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
                                   0                   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)
                                 739                   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

                                 739                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification

                                 739             LOW-HIGH BASEID Count

SPHEALTH   12  2  GENHFMT                     HA43J     N Description of SPs general health

                                   3                    . Inapplicable
                                   4                   -9 Not ascertained
                                   4                   -8 Don't know
                                  19                    1 Excellent
                                 107                    2 Very good
                                 204                    3 Good
                                 267                    4 Fair
                                 131                    5 Poor

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

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

                                   3                    . Inapplicable
                                   4                   -9 Not ascertained
                                  14                   -8 Don't know
                                  10                    1 Much better
                                  39                    2 Somewhat better
                                 417                    3 About the same
                                 208                    4 Somewhat worse
                                  44                    5 Much worse

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

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

                                   3                    . Inapplicable
                                   4                   -9 Not ascertained
                                   9                   -8 Don't know
                                 370                    1 None of the time
                                 163                    2 Some of the time
                                  92                    3 Most of the time
                                  98                    4 All of the time

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

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

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 409                    1 Yes
                                 325                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   3                    . Inapplicable
                                   5                   -8 Don't know
                                 470                    1 Adequate
                                 131                    2 Impaired
                                  70                    3 Moderately impaired
                                  46                    4 Highly impaired
                                  14                    5 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

CATAROP    22  2  YES1FMT                     HA33E     N SP ever have operation for cataracts?

                                   2                   -9 Not ascertained
                                 125                   -8 Don't know
                                  77                    1 Yes
                                 535                    2 No

                  Note: First available in 1997

HCHEAID    24  2  YES1FMT                     HA17      N SP use hearing aid?

                                   3                    . Inapplicable
                                  35                   -9 Not ascertained
                                   6                   -8 Don't know
                                  81                    1 Yes
                                 614                    2 No

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HCHECOND   26  2  HEARING                     HA16      N Description of hearing

                                   3                    . Inapplicable
                                  35                   -9 Not ascertained
                                   6                   -8 Don't know
                                 472                    1 Hears adequately
                                 128                    2 Hears with minimal difficulty
                                  66                    3 Hears in special situations only
                                  29                    4 Hearing is highly impaired

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 355                    1 Understood
                                 191                    2 Usually understood
                                 111                    3 Sometimes understood
                                  77                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

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

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                 326                    1 Understood
                                 205                    2 Usually understood
                                 137                    3 Sometimes understood
                                  65                    4 Rarely or never understood

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

HEIGHT     32  2  NUM2FMT                     HA38      N Height of SP in inches

                                  41                   -8 Don't know
                                 698                      Number

                  Note: First available in 1997

WEIGHTF    34  4  NUM2FMT                     HA39      N Weight of SP in pounds

                                  26                   -8 Don't know
                                 713                      Number

                  Note: First available in 1997

MAMMOGR    38  2  YES1FMT                     HA43A     N SP had a mammogram in the last year?

                                 282                    . Inapplicable
                                   1                   -9 Not ascertained
                                  50                   -8 Don't know
                                  37                    1 Yes
                                 369                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

PAPSM      40  2  YES1FMT                     HA43B     N SP had a Pap smear in the last year?

                                 282                    . Inapplicable
                                   1                   -9 Not ascertained
                                  48                   -8 Don't know
                                  30                    1 Yes
                                 378                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

HYSTLAST   42  2  YES1FMT                     HA43C     N SP had a hysterectomy in the last year?

                                 342                    . Inapplicable
                                  38                   -8 Don't know
                                  15                    1 Yes
                                 344                    2 No

                 Notes: See Notes on Using Data for skip pattern. See HYSTEREC in Ric 2.
                        First available in 1997

EVERHYST   44  2  YES1FMT                     HA43D     N SP ever had a hysterectomy?

                                 282                    . Inapplicable
                                   4                   -9 Not ascertained
                                 141                   -8 Don't know
                                   3                   -7 Refused
                                  53                    1 Yes
                                 256                    2 No

                 Notes: Inapplicable if SP is male
                        First available in 1997

DRECEXAM   46  2  YES1FMT                     HA43DA    N Digital rectal prostate exam in past yr?

                                 457                    . Inapplicable
                                  62                   -8 Don't know
                                  39                    1 Yes
                                 181                    2 No

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

BLOODSPA   48  2  YES1FMT                     HA43DB    N Prostate cancer blood test in past yr?

                                 457                    . Inapplicable
                                  45                   -8 Don't know
                                  84                    1 Yes
                                 153                    2 No

                 Notes: Inapplicable if SP is female
                        First available in 1999

FLUVACC    50  2  YES2FMT                     HA43DC    N SP had a flu shot in the past year?

                                   5                   -9 Not ascertained
                                  29                   -8 Don't know
                                 623                    1 Yes
                                  82                    2 No

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

PNEUVACC   52  2  YES2FMT                     HA43DD    N Has SP ever had a shot for pneumonia?

                                  60                   -8 Don't know
                                 580                    1 Yes
                                  99                    2 No

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

EVRSMOKE   54  2  YES1FMT                     HA43E     N SP ever smoked cigars/cigarettes/pipe?

                                 147                   -8 Don't know
                                 122                    1 Yes
                                 470                    2 No

                  Note: First available in 1997

NOWSMOKE   56  2  YES1FMT                     HA43F     N Does SP smoke now?

                                 618                    . Inapplicable
                                   3                   -9 Not ascertained
                                   1                   -8 Don't know
                                  53                    1 Yes
                                  64                    2 No

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

IADSTOOP   58  2  DIF1FMT                     HA43G     N Was stooping/kneeling difficult?

                                   3                    . Inapplicable
                                   4                   -8 Don't know
                                  76                    1 No difficulty
                                  57                    2 A little difficulty
                                  75                    3 Some difficulty
                                 108                    4 A lot of difficulty
                                 416                    5 Unable to do it

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

IADLIFT    60  2  DIF1FMT                     HA43G     N Was lifting heavy items difficult?

                                   3                    . Inapplicable
                                   9                   -8 Don't know
                                 104                    1 No difficulty
                                  53                    2 A little difficulty
                                  76                    3 Some difficulty
                                  98                    4 A lot of difficulty
                                 396                    5 Unable to do it

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

IADREACH   62  2  DIF1FMT                     HA43G     N Was reaching/extending arms difficult?

                                   3                    . Inapplicable
                                  17                   -8 Don't know
                                 218                    1 No difficulty
                                 122                    2 A little difficulty
                                 176                    3 Some difficulty
                                  87                    4 A lot of difficulty
                                 116                    5 Unable to do it

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

IADGRASP   64  2  DIF1FMT                     HA43G     N Was writing/grasping difficult?

