RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification

                                 823             LOW-HIGH BASEID Count

SPHEALTH   12  2  GENHFMT                     HA43J     N Description of SPs general health

                                   6                    . Missing
                                   1                   -9 Not ascertained
                                  14                   -8 Don't know
                                  35                    1 Excellent
                                  91                    2 Very good
                                 186                    3 Good
                                 313                    4 Fair
                                 177                    5 Poor

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

HLTHCOMP   14  2  COMPFMT                     HA43K     N SP's health compared to 1 year ago?

                                   6                    . Missing
                                   1                   -9 Not ascertained
                                  34                   -8 Don't know
                                   2                   -7 Refused
                                  13                    1 Much better
                                  49                    2 Somewhat better
                                 400                    3 About the same
                                 238                    4 Somewhat worse
                                  80                    5 Much worse

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1999

LIMACTIV   16  2  TIMEFMT                     HA43L     N Hlth limited soc activities in past mo?

                                   6                    . Missing
                                   1                   -9 Not ascertained
                                  21                   -8 Don't know
                                 393                    1 None of the time
                                 180                    2 Some of the time
                                 118                    3 Most of the time
                                 104                    4 All of the time

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1999

VISAPPL    18  2  YES1FMT                     HA20A     N Does SP use a visual appliance?

                                   6                    . Inapplicable
                                   9                   -8 Don't know
                                   2                   -7 Refused
                                 487                    1 Yes
                                 319                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

VISION     20  2  VISION                      HA20      N Ability of SP to see?

                                   6                    . Inapplicable
                                  11                   -8 Don't know
                                 502                    1 Adequate
                                 172                    2 Impaired
                                  65                    3 Moderately impaired
                                  49                    4 Highly impaired
                                  18                    5 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CATAROP    22  2  YES1FMT                     HA33E     N SP ever have operation for cataracts?

                                 160                   -8 Don't know
                                   5                   -7 Refused
                                  68                    1 Yes
                                 590                    2 No

                  Note: First available in 1997

HCHEAID    24  2  YES1FMT                     HA17      N SP use hearing aid?

                                   6                    . Inapplicable
                                  12                   -8 Don't know
                                   1                   -7 Refused
                                  93                    1 Yes
                                 711                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCHECOND   26  2  HEARING                     HA16      N Description of hearing

                                   6                    . Inapplicable
                                  17                   -8 Don't know
                                   1                   -7 Refused
                                 552                    1 Hears adequately
                                 165                    2 Hears with minimal difficulty
                                  48                    3 Hears in special situations only
                                  34                    4 Hearing is highly impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCUNCOND   28  2  UNDSTND                     HA18      N Ability of SP to make him/her understood

                                   6                    . Inapplicable
                                   5                   -8 Don't know
                                 418                    1 Understood
                                 215                    2 Usually understood
                                 119                    3 Sometimes understood
                                  60                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCUNDOTH   30  2  UNDSTND                     HA19      N Ability of SP to understand others

                                   6                    . Inapplicable
                                   5                   -8 Don't know
                                 369                    1 Understood
                                 242                    2 Usually understood
                                 149                    3 Sometimes understood
                                  52                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HEIGHT     32  2  NUM2FMT                     HA38      N Height of SP in inches

                                  37                   -8 Don't know
                                 786                      Number

                  Note: First available in 1997

WEIGHTF    34  4  NUM2FMT                     HA39      N Weight of SP in pounds

                                  26                   -8 Don't know
                                 797                      Number

                  Note: First available in 1997

MAMMOGR    38  2  YES1FMT                     HA43A     N SP had a mammogram in the last year?

                                 289                    . Inapplicable
                                   1                   -9 Not ascertained
                                  91                   -8 Don't know
                                   2                   -7 Refused
                                  66                    1 Yes
                                 374                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

PAPSM      40  2  YES1FMT                     HA43B     N SP had a Pap smear in the last year?

                                 289                    . Inapplicable
                                   1                   -9 Not ascertained
                                  87                   -8 Don't know
                                   2                   -7 Refused
                                  48                    1 Yes
                                 396                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

HYSTLAST   42  2  YES1FMT                     HA43C     N SP had a hysterectomy in the last year?

