Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            928        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            928                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                            928                       1  Version 1                               
 
D_SOURCE SOURCE                        Data source                              
                            461                       1  Survey data only                        
                            467                       3  Both survey and administrative data     
         Notes:  Formerly SOURCE.
 
TRGT_DT  MMDDYYn8                      Target date                              
                            454                       .  Inapplicable                            
                            474        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
A2300    MMDDYYn8                      Assessment Reference Date                
                            461                       .  Inapplicable                            
                            467        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                              
                            693                       .  Inapplicable/Missing                    
                            229                       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                              
                            693                       .  Inapplicable/Missing                    
                            229                       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
 
MENTEPIL MDSYNFMT  HA9B                Have epilepsy                            
                              1                       D  Don't know                              
                            693                       .  Inapplicable/Missing                    
                            232                       0  No                                      
                              2                       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                              
                            693                       .  Inapplicable/Missing                    
                            224                       0  No                                      
                             10                       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                              
                            693                       .  Inapplicable/Missing                    
                            224                       0  No                                      
                             10                       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?                         
                              1                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                            900                       0  No                                      
                              6                       1  Yes                                     
         Notes:  Inapp if CCN reported but unable to match to MDS record
 
MENTSUM  MENTSFMT  HA12AB              Summary score from BIMS                  
                              3                       D  Don't know                              
                            483                       .  Missing                                 
                            413                  0 - 15  Score                                   
                             29                      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    
                             18                       D  Don't know                              
                            450                       .  Inapplicable/Missing                    
                            242                       0  No                                      
                            218                       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     
                             28                       D  Don't know                              
                            450                       .  Inapplicable/Missing                    
                            264                       0  No                                      
                            186                       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        
                              3                       D  Don't know                              
                            447                       .  Inapplicable/Missing                    
                            219                       0  No                                      
                            259                       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      
                              3                       D  Don't know                              
                            447                       .  Inapplicable/Missing                    
                            133                       0  No                                      
                            345                       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           
                              3                       D  Don't know                              
                            447                       .  Inapplicable/Missing                    
                            139                       0  No                                      
                            339                       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     
                              3                       D  Don't know                              
                            447                       .  Inapplicable/Missing                    
                            161                       0  No                                      
                            317                       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       
                              4                       D  Don't know                              
                            447                       .  Inapplicable/Missing                    
                            125                       0  Independent                             
                            102                       1  Modified independence                   
                            120                       2  Moderately impaired                     
                            130                       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                              
                             29                       .  Inapplicable/Missing                    
                            638                       0  Hears adequately                        
                            162                       1  Hears with minimal difficulty           
                             72                       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                              
                             28                       .  Inapplicable/Missing                    
                            788                       0  No                                      
                            105                       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 
                              3                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            523                       0  Understood                              
                            200                       1  Usually understood                      
                            107                       2  Sometimes understood                    
                             67                       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       
                             10                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            463                       0  Understood                              
                            247                       1  Usually understood                      
                            127                       2  Sometimes understood                    
                             53                       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                     
                              8                       D  Don't know                              
                             32                       .  Inapplicable/Missing                    
                            629                       0  Adequate                                
                            149                       1  Impaired                                
                             62                       2  Moderately impaired                     
                             33                       3  Highly impaired                         
                             15                       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           
                              4                       D  Don't know                              
                             29                       .  Inapplicable/Missing                    
                            404                       0  No                                      
                            491                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
BSAYSOT  BEHAVFMT  HA21B               How often phys behavior symptoms occur   
                              5                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            822                       0  Behavior not exhibited                  
                             46                       1  Behavior occurred 1 to 3 days           
                             20                       2  Behavior occurred 4 to 6 days           
                              7                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSVERBOT BEHAVFMT  HA21B               How often verbal behavior symptoms occur 
                              5                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            791                       0  Behavior not exhibited                  
                             62                       1  Behavior occurred 1 to 3 days           
                             25                       2  Behavior occurred 4 to 6 days           
                             17                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSNOTOT  BEHAVFMT  HA21B               How often other behavior symptoms occur  
                              6                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            805                       0  Behavior not exhibited                  
                             45                       1  Behavior occurred 1 to 3 days           
                             25                       2  Behavior occurred 4 to 6 days           
                             19                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSELFILL MDSYNFMT  HA21AB              Behavior at risk for injury              
                              5                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            122                       0  No                                      
                             22                       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             
                              4                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            114                       0  No                                      
                             31                       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       
                              4                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            100                       0  No                                      
                             45                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSOTHILL MDSYNFMT  HA21BB              Behavior put others at risk of injury    
                              4                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            121                       0  No                                      
                             24                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or COMATOSE = (.,1) or missing on matched MDS
 
