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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