                                 443                    . Inapplicable
                                   1                   -9 Not ascertained
                                  56                   -8 Don't know
                                   1                   -7 Refused
                                  14                    1 Yes
                                 308                    2 No

                 Notes: Applies to females in supplemental sample or where PAPNHYST = 2
                        First available in 1997

EVERHYST   44  2  YES1FMT                     HA43D     N SP ever had a hysterectomy?

                                 289                    . Inapplicable
                                   1                   -9 Not ascertained
                                 123                   -8 Don't know
                                   3                   -7 Refused
                                 108                    1 Yes
                                 299                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

DRECEXAM   46  2  YES1FMT                     HA43DA    N Digital rectal prostate exam in past yr?

                                 533                    . Inapplicable
                                  65                   -8 Don't know
                                   4                   -7 Refused
                                  53                    1 Yes
                                 168                    2 No

                 Notes: Inapplicable if SP is female.  Also see DIGTEXAM in RIC 2.
                        First available in 1999

BLOODSPA   48  2  YES1FMT                     HA43DB    N Prostate cancer blood test in past yr?

                                 533                    . Inapplicable
                                  54                   -8 Don't know
                                   4                   -7 Refused
                                  94                    1 Yes
                                 138                    2 No

                 Notes: Inapplicable if SP is female
                        First available in 1999

FLUVACC    50  2  YES2FMT                     HA43DC    N SP had a flu shot in the past year?

                                  73                   -8 Don't know
                                   1                   -7 Refused
                                 656                    1 Yes
                                  93                    2 No

                 Notes: Facility data 91-96: FLUSHOT in RIC 2.
                        First available in 1999

PNEUVACC   52  2  YES2FMT                     HA43DD    N Has SP ever had a shot for pneumonia?

                                  87                   -8 Don't know
                                   2                   -7 Refused
                                 628                    1 Yes
                                 106                    2 No

                 Notes: Facility data 91-96: PNEUSHOT in RIC 2.
                        First available in 1999

EVRSMOKE   54  2  YES1FMT                     HA43E     N SP ever smoked cigars/cigarettes/pipe?

                                 167                   -8 Don't know
                                   4                   -7 Refused
                                 118                    1 Yes
                                 534                    2 No

                  Note: First available in 1997

NOWSMOKE   56  2  YES1FMT                     HA43F     N Does SP smoke now?

                                 702                    . Inapplicable
                                   1                   -8 Don't know
                                  45                    1 Yes
                                  75                    2 No

                 Notes: Applies only if EVRSMOKE = 1
                        First available in 1997

IADSTOOP   58  2  DIF1FMT                     HA43G     N Was stooping/kneeling difficult?

                                   6                    . Inapplicable
                                  11                   -8 Don't know
                                  72                    1 No difficulty
                                  60                    2 A little difficulty
                                  84                    3 Some difficulty
                                 117                    4 A lot of difficulty
                                 473                    5 Unable to do it

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

IADLIFT    60  2  DIF1FMT                     HA43G     N Was lifting heavy items difficult?

                                   6                    . Inapplicable
                                  12                   -8 Don't know
                                  83                    1 No difficulty
                                  47                    2 A little difficulty
                                  80                    3 Some difficulty
                                 105                    4 A lot of difficulty
                                 490                    5 Unable to do it

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

IADREACH   62  2  DIF1FMT                     HA43G     N Was reaching/extending arms difficult?

                                   6                    . Inapplicable
                                  18                   -8 Don't know
                                 267                    1 No difficulty
                                 135                    2 A little difficulty
                                 194                    3 Some difficulty
                                  85                    4 A lot of difficulty
                                 118                    5 Unable to do it

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

IADGRASP   64  2  DIF1FMT                     HA43G     N Was writing/grasping difficult?

                                   6                    . Inapplicable
                                  25                   -8 Don't know
                                 303                    1 No difficulty
                                 153                    2 A little difficulty
                                 162                    3 Some difficulty
                                  65                    4 A lot of difficulty
                                 109                    5 Unable to do it

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

IADWALK    66  2  DIF1FMT                     HA43G     N Was walking 1/4 mi or 2-3 blk difficult?