BSOTHACT MDSYNFMT  HA21BB              Behavior intrudes on privacy of others   
                              4                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            108                       0  No                                      
                             37                       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 environment 
                              5                       D  Don't know                              
                            779                       .  Inapplicable/Missing                    
                            110                       0  No                                      
                             34                       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           
                              2                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            781                       0  Behavior not exhibited                  
                             74                       1  Behavior occurred 1 to 3 days           
                             30                       2  Behavior occurred 4 to 6 days           
                             13                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSOFTWAN BEHAVFMT  HA21DB              How often wander around                  
                              4                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            835                       0  Behavior not exhibited                  
                             25                       1  Behavior occurred 1 to 3 days           
                             12                       2  Behavior occurred 4 to 6 days           
                             24                       3  Behavior occurred daily                 
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
BSWDANGR MDSYNFMT  HA21EB              Did wandering put SP in danger           
                              4                       D  Don't know                              
                            866                       .  Inapplicable/Missing                    
                             47                       0  No                                      
                             11                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or BSOFTWAN = 0 or missing on matched MDS
 
BSWOTACT MDSYNFMT  HA21EB              Did wandering intrude on privacy         
                              4                       D  Don't know                              
                            866                       .  Inapplicable/Missing                    
                             42                       0  No                                      
                             16                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or BSOFTWAN = 0 or missing on matched MDS
 
PFTRNSFR PERFLEV   HA22B               Level of self-perform: transfer          
                              1                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            287                       0  Independent                             
                             90                       1  Supervision                             
                            114                       2  Limited assistance                      
                            230                       3  Extensive assistance                    
                            149                       4  Total dependence                        
                             14                       7  Activity occurred only once/twice       
                             16                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFLOCOMO PERFLEV   HA22B               Level of self-perform:locomotion on unit 
                              3                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            304                       0  Independent                             
                            148                       1  Supervision                             
                             97                       2  Limited assistance                      
                            148                       3  Extensive assistance                    
                            130                       4  Total dependence                        
                             31                       7  Activity occurred only once/twice       
                             40                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFDRSSNG PERFLEV   HA22B               Level of self-perform: dressing          
                              3                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            191                       0  Independent                             
                             84                       1  Supervision                             
                            156                       2  Limited assistance                      
                            345                       3  Extensive assistance                    
                            117                       4  Total dependence                        
                              3                       7  Activity occurred only once/twice       
                              2                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFEATING PERFLEV   HA22B               Level of self-perform: eating            
                              1                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            426                       0  Independent                             
                            240                       1  Supervision                             
                             71                       2  Limited assistance                      
                             90                       3  Extensive assistance                    
                             73                       4  Total dependence                        
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
PFTOILET PERFLEV   HA22B               Level of self-perform: toilet use        
                              4                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            242                       0  Independent                             
                             75                       1  Supervision                             
                            111                       2  Limited assistance                      
                            285                       3  Extensive assistance                    
                            174                       4  Total dependence                        
                              2                       7  Activity occurred only once/twice       
                              8                       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                              
                             27                       .  Inapplicable/Missing                    
                            123                       0  Independent                             
                             77                       1  Supervision                             
                             35                       2  Physical help limited to transfer only  
                            288                       3  Physical help in part of bathing actvty 
                            334                       4  Total dependence                        
                             39                       8  Activity did not occur                  
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLCANE  MDSYNFMT  HA24B               Did SP use cane                          
                              3                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            866                       0  No                                      
                             31                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLWLKR  MDSYNFMT  HA24B               Did SP use walker                        
                              3                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            611                       0  No                                      
                            286                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLWCHR  MDSYNFMT  HA24B               Did SP use wheelchair                    
                              3                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            419                       0  No                                      
                            478                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or missing on matched MDS
 
