Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            941        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            941                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                            941                       1  Version 1                               
 
D_SOURCE SOURCE                        Data source                              
                            468                       1  Survey data only                        
                            473                       3  Both survey and administrative data     
         Notes:  Formerly SOURCE.
 
TRGT_DT  MMDDYYn8                      Target Date                              
                            462                       .  Inapplicable                            
                            479        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                            468                       .  Inapplicable                            
                            473        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
MENTDOWN MDSYNFMT  HA9B                Have Down syndrome                       
                              1                       D  Don't know                              
                            700                       .  Inapplicable/Missing                    
                            235                       0  No                                      
                              5                       1  Yes                                     
         Notes:  Only applicable for facility baseline interviews with no CCN reported or if present on matched MDS record
                 First available in 2019
 
MENTAUTI MDSYNFMT  HA9B                Have autism                              
                              1                       D  Don't know                              
                            700                       .  Inapplicable/Missing                    
                            233                       0  No                                      
                              7                       1  Yes                                     
         Notes:  Only applicable for facility baseline interviews with no CCN reported or if present on matched MDS record
                 First available in 2019
 
MENTEPIL MDSYNFMT  HA9B                Have epilepsy                            
                              1                       D  Don't know                              
                            700                       .  Inapplicable/Missing                    
                            236                       0  No                                      
                              4                       1  Yes                                     
         Notes:  Only applicable for facility baseline interviews with no CCN reported or if present on matched MDS record
                 First available in 2019
 
MENTOTHO MDSYNFMT  HA9B                Have ID/DD - other organic condition     
                              1                       D  Don't know                              
                            700                       .  Inapplicable/Missing                    
                            222                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Only applicable for facility baseline interviews with no CCN reported or if present on matched MDS record
                 First available in 2019
 
MENTOTHN MDSYNFMT  HA9B                Have ID/DD - non organic condition       
                              1                       D  Don't know                              
                            700                       .  Inapplicable/Missing                    
                            232                       0  No                                      
                              8                       1  Yes                                     
         Notes:  Only applicable for facility baseline interviews with no CCN reported or if present on matched MDS record
                 First available in 2019
 
COMATOSE MDSYNFMT  HA11B               Was Sp Comatose?                         
                             19                       .  Inapplicable/Missing                    
                            917                       0  No                                      
                              5                       1  Yes                                     
         Notes:  Inapp if CCN reported but unable to match to MDS record
 
MENTSUM  MENTSFMT  HA12AB              Summary Score From BIMS                  
                              7                       D  Don't know                              
                            509                       .  Missing                                 
                            390                  0 - 15  Score                                   
                             35                      99  Unable to complete                      
         Notes:  Inapp if COMATOSE = 1 or interview for mental status not performed.
 
CSMEMST  MDSYNFMT  HA12B               Have a Problem with Short-Term Memory?   
                             21                       D  Don't know                              
                            428                       .  Inapplicable/Missing                    
                            245                       0  No                                      
                            247                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSMEMLT  MDSYNFMT  HA13B               Have a Problem with Long-Term Memory?    
                             27                       D  Don't know                              
                            428                       .  Inapplicable/Missing                    
                            276                       0  No                                      
                            210                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSCURSEA MDSYNFMT  HA14B               Was Able To Recall Current Season?       
                              4                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                            265                       0  No                                      
                            248                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSLOCROM MDSYNFMT  HA14B               Was Able To Recall Location Of Room?     
                              4                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                            159                       0  No                                      
                            354                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSNAMFAC MDSYNFMT  HA14B               Was Able To Recall Names/Faces?          
                              4                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                            177                       0  No                                      
                            336                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSINNH   MDSYNFMT  HA14B               Was Able To Recall - In Nursing Home?    
                              4                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                            200                       0  No                                      
                            313                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
CSDECIS  CSDECIS   HA15B               How Skilled Making Daily Decisions?      
                              7                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                            112                       0  Independent                             
                            113                       1  Modified independence                   
                            129                       2  Moderately impaired                     
                            156                       3  Severely impaired                       
         Notes:  Inapp if COMATOSE = (.,1) or MENSTUM not = (.,99) or missing on matched MDS record
 
