STANDARD DATA DICTIONARY #604 -- ADDICTION SEVERITY INDEX FILE 6/27/25 PAGE 1
STORED IN ^YSTX(604, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.01)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
ADDICTION SEVERITY INDEX
FIFTH EDITION
Locally Developed by D. LaLIBERTE White City VA Domiciliary National Mental Health Software Development: Allan Finkelstein, Ph.D.
This is the main ASI file and contains all data for each administration. It is a flat file with one record per administration.
Questions and format are determined by the publishers of the ASI and may not be locally modified.
IDENTIFIED BY:
"WRITE": W $$ID^YSASLIB(Y)
CROSS
REFERENCED BY: NAME(A02), PERSON ALLOWED TO EDIT(A81), PERSON ALLOWED TO EDIT(AA81), DATE OF INTERVIEW(AD),
AWAITING TRANSMISSION(ATR), ID NUMBER(B), NAME(C), CLASS(D)
604,.01 ID NUMBER 0;1 NUMBER (Required)
INPUT TRANSFORM: S:$TR(X,"new","NEW")="NEW" X=$$NEW^YSASLIB K:+X'=X!(X>9999999)!(X<1)!(X?.E1"."1N.N) X S:$G(X) DINUM
=X
LAST EDITED: MAY 06, 1996
HELP-PROMPT: Enter NEW if this is a new entry or you may select and existing entry from the list.
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G1. I.D. Number
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 604^B
1)= S ^YSTX(604,"B",$E(X,1,30),DA)=""
2)= K ^YSTX(604,"B",$E(X,1,30),DA)
CROSS-REFERENCE: ^^TRIGGER^604^.14
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^YSTX(604,D0,0)):^(0),1:"") S X=$P(Y(1),U,14),X=X S
DIU=X K Y S X=DIV S X=DUZ X ^DD(604,.01,1,2,1.4)
1.4)= S DIH=$S($D(^YSTX(604,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,14)=DIV,DIH=604,DIG=.14 D ^DICR
:$O(^DD(DIH,DIG,1,0))>0
2)= Q
CREATE VALUE)= S X=DUZ
DELETE VALUE)= NO EFFECT
FIELD)= RECORD INITILIZED BY
CROSS-REFERENCE: ^^TRIGGER^604^.12
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^YSTX(604,D0,0)):^(0),1:"") S X=$P(Y(1),U,12),X=X S
DIU=X K Y X ^DD(604,.01,1,3,1.1) X ^DD(604,.01,1,3,1.4)
1.1)= S X=DIV N %I,%H,% D NOW^%DTC S X=%
1.4)= S DIH=$S($D(^YSTX(604,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,12)=DIV,DIH=604,DIG=.12 D ^DICR
:$O(^DD(DIH,DIG,1,0))>0
2)= Q
CREATE VALUE)= NOW
DELETE VALUE)= NO EFFECT
FIELD)= RECORD INITILIZED DATE TIME
CROSS-REFERENCE: ^^TRIGGER^604^.81
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^YSTX(604,D0,.8)):^(.8),1:"") S X=$P(Y(1),U,1),X=X S
DIU=X K Y S X=DIV S X=DUZ X ^DD(604,.01,1,4,1.4)
1.4)= S DIH=$S($D(^YSTX(604,DIV(0),.8)):^(.8),1:""),DIV=X S $P(^(.8),U,1)=DIV,DIH=604,DIG=.81 D ^DI
CR:$O(^DD(DIH,DIG,1,0))>0
2)= Q
CREATE VALUE)= S X=DUZ
DELETE VALUE)= NO EFFECT
FIELD)= ALLOWED TO EDIT
604,.02 NAME 0;2 POINTER TO PATIENT FILE (#2)
LAST EDITED: MAY 01, 1996
DESCRIPTION:
This is the patients name. Pointer to Patient File.
CROSS-REFERENCE: 604^C
1)= S ^YSTX(604,"C",$E(X,1,30),DA)=""
2)= K ^YSTX(604,"C",$E(X,1,30),DA)
CROSS-REFERENCE: 604^A02^MUMPS
1)= S ^YSTX(604,"A02."_X,DA,DA)=""
2)= K ^YSTX(604,"A02."_X,DA,DA)
604,.0203 DATE OF BIRTH ; COMPUTED DATE
DOB
MUMPS CODE: X ^DD(604,.0203,9.2) S Y(604,.0203,101)=$S($D(^DPT(D0,0)):^(0),1:"") S X=$P(Y(604,.0203,101),U,3) S
D0=Y(604,.0203,80)
9.2 = S Y(604,.0203,80)=$S($D(D0):D0,1:""),Y(604,.0203,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P(Y
(604,.0203,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.03
LAST EDITED: FEB 27, 1996
604,.0209 SSN ; COMPUTED
MUMPS CODE: X ^DD(604,.0209,9.2) S Y(604,.0209,101)=$S($D(^DPT(D0,0)):^(0),1:"") S X=$P(Y(604,.0209,101),U,9) S
D0=Y(604,.0209,80)
9.2 = S Y(604,.0209,80)=$S($D(D0):D0,1:""),Y(604,.0209,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P(Y
(604,.0209,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.09
604,.02111 STREET LINE 1 ; COMPUTED
MUMPS CODE: X ^DD(604,.02111,9.2) S Y(604,.02111,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$P(Y(604,.02111,101)
,U,1) S D0=Y(604,.02111,80)
9.2 = S Y(604,.02111,80)=$S($D(D0):D0,1:""),Y(604,.02111,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02111,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: NAME:STREET ADDRESS [LINE 1]
604,.021112 ZIP+4 ; COMPUTED
MUMPS CODE: X ^DD(604,.021112,9.3) S Y=$P(Y(604,.021112,101),U,12) X:$D(^DD(2,.1112,2)) ^(2) S X=Y S D0=Y(604,.
021112,80)
9.2 = S Y(604,.021112,80)=$S($D(D0):D0,1:""),Y(604,.021112,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=
$P(Y(604,.021112,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
9.3 = X ^DD(604,.021112,9.2) S Y(604,.021112,101)=$S($D(^DPT(D0,.11)):^(.11),1:""),Y(604,.021112,10
2)=X
ALGORITHM: .02:.1112
604,.02112 STREET LINE 2 ; COMPUTED
MUMPS CODE: X ^DD(604,.02112,9.2) S Y(604,.02112,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$P(Y(604,.02112,101)
,U,2) S D0=Y(604,.02112,80)
9.2 = S Y(604,.02112,80)=$S($D(D0):D0,1:""),Y(604,.02112,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02112,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: NAME:STREET ADDRESS [LINE 2]
604,.02113 STREET LINE 3 ; COMPUTED
MUMPS CODE: X ^DD(604,.02113,9.2) S Y(604,.02113,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$P(Y(604,.02113,101)
,U,3) S D0=Y(604,.02113,80)
9.2 = S Y(604,.02113,80)=$S($D(D0):D0,1:""),Y(604,.02113,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02113,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: NAME:STREET ADDRESS [LINE 3]
604,.02114 CITY ; COMPUTED
MUMPS CODE: X ^DD(604,.02114,9.2) S Y(604,.02114,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$P(Y(604,.02114,101)
,U,4) S D0=Y(604,.02114,80)
9.2 = S Y(604,.02114,80)=$S($D(D0):D0,1:""),Y(604,.02114,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02114,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.114
604,.02115 STATE ; COMPUTED
MUMPS CODE: X ^DD(604,.02115,9.2) S Y(604,.02115,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$S('$D(^DIC(5,+$P(Y(
604,.02115,101),U,5),0)):"",1:$P(^(0),U,1)) S D0=Y(604,.02115,80)
9.2 = S Y(604,.02115,80)=$S($D(D0):D0,1:""),Y(604,.02115,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02115,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.115
604,.02116 ZIP ; COMPUTED
MUMPS CODE: X ^DD(604,.02116,9.2) S Y(604,.02116,101)=$S($D(^DPT(D0,.11)):^(.11),1:"") S X=$P(Y(604,.02116,101)
,U,6) S D0=Y(604,.02116,80)
9.2 = S Y(604,.02116,80)=$S($D(D0):D0,1:""),Y(604,.02116,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02116,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.116
604,.02131 PHONE ; COMPUTED
MUMPS CODE: X ^DD(604,.02131,9.2) S Y(604,.02131,101)=$S($D(^DPT(D0,.13)):^(.13),1:"") S X=$P(Y(604,.02131,101)
,U,1) S D0=Y(604,.02131,80)
9.2 = S Y(604,.02131,80)=$S($D(D0):D0,1:""),Y(604,.02131,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P
(Y(604,.02131,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: .02:.131
604,.033 RESOLVED ADM DATE 11;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: MAR 05, 1996
HELP-PROMPT: Answer must be 1-25 characters in length.
