TEDS MH-TEDS Data TEDS MH-TEDS Data Elements

				OMB No.0930-0335
				Expiration Date: XX/XX/XXXX
Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  The OMB control number for this project is 0930-0335.  Public reporting burden for this collection of information is estimated to average XX hours per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-A, Rockville, Maryland, 20857.
LEGEND
Key field = must not be blank. Key fields, taken together, are used to uniquely identify and link records.
Data set classifications, i.e., SDS, MDS, and SuDS, apply to MH-TEDS admission variables only.
TEDS/MH-TEDS
Variable Name	Data Field Reference Number			Categories
	Admission Record	Discharge/Update Record
		Value taken from admission record	Value taken at time of discharge or data update
SYSTEM DATA SET (SDS)
System Transaction Type	SDS 1		DIS 1	A=Add
				C=Change
				D=Delete
State Code – Key field	SDS 2		DIS 2	2 character state abbreviation
Reporting Date	SDS 3		DIS 3	MMYYYY
MINIMUM DATA SET (MDS)
State Provider Identifier – Key field	MDS 1	DIS 11	DIS 4	1-15 alphanumeric
Client Identifier – Key field	MDS 2	DIS 12	DIS 5	1-15 alphanumeric
Codependent or Collateral – Key field	MDS 3	DIS 13	DIS 6	1=Codependent/Collateral
				2=Client
Client Transaction Type – Key field	MDS 4	DIS 14		A=Initial Admission (SU)
				T=Transfer (SU)
				D=Discharge (SU)
				M=Initial Admission (MH)
				X=Transfer (MH)
				E=Discharge (MH)
				U=Update (MH)
Date of Admission – Key field	MDS 5	DIS 15		MMDDYYYY
Previous SU Treatment Episodes	MDS 6			Optional reporting MH clients
				0=0 Previous episodes
				1=1 Previous episode
				2=2 Previous episodes
				3=3 Previous episodes
				4=4 Previous episodes
				5=5 or more previous episodes
				6=Not applicable
				7=Unknown
				8=Not collected
Referral Source	MDS 7			Optional reporting for MH
				01=Individual
				02=Alcohol/Drug use care provider
				03=Other health care provider
				04=School (Educational)
				05=Employer/Employee Assistance Program (EAP)
				06=Other community referral
				07=Court/Criminal justice referral/DUI/DWI
				97=Unknown
				98=Not collected
Date of Birth	MDS 8	DIS 17		MMDDYYYY
				01010007=Unknown
				01010008=Not collected
Sex	MDS 9	DIS 18		1=Male
				2=Female
				7=Unknown
				8=Not collected
Race	MDS 10	DIS 19		01=Alaska Native (Aleut, Eskimo)
				02=American Indian or Alaska Native
				03=Asian or Pacific Islander
				13=Asian
				23=Native Hawaiian or Other Pacific Islander
				04= Black or African American
				05=White
				20=Other single race
				21=Two or more races
				97=Unknown
				98=Not collected
Hispanic or Latino Origin (Ethnicity)	MDS 11	DIS 20		01=Puerto Rican
				02=Mexican
				03=Cuban
				04=Other Specific Hispanic or Latino
				05=Not of Hispanic or Latino Origin
				06=Hispanic or Latino - specific origin not specified
				97=Unknown
				98=Not collected
Education	MDS 12		MHD 5	00= Less than one school grade or no schooling
				01-11=Grades 1 - 11
				12=Grade 12 or GED
				13=1st year of College/University (Freshman)
				14=2nd Year of College/Univserity (Sophomore) or Associate Degree
				15=3rd Year of College/University (Junior)
				16=4th Year of College/University (Senior) or Bachelor's Degree
				17=Some Post-Graduate Study- Degree not completed
				18= Master's Degree completed
				19-25=Post-graduate study
				70=Graduate or Professional School
				71=Vocational School (MH only)
				72=Nursery School or Pre-school (MH only)
				73=Kindergarten (MH only)
				74=Self-contained Special Education Class (MH only)
				97=Unknown
				98=Not collected
Employment Status	MDS 13		DIS 24	01=Full time
				02=Part time
				03=Unemployed
				04=Not in the labor force
				05=Employed, full/part time not specified (Temporary code, should be used in MH reporting only)
				97=Unknown
				98=Not collected
Substance Use (Primary, Secondary, Tertiary)	MDS 14A MDS 14B MDS 14C		DIS 21a DIS 21b DIS 21c	Optional reporting for MH clients
				01=None
				02=Alcohol
				03=Cocaine
				04=Marijuana/hashish
				05=Heroin
				06=Non-prescription methadone
				07=Other opiates and synthetics
				08=PCP-phencyclidine
				09=Hallucinogens
