
Other Single Race
Unknown
Two or More Races
White
Black or African American
Asian
Alaska Native (Aleut, Eskimo, Indian)
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Native Hawaiians or Other Pacific Islanders
Race~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
20
97
21
05
04
13
01
02
23
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 12 of 67
New JerseyMinimum
10
11
Race (Hispanic collected as race to be reported as 97 in Race and 06 in Ethnicit
Hispanic or Latino Origin ( Ethnicity)
-
1
2
3
4
5
6
-
1
2
3
4
5
6
Unknown (None of the above)
White
Black
Asian
Alaskan Native
American Indian
Native Hawaiian or other Pacific Islander
Unknown (None of the above)
Not of Hispanic Orgin
Puerto Rican
Mexican
Cuban
Dominican
Other Hispanic
Unknown
White
Black or African American
Asian
Alaska Native (Aleut, Eskimo, Indian)
American Indian/Alaskan Native ( States using Alaskan Native in 01 use for other
Native Hawaiians or Other Pacific Islanders
Unknown
Not of Hispanic or Latino Origin
Puerto Rican
Mexican
Cuban
Other Specific Hispanic
Hispanic or Latino - Specific Origin not Specified
Race
Ethnicity
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
05
04
13
01
02
23
97
05
01
02
03
04
06
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 13 of 67
New JerseyMinimum
12 Education
-
0
1
10
11
12
13
14
15
16
17
18
19-20
2
3
4
5
6
Unknown (None of the above)
Less Than One Grade Completed
Grade 1
Grade 10
Grade 11
12th Grade or GED
1st Year of College/University (Freshman)
2nd Year of College University (Sophomore) or Associate Degree
3rd Year of College/University (Junior)
4th Year of College (Senior) or Bachelor's Degree
Some Post-Graduate Study - Degree not completed
Master's Degree completed
Post graduate study
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Unknown
Less Than One Grade Completed
Grade 1
Grade 10
Grade 11
12th Grade or GED
1st year of College/Iniversity (Freshman)
2nd year of College/Iniversity (Sophomore)
3rd year of College/Iniversity (Junior)
4th year of College/Iniversity (Senior) or Bachelor's Degree)
Some Post-Graduate Study - Degree not completed
Master's Degree Completed
Post Graduate Study
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Education~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
00
01
10
11
12
13
14
15
16
17
18
19-25
02
03
04
05
06
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 14 of 67
New JerseyMinimum
12
12
Education
Education
7
8
9
-
0
1-20
Grade 7
Grade 8
Grade 9
Unknown (None of the above)
Less Than One Grade Completed
Years of School (Highest Grade) Completed
Grade 7
Grade 8
Grade 9
Unknown
Less Than One Grade Completed
Years of School(Highest Grade) ( General Equivalency Degree, use 12)
Education
Education
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
08
09
97
00
01-25
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 15 of 67
New JerseyMinimum
13 Employment Status
-
1
10
2
3
4
5
6
7
8
9
Unknwn (None of the above)
Full-Time Work or Military
Disabled
Part-Time (Regular Hours)
Student
Homemaker
Retired
Unemployed: Actively looking for work
Unemployed: Not looking for work
Unemployed: Volunteer Work
Unemployed: Living in an institution
Unknown
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Part Time - works less tahn 35 hours per week
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.
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.
Employment Status (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
04
02
04
04
04
03
04
04
04
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 16 of 67
New JerseyMinimum
13 Employment Status
-
1
10
11
2
3
4
5
6
7
8
9
Unknwn (None of the above)
Full-Time Work or Military
Unemployed: Living in an institution
Disabled
Part-Time (Regular Hours)
Part-Time (Not Regular Hours)
Student
Homemaker
Retired
Unemployed: Actively looking for work
Unemployed: Not looking for work
Unemployed: Volunteer Work
Unknown
Full Time - works 35 or more hours a week- includes military
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.
Part Time - works less tahn 35 hours per week
Part Time - works less tahn 35 hours per week
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.
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.
