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MHSDS 6.0 2022 Data collection template |
MHSDS-4777 |
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January 2022 |
January 2023
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Disability and whether it limits day-to-day activities
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Need;
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Data manager |
No |
Current |
The DISABILITY of a PERSON.
Part 1:
This could be where:
the PERSON has been diagnosed as disabled or
the PERSON considers themself to be disabled.
Part 2:
The patient’s perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months
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Part 1:
Behaviour and Emotional
Hearing
Manual Dexterity
Memory or ability to concentrate, learn or understand (Learning Disability)
Mobility and Gross Motor
Perception of Physical Danger
Personal, Self Care and Continence
Progressive Conditions and Physical Health (such as HIV, cancer, multiple sclerosis, fits etc)
Sight
Speech
Other (not listed)
No Disability
Not Stated (Person asked but declined to provide a response)
Part 2:
Yes – limited a lot
Yes – limited a little
No – not limited
Prefer not to say (Patient asked but declined to provide a response)
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No |
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