                                   6                    . Inapplicable
                                  11                   -8 Don't know
                                  97                    1 No difficulty
                                  36                    2 A little difficulty
                                  50                    3 Some difficulty
                                  53                    4 A lot of difficulty
                                 570                    5 Unable to do it

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

ASHD       68  2  SEL2FMT                     HA28      N SP has arteriosclerotic heart disease

                                  61                    1 Selected
                                 762                    2 Not Selected

                  Note: First available in 1997

HYPETENS   70  2  SEL2FMT                     HA28      N SP has hypertension

                                 431                    1 Selected
                                 392                    2 Not Selected

                  Note: First available in 1997

HYPETHYR   72  2  SEL2FMT                     HA28      N SP has hyperthyroidism

                                  62                    1 Selected
                                 761                    2 Not Selected

                  Note: First available in 1997

MYOCARD    74  2  YES1FMT                     HA33D     N Did SP have myocardial infarction?

                                  87                   -8 Don't know
                                   3                   -7 Refused
                                  68                    1 Yes
                                 665                    2 No

                  Note: First available in 1997

CARDIOV    76  2  SEL2FMT                     HA28      N SP has cardiovascular disease

                                  98                    1 Selected
                                 725                    2 Not Selected

                  Note: First available in 1997

CRDVTYPE   78  2  YES1FMT                     HA33C     N SP have angina/coronary heart disease?

                                   2                   -9 Not ascertained
                                  18                   -8 Don't know
                                  40                    1 Yes
                                 763                    2 No

                  Note: First available in 1997

HRTFAIL    80  2  SEL2FMT                     HA28      N SP has congestive heart failure

                                 124                    1 Selected
                                 699                    2 Not Selected

                  Note: First available in 1997

STROKE     82  2  SEL2FMT                     HA28      N SP has a stroke

                                 113                    1 Selected
                                 710                    2 Not Selected

                  Note: First available in 1997

CNRSKIN    84  2  SEL2FMT                     HA33B     N Did SP have skin cancer?

                                   4                   -9 Not ascertained
                                   4                    1 Selected
                                 815                    2 Not Selected

                  Note: First available in 1997

CANCER     86  2  SEL2FMT                     HA28      N SP has cancer

                                  38                    1 Selected
                                 785                    2 Not Selected

                  Note: First available in 1997

CNRLUNG    88  2  SEL2FMT                     HA33B     N Did SP have lung cancer?

                                   4                   -9 Not ascertained
                                   2                    1 Selected
                                 817                    2 Not Selected

                  Note: First available in 1997

CNRBOWEL   90  2  SEL2FMT                     HA33B     N Did SP have colon/rectum/bowel cancer?

                                   4                   -9 Not ascertained
                                   5                    1 Selected
                                 814                    2 Not Selected

                  Note: First available in 1997

CNRBREAS   92  2  SEL2FMT                     HA33B     N Did SP have breast cancer?

                                   4                   -9 Not ascertained
                                  11                    1 Selected
                                 808                    2 Not Selected

                  Note: First available in 1997

CNRUTERU   94  2  SEL2FMT                     HA33B     N Did SP have uterus cancer?

                                   4                   -9 Not ascertained
                                   0                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

CNRPROST   96  2  SEL2FMT                     HA33B     N Did SP have prostate cancer?

                                   4                   -9 Not ascertained
                                   7                    1 Selected
                                 812                    2 Not Selected

                  Note: First available in 1997

CNRBLADD   98  2  SEL2FMT                     HA33B     N Did SP have bladder cancer?

                                   4                   -9 Not ascertained
                                   2                    1 Selected
                                 817                    2 Not Selected

                  Note: First available in 1997

CNROVARY  100  2  SEL2FMT                     HA33B     N Did SP have ovarian cancer?

                                   4                   -9 Not ascertained
                                   0                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

CNRCERVI  102  2  SEL2FMT                     HA33B     N Did SP have cervix cancer?

                                   4                   -9 Not ascertained
                                   0                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

CNRSTOMA  104  2  SEL2FMT                     HA33B     N Did SP have stomach cancer?

                                   4                   -9 Not ascertained
                                   0                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

CNROTHER  106  2  SEL2FMT                     HA33B     N Did SP have other cancer?

                                   4                   -9 Not ascertained
                                   5                    1 Selected
                                 814                    2 Not Selected

                  Note: First available in 1997

DIABMEL   108  2  SEL2FMT                     HA28      N SP has diabetes mellitus

                                 207                    1 Selected
                                 616                    2 Not Selected

                  Note: First available in 1997

ARTHRIT   110  2  SEL2FMT                     HA28      N SP has arthritis

                                 167                    1 Selected
                                 656                    2 Not Selected

                  Note: First available in 1997

MENTAL    112  2  YES1FMT                     HA9       N Did SP have any mental illnesses?