Unemployed - looking for work in past 30 days or on layoff from job
Employment Status (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
04
04
02
02
04
04
04
03
04
03
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 17 of 67
New JerseyMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
-
-
-
-
1
10
11
12
13
14
15
16
17
18
19
2
20
n/a
n/a
n/a
Unknown (None of the above)
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
Over-the-Counter
Other Non-Benzodiazapine Tranquilizers
Other Non-Barbituate Sedatives or Hypnotics
Unknown
Alcohol
Other
Hallucinogens
PCP
Hallucinogens
Inhalants
Other
Non-Prescription Methadone
Other Opiates and Synthetics
Other Opiates and Synthetics
Benzodiazepines
Heroin
Other
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
18
14
16
97
02
20
09
08
09
17
20
06
07
07
13
05
20
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 18 of 67
New JerseyMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
21
22
23
24
25
26
27
28
29
3
30
31
32
33
34
35
36
37
None
Other Amphetamines
Buprenorphine (non-prescription)
Codeine
Propoxyphene (Darvon)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Pentazocine
Hydrocodone (Vicodin)
Marijuana/Hashish
Tramadol (Ultram)
Methylphenidate (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
None
Other Amphetamines
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Other Opiates and Synthetics
Other Stimulants
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
11
07
07
07
07
07
07
07
04
07
12
13
13
13
13
13
13
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 19 of 67
New JerseyMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
38
39
4
5
6
7
8
9
Synthetic Cannabinoids (Synthetic Marijuana, K2, Spice)
Bath Salts
Cocaine - Powder
Crack
Amphetamines/Methamphetamines
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
Other
Other Amphetamines
Cocaine, Crack
Cocaine, Crack
Methamphetamine
Barbiturates
Benzodiazepines
Other Amphetamines
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
20
11
03
03
10
15
13
11
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 20 of 67
New JerseyMinimum
14 Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
-
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
3
Unknown (None of the above)
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
None
Other Amphetamines
Marijuana/Hashish
Unknown
Alcohol
Other
Hallucinogens
PCP
Hallucinogens
Inhalants
Other
Non-Prescription Methadone
Other Opiates and Synthetics
Other Opiates and Synthetics
Benzodiazepines
Heroin
Other
None
Other Amphetamines
Marijuana, Hashish ( includesTHC and other Cannabis Sativa preperations)
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
02
20
09
08
09
17
20
06
07
07
13
05
20
01
11
04
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 21 of 67
New JerseyMinimum
14
15
Substance Problem Codes ( Primary-14A,Secondary-14B, Tertiart-14C)
Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)
4
5
6
7
8
9
-
-
-
1
2
3
4
5
Cocaine - Powder
Crack
Amphetamines/Methamphetamines
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
n/a
n/a
Unknwn (None of the above)
Oral
Inhalantion/Sniffing
Smoking
Intramuscular/Sub-Cutaneous
Intravenous
Cocaine, Crack
Cocaine, Crack
Methamphetamine
Barbiturates
Benzodiazepines
Other Amphetamines
Not Applicable
Other
Unknown
Oral
Inhalation
Smoking
Injection (IV or intramuscular, intradermal or subcutaneous)
Injection (IV or intramuscular, intradermal or subcutaneous)
Primary Drug (Admission and Discharge)
Primary Route
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
03
03
10
15
13
11
96
20
97
01
03
02
04
04
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 22 of 67
New JerseyMinimum
15
16
Usual Route of Administration ( Primary-15A, Secondary-15B, Tertiar-15C)
Frequency of Use ( Primary-16A, Secondary-16B, Tertiary-16C)
-
1
2
3
4
5
-
1
2
3
4
5
Unknwn (None of the above)
Oral
Inhalantion/Sniffing
Smoking
Intramuscular/Sub-Cutaneous
Intravenous
Unknown (None of the above)
No use past month
Less than weekly
1 to 2 times per week
3 to 6 times per week
Daily
Unknown
Oral
Inhalation
Smoking
Injection (IV or intramuscular, intradermal or subcutaneous)
Injection (IV or intramuscular, intradermal or subcutaneous)
Unknown
No use in the past month
1-3 times in past month
1-2 times per week
3-6 times per week
Daily
Primary Route
Primary Frequency (Admission and Discharge)
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
03
02
04
04
97
01
02
03
04
05
No longer effective as of:
No longer effective as of:
11-05-2014
11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 23 of 67
New JerseyMinimum
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
-
-
-
01-95
n/a
Unknown (None of the above)
No use past month
Less than weekly
1 to 2 times per week
3 to 6 times per week
Daily
n/a
n/a
Unknown (None of the above)
Age
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
Newborn with a substance dependecy problem
Not Applicable
Unknown
Age at First Use, in years
Primary Frequency (Admission and Discharge)
Primary Age
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
96
97
01
02
03
04
05
00
96
97
01-95
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 24 of 67
New JerseyMinimum
17 Age of First Use (Primary-17A, Secondary-17B, Tertiary-17C)
-
-
07-96
Unknown (None of the above)
Unknown - ages 00-06 not collected
Age
Unknown
Unknown
Age at First Use, in years
Primary Age~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
97
01-95
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 25 of 67
New JerseyMinimum
K 18 Type of Services
1
10
11
12
13
14
15
2
3
4
5
6
7
8
9
Standard/Traditional Outpatient
Detox-Hospital Inpatient
Detox-Outpatient (Non-Methadone)
OPIOID - Methadone Outpatient
Detox-Methadone Outpatient
Non-traditional Outpatient
Intensive Outpatient -OPIOID- Maintenance
Intensive Outpatient
Partial-Hospitalization
Transitional Care/Extended Care
Halfway House
Long-Term Residential
Short-Term Residential (Medically Monitored)
Hospital-Based (acute) Residential
Detox-free Standing Residential (Sub-Acute)
Ambulatory - Non-Intensive Outpatient
Detoxification - Hospital Inpatient ( Detox, 24 hour Service)
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Intensive Outpatient
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabiliation/Residential - Long-term, ( more than 30 days)
Rehabilitation/Residential - Short-term, ( 30 days or fewer)
Rehabilitation/Residential - Hospital (other thandetox)
Detoxification Free-standing Residential ( Detox, 24 hour Service)
Level of Care ( Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
01
08
07
08
07
06
06
06
05
05
05
04
03
02
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 26 of 67
New JerseyMinimum
19 Medication-Assisted Opioid Therapy
-
-
-
-
-
-
-
-
-
-
Yes - Vivitrol and primary drug IS an Opioid
Yes - Buprenorphene/Suboxone TX
Yes - Methadone TX
No - Psychotropic drug
n/a
No - Naltrexone
No - Acamprosate
No
Unknown (None of the above)
No - Vivitrol and primary drug IS Alcohol
Yes
Yes
Yes
No
Not Applicable
No
No
No
Unknown
No
Methadone Maintenance~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
1
1
1
2
6
2
2
2
7
2
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 27 of 67
New JerseyMinimum
19 Medication-Assisted Opioid Therapy
0
1
2
3
4
5
5
6
7
8
9
No
Yes - Methadone TX