604,.04 CLASS 0;4 SET
G8 Class
'1' FOR FULL;
'2' FOR LITE;
'3' FOR FOLLOWUP;
'4' FOR ASI-MV;
LAST EDITED: JUL 21, 2000
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G8. Class: '1' FOR FULL '2'
FOR LITE '3' FOR FOLLOWUP '4' FOR ASI-MV
CROSS-REFERENCE: 604^D
1)= S ^YSTX(604,"D",$E(X,1,30),DA)=""
2)= K ^YSTX(604,"D",$E(X,1,30),DA)
604,.044 AGE ; COMPUTED
MUMPS CODE: X ^DD(604,.044,9.2) X $P(^DD(2,.033,0),U,5,99) S Y(604,.044,101)=X S X=Y(604,.044,101) S D0=Y(604,.
044,80)
9.2 = S Y(604,.044,80)=$S($D(D0):D0,1:""),Y(604,.044,1)=$S($D(^YSTX(604,D0,0)):^(0),1:""),D0=$P(Y(6
04,.044,1),U,2) S:'$D(^DPT(+D0,0)) D0=-1
ALGORITHM: NAME:AGE
604,.05 DATE OF INTERVIEW 0;5 DATE
G5 Date of Interview
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: DEC 31, 1996
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G5. Date of Interview
CROSS-REFERENCE: 604^AD
1)= S ^YSTX(604,"AD",$E(X,1,30),DA)=""
2)= K ^YSTX(604,"AD",$E(X,1,30),DA)
604,.051 TIME INTERVIEW BEGAN 0;13 FREE TEXT
G6 Time Begun
INPUT TRANSFORM: S X=$$X^YSAST(X) K:X="" X
LAST EDITED: MAR 21, 1996
HELP-PROMPT: Enter time interview began.
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G5. TIME BEGUN
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
604,.052 TIME INTERVIEW ENDED 2;4 FREE TEXT
G7 Time Ended
INPUT TRANSFORM: S X=$$X^YSAST(X) K:X="" X
LAST EDITED: MAR 21, 1996
HELP-PROMPT: Enter time interview ended.
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G7. TIME ENDED?
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
604,.07 CONTACT CODE 0;7 SET
G9 Contact Code
'1' FOR IN PERSON;
'2' FOR PHONE;
'3' FOR ASI-MV;
LAST EDITED: JUL 21, 2000
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G9. CONTACT CODE: '1' FOR In
Person '2' FOR Phone '3' FOR ASIMV
604,.08 GENDER 0;8 SET
G10 Gender
'1' FOR MALE;
'2' FOR FEMALE;
LAST EDITED: FEB 26, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G10. GENDER: 1 - Male
2 - Female
604,.09 INTERVIEWER 0;9 POINTER TO NEW PERSON FILE (#200)
G11 Interviewer
LAST EDITED: MAR 20, 1996
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G11. INTERVIEWER CODE NUMBER
604,.11 SPECIAL 0;11 SET
G12 Special
'1' FOR PATIENT TERMINATED;
'2' FOR PATIENT REFUSED;
'3' FOR PATIENT UNABLE TO RESPOND;
'N' FOR INTERVIEW COMPLETED;
LAST EDITED: MAR 06, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G12. SPECIAL: 1 - Patient
terminated
2 - Patient refused
3 - Patient unable to respond
604,.12 RECORD INITIALIZED DATE TIME 0;12 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 26, 1996
DESCRIPTION:
This field contains the date/time the ASI was started.
NOTES: TRIGGERED by the ID NUMBER field of the ADDICTION SEVERITY INDEX File
604,.125 RECORD COMPLETED DATE TIME 12;1 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 26, 1996
604,.14 RECORD INITIALIZED BY (TRANS) 0;14 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAR 17, 1997
DESCRIPTION:
This field contains the pointer value of the transcriber(user who enters the data) of the ASI.
NOTES: TRIGGERED by the ID NUMBER field of the ADDICTION SEVERITY INDEX File
604,.16 RACE 0;16 SET
G17 Race
'1' FOR WHITE (not Hisp);
'2' FOR BLACK (not Hisp);
'3' FOR AMERICAN INDIAN;
'4' FOR ALASKAN NATIVE;
'5' FOR ASIAN/PACIFIC;
'6' FOR HISPANIC-MEXICAN;
'7' FOR HISPANIC-PUERTO RICAN;
'8' FOR HISPANIC-CUBAN;
'9' FOR HISPANIC-OTHER;
LAST EDITED: MAR 04, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G17. RACE 1 WHITE
(not Hisp)
2 BLACK (not Hisp)
3 AMERICAN INDIAN
4 ALASKAN NATIVE
5 ASIAN/PACIFIC
6 HISPANIC-MEXICAN
7 HISPANIC-PUERTO RICAN
8 HISPANIC-CUBAN
9 HISPANIC-OTHER
604,.17 RELIGIOUS PREFERENCE 0;17 SET
G18 Religious Preference
'1' FOR PROTESTANT;
'2' FOR CATHOLIC;
'3' FOR JEWISH;
'4' FOR ISLAMIC;
'5' FOR OTHER;
'6' FOR NONE;
LAST EDITED: FEB 27, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G18. RELIGIOUS PREFERENCE 1
PROTESTANT
2 CATHOLIC
3 JEWISH
4 ISLAMIC
5 OTHER
6 NONE
604,.51 ELECTRONICALLY SIGNED .5;1 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: OCT 23, 1998
DESCRIPTION: This field is a set of codes used to store the value of whether the ASI was electronically signed
or not. '0' FOR no '1' FOR yes
604,.52 E SIGNATURE INTERVIEWER .5;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 23, 1998
DESCRIPTION: This field contains the value of the interviewer/manager from file #200, field .01 who
electronically signs the ASI.
604,.6 GENERAL COMMENT .6;0 WORD-PROCESSING #604.01
LAST EDITED: MAR 09, 1997
DESCRIPTION:
This field contains general comments the user can enter by "^C" at any prompt of the On-Line ASI.
LAST EDITED: MAR 09, 1997
604,.61 CS MEDICAL ; COMPUTED
MUMPS CODE: S X=$$CSMS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSMS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.62 CS EMPLOYMENT ; COMPUTED
MUMPS CODE: S X=$$CSES^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSES^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.63 CS ALCOHOL ; COMPUTED
MUMPS CODE: S X=$$CSA^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSA^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.635 CS DRUG ; COMPUTED
MUMPS CODE: S X=$$CSD^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSD^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.64 CS LEGAL ; COMPUTED
MUMPS CODE: S X=$$CSLS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSLS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.65 CS FAMILY ; COMPUTED
MUMPS CODE: S X=$$CSFSR^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSFSR^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.66 CS PSYCHIATRIC ; COMPUTED
MUMPS CODE: S X=$$CSPS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
ALGORITHM: S X=$$CSPS^YSASCSA(D0),X=$S(X?.E1N.E:$J(X,8,4),1:X)
LAST EDITED: FEB 28, 1997
604,.71 E SIGNATURE TRANSCRIBER .7;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 03, 1996
DESCRIPTION: This field contains the pointer value to the New Person file #200 of the user transcribing the ASI
and electronically signing when the ASI is completed.
604,.81 PERSON ALLOWED TO EDIT .8;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 07, 1996
DESCRIPTION: This field contains the value of the person allowed to edit the ASI. A pointer to the New Person
file (#200).
NOTES: TRIGGERED by the ID NUMBER field of the ADDICTION SEVERITY INDEX File
CROSS-REFERENCE: 604^A81^MUMPS
1)= S:'$D(^YSTX(604,DA,.5)) ^YSTX(604,"A.81."_X,DA,DA)=""
2)= K ^YSTX(604,"A.81."_X,DA,DA)
CROSS-REFERENCE: 604^AA81^MUMPS
1)= S:'$D(^YSTX(604,DA,.5)) ^YSTX(604,"AA81",DA,DA)=X
2)= K ^YSTX(604,"AA81",DA,DA)
604,1 ADMISSION DATE 0;10 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G4. DATE OF ADMISSION This
is not to be confused with the Inpatient Date of Admission in the Patient Movement file #405. This
will be clinically defined.
604,1.201 ADDR LIVED YRS 1.2;1 FREE TEXT
G14 Lived at this Address Years
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: OCT 16, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G14. How long have you lived
at this address? In years.