                                   2                   -8 Don't know
                                 182                    1 Yes
                                 639                    2 No

                  Note: First available in 1997

ALZHMR    114  2  SEL2FMT                     HA28      N SP has Alzheimer's disease

                                 127                    1 Selected
                                 696                    2 Not Selected

                  Note: First available in 1997

OSTEOP    116  2  SEL2FMT                     HA28      N SP has osteoporosis

                                 116                    1 Selected
                                 707                    2 Not Selected

                  Note: First available in 1997

HIPFRACT  118  2  SEL2FMT                     HA28      N SP has a hip fracture

                                  11                    1 Selected
                                 812                    2 Not Selected

                  Note: First available in 1997

PARKNSON  120  2  SEL2FMT                     HA28      N SP has Parkinson's disease

                                  41                    1 Selected
                                 782                    2 Not Selected

                  Note: First available in 1997

EMPCOPD   122  2  SEL2FMT                     HA28      N SP has emphysema/COPD

                                  78                    1 Selected
                                 745                    2 Not Selected

                  Note: First available in 1997

MISSLIMB  124  2  SEL2FMT                     HA28      N SP has a missing limb

                                   5                    1 Selected
                                 818                    2 Not Selected

                  Note: First available in 1997

DIFUSEPH  126  2  ADL1FMT                     HA43H     N Any difficulty using telephone?

                                   6                    . Inapplicable
                                  16                   -8 Don't know
                                 241                    1 Yes
                                 347                    2 No
                                 213                    3 Doesn't do

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

DIFSHOP   128  2  ADL1FMT                     HA43H     N Any difficulty shopping 4 personal item?

                                   6                    . Inapplicable
                                  12                   -8 Don't know
                                 275                    1 Yes
                                 124                    2 No
                                 406                    3 Doesn't do

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

DIFMONEY  130  2  ADL1FMT                     HA43H     N Any difficulty with managing money?

                                   6                    . Inapplicable
                                  20                   -8 Don't know
                                 262                    1 Yes
                                 102                    2 No
                                 433                    3 Doesn't do

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

REASNOPH  132  2  YES1FMT                     HA43I     N Don't use telephone b/c health problems?

                                 610                    . Inapplicable
                                 186                    1 Yes
                                  27                    2 No

                 Notes: Inapplicable if DIFUSEPH is not equal to 3
                        First available in 1997

REASNOSH  134  2  YES1FMT                     HA43I     N Don't do shopping b/c health problems?

                                 417                    . Inapplicable
                                 384                    1 Yes
                                  22                    2 No

                 Notes: Inapplicable if DIFSHOP is not equal to 3
                        First available in 1997

REASNOMM  136  2  YES1FMT                     HA43I     N Don't manage money b/c health problems?

                                 390                    . Inapplicable
                                   1                   -8 Don't know
                                 401                    1 Yes
                                  31                    2 No

                 Notes: Inapplicable if DIFMONEY is not equal to 3
                        First available in 1997

PFTRNSFR  138  2  PERFLEV                     HA22      N Level of self perform: transfer

                                   6                    . Inapplicable
                                   4                   -8 Don't know
                                 264                    1 Independent
                                  57                    2 Supervision
                                 125                    3 Limited assistance
                                 213                    4 Extensive assistance
                                 149                    5 Total dependence
                                   5                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFLOCOMO  140  2  PERFLEV                     HA22      N Level of self perform: locomot. on unit

                                   6                    . Inapplicable
                                   4                   -8 Don't know
                                 314                    1 Independent
                                  88                    2 Supervision
                                  97                    3 Limited assistance
                                 130                    4 Extensive assistance
                                 167                    5 Total dependence
                                  17                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFDRSSNG  142  2  PERFLEV                     HA22      N Level of self perform: dressing

                                   6                    . Inapplicable
                                   4                   -8 Don't know
                                 185                    1 Independent
                                  58                    2 Supervision
                                 152                    3 Limited assistance
                                 258                    4 Extensive assistance
                                 157                    5 Total dependence
                                   3                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFEATING  144  2  PERFLEV                     HA22      N Level of self perform: eating

                                   6                    . Inapplicable
                                   4                   -8 Don't know
                                 401                    1 Independent
                                 168                    2 Supervision
                                  84                    3 Limited assistance
                                  79                    4 Extensive assistance
                                  81                    5 Total dependence
                                   0                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFTOILET  146  2  PERFLEV                     HA22      N Level of self perform: toilet use

