RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Verson Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                                 896             LOW-HIGH BASEID Count

SPHEALTH   12  2  GENHFMT                     HA43J     N Description of SP's general health

                                   8                   -8 Don't know
                                   5                   -1 Inapplicable
                                  28                    1 Excellent
                                 108                    2 Very good
                                 249                    3 Good
                                 326                    4 Fair
                                 172                    5 Poor

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

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

                                  32                   -8 Don't know
                                   1                   -7 Refused
                                   5                   -1 Inapplicable
                                  13                    1 Much better
                                  65                    2 Somewhat better
                                 466                    3 About the same
                                 258                    4 Somewhat worse
                                  56                    5 Much worse

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

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

                                  17                   -8 Don't know
                                   5                   -1 Inapplicable
                                 450                    1 None of the time
                                 190                    2 Some of the time
                                 126                    3 Most of the time
                                 108                    4 All of the time

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

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

                                   5                    . Inapplicable
                                  12                   -8 Don't know
                                 538                    1 Yes
                                 341                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   5                    . Inapplicable
                                   9                   -8 Don't know
                                 554                    1 Adequate
                                 193                    2 Impaired
                                  61                    3 Moderately impaired
                                  51                    4 Highly impaired
                                  23                    5 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CATAROP    22  2  YES2FMT                     HA33E     N SP ever have operation for cataracts?

                                 139                   -8 Don't know
                                  98                    1 Yes
                                 659                    2 No

                  Note: First available in 1997

HCHEAID    24  2  YES1FMT                     HA17      N SP use hearing aid?

                                   5                    . Inapplicable
                                  18                   -8 Don't know
                                  95                    1 Yes
                                 778                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCHECOND   26  2  HEARING                     HA16      N Description of hearing

                                   5                    . Inapplicable
                                  11                   -8 Don't know
                                 612                    1 Hears adequately
                                 171                    2 Hears with minimal difficulty
                                  62                    3 Hears in special situations only
                                  35                    4 Hearing is highly impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   5                    . Inapplicable
                                 461                    1 Understood
                                 235                    2 Usually understood
                                 135                    3 Sometimes understood
                                  60                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   5                    . Inapplicable
                                 410                    1 Understood
                                 276                    2 Usually understood
                                 155                    3 Sometimes understood
                                  50                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HEIGHT     32  2  NUM3FMT                     HA38      N Height of SP in inches

                                  32                   -8 Don't know
                                   0                    0 None
                                 864                      Number

                  Note: First available in 1997

WEIGHTF    34  3  NUMFMT                      HA39      N Weight of SP

                                 896                      Weight

                 Notes: For facility data prior to 1997, see WEIGHT in RIC 2.
                        First available in 1997

MAMMOGR    37  2  YES1FMT                     HA43A     N SP had a mammogram in the last year?

                                 282                    . Inapplicable
                                   1                   -9 Not ascertained
                                  76                   -8 Don't know
                                  75                    1 Yes
                                 462                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

PAPSM      39  2  YES1FMT                     HA43B     N SP had a Pap smear since a year ago?

                                 282                    . Inapplicable
                                   1                   -9 Not ascertained
                                  83                   -8 Don't know
                                  49                    1 Yes
                                 481                    2 No

                 Notes: Inapplicable if SP is male.  Also see PAPSMEAR in RIC 2.
                        First available in 1997

HYSTLAST   41  2  YES1FMT                     HA43C     N SP had a hysterectomy in the last year?

                                 394                    . Inapplicable
                                  15                   -8 Don't know
                                   8                    1 Yes
                                 479                    2 No

                 Notes: See Section 3 for skip pattern.  Also see HYSTEREC in RIC 2.
                        First available in 1997

EVERHYST   43  2  YES1FMT                     HA43D     N SP ever had a hysterectomy?

                                 287                    . Inapplicable
                                   1                   -9 Not ascertained
                                 153                   -8 Don't know
                                   1                   -7 Refused
                                  83                    1 Yes
                                 371                    2 No

                 Notes: Applies to female SPs in continuing sample where HYSTLAST  /=  1.
                        First available in 1997

DRECEXAM   45  2  YES1FMT                     HA43DA    N Digital rectal prostate exam in past yr?