604,1.202 ADDR LIVED MOS 1.2;2 FREE TEXT
Lived at this Address Months
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11, X or N
DESCRIPTION:
Part of G14. How long have you lived at this address? In Months.
604,1.203 ADDR OWN 1.2;3 SET
G15 Residence Owned
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G15. Is this residence owned
by you or your family? 0 - No 1 - Yes
604,2 PROGRAM 0;15 POINTER TO ASI PROGRAM TYPE FILE (#604.26)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: JAN 23, 1997
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G3. PROGRAM NUMBER
SCREEN: S DIC("S")="I $P(^(0),U,3)"
EXPLANATION: Only Active Programs
604,2.01 CONTROLLED ENVIRONMENT 2;1 SET
G19 Controlled Environment
'1' FOR NO;
'2' FOR JAIL;
'3' FOR ALCOHOL OR DRUG TREATMENT;
'4' FOR MEDICAL TREATMENT;
'5' FOR PSYCHIATRIC TREATMENT;
'6' FOR OTHER;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
HELP-PROMPT: A place, theoretically, without access to drugs/alcohol.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G19. Have you been in a
controlled environment in the past 30 days? 1 NO 2 JAIL 3 ALCOHOL OR DRUG
TREATMENT 4 MEDICAL TREATMENT 5 PSYCHIATRIC TREATMENT 6 OTHER
604,2.02 OTHER 2;2 FREE TEXT
Other
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: G19. If "other" is selected
the user can enter a comment to explain.
604,2.03 HOW MANY DAYS 2;3 FREE TEXT
G20 How many Days
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 19, 1997
HELP-PROMPT: Answer must be 1-2 characters in length.
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G20. How many days?
604,3.01 SHIPLEY C.Q. 3;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Type a Number between 0 and 999, 0 Decimal Digits
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G21. Shipley C.Q.
604,3.02 SHIPLEY I.Q. 3;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Type a Number between 0 and 999, 0 Decimal Digits
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G22. Shipley I.Q.
604,3.03 BECK TOTAL SCORE 3;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Type a Number between 0 and 99, 0 Decimal Digits
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: G23. Beck Total Score
604,5.5 AWAITING TRANSMISSION 5;3 SET
'1' FOR AWAITING TRANSMISSION;
LAST EDITED: JAN 30, 1997
DESCRIPTION:
SET AUTOMATICALLY
CROSS-REFERENCE: 604^ATR
1)= S ^YSTX(604,"ATR",$E(X,1,30),DA)=""
2)= K ^YSTX(604,"ATR",$E(X,1,30),DA)
604,5.6 TRANSMISSION DATE 5;4 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: DEC 06, 1996
604,8.01 HOSPITALIZATIONS 8;1 FREE TEXT
M1 Hospitalizations
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 06, 1996
HELP-PROMPT: Include O.D.'s, D.T.'s. Exclude detox, alcohol/drug, and psychiatric treatment and childbirth(if no
complications). Enter the number of *overnight* hospitalizations for medical problems. 0-99, X or
N.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M1. How many times in your
life have you been hospitalized for medical
problems? (Include o.d.'s, d.t.'s, exclude detox.)
604,8.02 LAST HOSPITALIZATION YRS 8;2 FREE TEXT
M2 Last Hospitalization Years
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 06, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M2. How long ago was your
last hospitalization for a physical problem? In Yrs.
604,8.025 LAST HOSPITALIZATION MOS 8;10 FREE TEXT
Last Hospitalization Months
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M2. How lon was your last
hospitalization for a physical problem? In Mos.
604,8.03 CHRONIC PROBLEM 8;3 SET
M3 Chronic Medical Problems
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
HELP-PROMPT: A chronic medical condition is a serious physical or medical condition that requires regular care,
(i.e., medication dietary restriction) preventing full advantage of their abilities.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M3. Do you have any chronic
medical problems which continue to interfere with
your life? 0 - No
1 - Yes
604,8.04 CHRONIC MEDICAL SPECIFY 8;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: OCT 22, 1996
HELP-PROMPT: Answer must be 1-25 characters in length.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M3. If the answer to this
question is 1 - Yes, please specify.
604,8.05 MEDICATION 8;5 SET
M4 Prescribed Medications
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Medication prescribed by a MD for medical condition; not psychiatric medicines. Including medicines
prescribed whether or not the patient is currently taking them.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M4. Are you taking any
prescribed medications on a regular basis for a physical
problem? 0 - No
1 - Yes
604,8.06 DISABILITY PENSION 8;6 SET
M5 Disability Pension
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Include Workers' Compensation, exclude psychiatric disability.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M5. Do you receive a pension
for a physical disability? (Exclude psychiatric
disability.) 0 - N0
1 - Yes
604,8.07 SPECIFY PENSION 8;7 FREE TEXT
Specify Pension
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Answer must be 1-25 characters in length.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M5. If the answer was 1 -
Yes, specify the amount of the pension.
604,8.08 PROBLEM PAST 30 DAYS 8;8 FREE TEXT
M6 Medical Problems last 30 days
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 06, 1996
HELP-PROMPT: Include flu, colds, etc. Include serious ailments related to drugs/alcohol, which would continue
even if the patient were abstinent (e.g. cirrhosis of liver, absesses from needles, etc.). (0-30)
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M6. How many days have you
experienced medical problems in the past 30?
604,8.09 SCALE MED PROBLEM PAST 30D 8;9 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
M7 Patient bothered
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M7. How troubled or bothered
have you been by these medical problems in the
past 30 days? For question M7 please ask patient to use the Patient's Rating Scale
604,8.11 IMPORTANCE MEDICAL TREATMENT 8;11 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
M8 Patient importance treatment
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M8. How important to you is
treatment for these medical problems? For question M8 please ask patient to use thhe Patient's
Rating Scale
604,8.12 INTERVIEWER'S RATING MEDICAL 8;12 FREE TEXT
M9 Interviewers importance treatment
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: INTEREVIEWER SEVERITY RATING
M9. How would you rate the patient's need for medical treatment?
604,8.14 PATIENT MISREP MEDICAL 8;14 SET
M10 Patient Misrepresents
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M10. Patients
misrepresentation? 0 - No
1 - Yes
604,8.15 PATIENT INAB UNDSTND MEDICAL 8;15 SET
M11 Patient unable to understand
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: M11. Patient's inability to
understand? 0 - No
1 - Yes
604,8.5 MEDICAL COMMENT 8.5;0 WORD-PROCESSING #604.03
LAST EDITED: OCT 29, 1996
DESCRIPTION:
This field contains any comments on the patient's medical status.
LAST EDITED: OCT 29, 1996
604,9.01 YEARS EDUCATION COMPLETED 9;1 FREE TEXT
E1 Education Completed Years
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E1. Education completed
YRS
(GED = 12 years)
604,9.02 MONTHS EDUCATION COMPLETED 9;2 FREE TEXT
Education Completed Months
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E1. Education completed
MOS.
604,9.03 MONTHS TRAINING OR TECH 9;3 FREE TEXT
E2 Training Months
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E2. Training or technical
education completed MOS.
604,9.04 PROFESSION TRADE OR SKILL 9;4 SET
E3 Profession, Trade, Skill
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E3. Do you have a
profession, trade or skill? 0 - No
1 - Yes
604,9.05 SPECIFY PTS 9;5 FREE TEXT
Specify Profession, Skill, Trade
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: OCT 16, 1996
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
If question E3 is answered 1 - Yes, specify the profession, trade or skill.
604,9.06 VALID DRIVERS LICENSE 9;6 SET
E4 Valid Drivers License
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 25, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E4. Do you have a valid
driver's license? 0 - No
1 - Yes
604,9.09 AUTOMOBILE 9;9 SET
E5 Available Automobile
'0' FOR NO;
'1' FOR YES;
'N' FOR QUESTION NOT APPLICABLE;
'X' FOR QUESTION NOT ANSWERED;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E5. Do you have an
automobile available for use? (Answer No if no valid
driver's license) 0 - No 1 - Yes
604,9.11 LONGEST FULL-TIME JOB YRS 9;11 FREE TEXT
E6 Longest Full-time Job Years
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 04, 1997
HELP-PROMPT: Answer must be 1-2 characters in length.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E6. How long was your
longest full-time job? YRS.
604,9.12 LONGEST FULL-TIME JOB MOS 9;12 FREE TEXT
Longest Full-time Job Months
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: E6. In MOS.