                                   6                    . Inapplicable
                                   5                   -8 Don't know
                                 218                    1 Independent
                                  55                    2 Supervision
                                 128                    3 Limited assistance
                                 225                    4 Extensive assistance
                                 180                    5 Total dependence
                                   6                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFBATHNG  148  2  BATHLEV                     HA23      N Level of self perform: bathing

                                   6                    . Inapplicable
                                   4                   -8 Don't know
                                  86                    1 Independent
                                  95                    2 Supervision
                                  39                    3 Physical help limited to transfer only
                                 317                    4 Physical help in part of bathing actvty
                                 274                    5 Total dependence
                                   2                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLCANE    150  2  YES1FMT                     HA24      N Did SP use cane/walker?

                                  48                    . Inapplicable
                                  16                   -8 Don't know
                                 219                    1 Yes
                                 540                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLWLPRIM  152  2  YES1FMT                     HA24      N Did SP use wheelchair prim means?

                                  48                    . Inapplicable
                                  16                   -8 Don't know
                                 317                    1 Yes
                                 442                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 2001

MLWHLSLF  154  2  YES1FMT                     HA24      N Did SP wheel her/himself?

                                  48                    . Inapplicable
                                  16                   -8 Don't know
                                 207                    1 Yes
                                 552                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLWHLOTH  156  2  YES1FMT                     HA24      N Did someone wheel SP?

                                  48                    . Inapplicable
                                  16                   -8 Don't know
                                 297                    1 Yes
                                 462                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CTBADDC   158  2  CONTLEV                     HA26      N Level of bladder control

                                  42                    . Inapplicable
                                   6                   -8 Don't know
                                 263                    1 Continent
                                  74                    2 Usually continent
                                  79                    3 Occasionally incontinent
                                 110                    4 Frequently incontinent
                                 249                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

ADLIVWIL  160  2  YES1FMT                     HA10      N Did SP have living will?

                                  16                   -8 Don't know
                                 180                    1 Yes
                                 627                    2 No

                  Note: First available in 1997

ADDNRES   162  2  YES1FMT                     HA10      N Did SP have 'Do not resuscitate' order?

                                  16                   -8 Don't know
                                 402                    1 Yes
                                 405                    2 No

                  Note: First available in 1997

ADDNHOSP  164  2  YES1FMT                     HA10      N Did SP have 'Do not hospitalize' order?

                                  16                   -8 Don't know
                                  42                    1 Yes
                                 765                    2 No

                  Note: First available in 1997

ADOTREST  166  2  YES1FMT                     HA10      N Feeding/Medication/Other restrictions?

                                  16                   -8 Don't know
                                  71                    1 Yes
                                 736                    2 No

                  Note: First available in 1997

COMATOSE  168  2  YES1FMT                     HA11      N Was SP comatose?

                                   5                   -8 Don't know
                                   6                    1 Yes
                                 812                    2 No

                  Note: First available in 1997

CSMEMST   170  2  YES1FMT                     HA12      N SP has problem with short term memory

                                   6                    . Inapplicable
                                  10                   -8 Don't know
                                 534                    1 Yes
                                 273                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSMEMLT   172  2  YES1FMT                     HA13      N SP has problem with long term memory

                                   6                    . Inapplicable
                                  11                   -8 Don't know
                                 412                    1 Yes
                                 394                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSCURSEA  174  2  YES1FMT                     HA14      N Was SP able to recall current season?

                                   6                    . Inapplicable
                                  16                   -8 Don't know
                                 409                    1 Yes
                                 392                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSLOCROM  176  2  YES1FMT                     HA14      N Was able to recall location of room?

                                   6                    . Inapplicable
                                  16                   -8 Don't know
                                 544                    1 Yes
                                 257                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSNAMFAC  178  2  YES1FMT                     HA14      N Was able to recall names and faces?

                                   6                    . Inapplicable
                                  16                   -8 Don't know
                                 563                    1 Yes
                                 238                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSINNH    180  2  YES1FMT                     HA14      N SP could recall he/she was in nurs. home

                                   6                    . Inapplicable
                                  16                   -8 Don't know
                                 508                    1 Yes
                                 293                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSDECIS   182  2  CSDECIS                     HA15      N How skilled was SP in making decisions?