                                 614                    . Inapplicable
                                   1                   -9 Not ascertained
                                  44                   -8 Don't know
                                  50                    1 Yes
                                 187                    2 No

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

BLOODPSA   47  2  YES1FMT                     HA43DB    N Prostate cancer blood test in past yr?

                                 614                    . Inapplicable
                                   1                   -9 Not ascertained
                                  37                   -8 Don't know
                                  87                    1 Yes
                                 157                    2 No

                 Notes: Inapplicable if SP is female
                        First available in 1999

FLUVACC    49  2  YES2FMT                     HA43DC    N SP had a flu shot in the past year?

                                  58                   -8 Don't know
                                 742                    1 Yes
                                  96                    2 No

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

PNEUVACC   51  2  YES2FMT                     HA43DD    N Has SP ever had a shot for pneumonia?

                                  65                   -8 Don't know
                                 635                    1 Yes
                                 196                    2 No

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

EVRSMOKE   53  2  YES2FMT                     HA43E     N SP ever smoked cigars/cigarettes/pipe?

                                  66                   -8 Don't know
                                 174                    1 Yes
                                 656                    2 No

                  Note: First available in 1997

NOWSMOKE   55  2  YES1FMT                     HA43F     N Does SP smoke now?

                                  91                    . Inapplicable
                                   1                   -8 Don't know
                                  63                    1 Yes
                                 741                    2 No

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

IADSTOOP   57  2  DIF2FFMT                    HA43Ga    N Was stooping/kneeling difficult?

                                   5                    . Inapplicable
                                   4                   -8 Don't know
                                  96                    1 No difficulty
                                  74                    2 A little difficulty
                                  84                    3 Some difficulty
                                 131                    4 A lot of difficulty
                                 502                    5 Unable to do it

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

IADLIFT    59  2  DIF2FFMT                    HA43Gb    N Was lifting heavy items difficult?

                                   5                    . Inapplicable
                                   8                   -8 Don't know
                                 109                    1 No difficulty
                                  57                    2 A little difficulty
                                  71                    3 Some difficulty
                                 113                    4 A lot of difficulty
                                 533                    5 Unable to do it

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

IADREACH   61  2  DIF2FFMT                    HA43Gc    N Was reaching/extending arms difficult?

                                   5                    . Inapplicable
                                  16                   -8 Don't know
                                 314                    1 No difficulty
                                 146                    2 A little difficulty
                                 166                    3 Some difficulty
                                 118                    4 A lot of difficulty
                                 131                    5 Unable to do it

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

IADGRASP   63  2  DIF2FFMT                    HA43Gd    N Was writing/grasping difficult?

                                   5                    . Inapplicable
                                  17                   -8 Don't know
                                 343                    1 No difficulty
                                 142                    2 A little difficulty
                                 158                    3 Some difficulty
                                 113                    4 A lot of difficulty
                                 118                    5 Unable to do it

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

IADWALK    65  2  DIF2FFMT                    HA43Ge    N Was walking difficult?

                                   5                    . Inapplicable
                                   4                   -8 Don't know
                                 121                    1 No difficulty
                                  49                    2 A little difficulty
                                  61                    3 Some difficulty
                                  69                    4 A lot of difficulty
                                 587                    5 Unable to do it

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

ASHD       67  2  SEL2FMT                     HA28      N SP has anteriosclerotic heart disease

                                  72                    1 Selected
                                 824                    2 Not Selected

                  Note: First available in 1997

HYPETENS   69  2  SEL2FMT                     HA28      N SP has hypertension

                                 404                    1 Selected
                                 492                    2 Not Selected

                  Note: First available in 1997

HYPETHYR   71  2  SEL2FMT                     HA28      N SP has hyperthyroidism

                                  67                    1 Selected
                                 829                    2 Not Selected

                  Note: First available in 1997

MYOCARD    73  2  YES2FMT                     HA33D     N Did SP have myocardial infarction?

                                  81                   -8 Don't know
                                  64                    1 Yes
                                 751                    2 No

                  Note: First available in 1997

CARDIOV    75  2  SEL2FMT                     HA28      N SP has cardiovascular disease

                                  93                    1 Selected
                                 803                    2 Not Selected

                  Note: First available in 1997

CRDVTYPE   77  2  YES1FMT                     HA33C     N SP have angina/coronary heart disease?