Yes - Buprenophene/Suboxone TX
No- Acamprosate
No - Naltrexone
Yes - Vivitrol, if primary drug IS an Opiod
No - Vivitrol, if primary drug IS NOT an Opiod
No - Psychotropic drug
None (no record)
Other
Don't Know
No
Yes
Yes
No
No
Yes
No
No
Unknown
Unknown
Unknown
Methadone Maintenance~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
2
1
1
2
2
1
2
2
7
7
7
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 28 of 67
New JerseySupplementalK = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 29 of 67
New JerseySupplemental
1 Detail Drug Code, Primary
-
-
1
10
11
12
13
14
15
16
17
18
19
2
20
22
23
24
Unknown (None of the above)
***MDS 14 is 01 (none)
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
Other Amphetamines
Buprenorphine (non-prescription)
Codeine
Unknown
Not Applicable
Alcohol
GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)
LSD
PCP or PCP Combinations
DMT, mescaline, peyote,STD and Other Hallucinogens
Aerosols
Ketamine - ( Special K)
Non - Prescription Methadone
Other Opiates or Synthetics
Oxycodone (Oxycotin)
Flutirazepram (Rohypnol)
Heroine
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
Other Amphetamines
Buprenorphine (Subutex,Suboxone)
Codeine
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
9997
9996
0201
2003
0901
0801
0902
1701
2004
0601
0706
0703
1309
0501
2002
1109
0710
0701
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 30 of 67
New JerseySupplemental
1 Detail Drug Code, Primary
25
26
27
28
29
3
30
31
32
33
34
35
36
37
38
39
4
5
6
Propoxyphene (Darvon)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Pentazocine
Hydrocodone (Vicodin)
Marijuana/Hashish
Tramadol (Ultram)
Methylphenidate (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Synthetic Cannabinoids (Synthetic Marijuana, K2, Spice)
Bath Salts
Cocaine - Powder
Crack
Amphetamines/Methamphetamines
Propoxyphene (Darvon)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Pentazocine (Talwin)
Hydrocodone (Vicodin)
Marijuana/Hashish,THC and any other cannabis sativa preparation
Tramadol (Ultram)
Methylphenidate - (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
Other Amphetamines
Other Cocaine
Crack
Methamphetamine/Speed
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
0702
0704
0705
0707
0708
0401
0709
1202
1301
1302
1303
1304
1305
1306
2002
1109
0302
0301
1001
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 31 of 67
New JerseySupplemental
1 Detail Drug Code, Primary
7
8
9
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
Phenobarbital
Diazepam (Valium)
Methyleneioxymethampetamine (MDMA, Ecstacy
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
1501
1304
1103
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 32 of 67
New JerseySupplemental
1 Detail Drug Code, Primary
-
-
1
10
11
12
13
14
15
16
17
18
19
2
20
22
3
4
***MDS 14 is 01 (none)
Unknown (None of the above)
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
Other Amphetamines
Marijuana/Hashish
Cocaine - Powder
Not Applicable
Unknown
Alcohol
GHB/GBL - ( gamma-hyroxybutyrate, gamma-butyrolactone)
LSD
PCP or PCP Combinations
DMT, mescaline, peyote,STD and Other Hallucinogens
Aerosols
Ketamine - ( Special K)
Non - Prescription Methadone
Other Opiates or Synthetics
Oxycodone (Oxycotin)
Flutirazepram (Rohypnol)
Heroine
Synthetic Cannabinoid (Spice), Carisoprodol (Soma) and other drugs
Other Amphetamines
Marijuana/Hashish,THC and any other cannabis sativa preparation
Other Cocaine
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
9996
9997
0201
2003
0901
0801
0902
1701
2004
0601
0706
0703
1309
0501
2002
1109
0401
0302
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 33 of 67
New JerseySupplemental
1
2
2
3
3
Detail Drug Code, Primary
Detail Drug Code, Secondary
Detail Drug Code, Secondary
Detail Drug Code, Tertiary
Detail Drug Code, Tertiary
5
6
7
8
9
Crack
Amphetamines/Methamphetamines
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
Crack
Methamphetamine/Speed
Phenobarbital
Diazepam (Valium)
Methyleneioxymethampetamine (MDMA, Ecstacy
Same as Detail Drug Code, Primary
Same as Detail Drug Code, Primary
Same as Detail Drug Code, Primary
Same as Detail Drug Code, Primary
Primary Drug (Admission and Discharge)
Primary Drug (Admission and Discharge)
Primary Drug (Admission and Discharge)
Primary Drug (Admission and Discharge)
Primary Drug (Admission and Discharge)
~~
~~
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
0301
1001
1501
1304
1103
_
_
_
_
No longer effective as of:
No longer effective as of:
No longer effective as of:
11-05-2014
11-05-2014
11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 34 of 67
New JerseySupplemental
4
5
5
Diagnostic Code (DSM or ICD) field should be coded 999.98 - field 19 replaces i
Psychiatric Problem in Addition to Alcohol or Drug Problem
Psychiatric Problem in Addition to Alcohol or Drug Problem
999.98
-
0
1-30
9
-
0
1
9
Not Collected
Unknown (None of the above)
No
Yes
Don't Know
Unknown (None of the above)
No
Yes
Don't Know
Not Collected
Unknown
No
Yes
Unknown
Unknown
No
Yes
Unknown
Not Collected
Psych Problem In Addition to Alcohol or Drug
Psych Problem In Addition to Alcohol or Drug
~~~
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
999.98
7
2
1
7
7
2
1
7
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 35 of 67
New JerseySupplemental
6
6
7
Pregnant at Admission
Pregnant at Admission
Veteran Status
-
0
1
9
-
-
0
1
2
9
-
0
1
Unknown (None of the above)
No
Yes
Don't know
Unknown (None of the above)
Male client
No
Yes
No
Don't know
Unknown (None of the above)
No
Yes
Unknown
No - female client was not pregnant at admission
Yes - female client was pregnant at admission
Unknown
Unknown
Not Applicable - use this code for male clients or children in prepuberty age
No - female client was not pregnant at admission
Yes - female client was pregnant at admission
No - female client was not pregnant at admission
Unknown
Unknown
No
Yes
Pregnant at Admission
Pregnant at Admission
Veteran Status
~~~
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
7
2
1
7
7
6
2
1
2
7
7
2
1
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 36 of 67
New JerseySupplemental
8
8
9
Living Arrangements
Living Arrangements
Source of Income/Support
-
1
2
3
4
-
1
2
3
4
98
Unknown (None of the above)
Dependent Living/Institution
Homeless - Shelter
Homeless - Streets
Independent Living
Unknown (None of the above)
Homeless - Shelter
Homeless - Streets
Dependent Living/Institution
Independent Living
Not Collected
Unknown
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Independent Living - clients living alone or with others but no supervision
Unknown
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Independent Living - clients living alone or with others but no supervision
Not Collected
Living Arrangement (Admission and Discharge)
Living Arrangement (Admission and Discharge)
Not Collected
~~~
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
02
01
01
03
97
01
01
02
03
98
No longer effective as of:
No longer effective as of:
11-05-2014
11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 37 of 67
New JerseySupplemental
9
10
Source of Income/Support
Health Insurance
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Wages/salary
Public assistance
Retirement/pension
Unknown (All variables not equal to 1)
Other
None
Disability
NJ Family Care
BCBS, Aetha....
