RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Verson Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                                 928             LOW-HIGH BASEID Count

D_MENTAL   12  2  YES1FMT                               N DID SP HAVE ANY MENTAL ILLNESSES ?

                                   2                   -8 Don't know
                                 225                    1 Yes
                                 701                    2 No

COMATOSE   14  2  YES1FMT                     HA11      N Was SP comatose?

                                   5                    1 Yes
                                 923                    2 No

                  Note: First available in 1997

MENTSUM    16  2  NUM2FMT                               N SUMMARY SCORE FROM BIMS

                                 567                    . Missing
                                   6                   -8 Don't know
                                 355                      Number

                  Note: Inapp if COMATOSE = 1 or interview for mental status not performed.

CSMEMLT    18  2  YES1FMT                     HA13      N SP HAS PROBLEM WITH LONG TERM MEMORY

                                 350                    . Inapplicable
                                   7                   -8 Don't know
                                 266                    1 Yes
                                 305                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSMEMST    20  2  YES1FMT                     HA12      N SP HAS PROBLEM WITH SHORT TERM MEMORY

                                 350                    . Inapplicable
                                   7                   -8 Don't know
                                 301                    1 Yes
                                 270                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSCURSEA   22  2  YES1FMT                     HA14      N WAS ABLE TO RECALL CURRENT SEASON?

                                 350                    . Inapplicable
                                   2                   -8 Don't know
                                 338                    1 Yes
                                 238                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSLOCROM   24  2  YES1FMT                     HA14      N WAS ABLE TO RECALL LOCATION OF ROOM?

                                 350                    . Inapplicable
                                   2                   -8 Don't know
                                 412                    1 Yes
                                 164                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSNAMFAC   26  2  YES1FMT                     HA14      N WAS ABLE TO RECALL NAMES/FACES?

                                 350                    . Inapplicable
                                   2                   -8 Don't know
                                 410                    1 Yes
                                 166                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSINNH     28  2  YES1FMT                     HA14      N WAS ABLE TO RECALL - IN NURSING HOME?

                                 350                    . Inapplicable
                                   2                   -8 Don't know
                                 382                    1 Yes
                                 194                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

CSDECIS    30  2  CSDECIS                     HA15      N HOW SKILLED MAKING DAILY DECISIONS?

                                 350                    . Inapplicable
                                   1                   -8 Don't know
                                 143                    1 Independent
                                 136                    2 Modified independence
                                 135                    3 Moderately impaired
                                 163                    4 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1 or interview for mental status conducted.
                        First available in 1997

HCHECOND   32  2  HEARING                     HA16      N Description of hearing

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 636                    1 Hears adequately
                                 163                    2 Hears with minimal difficulty
                                  94                    3 Hears in special situations only
                                  30                    4 Hearing is highly impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCHEAID    34  2  YES1FMT                     HA17      N SP use hearing aid?

                                   3                    . Inapplicable
                                   8                   -8 Don't know
                                 103                    1 Yes
                                 814                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCUNCOND   36  2  UNDSTND                     HA18      N Ability of SP to make him/her understood

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 485                    1 Understood
                                 231                    2 Usually understood
                                 133                    3 Sometimes understood
                                  75                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCUNDOTH   38  2  UNDSTND                     HA19      N Ability of SP to understand others

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 421                    1 Understood
                                 272                    2 Usually understood
                                 170                    3 Sometimes understood
                                  60                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

VISION     40  2  VISION                      HA20      N Ability of SP to see?

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                 611                    1 Adequate
                                 178                    2 Impaired
                                  77                    3 Moderately impaired
                                  41                    4 Highly impaired
                                  15                    5 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

VISAPPL    42  2  YES1FMT                     HA20A     N Does SP use a visual appliance?

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 526                    1 Yes
                                 397                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

BSAYSOT    44  2  BEHAVFMT                              N HOW OFTEN PHYS BEHAVIOR SYMPTOMS OCCUR

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 825                    1 Behavior not exhibited
                                  60                    2 Behavior occurred 1 to 3 days
                                  18                    3 Behavior occurred 4 to 6 days
                                  20                    4 Behavior occurred daily

                  Note: Inapplicable if COMATOSE = 1

BSVERBOT   46  2  BEHAVFMT                              N HOW OFTEN VERBAL BEHAVIOR SYMPTMS OCCUR

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 771                    1 Behavior not exhibited
                                  74                    2 Behavior occurred 1 to 3 days
                                  47                    3 Behavior occurred 4 to 6 days
                                  32                    4 Behavior occurred daily

                  Note: Inapplicable if COMATOSE = 1

BSNOTOT    48  2  BEHAVFMT                              N HOW OFTEN OTHER BEHAVR SYMPTOMS OCCUR

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 808                    1 Behavior not exhibited
                                  55                    2 Behavior occurred 1 to 3 days
                                  29                    3 Behavior occurred 4 to 6 days
                                  31                    4 Behavior occurred daily

                  Note: Inapplicable if COMATOSE = 1

BSELFILL   50  2  YES1FMT                               N BEHAVIOR AT RISK FOR INJURY?

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  32                    1 Yes
                                 173                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSELFCAR   52  2  YES1FMT                               N BEHAVIOR INTERFERE WITH CARE?

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  43                    1 Yes
                                 162                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSELFACT   54  2  YES1FMT                               N BEHAVIOR INTERFERE WITH ACTIVITIES?

