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{"sheet":"Getting Started","index":0,"n_rows":28,"n_cols":15,"rows_kept":28,"cut":false,"hidden":false,"merged":[[27,0,27,13],[11,1,11,11],[1,0,1,13],[2,0,2,13],[8,0,8,13],[24,0,24,13],[3,1,3,13],[4,1,4,13],[5,1,5,13],[6,1,6,13],[10,1,10,13],[13,1,13,13],[14,1,14,13]]}
[]
["Welcome to the School-Based Health Alliance SBHC Report Card"]
["The SBHC Report Card is a tool for school-based health centers (SBHCs) to describe their practice and demonstrate their work.  This tool was designed specifically for SBHC practice based on the following assumptions:"]
[null,"1.  SBHC practice is different from other practice environments.Provider productivty is often  modified by a variety of factors such as expectations of school administration, provision of value added non-billable services, limited exam room space, and minimal clinical support staff."]
[null,"2.  Evaluating SBHC performance should not be solely based on traditional provider productivity standards. SBHC performance is related to the  number of billable and non-billable  encounters, and the other value-added services it provides. "]
[null,"3.  Evaluating SBHC performance should be tied to quality outcomes and return on investment which has a greater inpact than provider encounters alone."]
[null,"4.  Evaluating SBHC performance and productivity requires a balanced tool which includes measures of intensity of work, actual encounters and non-billable work."]
[]
["To begin using the SBHC Report Card, please complete the following steps:"]
[null,"1  SAVE the downloaded SBHC report card Excel file  to your own computer."]
[null,"2. Clik the Enable Content box to enable macros. "]
[null,"3. Click on the Excel worksheet tabs to begin to enter data. Follow the drop down instructions in each of the worksheet sections. The directions are also included to the right on each worksheet line. "]
[null,"4.  Save your work often.",null,null,null,null,null,null,null,null,null,null,null,null," "]
[null,"5.  Review your detailed report in the \"Detailed Report\" tab.  The data you enter will automatically fill in on this report."]
[null,"6.  Review your brief report in the \"Brief Report\" tab.  The data you enter will automatically fill in on this report."]
[]
[null,"7. The Excel worksheet labeled Codes to the far right of the workbook contains the ICD 10 codes in name and numbers. "]
["Why use the SBHC Report Card?"]
["Monitor, evaluate, and report SBHC performance and productivity. "]
["Include in stakeholder, funder, and grantee reports. "]
["Present your accomplishments and progress  to your sponsor, advisory board, school board, PTA."]
["Use for federal, state, and local advocacy."]
["Raise awareness of your SBHC within your school and community. "]
[]
["NOTES  "]
["\"Tabs\" can be found toward the bottom of your screen."]
[]
["When asked to enter targets for certain items, if you do not already have set targets, consider reasonable, achievable targets for each item.  These targets should make you \"stretch\" a little, but remain achievable based on your SBHCs' situation and environment."]

{"sheet":"SBHC & School Characteristics","index":1,"n_rows":29,"n_cols":3,"rows_kept":29,"cut":false,"hidden":false,"merged":[]}
[]
["SBHC AND SCHOOL CHARACTERISTICS"]
["Item","Type your information in this column","Directions"]
["Name of school based health center (SBHC)"]
["Reporting period for this form",null,"Include month and year for the start and end of the reporting period."]
["Quarter being reported",null,"Include quarter being reported."]
["Number of official student days in reporting period",null,"Enter the official number of days that students were in school the reporting period, even if you were open to see students on other days. Do not include snow, teacher in-service, or teacher work days. Do include assemblies or testing days."]
["Name of school in which SBHC is located"]
["Days and hours of SBHC operation",null,"Enter day of week and hours for each day. Include times when clinic may be closed (e.g., lunch)."]
["Number of years SBHC has been in operation"]
["Grades of students served in SBHC"]
["Location of SBHC ",null,"Enter urban, suburban, rural or frontier."]
["Does the SBHC see community members? (yes or no)"]
["Number of medical exam rooms in the SBHC"]
["Number of counselling rooms in the SBHC"]
["Number of dental chairs in the SBHC"]
["Is the SBHC serving a Title One school? (yes or no)",null,"A \"Title One\" designation is given to school that has a high percentage of students who come from low income families. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of students receiving free or reduced-price lunch",null,"If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of English language learners",null,"If you do not know, check with your school's administrative office."]
["Percent of new immigrants",null,"If you do not know, check with your school's administrative office."]
["Presence of school nurse (yes or no)",null,"Type in \"yes\" if there is a school nurse or \"no\" if there is not a school nurse in your school."]
["School nurse's total number of hours per week",null,"If there is a school nurse in your school, type in the total number of hours the school nurse is present in your school per week. If there is not a school nurse, enter N/A."]
["Other resources in the school",null,"Type in other school resources that influence the clinic's ability to provide services to students (e.g., school social worker, special school programs."]
["Percent of White (non Hispanic/Latino) school enrollees",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of Black (non Hispanic/Latino) school enrollees",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of Hispanic/Latino school enrollees",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of Asian/Pacific Islander school enrollees",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of Native American/American Indian school enrollees",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]
["Percent of school enrollees from other racial/ethnic groups",null,"Use the information for the school in which you are located. If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/."]