MOLPROS  MDSYNFMT  HA24B               Did SP use limb prosthesis               
                              3                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            895                       0  No                                      
                              2                       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                              
                             27                       .  Inapplicable/Missing                    
                            347                       0  Always continent                        
                            130                       1  Occasionally incontinent                
                            131                       2  Frequently incontinent                  
                            264                       3  Always incontinent                      
                             25                       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            
                              5                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            248                       0  Always continent                        
                            176                       1  Occasionally incontinent                
                            167                       2  Frequently incontinent                  
                            270                       3  Always incontinent                      
                             35                       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               
                              7                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            772                       0  Not Selected                            
                            119                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ANEMIA   SEL3FMT   HA28B               SP has anemia                            
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            721                       0  Not Selected                            
                            176                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ANXIETY  SEL3FMT   HA28B               SP has anxiety disorder                  
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            661                       0  Not Selected                            
                            235                       1  Selected                                
                              1                       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                           
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            863                       0  Not Selected                            
                             34                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ARTHRIT  SEL3FMT   HA28B               SP has arthritis                         
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            619                       0  Not Selected                            
                            153                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ASTHCOPD SEL3FMT   HA28B               Has asthma/COPD/chronic lung disease     
                              7                       D  Don't know                              
                             22                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            756                       0  Not Selected                            
                            140                       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      
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            646                       0  Not Selected                            
                            125                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
BPH      SEL3FMT   HA28B               Did SP have BPH                          
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            735                       0  Not Selected                            
                             37                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CANCER   SEL3FMT   HA28B               SP has cancer                            
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            842                       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     
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            685                       0  Not Selected                            
                             87                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CERPALSY SEL3FMT   HA28B               SP has cerebral palsy                    
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            874                       0  Not Selected                            
                             23                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CVATIAST SEL3FMT   HA28B               Did SP have CVA, TIA, or stoke           
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            783                       0  Not Selected                            
                            114                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
CIRROSIS SEL3FMT   HA28B               Did SP have cirrhosis                    
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            769                       0  Not Selected                            
                              3                       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      
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            743                       0  Not Selected                            
                            154                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DVTPEPTE SEL3FMT   HA28B               Did SP have DVT, PE, or PTE              
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            754                       0  Not Selected                            
                             18                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DEMENT   SEL3FMT   HA28B               SP has dementia                          
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            545                       0  Not Selected                            
                            352                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DEPRESS  SEL3FMT   HA28B               SP has depression                        
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            559                       0  Not Selected                            
                            338                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
DIABMRN  SEL3FMT   HA28B               Has diabetes mellitus(retin/nephr/neur)  
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            654                       0  Not Selected                            
                            243                       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                
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            555                       0  Not Selected                            
                            217                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HARTFAIL SEL3FMT   HA28B               Have heart failure (CHF/pulmonary edema) 
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            760                       0  Not Selected                            
                            137                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HEMIPLPA SEL3FMT   HA28B               SP has hemiplegia/hemiparesis            
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            836                       0  Not Selected                            
                             61                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HIPFRACT SEL3FMT   HA28B               SP has a hip fracture                    
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            886                       0  Not Selected                            
                             11                       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         
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            896                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPERKAL SEL3FMT   HA28B               Did SP have hyperkalemia                 
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            880                       0  Not Selected                            
                             17                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPRLIPI SEL3FMT   HA28B               Has hyperlipidemia/hypercholesterolemia  
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            541                       0  Not Selected                            
                            356                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPETENS SEL3FMT   HA28B               SP has hypertension                      
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            330                       0  Not Selected                            
                            567                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
HYPONMIA SEL3FMT   HA28B               Did SP have hyponatremia                 
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            874                       0  Not Selected                            
                             23                       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     
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            795                       0  Not Selected                            
                            102                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
MANICDEP SEL3FMT   HA28B               SP has manic depression                  
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            851                       0  Not Selected                            
                             46                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
SCLEROS  SEL3FMT   HA28B               SP has multiple sclerosis                
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            889                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
NUROBLAD SEL3FMT   HA28B               Did SP have neurogenic bladder           
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            879                       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         
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            883                       0  Not Selected                            
                             14                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
ORTHHYPO SEL3FMT   HA28B               Did SP have orthostatic hypotension      
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            893                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
OSTEOP   SEL3FMT   HA28B               SP has osteoporosis                      
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            711                       0  Not Selected                            
                             61                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
OTHFRACT SEL3FMT   HA28B               Did SP have other fracture               
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            870                       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                        
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            895                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PARKNSON SEL3FMT   HA28B               SP has Parkinson's disease               
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            857                       0  Not Selected                            
                             40                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PVDPAD   SEL3FMT   HA28B               Has peripheral vasc/peripheral art dis   
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            824                       0  Not Selected                            
                             73                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
PTSD     SEL3FMT   HA28B               Has post-traumatic stress disorder       
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            887                       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)   
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            838                       0  Not Selected                            
                             56                       1  Selected                                
                              3                       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                      
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            892                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
RENLESRD SEL3FMT   HA28B               Has renal insufficiency/failure/ESRD     
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            767                       0  Not Selected                            
                            130                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
RESPFAIL SEL3FMT   HA28B               Did SP have respiratory failure          
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            870                       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                     
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            825                       0  Not Selected                            
                             67                       1  Selected                                
                              5                       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         
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            825                       0  Not Selected                            
                             71                       1  Selected                                
                              1                       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(hypo/hyper/Hashim)  
                              7                       D  Don't know                              
                            146                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            629                       0  Not Selected                            
                            143                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
TOURETTE SEL3FMT   HA28B               Did SP have Tourette's syndrome          
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            897                       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            
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            886                       0  Not Selected                            
                              9                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
COLCROHN SEL3FMT   HA28B               Has ulcerative colitis/Crohn's/IBS       
                              7                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            888                       0  Not Selected                            