604,9.14 USUAL OR LAST OCCUPATION 9;14 FREE TEXT
E7 Usual or Last Occupation
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter usual ocupation coded 1 thru 9 on the Hollingshead scale
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E7. Usual (or last)
occupation. This is selected from the Hollingshead
categories.
EXECUTABLE HELP: D EN^DDIOL("","^YSTX(604.68,3,1)")
604,9.145 USUAL OR LAST OCC TEXT 9;10 FREE TEXT
Specify Occupation
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAR 11, 1996
HELP-PROMPT: Answer must be 1-35 characters in length. Specify usual (or last) occupation.
DESCRIPTION:
This field contains the description of the patients Usual (or last) occupation.
604,9.15 SUPPORT 9;15 SET
E8 Someone Contributes Support
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E8. Does someone contribute
to your support in any way? 0 - No
1 - Yes
604,9.16 MAJORITY OF SUPPORT 9;16 SET
E9 Majority of Support
'0' FOR NO;
'1' FOR YES;
'N' FOR QUESTION NOT APPLICABLE;
'X' FOR QUESTION NOT ANSWERED;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E9. (ONLY IF ITEM 8 IS YES)
Does this constitute the majority of your support? 0 - No
1 - Yes
604,9.17 EMPLOYMENT PATTERN 9;17 SET
E10 Usual Employment Pattern
'1' FOR FULL TIME (40 HRS./WK);
'2' FOR PART TIME (REG. HRS.);
'3' FOR PART TIME (IRREG., DAYWORK);
'4' FOR STUDENT;
'5' FOR SERVICE;
'6' FOR RETIRED/DISABILITY;
'7' FOR UNEMPLOYED;
'8' FOR IN CONTROLLED ENVIRONMENT;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E10. Usual employment
pattern, past 3 years. Choose from: 1 FULL TIME (40 HRS./WK) 2 PART TIME (REG. HRS.)
3 PART TIME (IRREG., DAYWORK) 4 STUDENT 5 SERVICE 6 RETIRED/DISABILITY
7 UNEMPLOYED 8 IN CONTROLLED ENVIRONMENT
604,9.18 DAYS PAID LAST 30 DAYS 9;18 FREE TEXT
E11 Days Paid Last 30
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E11. How many days were you
paid for working in the past 30?
(Include "under the table" work.)
604,9.19 EMPLOYMENT INCOME 9;19 FREE TEXT
ES12
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How much money did you
receive in the last 30 days? E12. Employment
(net income)
604,9.21 UNEMPLOYMENT COMPENSATION 9;21 FREE TEXT
ES13
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 12, 1996
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How much money did you
receive in the last 30 days? E13 Unemployment compensation
604,9.22 WELFARE INCOME 9;22 FREE TEXT
ES14
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-9999, X or N
604,9.23 PENSION 9;23 FREE TEXT
ES15
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-9999,X or N
604,9.24 MATE FAMILY FRIENDS INCOME 9;24 FREE TEXT
ES16
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 12, 1996
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How much money did you
receive in the last 30 days? E16. Mate, family, or friends (Money for personal expenses).
604,9.245 MATE FAMILY FRIENDS SPECIFY 11;20 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
LAST EDITED: MAR 12, 1996
HELP-PROMPT: Answer must be 1-40 characters in length.
604,9.25 ILLEGAL INCOME 9;25 FREE TEXT
ES17
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 12, 1996
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How much money did you
receive in the last 30 days? E17. Illegal
604,9.29 NUMBER OF DEPENDENTS 9;29 FREE TEXT
E18 Number of Dependents
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E18. How many people depend
on you for the majority of their food, shelter,
etc.?
604,9.31 DAYS EMP PROB LAST 30 9;31 FREE TEXT
E19 Days Employment Problems Last 30
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E19. How many days have you
experienced employment problems in the past 30?
604,9.32 EMPLOYMENT PROB 30 DAYS 9;32 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
E20 Troubled Past 30 Days
LAST EDITED: OCT 16, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: For question E20 please ask
patient to use the Patient's rating scale E20. How troubled or bothered have you been by these
employment problems in
the past 30 days?
604,9.33 EMP COUNSELING IMPORTANT 9;33 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
E21 Patient Importance Counselling
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: For question E21 please ask
patient to use the Patient's rating scale E21. How important to you now is counseling for these
employment problems?
604,9.34 INTERVIEWER'S RATING EMPL 9;34 FREE TEXT
E22 Interviewers Need Counselling
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E22. How would you rate the
patient's need for employment counseling?
604,9.35 PATIENT MISREP EMP 9;35 SET
E23 Patient Misrepresents
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E23. Patients
misrepresentation? 0 - No
1 - Yes
604,9.36 PATIENT INAB UNDSTND EMP 9;36 SET
E24 Patient inability to Understand
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: E24. Patient's inability to
understand? 0 - No
1 - Yes
604,9.5 EMPLOYMENT COMMENT 9.5;0 WORD-PROCESSING #604.05
LAST EDITED: OCT 29, 1996
LAST EDITED: OCT 29, 1996
604,10.01 ALCOHOL ANY USE L30DAYS 10;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: APR 01, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all
PAST 30 days
604,10.02 ALCOHOL ANY USE LIFETIME YRS 10;2 FREE TEXT
DA1LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all
LIFETIME Yrs.
604,10.03 ALCOHOL ANY USE ROA 10;3 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D1. Alcohol - any use at all
USE Rt of adm.
604,10.04 ALCOHOL INTOX USE L30DAYS 10;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To
intoxication PAST 30 Days
604,10.05 ALCOHOL INTOX LIFETIME YRS 10;5 FREE TEXT
DA2LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To
intoxication LIFETIME Yrs.
604,10.06 ALCOHOL INTOX ROA 10;6 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D2. Alcohol - To
intoxication USE Rt of adm.
604,10.07 HEROIN L30DAYS 10;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin PAST 30 Days
604,10.08 HEROIN LIFETIME YRS 10;8 FREE TEXT
DA3LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin LIFETIME Yrs.
604,10.09 HEROIN ROA 10;9 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D3. Heroin USE Rt of adm.
604,10.11 METHADONE L30DAYS 10;11 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone PAST 30 Days
604,10.12 METHADONE LIFETIME YRS 10;12 FREE TEXT
DA4LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone LIFETIME Yrs.
604,10.14 METHADONE ROA 10;14 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D4. Methadone USE Rt of
adm.
604,10.15 OTHER OPIATES/ANA L30DAYS 10;15 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics
PAST 30 Days
604,10.16 OTHER OPIATES/ANA LIFETIME YRS 10;16 FREE TEXT
DA5LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics
LIFETIME Yrs.
604,10.17 OTHER OPIATES/ANA ROA 10;17 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D5. Other opiates/analgesics
USE Rt of adm.
604,10.18 BARBITUATES L30DAYS 10;18 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates PAST 30
Days
604,10.19 BARBITUATES LIFETIME YRS 10;19 FREE TEXT
DA6LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates LIFETIME
Yrs.
604,10.21 BARBITUATES ROA 10;21 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D6. Barbiturates USE Rt of
adm.
604,10.22 OTHER S H T L30DAYS 10;22 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq.
PAST 30 Days
604,10.23 OTHER S H T LIFETIME YRS 10;23 FREE TEXT
DA7LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq.
LIFETIME Yrs.
604,10.24 OTHER S H T ROA 10;24 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D7. Other sed/hyp/tranq.
USE Rt of adm.
604,10.25 COCAINE L30DAYS 10;25 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 19, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine PAST 30 Days
604,10.26 COCAINE LIFETIME YRS 10;26 FREE TEXT
DA8LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine LIFETIME Yrs.
604,10.27 COCAINE ROA 10;27 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D8. Cocaine USE Rt of adm.
604,10.28 AMPHETAMINES L30DAYS 10;28 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines PAST 30
Days
604,10.29 AMPHETAMINES LIFETIME YRS 10;29 FREE TEXT
DA9LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines LIFETIME
Yrs.
604,10.31 AMPHETAMINES ROA 10;31 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D9. Amphetamines Rt of adm.
604,10.32 CANNABIS L30DAYS 10;32 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis PAST 30 Days
604,10.33 CANNABIS LIFETIME YRS 10;33 FREE TEXT
DA10LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis LIFETIME Yrs
604,10.34 CANNABIS ROA 10;34 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D10. Cannabis USE Rt of
adm.
604,10.35 HALLUCINOGENS L30DAYS 10;35 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D11. Hallucinogens PAST 30
Days
604,10.36 HALLUCINOGENS LIFETIME YRS 10;36 FREE TEXT
DA11LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D10. Hallucinogens LIFETIME
Yrs.