{"sheet":"Enrollment & Staffing","index":2,"n_rows":32,"n_cols":5,"rows_kept":32,"cut":false,"hidden":false,"merged":[[2,4,14,6]]}
[]
["SBHC STAFFING","Title","Total Hours/Week","Clinical Hours/Week"]
["Staff person #1",null,null,null,"For each clinical and administrative member of the SBHC team, list the title or role (e.g., nurse practitioner, social worker, medical assistant, administrator); total number of hours per week the person is scheduled to be in the SBHC; and total number of hours per week performing clinical duties.  (Clinical duties are defined as all clinic hours except when they are performing administrative duties NOT DIRECTLY CONNECTED with provision of clinic services or providing enabling services.  Charting, reviewing labs, writing prescriptions, returning phone calls, arranging for referrals, clinical supervision, and reviewing charts are all examples of clinical time.) "]
["Staff person #2"]
["Staff person #3"]
["Staff person #4"]
["Staff person #5"]
["Staff person #6"]
["Staff person #7"]
["Staff person #8"]
["Staff person #9"]
["Staff person #10"]
["Staff person #11"]
["Staff person #12"]
["Staff person #13"]
[]
["SBHC ENROLLMENT","Actual","Target"]
["Official school enrollment (for school location)",null,null,"Use enrollment for the school in which you are located.  If you are unable to find this information within your school, you can look it up at http://nces.ed.gov/globallocator/"]
["Total SBHC enrollment",null,null,"Count students who have consent to use the SBHC, even if the student has not used the SBHC during the reporting period.  "]
["Total SBHC users",null,null,"Count the number of unduplicated users.  Users are defined as students who have a service documented by the SBHC.  For each user category, if the SBHC is open to community members, the percentages that are automatically calculated on the report may be greater than 100 percent unless community members are included in all user categories."]
["SBHC users - medical",null,null,"The number of unduplicated users who received service from a primary care provider.  If possible, include services by providers who are co-located in the SBHC, but not employed by the SBHC (e.g., volunteers, community agency staff)."]
["SBHC users - behavioral health",null,null,"The number of unduplicated users who received service from a behavioral health provider.  If possible, include services by providers who are co-located in the SBHC, but not employed by the SBHC (e.g., volunteers, community agency staff)."]
["SBHC users - oral health",null,null,"The number of unduplicated users who received service from an oral health provider.  If possible, include services by providers who are co-located in the SBHC, but not employed by the SBHC (e.g., volunteers, community agency staff)."]
["SBHC users - other",null,null,"The number of unduplicated users who received service from another provider such as a nutritionist or case manager.  If possible, include services by providers who are co-located in the SBHC, but not employed by the SBHC (e.g., volunteers, community agency staff)."]
[]
["SBHC ENROLLMENT AND INSURANCE"]
["Percent of SBHC enrollees participating in Medicaid",null,"Medicaid"]
["Percent of SBHC enrollees participating in CHIP",null,"CHIP"]
["Percent of SBHC enrollees participating in Tri-Care (military)",null,"Tri-Care"]
["Percent of SBHC enrollees participating in private insurance",null,"Private"]
["Percent of SBHC enrollees without insurance",null,"None"]
["Percent of SBHC enrollees participating in other plans",null,"Other"]

{"sheet":"Encounters, Diagnoses, Outreach","index":3,"n_rows":28,"n_cols":6,"rows_kept":28,"cut":false,"hidden":false,"merged":[[2,5,10,7],[28,0,28,2],[23,3,27,4],[12,5,20,7]]}
[]
["ENCOUNTERS","Actual","Target","Actual","Target"]
[null,"Individual","Individual","Group","Group","Enter the actual and target number of encounters for each category.  Encounters are defined to include a documented, face-to-face contact between a user and a provider who exercises independent clinical judgement in the provision of services to the individual.  Other visits include all other recorded visits to the SBHC that do not meet the criteria for an encounter."]
["Number of encounters - Medical"]
["Number of encounters - Behavioral Health"]
["Number of encounters - Oral Health"]
["Number of encounters - Vision"]
["Number of encounters - Nutrition"]
["Number of encounters - Care Coordination"]
["Number of encounters - Telemedicine Consultation"]
["Number of encounters - Other"]
[]
["DIAGNOSES","Label","ICD-9 Code","ICD-10 Code","Frequency","Enter the most frequent diagnoses (from the greatest number of times to the least number of times) the appropriate code (e.g., ICD-9, ICD-10, DSM-V), and the number of times the diagnosis was given by the SBHC staff during the reporting period.  You may use any combination of physical or behavioral health diagnoses that best reflects your SBHC's practice."]
["Most frequent diagnosis #1","Select from List or Add Your Own"]
["Most frequent diagnosis #2","Select from List or Add Your Own"]
["Most frequent diagnosis #3","Select from List or Add Your Own"]
["Most frequent diagnosis #4","Select from List or Add Your Own"]
["Most frequent diagnosis #5","Select from List or Add Your Own"]
["Most frequent diagnosis #6","Select from List or Add Your Own"]
["Most frequent diagnosis #7","Select from List or Add Your Own"]
["Most frequent diagnosis #8","Select from List or Add Your Own"]
[]
["SBHC OUTREACH ACTIVITIES","Actual number","Target number"]
["School-wide events",null,null,"This SBHC Outreach Activities section can be modified to best represent your SBHC's activities.  For example, you can change the \"school-wide events\" line to \"immunizations.\"  You can also delete lines."]