                                   3                    . Inapplicable
                                  11                   -8 Don't know
                                 259                    1 No difficulty
                                 122                    2 A little difficulty
                                 144                    3 Some difficulty
                                  98                    4 A lot of difficulty
                                 102                    5 Unable to do it

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

IADWALK    66  2  DIF1FMT                     HA43G     N Was walking 1/4 mi or 2-3 blk difficult?

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                  99                    1 No difficulty
                                  39                    2 A little difficulty
                                  42                    3 Some difficulty
                                  58                    4 A lot of difficulty
                                 495                    5 Unable to do it

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

ASHD       68  2  SEL2FMT                     HA28      N SP has arteriosclerotic heart disease

                                   4                   -9 Not ascertained
                                  20                    1 Selected
                                 715                    2 Not Selected

                  Note: First available in 1997

HYPETENS   70  2  SEL2FMT                     HA28      N SP has hypertension

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 415                    1 Selected
                                 318                    2 Not Selected

                  Note: First available in 1997

HYPETHYR   72  2  SEL2FMT                     HA28      N SP has hyperthyroidism

                                   4                   -9 Not ascertained
                                  43                    1 Selected
                                 692                    2 Not Selected

                  Note: First available in 1997

MYOCARD    74  2  YES1FMT                     HA33D     N Did SP have myocardial infarction?

                                   2                   -9 Not ascertained
                                  64                   -8 Don't know
                                  57                    1 Yes
                                 616                    2 No

                  Note: First available in 1997

CARDIOV    76  2  SEL2FMT                     HA28      N SP has cardiovascular disease

                                   4                   -9 Not ascertained
                                  35                    1 Selected
                                 700                    2 Not Selected

                  Note: First available in 1997

CRDVTYPE   78  2  YES1FMT                     HA33C     N SP have angina/coronary heart disease?

                                 701                    . Inapplicable
                                   3                   -8 Don't know
                                  19                    1 Yes
                                  16                    2 No

                  Note: First available in 1997

HRTFAIL    80  2  SEL2FMT                     HA28      N SP has congestive heart failure

                                   4                   -9 Not ascertained
                                  76                    1 Selected
                                 659                    2 Not Selected

                  Note: First available in 1997

STROKE     82  2  SEL2FMT                     HA28      N SP has a stroke

                                   4                   -9 Not ascertained
                                  77                    1 Selected
                                 658                    2 Not Selected

                  Note: First available in 1997

CNRSKIN    84  2  SEL2FMT                     HA33B     N Did SP have skin cancer?

                                 706                    . Missing
                                   1                    1 Selected
                                  32                    2 Not Selected

                  Note: First available in 1997

CANCER     86  2  SEL2FMT                     HA28      N SP has cancer

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  33                    1 Selected
                                 700                    2 Not Selected

                  Note: First available in 1997

CNRLUNG    88  2  SEL2FMT                     HA33B     N Did SP have lung cancer?

                                 706                    . Missing
                                   1                    1 Selected
                                  32                    2 Not Selected

                  Note: First available in 1997

CNRBOWEL   90  2  SEL2FMT                     HA33B     N Did SP have colon/rectum/bowel cancer?

                                 706                    . Missing
                                   2                    1 Selected
                                  31                    2 Not Selected

                  Note: First available in 1997

CNRBREAS   92  2  SEL2FMT                     HA33B     N Did SP have breast cancer?

                                 706                    . Missing
                                  11                    1 Selected
                                  22                    2 Not Selected

                  Note: First available in 1997

CNRUTERU   94  2  SEL2FMT                     HA33B     N Did SP have uterus cancer?

                                 720                    . Missing
                                   2                    1 Selected
                                  17                    2 Not Selected

                  Note: First available in 1997

CNRPROST   96  2  SEL2FMT                     HA33B     N Did SP have prostate cancer?

                                 725                    . Missing
                                  10                    1 Selected
                                   4                    2 Not Selected

                  Note: First available in 1997

CNRBLADD   98  2  SEL2FMT                     HA33B     N Did SP have bladder cancer?

                                 706                    . Missing
                                   0                    1 Selected
                                  33                    2 Not Selected

                  Note: First available in 1997

CNROVARY  100  2  SEL2FMT                     HA33B     N Did SP have ovarian cancer?

                                 720                    . Missing
                                   0                    1 Selected
                                  19                    2 Not Selected

                  Note: First available in 1997

CNRCERVI  102  2  SEL2FMT                     HA33B     N Did SP have cervix cancer?

                                 720                    . Missing
                                   0                    1 Selected
                                  19                    2 Not Selected

                  Note: First available in 1997

CNRSTOMA  104  2  SEL2FMT                     HA33B     N Did SP have stomach cancer?

                                 706                    . Missing
                                   0                    1 Selected
                                  33                    2 Not Selected

                  Note: First available in 1997

CNROTHER  106  2  SEL2FMT                     HA33B     N Did SP have other cancer?

                                 706                    . Missing
                                  12                    1 Selected
                                  21                    2 Not Selected

                  Note: First available in 1997

DIABMEL   108  2  SEL2FMT                     HA28      N SP has diabetes mellitus

                                   4                   -9 Not ascertained
                                 171                    1 Selected
                                 564                    2 Not Selected

                  Note: First available in 1997

ARTHRIT   110  2  SEL2FMT                     HA28      N SP has arthritis

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 113                    1 Selected
                                 620                    2 Not Selected

                  Note: First available in 1997

MENTAL    112  2  YES1FMT                     HA9       N Did SP have any mental illnesses?

                                 412                    . Inapplicable
                                   2                   -8 Don't know
                                  68                    1 Yes
                                 257                    2 No

                  Note: First available in 1997

ALZHMR    114  2  SEL2FMT                     HA28      N SP has Alzheimer's disease

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 133                    1 Selected
                                 600                    2 Not Selected

                  Note: First available in 1997

OSTEOP    116  2  SEL2FMT                     HA28      N SP has osteoporosis

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  84                    1 Selected
                                 649                    2 Not Selected

                  Note: First available in 1997

HIPFRACT  118  2  SEL2FMT                     HA28      N SP has a hip fracture

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  12                    1 Selected
                                 721                    2 Not Selected

                  Note: First available in 1997

PARKNSON  120  2  SEL2FMT                     HA28      N SP has Parkinson's disease

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  34                    1 Selected
                                 699                    2 Not Selected

                  Note: First available in 1997

EMPCOPD   122  2  SEL2FMT                     HA28      N SP has emphysema/COPD

                                   4                   -9 Not ascertained
                                  32                    1 Selected
                                 703                    2 Not Selected

                  Note: First available in 1997

MISSLIMB  124  2  SEL2FMT                     HA28      N SP has a missing limb

                                   4                   -9 Not ascertained
                                   4                    1 Selected
                                 731                    2 Not Selected

                  Note: First available in 1997

DIFUSEPH  126  2  ADL1FMT                     HA43H     N Any difficulty using telephone?

