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OCR for page 313
Appendix D
Long-term Health Care Minimum Data Set
The Technical Consultant Panel on the Long-Term Health Care
Data Set, National Committee on Vital and Health Statistics, recom-
mends that all public and voluntary reporting systems for long-term
health care clients and services collect the following minimum set
of information, as specified in the Long-Term Health Care Minimum
Data Set, National Committee on Vital and Health Statistics, U.S.
Department of Health and Human Services, August 1980. DHHS
Publication No. (PHS) 80-1158 (p.1~.
Demographic Items
Personal Identification
2. Sex
3. Birth date
Race and ethnicity
a. Race
b. Ethnicity
Marital status
Usual living arrangements
a. Type
b. Location
Court-ordered constraints
a. Court-ordered care
b. Court-ordered guardian
313
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314
Health Status Items
AGING POPULATION IN THE TWENTY-FIRST CENTURY
8.
9. Hearing
10. Communication
a. Expressive communication
b. Receptive communication
11. Basic activities of daily living
a.
c.
d.
Bathing and showering
b. Dressing
Using toilet
Transferring in and out of bed or chair
Continence
I. Eating
g. Walking
12. Mobility
13. Adaptive tasks
14. Behavior problems
15. Orientation or memory impairment
16. Disturbance of mood
17. Primary and other significant diagnoses
e.
Service Items
18. Provider identification
a. Unique number
b. Location
Type of provider (includes general hospital, specialty
hospital, nursing home, residential care facility, hospice,
and community-based services)
22.
23.
19. Last principal provider
20. Date of admission or commencement of service
21. Direct services (includes personal care, nursing services, med-
ical services by medical doctor or doctor of osteopathy, other
medical services, mental health services, social services, physi-
cal therapy, occupational therapy, speech and hearing therapy,
vocational rehabilitation, special education, nutritionist ser-
vices, sheltered employment, homemaker-household services,
and transportation)
Direct services
Charges
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LONG-TERM HEALTH CARE MINIMUM DATA SET
24. Discharge or termination of service
a. Date
b. Status or destination
Procedural Items
25. Date of report
26. Type of report
315
Representative terms from entire chapter:
care minimum