HCHECOND HEARING   HA16B               Description Of Hearing                   
                              5                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            631                       0  Hears adequately                        
                            176                       1  Hears with minimal difficulty           
                             79                       2  Hears in special situations only        
                             22                       3  Hearing is highly impaired              
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HCHEAID  MDSYNFMT  HA17B               Sp Use Hearing Aid?                      
                              7                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            800                       0  No                                      
                            110                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HCUNCOND UNDSTND   HA18B               Ability Of Sp To Make Him/Her Understood 
                              7                       D  Don't know                              
                             26                       .  Inapplicable/Missing                    
                            511                       0  Understood                              
                            211                       1  Usually understood                      
                            112                       2  Sometimes understood                    
                             74                       3  Rarely or never understood              
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HCUNDOTH UNDSTND   HA19B               Ability Of Sp To Understand Others       
                              9                       D  Don't know                              
                             26                       .  Inapplicable/Missing                    
                            456                       0  Understood                              
                            250                       1  Usually understood                      
                            142                       2  Sometimes understood                    
                             58                       3  Rarely or never understood              
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
VISION   VISION    HA20B               Ability Of Sp To See?                    
                              5                       D  Don't know                              
                             31                       .  Inapplicable/Missing                    
                            659                       0  Adequate                                
                            129                       1  Impaired                                
                             61                       2  Moderately impaired                     
                             34                       3  Highly impaired                         
                             22                       4  Severely impaired                       
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
VISAPPL  MDSYNFMT  HA20AB              Does Sp Use A Visual Appliance?          
                              3                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            390                       0  No                                      
                            523                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
BSAYSOT  BEHAVFMT  HA21B               How Often Phy Behavior Symptoms Occur    
                              4                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            842                       0  Behavior not exhibited                  
                             42                       1  Behavior occurred 1 to 3 days           
                             17                       2  Behavior occurred 4 to 6 days           
                             12                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSVERBOT BEHAVFMT  HA21B               How Often Verb Behavior Symptms Occur    
                              5                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            772                       0  Behavior not exhibited                  
                             81                       1  Behavior occurred 1 to 3 days           
                             33                       2  Behavior occurred 4 to 6 days           
                             26                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSNOTOT  BEHAVFMT  HA21B               How Often Other Behavr Symptoms Occur    
                              6                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            813                       0  Behavior not exhibited                  
                             47                       1  Behavior occurred 1 to 3 days           
                             24                       2  Behavior occurred 4 to 6 days           
                             27                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSELFILL MDSYNFMT  HA21AB              Behavior At Risk For Injury?             
                              1                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            165                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSELFCAR MDSYNFMT  HA21AB              Behavior Interfere With Care?            
                              1                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            146                       0  No                                      
                             37                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSELFACT MDSYNFMT  HA21AB              Behavior Interfere With Activities?      
                              2                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            128                       0  No                                      
                             54                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSOTHILL MDSYNFMT  HA21BB              Behavior Put Others Risk Of Injury?      
                              1                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            164                       0  No                                      
                             19                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSOTHACT MDSYNFMT  HA21BB              Behavior Intrude On Privacy Of Others    
                              1                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            150                       0  No                                      
                             33                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSOTHENV MDSYNFMT  HA21BB              Behavior Disrupt Care/Living Env?        
                              1                       D  Don't know                              
                            757                       .  Inapplicable/Missing                    
                            144                       0  No                                      
                             39                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSNOEVAL BEHAVFMT  HA21CB              How Often Sp Reject Evaluation           
                              6                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            789                       0  Behavior not exhibited                  
                             71                       1  Behavior occurred 1 to 3 days           
                             22                       2  Behavior occurred 4 to 6 days           
                             29                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSOFTWAN BEHAVFMT  HA21DB              How Often Wander Around?                 
                              2                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            851                       0  Behavior not exhibited                  
                             23                       1  Behavior occurred 1 to 3 days           
                             10                       2  Behavior occurred 4 to 6 days           
                             31                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSWDANGR MDSYNFMT  HA21EB              Did Wandering Put Sp In Danger?          
                              2                       D  Don't know                              
                            883                       .  Inapplicable/Missing                    
                             51                       0  No                                      
                              5                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or BSOFTWAN = 0 or missing on matched MDS
 
BSWOTACT MDSYNFMT  HA21EB              Did Wandering Intrude On Privacy?        
                              3                       D  Don't know                              
                            883                       .  Inapplicable/Missing                    
                             44                       0  No                                      
                             11                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or BSOFTWAN = 0 or missing on matched MDS
 