                                   3                    . Inapplicable
                                   9                   -8 Don't know
                                 238                    1 Yes
                                 298                    2 No
                                 191                    3 Doesn't do

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

DIFSHOP   128  2  ADL1FMT                     HA43H     N Any difficulty shopping 4 personal item?

                                   3                    . Inapplicable
                                   5                   -8 Don't know
                                 266                    1 Yes
                                 117                    2 No
                                 348                    3 Doesn't do

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

DIFMONEY  130  2  ADL1FMT                     HA43H     N Any difficulty with managing money?

                                   3                    . Inapplicable
                                  11                   -8 Don't know
                                 258                    1 Yes
                                  79                    2 No
                                 388                    3 Doesn't do

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

REASNOPH  132  2  YES1FMT                     HA43I     N Don't use telephone b/c health problems?

                                 548                    . Inapplicable
                                 160                    1 Yes
                                  31                    2 No

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

REASNOSH  134  2  YES1FMT                     HA43I     N Don't do shopping b/c health problems?

                                 391                    . Inapplicable
                                   1                   -8 Don't know
                                 306                    1 Yes
                                  41                    2 No

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

REASNOMM  136  2  YES1FMT                     HA43I     N Don't manage money b/c health problems?

                                 351                    . Inapplicable
                                   1                   -8 Don't know
                                 351                    1 Yes
                                  36                    2 No

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

PFTRNSFR  138  2  PERFLEV                     HA22      N Level of self perform: transfer

                                   3                    . Inapplicable
                                   2                   -8 Don't know
                                 227                    1 Independent
                                  54                    2 Supervision
                                  92                    3 Limited assistance
                                 212                    4 Extensive assistance
                                 139                    5 Total dependence
                                   8                    6 Activity did not occur
                                   2                    8 Occurred once or twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFLOCOMO  140  2  PERFLEV                     HA22      N Level of self perform: locomot. on unit

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 270                    1 Independent
                                  90                    2 Supervision
                                  91                    3 Limited assistance
                                 124                    4 Extensive assistance
                                 138                    5 Total dependence
                                  18                    6 Activity did not occur
                                   4                    8 Occurred once or twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFDRSSNG  142  2  PERFLEV                     HA22      N Level of self perform: dressing

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 161                    1 Independent
                                  70                    2 Supervision
                                 115                    3 Limited assistance
                                 251                    4 Extensive assistance
                                 134                    5 Total dependence
                                   4                    6 Activity did not occur
                                   0                    8 Occurred once or twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFEATING  144  2  PERFLEV                     HA22      N Level of self perform: eating

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 326                    1 Independent
                                 162                    2 Supervision
                                  99                    3 Limited assistance
                                  71                    4 Extensive assistance
                                  75                    5 Total dependence
                                   1                    6 Activity did not occur
                                   1                    8 Occurred once or twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFTOILET  146  2  PERFLEV                     HA22      N Level of self perform: toilet use

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                 207                    1 Independent
                                  45                    2 Supervision
                                  98                    3 Limited assistance
                                 213                    4 Extensive assistance
                                 166                    5 Total dependence
                                   5                    6 Activity did not occur
                                   1                    8 Occurred once or twice

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

PFBATHNG  148  2  BATHLEV                     HA23      N Level of self perform: bathing

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                  87                    1 Independent
                                  72                    2 Supervision
                                  46                    3 Physical help limited to transfer only
                                 263                    4 Physical help in part of bathing actvty
                                 265                    5 Total dependence
                                   2                    6 Activity did not occur

                 Notes: Inapplicable if COMATOSE = 1
                        First available in 1997

MLCANE    150  2  YES1FMT                     HA24      N Did SP use cane/walker?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  37                    1 Yes
                                  78                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

MLWLPRIM  152  2  YES1FMT                     HA24      N Did SP use wheelchair prim means?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  33                    1 Yes
                                  82                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 2001

MLWHLSLF  154  2  YES1FMT                     HA24      N Did SP wheel her/himself?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  19                    1 Yes
                                  96                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

MLWHLOTH  156  2  YES1FMT                     HA24      N Did someone wheel SP?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  23                    1 Yes
                                  92                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CTBADDC   158  2  CONTLEV                     HA26      N Level of bladder control

                                  13                    . Inapplicable
                                   3                   -8 Don't know
                                 260                    1 Continent
                                  97                    2 Usually continent
                                 114                    3 Occasionally incontinent
                                 153                    4 Frequently incontinent
                                  99                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

ADLIVWIL  160  2  YES1FMT                     HA10      N Did SP have living will?

                                  14                   -8 Don't know
                                 165                    1 Yes
                                 560                    2 No

                  Note: First available in 1997

ADDNRES   162  2  YES1FMT                     HA10      N Did SP have 'Do not resuscitate' order?

                                  14                   -8 Don't know
                                 369                    1 Yes
                                 356                    2 No

                  Note: First available in 1997

ADDNHOSP  164  2  YES1FMT                     HA10      N Did SP have 'Do not hospitalize' order?

                                  14                   -8 Don't know
                                   2                   -1 Inapplicable
                                  30                    1 Yes
                                 693                    2 No

                  Note: First available in 1997

ADOTREST  166  2  YES1FMT                     HA10      N Feeding/Medication/Other restrictions?

                                  14                   -8 Don't know
                                  66                    1 Yes
                                 659                    2 No

                  Note: First available in 1997

COMATOSE  168  2  YES1FMT                     HA11      N Was SP comatose?

                                   1                   -8 Don't know
                                   3                    1 Yes
                                 735                    2 No

                  Note: First available in 1997

CSMEMST   170  2  YES1FMT                     HA12      N SP has problem with short term memory

                                 250                    . Inapplicable
                                   5                   -8 Don't know
                                 268                    1 Yes
                                 216                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSMEMLT   172  2  YES1FMT                     HA13      N SP has pboblem with long term memory

                                 250                    . Inapplicable
                                   6                   -8 Don't know
                                 227                    1 Yes
                                 256                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSCURSEA  174  2  YES1FMT                     HA14      N Was SP able to recall current season?