604,10.37 HALLUCINOGENS ROA 10;37 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D11. Hallucinogens USE Rt
of adm.
604,10.38 INHALANTS L30DAYS 10;38 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 14, 1997
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION:
This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants PAST 30 Days
604,10.39 INHALANTS LIFETIME YRS 10;39 FREE TEXT
DA12LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants LIFETIME
Yrs.
604,10.41 INHALANTS ROA 10;41 POINTER TO ASI ROUTE OF ADMINISTRATION FILE (#604.48)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D12. Inhalants USE Rt of
adm.
604,10.42 MT1PD L30DAYS 10;42 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D13. More than one substance
per day (Incl. alcohol) PAST 30 Days
604,10.43 MT1PD LIFETIME YRS 10;43 FREE TEXT
DA13LIFE
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 26, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D13. More than one substance
per day (Incl. alcohol). LIFETIME Yrs.
604,10.45 MAJOR PROBLEM 10;45 POINTER TO ASI SUBSTANCE CODE FILE (#604.77)
LAST EDITED: OCT 03, 1996
HELP-PROMPT: 0= No Problem 1-12= In the list above 15= Alcohol and one or more drugs 16= More than one drug
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D14. Which substance is the
major problem? Please code as above or 00-No
problem;15-Alcohol & Drug (Dual addiction); 16-Polydrug; when not clear
ask patient.
604,10.5 DRUG/ALCOHOL COMMENT 10.5;0 WORD-PROCESSING #604.06
LAST EDITED: OCT 29, 1996
DESCRIPTION: This field contains the comments made by the interviewer from the patients drug/alcohol use section
of the ASI.
LAST EDITED: OCT 29, 1996
604,11.01 ABSTINENT MONTHS 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Type a Number between 0 and 99, 0 Decimal Digits. 0 = never abstinent.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D15. How long was your last
period of voluntary abstinence from this major
substance? (00 - never abstinent) MOS.
604,11.02 ABSTINENT ENDED MONTHS AGO 11;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 25, 1996
HELP-PROMPT: Refers to question 15; 0 = still abstinent. "N" if question 15 = 0
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D16 How many months ago did
this abstinence end? (00 - still abstinent)
604,11.03 TIMES HAD ALCOHOL D.T.'S 11;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D17. How many times have
you: Had alcohol d.t's.
604,11.04 TIMES OVERDOSED ON DRUGS 11;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D18. How many times have
you: Overdosed on drugs
604,11.05 ALCOHOL ABUSE LIFETIME 11;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D19. How many times in your
life have you been treated for: Alcohol Abuse:
604,11.06 DRUG ABUSE LIFETIME 11;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D20. How many times in your
life have you been treated for: Drug Abuse:
604,11.07 TIMES DETOX ONLY ALCOHOL 11;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 14, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D21. How many of these were
detox only? Alcohol
604,11.08 TIMES DETOX ONLY DRUG 11;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 14, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D22. How many of these were
detox only? Drug?
604,11.09 SPENT L30D ALCOHOL 11;9 FREE TEXT
DA20.1
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: APR 02, 1996
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D23. How much would you say
you spent during the past 30 days on: Alcohol
604,11.11 SPENT L30D DRUGS 11;11 FREE TEXT
DA20.2
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 27, 1996
HELP-PROMPT: Enter 0-9999, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D24. How much would you say
you spent during the past 30 days on: Drugs
604,11.12 DAYS TMT D/A L30D OUTP 11;12 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 12, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D25. How many days have you
been treated in an outpatient setting for
alcohol or drugs in the past 30 days (Include NA, AA).
604,11.14 DAYS L30D ALCOHOL PROB 11;14 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D26. How many days in the
past 30 have you experienced: Alcohol Problems
604,11.15 DAYS L30D DRUG PROB 11;15 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 18, 1997
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: D27. How many days in the
past 30 have you experienced: Drug Problems
604,11.16 TROUBLED ALCOHOL L30D 11;16 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D28 PLEASE ASK
PATIENT TO USE THE PATIENTS RATING SCALE D28. How troubled or bothered have you been in the past 30
days by these:
Alcohol Problems
604,11.165 TMT IMPORTANT ALCOHOL 11;24 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D30 PLEASE ASK
PATIENT TO USE THE PATIENTS RATING SCALE D30. How important to you now is treatment for these:
Alcohol Problems
604,11.17 TROUBLED DRUG L30D 11;17 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D29 PLEASE ASK
PATIENT TO USE THE PATIENTS RATING SCALE D29. How troubled or bothered have you been in the past 30
days by these:
Drug Problems
604,11.175 TMT IMPORTANT DRUG 11;25 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION D31 PLEASE ASK
PATIENT TO USE THE PATIENTS RATING SCALE D31. How important to you now is treatment for these:
Drug Problems
604,11.18 INTERVIEWER'S RATING ALCOHOL 11;18 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: INERVIEWER SEVERITY RATING
D31. How would you rate the patient's need for treatment for: Alcohol Abuse
604,11.185 INTERVIEWER'S RATING DRUG 11;13 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: INERVIEWER SEVERITY RATING
D33. How would you rate the patient's need for treatment for: Drug Abuse
604,11.19 PATIENT MISREP D/A 11;19 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: CONFIDENCE RATINGS Is the
above information significantly distorted by: D34. Patient's misrepresentation? 0 - No
1 - Yes
604,11.21 PATIENT INAB UNDSTND D/A 11;21 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: FEB 27, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: CONFIDENCE RATINGS Is the
above information significantly distorted by: D35. Patient's inability to understand? 0 - No
1 - Yes
604,14.01 ADM PROMPTED BY CJS 14;1 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L1. Was this admission
prompted or suggested by the criminal justice system
(judge, probation/parole officer, etc.) 0 - No
1 - Yes
604,14.02 ON PROBATION OR PAROLE 14;2 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 24, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L2. Are you on probation or
parole? 0 - No
1 - Yes
604,14.03 SHOPLIFTING/VANDALISM 14;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L3 - shoplifting,vandalism
604,14.04 PAROLE/PROBATION VIOLATIONS 14;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L4 - parole/probation violations
604,14.05 DRUG CHARGES 14;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L5 - drug charges
604,14.06 FORGERY 14;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L6 - forgery
604,14.07 WEAPONS OFFENSE 14;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L7 - weapons offense
604,14.08 BURGLARY LARCENY B & E 14;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L8 - burglary, larceny, B & E
604,14.09 ROBBERY 14;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L9 - robbery
604,14.11 ASSAULT 14;11 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L10 - assault
604,14.12 ARSON 14;12 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L11 - arson
604,14.14 RAPE 14;14 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L12 - rape
604,14.15 HOMICIDE MANSLAUGHTER 14;15 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L13 - homicide, manslaugter
604,14.16 PROSTITUTION 14;16 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L14 - prostitution
604,14.17 CONTEMPT OF COURT 14;17 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L15 - contempt of court
604,14.18 OTHER CHARGES 14;18 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been arrested and charged with the following: L16 - other
604,14.19 CONVICTIONS 14;19 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 15, 1996
HELP-PROMPT: Enter a number, 0 to 99. Do not include misdemeanor offenses in questions below. Convictions
include fines, probation, incarcerations, suspended sentences, and guilty pleas.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L17. How many of these
charges resulted in convictions?
604,14.21 DCVPI 14;21 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been charged with the following: L18. Disorderly conduct, vagrancy, public intoxication
604,14.22 DRIVING WHILE INTOXICATED 14;22 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been charged with the following: L19. Driving while intoxicated
604,14.23 MAJOR DRIVING VIOLATIONS 14;23 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many times in your life
have you been charged with the following: L20. Major driving violations (reckless driving,
speeding, no license, etc.)
604,14.24 MONTH INCARCERATED LIFETIME 14;24 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L21. How many months were
you incarcerated in your life? MOS.
604,14.25 MONTHS LAST INCARCERATION 14;25 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: MAR 18, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L22. How long was your last
incarceration? MOS.