                                   2                   -9 Not ascertained
                                   7                   -8 Don't know
                                  39                    1 Yes
                                 848                    2 No

                  Note: First available in 1997

HRTFAIL    79  2  SEL2FMT                     HA28      N SP has congestive heart failure

                                 119                    1 Selected
                                 777                    2 Not Selected

                  Note: First available in 1997

STROKE     81  2  SEL2FMT                     HA28      N SP has a stroke

                                 117                    1 Selected
                                 779                    2 Not Selected

                  Note: First available in 1997

CNRSKIN    83  2  SEL2FMT                     HA33B     N Did SP have skin cancer?

                                   9                   -8 Don't know
                                   1                    1 Selected
                                 886                    2 Not Selected

                  Note: First available in 1997

CANCER     85  2  SEL2FMT                     HA28      N SP has cancer

                                  37                    1 Selected
                                 859                    2 Not Selected

                  Note: First available in 1997

CNRLUNG    87  2  SEL2FMT                     HA33B     N Did SP have lung cancer?

                                   9                   -8 Don't know
                                   0                    1 Selected
                                 887                    2 Not Selected

                  Note: First available in 1997

CNRBOWEL   89  2  SEL2FMT                     HA33B     N Did SP have colon/rectum/bowel cancer?

                                   9                   -8 Don't know
                                   3                    1 Selected
                                 884                    2 Not Selected

                  Note: First available in 1997

CNRBREAS   91  2  SEL2FMT                     HA33B     N Did SP have breast cancer?

                                   9                   -8 Don't know
                                  10                    1 Selected
                                 877                    2 Not Selected

                  Note: First available in 1997

CNRUTERU   93  2  SEL2FMT                     HA33B     N Did SP have uterus cancer?

                                   9                   -8 Don't know
                                   0                    1 Selected
                                 887                    2 Not Selected

                  Note: First available in 1997

CNRPROST   95  2  SEL2FMT                     HA33B     N Did SP have prostate cancer?

                                   9                   -8 Don't know
                                   6                    1 Selected
                                 881                    2 Not Selected

                  Note: First available in 1997

CNRBLADD   97  2  SEL2FMT                     HA33B     N Did SP have bladder cancer?

                                   9                   -8 Don't know
                                   5                    1 Selected
                                 882                    2 Not Selected

                  Note: First available in 1997

CNROVARY   99  2  SEL2FMT                     HA33B     N Did SP have ovarian cancer?

                                   9                   -8 Don't know
                                   0                    1 Selected
                                 887                    2 Not Selected

                  Note: First available in 1997

CNRCERVI  101  2  SEL2FMT                     HA33B     N Did SP have cervix cancer?

                                   9                   -8 Don't know
                                   0                    1 Selected
                                 887                    2 Not Selected

                  Note: First available in 1997

CNRSTOMA  103  2  SEL2FMT                     HA33B     N Did SP have stomach cancer?

                                   9                   -8 Don't know
                                   0                    1 Selected
                                 887                    2 Not Selected

                  Note: First available in 1997

CNROTHER  105  2  SEL2FMT                     HA33B     N Did SP have other cancer?

                                   9                   -8 Don't know
                                   5                    1 Selected
                                 882                    2 Not Selected

                  Note: First available in 1997

DIABMEL   107  2  SEL2FMT                     HA28      N SP has diabetes mellitus

                                 214                    1 Selected
                                 682                    2 Not Selected

                  Note: First available in 1997

ARTHRIT   109  2  SEL2FMT                     HA28      N SP has arthritis

                                 170                    1 Selected
                                 726                    2 Not Selected

                  Note: First available in 1997

MENTAL    111  2  YES2FMT                     HA9       N Did SP have any mental illnesses?