PFTRNSFR PERFLEV   HA22B               Level Of Self Perform: Transfer          
                              4                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            293                       0  Independent                             
                            105                       1  Supervision                             
                            120                       2  Limited assistance                      
                            215                       3  Extensive assistance                    
                            149                       4  Total dependence                        
                             15                       7  Activity occurred only once/twice       
                             15                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFLOCOMO PERFLEV   HA22B               Level Of Self Perf: Locomotion On Unit   
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            320                       0  Independent                             
                            161                       1  Supervision                             
                             94                       2  Limited assistance                      
                            129                       3  Extensive assistance                    
                            122                       4  Total dependence                        
                             34                       7  Activity occurred only once/twice       
                             51                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFDRSSNG PERFLEV   HA22B               Level Of Self Perform: Dressing          
                              5                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            203                       0  Independent                             
                             78                       1  Supervision                             
                            153                       2  Limited assistance                      
                            337                       3  Extensive assistance                    
                            138                       4  Total dependence                        
                              2                       7  Activity occurred only once/twice       
                              1                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFEATING PERFLEV   HA22B               Level Of Self Perform: Eating            
                              3                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            406                       0  Independent                             
                            266                       1  Supervision                             
                             72                       2  Limited assistance                      
                             98                       3  Extensive assistance                    
                             72                       4  Total dependence                        
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFTOILET PERFLEV   HA22B               Level Of Self Perform: Toilet Use        
                              5                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            238                       0  Independent                             
                             80                       1  Supervision                             
                            114                       2  Limited assistance                      
                            304                       3  Extensive assistance                    
                            169                       4  Total dependence                        
                              7                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFBATHNG BATHLEV   HA23                Level Of Self Perform: Bathing           
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            114                       0  Independent                             
                             91                       1  Supervision                             
                             41                       2  Physical help limited to transfer only  
                            283                       3  Physical help in part of bathing actvty 
                            361                       4  Total dependence                        
                             21                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLCANE  MDSYNFMT  HA24B               Did Sp Use Cane?                         
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            872                       0  No                                      
                             39                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLWLKR  MDSYNFMT  HA24B               Did Sp Use Walker?                       
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            585                       0  No                                      
                            326                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLWCHR  MDSYNFMT  HA24B               Did Sp Use Wheelchair?                   
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            417                       0  No                                      
                            494                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLPROS  MDSYNFMT  HA24B               Did Sp Use Limb Prosthesis?              
                              5                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                            908                       0  No                                      
                              3                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
CTBOWELC CONTFMT   HA25B               Sp's Level of Bowel Control?             
                              4                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            371                       0  Always continent                        
                            117                       1  Occasionally incontinent                
                            139                       2  Frequently incontinent                  
                            266                       3  Always incontinent                      
                             20                       4  Not rated                               
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
CTBLADDC CONTFMT   HA26B               Sp's Level of Bladder Control?           
                              4                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            255                       0  Always continent                        
                            189                       1  Occasionally incontinent                
                            176                       2  Frequently incontinent                  
                            265                       3  Always incontinent                      
                             28                       4  Not rated                               
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
ALZHMR   SEL3FMT   HA28B               Sp Has Alzheimer's Disease               
                              4                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            782                       0  Not Selected                            
                            131                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ANEMIA   SEL3FMT   HA28B               Sp Has Anemia                            
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            728                       0  Not Selected                            
                            191                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ANXIETY  SEL3FMT   HA28B               Sp Has Anxiety Disorder                  
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            670                       0  Not Selected                            
                            247                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
APHASIA  SEL3FMT   HA28B               Sp Has Aphasia                           
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            878                       0  Not Selected                            
                             41                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ARTHRIT  SEL3FMT   HA28B               Sp Has Arthritis                         
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            634                       0  Not Selected                            
                            160                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ASTHCOPD SEL3FMT   HA28B               Has Asthma/COPD/Chron Lung Disease?      
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            782                       0  Not Selected                            
                            137                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
AFIBDYS  SEL3FMT   HA28B               Has Atrial Fib Or Other Dysrhythmia?     
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            673                       0  Not Selected                            
                            123                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
BPH      SEL3FMT   HA28B               Did Sp Has BPH?                          
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            756                       0  Not Selected                            
                             40                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CANCER   SEL3FMT   HA28B               Sp Has Cancer                            
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            864                       0  Not Selected                            
                             54                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CATGLAUC SEL3FMT   HA28B               Has Cataracts/Glaucoma/Macular Degen?    
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            724                       0  Not Selected                            
                             72                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CERPALSY SEL3FMT   HA28B               Sp Has Cerebral Palsy                    
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            890                       0  Not Selected                            
                             22                       1  Selected                                