                              9                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFMDRO  SEL3FMT   HA29B               SP has multidrug-resistant organism      
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            898                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFPNEU  SEL3FMT   HA29B               SP has pneumonia                         
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            887                       0  Not Selected                            
                             14                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFSEPT  SEL3FMT   HA29B               SP has septicemia                        
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            896                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFTBRC  SEL3FMT   HA29B               SP has tuberculosis                      
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            901                       0  Not Selected                            
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFURNRY SEL3FMT   HA29B               SP has urinary tract infection           
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            863                       0  Not Selected                            
                             38                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFHPPTS SEL3FMT   HA29B               SP has viral hepatitis                   
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            901                       0  Not Selected                            
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
INFWND   SEL3FMT   HA29B               Has wound infection (other than foot)    
                              3                       D  Don't know                              
                             21                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            890                       0  Not Selected                            
                             11                       1  Selected                                
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
AGITAT   SEL3FMT   HA31B               Did SP have agitation                    
                            628                       .  Inapplicable/Missing                    
                            296                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALCOH    SEL3FMT   HA31B               Was SP alcohol dependent                 
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALLRGY   SEL3FMT   HA31B               Did SP have allergies                    
                            628                       .  Inapplicable/Missing                    
                            289                       0  Not Selected                            
                             11                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ANOREX   SEL3FMT   HA31B               Did SP have anorexia                     
                            628                       .  Inapplicable/Missing                    
                            294                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
AOSTEN   SEL3FMT   HA31B               Did SP have aortic Stenosis              
                            628                       .  Inapplicable/Missing                    
                            296                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ATAXIA   SEL3FMT   HA31B               Did SP have ataxia                       
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
APSYCH   SEL3FMT   HA31B               Did SP have atypical Psychosis           
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BLIND    SEL3FMT   HA31B               Did SP have blindness                    
                            628                       .  Inapplicable/Missing                    
                            297                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BREAST   SEL3FMT   HA31B               Did SP have breast disorders             
                            628                       .  Inapplicable/Missing                    
                            298                       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        
                            628                       .  Inapplicable/Missing                    
                            295                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CLINOB   SEL3FMT   HA31B               Did SP have clinical obesity             
                            628                       .  Inapplicable/Missing                    
                            295                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CDIFF    SEL3FMT   HA31B               Did SP have clostridium difficile        
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONJ     SEL3FMT   HA31B               Did SP have conjunctivitis               
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONST    SEL3FMT   HA31B               Did SP have constipation                 
                            628                       .  Inapplicable/Missing                    
                            264                       0  Not Selected                            
                             36                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEGJNT   SEL3FMT   HA31B               Did SP have degenerative joint disease   
                            628                       .  Inapplicable/Missing                    
                            295                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HERNIA   SEL3FMT   HA31B               Did SP have hernia                       
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DIVCOL   SEL3FMT   HA31B               Did SP have diverticula of colon         
                            628                       .  Inapplicable/Missing                    
                            296                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DYSPHA   SEL3FMT   HA31B               Did SP have dysphagia                    
                            628                       .  Inapplicable/Missing                    
                            278                       0  Not Selected                            
                             22                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
EDEMA    SEL3FMT   HA31B               Did SP have edema                        
                            628                       .  Inapplicable/Missing                    
                            290                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTR    SEL3FMT   HA31B               Did SP have gastritis/duodenitis         
                            628                       .  Inapplicable/Missing                    
                            298                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTRO   SEL3FMT   HA31B               Did SP have gastroenteritis              
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GHEMOR   SEL3FMT   HA31B               Did SP have gastrointestinal hemorrhage  
                            628                       .  Inapplicable/Missing                    
                            298                       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                         
                            628                       .  Inapplicable/Missing                    
                            291                       0  Not Selected                            
                              9                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HESOPH   SEL3FMT   HA31B               Did SP have hemorrhage of esophagus      
                            628                       .  Inapplicable/Missing                    
                            298                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HIV      SEL3FMT   HA31B               Did SP have HIV infection                
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HYPER    SEL3FMT   HA31B               Did SP have hyperplasia of prostate      
                            798                       .  Inapplicable/Missing                    
                            129                       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   
                            628                       .  Inapplicable/Missing                    
                            296                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HPOTEN   SEL3FMT   HA31B               Have hypotension(other than orthostatic) 
                            628                       .  Inapplicable/Missing                    
                            293                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
INSOM    SEL3FMT   HA31B               Did SP have insomnia                     
                            628                       .  Inapplicable/Missing                    
                            278                       0  Not Selected                            
                             22                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
KYPHO    SEL3FMT   HA31B               Did SP have kyphosis                     
                            628                       .  Inapplicable/Missing                    
                            299                       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)      
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BRAINS   SEL3FMT   HA31B               Did SP have nonpsychotic brain syndrome  
                            628                       .  Inapplicable/Missing                    
                            298                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ORGBRN   SEL3FMT   HA31B               Did SP have organic brain syndrome       
                            628                       .  Inapplicable/Missing                    
                            298                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
OSARTH   SEL3FMT   HA31B               Did SP have osteoarthritis               
                            628                       .  Inapplicable/Missing                    
                            282                       0  Not Selected                            
                             18                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BONFRC   SEL3FMT   HA31B               Did SP have pathological bone fracture   
                            628                       .  Inapplicable/Missing                    
                            297                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RENTUR   SEL3FMT   HA31B               Did SP have renal ureteral disorder      
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RESPIR   SEL3FMT   HA31B               Did SP have respiratory infection        
                            628                       .  Inapplicable/Missing                    
                            298                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SCOLIO   SEL3FMT   HA31B               Did SP have scoliosis                    
                            628                       .  Inapplicable/Missing                    
                            292                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
STD      SEL3FMT   HA31B               Have sexually transmitted diseases       
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SPSTEN   SEL3FMT   HA31B               Did SP have spinal stenosis              
                            628                       .  Inapplicable/Missing                    
                            297                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
LEGULC   SEL3FMT   HA31B               Did SP have ulcer of leg, chronic        
                            628                       .  Inapplicable/Missing                    
                            300                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
URIRET   SEL3FMT   HA31B               Did SP have urinary retention            
                            628                       .  Inapplicable/Missing                    
                            295                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
VERTI    SEL3FMT   HA31B               Did SP have vertigo                      
                            628                       .  Inapplicable/Missing                    
                            299                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEHYD    MDSYNFMT  HA34B               Did SP experience dehydration            
                              6                       D  Don't know                              
                             25                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            883                       0  No                                      
                             11                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
DELUS    MDSYNFMT  HA35B               Did SP experience delusions              
                             25                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                            824                       0  No                                      
                             52                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
HALLUC   MDSYNFMT  HA36B               Did SP experience hallucinations         
                             20                       D  Don't know                              
                             28                       .  Inapplicable/Missing                    
                            841                       0  No                                      
                             39                       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 
                              4                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            880                       0  No                                      
                             14                       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 
                              4                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            870                       0  No                                      
                             24                       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 
                              4                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            862                       0  No                                      
                             32                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SOPAIN   MDSYNFMT  HA37BB              Experience pain/difficulty swallowing    
                              4                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            870                       0  No                                      
                             24                       1  Yes                                     
         Notes:  Inapp if COMATOSE = (.,1) or baseline, core not conducted or missing on matched MDS
 