                                   2                    . Missing
                                   1                   -9 Not ascertained
                                 221                    1 Yes
                                 672                    2 No

                  Note: First available in 1997

ALZHMR    113  2  SEL2FMT                     HA28      N SP has Alzheimer's disease

                                 151                    1 Selected
                                 745                    2 Not Selected

                  Note: First available in 1997

OSTEOP    115  2  SEL2FMT                     HA28      N SP has osteoporosis

                                 137                    1 Selected
                                 759                    2 Not Selected

                  Note: First available in 1997

HIPFRACT  117  2  SEL2FMT                     HA28      N SP has a hip fracture

                                  27                    1 Selected
                                 869                    2 Not Selected

                  Note: First available in 1997

PARKNSON  119  2  SEL2FMT                     HA28      N SP has Parkinson's disease

                                  51                    1 Selected
                                 845                    2 Not Selected

                  Note: First available in 1997

EMPCOPD   121  2  SEL2FMT                     HA28      N SP has emphysema/COPD

                                  73                    1 Selected
                                 823                    2 Not Selected

                  Note: First available in 1997

MISSLIMB  123  2  SEL2FMT                     HA28      N SP has a missing limb

                                   7                    1 Selected
                                 889                    2 Not Selected

                  Note: First available in 1997

DIFUSEPH  125  2  ADL1FMT                     HA43H     N Was using the phone difficult?

                                   5                    . Inapplicable
                                  10                   -8 Don't know
                                 264                    1 Yes
                                 348                    2 No
                                 269                    3 Doesn't do

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

DIFSHOP   127  2  ADL1FMT                     HA43H     N Was shopping difficult?

                                   5                    . Inapplicable
                                   6                   -8 Don't know
                                 292                    1 Yes
                                 154                    2 No
                                 439                    3 Doesn't do

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

DIFMONEY  129  2  ADL1FMT                     HA43H     N Was managing money difficult?

                                   5                    . Inapplicable
                                   7                   -8 Don't know
                                   1                   -7 Refused
                                 279                    1 Yes
                                 115                    2 No
                                 489                    3 Doesn't do

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

REASNOPH  131  2  YES1FMT                     HA43I     N Not use phone due to health/phys problem

                                 627                    . Inapplicable
                                 241                    1 Yes
                                  28                    2 No

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

REASNOSH  133  2  YES1FMT                     HA43I     N Not shop due to health/phys problem

                                 457                    . Inapplicable
                                 417                    1 Yes
                                  22                    2 No

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

REASNOMM  135  2  YES1FMT                     HA43I     N SP doesn't manage $ due to health prob

                                 407                    . Inapplicable
                                   1                   -8 Don't know
                                 448                    1 Yes
                                  40                    2 No

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

PFTRNSFR  137  2  PERFLEV                     HA22a     N Level of self perform: transfer

                                   4                    . Inapplicable
                                 308                    1 Independent
                                  73                    2 Supervision
                                 134                    3 Limited assistance
                                 236                    4 Extensive assistance
                                 139                    5 Total dependence
                                   2                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFLOCOMO  139  2  PERFLEV                     HA22b     N Level of self perform: locomot. on unit

                                   4                    . Inapplicable
                                 348                    1 Independent
                                 126                    2 Supervision
                                 103                    3 Limited assistance
                                 136                    4 Extensive assistance
                                 160                    5 Total dependence
                                  19                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFDRSSNG  141  2  PERFLEV                     HA22c     N Level of self perform: dressing

                                   4                    . Inapplicable
                                 223                    1 Independent
                                  74                    2 Supervision
                                 159                    3 Limited assistance
                                 262                    4 Extensive assistance
                                 172                    5 Total dependence
                                   2                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFEATING  143  2  PERFLEV                     HA22d     N Level of self perform: eating

                                   4                    . Inapplicable
                                 422                    1 Independent
                                 208                    2 Supervision
                                  90                    3 Limited assistance
                                  70                    4 Extensive assistance
                                 102                    5 Total dependence
                                   0                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFTOILET  145  2  PERFLEV                     HA22e     N Level of self perform: toilet use

                                   4                    . Inapplicable
                                 259                    1 Independent
                                  65                    2 Supervision
                                 117                    3 Limited assistance
                                 247                    4 Extensive assistance
                                 204                    5 Total dependence
                                   0                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFBATHNG  147  2  BATHLEV                     HA23      N Level of self perform: bathing

                                   4                    . Inapplicable
                                 103                    1 Independent
                                 125                    2 Supervision
                                  42                    3 Physical help limited to transfer only
                                 298                    4 Physical help in part of bathing actvty
                                 322                    5 Total dependence
                                   2                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLCANE    149  2  YES1FMT                     HA24      N Did SP use cane/walker?