                                 250                    . Inapplicable
                                   3                   -8 Don't know
                                 274                    1 Yes
                                 212                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSLOCROM  176  2  YES1FMT                     HA14      N Was able to recall location of room?

                                 250                    . Inapplicable
                                   3                   -8 Don't know
                                 343                    1 Yes
                                 143                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSNAMFAC  178  2  YES1FMT                     HA14      N Was able to recall names and faces?

                                 250                    . Inapplicable
                                   3                   -8 Don't know
                                 336                    1 Yes
                                 150                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSINNH    180  2  YES1FMT                     HA14      N SP could recall he/she was in nurs. home

                                 250                    . Inapplicable
                                   3                   -8 Don't know
                                 309                    1 Yes
                                 177                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CSDECIS   182  2  CSDECIS                     HA15      N How skilled was SP in making decisions?

                                 250                    . Inapplicable
                                 118                    1 Independent
                                 110                    2 Modified independence
                                 112                    3 Moderately impaired
                                 149                    4 Severely impaired

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

BSWANDER  184  2  FREQUENT                    HA21      N How often did wandering occur?

                                 622                    . Inapplicable
                                   1                   -8 Don't know
                                 100                    1 Not at all
                                   7                    2 Less than daily
                                   9                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

BSVERBAB  186  2  FREQUENT                    HA21      N Occurrence of verbally abusive behavior?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  94                    1 Not at all
                                  13                    2 Less than daily
                                   8                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

BSPHYSAB  188  2  FREQUENT                    HA21      N Occurrence of phys abusive behavior?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                 103                    1 Not at all
                                  10                    2 Less than daily
                                   2                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

BSDISRPT  190  2  FREQUENT                    HA21      N How often did disruptive behavior occur?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  97                    1 Not at all
                                   9                    2 Less than daily
                                   9                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

BSRESIST  192  2  FREQUENT                    HA21      N How often did SP resist care?

                                 622                    . Inapplicable
                                   2                   -8 Don't know
                                  95                    1 Not at all
                                  10                    2 Less than daily
                                  10                    3 Daily or more frequently

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

CTBOWEC   194  2  CONTLEV                     HA25      N Level of bowel control?

                                  13                    . Inapplicable
                                   2                   -8 Don't know
                                 342                    1 Continent
                                  90                    2 Usually continent
                                  80                    3 Occasionally incontinent
                                 140                    4 Frequently incontinent
                                  72                    5 Incontinent

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWINTOTH  196  2  YES1FMT                     HA27      N At ease interacting with others?

                                 326                    . Inapplicable
                                 286                    1 Yes
                                 127                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWSTRACT  198  2  YES1FMT                     HA27      N At ease doing planned activities?

                                 326                    . Inapplicable
                                 246                    1 Yes
                                 167                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWSLFACT  200  2  YES1FMT                     HA27      N At ease doing self-initiated activities?

                                 326                    . Inapplicable
                                 212                    1 Yes
                                 201                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWGOALS   202  2  YES1FMT                     HA27      N At ease establishing goals?

                                 326                    . Inapplicable
                                 130                    1 Yes
                                 283                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWFACLIF  204  2  YES1FMT                     HA27      N Involved with life at facility?

                                 326                    . Inapplicable
                                 186                    1 Yes
                                 227                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWGRPACT  206  2  YES1FMT                     HA27      N Accepts invitations to group activities?

                                 326                    . Inapplicable
                                 240                    1 Yes
                                 173                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

PWNOFC    208  2  YES1FMT                     HA27      N Absence of contact with family/friends?

                                 326                    . Inapplicable
                                  57                    1 Yes
                                 356                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

ALLERGY   210  2  SEL2FMT                     HA28      N SP has allergies

                                   4                   -9 Not ascertained
                                  44                    1 Selected
                                 691                    2 Not Selected

                  Note: First available in 1997

ANEMIA    212  2  SEL2FMT                     HA28      N SP has anemia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 155                    1 Selected
                                 578                    2 Not Selected

                  Note: First available in 1997

ANXIETY   214  2  SEL2FMT                     HA28      N SP has anxiety disorder

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 157                    1 Selected
                                 576                    2 Not Selected

                  Note: First available in 1997

APHASIA   216  2  SEL2FMT                     HA28      N SP has aphasia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  22                    1 Selected
                                 711                    2 Not Selected

                  Note: First available in 1997

ASTHMA    218  2  SEL2FMT                     HA28      N SP has asthma

                                   4                   -9 Not ascertained
                                  67                    1 Selected
                                 668                    2 Not Selected

                  Note: First available in 1997

CARDDYSR  220  2  SEL2FMT                     HA28      N SP has dysrhythmia

                                   4                   -9 Not ascertained
                                  11                    1 Selected
                                 724                    2 Not Selected

                  Note: First available in 1997

CATARCT   222  2  SEL2FMT                     HA28      N SP has cataracts

                                   4                   -9 Not ascertained
                                  35                    1 Selected
                                 700                    2 Not Selected

                  Note: First available in 1997

CERPALSY  224  2  SEL2FMT                     HA28      N SP has cerebral palsy

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  20                    1 Selected
                                 713                    2 Not Selected

                  Note: First available in 1997

VEINTHR   226  2  SEL2FMT                     HA28      N SP has deep vein thrombosis

                                   4                   -9 Not ascertained
                                  12                    1 Selected
                                 723                    2 Not Selected

                  Note: First available in 1997

DEMENT    228  2  SEL2FMT                     HA28      N SP has dementia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 282                    1 Selected
                                 451                    2 Not Selected

                  Note: First available in 1997

DEPRESS   230  2  SEL2FMT                     HA28      N SP has depression

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                 282                    1 Selected
                                 451                    2 Not Selected

                  Note: First available in 1997

DIABRET   232  2  SEL2FMT                     HA28      N SP has diabetic retinopathy

                                   4                   -9 Not ascertained
                                   4                    1 Selected
                                 731                    2 Not Selected

                  Note: First available in 1997

GLAUCOMA  234  2  SEL2FMT                     HA28      N SP has glaucoma

                                   4                   -9 Not ascertained
                                  29                    1 Selected
                                 706                    2 Not Selected

                  Note: First available in 1997

HEMIPLPA  236  2  SEL2FMT                     HA28      N SP has hemiplegia/hemiparesis

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  36                    1 Selected
                                 697                    2 Not Selected

                  Note: First available in 1997

HYPOTENS  238  2  SEL2FMT                     HA28      N SP has hypotension

                                   4                   -9 Not ascertained
                                  14                    1 Selected
                                 721                    2 Not Selected