                              7                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CVATIAST SEL3FMT   HA28B               Did Sp Have Cva, Tia, Or Stoke?          
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            817                       0  Not Selected                            
                            100                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CIRROSIS SEL3FMT   HA28B               Did Sp Have Cirrosis?                    
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            792                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CORARTDS SEL3FMT   HA28B               Did Sp Have Coronary Artery Disease?     
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            767                       0  Not Selected                            
                            150                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DVTPEPTE SEL3FMT   HA28B               Did Sp Have DVT, PE, Or PTE?             
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            776                       0  Not Selected                            
                             20                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DEMENT   SEL3FMT   HA28B               Sp Has Dementia                          
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            544                       0  Not Selected                            
                            374                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DEPRESS  SEL3FMT   HA28B               Sp Has Depression                        
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            577                       0  Not Selected                            
                            340                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DIABMRN  SEL3FMT   HA28B               Has Diabetes Mellitus(Retin/Nephr/Neur)? 
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            690                       0  Not Selected                            
                            229                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
GERDULC  SEL3FMT   HA28B               Did Sp Have Gerd Or Ulcer?               
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            577                       0  Not Selected                            
                            219                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HARTFAIL SEL3FMT   HA28B               Have Heart Failure(Cfh/Pulmonary Edema)? 
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            778                       0  Not Selected                            
                            141                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HEMIPLPA SEL3FMT   HA28B               Sp Has Hemiplegia/Hemiparesis            
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            857                       0  Not Selected                            
                             61                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HIPFRACT SEL3FMT   HA28B               Sp Has A Hip Fracture                    
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            909                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HUNTDIS  SEL3FMT   HA28B               Did Sp Have Huntington's Disease?        
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            916                       0  Not Selected                            
                              2                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPERKAL SEL3FMT   HA28B               Did Sp Have Hyperkalemia?                
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            904                       0  Not Selected                            
                             15                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPRLIPI SEL3FMT   HA28B               Has Hyperlipidemia/Hypercholesterolemia? 
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            597                       0  Not Selected                            
                            322                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPETENS SEL3FMT   HA28B               Sp Has Hypertension                      
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            350                       0  Not Selected                            
                            568                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPONMIA SEL3FMT   HA28B               Did Sp Have Hyponatremia?                
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            897                       0  Not Selected                            
                             22                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
MALNUTRI SEL3FMT   HA28B               Did Sp Have Malnutrition/Risk For It?    
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            846                       0  Not Selected                            
                             73                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
MANICDEP SEL3FMT   HA28B               Sp Has Manic Depression                  
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            878                       0  Not Selected                            
                             41                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
SCLEROS  SEL3FMT   HA28B               Sp Has Multiple Sclerosis                
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            910                       0  Not Selected                            
                              8                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
NUROBLAD SEL3FMT   HA28B               Did Sp Have Neurogenic Bladder?          
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            901                       0  Not Selected                            
                             18                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
OBURPATH SEL3FMT   HA28B               Did Sp Have Obstructive Uropathy?        
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            904                       0  Not Selected                            
                             15                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ORTHHYPO SEL3FMT   HA28B               Did Sp Have Orthostatic Hypotension?     
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            903                       0  Not Selected                            
                             16                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
OSTEOP   SEL3FMT   HA28B               Sp Has Osteoporosis                      
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            732                       0  Not Selected                            
                             64                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
OTHFRACT SEL3FMT   HA28B               Did Sp Have Other Fracture?              
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            892                       0  Not Selected                            
                             27                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PARAPLEG SEL3FMT   HA28B               Sp Has Paraplegia                        
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            914                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PARKNSON SEL3FMT   HA28B               Sp Has Parkinson's Disease               
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            880                       0  Not Selected                            
                             38                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PVDPAD   SEL3FMT   HA28B               Has Peripheral Vasc/Peripheral Art Dis?  
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            838                       0  Not Selected                            
                             80                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PTSD     SEL3FMT   HA28B               Has Post Traumatic Stress Disorder?      
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            909                       0  Not Selected                            
                              9                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PSYCOTIC SEL3FMT   HA28B               Has Psych Disorder(Other Than Schizo)?   
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            851                       0  Not Selected                            
                             66                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
QUADPLEG SEL3FMT   HA28B               Sp Has Quadriplegia                      
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            912                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
RENLESRD SEL3FMT   HA28B               Has Renal Insufficiency/Failure/ESRD?    
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            798                       0  Not Selected                            
                            121                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
RESPFAIL SEL3FMT   HA28B               Did Sp Have Respiratory Failure?         
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            892                       0  Not Selected                            
                             27                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
SCHIZOPH SEL3FMT   HA28B               Sp Has Schizophrenia                     
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            850                       0  Not Selected                            
                             63                       1  Selected                                
                              6                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
SEIZEPIL SEL3FMT   HA28B               Has Seizure Disorder Or Epilepsy?        
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            834                       0  Not Selected                            
                             83                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
THYROID  SEL3FMT   HA28B               Has Thyroid Disorder(Hyper/Hypo/Hashim)? 
                              4                       D  Don't know                              
                            141                       .  Inapplicable/Missing                    