                                   4                    . Inapplicable
                                  11                   -8 Don't know
                                 249                    1 Yes
                                 632                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLWLPRIM  151  2  YES1FMT                     HA24      N Did SP use wheelchair prim means?

                                   4                    . Inapplicable
                                  11                   -8 Don't know
                                 334                    1 Yes
                                 547                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 2001

MLWHLSLF  153  2  YES1FMT                     HA24      N Did SP wheel her/himself?

                                   4                    . Inapplicable
                                  11                   -8 Don't know
                                 274                    1 Yes
                                 607                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLWHLOTH  155  2  YES1FMT                     HA24      N Did someone wheel SP?

                                   4                    . Inapplicable
                                  11                   -8 Don't know
                                 331                    1 Yes
                                 550                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CTBADDC   157  2  CONTLEV                     HA26      N Level of bladder control

                                   5                    . Inapplicable
                                   4                   -8 Don't know
                                 307                    1 Continent
                                 104                    2 Usually continent
                                  82                    3 Occasionally incontinent
                                 113                    4 Frequently incontinent
                                 281                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

ADLIVWIL  159  2  YES2FMT                     HA10      N Did SP have living will?

                                  27                   -8 Don't know
                                 195                    1 Yes
                                 674                    2 No

                  Note: First available in 1997

ADDNRES   161  2  YES2FMT                     HA10      N Did SP have 'Do not resuscitate' order?

                                  27                   -8 Don't know
                                 411                    1 Yes
                                 458                    2 No

                  Note: First available in 1997

ADDNHOSP  163  2  YES2FMT                     HA10      N Did SP have 'Do not hospitalize' order?

                                  27                   -8 Don't know
                                  60                    1 Yes
                                 809                    2 No

                  Note: First available in 1997

ADOTREST  165  2  YES2FMT                     HA10      N Feeding/Medication/Other restrictions?

                                  27                   -8 Don't know
                                  76                    1 Yes
                                 793                    2 No

                  Note: First available in 1997

COMATOSE  167  2  YES2FMT                     HA11      N Was SP comatose?

                                   4                    1 Yes
                                 892                    2 No

                  Note: First available in 1997

CSMEMST   169  2  YES1FMT                     HA12      N SP has problem with short term memory

                                   4                    . Inapplicable
                                   2                   -8 Don't know
                                 318                    1 Yes
                                 572                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSMEMLT   171  2  YES1FMT                     HA13      N SP has problem with long term memory

                                   4                    . Inapplicable
                                   2                   -8 Don't know
                                 438                    1 Yes
                                 452                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSCURSEA  173  2  YES1FMT                     HA14      N Was SP able to recall current season?

                                   4                    . Inapplicable
                                   6                   -8 Don't know
                                 485                    1 Yes
                                 401                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSLOCROM  175  2  YES1FMT                     HA14      N Was able to recall location of room?

                                   4                    . Inapplicable
                                   6                   -8 Don't know
                                 615                    1 Yes
                                 271                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSNAMFAC  177  2  YES1FMT                     HA14      N Was able to recall names and faces?

                                   4                    . Inapplicable
                                   6                   -8 Don't know
                                 631                    1 Yes
                                 255                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSINNH    179  2  YES1FMT                     HA14      N SP could recall he/she was in nurs. home

                                   4                    . Inapplicable
                                   6                   -8 Don't know
                                 580                    1 Yes
                                 306                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CSDECIS   181  2  CSDECIS                     HA15      N How skilled was SP in making decisions?

                                   4                    . Inapplicable
                                   2                   -8 Don't know
                                 187                    1 Independent
                                 224                    2 Modified independence
                                 293                    3 Moderately impaired
                                 186                    4 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSWANDER  183  2  FREQUENT                    HA21a     N How often did wandering occur?