                  Note: First available in 1997

HYPOTHYR  240  2  SEL2FMT                     HA28      N SP has hypothyroidism

                                   4                   -9 Not ascertained
                                  61                    1 Selected
                                 674                    2 Not Selected

                  Note: First available in 1997

MACDEGEN  242  2  SEL2FMT                     HA28      N SP has macular degeneration

                                   4                   -9 Not ascertained
                                  20                    1 Selected
                                 715                    2 Not Selected

                  Note: First available in 1997

MANICDEP  244  2  SEL2FMT                     HA28      N SP has manic depression

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  24                    1 Selected
                                 709                    2 Not Selected

                  Note: First available in 1997

SCLEROS   246  2  SEL2FMT                     HA28      N SP has multiple sclerosis

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  10                    1 Selected
                                 723                    2 Not Selected

                  Note: First available in 1997

PARAPLEG  248  2  SEL2FMT                     HA28      N SP has paraplegia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                   6                    1 Selected
                                 727                    2 Not Selected

                  Note: First available in 1997

BONEFRAC  250  2  SEL2FMT                     HA28      N SP has pathological bone fracture

                                   4                   -9 Not ascertained
                                   2                    1 Selected
                                 733                    2 Not Selected

                  Note: First available in 1997

VASCULAR  252  2  SEL2FMT                     HA28      N SP has peripheral vascular disease

                                   4                   -9 Not ascertained
                                  28                    1 Selected
                                 707                    2 Not Selected

                  Note: First available in 1997

QUADPLEG  254  2  SEL2FMT                     HA28      N SP has quadriplegia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  10                    1 Selected
                                 723                    2 Not Selected

                  Note: First available in 1997

RENTFAIL  256  2  SEL2FMT                     HA28      N SP has renal failure

                                 320                    . Missing
                                  18                    1 Selected
                                 401                    2 Not Selected

                  Note: First available in 1997

SCHIZOPH  258  2  SEL2FMT                     HA28      N SP has schizophrenia

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                  45                    1 Selected
                                 688                    2 Not Selected

                  Note: First available in 1997

SEIZURE   260  2  SEL2FMT                     HA28      N SP has a seizure disorder

                                   4                   -9 Not ascertained
                                  74                    1 Selected
                                 661                    2 Not Selected

                  Note: First available in 1997

TIA       262  2  SEL2FMT                     HA28      N SP has Transient Ischemic Attack (TIA)

                                 320                    . Missing
                                   9                    1 Selected
                                 410                    2 Not Selected

                  Note: First available in 1997

BRAININJ  264  2  SEL2FMT                     HA28      N SP has traumatic brain injury

                                   2                   -9 Not ascertained
                                   4                   -8 Don't know
                                   8                    1 Selected
                                 725                    2 Not Selected

                  Note: First available in 1997

INFMRSA   266  2  SEL2FMT                     HA29      N SP have antibiotic resistant infection

                                   4                   -9 Not ascertained
                                   3                    1 Selected
                                 732                    2 Not Selected

                  Note: First available in 1997

INFCDIFF  268  2  SEL2FMT                     HA29      N SP has clostridium difficile

                                   4                   -9 Not ascertained
                                   1                    1 Selected
                                 734                    2 Not Selected

                  Note: First available in 1997

INFCONJ   270  2  SEL2FMT                     HA29      N SP has conjunctivitis

                                   4                   -9 Not ascertained
                                   1                    1 Selected
                                 734                    2 Not Selected

                  Note: First available in 1997

INFHIV    272  2  SEL2FMT                     HA29      N SP has HIV

                                   4                   -9 Not ascertained
                                   1                    1 Selected
                                 734                    2 Not Selected

                  Note: First available in 1997

INFPNEU   274  2  SEL2FMT                     HA29      N SP has pneumonia

                                   2                   -9 Not ascertained
                                  17                    1 Selected
                                 720                    2 Not Selected

                  Note: First available in 1997

INFRESP   276  2  SEL2FMT                     HA29      N SP has respiratory infection

                                   4                   -9 Not ascertained
                                   5                    1 Selected
                                 730                    2 Not Selected

                  Note: First available in 1997

INFSEPT   278  2  SEL2FMT                     HA29      N SP has septicemia

                                   2                   -9 Not ascertained
                                   5                    1 Selected
                                 732                    2 Not Selected

                  Note: First available in 1997

INFSEXTR  280  2  SEL2FMT                     HA29      N SP has sexually transmitted disease

                                   4                   -9 Not ascertained
                                   0                    1 Selected
                                 735                    2 Not Selected

                  Note: First available in 1997

INFTBRC   282  2  SEL2FMT                     HA29      N SP has tuberculosis

                                   2                   -9 Not ascertained
                                   1                    1 Selected
                                 736                    2 Not Selected

                  Note: First available in 1997

INFURNRY  284  2  SEL2FMT                     HA29      N SP has urinary tract infection

                                   2                   -9 Not ascertained
                                  57                    1 Selected
                                 680                    2 Not Selected

                  Note: First available in 1997

INFHPPTS  286  2  SEL2FMT                     HA29      N SP has viral hepatitis

                                   2                   -9 Not ascertained
                                   3                    1 Selected
                                 734                    2 Not Selected

                  Note: First available in 1997

INFWOUND  288  2  SEL2FMT                     HA29      N SP has wound infection

                                   4                   -9 Not ascertained
                                  11                    1 Selected
                                 724                    2 Not Selected

                  Note: First available in 1997

@290        .  .

DEHYD     292  2  YES1FMT                     HA34      N Did SP experience dehydration?

                                   3                    . Inapplicable
                                   1                   -8 Don't know
                                  15                    1 Yes
                                 720                    2 No

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

DELUS     294  2  YES1FMT                     HA35      N Did SP experience delusions?

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                  55                    1 Yes
                                 678                    2 No

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

HALLUC    296  2  YES1FMT                     HA36      N Did SP experience hallucinations?

                                   3                    . Inapplicable
                                   3                   -8 Don't know
                                  37                    1 Yes
                                 696                    2 No

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

ONCHEW    298  2  YES1FMT                     HA37      N Did SP experience chewing problems?

                                 326                    . Inapplicable
                                  14                   -8 Don't know
                                  28                    1 Yes
                                 371                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

ONSWALL   300  2  YES1FMT                     HA37      N Did SP experience swallowing problems?

                                 326                    . Inapplicable
                                  14                   -8 Don't know
                                  39                    1 Yes
                                 360                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

ONMOUTHP  302  2  YES1FMT                     HA37      N Did SP experience any mouth pain?