["Classroom presentations"]
["Health advisory committee meetings"]
["School or community health presentations"]
["Number of students participating in group health education"]

{"sheet":"Detailed Report","index":4,"n_rows":42,"n_cols":20,"rows_kept":42,"cut":false,"hidden":false,"merged":[[39,18,39,19],[40,18,40,19],[41,18,41,19],[33,9,33,10],[38,9,38,10],[38,11,38,12],[38,14,38,15],[36,14,36,15],[37,14,37,15],[35,9,35,10],[36,9,36,10],[34,11,34,12],[37,9,37,10],[39,9,39,10],[39,11,39,12],[39,14,39,15],[40,9,40,10],[40,11,40,12],[40,14,40,15],[35,11,35,12],[36,11,36,12],[37,11,37,12],[35,14,35,15],[41,9,41,10],[37,18,37,19],[36,18,36,19],[35,18,35,19],[34,18,34,19],[38,18,38,19],[24,17,24,19],[29,17,29,19],[24,14,24,16],[24,9,24,13],[29,9,29,13],[30,9,30,13],[29,14,29,16],[30,14,30,16],[33,11,33,12],[28,17,28,19],[27,17,27,19],[26,17,26,19],[25,17,25,19],[25,9,25,13],[30,17,30,19],[16,9,16,19],[20,17,20,19],[19,14,19,16],[20,14,20,16],[17,4,17,6],[18,5,18,6],[19,5,19,6],[21,17,21,19],[23,17,23,19],[18,17,18,19],[18,14,18,16],[18,7,18,8],[19,7,19,8],[19,9,19,13],[18,9,18,13],[20,9,20,13],[21,9,21,13],[23,9,23,13],[22,17,22,19],[22,14,22,16],[23,14,23,16],[6,0,7,3],[12,6,14,12],[6,11,6,12],[7,11,7,12],[8,11,8,12],[9,11,9,12],[11,11,11,12],[10,0,10,3],[11,0,11,3],[12,0,12,3],[13,0,13,3],[14,0,14,3],[8,0,8,3],[9,0,9,3],[6,6,6,10],[7,6,7,10],[8,6,8,10],[9,6,9,10],[10,6,10,10],[11,6,11,10],[6,4,7,5],[14,4,14,5],[13,4,13,5],[20,2,20,3],[21,2,21,3],[22,2,22,3],[23,2,23,3],[32,11,32,15],[32,9,32,10],[34,9,34,10],[32,0,32,8],[33,2,33,6],[34,2,34,6],[34,0,34,1],[33,0,33,1],[5,6,5,12],[17,14,17,16],[27,9,27,13],[28,9,28,13],[25,14,25,16],[26,14,26,16],[27,14,27,16],[28,14,28,16],[21,14,21,16],[20,7,20,8],[21,7,21,8],[22,7,22,8],[23,7,23,8],[21,5,21,6],[22,5,22,6],[23,5,23,6],[17,9,17,13],[11,4,11,5],[12,4,12,5],[22,9,22,13],[20,5,20,6],[17,7,17,8],[26,9,26,13],[16,0,16,8],[39,7,39,8],[39,0,39,1],[40,0,40,1],[41,0,41,1],[38,0,38,1],[35,7,35,8],[36,7,36,8],[40,7,40,8],[40,2,40,6],[37,2,37,6],[38,2,38,6],[39,2,39,6],[35,0,35,1],[36,0,36,1],[38,7,38,8],[36,2,36,6],[37,7,37,8],[37,0,37,1],[35,2,35,6],[41,11,41,12],[41,14,41,15],[41,7,41,8],[1,14,1,19],[2,14,2,19],[5,0,5,5],[4,0,4,19],[15,0,15,19],[33,7,33,8],[34,7,34,8],[19,17,19,19],[8,4,8,5],[9,4,9,5],[10,4,10,5],[17,2,17,3],[18,2,18,3],[19,2,19,3],[34,14,34,15],[33,14,33,15],[17,17,17,19],[31,0,31,19],[32,16,32,19],[33,18,33,19],[41,2,41,6]]}
[]
["Report Card for:",{"$f":"'SBHC & School Characteristics'!B4","v":0},null,null,null,null,null,null,null,null,null,null,null,"Reporting period:",{"$f":"'SBHC & School Characteristics'!B5","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Number of student days in reporting period:",{"$f":"'SBHC & School Characteristics'!B7","v":0}]
[]
["CHARACTERISTICS"]
["test sbhc",null,null,null,null,null,{"$f":"'SBHC & School Characteristics'!B8","v":0}]
["Hours of operation",null,null,null,{"$f":"'SBHC & School Characteristics'!B9","v":0},null,"Title One school",null,null,null,null,{"$f":"'SBHC & School Characteristics'!B17","v":0}]
[null,null,null,null,null,null,"% eligible for free- or reduced-price lunch",null,null,null,null,{"$f":"'SBHC & School Characteristics'!B18","v":0}]
["Number of years open",null,null,null,{"$f":"'SBHC & School Characteristics'!B10","v":0},null,"% English language learners",null,null,null,null,{"$f":"'SBHC & School Characteristics'!B19","v":0}]
["Grades of students served",null,null,null,{"$f":"'SBHC & School Characteristics'!B11","v":0},null,"% new immigrants",null,null,null,null,{"$f":"'SBHC & School Characteristics'!B20","v":0}]
["Geographic location",null,null,null,{"$f":"'SBHC & School Characteristics'!B12","v":0},null,"School Nurse/Hrs Per Week",null,null,null,null,{"$f":"'SBHC & School Characteristics'!B21","v":0},{"$f":"'SBHC & School Characteristics'!B22","v":0}]
["Open to others in community",null,null,null,{"$f":"'SBHC & School Characteristics'!B13","v":0},null,"Other resources in the school"]
["Number of exam rooms",null,null,null,{"$f":"'SBHC & School Characteristics'!B14","v":0},null,{"$f":"'SBHC & School Characteristics'!B23","v":0}]
["Number of counselling rooms",null,null,null,{"$f":"'SBHC & School Characteristics'!B15","v":0}]
["Number of dental chairs",null,null,null,{"$f":"'SBHC & School Characteristics'!B16","v":0}]
["SBHC ENROLLMENT AND STAFFING"]
["SBHC Enrollment and Users",null,null,null,null,null,null,null,null,"SBHC Staffing"]
[null,null,"Number",null,"Percent",null,null,"Target",null,"Title",null,null,null,null,"Total Hours",null,null,"Clinical Hours"]
["SBHC Enrollment",null,{"$f":"'Enrollment & Staffing'!B19","v":0},null,{"$f":"'Enrollment & Staffing'!B19/'Enrollment & Staffing'!B18*100","v":{"$error":"#DIV/0!"}},"of school enrollees",null,{"$f":"'Enrollment & Staffing'!C19","v":0},null,{"$f":"'Enrollment & Staffing'!B3","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C3","v":0},null,null,{"$f":"'Enrollment & Staffing'!D3","v":0}]