				10=Methamphetamine/speed
				11=Other amphetamines
				12=Other stimulants
				13=Benzodiazepine
				14=Other tranquilizers
				15=Barbiturates
				16=Other sedatives or hypnotics
				17=Inhalants
				18=Over-the-counter medications
				20=Other drugs
				96=Not applicable (MH only)
				97=Unknown
				98=Not collected
Route of Administration (of Primary, Secondary, Tertiary Substances)	MDS 15A MDS 15B MDS 15C			Optional reporting for MH clients - see Manual for SU route of administration categories
				01=Oral
				02=Smoking
				03=Inhalation
				04=Injection (intravenous, intramuscular, intradermal, or subcutaneous)
				20=Other
				96=Not applicable
				97=Unknown
				98=Not collected
Frequency of Use (of Primary, Secondary, Tertiary Substances)	MDS 16A MDS 16B MDS 16C		DIS 22a DIS 22b DIS 22c	Optional reporting for MH clients - see Manual for SU frequency of use categories
				01=No Use in the Past Month
				02=1-3 Days in the Past Month
				03=1-2 Days in the Past Week
				04=3-6 Days in the Past Week
				05=Daily
				96=Not applicable
				97=Unknown
				98=Not collected
Age at First Use (of Primary, Secondary, Tertiary, Substances)	MDS 17A MDS 17B MDS 17C			Optional reporting for MH clients with co-occurring SU
				00=Newborn
				01-95=Age at first use
				96=Not applicable
				97=Unknown
				98=Not collected
Type of Treatment/Service Setting – Key field	MDS 18	DIS 16	DIS 7	01=Withdrawal management, 24-hour service, Hospital Inpatient (SU only)
				02=Withdrawal management, 24-hour service, Free-Standing Residential (SU only)
				03=Rehabilitation/Residential - Hospital (other than withdrawal management) (SU only)
				04=Rehabilitation/Residential - Short term (30 days or fewer) (SU only)
				05=Rehabilitation/Residential - Long term (more than 30 days) (SU only)
				06=Ambulatory-Intensive outpatient (SU only)
				07=Ambulatory-Non-intensive outpatient (SU only)
				08=Ambulatory-withdrawal management (SU only)
				72=State psychiatric hospital (MH only)
				73=SMHA funded/operated community-based program (MH only)
				74=Residential treatment center (MH only)
				75=Other psychiatric inpatient (MH only)
				76=Institutions under the justice system (MH only)
				96=Not applicable (use only for codependents or collateral clients (SU only)
Medications for Opioid Use Disorder	MDS 19			Optional reporting for MH clients
				1=Yes
				2=No
				6=Not applicable
				7=Unknown
				8=Not collected
SUPPLEMENTAL DATA SET (SuDS)
Detailed Drug Code (Primary, Secondary, Tertiary)	SuDS 1 SuDS 2 SuDS 3			Optional reporting for MH clients
				0201=Alcohol
				0301=Crack
				0302=Other cocaine
				0401=Marijuana/Hashish, THC, and any other cannabis sativa preparations
				0501=Heroin
				0601=Non-prescription methadone
				0701=Codeine
				0702=Propoxyphene (Darvon)
				0703=Oxycodone (Oxycontin)
				0704=Meperidine (Demerol)
				0705=Hydromorphone (Dilaudid)
				0706=Butorphanol (Stadol), morphine (MS Contin), opium, and other narcotic analgesics, opiates, or synthetics
				0707=Pentazocine (Talwin)
				0708=Hydrocodone (Vicodine)
				0709=Tramadol (Ultram)
				0710=Buprenorphin (subutex, suboxone)
				0711=Fentanyl
				0801=PCP
				0901=LSD
				0902=DMT, mescaline, peyote, psilocybin, STP, and other hallucinogens
				1001=Methamphetamine/speed
				1101=Amphetamine
				1103= Methylenedioxymethamphetamine (MDMA, Ecstasy)
				1109="Bath Salts", phenmetrazine, and other amines and related drugs
				1201=Other stimulants
				1202=Methylphenidate (Ritalin)
				1301=Alprazolam (Xanax)
				1302=Chlordiazepoxide (Librium)
				1303=Clorazepate (Tranzene)
				1304=Diazepam (Valium)
				1305=Flurazepam (Dalmane)
				1306=Lorazepam (Ativan)
				1307=Triazolam (Halcion)
				1308=Halazepam, oxazepam (Serax), prazepam, temazepam (Restoril), and other Benzodiazepines
				1309=Flunitrazepam (Rohypnol)
				1310=Clonazepam (Klonopin,Rivotril)
				1401=Meprobamate (Miltown)
				1403=Other non-benzodiazepine tranquilizers
				1501=Phenobarbital
				1502=Secobarbital/amobarbital (Tuinal)
				1503=Secobarbital (Seconal)
				1509=Amobarbital, pentobarbital (Nembutal) and other barbiturate sedatives
