RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                   DU Dental Events
                                   0                   FA Facility Events
                                   0                    H HMO Supplement
                                   0                   IA Income and Assets
                                   0                   IP Inpatient Hospital Events
                                   0                   IU Institutional Events
                                   0                    K Key Record
                                   0                   KN Knowledge and Information Needs
                                   0                   MD MDS
                                   0                   MP Medical Provider Events
                                   0                    N Non-Respondent
                                   0                   OA OASIS
                                   0                   OP Outpatient Events
                                   0                   PA Patient Activation
                                   0                   PM Prescribed Medicine Events
                              11,299                   PS Person Summary
                                   0                   RX Drug Coverage
                                   0                   SS Service Summary
                                   0                    X Cross Sectional Weights
                                   0                   XE Ever Enrolled Weights
                                   0                   X2 2 year Weights
                                   0                   X3 3 year Weights
                                   0                   X4 4 year Weights
                                   0                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                                   0                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                              11,299                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,299             LOW-HIGH BASEID Count

PAMTDU     13 10  MONYFMT                               N Adj. sum for dental events

                              11,299                      Amount as $$$$$$.CC

PAMTHH     23 10  MONYFMT                               N Adj. sum for home health agency events

                              11,299                      Amount as $$$$$$.CC

PAMTHP     33 10  MONYFMT                               N Adj. sum for hospice events

                              11,299                      Amount as $$$$$$.CC

PAMTIP     43 10  MONYFMT                               N Adj. sum for inpatient events

                              11,299                      Amount as $$$$$$.CC

PAMTIU     53 10  MONYFMT                               N Adj. sum for institutional events

                              11,299                      Amount as $$$$$$.CC

PAMTMP     63 10  MONYFMT                               N Adj. sum for medical provider events

                              11,299                      Amount as $$$$$$.CC

PAMTOP     73 10  MONYFMT                               N Adj. sum for outpatient events

                              11,299                      Amount as $$$$$$.CC

PAMTPM     83 10  MONYFMT                               N Adj. sum for prescribed medicine events

                              11,299                      Amount as $$$$$$.CC

PAMTFA     93 10  MONYFMT                               N Adj. sum for facility events

                              11,299                      Amount as $$$$$$.CC

DUAEVNTS  103  4  EVNTNUM                               N Adj. number of dental events

                              11,299               0-9999 Survey-reported event

HHAEVNTS  107  4  EVNTNUM                               N Adj. number of home health agency events

                              11,299               0-9999 Survey-reported event

HPAEVNTS  111  4  EVNTNUM                               N Adj. number of hospice events

                              11,299               0-9999 Survey-reported event

IPAEVNTS  115  4  EVNTNUM                               N Adj. number of inpatient events

                              11,299               0-9999 Survey-reported event

IUAEVNTS  119  4  EVNTNUM                               N Adj. number of institutional events

                              11,299               0-9999 Survey-reported event

MPAEVNTS  123  4  EVNTNUM                               N Adj. number of medical provider events

                              11,299               0-9999 Survey-reported event

OPAEVNTS  127  4  EVNTNUM                               N Adj. number of outpatient events

                              11,299               0-9999 Survey-reported event

PMAEVNTS  131  4  EVNTNUM                               N Adj. number of prescribed medicine event

                              11,299               0-9999 Survey-reported event

FAAEVNTS  135  4  EVNTNUM                               N Adj. number of facility events

                              11,299               0-9999 Survey-reported event

PAMTTOT   139 10  MONYFMT                               N Adj. sum: total payments, all sources

                              11,299                      Amount as $$$$$$.CC

PAMTCAID  149 10  MONYFMT                               N Adj. sum: Medicaid payments

                              11,299                      Amount as $$$$$$.CC

PAMTCARE  159 10  MONYFMT                               N Adj. sum: Medicare payments

                              11,299                      Amount as $$$$$$.CC

PAMTDISC  169 10  MONYFMT                               N Adj. sum: uncollected liability

                              11,299                      Amount as $$$$$$.CC

PAMTHMOM  179 10  MONYFMT                               N Adj. sum: Medicare HMO payments

                              11,299                      Amount as $$$$$$.CC

PAMTHMOP  189 10  MONYFMT                               N Adj. sum: private HMO payments

                              11,299                      Amount as $$$$$$.CC

PAMTOOP   199 10  MONYFMT                               N Adj. sum: out-of-pocket payments

                              11,299                      Amount as $$$$$$.CC

PAMTOTH   209 10  MONYFMT                               N Adj. sum: other payments

                              11,299                      Amount as $$$$$$.CC

PAMTPRVE  219 10  MONYFMT                               N Adj. sum: empl.-sponsored ins. payments

                              11,299                      Amount as $$$$$$.CC

PAMTPRVI  229 10  MONYFMT                               N Adj. sum: indiv-purch inspayments

                              11,299                      Amount as $$$$$$.CC

PAMTPRVU  239 10  MONYFMT                               N Adj. sum: unknown priv ins payments

                              11,299                      Amount as $$$$$$.CC

PAMTVA    249 10  MONYFMT                               N Adj. sum: VA payments

                              11,299                      Amount as $$$$$$.CC

PEVENTS   259  4  EVNTNUM                               N Adj. count of events

                              11,299               0-9999 Survey-reported event

SAMTTOT   263 10  MONYFMT                               N Unadj. sum: total payments, all sources

                              11,299                      Amount as $$$$$$.CC

SAMTCAID  273 10  MONYFMT                               N Unadj. sum: Medicaid payments

                              11,299                      Amount as $$$$$$.CC

SAMTCARE  283 10  MONYFMT                               N Unadj. sum: Medicare payments

                              11,299                      Amount as $$$$$$.CC

SAMTDISC  293 10  MONYFMT                               N Unadj. sum: uncollected liability

                              11,299                      Amount as $$$$$$.CC

SAMTHMOM  303 10  MONYFMT                               N Unadj. sum: Medicare HMO payments

                              11,299                      Amount as $$$$$$.CC

SAMTHMOP  313 10  MONYFMT                               N Unadj. sum: private HMO payments

                              11,299                      Amount as $$$$$$.CC

SAMTOOP   323 10  MONYFMT                               N Unadj. sum: out-of-pocket payments

                              11,299                      Amount as $$$$$$.CC

SAMTOTH   333 10  MONYFMT                               N Unadj. sum: other payments

                              11,299                      Amount as $$$$$$.CC

SAMTPRVE  343 10  MONYFMT                               N Unadj. sum: empl.-sponsored ins payments

                              11,299                      Amount as $$$$$$.CC

SAMTPRVI  353 10  MONYFMT                               N Unadj. sum: indiv-purch ins. payments

                              11,299                      Amount as $$$$$$.CC

SAMTPRVU  363 10  MONYFMT                               N Unadj. sum: unknown priv ins. payments

                              11,299                      Amount as $$$$$$.CC

SAMTVA    373 10  MONYFMT                               N Unadj. sum: VA payments

                              11,299                      Amount as $$$$$$.CC

SEVENTS   383  4  EVNTNUM                               N Unadj. count of events

                              11,299               0-9999 Survey-reported event