["SBHC Users",null,{"$f":"'Enrollment & Staffing'!B20","v":0},null,{"$f":"'Enrollment & Staffing'!B20/'Enrollment & Staffing'!B19*100","v":{"$error":"#DIV/0!"}},"of SBHC enrollees",null,{"$f":"'Enrollment & Staffing'!C20","v":0},null,{"$f":"'Enrollment & Staffing'!B4","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C4","v":0},null,null,{"$f":"'Enrollment & Staffing'!D4","v":0}]
["    Medical",null,{"$f":"'Enrollment & Staffing'!B21","v":0},null,{"$f":"'Enrollment & Staffing'!B21/'Enrollment & Staffing'!B20*100","v":{"$error":"#DIV/0!"}},"of total SBHC users",null,{"$f":"'Enrollment & Staffing'!C21","v":0},null,{"$f":"'Enrollment & Staffing'!B5","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C5","v":0},null,null,{"$f":"'Enrollment & Staffing'!D5","v":0}]
["    Behavioral Health",null,{"$f":"'Enrollment & Staffing'!B22","v":0},null,{"$f":"'Enrollment & Staffing'!B22/'Enrollment & Staffing'!B20*100","v":{"$error":"#DIV/0!"}},"of total SBHC users",null,{"$f":"'Enrollment & Staffing'!C22","v":0},null,{"$f":"'Enrollment & Staffing'!B6","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C6","v":0},null,null,{"$f":"'Enrollment & Staffing'!D6","v":0}]
["    Oral Health",null,{"$f":"'Enrollment & Staffing'!B23","v":0},null,{"$f":"'Enrollment & Staffing'!B23/'Enrollment & Staffing'!B20*100","v":{"$error":"#DIV/0!"}},"of total SBHC users",null,{"$f":"'Enrollment & Staffing'!C23","v":0},null,{"$f":"'Enrollment & Staffing'!B7","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C7","v":0},null,null,{"$f":"'Enrollment & Staffing'!D7","v":0}]
["    Other",null,{"$f":"'Enrollment & Staffing'!B24","v":0},null,{"$f":"'Enrollment & Staffing'!B24/'Enrollment & Staffing'!B20*100","v":{"$error":"#DIV/0!"}},"of total SBHC users",null,{"$f":"'Enrollment & Staffing'!C24","v":0},null,{"$f":"'Enrollment & Staffing'!B8","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C8","v":0},null,null,{"$f":"'Enrollment & Staffing'!D8","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B9","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C9","v":0},null,null,{"$f":"'Enrollment & Staffing'!D9","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B10","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C10","v":0},null,null,{"$f":"'Enrollment & Staffing'!D10","v":0}]
[null,null," ",null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B11","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C11","v":0},null,null,{"$f":"'Enrollment & Staffing'!D11","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B12","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C12","v":0},null,null,{"$f":"'Enrollment & Staffing'!D12","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B13","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C13","v":0},null,null,{"$f":"'Enrollment & Staffing'!D13","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B14","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C14","v":0},null,null,{"$f":"'Enrollment & Staffing'!D14","v":0}]
[null,null,null,null,null,null,null,null,null,{"$f":"'Enrollment & Staffing'!B15","v":0},null,null,null,null,{"$f":"'Enrollment & Staffing'!C15","v":0},null,null,{"$f":"'Enrollment & Staffing'!D15","v":0}]
["DIAGNOSES AND ENCOUNTERS"]
["Top Diagnoses",null,null,null,null,null,null,null,null,null,null,"Individual Encounters",null,null,null,null,"Group Encounters"]
["ICD-9 Code",null,"Diagnosis",null,null,null,null,"Frequency",null,"Encounter Type",null,"Number",null,"Target","Diff",null,"Number","Target ","Diff"]
[{"$f":"'Encounters, Diagnoses, Outreach'!C14","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!B14","v":"Select from List or Add Your Own"},null,null,null,null,{"$f":"'Encounters, Diagnoses, Outreach'!E14","v":0},null,"Medical",null,{"$f":"'Encounters, Diagnoses, Outreach'!B4","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!C4","v":0},{"$f":"L35-N35","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!D4","v":0},{"$f":"'Encounters, Diagnoses, Outreach'!E4","v":0},{"$f":"Q35-R35","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!C15","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!B15","v":"Select from List or Add Your Own"},null,null,null,null,{"$f":"'Encounters, Diagnoses, Outreach'!E15","v":0},null,"Behavioral",null,{"$f":"'Encounters, Diagnoses, Outreach'!B5","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!C5","v":0},{"$f":"L36-N36","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!D5","v":0},{"$f":"'Encounters, Diagnoses, Outreach'!E5","v":0},{"$f":"Q36-R36","v":0},{"$f":"K36-L36","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!C16","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!B16","v":"Select from List or Add Your Own"},null,null,null,null,{"$f":"'Encounters, Diagnoses, Outreach'!E16","v":0},null,"Oral",null,{"$f":"'Encounters, Diagnoses, Outreach'!B6","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!C6","v":0},{"$f":"L37-N37","v":0},null,{"$f":"'Encounters, Diagnoses, Outreach'!D6","v":0},{"$f":"'Encounters, Diagnoses, Outreach'!E6","v":0},0,0]
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[{"$f":"'SBHC & School Characteristics'!B4","v":0},null,null,null,null,null,null,"Information in this report is for the time period:"]