				1601=Ethchlorvynol (Placidyl)
				1602=Glutethimide (Doriden)
				1603=Methaqualone (Quaalude)
				1604=Chloral hydrate and other Non-Barbiturate Sedatives/hypnotics
				1605=Xylazine
				1701=Aerosols
				1702=Nitrites
				1703=Gasoline, glue, and other inappropriately inhaled products
				1704=Solvents (paint thinner and other solvents)
				1705=Anesthetics (chloroform, ether, nitrous oxide, and other anesthetics)
				1801=Diphenhydramine
				1809=Other antihistamines, aspirin, Dextromethorphan (DXM) and other cough syrups, Ephedrine, sleep aids, and any other legally obtained, non-prescription medication
				2001=Diphenylhydantoin/Phenytoin (Dilantin)
				2002=Synthetic Cannabinoid "Spice", Carisoprodol (Soma) and other drugs
				2003=GHB/GBL (gamma-hydroxybutyrate, gammabutyrolactone)
				2004=Ketamine (Special K)
				9996=Not applicable - use when the value in "Substance Use" is 01 (None)
				9997=Unknown
				9998=Not collected
Diagnostic Code (DSM or ICD)	SuDS 4			xxx.xx
				999.96=No SU Diagnosis (MH only)
				999.97=Unknown
				999.98=Not collected
Co-occurring Mental and Substance Use Disorders	SuDS 5			1=Yes - Client has co-occurring mental and substance use disorders
				2=No - Client does not have co-occurring mental and substance use disorders
				7=Unknown
				8=Not collected
Pregnant at Admission	SuDS 6			Optional reporting for both SU and MH
				1=Yes, client was pregnant at admission
				2=No, client was not pregnant at admission
				6=Not applicable - Use this code for male clients or pre-pubescent females.
				7=Unknown
				8=Not collected
Veteran Status	SuDS 7			Optional reporting for both SU and MH
				1=Veteran
				2=Not a veteran
				7=Unknown
				8=Not collected
Living Arrangements	SuDS 8		DIS 23	01=Homeless
				02=Dependent Living
				22=Dependent living: residential care (MH-only)
				32=Dependent living: foster home/foster care (MH only)
				42=Dependent living: crisis residence (MH only)
				52=Dependent living: institutional setting (MH only)
				62=Dependent living: jail and other institutions under the justice system (MH only)
				72=Dependent living: adults in private residence who needs assistance in daily living (MH only)
				03=Independent Living
				04=Private residence, living arrangement not specified, adults (temporary code MH-only)
				97=Unknown
				98=Not collected
Source of Income/Support	SuDS 9			Optional reporting for both SU and MH
				01=Wages/salary
				02=Public assistance
				03=Retirement/pension
				04=Disability
				20=Other
				21=None
				97=Unknown
				98=Not collected
Health Insurance	SuDS 10			Optional reporting for MH
				01=Private insurance
				02=Blue Cross/Blue Shield
				03=Medicare
				04=Medicaid
				06=Health Maintenance Organization (HMO)
				20=Other (e,g., Tricare)
				21=None
				97=Unknown
				98=Not collected
Payment Source, Primary (Expected or Actual)	SuDS 11			Optional reporting for both SU and MH
				01=Self-pay
				02=Blue Cross/Blue Shield
				03=Medicare
				04=Medicaid
				05=Other government payments
				06=Worker's compensation
				07=Other health insurance companies
				08=No Charge - For example, free, charity, special research, or teaching
				09=Other
				97=Unknown
				98=Not collected
Detailed Not-in-Labor Force	SuDS 12		DIS 25	01=Homemaker
				02=Student
				03=Retired
				04=Disabled
				05= Resident of institution
				06=Other
				07=Sheltered/non-competitive employment (MH only)
				96=Not applicable
				97=Unknown
				98=Not collected
Detailed Criminal Justice Referral	SuDS 13			Optional reporting for both SU and MH
				01=State/federal Court
				02=Other Court
				03=Probation/parole
				04=Other Recognized Legal Entity
				05=Diversionary program
				06=Prison
				07=DUI/DWI
				08=Other
				96=Not applicable
				97=Unknown
				98=Not collected
Marital Status	SuDS 14			Optional reporting for both SU and MH
				01=Never Married
				02=Now Married
				03=Separated
				04=Divorced
				05=Widowed
				97=Unknown
				98=Not collected
Days Waiting to Enter SU Treatment	SuDS 15			Optional reporting for MH clients with co-occurring SU
				000-995=Number of days waiting
				996=Not applicable (MH only)