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  67                    1 Yes
                                 138                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSOTHILL   56  2  YES1FMT                               N BEHAVIOR PUT OTHERS RISK OF INJURY?

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  29                    1 Yes
                                 176                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSOTHACT   58  2  YES1FMT                               N BEHAVIOR INTRUDE ON PRIVACY OF OTHERS

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  55                    1 Yes
                                 150                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSOTHENV   60  2  YES1FMT                               N BEHAVIOR DISRUPT CARE/LIVING ENV?

                                 718                    . Inapplicable
                                   5                   -8 Don't know
                                  63                    1 Yes
                                 142                    2 No

                  Note: Inapp if COMATOSE or (BSAYSOT, BSVERBOT, and BSNOTOT = 1)

BSNOEVAL   62  2  BEHAVFMT                              N HOW OFTEN SP REJECT EVALUATION

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 779                    1 Behavior not exhibited
                                  89                    2 Behavior occurred 1 to 3 days
                                  28                    3 Behavior occurred 4 to 6 days
                                  28                    4 Behavior occurred daily

                  Note: Inapplicable if COMATOSE = 1

BSOFTWAN   64  2  BEHAVFMT                              N HOW OFTEN WANDER AROUND?

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 846                    1 Behavior not exhibited
                                  33                    2 Behavior occurred 1 to 3 days
                                  10                    3 Behavior occurred 4 to 6 days
                                  34                    4 Behavior occurred daily

                  Note: Inapplicable if COMATOSE = 1

BSWDANGR   66  2  YES1FMT                               N DID WANDERING PUT SP AT RISK OF DANGER?

                                 847                    . Inapplicable
                                   4                   -8 Don't know
                                  17                    1 Yes
                                  60                    2 No

                  Note: Inapplicable if COMATOSE or BSOFTWAN = 1

BSWOTACT   68  2  YES1FMT                               N DID WANDERING INTRUDE ON PRIVACY?

                                 847                    . Inapplicable
                                   4                   -8 Don't know
                                  27                    1 Yes
                                  50                    2 No

                  Note: Inapplicable if COMATOSE or BSOFTWAN = 1

PFTRNSFR   70  2  PERF2LEV                    HA22a     N Level of self perform: transfer

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 311                    1 Independent
                                  62                    2 Supervision
                                 113                    3 Limited assistance
                                 275                    4 Extensive assistance
                                 150                    5 Total dependence
                                  11                    6 Activity did not occur
                                   2                    7 Activity occurred only once/twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFLOCOMO   72  2  PERF2LEV                    HA22b     N Level of self perform: locomot. on unit

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 351                    1 Independent
                                 108                    2 Supervision
                                 125                    3 Limited assistance
                                 166                    4 Extensive assistance
                                 146                    5 Total dependence
                                  24                    6 Activity did not occur
                                   4                    7 Activity occurred only once/twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFDRSSNG   74  2  PERF2LEV                    HA22c     N Level of self perform: dressing

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 211                    1 Independent
                                  80                    2 Supervision
                                 152                    3 Limited assistance
                                 310                    4 Extensive assistance
                                 171                    5 Total dependence
                                   0                    6 Activity did not occur
                                   0                    7 Activity occurred only once/twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFEATING   76  2  PERF2LEV                    HA22d     N Level of self perform: eating

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 419                    1 Independent
                                 216                    2 Supervision
                                 128                    3 Limited assistance
                                  81                    4 Extensive assistance
                                  76                    5 Total dependence
                                   4                    6 Activity did not occur
                                   0                    7 Activity occurred only once/twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFTOILET   78  2  PERF2LEV                    HA22e     N Level of self perform: toilet use

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 272                    1 Independent
                                  53                    2 Supervision
                                 121                    3 Limited assistance
                                 276                    4 Extensive assistance
                                 195                    5 Total dependence
                                   5                    6 Activity did not occur
                                   2                    7 Activity occurred only once/twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFBATHNG   80  2  BATHLEV                     HA23      N Level of self perform: bathing

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 116                    1 Independent
                                 115                    2 Supervision
                                  39                    3 Physical help limited to transfer only
                                 338                    4 Physical help in part of bathing actvty
                                 312                    5 Total dependence
                                   4                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MOLCANE    82  2  YES1FMT                               N DID SP USE CANE?

                                   3                    . Inapplicable
                                  36                    1 Yes
                                 889                    2 No

                  Note: Inapplicable if COMATOSE = 1

MOLWLKR    84  2  YES1FMT                               N DID SP USE WALKER?

                                   3                    . Inapplicable
                                 319                    1 Yes
                                 606                    2 No

                  Note: Inapplicable if COMATOSE = 1

MOLWCHR    86  2  YES1FMT                               N DID SP USE WHEELCHAIR?

                                   3                    . Inapplicable
                                 522                    1 Yes
                                 403                    2 No

                  Note: Inapplicable if COMATOSE = 1

MOLPROS    88  2  YES1FMT                               N DID SP USE LIMB PROSTHESIS?

                                   3                    . Inapplicable
                                   3                    1 Yes
                                 922                    2 No

                  Note: Inapplicable if COMATOSE = 1

CTBOWELC   90  2  CONTFMT                               N WHAT WAS LEVEL OF SP'S BOWEL CONTROL?