[{"$f":"'SBHC & School Characteristics'!B9","v":0},null,null,null,null,null,{"$f":"'SBHC & School Characteristics'!B5","v":0}]
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["Insert photo or graphic."]
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["Common diagnoses","Number"]
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[{"$f":"'Encounters, Diagnoses, Outreach'!B15","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E15","v":0}]
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[{"$f":"'Encounters, Diagnoses, Outreach'!B17","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E17","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!B18","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E18","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!B19","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E19","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!B20","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E20","v":0}]
[{"$f":"'Encounters, Diagnoses, Outreach'!B21","v":"Select from List or Add Your Own"},{"$f":"'Encounters, Diagnoses, Outreach'!E21","v":0}]
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["Type in information about the SBHC, a recent special event, or success story."]

{"sheet":"Codes","index":6,"n_rows":268,"n_cols":2,"rows_kept":268,"cut":false,"hidden":false,"merged":[]}
["Select from List or Type Your Own","Select from List"]
["Persons with potential health hazards related to communicable diseases (Z20-Z28)","ICD-10 Code"]
["Contact with and (suspected) exposure to other intestinal infectious diseases","Z20.09"]
["Contact with and (suspected) exposure to tuberculosis","Z20.1"]
["Carrier of other specified bacterial diseases","Z22.3___"]
["Carrier or suspected carrier of Methicillin resistant Staphylococcus aureus","Z22.322"]
["Encounter for immunization","Z23"]
["Immunization not carried out and underimmunzation status, see 4th digit for circumstances","Z28.____"]
["Immunization not carried out because of acute illness of patient, see 5th digit for circumstances","Z28.0"]
["Immunization not carried out because of chronic illness or condition of patients","Z28.02"]
["Immunization not carried out because of immune compromised state of patient","Z28.03"]
["Immunization not carried out because of patient allergy to vaccine or component","Z28.04"]
["Immunization not carried out because of other contraindication","Z28.09"]
["Immunization not carried out because of patient decision for reasons of beleife or group pressure","Z28.1"]
["Immunization not carried out because of patient decision for other and unspecified reason, see 5th digit for circumstances","Z28.2"]
["Immunization not carried out because of patient decision for unspecified reason","Z28.20"]
["Immunization not carried out because of patient refusal","Z28.21"]
["Immunization not carried out because of patient decision for other reason","Z28.29"]
["Underimmunization status (deliquient, lapsed schedule status)","Z28.3"]
["Immunization not carried out for other reason, see 5th digit for circumstances","Z28.8"]
["Immunization not carried out due to patient having had the disease","Z28.81"]
["Immunization not carried out because of caregiver refusal (guardian, parent, excludes for religious reason)","Z28.82"]
["Immunization not carried out for other reason","Z28389"]
["Immunization not carried out for unsecified reason","Z28.9"]
["Persons Encountering Health Services in Circumstances Related to reproduction","ICD-10 Code"]
["Encounter for other procedures for purposes other than remedying health state","Z41.8"]
["Persons with Potential Health Hazards Related to Socioeconomic and Psychosocial Circumstances (Z55-Z65)","ICD-10 Code"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Personal history of combat and operational stress reaction","Z86.51"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Allergy status, other than to drugs and biological substances, see 5th digit for circumstances","Z91.0"]
["Food allergy status (excludes food additives allergy status), see 6th digit for circumstances","Z91.01"]
["Allergy to peanuts","Z91.Ø1Ø"]
["Allergy to milk products (excludes lactose intolerance)","Z91.Ø11"]
["Allergy to eggs","Z91.Ø12"]
["Allergy to seafood (includes shellfish, octopus or squid ink)","Z91.Ø13"]
["Allergy to other foods (includes nuts other than peanuts)","Z91.Ø18"]
["Food additives allergy status","Z91.02"]
["Other insect allergy status","Z91.Ø38"]
["Insect allergy status","Z91.03"]
["Bee allergy status","Z91.030"]
["Nonmedicinal substance allergy status","Z91.04"]
["Latex allergy status","Z91.Ø4Ø"]
["Radiographic dye allergy status","Z91.Ø41"]
["Other nonmedicinal substance allergy status","Z91.Ø48"]
["Personal history of adult physical and sexual abuse ADULT CODE","Z91.41Ø"]
["Personal history of adult psychological abuse ADULT CODE","Z91.411"]
["Personal history of adult neglect ADULT CODE","Z91.412"]
["Other specified problems related to upbringing, see 5th digit for circumstances","Z62.8"]