                                   4                    . Inapplicable
                                   1                   -8 Don't know
                                 780                    1 Not at all
                                  57                    2 Less than daily
                                  54                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSVERBAB  185  2  FREQUENT                    HA21b     N Occurrence of verbally abusive behavior?

                                   4                    . Inapplicable
                                 761                    1 Not at all
                                 101                    2 Less than daily
                                  30                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSPHYSAB  187  2  FREQUENT                    HA21c     N Occurrence of phys abusive behavior?

                                   4                    . Inapplicable
                                 809                    1 Not at all
                                  66                    2 Less than daily
                                  17                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSDISRPT  189  2  FREQUENT                    HA21d     N How often did disruptive behavior occur?

                                   4                    . Inapplicable
                                 728                    1 Not at all
                                 108                    2 Less than daily
                                  56                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSRESIST  191  2  FREQUENT                    HA21e     N How often did SP resist care?

                                   4                    . Inapplicable
                                 727                    1 Not at all
                                 117                    2 Less than daily
                                  48                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CTBOWEC   193  2  CONTLEV                     HA25      N Level of bowel control?

                                   5                    . Inapplicable
                                   3                   -8 Don't know
                                 411                    1 Continent
                                  92                    2 Usually continent
                                  68                    3 Occasionally incontinent
                                  60                    4 Frequently incontinent
                                 257                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWINTOTH  195  2  YES1FMT                     HA27      N At ease interacting with others?

                                   5                    . Inapplicable
                                 624                    1 Yes
                                 267                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWSTRACT  197  2  YES1FMT                     HA27      N At ease doing planned activities?

                                   5                    . Inapplicable
                                 508                    1 Yes
                                 383                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWSLFACT  199  2  YES1FMT                     HA27      N At ease doing self-initiated activities?

                                   5                    . Inapplicable
                                 409                    1 Yes
                                 482                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWGOALS   201  2  YES1FMT                     HA27      N At ease establishing goals?

                                   5                    . Inapplicable
                                 257                    1 Yes
                                 634                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWFACLIF  203  2  YES1FMT                     HA27      N Involved with life at facility?

                                   5                    . Inapplicable
                                 307                    1 Yes
                                 584                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWGRPACT  205  2  YES1FMT                     HA27      N Accepts invitations to group activities?

                                   5                    . Inapplicable
                                 381                    1 Yes
                                 510                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PWNOFC    207  2  YES1FMT                     HA27      N Absence of contact with family/friends?

                                   5                    . Inapplicable
                                  97                    1 Yes
                                 794                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

ALLERGY   209  2  SEL2FMT                     HA28      N SP has allergies

                                 115                    1 Selected
                                 781                    2 Not Selected

                  Note: First available in 1997

ANEMIA    211  2  SEL2FMT                     HA28      N SP has anemia

                                 136                    1 Selected
                                 760                    2 Not Selected

                  Note: First available in 1997

ANXIETY   213  2  SEL2FMT                     HA28      N SP has anxiety disorder

                                 124                    1 Selected
                                 772                    2 Not Selected

                  Note: First available in 1997

APHASIA   215  2  SEL2FMT                     HA28      N SP has aphasia

                                  27                    1 Selected
                                 869                    2 Not Selected

                  Note: First available in 1997

ASTHMA    217  2  SEL2FMT                     HA28      N SP has asthma

                                  28                    1 Selected
                                 868                    2 Not Selected

                  Note: First available in 1997

CARDDYSR  219  2  SEL2FMT                     HA28      N SP has dysrhythmia

                                  66                    1 Selected
                                 830                    2 Not Selected

                  Note: First available in 1997

CATARCT   221  2  SEL2FMT                     HA28      N SP has cataracts

                                  51                    1 Selected
                                 845                    2 Not Selected

                  Note: First available in 1997

CERPALSY  223  2  SEL2FMT                     HA28      N SP has cerebral palsy

                                  23                    1 Selected
                                 873                    2 Not Selected

                  Note: First available in 1997

VEINTHR   225  2  SEL2FMT                     HA28      N SP has deep vein thrombosis

                                  13                    1 Selected
                                 883                    2 Not Selected

                  Note: First available in 1997

DEMENT    227  2  SEL2FMT                     HA28      N SP has dementia

                                 246                    1 Selected
                                 650                    2 Not Selected