                                   6                    . Inapplicable
                                   7                   -8 Don't know
                                 162                    1 Independent
                                 190                    2 Modified independence
                                 299                    3 Moderately impaired
                                 159                    4 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSWANDER  184  2  FREQUENT                    HA21      N How often did wandering occur?

                                  48                    . Inapplicable
                                   4                   -8 Don't know
                                 688                    1 Not at all
                                  54                    2 Less than daily
                                  29                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSVERBAB  186  2  FREQUENT                    HA21      N Occurrence of verbally abusive behavior?

                                  48                    . Inapplicable
                                   4                   -8 Don't know
                                 667                    1 Not at all
                                  78                    2 Less than daily
                                  26                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSPHYSAB  188  2  FREQUENT                    HA21      N Occurrence of phys abusive behavior?

                                  48                    . Inapplicable
                                   4                   -8 Don't know
                                 693                    1 Not at all
                                  62                    2 Less than daily
                                  16                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSDISRPT  190  2  FREQUENT                    HA21      N How often did disruptive behavior occur?

                                  48                    . Inapplicable
                                   4                   -8 Don't know
                                 647                    1 Not at all
                                  93                    2 Less than daily
                                  31                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSRESIST  192  2  FREQUENT                    HA21      N How often did SP resist care?

                                  48                    . Inapplicable
                                   5                   -8 Don't know
                                 612                    1 Not at all
                                 124                    2 Less than daily
                                  34                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CTBOWEC   194  2  CONTLEV                     HA25      N Level of bowel control?

                                  42                    . Inapplicable
                                   6                   -8 Don't know
                                 340                    1 Continent
                                  78                    2 Usually continent
                                  53                    3 Occasionally incontinent
                                  71                    4 Frequently incontinent
                                 233                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWINTOTH  196  2  YES1FMT                     HA27      N At ease interacting with others?

                                  42                    . Inapplicable
                                 582                    1 Yes
                                 199                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWSTRACT  198  2  YES1FMT                     HA27      N At ease doing planned activities?

                                  42                    . Inapplicable
                                 433                    1 Yes
                                 348                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWSLFACT  200  2  YES1FMT                     HA27      N At ease doing self-initiated activities?

                                  42                    . Inapplicable
                                 376                    1 Yes
                                 405                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWGOALS   202  2  YES1FMT                     HA27      N At ease establishing goals?

                                  42                    . Inapplicable
                                 242                    1 Yes
                                 539                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWFACLIF  204  2  YES1FMT                     HA27      N Involved with life at facility?

                                  42                    . Inapplicable
                                 271                    1 Yes
                                 510                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWGRPACT  206  2  YES1FMT                     HA27      N Accepts invitations to group activities?

                                  42                    . Inapplicable
                                 335                    1 Yes
                                 446                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWNOFC    208  2  YES1FMT                     HA27      N Absence of contact with family/friends?

                                  42                    . Inapplicable
                                  71                    1 Yes
                                 710                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

ALLERGY   210  2  SEL2FMT                     HA28      N SP has allergies

                                 137                    1 Selected
                                 686                    2 Not Selected

                  Note: First available in 1997

ANEMIA    212  2  SEL2FMT                     HA28      N SP has anemia

                                 155                    1 Selected
                                 668                    2 Not Selected

                  Note: First available in 1997

ANXIETY   214  2  SEL2FMT                     HA28      N SP has anxiety disorder

                                 134                    1 Selected
                                 689                    2 Not Selected

                  Note: First available in 1997

APHASIA   216  2  SEL2FMT                     HA28      N SP has aphasia

                                  32                    1 Selected
                                 791                    2 Not Selected

                  Note: First available in 1997

ASTHMA    218  2  SEL2FMT                     HA28      N SP has asthma

                                  33                    1 Selected
                                 790                    2 Not Selected

                  Note: First available in 1997

CARDDYSR  220  2  SEL2FMT                     HA28      N SP has dysrhythmia

                                  66                    1 Selected
                                 757                    2 Not Selected

                  Note: First available in 1997

CATARCT   222  2  SEL2FMT                     HA28      N SP has cataracts

                                  60                    1 Selected
                                 763                    2 Not Selected

                  Note: First available in 1997

CERPALSY  224  2  SEL2FMT                     HA28      N SP has cerebral palsy

                                  12                    1 Selected
                                 811                    2 Not Selected