SODENT   MDSYNFMT  HA37BB              Experience problem with dentures         
                             10                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            875                       0  No                                      
                             13                       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            
                             10                       D  Don't know                              
                            153                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            689                       0  No                                      
                             73                       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)  
                             10                       D  Don't know                              
                            152                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            758                       0  No                                      
                              5                       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    
                             10                       D  Don't know                              
                            152                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            723                       0  No                                      
                             40                       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             
                             10                       D  Don't know                              
                            152                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            755                       0  No                                      
                              8                       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       
                             10                       D  Don't know                              
                             27                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                            879                       0  No                                      
                              9                       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                   
                            107                       D  Don't know                              
                             23                       .  Inapplicable/Missing                    
                            798                       N  Number                                  
         Notes:  Inapp if COMATOSE = . or baseline, core not conducted or missing on matched MDS
 
WGT_LBS  NUMFMT    HA39B               Weight of SP                             
                             53                       D  Don't know                              
                             32                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                              1                       R  Refused                                 
                            839        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                  
                             12                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            769                       0  No                                      
                            143                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADDNRES  MDSYNFMT  HA10B               Did SP have 'Do Not Resuscitate' order   
                             12                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            436                       0  No                                      
                            476                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADDNHOSP MDSYNFMT  HA10B               Did SP have 'Do Not Hospitalize' order   
                             12                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            777                       0  No                                      
                            135                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
ADOTREST MDSYNFMT  HA10B               Feeding/medication/other restrictions    
                             12                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            755                       0  No                                      
                            157                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
CNRBLADD SEL3FMT   HA33B               Did SP have bladder cancer               
                              1                       D  Don't know                              
                            910                       .  Inapplicable/Missing                    
                             16                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRBREAS SEL3FMT   HA33B               Did SP have breast cancer                
                            921                       .  Inapplicable/Missing                    
                              5                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3 or SP is male
 