Medicare
Medicaid
Unknown (None of the above)
Other
VA/Champus
Uninsured
HMO, Provider Network, PPO...
Wages/Salary
Public Assistance
Retirement/Pension
Unknown
Other
None
Disability
Private Insurance (other than BCBS or HMO)
Blue Cross/Blue Shield
Medicare
Medicaid
Unknown
Other (e.g. TriCare)
Other (e.g. TriCare)
None
Health Maintenance Organization (HMO)
Source of Income
Health Insurance
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
02
03
97
20
21
04
01
02
03
04
97
20
20
21
06
This is a T/F set up - check box for that that converts to our code
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 38 of 67
New JerseySupplemental
11 Expected/Actual Primary Source of Payment
-
-
-
1
10
11
12
13
14
15
17
18
19
2
20
21
22
23
Unknown (None of the other options)
n/a
n/a
Child Welfare Reform Progerm (CWRP)
Driving Under Influence Initiative (DUII)
South Jersey Initiative (SJI)
Not assigned for any payer
Juvenile Justice Commission (JJC)
Woman's Set Aside
HIV Set Aside
Parole (DOC - CSAT)
Parole Day Reporting/Aftercare
SAMHSA - HIV
Work First NJ Substance Abuse Initiative (WFNJ-SAI)
Other Mental Health Services
Ryan White
No Reimbrusemant Source/No Fee
Patient Incentive Program
Unknown
Blue Cross/Blue Shield
Worker's Compensation
Other Government Payments
Other Government Payments
Other Government Payments
Other
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
No Charge ( Free, Charity, Special Research or Teaching)
Other Government Payments
Expected Source of Payment~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
02
06
05
05
05
09
05
05
05
05
05
05
05
05
05
08
05
This is a T/F set up - check box for that that converts to our code
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 39 of 67
New JerseySupplemental
11 Expected/Actual Primary Source of Payment
24
25
3
30
31
32
33
4
5
51
52
53
54
55
6
7
8
9
Other
SAMHSA - General
Slot - DAS Non-Initiative
Family Pay
Private Insurance
Medicaid
Medicare
Drug Court - Slotted
Drug Court - Fee for Services (DC-FFS)
Chapter 51
Enhancement
Direct County Funding
Youth Services Commission
Other County Funding
Department of Corrections (DOC)
Medically Assisted Treatment Initiative (MATI) FFS
MATI Mobile Medication Unit (MMU)
State Parole Board (SPB)
Other
Other Government Payments
Other Government Payments
Self-Pay
Other Health Insurance Companies
Medicaid
Medicare
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Expected Source of Payment~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
09
05
05
01
07
04
03
05
05
05
05
05
05
05
05
05
05
05
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 40 of 67
New JerseySupplemental
11 Expected/Actual Primary Source of Payment
-
1
10
11
13
14
15
16
17
18
19
2
20
21
22
25
3
30
Unknown (None of the other options)
Child Welfare Reform Progerm (CWRP)
Driving Under Influence Initiative (DUII)
South Jersey Initiative (SJI)
Juvenile Justice Commission (JJC)
Woman's Set Aside
HIV Set Aside
Other
Parole (DOC - CSAT)
Parole Day Reporting/Aftercare
SAMHSA - HIV
Work First NJ Substance Abuse Initiative (WFNJ-SAI)
Other Mental Health Services
Ryan White
No Reimbrusemant Source/No Fee
SAMHSA - General
Slot - DAS Non-Initiative
Family Pay
Unknown
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
No Charge ( Free, Charity, Special Research or Teaching)
Other Government Payments
Other Government Payments
Self-Pay
Expected Source of Payment~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
05
05
05
05
05
05
09
05
05
05
05
05
05
08
05
05
01
This is a T/F set up - check box for that that converts to our code
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 41 of 67
New JerseySupplemental
11 Expected/Actual Primary Source of Payment
31
32
33
4
5
51
52
53
54
55
6
7
8
9
Private Insurance
Medicaid
Medicare
Drug Court - Slotted
Drug Court - Fee for Services (DC-FFS)
Chapter 51
Enhancement
Direct County Funding
Youth Services Commission
Other County Funding
Department of Corrections (DOC)
Medically Assisted Treatment Initiative (MATI) FFS
MATI Mobile Medication Unit (MMU)
State Parole Board (SPB)
Other Health Insurance Companies
Medicaid
Medicare
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Other Government Payments
Expected Source of Payment~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
04
03
05
05
05
05
05
05
05
05
05
05
05
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 42 of 67
New JerseySupplemental
12
12
Detailed Not in Labor Force
Detailed Not in Labor Force
-
10
3
4
5
7
9
-
10
11
4
5
6
8
Unknwn (None of the above)
Disabled
Student
Homemaker
Retired
Unemployed: Not looking for work
Unemployed: Living in an institution
Unknwn (None of the above)
Unemployed: Living in an institution
Disabled
Student
Homemaker
Retired
Unemployed: Not looking for work
Unknown
Disabled
Student
Homemaker
Retired
Other
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Unknown
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Disabled
Student
Homemaker
Retired
Other
Employment Status (Admission and Discharge)
Employment Status (Admission and Discharge)
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
04
02
01
03
06
05
97
05
04
02
01
03
06
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 43 of 67
New JerseySupplemental
13 Detailed Criminal Justice Referral Categories
-
-
-
-
-
-
-
-
-
Case Pending
Probation Case