                  Note: First available in 1997

VEINTHR   226  2  SEL2FMT                     HA28      N SP has deep vein thrombosis

                                  16                    1 Selected
                                 807                    2 Not Selected

                  Note: First available in 1997

DEMENT    228  2  SEL2FMT                     HA28      N SP has dementia

                                 254                    1 Selected
                                 569                    2 Not Selected

                  Note: First available in 1997

DEPRESS   230  2  SEL2FMT                     HA28      N SP has depression

                                 330                    1 Selected
                                 493                    2 Not Selected

                  Note: First available in 1997

DIABRET   232  2  SEL2FMT                     HA28      N SP has diabetic retinopathy

                                   6                    1 Selected
                                 817                    2 Not Selected

                  Note: First available in 1997

GLAUCOMA  234  2  SEL2FMT                     HA28      N SP has glaucoma

                                  59                    1 Selected
                                 764                    2 Not Selected

                  Note: First available in 1997

HEMIPLPA  236  2  SEL2FMT                     HA28      N SP has hemiplegia/hemiparesis

                                  59                    1 Selected
                                 764                    2 Not Selected

                  Note: First available in 1997

HYPOTENS  238  2  SEL2FMT                     HA28      N SP has hypotension

                                  12                    1 Selected
                                 811                    2 Not Selected

                  Note: First available in 1997

HYPOTHYR  240  2  SEL2FMT                     HA28      N SP has hypothyroidism

                                  69                    1 Selected
                                 754                    2 Not Selected

                  Note: First available in 1997

MACDEGEN  242  2  SEL2FMT                     HA28      N SP has macular degeneration

                                  40                    1 Selected
                                 783                    2 Not Selected

                  Note: First available in 1997

MANICDEP  244  2  SEL2FMT                     HA28      N SP has manic depression

                                  35                    1 Selected
                                 788                    2 Not Selected

                  Note: First available in 1997

SCLEROS   246  2  SEL2FMT                     HA28      N SP has multiple sclerosis

                                   9                    1 Selected
                                 814                    2 Not Selected

                  Note: First available in 1997

PARAPLEG  248  2  SEL2FMT                     HA28      N SP has paraplegia

                                  11                    1 Selected
                                 812                    2 Not Selected

                  Note: First available in 1997

BONEFRAC  250  2  SEL2FMT                     HA28      N SP has pathological bone fracture

                                   4                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

VASCULAR  252  2  SEL2FMT                     HA28      N SP has peripheral vascular disease

                                  69                    1 Selected
                                 754                    2 Not Selected

                  Note: First available in 1997

QUADPLEG  254  2  SEL2FMT                     HA28      N SP has quadriplegia

                                   7                    1 Selected
                                 816                    2 Not Selected

                  Note: First available in 1997

RENTFAIL  256  2  SEL2FMT                     HA28      N SP has renal failure

                                  36                    . Missing
                                  64                    1 Selected
                                 723                    2 Not Selected

                  Note: First available in 1997

SCHIZOPH  258  2  SEL2FMT                     HA28      N SP has schizophrenia

                                  46                    1 Selected
                                 777                    2 Not Selected

                  Note: First available in 1997

SEIZURE   260  2  SEL2FMT                     HA28      N SP has a seizure disorder

                                  61                    1 Selected
                                 762                    2 Not Selected

                  Note: First available in 1997

TIA       262  2  SEL2FMT                     HA28      N SP has Transient Ischemic Attack (TIA)

                                  36                    . Missing
                                  21                    1 Selected
                                 766                    2 Not Selected

                  Note: First available in 1997

BRAININJ  264  2  SEL2FMT                     HA28      N SP has traumatic brain injury

                                   5                    1 Selected
                                 818                    2 Not Selected

                  Note: First available in 1997

INFMRSA   266  2  SEL2FMT                     HA29      N SP have antibiotic resistant infection

                                   6                    1 Selected
                                 817                    2 Not Selected

                  Note: First available in 1997

INFCDIFF  268  2  SEL2FMT                     HA29      N SP has clostridium difficile

                                   7                    1 Selected
                                 816                    2 Not Selected

                  Note: First available in 1997

INFCONJ   270  2  SEL2FMT                     HA29      N SP has conjunctivitis

                                   4                    1 Selected
                                 819                    2 Not Selected

                  Note: First available in 1997

INFHIV    272  2  SEL2FMT                     HA29      N SP has HIV

                                   1                    1 Selected
                                 822                    2 Not Selected