CNRCERVI SEL3FMT   HA33B               Did SP have cervix cancer                
                            921                       .  Inapplicable/Missing                    
                              7                       0  Not 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                              
                            910                       .  Inapplicable/Missing                    
                             17                       0  Not Selected                            
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRLUNG  SEL3FMT   HA33B               Did SP have lung cancer                  
                              1                       D  Don't know                              
                            910                       .  Inapplicable/Missing                    
                             17                       0  Not Selected                            
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNROVARY SEL3FMT   HA33B               Did SP have ovarian cancer               
                            921                       .  Inapplicable/Missing                    
                              7                       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              
                              1                       D  Don't know                              
                            917                       .  Inapplicable/Missing                    
                              5                       0  Not Selected                            
                              5                       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                              
                            910                       .  Inapplicable/Missing                    
                             14                       0  Not Selected                            
                              3                       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                              
                            910                       .  Inapplicable/Missing                    
                             16                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
CNRUTERU SEL3FMT   HA33B               Did SP have uterus cancer                
                              1                       D  Don't know                              
                            910                       .  Inapplicable/Missing                    
                             17                       0  Not 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                              
                            910                       .  Inapplicable/Missing                    
                             12                       0  Not Selected                            
                              4                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapplicable if CANCER NE 1 or D_SOURCE = 3
 
MYOCARD  SEL3FMT   HA33D               Did SP have myocardial infarction        
                             60                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            806                       0  Not Selected                            
                             58                       1  Selected                                
         Notes:  Inapp if baseline, core not conducted
 
CATAROP  MDSYNFMT  HA33E               SP Ever have operation for cataracts     
                            149                       D  Don't know                              
                              4                       .  Inapplicable/Missing                    
                            703                       0  No                                      
                             72                       1  Yes                                     
         Notes:  Inapp if baseline, core not conducted
 
MAMMOGR  MDSYNFMT  HA43A               SP had a mammogram in the last year      
                             67                       D  Don't know                              
                            338                       .  Inapplicable/Missing                    
                            488                       0  No                                      
                             35                       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      
                             65                       D  Don't know                              
                            338                       .  Inapplicable/Missing                    
                            504                       0  No                                      
                             21                       1  Yes                                     
         Notes:  Inapplicable if SP is male or baseline.
 
D_HYST   MDSYNFMT  HA43D               Ever had a hysterectomy                  
                            189                       D  Don't know                              
                            335                       .  Inapplicable/Missing                    
                            345                       0  No                                      
                             59                       1  Yes                                     
         Notes:  Inapplicable if SP is male or baseline, core not conducted.
 
DRECEXAM MDSYNFMT  HA43DA              Digital rectal prostate exam in past yr  
                             62                       D  Don't know                              
                            594                       .  Inapplicable/Missing                    
                            266                       0  No                                      
                              6                       1  Yes                                     
         Notes:  Inapplicable if SP is female or baseline, core not conducted.
 
BLOODPSA MDSYNFMT  HA43DB              Prostate cancer blood test in past year  
                             59                       D  Don't know                              
                            594                       .  Inapplicable/Missing                    
                            231                       0  No                                      
                             44                       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       
                             61                       D  Don't know                              
                             15                       .  Inapplicable/Missing                    
                            123                       0  No                                      
                            729                       1  Yes                                     
         Notes:  Collected in winter and summer rounds for current flu season
 
D_PNEU   MDSYNFMT  HA43DD              Ever had pneumonia shot                  
                            120                       D  Don't know                              
                            182                       0  No                                      
                            626                       1  Yes                                     
 
D_SMOKE  MDSYNFMT  HA43E               Ever smoke cigarettes/cigars/pipe        
                             78                       D  Don't know                              
                            658                       0  No                                      
                            192                       1  Yes                                     
 
NOWSMOKE MDSYNFMT  HA43F               Does SP smoke now                        
                              2                       D  Don't know                              
                            805                       .  Inapplicable/Missing                    
                             87                       0  No                                      
                             34                       1  Yes                                     
         Notes:  Applies only if EVRSMOKE = 1 and SP not comatose/deceased.
 