                  Note: First available in 1997

DEPRESS   229  2  SEL2FMT                     HA28      N SP has depression

                                 337                    1 Selected
                                 559                    2 Not Selected

                  Note: First available in 1997

DIABRET   231  2  SEL2FMT                     HA28      N SP has diabetic retinopathy

                                   5                    1 Selected
                                 891                    2 Not Selected

                  Note: First available in 1997

GLAUCOMA  233  2  SEL2FMT                     HA28      N SP has glaucoma

                                  51                    1 Selected
                                 845                    2 Not Selected

                  Note: First available in 1997

HEMIPLPA  235  2  SEL2FMT                     HA28      N SP has hemiplegia/hemiparesis

                                  59                    1 Selected
                                 837                    2 Not Selected

                  Note: First available in 1997

HYPOTENS  237  2  SEL2FMT                     HA28      N SP has hypotension

                                  23                    1 Selected
                                 873                    2 Not Selected

                  Note: First available in 1997

HYPOTHYR  239  2  SEL2FMT                     HA28      N SP has hypothyroidism

                                  79                    1 Selected
                                 817                    2 Not Selected

                  Note: First available in 1997

MACDEGEN  241  2  SEL2FMT                     HA28      N SP has macular degeneration

                                  42                    1 Selected
                                 854                    2 Not Selected

                  Note: First available in 1997

MANICDEP  243  2  SEL2FMT                     HA28      N SP has manic depression

                                  40                    1 Selected
                                 856                    2 Not Selected

                  Note: First available in 1997

SCLEROS   245  2  SEL2FMT                     HA28      N SP has multiple sclerosis

                                  12                    1 Selected
                                 884                    2 Not Selected

                  Note: First available in 1997

PARAPLEG  247  2  SEL2FMT                     HA28      N SP has paraplegia

                                  10                    1 Selected
                                 886                    2 Not Selected

                  Note: First available in 1997

BONEFRAC  249  2  SEL2FMT                     HA28      N SP has pathological bone fracture

                                   2                    1 Selected
                                 894                    2 Not Selected

                  Note: First available in 1997

VASCULAR  251  2  SEL2FMT                     HA28      N SP has peripheral vascular disease

                                  63                    1 Selected
                                 833                    2 Not Selected

                  Note: First available in 1997

QUADPLEG  253  2  SEL2FMT                     HA28      N SP has quadriplegia

                                   7                    1 Selected
                                 889                    2 Not Selected

                  Note: First available in 1997

RENTFAIL  255  2  SEL2FMT                     HA28      N SP has renal failure

                                  43                    1 Selected
                                 853                    2 Not Selected

                  Note: First available in 1997

SCHIZOPH  257  2  SEL2FMT                     HA28      N SP has schizophrenia

                                  66                    1 Selected
                                 830                    2 Not Selected

                  Note: First available in 1997

SEIZURE   259  2  SEL2FMT                     HA28      N SP has a seizure disorder

                                  86                    1 Selected
                                 810                    2 Not Selected

                  Note: First available in 1997

TIA       261  2  SEL2FMT                     HA28      N SP has Transient Ischemic Attack (TIA)

                                  20                    1 Selected
                                 876                    2 Not Selected

                  Note: First available in 1997

BRAININJ  263  2  SEL2FMT                     HA28      N SP has traumatic brain injury

                                  11                    1 Selected
                                 885                    2 Not Selected

                  Note: First available in 1997

INFMRSA   265  2  SEL2FMT                     HA29      N SP have antibiotic resistant infection

                                  10                    1 Selected
                                 886                    2 Not Selected

                  Note: First available in 1997

INFCDIFF  267  2  SEL2FMT                     HA29      N SP has clostridium difficile

                                   2                    1 Selected
                                 894                    2 Not Selected

                  Note: First available in 1997

INFCONJ   269  2  SEL2FMT                     HA29      N SP has conjunctivitis

                                   6                    1 Selected
                                 890                    2 Not Selected

                  Note: First available in 1997

INFHIV    271  2  SEL2FMT                     HA29      N SP has HIV

                                   2                    1 Selected
                                 894                    2 Not Selected