                  Note: First available in 1997

INFPNEU   274  2  SEL2FMT                     HA29      N SP has pneumonia

                                  19                    1 Selected
                                 804                    2 Not Selected

                  Note: First available in 1997

INFRESP   276  2  SEL2FMT                     HA29      N SP has respiratory infection

                                  13                    1 Selected
                                 810                    2 Not Selected

                  Note: First available in 1997

INFSEPT   278  2  SEL2FMT                     HA29      N SP has septicemia

                                   1                    1 Selected
                                 822                    2 Not Selected

                  Note: First available in 1997

INFSEXTR  280  2  SEL2FMT                     HA29      N SP has sexually transmitted disease

                                   0                    1 Selected
                                 823                    2 Not Selected

                  Note: First available in 1997

INFTBRC   282  2  SEL2FMT                     HA29      N SP has tuberculosis

                                   0                    1 Selected
                                 823                    2 Not Selected

                  Note: First available in 1997

INFURNRY  284  2  SEL2FMT                     HA29      N SP has urinary tract infection

                                  79                    1 Selected
                                 744                    2 Not Selected

                  Note: First available in 1997

INFHPPTS  286  2  SEL2FMT                     HA29      N SP has viral hepatitis

                                   2                    1 Selected
                                 821                    2 Not Selected

                  Note: First available in 1997

INFWOUND  288  2  SEL2FMT                     HA29      N SP has wound infection

                                  15                    1 Selected
                                 808                    2 Not Selected

                  Note: First available in 1997

OTHDIAG   290  2  NUM2FMT                               N Additional diagnosis/condition

                                 823                      Number

                 Notes: Note not created
                        First available in 2001

DEHYD     292  2  YES1FMT                     HA34      N Did SP experience dehydration?

                                   6                    . Inapplicable
                                   9                   -8 Don't know
                                   2                    1 Yes
                                 806                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

DELUS     294  2  YES1FMT                     HA35      N Did SP experience delusions?

                                   6                    . Inapplicable
                                   6                   -8 Don't know
                                  38                    1 Yes
                                 773                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

HALLUC    296  2  YES1FMT                     HA36      N Did SP experience hallucinations?

                                   6                    . Inapplicable
                                   6                   -8 Don't know
                                  39                    1 Yes
                                 772                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

ONCHEW    298  2  YES1FMT                     HA37      N Did SP experience chewing problems?

                                  42                    . Inapplicable
                                  20                   -8 Don't know
                                 158                    1 Yes
                                 603                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

ONSWALL   300  2  YES1FMT                     HA37      N Did SP experience swallowing problems?

                                  42                    . Inapplicable
                                  20                   -8 Don't know
                                 130                    1 Yes
                                 631                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

ONMOUTHP  302  2  YES1FMT                     HA37      N Did SP experience any mouth pain?

                                  42                    . Inapplicable
                                  20                   -8 Don't know
                                  15                    1 Yes
                                 746                    2 No

                 Notes: Inapplicable if COMATOSE = 1.
                        First available in 1997

DHDEBRIS  304  2  YES1FMT                     HA40      N Did SP have debris in mouth?

                                  36                    . Inapplicable
                                  29                   -8 Don't know
                                   9                    1 Yes
                                 749                    2 No

                  Note: First available in 1997

DHBRIDGE  306  2  YES1FMT                     HA40      N Did SP have removable bridges?

                                  36                    . Inapplicable
                                  29                   -8 Don't know
                                 252                    1 Yes
                                 506                    2 No

                  Note: First available in 1997

DHTEELOS  308  2  YES1FMT                     HA40      N Did SP have any natural teeth lost?

                                  36                    . Inapplicable
                                  29                   -8 Don't know
                                 218                    1 Yes
                                 540                    2 No

                  Note: First available in 1997

DHBROKEN  310  2  YES1FMT                     HA40      N Did SP have any broken/loose teeth?

                                  36                    . Inapplicable
                                  29                   -8 Don't know
                                  32                    1 Yes
                                 726                    2 No

                  Note: First available in 1997

DHINFGUM  312  2  YES1FMT                     HA40      N Did SP have any gum infection?

                                  36                    . Inapplicable
                                  29                   -8 Don't know
                                  14                    1 Yes
                                 744                    2 No

                  Note: First available in 1997