["Personal history of abuse in childhood","Z62.81"]
["Personal history of physical and sexual abuse in childhood, see 6th digit for circumstances [exludes current history of child psychological abuse (T74.12, T76.12)]","Z62.810"]
["Personal history of psychological abuse in childhood [excludes current child psychological abuse (T74.22, T76.32)]","Z62.811"]
["Personal history of neglect in childhood [excludes current child neglect (T74.02, T76.02)]","Z62.812"]
["Personal history of unspecified abuse in childhood [excludes current child abuse NOS (T74.92, T76.92)]","Z62.819"]
["Other personal history of psychological trauma, not elsewhere classified","Z91.49"]
["Patient's noncompliance with other medical treatment and regimen","Z91.19"]
["Personal history of nicotine dependence","Z87.891"]
["Underimmunization status","Z28.3"]
["Contact with and (suspected) exposure to lead","Z77.Ø11"]
["Family history of other mental and behavioral disorders","Z81.8"]
["Encounter for routine child health examination without abnormal findings","ZØØ.129"]
["Encounter for contraceptive management","Z30"]
["Encounter for general counseling and advice on contraception","Z30.0"]
["Encounter for initial prescription of contraceptive pills","Z3Ø.Ø11"]
["Encounter for initial prescription of other contraceptives","Z3Ø.Ø18"]
["Encounter for prescription of emergency contraception","Z3Ø.Ø12"]
["Counseling and instruction in natural family planning to avoid pregnancy","Z3Ø.Ø2"]
["Encounter for other general counseling and advice on contraception","Z3Ø.Ø9"]
["Encounter for removal and reinsertion of intrauterine contraceptive device","Z3Ø.433"]
["Encounter for survellance of contraceptives, see 5th digit for circumstances","Z30.4"]
["Encounter for survellance of contraceptives, unspecified","Z30.40"]
["Encounter for insertion of intrauterine contraceptive device","Z3Ø.43Ø"]
["Encounter for removal of intrauterine contraceptive device","Z3Ø.432"]
["Encounter for removal and reinsertion of intrauterine contraceptive device","Z3Ø.433"]
["Encounter for surveillance of contraceptives, see 5th digit for circumstances","Z30.4"]
["Encounter for surveillance of contraceptives, unspecified","Z3Ø.4Ø"]
["Encounter for surveillance of contraceptive pills","Z3Ø.41"]
["Encounter for routine checking of intrauterine contraceptive device","Z3Ø.431"]
["Encounter for surveillance of other contraceptives","Z3Ø.42"]
["Encounter for surveillance of other contraceptives","Z3Ø.49"]
["Encounter for surveillance of other contraceptives","Z3Ø.49"]
["Encounter for other contraceptive management","Z30.8"]
["Encounter for contraceptive management, unspecified","Z3Ø.9"]
["Conditions classifiable to F40-F59","ICD-10 Code"]
["Personal history of other mental and behavioral disorders, see 5th digit for circumstances","Z86.5"]
["Developmental disorder of scholastic skills, unspecified","F81.9"]
["Personal history of other mental and behavioral disorders","Z86.59"]
["Personal history of other mental and behavioral disorders","Z86.59"]
["Nonpsychotic mental disorder, unspecified","F48.9"]
["Wandering in diseases classified elsewhere [code first underlying disorder such as autism (F84) or intellectual disabilities (F70-F79)]","Z91.83"]
["Unspecified disorder of adult personality and behavior ADULT CODE","F69"]
["Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence","F98"]
["Unspecified disorder of adult personality and behavior ADULT CODE","F69"]
["Unspecified behaviroal and emotional disorders with onset usually occuring in childhood and adolescence","F98.9"]
["Mental disorder, not otherwise specified","F99"]
["Encounter for attention to dressings, sutures and drains","Z48.Ø"]
["Encounter for change or removal of nonsurgical wound dressing","Z48.ØØ"]
["Encounter for removal of sutures","Z48.Ø2"]
["Problems related to housing and economic circumstances","ICD-10 Code"]
["Problems related to housing and economic circumstances, see 4th digit for circumstances","Z59.___"]
["Homelessness","Z59.Ø"]
["Lack of adequate food and safe drinking water [excludes effects of hunger (T73.0), inappropriate diet or eating habits (Z72.4), malnutrition (E40-E46)] ","Z59.4"]
["Inadequate housing  (lack of heating, restriction of space)","Z59.1"]
["Extreme poverty","Z59.5"]
["Low income","Z59.6"]
["Insufficient social insurance and welfare support","Z59.7"]
["Problems related to living alone","Z6Ø.2"]
["Need for assistance at home and no other household member able to render care","Z74.2"]
["Other problems related to housing and economimc circumstances","Z59.8"]
["Child in welfare custody","Z62.21"]
["Other problems related to housing and economimc circumstances","Z59.8"]
["Problem related to housing and economic circumstances, unspecified","Z59.9"]
["Other problems related to primary support group, including family circumstances [excludes maltreatment syndrom (T74-T76), parent- child problems (Z62.__), problems related to negative life events in childhood (Z62.__), problems related to upbringing (Z62.__)]","Z63"]
["Absence of family member due to military deployment","Z63.31"]