                                   3                    . Inapplicable
                                   4                   -8 Don't know
                                 422                    1 Always continent
                                 148                    2 Occasionally incontinent
                                 118                    3 Frequently incontinent
                                 221                    4 Always incontinent
                                  12                    5 Not rated

                  Note: Inapplicable if COMATOSE = 1

CTBLADDC   92  2  CONTFMT                               N WHAT WAS LEVEL OF SP'S BLADDER CONTROL?

                                   3                    . Inapplicable
                                   4                   -8 Don't know
                                 307                    1 Always continent
                                 178                    2 Occasionally incontinent
                                 174                    3 Frequently incontinent
                                 231                    4 Always incontinent
                                  31                    5 Not rated

ALZHMR     94  2  SEL3FMT                     HA28      N SP has Alzheimer's disease

                                   7                   -8 Don't know
                                 760                    0 Not Selected
                                 161                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

ANEMIA     96  2  SEL3FMT                     HA28      N SP has anemia

                                   7                   -8 Don't know
                                 721                    0 Not Selected
                                 200                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

ANXIETY    98  2  SEL3FMT                     HA28      N SP has anxiety disorder

                                   7                   -8 Don't know
                                 734                    0 Not Selected
                                 184                    1 Selected
                                   3                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

APHASIA   100  2  SEL3FMT                     HA28      N SP has aphasia

                                   7                   -8 Don't know
                                 901                    0 Not Selected
                                  20                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

ARTHRIT   102  2  SEL3FMT                     HA28      N SP has arthritis

                                   7                   -8 Don't know
                                 776                    0 Not Selected
                                 144                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

ASTHCOPD  104  2  SEL3FMT                               N DID SP HAVE ASTHMA/COPD/CHRONIC LUNG DIS

                                   7                   -8 Don't know
                                 796                    0 Not Selected
                                 124                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

AFIBDYS   106  2  SEL3FMT                               N HAVE ATRIAL FIBRILLATION OR OTHER DYSRHY

                                   7                   -8 Don't know
                                 834                    0 Not Selected
                                  87                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

BPH       108  2  SEL3FMT                               N DID SP HAVE BPH?

                                   7                   -8 Don't know
                                 893                    0 Not Selected
                                  28                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

CATGLAUC  110  2  SEL3FMT                               N DID SP HAVE CATARACTS/GLAUCOMA/MACULAR D

                                   7                   -8 Don't know
                                 852                    0 Not Selected
                                  69                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

CERPALSY  112  2  SEL3FMT                     HA28      N SP has cerebral palsy

                                   7                   -8 Don't know
                                 897                    0 Not Selected
                                  22                    1 Selected
                                   2                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

CVATIAST  114  2  SEL3FMT                               N DID SP HAVE CVA, TIA, OR STOKE?

                                   7                   -8 Don't know
                                 791                    0 Not Selected
                                 127                    1 Selected
                                   3                    2 Selected,cause of Medicare eligibility

CIRROSIS  116  2  SEL3FMT                               N DID SP HAVE CIRROSIS?

                                   7                   -8 Don't know
                                 912                    0 Not Selected
                                   8                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

CORARTDS  118  2  SEL3FMT                               N DID SP HAVE CORONARY ARTERY DISEASE?

                                   7                   -8 Don't know
                                 819                    0 Not Selected
                                 102                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

DVTPEPTE  120  2  SEL3FMT                               N DID SP HAVE DVT, PE, OR PTE?

                                   7                   -8 Don't know
                                 902                    0 Not Selected
                                  19                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

DEMENT    122  2  SEL3FMT                     HA28      N SP has dementia

                                   7                   -8 Don't know
                                 575                    0 Not Selected
                                 342                    1 Selected
                                   4                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

DEPRESS   124  2  SEL3FMT                     HA28      N SP has depression

                                   7                   -8 Don't know
                                 571                    0 Not Selected
                                 349                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

DIABMRN   126  2  SEL3FMT                               N DID SP HAVE DIABETES MELLITUS(RETIN/NEPH

                                   7                   -8 Don't know
                                 689                    0 Not Selected
                                 229                    1 Selected
                                   3                    2 Selected,cause of Medicare eligibility

GERDULC   128  2  SEL3FMT                               N DID SP HAVE GERD OR ULCER?

                                   7                   -8 Don't know
                                 741                    0 Not Selected
                                 180                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

HARTFAIL  130  2  SEL3FMT                               N DID SP HAVE HEART FAILURE(CFH/PULMONARY

                                   7                   -8 Don't know
                                 817                    0 Not Selected
                                 102                    1 Selected
                                   2                    2 Selected,cause of Medicare eligibility

HEMIPLPA  132  2  SEL3FMT                     HA28      N SP has hemiplegia/hemiparesis

                                   7                   -8 Don't know
                                 878                    0 Not Selected
                                  43                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

HIPFRACT  134  2  SEL3FMT                     HA28      N SP has a hip fracture

                                   7                   -8 Don't know
                                 905                    0 Not Selected
                                  16                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

HUNTDIS   136  2  SEL3FMT                               N DID SP HAVE HUNTINGTON'S DISEASE?

                                   7                   -8 Don't know
                                 919                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

HYPERKAL  138  2  SEL3FMT                               N DID SP HAVE HYPERKALEMIA?

                                   7                   -8 Don't know
                                 900                    0 Not Selected
                                  21                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

HYPRLIPI  140  2  SEL3FMT                               N DID SP HAVE HYPERLIPIDEMIA/HYPERCHOLESTE

                                   7                   -8 Don't know
                                 680                    0 Not Selected
                                 241                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

HYPETENS  142  2  SEL3FMT                     HA28      N SP has hypertension

                                   7                   -8 Don't know
                                 397                    0 Not Selected
                                 524                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

HYPONMIA  144  2  SEL3FMT                               N DID SP HAVE HYPONATREMIA?