604,14.26 LAST INCARCERATED FOR 14;26 POINTER TO ASI LEGAL CODE FILE (#604.3)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L23. What was it for? (Use
ocde 3-16, 18-20. If multiple charges, code most
severe)
604,14.265 INCARCERATION CODE ; COMPUTED
MUMPS CODE: X ^DD(604,14.265,9.3) S X=$P(Y(604,14.265,101),U,2) S D0=Y(604,14.265,80)
9.2 = S Y(604,14.265,80)=$S($D(D0):D0,1:""),Y(604,14.265,1)=$S($D(^YSTX(604,D0,14)):^(14),1:"")
9.3 = X ^DD(604,14.265,9.2) S D0=$P(Y(604,14.265,1),U,26) S:'$D(^YSTX(604.3,+D0,0)) D0=-1 S Y(604,1
4.265,101)=$S($D(^YSTX(604.3,D0,0)):^(0),1:"")
ALGORITHM: 14.26:.02
604,14.27 AWAITING CTS 14;27 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L24. Are you presently
awaiting charges, trial or sentence? 0 - No
1 - Yes
604,14.28 FOR WHAT 14;28 POINTER TO ASI LEGAL CODE FILE (#604.3)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L25. What for (If multiple
charges, use most severe).
604,14.29 DETAINED/INCARCERATED L30D 14;29 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L26. How many days in the
past 30 were you detained or incarcerated?
604,14.31 ILLEGAL ACTIVITIES/PROFIT L30D 14;31 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 27, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L27. How many days in the
past 30 have you engaged in illegal activities for
profit?
604,14.32 LEGAL PROB SCALE 14;32 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION L28 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE L28. How serious do you feel your present legal problems
are?
(Exclude civil problems)
604,14.33 LEGAL IMPORTANCE SCALE 14;33 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION L29 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE L29. How important to you now is counseling or referral
for these legal
problems?
604,14.34 INTERVIEWER'S RATING LEGAL 14;34 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L30. How would you rate the
patient's need for legal services or counseling?
604,14.35 PATIENT MISREP LEGAL 14;35 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L30. Patient's
misrepresentation? 0 - No
1 - Yes
604,14.36 PATIENT INAB UNDSTND LEGAL 14;36 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: L32. Patient's inability to
understand? 0 - No
1 - Yes
604,14.5 LEGAL COMMENT 14.5;0 WORD-PROCESSING #604.09
LAST EDITED: OCT 29, 1996
DESCRIPTION:
This field contains comments on the patient's Legal Status.
LAST EDITED: OCT 29, 1996
604,15.01 MS GRANDMOTHER ALC 15;1 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H1. Grandmother Alcohol Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category;"1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.02 MS GRANDMOTHER DRUG 15;2 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H1. Grandmother Drug Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.03 MS GRANDMOTHER PSYCH 15;3 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H. Grandmother Psych Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.04 MS GRANDFATHER ALC 15;4 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H2. Grandfather Alcohol Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.05 MS GRANDFATHER DRUG 15;5 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H2. Grandfather Drug Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.06 MS GRANDFATHER PSYCH 15;6 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H2. Grandfather Psych Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.07 MS MOTHER ALC 15;7 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H3. Mother Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.08 MS MOTHER DRUG 15;8 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H3. Mother Drug Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.09 MS MOTHER PSYCH 15;9 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H3. Mother Psych Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.11 MS AUNT ALC 15;11 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H4. Aunt Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.12 MS AUNT DRUG 15;12 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H4. Aunt Drug Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.14 MS AUNT PSYCH 15;14 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H4. Aunt Psych Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.15 MS UNCLE ALC 15;15 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H5. Uncle Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.16 MS UNCLE DRUG 15;16 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H5. Uncle Drug Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.17 MS UNCLE PSYCH 15;17 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Mother's Side H5. Uncle Psych Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.18 FS GRANDMOTHER ALC 15;18 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H6. Grandmother Alcohol Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.19 FS GRANDMOTHER DRUG 15;19 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H6. Grandmother Drug Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.21 FS GRANDMOTHER PSYCH 15;21 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H6. Grandmother Psych Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.22 FS GRANDFATHER ALC 15;22 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H7. Grand Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.23 FS GRANDFATHER DRUG 15;23 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H7. Grandfather Drug Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.24 FS GRANDFATHER PSYCH 15;24 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H7. Grandfather Psych Direction: Place "0" in relative category
where the answer is clearly no for all relatives in the category; "1" where the answer is clearly
yes for any relative within the category; "X" where the answer is uncertain or "I don't know" and
"N" where there never was a relative from that category. Code most problematic relative in cases
of multiple members per category.
604,15.25 FS FATHER ALC 15;25 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H6. Father Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.26 FS FATHER DRUG 15;26 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H8. Father Drug Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,15.27 FS FATHER PSYCH 15;27 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H8. Father Psych Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.01 FS AUNT ALC 16;1 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H9. Aunt Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.02 FS AUNT DRUG 16;2 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H9. Aunt Drug Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.03 FS AUNT PSYCH 16;3 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H9. Aunt Psych Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.04 FS UNCLE ALC 16;4 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H10. Uncle Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.05 FS UNCLE DRUG 16;5 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H10. Uncle Drug Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.06 FS UNCLE PSYCH 16;6 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Father's Side H10. Uncle Psych Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category;"1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.07 BROTHER ALC 16;7 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H11. Brother Alcohol Direction: Place "0" in relative category where
the answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for
any relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.08 BROTHER DRUG 16;8 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H11. Brother Drug Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.09 BROTHER PSYCH 16;9 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H11. Brother Psych Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.11 SISTER ALC 16;11 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H12. Sister Alcohol Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.12 SISTER DRUG 16;12 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H12. Sister Drug Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.14 SISTER PSYCH 16;14 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have any of your relatives
had what you call a significant drinking, drug use or psych problem - one that did or should have
led to treatment? Siblings H12. Sister Psych Direction: Place "0" in relative category where the
answer is clearly no for all relatives in the category; "1" where the answer is clearly yes for any
relative within the category; "X" where the answer is uncertain or "I don't know" and "N" where
there never was a relative from that category. Code most problematic relative in cases of multiple
members per category.
604,16.5 FAMILY HISTORY COMMENT 16.5;0 WORD-PROCESSING #604.11
LAST EDITED: OCT 29, 1996
DESCRIPTION:
This field contains comments on the patient's Family History.
LAST EDITED: OCT 29, 1996
604,17.01 MARITIAL STATUS 17;1 SET
'1' FOR MARRIED;
'2' FOR REMARRIED;
'3' FOR WIDOWED;
'4' FOR SEPARATED;
'5' FOR DIVORCED;
'6' FOR NEVER MARRIED;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F1. Marital Status 1 -
Married 4 - Separated
2 - Remarried 5 - Divorced
3 - Widowed 6 - Never Married
604,17.02 MARITIAL STATUS YRS 17;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F2. How long have you been
in this marital status? YRS.
(If never married, since age 18).
604,17.03 MARITIAL STATUS MOS 17;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F2. How long have you been
in this marital status? MOS.
(If never married, since age 18).
604,17.04 SATISFIED WITH SITUATION 17;4 SET
'0' FOR NO;
'1' FOR INDIFFERENT;
'2' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F3. Are you satisfied with
this situation? 0 - No
1 - Indifferent
2 - Yes
604,17.05 USUAL LIVING ARGMENTS P3Y 17;5 POINTER TO ASI LIVING ARRANGEMENTS FILE (#604.4)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F4. Usual living
arrangements (past 3 yr.)
1 WITH SEXUAL PARTNER & CHILDREN
2 WITH SEXUAL PARTNER ALONE
3 WITH CHILDREN ALONE
4 WITH PARENTS
5 WITH FAMILY
6 WITH FRIENDS
7 ALONE
8 CONTROLLED ENVIRONMENT
9 NO STABLE ARRANGEMENT
604,17.06 ARRANGEMENTS LOT YRS 17;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F5. How long have you lived
in these arrangements? YRS.
(If with parents or family, since age 18).
604,17.07 ARRANGEMENTS LOT MOS 17;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<12))) X
LAST EDITED: FEB 19, 1997
HELP-PROMPT: Enter 0-11,X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F5. How long have you lived
in these arrangements? MOS.
(If with parents or family, since age 18).
604,17.08 ARRANGEMENTS SATISFACTION 17;8 SET
'0' FOR NO;
'1' FOR INDIFFERENT;
'2' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F3. Are you satisfied with
these living arrangements? 0 - No
1 - Indifferent
2 - Yes
604,17.09 LIVE W/ ANYONE W/ ALC PROB 17;9 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Do you live wwith anyone
who: 0 - No 1 - Yes F7. Has a current alcohol problem?
604,17.11 LIVE W/ ANYONE W/ DRUG PROB 17;11 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Do you live wwith anyone
who: 0 - No 1 - Yes F8 Uses non-prescribed drugs?
604,17.12 SPEND FREE TIME WITH 17;12 SET
'1' FOR FAMILY;
'2' FOR FRIENDS;
'3' FOR ALONE;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F9. With whom do you spend
most of your free time: 1 - Family
2 - Friends 3 - Alone
604,17.14 SATISFIED SPENDING FREE TIME 17;14 SET
'0' FOR NO;
'1' FOR INDIFFERENT;
'2' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F10. Are you satisfied with
spending your free time this way?