IADSTOOP DIF2FMT   HA43G               Was stooping/kneeling difficult          
                             12                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            114                       0  No difficulty                           
                             82                       1  A little difficulty                     
                            109                       2  Some difficulty                         
                            133                       3  A lot of difficulty                     
                            470                       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        
                             24                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            132                       0  No difficulty                           
                             78                       1  A little difficulty                     
                             81                       2  Some difficulty                         
                            108                       3  A lot of difficulty                     
                            497                       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    
                             12                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            335                       0  No difficulty                           
                            178                       1  A little difficulty                     
                            185                       2  Some difficulty                         
                             99                       3  A lot of difficulty                     
                            111                       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           
                             13                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            416                       0  No difficulty                           
                            172                       1  A little difficulty                     
                            161                       2  Some difficulty                         
                             67                       3  A lot of difficulty                     
                             91                       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                    
                              7                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            127                       0  No difficulty                           
                             55                       1  A little difficulty                     
                             84                       2  Some difficulty                         
                             74                       3  A lot of difficulty                     
                            573                       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            
                              9                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            453                       0  No                                      
                            292                       1  Yes                                     
                            166                       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 
                              2                       D  Don't know                              
                            762                       .  Inapplicable/Missing                    
                             11                       0  No                                      
                            153                       1  Yes                                     
         Notes:  Inapplicable if DIFUSEPH is not equal to 3
 
DIFSHOP  ADL2FMT   HA43H2              Was shopping difficult                   
                              6                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            131                       0  No                                      
                            267                       1  Yes                                     
                            516                       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                              
                            412                       .  Inapplicable/Missing                    
                             45                       0  No                                      
                            470                       1  Yes                                     
         Notes:  Inapplicable if DIFSHOP is not equal to 3
 
DIFMONEY ADL2FMT   HA43H3              Was managing money difficult             
                              9                       D  Don't know                              
                              8                       .  Inapplicable/Missing                    
                            120                       0  No                                      
                            267                       1  Yes                                     
                            524                       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   
                            404                       .  Inapplicable/Missing                    
                             36                       0  No                                      
                            488                       1  Yes                                     
         Notes:  Inapplicable if DIFMONEY is not equal to 3
 
SPHEALTH GENH2FMT  HA43J               Description of SP's general health       
                              6                       D  Don't know                              
                             48                       .  Inapplicable/Missing                    
                             26                       0  Excellent                               
                            103                       1  Very good                               
                            273                       2  Good                                    
                            324                       3  Fair                                    
                            148                       4  Poor                                    
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
GENHLTH  COMP2FMT  HA43K               SP's health compared to one year ago     
                             44                       D  Don't know                              
                             48                       .  Inapplicable/Missing                    
                             18                       0  Much better                             
                             50                       1  Somewhat better                         
                            551                       2  About the same                          
                            172                       3  Somewhat worse                          
                             45                       4  Much worse                              
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
LIMACTIV TIME6FMT  HA43L               Hlth limited soc activities past month   
                             14                       D  Don't know                              
                             48                       .  Inapplicable/Missing                    
                            487                       0  None of the time                        
                            217                       1  Some of the time                        
                             87                       2  Most of the time                        
                             75                       3  All of the time                         
         Notes:  Inapp if deceased or COMATOSE = 1 or baseline, core not conducted
 
PHQINTRO MDSYNFMT  HA53A               Resident mood interview conducted        
                              2                       D  Don't know                              
                             29                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            457                       0  No                                      
                            439                       1  Yes                                     
                 First available in 2021
 
PHQSCORE SYMFRQ    HA53AB              Symptom frequency score total            
                              5                       D  Don't know                              
                            489                       .  Inapplicable/Missing                    
                            401                  0 - 27  Score                                   
                             33                      99  Unable to complete                      
         Notes:  Applies if PHQINTRO = 1
                 First available in 2021
 