DYFS or Family Court
Drug Court
No Legal Problem
DWI License Suspension
Other
Unknown (None of the Above)
Jail/Prison Inmate
State/Federal Court
Probation/Parole
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Diversionary Program (E.G. TASC)
Not Applicable
DUI/DWI
Other
Unknown
Prison
Detailed Criminal Justice Referral~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
03
04
05
96
07
08
97
06
No longer effective as of: 04-30-2009
This is a T/F set up - check box for that that converts to our code
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 44 of 67
New JerseySupplemental
13
14
Detailed Criminal Justice Referral Categories
Marital Status
-
-
-
-
-
-
-
-
-
-
1
2
3
4
5
Case Pending
Probation/Parole
DYFS or Family Court
Drug Court
No Legal Problem
DWI License Suspension
Other
Unknown (None of the Above)
Jail/Prison Inmate
Unknown (None of the above)
Never Married
Married
Widowed
Separated
Divorced
State/Federal Court
Probation/Parole
Other Recognized Legal Entity ( Local Law, Corr. Agncy, Youth Ser., Review Board
Diversionary Program (E.G. TASC)
Not Applicable
DUI/DWI
Other
Unknown
Prison
Unknown
Never Married - includes clients who are single or whose
Now Married ( includes those living together as married)
Widowed
Separated (legally seperated or otherwise absentbecasue of marital discord))
Divorced
Detailed Criminal Justice Referral
Marital Status
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
03
04
05
96
07
08
97
06
97
01
02
05
03
04
No longer effective as of: 11-05-2014
This is a T/F set up - check box for that that converts to our code
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 45 of 67
New JerseySupplemental
14
15
15
16
Marital Status
Days Waiting to Enter Treatment
Days Waiting to Enter Treatment
Number of Arrests in the 30 Days Prior to Admission
-
1
2
3
4
5
6
998
-
0-996
-
0-96
Unknown (None of the above)
Single
Married
Separated
Divorced
Widowed
Civil Union
Not Collected
Unknown (Not between 0 and 96 inclusive)
Day(s)
Unknown (Not between 0 and 96 inclusive)
Arrest(s)
Unknown
Never Married - includes clients who are single or whose
Now Married ( includes those living together as married)
Separated (legally seperated or otherwise absentbecasue of marital discord))
Divorced
Widowed
Now Married ( includes those living together as married)
Not Collected
Unknown
Number of Days waiting
Unknown
Number of Arrests
Marital Status
Not Collected
Days Waiting to Enter Treatment
Number of Arrests in 30 Days Prior to Admission
~~~
~~~
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
02
03
04
05
02
998
997
000-996
97
00-96
No longer effective as of: 12-30-2005
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 46 of 67
New JerseySupplemental
16
17
Number of Arrests in the 30 Days Prior to Admission
Frequency of Attendance at Self-Help Programs in 30 days prior to Admission
-
1
2
3
4
5
6
98
Unknown (None of the other codes)
No attendance in past month
1-3 times in past month
4-7 times in past month
8-15 times in past month
16-30 times in past month
Some attendance in past month, but frequence unknown
n/a
Unknown
No Attendance in past month
less than once a week -1 to 3 times in past 30 days
About once a week - 4 to 7 times in past 30 days
2 to 3 times a week - 8 to 15 times in past 30 days
4 or more times a week - 16 to 30 times in past 30 days
Some Attendance in past month, but number of times and frequency is unknown
Not Collected
Not Collected
Frequency of attendance at self-help programs in past 30 days prior to admission
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
02
03
04
05
06
98
No longer effective as of:
No longer effective as of:
12-30-2005
11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 47 of 67
New JerseySupplemental
17 Frequency of Attendance at Self-Help Programs in 30 days prior to Admission
-
1
2
3
4
5
6
Unknown (None of the other codes)
No attendance in past month
1-3 times in past month
4-7 times in past month
8-15 times in past month
16-30 times in past month
Some attendance in past month, but frequence unknown
Unknown
No Attendance in past month
less than once a week -1 to 3 times in past 30 days
About once a week - 4 to 7 times in past 30 days
2 to 3 times a week - 8 to 15 times in past 30 days
4 or more times a week - 16 to 30 times in past 30 days
Some Attendance in past month, but number of times and frequency is unknown
Frequency of attendance at self-help programs in past 30 days prior to admission
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
02
03
04
05
06
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 48 of 67
New JerseyDischarge/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
A
C
D
-
-
1
2
Add
Change
Delete
NJ
Unknown (None of the above)
Alcohol/Drug Abuser
Co-Dependent/Family
Add
Change
Delete
State abreviation according postal codes
No
No
Yes
System Transaction Type
FIPS State Code
Month and year data file submitted
Provider ID
ID Combo (Client ID + Episode Code + Event Code)
Co-Dependent/collateral
~
NJ
~
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
A
C
D
-
2
2
1
MMYYYY
"NJ" + 6 characters
14 or 15 characters (depending if episode is 1 or 2 digits)
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 49 of 67
New JerseyDischarge/NOMS
7
8
Type of Treatment Service/Treatment Setting at Discharge