0 - No 1 - Indifferent 2 - Yes
604,17.15 HOW MANY CLOSE FRIENDS 17;15 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F11. How many close friends
do you have?
604,17.16 CLOSE WITH MOTHER 17;16 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F12: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F12. Mother
604,17.17 CLOSE WITH FATHER 17;17 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F13: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F13. Father
604,17.18 CLOSE WITH BROTHERS/SISTERS 17;18 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F14: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F14. Brothers/Sisters
604,17.19 CLOSE WITH SEX PARTNER/SPOUSE 17;19 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F15: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F15. Sexual Partner/Spouse
604,17.21 CLOSE WITH CHILDREN 17;21 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F16: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F16. Children
604,17.22 CLOSE WITH FRIENDS 17;22 POINTER TO ASI FAMILY HX CODES FILE (#604.5)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F17: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Would you say you
have haf close, long, lasting, personal relationships with any of the following people in your
life: F17. Friends
604,18.01 PROBLEM W/ MOTHER P30D 18;1 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: FEB 18, 1997
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F18: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F18. Mother
604,18.02 PROBLEM W/ MOTHER LIFE 18;2 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F18. Mother
604,18.03 PROBLEM W/ FATHER P30D 18;3 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F19. Father
604,18.04 PROBLEM W/ FATHER LIFE 18;4 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F19: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F19. Father
604,18.05 PROBLEM W/ BRO/SIS P30D 18;5 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F20: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F20. Brothers/Sisters
604,18.06 PROBLEM W/ BRO/SIS LIFE 18;6 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F20: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F20. Brothers/Sisters
604,18.07 PROBLEM W/ SEX PARTNER/SP P30D 18;7 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F21: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F21. Sexual partner/spouse
604,18.08 PROBLEM W/ SEX PARTNER/SP LIFE 18;8 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F21: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F21. Sexual partner/ spouse
604,18.09 PROBLEM W/ CHILDREN P30D 18;9 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F22: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F22. Children
604,18.11 PROBLEM W/ CHILDREN LIFE 18;11 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F22: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F22. Children
604,18.12 PROBLEM W/ OSF P30D 18;12 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F23. Other significant family
604,18.125 PROBLEM W/ OSF SPECIFY 18;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Answer must be 1-25 characters in length.
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F23. This field contains the "Other significant family" member.
604,18.14 PROBLEM W/ OSF LIFE 18;14 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F23: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOR LIFE F23. Other significant family
604,18.15 PROBLEM W/ CF P30D 18;15 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F24: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F24. Close Friends
604,18.16 PROBLEM W/ CF LIFE 18;16 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F24: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes INYOUR LIFE F24. Close friends
604,18.17 PROBLEM W/ NEIGHBORS L30D 18;17 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F25: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F25. Neighbors
604,18.18 PROBLEM W/ NEIGHBORS LIFE 18;18 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F25: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOUR LIFE F25. Neighbors
604,18.185 PROBLEM W/CO WKRS P30D 18;13 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F26: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes PAST 30 DAYS F26. Co-Workers
604,18.186 PROBLEM W/CO WKRS LIFE 18;20 SET
'0' FOR NO;
'1' FOR YES;
'N' FOR N/A;
'X' FOR uncertain/don't know;
LAST EDITED: MAR 25, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Direction for F26: Place "0"
in relative category where the answer is clearly no for all relatives in that category; "1" where
the answer is clearly yes for any relative within the category; "X" where the answer is uncertain
or "I don't know" and "N" where there never was a relative from that category. Have you had
significant periods in which you have experienced serious problems getting along with: 0 - No 1 -
Yes IN YOU LIFE F26. Co-Workers
604,18.19 ABUSE EMOTIONALLY L30D 18;19 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) 0 - No 1 - Yes PAST 30 DAYS F27. Emotionally (make you fell bad through harsh words)?
604,18.195 ABUSE EMOTIONALLY LIFE 18;30 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F27. Emotionally (make you feel bad through
harsh words)?
604,18.21 ABUSE PHYSICALLY L30D 18;21 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) abuse you: 0 - No 1 - Yes PAST 30 DAYS F28. Physically (cause you physical harm)?
604,18.215 ABUSE PHYSICALLY LIFE 18;33 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F28. Physically (cause you physical harm)?
604,18.22 ABUSE SEXUALLY L30D 18;22 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) abuse you: 0 - No 1 - Yes PAST 30 DAYS F29. Sexually (force sexual advances or sexual
acts)?
604,18.225 ABUSE SEXUALLY LIFE 18;34 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: MAR 20, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Did any of these people
(F18-F26) abuse you: 0 - No 1 - Yes IN YOUR LIFE F29. Sexually (force sexual advances or sexual
acts)?
604,18.23 CONFLICT FAMILY P30D 18;23 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 20, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many days in the past 30
have you had serious conflicts: F30. with your family?
604,18.24 CONFILCT OTHER P30D 18;24 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: MAR 20, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: How many days in the past 30
have you had serious conflicts: F31. with other people? (excluding family)
604,18.25 TROUBLED FAMILY PROBLEMS 18;25 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F32 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30
days by these: F32. Family problems
604,18.26 TROUBLED SOCIAL PROBLEMS 18;26 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F33 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30
days by these: F33. Social problems
604,18.27 TREATMENT FAMILY PROBLEMS 18;27 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F34 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE How important to you now is treatment or counseling for
these: F34. Family problems
604,18.28 TREATMENT SOCIAL PROBLEMS 18;28 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION F34 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE How troubled or bothered have you been in the past 30
days by these: F34. Social problems
604,18.29 INTERVIEWER'S RATING FAMILY 18;29 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F36. How would you rate the
patient's need for family and/or social
counseling?
604,18.31 FAMILY/SOC CONFIDENCE MISREP 18;31 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F37. Patient
Misrepresentation? 0 - No 1 - Yes
604,18.32 FAMILY/SOC CONFIDENCE ITU 18;32 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: F38. Patient's inability to
understand? 0 - No 1 - Yes
604,18.5 FAMILY/SOCIAL COMMENT 18.5;0 WORD-PROCESSING #604.02
DESCRIPTION:
This field contains comments about the patient's Family/Social relationships.
LAST EDITED: OCT 25, 1996
604,19.01 TREATED IN HOSPITAL 19;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P1. How many times have you
been treated for any psychological or emotional
problems? In a hospital
604,19.02 TREATED AS OPT OR PRIV PT 19;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N.N)) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Enter 0-99, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P1. How many times have you
been treated for any psychological or emotional
problems? As an Opt. or Priv. patient
604,19.03 PENSION FOR PSY DIS 19;3 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P2. Do you receive a pension
for a pschiatric disability? 0 - No 1 - Yes
604,19.04 EXP DEPRESSION P30D 19;4 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P33. Experienced serious depression
604,19.05 EXP DEPRESSION LIFE 19;5 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P33. Experienced serious depression
604,19.06 EXP ANXIETY P30D 19;6 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: OCT 16, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P4. Experienced serious anxiety or tension
604,19.07 EXP ANXIETY LIFE 19;7 SET
Exp Anxiety Life
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: OCT 16, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P4. Experienced serious anxiety or tension
604,19.08 EXP HALLUCINATIONS L30D 19;8 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P5. Experienced Hallucinations
604,19.09 EXP HALLUCINATIONS LIFE 19;9 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P5. Experienced Hallucinations
604,19.11 EXP UCR L30D 19;11 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P6. Experienced trouble understanding, concetrating or remembering
604,19.12 EXP UCR LIFE 19;12 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P6. Experienced trouble understanding, concetrating or remembering
604,19.14 EXP CONT VIO BEHAVIOR L30D 19;14 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P7. Experienced trouble controlling violent behavior
604,19.15 EXP CONT VIO BEHAVIOR LIFE 19;15 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P7. Experienced trouble controlling violent behavior
604,19.16 EXP THOUGHTS SUICIDE L30D 19;16 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P8. Experienced serious thoughts of suicide
604,19.17 EXP THOUGHTS SUCIDE LIFE 19;17 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P8. Experienced serious thoughts of suicide
604,19.18 EXP ATTEMPTED SUICIDE L30D 19;18 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P9. Attempted suicide
604,19.19 EXP ATTEMPTED SUICIDE LIFE 19;19 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P9. Attempted suicide
604,19.21 MEDS FOR PSY PROB L30D 19;21 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
PAST 30 DAYS P10. Been prescribed medication for any psychological emotional problem
604,19.22 MEDS FOR PSY PROB LIFE 19;22 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: Have you had a significant
period, (that was not a direct result of drug/alcohol use), in which you have: 0 - No 1 - Yes
IN YOUR LIFE P10. Been prescribed medication for any psychological emotional problem
604,19.23 DAYS EXP PROB L30D 19;23 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X?1"X"!(X?1"N")!((X?1N.N)&(X<31))) X
LAST EDITED: FEB 28, 1996
HELP-PROMPT: Enter 0-30 days, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P11. How many days in the
past 30 have you experienced these psychological or
emotional problems?
