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Management Information System (Mis) - Wisconsin Department Of Health Services - 2018 Page 6

III. MANAGEMENT INFORMATION SYSTEM (MIS)

B. Participant Characteristics Minimum Data Set

Family/Household or Economic Unit Income. For persons for whom income is determined during the

certification process, the income amount that was determined to qualify them for the WIC Program during the

most recent certification. For descriptive purposes only, for participants whose income was not required to be

determined as part of the WIC Program certification process, the self-reported income at the time of certification.

These participants include adjunctively income-eligible participants and those persons deemed eligible under

optional procedures available to the State Agency in Federal WIC Regulations, Section 246.7(d)(2)(vi-viii).

Zero should not be used to indicate income values that are missing or not available. Zero should indicate only an

actual value of zero.

Nutrition Risk(s) Present at Certification. Up to 10 highest priority nutritional risks present at the WIC Program

certification

Hemoglobin or Hematocrit. That value for the measure of iron status that applies to the WIC Program

certification. It is assumed that the measure was collected at the time of certification or within ninety (90) days of

the certification date.

Date of Blood Measurement. The date of the blood measurement that was used during the most recent WIC

Program certification in MMDDYYYY format.

Weight. The participant's weight measured according to the CDC nutrition surveillance program standards

[nearest one-quarter (1/4) pound]. If weight is not collected in pounds and quarter pounds, weight may be

reported in grams.

Height. The participant's height (or length) measured according to the CDC nutrition surveillance program

standards [nearest one-eighth (1/8) inch]. If height is not collected in inches and 1/8 inches, height may be

reported in centimeters.

Date of Height and Weight Measure. The date of the height and weight measures that were used during the

most recent WIC Program certification in MMDDYYYY format.

Currently Breastfed. Information is needed for all infant participants ages six through thirteen months, whether

or not the infant is currently receiving breastmilk.

Ever Breastfed. Information is needed for all infant participants ages six through thirteen months, whether or not

the infant was ever breastfed.

Length of Time Breastfed. For infants ages six through thirteen months, the number of weeks the infant

received breastmilk.

Date Breastfeeding Data Collected. For infants ages six through thirteen months, the date on which

breastfeeding status was reported in MMDDYYYY format.

Food Packages. The food package code(s) for the WIC food package or for all food instruments prescribed for

the participant during the month.

2018

Wisconsin

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Management Information System (Mis) - Wisconsin Department Of Health Services - 2018 Page 6