PHQSYINT MDSYNFMT  HA54                Little interest in doing things          
                             18                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            370                       0  No                                      
                            105                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYDEP MDSYNFMT  HA54                Feeling depressed                        
                             18                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            407                       0  No                                      
                             67                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYSLP MDSYNFMT  HA54                Trouble sleeping                         
                             18                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            381                       0  No                                      
                             94                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYTIR MDSYNFMT  HA54                Feeling tired or having low energy       
                             22                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            345                       0  No                                      
                            126                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYAPT MDSYNFMT  HA54                Poor appetite or overeating              
                             15                       D  Don't know                              
                            436                       .  Inapplicable/Missing                    
                            400                       0  No                                      
                             77                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYSES MDSYNFMT  HA54                Feels bad about self                     
                             22                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            452                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYCON MDSYNFMT  HA54                Trouble concentrating                    
                             18                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            341                       0  No                                      
                            133                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYMOV MDSYNFMT  HA54                Moving slowly or fidgety/restless        
                             17                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            431                       0  No                                      
                             45                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYSUI MDSYNFMT  HA54                Self-harm                                
                             17                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            465                       0  No                                      
                             11                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSYTEM MDSYNFMT  HA54                Easily annoyed                           
                             15                       D  Don't know                              
                            435                       .  Inapplicable/Missing                    
                            386                       0  No                                      
                             92                       1  Yes                                     
         Notes:  Applies if PHQINTRO NE 1 or PHQSCORE = 99
                 First available in 2021
 
PHQSFQIN HOWLONG   HA55A               How long little interest doing things    
                            822                       .  Inapplicable/Missing                    
                              9                       0  Never or one day                        
                             39                       1  Several days                            
                             10                       2  Half or more of the days                
                             48                       3  Nearly every day                        
         Notes:  Applies If PHQSYINT = 1
                 First available in 2021
 
PHQSFQDE HOWLONG   HA55B               How long feeling depressed               
                              1                       D  Don't know                              
                            859                       .  Inapplicable/Missing                    
                              7                       0  Never or one day                        
                             35                       1  Several days                            
                             10                       2  Half or more of the days                
                             16                       3  Nearly every day                        
         Notes:  Applies if PHQSYDEP = 1
                 First available in 2021
 
PHQSFQSL HOWLONG   HA55C               How long trouble sleeping                
                              2                       D  Don't know                              
                            832                       .  Inapplicable/Missing                    
                              8                       0  Never or one day                        
                             29                       1  Several days                            
                             17                       2  Half or more of the days                
                             40                       3  Nearly every day                        
         Notes:  Applies if PHQSYSLP = 1
                 First available in 2021
 
PHQSFQTI HOWLONG   HA55D               How long feeling tired/low energy        
                              2                       D  Don't know                              
                            801                       .  Inapplicable/Missing                    
                              6                       0  Never or one day                        
                             40                       1  Several days                            
                             17                       2  Half or more of the days                
                             62                       3  Nearly every day                        
         Notes:  Applies if PHQSYTIR = 1
                 First available in 2021
 
PHQSFQAP HOWLONG   HA55E               How long poor appetite/overeating        
                            851                       .  Inapplicable/Missing                    
                              3                       0  Never or one day                        
                             26                       1  Several days                            
                             11                       2  Half or more of the days                
                             37                       3  Nearly every day                        
         Notes:  Applies if PHQSYAPT = 1
                 First available in 2021
 
PHQSFQSE HOWLONG   HA55F               How long feels bad about self            
                            908                       .  Inapplicable/Missing                    
                              5                       0  Never or one day                        
                              9                       1  Several days                            
                              5                       2  Half or more of the days                
                              1                       3  Nearly every day                        
         Notes:  Applies if PHQSYSES = 1
                 First available in 2021
 
PHQSFQCO HOWLONG   HA55G               How long trouble concentrating           
                            794                       .  Inapplicable/Missing                    
                              6                       0  Never or one day                        
                             18                       1  Several days                            
                             17                       2  Half or more of the days                
                             93                       3  Nearly every day                        
         Notes:  Applies if PHQSYCON = 1
                 First available in 2021
 
PHQSFQMO HOWLONG   HA55H               How long move slowly/fidgety/restless    
                            882                       .  Inapplicable/Missing                    
                              5                       0  Never or one day                        
                             10                       1  Several days                            
                              4                       2  Half or more of the days                
                             27                       3  Nearly every day                        
         Notes:  Applies if PHQSYMOV = 1
                 First available in 2021
 
PHQSFQSU HOWLONG   HA55I               How long self-harm                       
                            915                       .  Inapplicable/Missing                    
                              3                       0  Never or one day                        
                              7                       1  Several days                            
                              1                       2  Half or more of the days                
                              2                       3  Nearly every day                        
         Notes:  Applies if PHQSYSUI = 1
                 First available in 2021
 
PHQSFQTE HOWLONG   HA55J               How long easily annoyed                  
                            835                       .  Inapplicable/Missing                    
                              4                       0  Never or one day                        
                             34                       1  Several days                            
                             21                       2  Half or more of the days                
                             34                       3  Nearly every day                        
         Notes:  Applies if PHQSYTEM = 1
                 First available in 2021
 