                                 326                    . Inapplicable
                                  14                   -8 Don't know
                                   7                    1 Yes
                                 392                    2 No

                 Notes: Inapplicable if COMATOSE = 1 or MDS 3.0 used.
                        First available in 1997

DHDEBRIS  304  2  YES1FMT                     HA40      N Did SP have debris in mouth?

                                 322                    . Inapplicable
                                  23                   -8 Don't know
                                   3                    1 Yes
                                 391                    2 No

                 Notes: Inapplicable if MDS 3.0 used.
                        First available in 1997

DHBRIDGE  306  2  YES1FMT                     HA40      N Did SP have removable bridges?

                                 322                    . Inapplicable
                                  23                   -8 Don't know
                                  91                    1 Yes
                                 303                    2 No

                 Notes: Inapplicable if MDS 3.0 used.
                        First available in 1997

DHTEELOS  308  2  YES1FMT                     HA40      N Did SP have any natural teeth lost?

                                 322                    . Inapplicable
                                  23                   -8 Don't know
                                  82                    1 Yes
                                 312                    2 No

                 Notes: Inapplicable if MDS 3.0 used.
                        First available in 1997

DHBROKEN  310  2  YES1FMT                     HA40      N Did SP have any broken/loose teeth?

                                 322                    . Inapplicable
                                  23                   -8 Don't know
                                  17                    1 Yes
                                 377                    2 No

                 Notes: Inapplicable if MDS 3.0 used.
                        First available in 1997

DHINFGUM  312  2  YES1FMT                     HA40      N Did SP have any gum infection?

                                 322                    . Inapplicable
                                  23                   -8 Don't know
                                   9                    1 Yes
                                 385                    2 No

                 Notes: Inapplicable if MDS 3.0 used.
                        First available in 1997

MENTCON   314  2  YES1FMT                     HA12AAB   N Intrerview for Mental Status (BIMS)

                                 120                    . Inapplicable
                                   6                   -8 Don't know
                                 247                    1 Yes
                                 366                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

MENTSUM   316  2  BIMSFMT                     HA12AA    N Score from BIMS

                                 492                    . Inapplicable
                                   3                   -8 Don't Know
                                  89                  0-7 Severe Impairment
                                  64                 8-12 Moderately Impaired
                                  69                13-15 Cognitively Intact
                                  22                   99 Did not complete eval

                 Notes: Inapplicable if MENTCON NE 1 or MDS 2.0 used.
                        First available in 2011

BSAYSOT   318  2  BEHAVFMT                    HA21B     N How often phys behave symptoms occur?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                 551                    0 Not Exhibited
                                  44                    1 1-3 days per week
                                  13                    2 4-6 days per week
                                  10                    3 Daily

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

BSVERBOT  320  2  BEHAVFMT                    HA21B     N How often verbal behave symptoms occur?

                                 120                    . Inapplicable
                                 515                    0 Not Exhibited
                                  51                    1 1-3 days per week
                                  32                    2 4-6 days per week
                                  21                    3 Daily

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

BSNOTOT   322  2  BEHAVFMT                    HA21B     N How often other behave symptoms occur?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                 543                    0 Not Exhibited
                                  35                    1 1-3 days per week
                                  21                    2 4-6 days per week
                                  19                    3 Daily

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

BSELFILL  324  2  YES1FMT                     HA21AB    N Behavior at risk for injury?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  20                    1 Yes
                                 123                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSELFCAR  326  2  YES1FMT                     HA21AB    N Behavior interfere with care?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  25                    1 Yes
                                 118                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSELFACT  328  2  YES1FMT                     HA21AB    N Behavior interfere with activities?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  51                    1 Yes
                                  92                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSOTHILL  330  2  YES1FMT                     HA21CB    N Behavior put others at risk of injury?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  17                    1 Yes
                                 126                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSOTHACT  332  2  YES1FMT                     HA21BB    N Behavior intrude on priv/act of others?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  37                    1 Yes
                                 106                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSOTHENV  334  2  YES1FMT                     HA21BB    N Behavior disrupt care/living envir.?

                                 594                    . Inapplicable
                                   2                   -8 Don't know
                                  41                    1 Yes
                                 102                    2 No

                 Notes: Inapplicable if BSAYSOT,BSVERBOT,or BNNOTOT=0 or MDS 2.0 used.
                        First available in 2011

BSNOEVAL  336  2  BEHAVFMT                    HA21CB    N How often SP reject evaluation?

                                 120                    . Inapplicable
                                 520                    0 Not Exhibited
                                  63                    1 1-3 days per week
                                  20                    2 4-6 days per week
                                  16                    3 Daily

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

BSOFTWAN  338  2  BEHAVFMT                    HA21DB    N How often wander?

                                 120                    . Inapplicable
                                 568                    0 Not Exhibited
                                  20                    1 1-3 days per week
                                   7                    2 4-6 days per week
                                  24                    3 Daily

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

BSWDANGR  340  2  YES1FMT                     HA21EB    N Did wandering put SP at risk of danger?

                                 688                    . Inapplicable
                                   1                   -8 Don't know
                                   7                    1 Yes
                                  43                    2 No

                 Notes: Inapplicable if BSOFTWAN NE 1,2,3 ir MDS 2.0 used.
                        First available in 2011

BSWOTACT  342  2  YES1FMT                     HA21EB    N Did wandering intrude on privacy?

                                 688                    . Inapplicable
                                   1                   -8 Don't know
                                  18                    1 Yes
                                  32                    2 No

                 Notes: Inapplicable if BSOFTWAN NE 1,2,3 ir MDS 2.0 used.
                        First available in 2011

MOLCANE   344  2  YES1FMT                     HA24B     N Did SP use cane?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                  21                    1 Yes
                                 597                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

MOLWLKR   346  2  YES1FMT                     HA24B     N Did SP use walker?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                 170                    1 Yes
                                 448                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

MOLWCHR   348  2  YES1FMT                     HA24B     N Did SP use wheelchair?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                 378                    1 Yes
                                 240                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

MOLPROS   350  2  YES1FMT                     HA24B     N Did SP use Limb Prosthesis?

                                 120                    . Inapplicable
                                   1                   -8 Don't know
                                   2                    1 Yes
                                 616                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOLOSS    352  2  YES1FMT                     HAS37AB   N Experience loss from mouth solid/liquid

                                  59                    . Inapplicable
                                  11                    1 Yes
                                 669                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOHOLD    354  2  YES1FMT                     HAS37AB   N Experience prob holding food in mouth?