                                   7                   -8 Don't know
                                 906                    0 Not Selected
                                  15                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

MALNUTRI  146  2  SEL3FMT                               N DID SP HAVE MALNUTRITION/RISK FOR IT?

                                   7                   -8 Don't know
                                 910                    0 Not Selected
                                  11                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

MANICDEP  148  2  SEL3FMT                     HA28      N SP has manic depression

                                   7                   -8 Don't know
                                 890                    0 Not Selected
                                  28                    1 Selected
                                   3                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

SCLEROS   150  2  SEL3FMT                     HA28      N SP has multiple sclerosis

                                   7                   -8 Don't know
                                 910                    0 Not Selected
                                  11                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

NUROBLAD  152  2  SEL3FMT                               N DID SP HAVE NEUROGENIC BLADDER?

                                   7                   -8 Don't know
                                 902                    0 Not Selected
                                  19                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

OBURPATH  154  2  SEL3FMT                               N DID SP HAVE OBSTRUCTIVE UROPATHY?

                                   7                   -8 Don't know
                                 918                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

ORTHHYPO  156  2  SEL3FMT                               N DID SP HAVE ORTHOSTATIC HYPOTENSION?

                                   7                   -8 Don't know
                                 914                    0 Not Selected
                                   7                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

OSTEOP    158  2  SEL3FMT                     HA28      N SP has osteoporosis

                                   7                   -8 Don't know
                                 821                    0 Not Selected
                                 100                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

OTHFRACT  160  2  SEL3FMT                               N DID SP HAVE OTHER FRACTURE?

                                   7                   -8 Don't know
                                 909                    0 Not Selected
                                  12                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

PARAPLEG  162  2  SEL3FMT                     HA28      N SP has paraplegia

                                   7                   -8 Don't know
                                 913                    0 Not Selected
                                   8                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

PARKNSON  164  2  SEL3FMT                     HA28      N SP has Parkinson's disease

                                   7                   -8 Don't know
                                 883                    0 Not Selected
                                  38                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

PVDPAD    166  2  SEL3FMT                               N DID SP HAVE PERIPHERAL VASC/PERIPHERAL A

                                   7                   -8 Don't know
                                 860                    0 Not Selected
                                  61                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

PTSD      168  2  SEL3FMT                               N DID SP HAVE POST TRAUMATIC STRESS DISORD

                                   7                   -8 Don't know
                                 916                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

PSYCOTIC  170  2  SEL3FMT                               N DID SP HAVE PSYCH DISORDER(OTHER THAN SC

                                   7                   -8 Don't know
                                 853                    0 Not Selected
                                  66                    1 Selected
                                   2                    2 Selected,cause of Medicare eligibility

QUADPLEG  172  2  SEL3FMT                     HA28      N SP has quadriplegia

                                   7                   -8 Don't know
                                 908                    0 Not Selected
                                  11                    1 Selected
                                   2                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

RENLESRD  174  2  SEL3FMT                               N DID SP HAVE RENAL INSUFFICIENCY/FAILURE/

                                   7                   -8 Don't know
                                 872                    0 Not Selected
                                  49                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

RESPFAIL  176  2  SEL3FMT                               N DID SP HAVE RESPIRATORY FAILURE?

                                   7                   -8 Don't know
                                 913                    0 Not Selected
                                   8                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

SCHIZOPH  178  2  SEL3FMT                     HA28      N SP has schizophrenia

                                   7                   -8 Don't know
                                 866                    0 Not Selected
                                  49                    1 Selected
                                   6                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

SEIZEPIL  180  2  SEL3FMT                               N DID SP HAVE SEIZURE DISORDER OR EPILEPSY

                                   7                   -8 Don't know
                                 835                    0 Not Selected
                                  82                    1 Selected
                                   4                    2 Selected,cause of Medicare eligibility

THYROID   182  2  SEL3FMT                               N DID SP HAVE THYROID DISORDER(HYPER/HYPO/

                                   7                   -8 Don't know
                                 807                    0 Not Selected
                                 114                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

TOURETTE  184  2  SEL3FMT                               N DID SP HAVE TOURETTE'S?

                                   7                   -8 Don't know
                                 920                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

BRAININJ  186  2  SEL3FMT                     HA28      N SP has traumatic brain injury

                                   7                   -8 Don't know
                                 912                    0 Not Selected
                                   9                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

COLCROHN  188  2  SEL3FMT                               N DID SP HAVE ULCERATIVE COLITIS/CROHN'S/I

                                   7                   -8 Don't know
                                 911                    0 Not Selected
                                  10                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

CANCER    190  2  SEL3FMT                     HA28      N SP has cancer

                                   7                   -8 Don't know
                                 889                    0 Not Selected
                                  32                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

CNRBLADD  192  2  SEL3FMT                     HA33B     N Did SP have bladder cancer?

                                 896                    . Missing
                                  31                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRBREAS  194  2  SEL3FMT                     HA33B     N Did SP have breast cancer?

                                 896                    . Missing
                                  23                    0 Not Selected
                                   9                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRCERVI  196  2  SEL3FMT                     HA33B     N Did SP have cervix cancer?