                            646                       0  Not Selected                            
                            150                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
TOURETTE SEL3FMT   HA28B               Did Sp Have Tourette's?                  
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            919                       0  Not Selected                            
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
BRAININJ SEL3FMT   HA28B               Sp Has Traumatic Brain Injury            
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            907                       0  Not Selected                            
                             12                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
COLCROHN SEL3FMT   HA28B               Has Ulcerative Colitis/Crohn's/IBS?      
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            901                       0  Not Selected                            
                             18                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFMDRO  SEL3FMT   HA29B               Sp Has Multidrug-Resistant Organism?     
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            913                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFPNEU  SEL3FMT   HA29B               Sp Has Pneumonia                         
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            902                       0  Not Selected                            
                             19                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFSEPT  SEL3FMT   HA29B               Sp Has Septicemia                        
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            910                       0  Not Selected                            
                             11                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFTBRC  SEL3FMT   HA29B               Sp Has Tuberculosis                      
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            920                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFURNRY SEL3FMT   HA29B               Sp Has Urinary Tract Infection           
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            878                       0  Not Selected                            
                             43                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFHPPTS SEL3FMT   HA29B               Sp Has Viral Hepatitis                   
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            916                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFWND   SEL3FMT   HA29B               Has Wound Infection (Other Than Foot)?   
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            913                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
AGITAT   SEL3FMT   HA31B               Did Sp Have Agitation?                   
                            583                       .  Inapplicable/Missing                    
                            352                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALCOH    SEL3FMT   HA31B               Was Sp Alcohol Dependent?                
                            583                       .  Inapplicable/Missing                    
                            354                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALLRGY   SEL3FMT   HA31B               Did Sp Have Allergies?                   
                            583                       .  Inapplicable/Missing                    
                            351                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ANOREX   SEL3FMT   HA31B               Did Sp Have Anorexia?                    
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
AOSTEN   SEL3FMT   HA31B               Did Sp Have Aortic Stenosis?             
                            583                       .  Inapplicable/Missing                    
                            350                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ATAXIA   SEL3FMT   HA31B               Did Sp Have Ataxia?                      
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
APSYCH   SEL3FMT   HA31B               Did Sp Have Atypical Psychosis?          
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BLIND    SEL3FMT   HA31B               Did Sp Have Blindness?                   
                            583                       .  Inapplicable/Missing                    
                            350                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BREAST   SEL3FMT   HA31B               Did Sp Have Breast Disorders?            
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CERDEG   SEL3FMT   HA31B               Did Sp Have Cerebral Degeneration?       
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CLINOB   SEL3FMT   HA31B               Did Sp Have Clinical Obesity?            
                            583                       .  Inapplicable/Missing                    
                            351                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CDIFF    SEL3FMT   HA31B               Did Sp Have Clostridium Difficile?       
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONJ     SEL3FMT   HA31B               Did Sp Have Conjunctivitis?              
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONST    SEL3FMT   HA31B               Did Sp Have Constipation?                
                            583                       .  Inapplicable/Missing                    
                            328                       0  Not Selected                            
                             30                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEGJNT   SEL3FMT   HA31B               Did Sp Have Degenerative Joint Disease?  
                            583                       .  Inapplicable/Missing                    
                            352                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HERNIA   SEL3FMT   HA31B               Did Sp Have Hernia?                      
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DIVCOL   SEL3FMT   HA31B               Did Sp Have Diverticula Of Colon?        
                            583                       .  Inapplicable/Missing                    
                            352                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DYSPHA   SEL3FMT   HA31B               Did Sp Have Dysphagia?                   
                            583                       .  Inapplicable/Missing                    
                            341                       0  Not Selected                            
                             17                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
EDEMA    SEL3FMT   HA31B               Did Sp Have Edema?                       
                            583                       .  Inapplicable/Missing                    
                            343                       0  Not Selected                            
                             15                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTR    SEL3FMT   HA31B               Did Sp Have Gastritis/Duodenitis?        
                            583                       .  Inapplicable/Missing                    
                            355                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTRO   SEL3FMT   HA31B               Did Sp Have Gastroenteritis?             
                            583                       .  Inapplicable/Missing                    
                            357                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GHEMOR   SEL3FMT   HA31B               Did Sp Have Gastrointestinal Hemorrhage? 
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GOUT     SEL3FMT   HA31B               Did Sp Have Gout?                        
                            583                       .  Inapplicable/Missing                    
                            350                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HESOPH   SEL3FMT   HA31B               Did Sp Have Hemorrhage Of Esophagus?     
                            583                       .  Inapplicable/Missing                    
                            357                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HIV      SEL3FMT   HA31B               Did Sp Have HIV Infection?               
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HYPER    SEL3FMT   HA31B               Did Sp Have Hyperplasia Of Prostate?     
                            800                       .  Inapplicable/Missing                    
                            140                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HYPOP    SEL3FMT   HA31B               Did Sp Have Hypopotassemia/Hypokalemia?  
                            583                       .  Inapplicable/Missing                    
                            354                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HPOTEN   SEL3FMT   HA31B               Have Hypotension(Othr Than Orthostatic)? 
                            583                       .  Inapplicable/Missing                    
                            354                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
INSOM    SEL3FMT   HA31B               Did Sp Have Insomnia?                    
                            583                       .  Inapplicable/Missing                    
                            332                       0  Not Selected                            
                             26                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
KYPHO    SEL3FMT   HA31B               Did Sp Have Kyphosis?                    
                            583                       .  Inapplicable/Missing                    
                            357                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
LIMB     SEL3FMT   HA31B               Have Missing Limb(E.G.,Amputation)?      
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BRAINS   SEL3FMT   HA31B               Did Sp Have Nonpsychotic Brain Syndrome? 
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ORGBRN   SEL3FMT   HA31B               Did Sp Have Organic Brain Syndrome?      
                            583                       .  Inapplicable/Missing                    
                            354                       0  Not Selected                            
                              2                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if no active diag on MDS or avail medical records
 
