***DRAFT***

September 2, 1998

Client Master

Data Elements

I. CLIENT MASTER DATA ELEMENTS [Data reported once but may be corrected as needed.]:

Item

FN-11

Source

Other

¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ®

#

Data Element

Document

Name

Definition

Workgroup Comments

1

Client Unique Identifier

EE #64,81

FN-10, p.149

Personal Unique ID The unique client identifier that enables the data from multiple files/records to be reliably associated with a particular individual. To get client specific information or to share and link data.

2

Gender

EE #83

FN-10 p.41, 150

Sex Identifies the client’s sex (male/female) Actuarial analysis, utilization patterns, target groups, census comparisons

3

Date of Birth

EE #82

FN-10 p.41, 150

  Identifies the client’s date of birth (mm/dd/yyyy) Actuarial analysis, utilization patterns, target groups, census comparisons

4

Ethnicity

(check all that apply)

EE #84

FN-10 p.41, 150

Race The US Census Bureau definition.

­ American Indian/Alaskan Native

­ Asian or Pacific Islander

­ Black/African American

­ White

­ Other

Actuarial analysis, utilization patterns, target groups, comparison to general population, census data

5

Hispanic Origin

EE #84

FN-10 pp.41,150

  The US Census Bureau Definition.

Either Not of Hispanic Origin, or having any of the following origins (regardless of race): Mexican/Mexican American, Puerto Rican, Cuban, Other Hispanic

To match with the census data

6

Language Spoken at Home

CC p.23

EE

Primary Language; Languages, other than English Primary language of the client, including American Sign Language Appropriateness, consumer preference

7

English Proficiency     The client’s reported ability to read, understand, and speak English. Access, appropriate services, staffing needs

Item

FN-11

Source

Other

¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ®

#

Data Element

Document

Name

Definition

Workgroup Comments

8

Accommodation Needed

FN-10 p 47

Handicaps/ impairments (other than mental illness) at time of admission ­ Wheelchair

­ Interpreter

­ Other

 

9

Veteran Status

FN-10 p.41

  ­ Not a veteran

­ Yes, has previously served on active duty

­ Yes, currently on active duty