CAN-MDS SURVEILLANCE SYSTEM
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Record Progress

R1

Agency's ID

R2

Operator's ID

C1

Child's ID

R3

Date of Record

I1

Incident's ID

I2

Date of Incident

R4

Source of Information

I3

Forms of Maltreatment

I4

Place of Incident

C2

Child's Sex

C3

Child's DoB

C4

Child's Citizenship Status

F1

Family Composition

F2

CGs Relationship to Child

F3

Caregiver(s)' Sex

F4

Caregiver(s)' DoB

S1

Institutional Response

S2

Referral(s) to Services