OSARTH   SEL3FMT   HA31B               Did Sp Have Osteoarthritis?              
                            583                       .  Inapplicable/Missing                    
                            328                       0  Not Selected                            
                             30                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BONFRC   SEL3FMT   HA31B               Did Sp Have Pathological Bone Fracture?  
                            583                       .  Inapplicable/Missing                    
                            357                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RENTUR   SEL3FMT   HA31B               Did Sp Have Renal Ureteral Disorder?     
                            583                       .  Inapplicable/Missing                    
                            356                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RESPIR   SEL3FMT   HA31B               Did Sp Have Respiratory Infection?       
                            583                       .  Inapplicable/Missing                    
                            354                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SCOLIO   SEL3FMT   HA31B               Did Sp Have Scoliosis?                   
                            583                       .  Inapplicable/Missing                    
                            352                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
STD      SEL3FMT   HA31B               Have Sexually Transmitted Diseases       
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SPSTEN   SEL3FMT   HA31B               Did Sp Have Spinal Stenosis?             
                            583                       .  Inapplicable/Missing                    
                            350                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
LEGULC   SEL3FMT   HA31B               Did Sp Have Ulcer Of Leg,Chronic?        
                            583                       .  Inapplicable/Missing                    
                            358                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
URIRET   SEL3FMT   HA31B               Did Sp Have Urinary Retention?           
                            583                       .  Inapplicable/Missing                    
                            357                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
VERTI    SEL3FMT   HA31B               Did Sp Have Vertigo?                     
                            583                       .  Inapplicable/Missing                    
                            355                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEHYD    MDSYNFMT  HA34B               Did Sp Experience Dehydration?           
                              5                       D  Don't know                              
                             20                       .  Inapplicable/Missing                    
                            895                       0  No                                      
                             21                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
DELUS    MDSYNFMT  HA35B               Did Sp Experience Delusions?             
                             23                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            841                       0  No                                      
                             53                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HALLUC   MDSYNFMT  HA36B               Did Sp Experience Hallucinations?        
                             25                       D  Don't know                              
                             24                       .  Inapplicable/Missing                    
                            849                       0  No                                      
                             43                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOLOSS   MDSYNFMT  HA37BB              Experience Loss From Mouth Solids/Liquid 
                              2                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                            889                       0  No                                      
                             29                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOHOLD   MDSYNFMT  HA37BB              Experience Problem Holding Food In Mouth 
                              2                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                            893                       0  No                                      
                             25                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOCOUGH  MDSYNFMT  HA37AB              Experience Problem Coughing During Meals 
                              2                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                            879                       0  No                                      
                             39                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOPAIN   MDSYNFMT  HA37BB              Experience Pain/Difficulty Swallowing    
                              2                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                            891                       0  No                                      
                             27                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SODENT   MDSYNFMT  HA37BB              Experience Prob With Dentures            
                              7                       D  Don't know                              
                             20                       .  Inapplicable/Missing                    
                            896                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOTEETH  MDSYNFMT  HA37BB              No Natural Teeth Or Fragments            
                              7                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            702                       0  No                                      
                             76                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOTISSUE MDSYNFMT  HA37BB              Abnorm Mouth Tissue (Ulcer/Mass/Lesion)  
                              7                       D  Don't know                              
                            155                       .  Inapplicable/Missing                    
                            776                       0  No                                      
                              3                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOCAVITY MDSYNFMT  HA37BB              Obvious Likely Cavity Or Broken Teeth    
                              7                       D  Don't know                              
                            155                       .  Inapplicable/Missing                    
                            740                       0  No                                      
                             39                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOGUMS   MDSYNFMT  HA37BB              Inflamed Gums Or Loose Teeth             
                              7                       D  Don't know                              
                            155                       .  Inapplicable/Missing                    
                            773                       0  No                                      
                              6                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOCHEW   MDSYNFMT  HA37BB              Mouth Pain Or Problem With Chewing       
                              7                       D  Don't know                              
                             20                       .  Inapplicable/Missing                    
                            904                       0  No                                      
                             10                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HEIGHT   NUM3FMT   HFE1, HF38B         Height Of Sp In Inches                   
                            103                       D  Don't know                              
                             20                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                              1        Range in inches   None                                    
                            816        Range in inches   Number                                  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
WGT_LBS  NUMFMT    HA39B               Weight Of Sp                             
                             62                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            851        Range of values   Weight                                  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
                 Named WEIGHT prior to 2019
 