                                 896                    . Missing
                                  32                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRBOWEL  198  2  SEL3FMT                     HA33B     N Did SP have colon/rectum/bowel cancer?

                                 896                    . Missing
                                  29                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRLUNG   200  2  SEL3FMT                     HA33B     N Did SP have lung cancer?

                                 896                    . Missing
                                  32                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNROVARY  202  2  SEL3FMT                     HA33B     N Did SP have ovarian cancer?

                                 896                    . Missing
                                  32                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRPROST  204  2  SEL3FMT                     HA33B     N Did SP have prostate cancer?

                                 896                    . Missing
                                  20                    0 Not Selected
                                  12                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRSKIN   206  2  SEL3FMT                     HA33B     N Did SP have skin cancer?

                                 896                    . Missing
                                  30                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRSTOMA  208  2  SEL3FMT                     HA33B     N Did SP have stomach cancer?

                                 896                    . Missing
                                  32                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNRUTERU  210  2  SEL3FMT                     HA33B     N Did SP have uterus cancer?

                                 896                    . Missing
                                  30                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

CNROTHER  212  2  SEL3FMT                     HA33B     N Did SP have other cancer?

                                 896                    . Missing
                                  27                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapplicable if CANCER NE 1
                        First available in 1997

INFMDRO   214  2  SEL3FMT                               N SP HAS MULTIDRUG-RESISTANT ORGANISM(MDRO

                                 923                    0 Not Selected
                                   4                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

INFPNEU   216  2  SEL3FMT                     HA29      N SP has pneumonia

                                 907                    0 Not Selected
                                  21                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

INFSEPT   218  2  SEL3FMT                     HA29      N SP has septicemia

                                 926                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

INFTBRC   220  2  SEL3FMT                     HA29      N SP has tuberculosis

                                 927                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

INFURNRY  222  2  SEL3FMT                     HA29      N SP has urinary tract infection

                                 848                    0 Not Selected
                                  80                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

INFHPPTS  224  2  SEL3FMT                     HA29      N SP has viral hepatitis

                                 924                    0 Not Selected
                                   4                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: First available in 1997

INFWND    226  2  SEL3FMT                               N SP HAS WOUND INFECTION (OTHER THAN FOOT)

                                 914                    0 Not Selected
                                  14                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

AGITAT    228  2  SEL3FMT                               N DID SP HAVE AGITATION?

                                 438                    . Missing
                                 474                    0 Not Selected
                                  16                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

ALCOH     230  2  SEL3FMT                     HA31, 33  N WAS SP ALCOHOL DEPENDENT?

                                 438                    . Missing
                                 485                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

ALLRGY    232  2  SEL3FMT                               N DID SP HAVE ALLERGIES?

                                 438                    . Missing
                                 461                    0 Not Selected
                                  29                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

ANOREX    234  2  SEL3FMT                               N DID SP HAVE ANOREXIA?

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

AOSTEN    236  2  SEL3FMT                               N DID SP HAVE AORTIC STENOSIS?

                                 438                    . Missing
                                 486                    0 Not Selected
                                   4                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

ATAXIA    238  2  SEL3FMT                               N DID SP HAVE ATAXIA?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

APSYCH    240  2  SEL3FMT                               N DID SP HAVE ATYPICAL PSYCHOSIS?

                                 438                    . Missing
                                 486                    0 Not Selected
                                   4                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

BLIND     242  2  SEL3FMT                               N DID SP HAVE BLINDNESS?

                                 438                    . Missing
                                 484                    0 Not Selected
                                   6                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

BREAST    244  2  SEL3FMT                     HA31, 33  N DID SP HAVE BREAST DISORDERS?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

CERDEG    246  2  SEL3FMT                     HA31, 33  N DID SP HAVE CEREBRAL DEGENERATION?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

CLINOB    248  2  SEL3FMT                               N DID SP HAVE CLINICAL OBESITY?

                                 438                    . Missing
                                 471                    0 Not Selected
                                  19                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

CDIFF     250  2  SEL3FMT                               N DID SP HAVE CLOSTRIDIUM DIFFICILE(C.DIFF

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

CONJ      252  2  SEL3FMT                               N DID SP HAVE CONJUNCTIVITIS?

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

CONST     254  2  SEL3FMT                     HA31, 33  N DID SP HAVE CONSTIPATION?

                                 438                    . Missing
                                 430                    0 Not Selected
                                  59                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

DEGJNT    256  2  SEL3FMT                     HA31, 33  N DID SP HAVE DEGENERATIVE JOINT DISEASE?

                                 438                    . Missing
                                 477                    0 Not Selected
                                  13                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 2000

HERNIA    258  2  SEL3FMT                     HA31, 33  N DID SP HAVE HERNIA?

                                 438                    . Missing
                                 485                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

DIVCOL    260  2  SEL3FMT                     HA31, 33  N DID SP HAVE DIVERTICULA OF COLON?

                                 438                    . Missing
                                 483                    0 Not Selected
                                   7                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

DOWNS     262  2  SEL3FMT                               N DID SP HAVE DOWN'S SYNDROME?

                                 438                    . Missing
                                 482                    0 Not Selected
                                   7                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

DYSPHA    264  2  SEL3FMT                     HA31, 33  N DID SP HAVE DYSPHAGIA?

                                 438                    . Missing
                                 437                    0 Not Selected
                                  53                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 2000

EDEMA     266  2  SEL3FMT                     HA31, 33  N DID SP HAVE EDEMA?