                                  59                    . Inapplicable
                                  12                    1 Yes
                                 668                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOCOUGH   356  2  YES1FMT                     HAS37AB   N Experience prob coughing during meals?

                                  59                    . Inapplicable
                                  39                    1 Yes
                                 641                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOPAIN    358  2  YES1FMT                     HAS37AB   N Experience pain/difficulity swallowing?

                                  59                    . Inapplicable
                                  26                    1 Yes
                                 654                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SODENT    360  2  YES1FMT                     HAS37BB   N Experience problem with dentures?

                                  59                    . Inapplicable
                                  30                    1 Yes
                                 650                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOTEETH   362  2  YES1FMT                     HAS37BB   N No natural teeth or fragments?

                                  59                    . Inapplicable
                                  52                    1 Yes
                                 628                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOCAVITY  364  2  YES1FMT                     HAS37BB   N Obvious cavity or broken teeth?

                                  59                    . Inapplicable
                                  28                    1 Yes
                                 652                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOGUMS    366  2  YES1FMT                     HAS37BB   N Inflamed gums or loose teeth?

                                  59                    . Inapplicable
                                  15                    1 Yes
                                 665                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SOCHEW    368  2  YES1FMT                     HAS37BB   N Mouth pain/problem with chewing?

                                  59                    . Inapplicable
                                  11                    1 Yes
                                 669                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

SONOEXAM  370  2  YES1FMT                     HAS37BB   N Unable to examine

                                  59                    . Inapplicable
                                   6                    1 Yes
                                 674                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

CTBOWEL   372  2  CONT2LEV                    HAS25B    N Level of SP's bowel control?

                                 119                    . Inapplicable
                                   1                   -8 Don't know
                                 265                    1 Always continent
                                  98                    2 Occasionally incontinent
                                  79                    3 Frequently incontinent
                                 170                    4 Always incontinent
                                   7                    5 Not rated

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

CTBLADD   374  2  CONT2LEV                    HAS25B    N Level of SP's bladder control?

                                 119                    . Inapplicable
                                   1                   -8 Don't know
                                 193                    1 Always continent
                                 110                    2 Occasionally incontinent
                                 114                    3 Frequently incontinent
                                 177                    4 Always incontinent
                                  25                    5 Not rated

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

RENESRD   376  2  YES1FMT                               N SP has renal failure/ESRD

                                 407                    . Inapplicable
                                  20                    1 Yes
                                 312                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

TOURETTE  378  2  YES1FMT                               N SP has Tourette's Syndrome

                                  86                    . Inapplicable
                                   4                   -8 Don't know
                                   1                    1 Yes
                                 648                    2 No

                 Notes: Inapplicable if MDS 2.0 used.
                        First available in 2011

ALCOH     380  2  YES1FMT                     HA31, 33  N SP has alcohol dependency

                                 190                    . Inapplicable
                                   5                    1 Yes
                                 544                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

BREAST    382  2  YES1FMT                     HA31, 33  N SP has breast disorders

                                 397                    . Inapplicable
                                   3                    1 Yes
                                 339                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

CERDEG    384  2  YES1FMT                     HA31, 33  N SP has cerebral degeneration

                                 190                    . Inapplicable
                                   0                    1 Yes
                                 549                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

CONST     386  2  YES1FMT                     HA31, 33  N SP has constipation

                                 190                    . Inapplicable
                                  53                    1 Yes
                                 496                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

DEGJNT    388  2  YES1FMT                     HA31, 33  N SP has Degenerative joint disease

                                 190                    . Inapplicable
                                   8                    1 Yes
                                 541                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 2000

HERNIA    390  2  YES1FMT                     HA31, 33  N SP has hernia

                                 190                    . Inapplicable
                                   5                    1 Yes
                                 544                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

DIVCOL    392  2  YES1FMT                     HA31, 33  N SP has diverticula of colon

                                 190                    . Inapplicable
                                   6                    1 Yes
                                 543                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

DYSPHA    394  2  YES1FMT                     HA31, 33  N SP has dysphagia

                                 190                    . Inapplicable
                                  56                    1 Yes
                                 493                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 2000

EDEMA     396  2  YES1FMT                     HA31, 33  N SP has edema

                                 190                    . Inapplicable
                                  22                    1 Yes
                                 527                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 2000

EPILEP    398  2  YES1FMT                     HA31, 33  N SP has epilepsy

                                 304                    . Inapplicable
                                   6                    1 Yes
                                 429                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

GASTR     400  2  YES1FMT                     HA31, 33  N SP has gastritis/duodenitis

                                 190                    . Inapplicable
                                   7                    1 Yes
                                 542                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

GASTRO    402  2  YES1FMT                     HA31, 33  N SP has gastroenteritis, noninfect

                                 190                    . Inapplicable
                                   6                    1 Yes
                                 543                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

GHEMOR    404  2  YES1FMT                     HA31, 33  N SP has gastrointestinal hemmorhage

                                 190                    . Inapplicable
                                   3                    1 Yes
                                 546                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

HYPER     406  2  YES1FMT                     HA31, 33  N SP has hyperplasia of prostate

                                 190                    . Inapplicable
                                   4                    1 Yes
                                 545                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

HYPOP     408  2  YES1FMT                     HA31, 33  N SP has hypopotassemia/hypokalemia

                                 190                    . Inapplicable
                                   8                    1 Yes
                                 541                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

OSARTH    410  2  YES1FMT                     HA31, 33  N SP has osteoarthritis

                                 189                    . Inapplicable
                                  42                    1 Yes
                                 508                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 2000

PEPULC    412  2  YES1FMT                     HA31, 33  N SP has peptic ulcer

                                 304                    . Inapplicable
                                   0                    1 Yes
                                 435                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

RENTUR    414  2  YES1FMT                     HA31, 33  N SP has renal ureteral disorder

                                 190                    . Inapplicable
                                   8                    1 Yes
                                 541                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

SCOLIO    416  2  YES1FMT                     HA31, 33  N SP has scoliosis

                                 190                    . Inapplicable
                                  11                    1 Yes
                                 538                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

LEGULC    418  2  YES1FMT                     HA31, 33  N SP has ulcer of leg, chronic

                                 190                    . Inapplicable
                                   2                    1 Yes
                                 547                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

AGITAT    420  2  YES1FMT                               N SP has agitation

                                 190                    . Inapplicable
                                  18                    1 Yes
                                 531                    2 No

ANOREX    422  2  YES1FMT                               N SP has anorexia

                                 190                    . Inapplicable
                                   2                    1 Yes
                                 547                    2 No