Date of Last Contact or Data Update
1
10
11
12
13
14
15
2
3
4
5
6
7
8
9
Standard/Traditional Outpatient
Detox-Hospital Inpatient
Detox-Outpatient (Non-Methadone)
OPIOID - Methadone Outpatient
Detox-Methadone Outpatient
Non-traditional Outpatient
Intensive Outpatient -OPIOID- Maintenance
Intensive Outpatient
Partial-Hospitalization
Transitional Care/Extended Care
Halfway House
Long-Term Residential
Short-Term Residential (Medically Monitored)
Hospital-Based (acute) Residential
Detox-free Standing Residential (Sub-Acute)
Ambulatory -Non Intensive -Outpatient
Detoxification, 24-Hour Service, Hospital Inpatient
Ambulatory Detoxification
Ambulatory -Non Intensive -Outpatient
Ambulatory Detoxification
Ambulatory -Non Intensive -Outpatient
Ambulatory - Intensive -Outpatient
Ambulatory - Intensive -Outpatient
Rehabilation/Residential - Hospital (other than detoxification)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Long Term (More than 30 Days)
Rehabilation/Residential - Short Term (30 Daysor Fewer)
Rehabilation/Residential - Hospital (other than detoxification)
Detoxification, 24-Hour Service, Free Standing Residential
Level of Care ( Admission and Discharge)
Date of Last Contact
~~
~~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
07
01
08
07
08
07
06
06
03
05
05
05
04
03
02
MMDDYYYY
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 50 of 67
New JerseyDischarge/NOMS
9
10
Date of Discharge
Reason for Discharge, Transfer, or Discontinuance of Treatment
-
-
-
-
-
-
-
-
-
-
n/a - not collected by state
Treament plan completed
Quit or dropped out
Administrative Discharge/Rule Non-compliance
Unknown ( None of the other options)
n/a - not collected by state
Incarcerated
Deceased
Other
Medical Discharge/Hospitalized
Transferred to anoither treatment program or facility that is not inSSA or SMHA
Treatment Completed
Dropped out of treatment (lost contact, Left Against Professional Advice
Ternimated by Facility
Unknown - This code will still be accepted by states shouls use 97 Unknown
Transferred to Trtment Prog or Facil, but did notreport
Incarerated or released by or to courts
Death
Other - includes aging out of MH childrens system, extended placement (condition
Transferred to Another Treatment Program or Facility
Date of Discharge
Reason for Discharge
~~~~
~~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
24
01
02
03
08
14
05
06
07
04
MMDDYYYY
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 51 of 67
New JerseyDischarge/NOMS
10
11
12
Reason for Discharge, Transfer, or Discontinuance of Treatment
Provider Identifier at Admission
Client Identifier at Admission
-
-
-
-
-
-
-
-
-
Treament plan completed
Quit or dropped out
Administrative Discharge/Rule Non-compliance
Medical Discharge/Hospitalized
Unknown ( None of the other options)
Incarcerated
Deceased
Other
n/a - not collected by state
Treatment Completed
Dropped out of treatment (lost contact, Left Against Professional Advice
Ternimated by Facility
Transferred to Another Treatment Program or Facility
Unknown - This code will still be accepted by states shouls use 97 Unknown
Incarerated or released by or to courts
Death
Other - includes aging out of MH childrens system, extended placement (condition
Transferred to Trtment Prog or Facil, but did notreport
Reason for Discharge
Provider ID
ID Combo (Client ID + Episode Code + Event Code)
~~~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
02
03
04
08
05
06
07
14
No longer effective as of: 11-05-2014
"NJ" + 6 characters
14 or 15 characters (depending if episode is 1 or 2 digits)
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 52 of 67
New JerseyDischarge/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
A
T
Unknown (None of the above)
Alcohol/Drug Abuser
Co-Dependent/Family
Admission
Transfer
Client
Client
Codependent/collateral
Initial Admission (SA)
Transfer or change in service (SA)
Co-Dependent/collateral
Client Transaction Type
Date of Admission
~~
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
2
2
1
A
T
MMDDYYYY Format
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 53 of 67
New JerseyDischarge/NOMS
16
17
Type of Service at Admission (pulled from admission dataset)
Date of Birth (pulled from admission dataset)
10
11
12
13
14
15
2
3
4
5
6
7
7
8
9
Detox-Hospital Inpatient
Detox-Outpatient (Non-Methadone)
OPIOID - Methadone Outpatient
Detox-Methadone Outpatient
Non-traditional Outpatient
Intensive Outpatient -OPIOID- Maintenance
Intensive Outpatient
Partial-Hospitalization
Transitional Care/Extended Care
Halfway House
Long-Term Residential
Short-Term Residential (Medically Monitored)
Short-Term Residential (Medically Monitored)
Hospital-Based (acute) Residential
Detox-free Standing Residential (Sub-Acute)
Detoxification, 24-hour service - Hospital Inpatient
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory Detoxification
Ambulatory - Non-Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Intensive Outpatient
Ambulatory - Intensive Outpatient
Rehabilitation/Residential - Long Term (more than 30 days)
Rehabilitation/Residential - Long Term (more than 30 days)
Rehabilitation/Residential - Long Term (more than 30 days)
Ambulatory - Non-Intensive Outpatient
Rehabilitation/Residential - Short Term (30 days or fewer)
Rehabilitation/Residential - Hospital (other thanDetoxification)