                  Note: First available in 1997

INFPNEU   273  2  SEL2FMT                     HA29      N SP has pneumonia

                                  20                    1 Selected
                                 876                    2 Not Selected

                  Note: First available in 1997

INFRESP   275  2  SEL2FMT                     HA29      N SP has respiratory infection

                                  12                    1 Selected
                                 884                    2 Not Selected

                  Note: First available in 1997

INFSEPT   277  2  SEL2FMT                     HA29      N SP has septicemia

                                   4                    1 Selected
                                 892                    2 Not Selected

                  Note: First available in 1997

INFSEXTR  279  2  SEL2FMT                     HA29      N SP has sexually transmitted disease

                                   2                    1 Selected
                                 894                    2 Not Selected

                  Note: First available in 1997

INFTBRC   281  2  SEL2FMT                     HA29      N SP has tuberculosis

                                   0                    1 Selected
                                 896                    2 Not Selected

                  Note: First available in 1997

INFURNRY  283  2  SEL2FMT                     HA29      N SP has urinary tract infection

                                  86                    1 Selected
                                 810                    2 Not Selected

                  Note: First available in 1997

INFHPPTS  285  2  SEL2FMT                     HA29      N SP has viral hepatitis

                                   2                    1 Selected
                                 894                    2 Not Selected

                  Note: First available in 1997

INFWOUND  287  2  SEL2FMT                     HA29      N SP has wound infection

                                  17                    1 Selected
                                 879                    2 Not Selected

                  Note: First available in 1997

OTHDIAG   289  2  DIAGFMT                     HA30, 31  N Additional diagnosis/conditions

                                 726                    0 None
                                 126                    1 One
                                  36                    2 Two
                                   8                    3 Three
                                   0                    4 Four

                  Note: First available in 2002

DEHYD     291  2  YES1FMT                     HA34      N Did SP experience dehydration?

                                   5                    . Inapplicable
                                   2                   -8 Don't know
                                  16                    1 Yes
                                 873                    2 No

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

DELUS     293  2  YES1FMT                     HA35      N Did SP experience delusions?

                                   5                    . Inapplicable
                                   1                   -8 Don't know
                                  61                    1 Yes
                                 829                    2 No

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

HALLUC    295  2  YES1FMT                     HA36      N Did SP experience hallucinations?

                                   5                    . Inapplicable
                                   3                   -8 Don't know
                                  48                    1 Yes
                                 840                    2 No

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

ONCHEW    297  2  YES1FMT                     HA37      N Did SP experience chewing problems?

                                   5                    . Inapplicable
                                  24                   -8 Don't know
                                 175                    1 Yes
                                 692                    2 No

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

ONSWALL   299  2  YES1FMT                     HA37      N Did SP experience swallowing problems?

                                   5                    . Inapplicable
                                  24                   -8 Don't know
                                 138                    1 Yes
                                 729                    2 No

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

ONMOUTHP  301  2  YES1FMT                     HA37      N Did SP experience any mouth pain?

                                   5                    . Inapplicable
                                  24                   -8 Don't know
                                  10                    1 Yes
                                 857                    2 No

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

DHDEBRIS  303  2  YES2FMT                     HA40      N Did SP have debris in mouth?

                                  45                   -8 Don't know
                                   7                    1 Yes
                                 844                    2 No

                  Note: First available in 1997

DHBRIDGE  305  2  YES2FMT                     HA40      N Did SP have removable bridges?

                                  45                   -8 Don't know
                                 317                    1 Yes
                                 534                    2 No

                  Note: First available in 1997

DHTEELOS  307  2  YES2FMT                     HA40      N Did SP have any natural teeth lost?

                                  45                   -8 Don't know
                                 237                    1 Yes
                                 614                    2 No

                  Note: First available in 1997

DHBROKEN  309  2  YES2FMT                     HA40      N Did SP have any broken/loose teeth?

                                  45                   -8 Don't know
                                  35                    1 Yes
                                 816                    2 No

                  Note: First available in 1997

DHINFGUM  311  2  YES2FMT                     HA40      N Did SP have any gum infection?

                                  45                   -8 Don't know
                                  12                    1 Yes
                                 839                    2 No

                  Note: First available in 1997