AOSTEN    424  2  YES1FMT                               N SP has aortic stenosis

                                 190                    . Inapplicable
                                   5                    1 Yes
                                 544                    2 No

APSYCH    426  2  YES1FMT                               N SP has atypical psychosis

                                 190                    . Inapplicable
                                   3                    1 Yes
                                 546                    2 No

ATAXIA    428  2  YES1FMT                               N SP has ataxia

                                 190                    . Inapplicable
                                   5                    1 Yes
                                 544                    2 No

BLIND     430  2  YES1FMT                               N SP has blindness

                                 190                    . Inapplicable
                                   9                    1 Yes
                                 540                    2 No

BRAINS    432  2  YES1FMT                     HA31, 33  N SP has nonpsychotic brain syndrome

                                 190                    . Inapplicable
                                   1                    1 Yes
                                 548                    2 No

                 Notes: Answers sought from MDS and medical records.
                        First available in 1997

CLINOB    434  2  YES1FMT                               N SP has clinical obesity

                                 190                    . Inapplicable
                                  13                    1 Yes
                                 536                    2 No

DOWNS     436  2  YES1FMT                               N SP has Down's Syndrome

                                 190                    . Inapplicable
                                  10                    1 Yes
                                 539                    2 No

GOUT      438  2  YES1FMT                               N SP has gout

                                 190                    . Inapplicable
                                  20                    1 Yes
                                 529                    2 No

HESOPH    440  2  YES1FMT                               N SP has hemorrhage of esophagus

                                 190                    . Inapplicable
                                   0                    1 Yes
                                 549                    2 No

INSOM     442  2  YES1FMT                               N SP has insomnia

                                 190                    . Inapplicable
                                  20                    1 Yes
                                 529                    2 No

KYPHO     444  2  YES1FMT                               N SP has kyphosis

                                 190                    . Inapplicable
                                   2                    1 Yes
                                 547                    2 No

ORGBRN    446  2  YES1FMT                               N SP has organic brain syndrome

                                 190                    . Inapplicable
                                   3                    1 Yes
                                 546                    2 No

SPSTEN    448  2  YES1FMT                               N SP has spinal stenosis

                                 190                    . Inapplicable
                                  15                    1 Yes
                                 534                    2 No

URIRET    450  2  YES1FMT                               N SP has urinary retention

                                 190                    . Inapplicable
                                   6                    1 Yes
                                 543                    2 No

VERTI     452  2  YES1FMT                               N SP has vertigo

                                 190                    . Inapplicable
                                   5                    1 Yes
                                 544                    2 No

CATGLAUC  454  2  YES1FMT                               N SP has cataracts/glaucoma/macular degen

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  46                    1 Yes
                                 572                    2 No

CIRROSIS  456  2  YES1FMT                               N SP has cirrhosis

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   6                    1 Yes
                                 612                    2 No

COLCROHN  458  2  YES1FMT                               N SP has ulcerative colitis/Crohn's/inflam

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   5                    1 Yes
                                 613                    2 No

CORARTDS  460  2  YES1FMT                               N SP has coronary artery disease

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  62                    1 Yes
                                 556                    2 No

CVATIAST  462  2  YES1FMT                               N SP has CVA/TIA/stroke

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  93                    1 Yes
                                 525                    2 No

DIABMRN   464  2  YES1FMT                               N SP has diabetes(retin/nephr/neurop)

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                 152                    1 Yes
                                 466                    2 No

DVTPEPTE  466  2  YES1FMT                               N SP has DVT/PE/PTE

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  12                    1 Yes
                                 606                    2 No

GERDULC   468  2  YES1FMT                               N SP has gerd or ulcer

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                 121                    1 Yes
                                 497                    2 No

HARTFAIL  470  2  YES1FMT                               N SP had heart fail(CFH/Pulmonary Edema)

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  74                    1 Yes
                                 544                    2 No

HUNTDIS   472  2  YES1FMT                               N SP has Huntington's Disease

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   1                    1 Yes
                                 617                    2 No

HYPERKAL  474  2  YES1FMT                               N SP has Hyperkalemia

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  16                    1 Yes
                                 602                    2 No

HYPONMIA  476  2  YES1FMT                               N SP has Hyponatremia

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   6                    1 Yes
                                 612                    2 No

HYPRLIPI  478  2  YES1FMT                               N SP has Hyperlipidemia

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                 147                    1 Yes
                                 471                    2 No

INFMDRO   480  2  YES1FMT                               N SP has Multi-Drug Resistant Organism

                                 117                    . Inapplicable
                                   3                    1 Yes
                                 619                    2 No

INFWND    482  2  YES1FMT                               N SP has wound infection other than foot

                                 117                    . Inapplicable
                                   8                    1 Yes
                                 614                    2 No

MALNUTRI  484  2  YES1FMT                               N SP has malnutrition or at risk for it

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   4                    1 Yes
                                 614                    2 No

NUROBLAD  486  2  YES1FMT                               N SP has Neurogenic Bladder

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  15                    1 Yes
                                 603                    2 No

OBURPATH  488  2  YES1FMT                               N SP has Obstructive Uropathy

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   3                    1 Yes
                                 615                    2 No

ORTHHYPO  490  2  YES1FMT                               N SP has Orthostatic Hypotension

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   3                    1 Yes
                                 615                    2 No

OTHFRACT  492  2  YES1FMT                               N SP has other fracture

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   7                    1 Yes
                                 611                    2 No

PSYCOTIC  494  2  YES1FMT                               N SP has Psychotic Dis. not Schizo

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  50                    1 Yes
                                 568                    2 No

PTSD      496  2  YES1FMT                               N SP has Post Traumatic Stress Disorder

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   5                    1 Yes
                                 613                    2 No

PVDPAD    498  2  YES1FMT                               N SP has PVD or PAD

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  37                    1 Yes
                                 581                    2 No

RENLESRD  500  2  YES1FMT                               N SP has Renal insufficiency/failure/ESRD

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  36                    1 Yes
                                 582                    2 No

RESPFAIL  502  2  YES1FMT                               N SP has Respiratory Failure

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                   5                    1 Yes
                                 613                    2 No

SEIZEPIL  504  2  YES1FMT                               N SP has Sseizure Ddisorder/Epilepsy

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  62                    1 Yes
                                 556                    2 No

THYROID   506  2  YES1FMT                               N SP has Thyroid Disorder

                                 117                    . Inapplicable
                                   4                   -8 Don't know
                                  73                    1 Yes
                                 545                    2 No