				997=Unknown
				998=Not collected
Arrests in Past 30 Days	SuDS 16		DIS 26	00-96=Number of arrests
				97=Unknown
				98=Not collected
Attendance at SU Self-Help Groups in Past 30 Days	SuDS 17		DIS 27	Optional reporting for MH clients with co-occurring SU
				01=No attendance
				02=Less than once a week - 1 to 3 times in the past 30 days
				03=About once a week - 4 to 7 times in the past 30 days
				04=2 to 3 times per week - 8 to 15 times in the past 30 days
				05=At least 4 times a week - 16 to 30 times in the past 30 days
				06=Some attendance - Number of times and frequency is unknown
				96=Not applicable
				97=Unknown
				98=Not collected
Diagnostic Code Set Identifier	SuDS 18		MHD 1	1=DSM-IV
				2=ICD-9
				3=ICD-10
				4=DSM-5
				5=DSM-III-R
				7=Unknown
				8=Not collected
Substance Use Diagnosis	SuDS 19			xxx.xxxx
				999.9996=No Substance use diagnosis (MH only)
				999.9997=Unknown
				999.9998=Not collected
Gender Identity	SuDS 20			01=Male
				02=Female
				03=Transgender (Male to Female)
				13=Transgender (Female to Male)
				23=Transgender [Temporary code]
				04=Two-Spirit [American Indian or Alaska Native only]
				06=Other
				16=I don't know
				26=Prefer not to answer
				97=Unknown
				98=Not Collected
Sexual Orientation	SuDS 21			01=Straight or Heterosexual
				02=Lesbian or Gay
				03=Bisexual
				04=Two-Spirit [American Indian or Alaska Native only]
				06=Other
				16=I don't know
				26=Prefer not to answer
				97=Unknown
				98=Not Collected
Other Variables
Date of Last Contact or Data Update - Key Field			DIS 8	MMDDYYYY
				01010007=Unknown
				01010008=Not collected
Date of Discharge - Key field			DIS 9	MMDDYYYY
				1010006=Not Applicable (use for MH update record only)
Reason for Discharge, Transfer, or Discontinuance of Treatment			DIS 10	01=Treatment completed
				02=Dropped out of treatment
				03=Terminated by facility
				04=Transferred to another treatment program or facility
				14=Transferred to another treatment program but client is no show
				24=Transferred to another treatment program or facility that is not in the SSA or SMHA reporting system.
				34 =Discharged temporarily to an acute medical facility for medical services (MH-only)
				05=Incarcerated or released by or to courts
				06=Death
				07=Other
				08= Unknown - This code will continue to be accepted. However, states are encouraged to use the code 97 Unknown instead
				96 = Not appliciable
				97=Unknown
				98=Not collected
Client Discharge Transaction Type - Key field		DIS 14	DIS 28	A=Initial Admission (SU)
				T=Transfer (SU)
				D=Discharge (SU)
				M=Initial Admission (MH)
				X=Transfer (MH)
				E=Discharge (MH)
				U=Update (MH)
MH Diagnostic Code - One (ICD-9 or ICD-10)	MHA 1a		MHD 2a	XXX.XXXX
				999.9996=No MH Diagnosis-One (SU only)
				999.9997=Unknown
				999.9998=Not collected
MH Diagnostic Code - Two (ICD-9 or ICD-10)	MHA 1b		MHD 2b	XXX.XXXX
				999.9996=No MH diagnosis - two
				999.9997=Unknown
				999.9998=Not collected
MH Diagnostic Code - Three (ICD-9 or ICD-10)	MHA 1c		MHD 2c	XXX.XXXX
				999.9996=No MH diagnosis - three
				999.9997=Unknown
				999.9998=Not collected
SMI/SED Status	MHA 2		MHD 3	Optional reporting for SU clients
				1=SMI
				2=SED
				3=At risk for SED (optional)
				4=Not SMI/SED
				6=Not Applicable
				7=Unknown
				8=Not collected
School Attendance Status	MHA 3		MHD 4	Optional reporting for SU clients
				1=Yes, client has attended school at any time in the past 3 months
				2=No, client has not attended school at any time in the past three months
				6=Not applicable
				7=Unknown
				8=Not collected
Legal Status at Admission to State Hospital	MHA 4			Not applicable for SU clients
				01=Voluntary-self
				02=Voluntary-others (parents, guardians, etc)
				03=Involuntary-civil
				04=Involuntary-criminal
				05=Involuntary-juvenile justice
				06=Involuntary-civil, sexual
				96=Not applicable
				97=Unknown
				98=Not collected
GAF/CGAS Score	MHA 5		MHD 6	Optional reporting for MH clients with co-occurring SU
				0-100=GAF/CGAS Score
				996=Not applicable (SU only)
				997=Unknown
				998=Not collected