604,19.24 PSY PROB L30D RATING 19;24 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION P12 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE P12. How much have you been troubled or bothered by these
psychological or
emotional problems in the past 30 days?
604,19.25 PSY TMT RATING 19;25 POINTER TO ASI PATIENT RATING SCALE FILE (#604.45)
LAST EDITED: OCT 03, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: FOR QUESTION P13 PLEASE ASK
PATIENT TO USE THE PATIENT'S RATING SCALE P13. How important to you now is treatment for these
psychological problems?
604,19.26 INTV DEPRESSED/WITHDRAWN 19;26 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P14. Obviously depressed/withdrawn
604,19.27 INTV HOSTILE 19;27 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P15. Obviously hostile
604,19.28 INTV ANXIOUS/NERVOUS 19;28 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P16. Obviously anxious/nervous
604,19.29 INTV TROUBLE WITH RTTDPT 19;29 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P17. Having trouble with reality testing thought disorders,
paranoid thinking
604,19.31 INTV TROUBLE CCR 19;31 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P18. Having trouble comprehending, concentrating,
remembering.
604,19.32 INTV SUICIDAL THOUGHTS 19;32 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: At the time of the
interview, is patient: 0 - No 1 - Yes P19. Having suicidal thoughts
604,19.33 INTERVIEWER'S RATING PSY 19;33 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1)!'(X?1"X"!(X?1"N")!(X?1N)) X
LAST EDITED: FEB 18, 1997
HELP-PROMPT: Enter 0-9, X or N
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P20. How would you rate the
patient's need for psychiatric/psychological
treatment?
604,19.34 PSY PATIENT'S MISREPRESENTATIN 19;34 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P21. Patient's
misrepresentation? 0 - N0 1 - Yes
604,19.35 PSY PATIENT'S INABILITY TO UND 19;35 SET
'0' FOR NO;
'1' FOR YES;
'X' FOR QUESTION NOT ANSWERED;
'N' FOR QUESTION NOT APPLICABLE;
LAST EDITED: FEB 28, 1996
DESCRIPTION: This is the Addiction Severity Index Fifth Edition interview question: P22. Patient's inability to
understand? 0 - No 1 - Yes
604,19.5 PSYCHIATRIC COMMENT 19.5;0 WORD-PROCESSING #604.12
LAST EDITED: OCT 29, 1996
DESCRIPTION:
This field contains comments about the patient's Psychiatric Status.
LAST EDITED: OCT 29, 1996
604,187 LEISURE TIME ISSUES 200;0 WORD-PROCESSING #604.0187
DESCRIPTION:
This field contains comments about the patient's Leisure Time Issues.
LAST EDITED: OCT 25, 1996
HELP-PROMPT: Enter leisure time comments, problems, strengths and weaknesses.
DESCRIPTION:
Enter leisure time comments, problems, strenghts and weaknesses.
604,188 SPIRITUAL ISSUES 201;0 WORD-PROCESSING #604.0188
LAST EDITED: OCT 25, 1996
DESCRIPTION:
This field contains comments about the patient's Spiritual Issues.
LAST EDITED: OCT 25, 1996
HELP-PROMPT: Enter questions and issues of a spiritual nature.
FILES POINTED TO FIELDS
ASI FAMILY HX CODES (#604.5) MS GRANDMOTHER ALC (#15.01)
MS GRANDMOTHER DRUG (#15.02)
MS GRANDMOTHER PSYCH (#15.03)
MS GRANDFATHER ALC (#15.04)
MS GRANDFATHER DRUG (#15.05)
MS GRANDFATHER PSYCH (#15.06)
MS MOTHER ALC (#15.07)
MS MOTHER DRUG (#15.08)
MS MOTHER PSYCH (#15.09)
MS AUNT ALC (#15.11)
MS AUNT DRUG (#15.12)
MS AUNT PSYCH (#15.14)
MS UNCLE ALC (#15.15)
MS UNCLE DRUG (#15.16)
MS UNCLE PSYCH (#15.17)
FS GRANDMOTHER ALC (#15.18)
FS GRANDMOTHER DRUG (#15.19)
FS GRANDMOTHER PSYCH (#15.21)
FS GRANDFATHER ALC (#15.22)
FS GRANDFATHER DRUG (#15.23)
FS GRANDFATHER PSYCH (#15.24)
FS FATHER ALC (#15.25)
FS FATHER DRUG (#15.26)
FS FATHER PSYCH (#15.27)
FS AUNT ALC (#16.01)
FS AUNT DRUG (#16.02)
FS AUNT PSYCH (#16.03)
FS UNCLE ALC (#16.04)
FS UNCLE DRUG (#16.05)
FS UNCLE PSYCH (#16.06)
BROTHER ALC (#16.07)
BROTHER DRUG (#16.08)
BROTHER PSYCH (#16.09)
SISTER ALC (#16.11)
SISTER DRUG (#16.12)
SISTER PSYCH (#16.14)
CLOSE WITH MOTHER (#17.16)
CLOSE WITH FATHER (#17.17)
CLOSE WITH BROTHERS/SISTERS (#17.18)
CLOSE WITH SEX PARTNER/SPOUSE (#17.19)
CLOSE WITH CHILDREN (#17.21)
CLOSE WITH FRIENDS (#17.22)
ASI LEGAL CODE (#604.3) LAST INCARCERATED FOR (#14.26)
FOR WHAT (#14.28)
ASI LIVING ARRANGEMENTS (#604.4) USUAL LIVING ARGMENTS P3Y (#17.05)
ASI PATIENT RATING SCALE
(#604.45) SCALE MED PROBLEM PAST 30D (#8.09)
IMPORTANCE MEDICAL TREATMENT (#8.11)
EMPLOYMENT PROB 30 DAYS (#9.32)
EMP COUNSELING IMPORTANT (#9.33)
TROUBLED ALCOHOL L30D (#11.16)
TMT IMPORTANT ALCOHOL (#11.165)
TROUBLED DRUG L30D (#11.17)
TMT IMPORTANT DRUG (#11.175)
LEGAL PROB SCALE (#14.32)
LEGAL IMPORTANCE SCALE (#14.33)
TROUBLED FAMILY PROBLEMS (#18.25)
TROUBLED SOCIAL PROBLEMS (#18.26)
TREATMENT FAMILY PROBLEMS (#18.27)
TREATMENT SOCIAL PROBLEMS (#18.28)
PSY PROB L30D RATING (#19.24)
PSY TMT RATING (#19.25)
ASI PROGRAM TYPE (#604.26) PROGRAM (#2)
ASI ROUTE OF ADMINISTRATION
(#604.48) ALCOHOL ANY USE ROA (#10.03)
ALCOHOL INTOX ROA (#10.06)
HEROIN ROA (#10.09)
METHADONE ROA (#10.14)
OTHER OPIATES/ANA ROA (#10.17)
BARBITUATES ROA (#10.21)
OTHER S H T ROA (#10.24)
COCAINE ROA (#10.27)
AMPHETAMINES ROA (#10.31)
CANNABIS ROA (#10.34)
HALLUCINOGENS ROA (#10.37)
INHALANTS ROA (#10.41)
ASI SUBSTANCE CODE (#604.77) MAJOR PROBLEM (#10.45)
NEW PERSON (#200) INTERVIEWER (#.09)
RECORD INITIALIZED BY (TRANS) (#.14)
E SIGNATURE INTERVIEWER (#.52)
E SIGNATURE TRANSCRIBER (#.71)
PERSON ALLOWED TO EDIT (#.81)
PATIENT (#2) NAME (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
YS ASI BY SSN SEP 21, 2016@17:40 USER #0 ADDICTION SEVERITY INDEX STATISTICS
YS ASI INTERVIEWER BY DATE SEP 21, 2016@17:41 USER #0 ADDICTION SEVERITY INDEX STATISTICS
YS ASI NAME BY DATE SEP 21, 2016@17:42 USER #0 ADDICTION SEVERITY INDEX STATISTICS
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):