["Stress on family due to return of family member form military deployment","Z63.71"]
["Disruption of family by seperation and divorce","Z63.5"]
["Other specified problems related to primary support group (Family discord NOS, family estragement NOS, high expressed emotional level within the family, inadequate family support, inadequate or distorted communication with family)","Z63.8"]
["Other absence of family member","Z63.32"]
["Child in welfare custody","Z62.21"]
["Other specified problems related to primary support group (Family discord NOS, family estragement NOS, high expressed emotional level within the family, inadequate family support, inadequate or distorted communication with family)","Z63.8"]
["Other absence of family member","Z63.32"]
["Child in welfare custody","Z62.21"]
["Other specified problems related to primary support group (Family discord NOS, family estragement NOS, high expressed emotional level within the family, inadequate family support, inadequate or distorted communication with family)","Z63.8"]
["Disappearance and death of family member","Z63.4"]
["Other absence of family member","Z63.32"]
["Abscense of family member","Z63.3"]
["Encounter for mental health services for victim of spousal or partner abuse","Z69.11"]
["Parent-child conflict","Z62.82"]
["Parent-biologocal child conflict (Parent-child problem NOS)","Z62.820"]
["Parent-adopted child conflict","Z62.821"]
["Parent-foster child conflict","Z62.822"]
["Other specified problems with upbringing","Z62.89"]
["Parent-child estrangement NEC","Z62.890"]
["Sibling rivalry","Z62.891"]
["Other specified problems related to upbringing","Z62.898"]
["Problem related to upbringing, unspecified","Z62.9"]
["Other specified counseling","Z71.89"]
["Encounter for mental health services for victim of parental child abuse","Z69.Ø1Ø"]
["Other specified counseling","Z71.89"]
["Other specified counseling","Z71.89"]
["Other specified counseling","Z71.89"]
["Parental overprotection","Z62.1"]
["Other specified problems related to upbringing","Z62.898"]
["Alcoholism and drug addiction in family","Z63.72"]
["Other stressful life events affecting family and household","Z63.79"]
["Dependent relative needing care at home","Z63.6"]
["Sibling rivalry","Z62.891"]
["Other specified problems related to primary support group","Z63.8"]
["Problem related to primary support group, unspecified","Z63.9"]
["Problems related to education and literacy, unspecified","Z55.9"]
["Acculturation difficulty","Z6Ø.3"]
["Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure","Z53.1"]
["Disappearance and death of family member","Z63.4"]
["Suicidal ideations","R45.851"]
["Personal history of self-harm","Z91.5"]
["Homicidal ideations","R45.85Ø"]
["Other specified problems related to psychosocial circumstances","Z65.8"]
["Problem related to unspecified psychosocial circumstances","Z65.9"]
["Unavailability and inaccessibility of health-care facilities","Z75.3"]
["Medical services not available in home","Z75.Ø"]
["Unavailability and inaccessibility of other helping agencies","Z75.4"]
["Other problems related to medical facilities and other health care","Z75.8"]
["Unavailability and inaccessibility of health-care facilities","Z75.3"]
["Persons encountering health services for other counseling and medical advice, NOS, see 4th digit for circumstances","Z71"]
["Dietary counseling and surveillance","Z71.3"]
["Other specified counseling","Z71.8"]
["Counseling, unspecified","Z71.9"]
["Other specified counseling","Z71.89"]
["Alcohol abuse counseling and surveillance of alcoholic","Z71.41"]
["Other specified counseling","Z71.89"]
["Human immunodeficiency virus [HIV] counseling","Z71.7"]
["Other specified counseling","Z71.89"]
["Other specified counseling","Z71.89"]
["Person with feared health complaint in whom no diagnosis is made","Z71.1"]
["Problems relating to lifestyle, see 4th digit for circumstance","Z72"]
["Lack of physical exercise","Z72.3"]
["Inappropriate diet and eating habits (exludes anorexia nervosa, bulimia, malnutrition and other nutritional deficiences, other and unspecified eating disorders)","Z72.4"]
["High risk heterosexual behavior","Z72.51"]
["Sleep deprivation","Z72.82Ø"]
["Behavioral insomnia of childhood, unspecified type","Z73.819"]
["Other problems related to lifestyle","Z72.89"]
["Problem related to lifestyle, unspecified","Z72.9"]
["Persons Encountering Health Services for Examinations (Z00-Z13)","ICD-10 Code"]
["Encounter for general adult medical examination without abnormal findings ADULT CODE","ZØØ.ØØ"]
["Encounter for routine child health examination","Z00.12"]
["Encounter for routine child health examination with abnormal findings (use additional code to identify abnormal findings)","Z00121"]
["Encounter for routine child health examinations without abnormal findings","Z00129"]
["Encounter for examination for period of rapid growth in childhood","Z00.2"]
["Encounter for examination of adolescent development state","Z00.3"]
["Encounter for examination for period of delayed growth in childhood without abnormal findings","Z00.70"]
