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Management Information System (Mis) - Wisconsin Department Of Health Services - 2018 Page 7

III. MANAGEMENT INFORMATION SYSTEM (MIS)

B. Participant Characteristics Minimum Data Set

OPTIONAL:

Supplemental Data Set

State

Agency IS

Collects

Plans to Collect

Date of First WIC Certification. Date the participant was first certified for the WIC

Program in MMDDYYYY format. For pregnant, breastfeeding and postpartum

women, this applies to the current/most recent pregnancy and not to prior pregnancies.

Educational Level. For pregnant, breastfeeding and postpartum women, the highest

grade or year of school completed. For infants and children, the highest grade or year

of school completed by mother or primary caretaker.

Number in Family/Household on WIC. The number of people in the participant's

family/household receiving WIC benefits.

Date Previous Pregnancy Ended. For pregnant women, the date previous

pregnancy ended in MMDDYYYY format.

Total Number of Pregnancies. For pregnant women, the total number of times the

woman has been pregnant, including this pregnancy, all live births and any

pregnancies resulting in miscarriage, abortion or stillbirth.

Total Number of Live Births. For pregnant women, the total number of babies born

alive to this woman, including those who may have died shortly after birth.

Pre-pregnancy Weight. For pregnant women only, the participant's weight

immediately prior to pregnancy. Pre-pregnancy weight may be reported either in

pounds and ounces or in grams.

Participant's Weight Gain During Pregnancy. For breastfeeding and postpartum

women, the participant's weight gain during pregnancy as taken immediately at or

prior to delivery. Weight gain during pregnancy may be reported in either pounds and

ounces or in grams.

Birth Weight. For infants and children, the participant's weight at birth measured

according to the CDC nutrition surveillance program standards (lbs/ounces). Birth

weight may be reported in either pounds or ounces, or in grams.

Birth Length. For infants and children, the participant's length measured according

to the CDC nutrition surveillance program standards (1/8 inches). Birth length may be

reported in either inches and eighth inches or in centimeters.

Participation in the Food Distribution Program on Indian Reservations. The

participant's reported participation in this program .

2018

Wisconsin

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Management Information System (Mis) - Wisconsin Department Of Health Services - 2018 Page 7