Detoxification , 24 hour service , Free-StandingResidential
Level of Care ( Admission and Discharge)
DOB
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
01
08
07
08
07
06
06
06
05
05
05
07
04
03
02
mmddyyyy
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 54 of 67
New JerseyDischarge/NOMS
18
19
Gender (pulled from admission dataset)
Race (pulled from admission dataset)
-
1
2
3
4
-
1
2
3
4
5
6
Unknown (None of the above)
Male
Female
Transgender
Other
Unknown (None of the above)
White
Black
Asian
Alaskan Native
American Indian
Native Hawaiian or other Pacific Islander
Unknown
Male
Female
Unknown
Unknown
Unknown
White
Black or African American
Asian
Alaskan Native (Aleut, Eskimo)
American Indian
Native Hawaiian or other Pacific Islander
Gender
Race
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
7
1
2
7
7
97
05
04
13
01
02
23
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 55 of 67
New JerseyDischarge/NOMS
19
20
Race (pulled from admission dataset)
Ethnicity (pulled from admission dataset)
-
-
-
1
2
3
4
5
6
-
1
2
3
4
5
6
if Race2 has value between and 6 inclusive and equal to Race1
n/a
Unknown (None of the above)
White
Black
Asian
Alaskan Native
American Indian
Native Hawaiian or other Pacific Islander
Unknown (None of the above)
Not of Hispanic Orgin
Puerto Rican
Mexican
Cuban
Dominican
Other Hispanic
Two or more races
Other single race
Unknown
White
Black or African American
Asian
Alaskan Native (Aleut, Eskimo)
American Indian
Native Hawaiian or other Pacific Islander
Unknown
Not of Specific Hispanic or Latino Origin
Puerto Rican
Mexican
Cuban
Other Specific Hispanic or Latino
Hispanic or Latino - specific origin not specified
Race
Ethnicity
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
21
20
97
05
04
13
01
02
23
97
05
01
02
03
04
06
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 56 of 67
New JerseyDischarge/NOMSK = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 57 of 67
New JerseyDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
-
1
10
11
12
13
14
15
16
17
18
19
2
20
21
22
3
4
Unknown (None of the above)
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
None
Other Amphetamines
Marijuana/Hashish
Cocaine - Powder
Unknown
Alcohol
Other
Hallucinogens
PCP- phencyclidine
Hallucinogens
Inhalants
Other
Non-Prescription Methadone
Other Opiates and Synthetics
Other Opiates and Synthetics
Benzodiazepines
Heroin
Other
None
Other Amphetamines
Marijuana/Hashish
Cocaine/Crack
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
02
20
09
08
09
17
20
06
07
07
13
05
20
01
11
04
03
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 58 of 67
New JerseyDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
5
6
7
8
9
Crack
Amphetamines/Methamphetamines
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
Cocaine/Crack
Methampetamine/SPeed
Barbiturates
Benzodiazepines
Other Amphetamines
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
03
10
15
13
11
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 59 of 67
New JerseyDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
-
-
-
-
1
10
11
12
13
14
15
16
17
18
19
2
20
21
Unknown (None of the above)
n/a
n/a
n/a
Alcohol
GHB
Hallucingens - LSD
Hallucingens - PCP
Hallucingens - Other
Inhalants
Ketamine
Methadone (non prescription)
Opiate - Other
Oxycontin
Rohypnol
Heroin
Other (Phenytoin, etc)
None
Unknown
Other Sedatives or Hypontics
Over-The-Counter medicines
Other Tranquilizer
Alcohol
Other
Hallucinogens
PCP- phencyclidine
Hallucinogens
Inhalants
Other
Non-Prescription Methadone
Other Opiates and Synthetics
Other Opiates and Synthetics
Benzodiazepines
Heroin
Other
None
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
16
18
14
02
20
09
08
09
17
20
06
07
07
13
05
20
01
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 60 of 67
New JerseyDischarge/NOMS
21 Substance Problem At Discharge, (Primary, Secondary, Tertiary)
22
23
24
25
26
27
28
29
3
30
31
32
33
34
35
36
37
38
Other Amphetamines
Buprenorphine (non-prescription)
Codeine
Propoxyphene (Darvon)
Meperidine (Demerol)
Hydromorphone (Dilaudid)
Pentazocine
Hydrocodone (Vicodin)
Marijuana/Hashish
Tramadol (Ultram)
Methylphenidate (Ritalin)
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clorazepate (Tranzene)
Diazepam (Valium)
Flurazepam (Dalmane)
Lorazepam (Ativan)
Synthetic Cannabinoids (Synthetic Marijuana, K2, Spice)
Other Amphetamines
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Other Opiates and Synthetics
Marijuana/Hashish
Other Opiates and Synthetics
Other Stimulants
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Benzodiazepines
Other
Primary Drug (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
11
07
07
07
07
07
07
07
04
07
12
13
13
13
13
13
13
20
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 61 of 67
New JerseyDischarge/NOMS
21
22
Substance Problem At Discharge, (Primary, Secondary, Tertiary)
Frequency of Use at Discharge (Primary, Secondary, Tertiary)
39
4
5
6
7
8
9
-
1
2
3
4
5
Bath Salts
Cocaine - Powder
Crack
Amphetamines/Methamphetamines
Barbiturates
Benzodiazepines
MDMA (MOLLY), Ecstasy
Unknown (None of the above)
No use past month
Less than weekly
1 to 2 times per week
3 to 6 times per week
Daily
Other Amphetamines
Cocaine/Crack
Cocaine/Crack
Methampetamine/SPeed
Barbiturates
Benzodiazepines
Other Amphetamines