ADLIVWIL MDSYNFMT  HA10B               Did Sp Have Living Will?                 
                             22                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            770                       0  No                                      
                            145                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADDNRES  MDSYNFMT  HA10B               Did Sp Have 'Do Not Resuscitate' Order?  
                             22                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            421                       0  No                                      
                            494                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADDNHOSP MDSYNFMT  HA10B               Did Sp Have 'Do Not Hospitalize' Order?  
                             22                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            751                       0  No                                      
                            164                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADOTREST MDSYNFMT  HA10B               Feeding/Medication/Other Restrictions?   
                             22                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            728                       0  No                                      
                            187                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
CNRBLADD SEL3FMT   HA33B               Did Sp Have Bladder Cancer?              
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             14                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRBREAS SEL3FMT   HA33B               Did Sp Have Breast Cancer?               
                              1                       D  Don't know                              
                            930                       .  Inapplicable/Missing                    
                              9                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3 or SP is male
 
CNRCERVI SEL3FMT   HA33B               Did Sp Have Cervix Cancer?               
                              1                       D  Don't know                              
                            930                       .  Inapplicable/Missing                    
                              9                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3 or SP is male
 
CNRBOWEL SEL3FMT   HA33B               Did Sp Have Colon/Rectum/Bowel Cancer?   
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             12                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRLUNG  SEL3FMT   HA33B               Did Sp Have Lung Cancer?                 
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             14                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNROVARY SEL3FMT   HA33B               Did Sp Have Ovarian Cancer?              
                              1                       D  Don't know                              
                            930                       .  Inapplicable/Missing                    
                             10                       0  Not Selected                            
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3 or SP is male
 
CNRPROST SEL3FMT   HA33B               Did Sp Have Prostate Cancer?             
                            935                       .  Inapplicable/Missing                    
                              5                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or or D_SOURCE = 3 or SP is female
 
CNRSKIN  SEL3FMT   HA33B               Did Sp Have Skin Cancer?                 
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             15                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRSTOMA SEL3FMT   HA33B               Did Sp Have Stomach Cancer?              
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             16                       0  Not Selected                            
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRUTERU SEL3FMT   HA33B               Did Sp Have Uterus Cancer?               
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             15                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3  or SP is male
 
CNROTHER SEL3FMT   HA33B               Did Sp Have Other Cancer?                
                              1                       D  Don't know                              
                            924                       .  Inapplicable/Missing                    
                             12                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
MYOCARD  SEL3FMT   HA33D               Did Sp Have Myocardial Infarction?       
                             91                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            790                       0  Not Selected                            
                             56                       1  Selected                                
         Notes:  Inapp if baseline, core not conducted
 
CATAROP  MDSYNFMT  HA33E               Sp Ever Have Operation For Cataracts?    
                            191                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            680                       0  No                                      
                             65                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
MAMMOGR  MDSYNFMT  HA43A               Sp Had A Mammogram In The Last Year?     
                             70                       D  Don't know                              
                            325                       .  Inapplicable/Missing                    
                            513                       0  No                                      
                             33                       1  Yes                                     
         Notes:  Inapplicable if SP is male or baseline, core not conducted.
 
PAPSMEAR MDSYNFMT  PV12                Sp Had A Pap Smear Since A Year Ago?     
                             71                       D  Don't know                              
                            325                       .  Inapplicable/Missing                    
                            527                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Inapplicable if SP is male or baseline, core not conducted.
 
D_HYST   MDSYNFMT  HA43D               Ever Had a Hysterectomy?                 
                            215                       D  Don't know                              
                            323                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                            325                       0  No                                      
                             77                       1  Yes                                     
         Notes:  Inapplicable if SP is male or baseline, core not conducted.
 
DRECEXAM MDSYNFMT  HA43DA              Digital Rectal Prostate Exam In Past Yr? 
                             78                       D  Don't know                              
                            620                       .  Inapplicable/Missing                    
                            224                       0  No                                      
                             19                       1  Yes                                     
         Notes:  Inapplicable if SP is female or baseline, core not conducted.
 
BLOODPSA MDSYNFMT  HA43DB              Prostate Cancer Blood Test In Past Yr?   
                             80                       D  Don't know                              
                            620                       .  Inapplicable/Missing                    
                            198                       0  No                                      
                             43                       1  Yes                                     
         Notes:  Inapplicable if SP is female or baseline, core not conducted.
 
FLUSHOT  MDSYNFMT  PVF1                Sp Had A Flu Shot In The Past Year?      
                             76                       D  Don't know                              
                             29                       .  Inapplicable/Missing                    
                            104                       0  No                                      
                            732                       1  Yes                                     
         Notes:  Collected in winter and summer rounds for current flu season
 
D_PNEU   MDSYNFMT  HA43DD              Ever Had Pneumonia Shot?                 
                            123                       D  Don't know                              
                            176                       0  No                                      
                            642                       1  Yes                                     
 
D_SMOKE  MDSYNFMT  HA43E               Ever Smoke Cigarettes/Cigars/Pipe?       
                             82                       D  Don't know                              
                            653                       0  No                                      
                            206                       1  Yes                                     
 
NOWSMOKE MDSYNFMT  HA43F               Does Sp Smoke Now?                       
                            836                       .  Inapplicable/Missing                    
                             69                       0  No                                      
                             36                       1  Yes                                     
         Notes:  Applies only if EVRSMOKE = 1 and SP not comatose/deceased.
 