                                 438                    . Missing
                                 469                    0 Not Selected
                                  21                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 2000

GASTR     268  2  SEL3FMT                     HA31, 33  N DID SP HAVE GASTRITIS/DUODENITIS?

                                 438                    . Missing
                                 486                    0 Not Selected
                                   4                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

GASTRO    270  2  SEL3FMT                     HA31, 33  N DID SP HAVE GASTROENTERITIS?

                                 438                    . Missing
                                 485                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

GHEMOR    272  2  SEL3FMT                     HA31, 33  N DID SP HAVE GASTROINTESTINAL HEMORRHAGE?

                                 438                    . Missing
                                 490                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

GOUT      274  2  SEL3FMT                               N DID SP HAVE GOUT?

                                 438                    . Missing
                                 468                    0 Not Selected
                                  22                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

HESOPH    276  2  SEL3FMT                               N DID SP HAVE HEMORRHAGE OF ESOPHAGUS?

                                 438                    . Missing
                                 490                    0 Not Selected
                                   0                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

HIV       278  2  SEL3FMT                               N DID SP HAVE HIV INFECTION?

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

HYPER     280  2  SEL3FMT                     HA31, 33  N DID SP HAVE HYPERPLASIA OF PROSTATE?

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

HYPOP     282  2  SEL3FMT                     HA31, 33  N DID SP HAVE HYPOPOTASSEMIA/HYPOKALEMIA?

                                 438                    . Missing
                                 478                    0 Not Selected
                                  12                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

HPOTEN    284  2  SEL3FMT                               N DID SP HAVE HYPOTENSION(OTHER THAN ORTHO

                                 438                    . Missing
                                 484                    0 Not Selected
                                   6                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

INSOM     286  2  SEL3FMT                               N DID SP HAVE INSOMNIA?

                                 438                    . Missing
                                 467                    0 Not Selected
                                  23                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

KYPHO     288  2  SEL3FMT                               N DID SP HAVE KYPHOSIS?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

LIMB      290  2  SEL3FMT                               N DID SP HAVE MISSING LIMB(E.G.,AMPUTATION

                                 438                    . Missing
                                 481                    0 Not Selected
                                   9                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

BRAINS    292  2  SEL3FMT                     HA31, 33  N DID SP HAVE NONPSYCHOTIC BRAIN SYNDROME?

                                 438                    . Missing
                                 489                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

ORGBRN    294  2  SEL3FMT                               N DID SP HAVE ORGANIC BRAIN SYNDROME?

                                 438                    . Missing
                                 487                    0 Not Selected
                                   3                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

OSARTH    296  2  SEL3FMT                     HA31, 33  N DID SP HAVE OSTEOARTHRITIS?

                                 438                    . Missing
                                 442                    0 Not Selected
                                  48                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 2000

BONFRC    298  2  SEL3FMT                               N DID SP HAVE PATHOLOGICAL BONE FRACTURE?

                                 438                    . Missing
                                 489                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

RENTUR    300  2  SEL3FMT                     HA31, 33  N DID SP HAVE RENAL URETERAL DISORDER?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

RESPIR    302  2  SEL3FMT                               N DID SP HAVE RESPIRATORY INFECTION?

                                 438                    . Missing
                                 485                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

SCOLIO    304  2  SEL3FMT                     HA31, 33  N DID SP HAVE SCOLIOSIS?

                                 438                    . Missing
                                 478                    0 Not Selected
                                  11                    1 Selected
                                   1                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

STD       306  2  SEL3FMT                               N DID SP HAVE SEXUALLY TRANSMITTED DISEASE

                                 438                    . Missing
                                 489                    0 Not Selected
                                   1                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

SPSTEN    308  2  SEL3FMT                               N DID SP HAVE SPINAL STENOSIS?

                                 438                    . Missing
                                 478                    0 Not Selected
                                  12                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

LEGULC    310  2  SEL3FMT                     HA31, 33  N DID SP HAVE ULCER OF LEG,CHRONIC?

                                 438                    . Missing
                                 488                    0 Not Selected
                                   2                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                 Notes: Inapp if no active diag on MDS or avail medical records
                        First available in 1997

URIRET    312  2  SEL3FMT                               N DID SP HAVE URINARY RETENTION?

                                 438                    . Missing
                                 484                    0 Not Selected
                                   6                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

VERTI     314  2  SEL3FMT                               N DID SP HAVE VERTIGO?

                                 438                    . Missing
                                 485                    0 Not Selected
                                   5                    1 Selected
                                   0                    2 Selected,cause of Medicare eligibility

                  Note: Inapp if no active diag on MDS or avail medical records

DEHYD     316  2  YES1FMT                     HA34      N Did SP experience dehydration?

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                  20                    1 Yes
                                 902                    2 No

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

DELUS     318  2  YES1FMT                     HA35      N Did SP experience delusions?

                                   3                    . Inapplicable
                                   5                   -8 Don't know
                                  74                    1 Yes
                                 846                    2 No

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

HALLUC    320  2  YES1FMT                     HA36      N Did SP experience hallucinations?