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
Primary Drug (Admission and Discharge)
Primary Frequency (Admission and Discharge)
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
11
03
03
10
15
13
11
97
01
02
03
04
05
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 62 of 67
New JerseyDischarge/NOMS
23
23
Living Arrangements at Discharge
Living Arrangements at Discharge
-
1
2
3
4
-
1
2
3
4
Unknown (None of the above)
Homeless - Shelter
Homeless - Streets
Dependent Living/Institution
Independent Living
Unknown (None of the above)
Dependent Living/Institution
Homeless - Shelter
Homeless - Streets
Independent Living
Unknown
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Dependent Living - clients living in a supervised setting
Independent Living - clients living alone or with others but no supervision
Unknown
Dependent Living - clients living in a supervised setting
Homeless - clients with no fixed address; includes homeless shelter
Homeless - clients with no fixed address; includes homeless shelter
Independent Living - clients living alone or with others but no supervision
Living Arrangement (Admission and Discharge)
Living Arrangement (Admission and Discharge)
~~~
~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
01
02
03
97
02
01
01
03
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 63 of 67
New JerseyDischarge/NOMS
24 Employment at Discharge
-
1
10
11
2
3
4
5
6
7
8
9
Unknwn (None of the above)
Full-Time Work or Military
Unemployed: Living in an institution
Disabled
Part-Time (Regular Hours)
Part-Time (Not Regular Hours)
Student
Homemaker
Retired
Unemployed: Actively looking for work
Unemployed: Not looking for work
Unemployed: Volunteer Work
Unknown
Full Time - works 35 or more hours a week- includes military
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.
Part Time - works less tahn 35 hours per week
Part Time - works less tahn 35 hours per week
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.
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.
Unemployed - looking for work in past 30 days or on layoff from job
Employment Status (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
04
04
02
02
04
04
04
03
04
03
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 64 of 67
New JerseyDischarge/NOMS
24 Employment at Discharge
-
1
10
2
3
4
5
6
7
8
9
Unknwn (None of the above)
Full-Time Work or Military
Disabled
Part-Time (Regular Hours)
Student
Homemaker
Retired
Unemployed: Actively looking for work
Unemployed: Not looking for work
Unemployed: Volunteer Work
Unemployed: Living in an institution
Unknown
Full Time - works 35 or more hours a week- includes military
Not in Labor Force - not looking for work in past 30 days - stdent, retired etc.
Part Time - works less tahn 35 hours per week
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.
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.
Employment Status (Admission and Discharge)~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
01
04
02
04
04
04
03
04
04
04
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 65 of 67
New JerseyDischarge/NOMS
25
25
Detailed Not In Labor Force at Discharge
Detailed Not In Labor Force at Discharge
-
10
11
4
5
6
8
-
10
3
4
5
7
9
Unknwn (None of the above)
Unemployed: Living in an institution
Disabled
Student
Homemaker
Retired
Unemployed: Not looking for work
Unknwn (None of the above)
Disabled
Student
Homemaker
Retired
Unemployed: Not looking for work
Unemployed: Living in an institution
Unknown
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Disabled
Student
Homemaker
Retired
Other
Unknown
Disabled
Student
Homemaker
Retired
Other
Inmate of Institution ( Prison or Institution - keeps people out of work force)
Employment Status (Admission and Discharge)
Employment Status (Admission and Discharge)
~~
~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
05
04
02
01
03
06
97
04
02
01
03
06
05
No longer effective as of: 11-05-2014
General reporting comments: [.] denotes [TableName.FieldName(s)]
CWMS_PROXY
Crosswalk Report
Page 66 of 67
New JerseyDischarge/NOMS
26
27
27
Number of Arrests in 30 Days Priorto Discharge
Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge
Frequency of Attendance at Self-Help program in the 30 Days Prior to Discharge
-
0-96
-
1
2
3
4
5
6
Unknown (Not between 0 and 96 inclusive)
Arrest(s)
Unknown (None of the other codes)
No attendance in the past month
1-3 times in past month
4-7 times in past month
8-15 times in past month
16-30 times in past month
Some attendance in past month, but frequency unknown
Unknown
Number of Arrests
Unknown
No Attendance in past month
less than once a week -1 to 3 times in past 30 days
About once a week - 4 to 7 times in past 30 days
2 to 3 times a week - 8 to 15 times in past 30 days
4 or more times a week - 16 to 30 times in past 30 days
Some Attendance in past month, but number of times and frequency is unknown
Number of Arrests in 30 Days Prior to Discharge
Not Collected
Frequency of attendance at self-help programs in 30 days prior to Discharge
~~~~
~~~
~~~~
K = Key Field
Treatment Episode Data SetItem No Item Value State System Data
SAMS 2005 - New Jersey Treatment Episode Data SetVersion : 1
97
00-96
97
01
02
03
04
05
06
No longer effective as of: 01-27-2010
General reporting comments: [.] denotes [TableName.FieldName(s)]