IADSTOOP DIF2FMT   HA43G               Was Stooping/Kneeling Difficult?         
                             18                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            114                       0  No difficulty                           
                             84                       1  A little difficulty                     
                            126                       2  Some difficulty                         
                            135                       3  A lot of difficulty                     
                            459                       4  Unable to do it                         
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
IADLIFT  DIF2FMT   HA43G               Was Lifting Heavy Items Difficult?       
                             42                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            129                       0  No difficulty                           
                             62                       1  A little difficulty                     
                            106                       2  Some difficulty                         
                            106                       3  A lot of difficulty                     
                            491                       4  Unable to do it                         
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
IADREACH DIF2FMT   HA43G               Was Reaching/Extending Arms Difficult?   
                             24                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            343                       0  No difficulty                           
                            159                       1  A little difficulty                     
                            178                       2  Some difficulty                         
                             91                       3  A lot of difficulty                     
                            141                       4  Unable to do it                         
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
IADGRASP DIF2FMT   HA43G               Was Writing/Grasping Difficult?          
                             18                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            413                       0  No difficulty                           
                            173                       1  A little difficulty                     
                            163                       2  Some difficulty                         
                             70                       3  A lot of difficulty                     
                             99                       4  Unable to do it                         
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
IADWALK  DIF2FMT   HA43G               Was Walking Difficult?                   
                             16                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            127                       0  No difficulty                           
                             62                       1  A little difficulty                     
                             74                       2  Some difficulty                         
                             97                       3  A lot of difficulty                     
                            560                       4  Unable to do it                         
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
DIFUSEPH ADL2FMT   HA43H1              Was Using The Phone Difficult?           
                             19                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            449                       0  No                                      
                            309                       1  Yes                                     
                            159                       3  Doesn't Do                              
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
REASNOPH MDSYNFMT  HA43I1              Not Use Phone Due To Health/Phys Problem 
                            782                       .  Inapplicable/Missing                    
                             11                       0  No                                      
                            148                       1  Yes                                     
         Notes:  Inapplicable if DIFUSEPH is not equal to 3
 
DIFSHOP  ADL2FMT   HA43H2              Was Shopping Difficult?                  
                             11                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            128                       0  No                                      
                            289                       1  Yes                                     
                            508                       3  Doesn't Do                              
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
REASNOSH MDSYNFMT  HA43I2              Not Shop Due To Health/Phys Problem      
                              1                       D  Don't know                              
                            433                       .  Inapplicable/Missing                    
                             45                       0  No                                      
                            462                       1  Yes                                     
         Notes:  Inapplicable if DIFSHOP is not equal to 3
 
DIFMONEY ADL2FMT   HA43H3              Was Managing Money Difficult?            
                             20                       D  Don't know                              
                              5                       .  Inapplicable/Missing                    
                            118                       0  No                                      
                            281                       1  Yes                                     
                            517                       3  Doesn't Do                              
         Notes:  Inapp if COMATOSE = 1 or baseline, core not conducted and D_SOURCE NE 3
 
REASNOMM MDSYNFMT  HA43I3              Sp Doesn't Manage $ Due To Health Prob   
                              3                       D  Don't know                              
                            424                       .  Inapplicable/Missing                    
                             21                       0  No                                      
                            493                       1  Yes                                     
         Notes:  Inapplicable if DIFMONEY is not equal to 3
 
SPHEALTH GENH2FMT  HA43J               Description Of Sp's General Health       
                             14                       D  Don't know                              
                             51                       .  Inapplicable/Missing                    
                             18                       0  Excellent                               
                             90                       1  Very good                               
                            274                       2  Good                                    
                            360                       3  Fair                                    
                            134                       4  Poor                                    
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
GENHLTH  COMP2FMT  HA43K               Sp's Health Compared To 1 Year Ago?      
                             45                       D  Don't know                              
                             51                       .  Inapplicable/Missing                    
                             13                       0  Much better                             
                             43                       1  Somewhat better                         
                            539                       2  About the same                          
                            188                       3  Somewhat worse                          
                             62                       4  Much worse                              
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
LIMACTIV TIME6FMT  HA43L               Hlth Limited Soc Activities In Past Mo?  
                             33                       D  Don't know                              
                             51                       .  Inapplicable/Missing                    
                            476                       0  None of the time                        
                            171                       1  Some of the time                        
                             94                       2  Most of the time                        
                            116                       3  All of the time                         
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