                                   3                    . Inapplicable
                                   5                   -8 Don't know
                                  47                    1 Yes
                                 873                    2 No

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

SOLOSS    322  2  YES1FMT                               N EXPERIENCE LOSS FROM MOUTH SOLIDS/LIQUID

                                  16                    1 Yes
                                 912                    2 No

SOHOLD    324  2  YES1FMT                               N EXPERIENCE PROBLEM HOLDING FOOD IN MOUTH

                                  17                    1 Yes
                                 911                    2 No

SOCOUGH   326  2  YES1FMT                               N EXPERIENCE PROBLEM COUGHING DURING MEALS

                                  53                    1 Yes
                                 875                    2 No

SOPAIN    328  2  YES1FMT                               N EXPERIENCE PAIN DIFFICULTY WITH SWALLOWI

                                  20                    1 Yes
                                 908                    2 No

SODENT    330  2  YES1FMT                               N EXPERIENCE PROB WITH DENTURES

                                   3                    . Inapplicable
                                  36                    1 Yes
                                 889                    2 No

                  Note: Inapplicable if COMATOSE = 1.

SOTEETH   332  2  YES1FMT                               N NO NATURAL TEETH OR FRAGMENTS

                                   3                    . Inapplicable
                                  66                    1 Yes
                                 859                    2 No

                  Note: Inapplicable if COMATOSE = 1.

SOTISSUE  334  2  YES1FMT                               N ABNORMAL MOUTH TISSUE (ULCER/MASS/LESION

                                   3                    . Inapplicable
                                   1                    1 Yes
                                 924                    2 No

                  Note: Inapplicable if COMATOSE = 1.

SOCAVITY  336  2  YES1FMT                               N OBVIOUS LIKELY CAVITY OR BROKEN TEETH

                                   3                    . Inapplicable
                                  33                    1 Yes
                                 892                    2 No

                  Note: Inapplicable if COMATOSE = 1.

SOGUMS    338  2  YES1FMT                               N INFLAMED GUMS OR LOOSE TEETH

                                   3                    . Inapplicable
                                  18                    1 Yes
                                 907                    2 No

                  Note: Inapplicable if COMATOSE = 1.

SOCHEW    340  2  YES1FMT                               N MOUTH PAIN OR PROBLEM WITH CHEWING

                                   3                    . Inapplicable
                                  18                    1 Yes
                                 907                    2 No

                 Notes: napplicable if COMATOS E = 1.
                        First available in I

HEIGHT    342  2  NUM3FMT                     HA38      N Height of SP in inches

                                  45                   -8 Don't know
                                   1                    0 None
                                 882                      Number

                  Note: First available in 1997

WEIGHT    344  3  NUMFMT             HFE2               N WEIGHT OF SP

                                 928                      Weight

ADLIVWIL  347  2  YES1FMT                     HA10      N Did SP have living will?

                                  14                   -8 Don't know
                                 202                    1 Yes
                                 712                    2 No

                  Note: First available in 1997

ADDNRES   349  2  YES1FMT                     HA10      N Did SP have 'Do not resuscitate' order?

                                  14                   -8 Don't know
                                 440                    1 Yes
                                 474                    2 No

                  Note: First available in 1997

ADDNHOSP  351  2  YES1FMT                     HA10      N Did SP have 'Do not hospitalize' order?

                                  14                   -8 Don't know
                                  40                    1 Yes
                                 874                    2 No

                  Note: First available in 1997

ADOTREST  353  2  YES1FMT                     HA10      N Feeding/Medication/Other restrictions?

                                  14                   -8 Don't know
                                  85                    1 Yes
                                 829                    2 No

                  Note: First available in 1997

MYOCARD   355  2  YES1FMT                     HA33D     N Did SP have myocardial infarction?

                                  78                   -8 Don't know
                                  66                    1 Yes
                                 784                    2 No

                  Note: First available in 1997

CATAROP   357  2  YES1FMT                     HA33E     N SP ever have operation for cataracts?

                                 156                   -8 Don't know
                                 101                    1 Yes
                                 671                    2 No

                  Note: First available in 1997

MAMMOGR   359  2  YES1FMT                     HA43A     N SP had a mammogram in the last year?

                                 327                    . Inapplicable
                                  83                   -8 Don't know
                                  53                    1 Yes
                                 465                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

PAPSMEAR  361  2  YES1FMT            HFF6               N DID SP HAVE PAP SMEAR A YEAR AGO?

                                 327                    . Inapplicable
                                  83                   -8 Don't know
                                  40                    1 Yes
                                 478                    2 No

                  Note: Inapplicable if SP is male

HYSTEREC  363  2  YES1FMT            HFF9               N SP HAD A HYSTERECTOMY IN THE LAST YEAR?

                                 582                    . Inapplicable
                                  53                   -8 Don't know
                                   7                    1 Yes
                                 286                    2 No

                  Note: Applies to females in cont sample not prev informed of hysterectomy.

D_HYST    365  2  YES1FMT                               N HAS SP EVER HAD A HYSTERECTOMY

                                 327                    . Inapplicable
                                   1                   -9 Not ascertained
                                 165                   -8 Don't know
                                   1                   -7 Refused
                                  88                    1 Yes
                                 346                    2 No

                  Note: Inapplicable if SP is male

DRECEXAM  367  2  YES1FMT                     HA43DA    N Digital rectal prostate exam in past yr?

                                 601                    . Inapplicable
                                  87                   -8 Don't know
                                  42                    1 Yes
                                 198                    2 No

                 Notes: Inapplicable if SP is female.
                        First available in 1999

BLOODPSA  369  2  YES1FMT                     HA43DB    N Prostate cancer blood test in past yr?