["Encounter for examination for period of delayed growth in childhood with abnormal findings","Z00.71"]
["Encounter for other administrative examinations (summer camp)","ZØ2.89"]
["Encounter for examination for participation in sport","Z02.5"]
["Encounter for other administrative examinations (summer camp)","ZØ2.89"]
["Encounter for examination for admission to educational institution (pre-school, re-admission to school following illness or medical treatment)","Z02.0"]
["Encounter for examination for eyes and vision, see 5th digit for circumstances","Z01.0"]
["Encounter for examination of eyes and vision without abnormal findings","ZØ1.ØØ"]
["Encounter for examination of eyes and vision with abnormal findings","ZØ1.Ø1"]
["Encounter for examination of ears and hearing","Z01.1"]
["Encounter for hearing examination following failed hearing screening","ZØ1.11Ø"]
["Encounter for hearing conservation and treatment","ZØ1.12"]
["Encounter for examination of ears and hearing without abnormal findings","ZØ1.1Ø"]
["Encounter for examination of ears and hearing with other abnormal findings","ZØ1.118"]
["Encounter for dental examination and cleaning without abnormal findings","ZØ1.2Ø"]
["Encounter for dental examination and cleaning with abnormal findings","ZØ1.21"]
["Encounter for screening for dental disorders","Z13.84"]
["Encounter for gynecological examination","Z01.4"]
["Encounter for gynecological examination (general) (routine) without abnormal findings","ZØ1.411"]
["Encounter for gynecological examination (general) (routine) with abnormal findings","ZØ1.411"]
["Encounter for pregnancy test and childbirth and childcare instruction","Z32 "]
["Encounter for pregnancy test, result unknown","Z32.ØØ"]
["Encounter for pregnancy test, result negative","Z32.Ø2"]
["Encounter for pregnancy test, result positive","Z32.Ø1"]
["Encounter for general adult medical examination without abnormal findings ADULT CODE","ZØØ.ØØ"]
["Encounter for routine child health examination without abnormal findings","Z00.129"]
["Encounter for antibody response examination","ZØ1.84"]
["Encounter for general adult medical examination without abnormal findings ADULT CODE","ZØØ.ØØ"]
["Encounter for routine child health examination without abnormal findings","Z00.129"]
["Encounter for screening for other viral diseases, see 5th digit for circumstances","Z11.5"]
["Encounter for screening for other viral diseases","Z11.59"]
["Encounter for screening for HPV","Z11.51"]
["Encounter for screening for other infectious and parasitic diseases","Z11.8"]
["Encounter for screening for other viral diseases","Z11.59"]
["Encounter for screening for infectious and parasitic diseases","Z11"]
["Encounter for screening for respiratory tuberculosis","Z11.1"]
["Encounter for screening for other bacterial diseases","Z11.2"]
["Encounter for screening for infections with a predominantly sexual mode of transmission","Z11.3"]
["Encounter for screening for other bacterial diseases","Z11.2"]
["Encounter for screening for other infectious and parasitic diseases","Z11.8"]
["Encounter for screening for malignant neoplasms","Z12"]
["Encounter for screening for malignant neoplasm of cervix","Z12.4"]
["Encounter for screening for other diseases and disorders","Z13"]
["Encounter for screening for other suspected endocrine disorder","Z13.29"]
["Encounter for screening for diabetes mellitus","Z13.1"]
["Encounter for screening for nutritional disorder","Z13.21"]
["Encounter for screening for other disorder","Z13.89"]
["Dietary counseling and surveillance","Z71.3"]
["Encounter for screening for nutitional, metabolic and other endocrine disorders","Z13.2"]
["Encounter for screening for lipoid disorders","Z13.22Ø"]
["Encounter for screening for nutritional disorder","Z13.21"]
["Encounter for screening for other metabolic disorders","Z13.228"]
["Encounter for screening for other suspected endocrine disorder","Z13.29"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism","Z13.Ø"]
["Encounter for screening for other disorder","Z13.89"]
["Encounter for screening for other disorder","Z13.89"]
["Encounter for screening for certain developmental disorders in childhood","Z13.4"]
["Encounter for screening for certain developmental disorders in childhood","Z13.4"]
["Encounter for screening for certain developmental disorders in childhood","Z13.4"]
["Encounter for screening for other disorder","Z13.89"]
["Encounter for screening for cardiovascular disorders","Z13.6"]
["Encounter for screening for other specified diseases and disorders","Z13.88"]
["Encounter for screening for disorder due to exposure to contaminants","Z13.88"]
["Body Mass Index","Z68"]
["BMI 19 or less, adult","Z68.1"]
["BMI pediatric see 5th digit for circumstance","Z68.5"]
["Body Mass Index, pediatric, less than 5th percentile for age","Z68.51"]
["Body Mass Index, pediatric, less than 85th percentile for age","Z68.52"]
["Body Mass Index, pediatric, less than 95th percentile for age","Z68.53"]
["Body Mass Index, pediatric, greater than 95th percentile for age","Z68.54"]

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