                                 601                    . Inapplicable
                                  72                   -8 Don't know
                                  93                    1 Yes
                                 162                    2 No

                 Notes: Inapplicable if SP is female.
                        First available in 1999

FLUSHOT   371  2  YES1FMT            HFF15              N SP HAD A FLU SHOT IN THE PAST YEAR?

                                  58                   -8 Don't know
                                 778                    1 Yes
                                  92                    2 No

D_PNEU    373  2  YES1FMT                               N HAS SP EVER HAD A SHOT FOR PNEUMONIA?

                                 112                   -8 Don't know
                                 700                    1 Yes
                                 116                    2 No

D_SMOKE   375  2  YES1FMT                               N SP ever smoked cigars/cigarettes/pipe?

                                 135                   -8 Don't know
                                 269                    1 Yes
                                 524                    2 No

NOWSMOKE  377  2  YES1FMT                     HA43F     N Does SP smoke now?

                                 775                    . Inapplicable
                                   2                   -8 Don't know
                                  63                    1 Yes
                                  88                    2 No

                 Notes: Applies only if EVRSMOKE = 1 and SP not comatose.
                        First available in 1997

IADSTOOP  379  2  DIF2FFMT                    HA43Ga    N Was stooping/kneeling difficult?

                                   3                    . Inapplicable
                                   7                   -8 Don't know
                                 100                    1 No difficulty
                                  74                    2 A little difficulty
                                 113                    3 Some difficulty
                                 145                    4 A lot of difficulty
                                 486                    5 Unable to do it

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

IADLIFT   381  2  DIF2FFMT                    HA43Gb    N Was lifting heavy items difficult?

                                   3                    . Inapplicable
                                  15                   -8 Don't know
                                 140                    1 No difficulty
                                  73                    2 A little difficulty
                                 104                    3 Some difficulty
                                 121                    4 A lot of difficulty
                                 472                    5 Unable to do it

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

IADREACH  383  2  DIF2FFMT                    HA43Gc    N Was reaching/extending arms difficult?

                                   3                    . Inapplicable
                                  20                   -8 Don't know
                                 299                    1 No difficulty
                                 148                    2 A little difficulty
                                 217                    3 Some difficulty
                                 106                    4 A lot of difficulty
                                 135                    5 Unable to do it

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

IADGRASP  385  2  DIF2FFMT                    HA43Gd    N Was writing/grasping difficult?

                                   3                    . Inapplicable
                                  17                   -8 Don't know
                                 340                    1 No difficulty
                                 164                    2 A little difficulty
                                 187                    3 Some difficulty
                                 118                    4 A lot of difficulty
                                  99                    5 Unable to do it

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

IADWALK   387  2  DIF2FFMT                    HA43Ge    N Was walking difficult?

                                   3                    . Inapplicable
                                   5                   -8 Don't know
                                 130                    1 No difficulty
                                  58                    2 A little difficulty
                                  54                    3 Some difficulty
                                  78                    4 A lot of difficulty
                                 600                    5 Unable to do it

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

DIFUSEPH  389  2  ADL1FMT                     HA43H     N Was using the phone difficult?

                                   3                    . Inapplicable
                                  11                   -8 Don't know
                                 304                    1 Yes
                                 402                    2 No
                                 208                    3 Doesn't do

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

DIFSHOP   391  2  ADL1FMT                     HA43H     N Was shopping difficult?

                                   3                    . Inapplicable
                                   6                   -8 Don't know
                                 365                    1 Yes
                                 140                    2 No
                                 414                    3 Doesn't do

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

DIFMONEY  393  2  ADL1FMT                     HA43H     N Was managing money difficult?

                                   3                    . Inapplicable
                                  15                   -8 Don't know
                                 345                    1 Yes
                                 102                    2 No
                                 463                    3 Doesn't do

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

REASNOPH  395  2  YES1FMT                     HA43I     N Not use phone due to health/phys problem

                                 720                    . Inapplicable
                                   1                   -8 Don't know
                                 168                    1 Yes
                                  39                    2 No

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

REASNOSH  397  2  YES1FMT                     HA43I     N Not shop due to health/phys problem

                                 514                    . Inapplicable
                                   1                   -8 Don't know
                                 363                    1 Yes
                                  50                    2 No

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

REASNOMM  399  2  YES1FMT                     HA43I     N SP doesn't manage $ due to health prob

                                 465                    . Inapplicable
                                   2                   -8 Don't know
                                 419                    1 Yes
                                  42                    2 No

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

SPHEALTH  401  2  GENHFMT                     HA43J     N Description of SP's general health

                                   3                    . Missing
                                   4                   -8 Don't know
                                  28                    1 Excellent
                                 120                    2 Very good
                                 260                    3 Good
                                 342                    4 Fair
                                 171                    5 Poor

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

GENHLTH   403  2  COMPFMT                               N SP'S HEALTH COMPARED TO 1 YEAR AGO?

                                   3                    . Missing
                                  36                   -8 Don't know
                                  17                    1 Much better
                                  50                    2 Somewhat better
                                 523                    3 About the same
                                 240                    4 Somewhat worse
                                  59                    5 Much worse

                  Note: Inapplicable if COMATOSE = 1.

LIMACTIV  405  2  TIMEFMT                     HA43L     N Hlth limited soc activities in past mo?

                                   3                    . Missing
                                  11                   -8 Don't know
                                 478                    1 None of the time
                                 203                    2 Some of the time
                                 117                    3 Most of the time
                                 116                    4 All of the time

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

