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
                              11,299                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                                   0                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version number

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

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,299             LOW-HIGH BASEID Count

D_DOB      12  8                     IN9      RH9       C Date of birth (YYYYMMDD)

ROSTSEX    20  2  SEXFMT             IN11     RH6       N Gender of SP

                               5,142                    1 Male
                               6,157                    2 Female

D_AFEVER   22  2  YES1FMT            EN9      BQ12      N SP ever served in armed forces (AF)?

                                  60                   -8 Don't know
                                   2                   -7 Refused
                               2,413                    1 Yes
                               8,824                    2 No

                  Note: Inapplicable if SP is less than 17 years old (15 for Facility CAPI).

D_AFVIET   24  2  YES1FMT            EN10     BQ12A     N SP served in AF during Vietnam era?

                               8,886                    . Inapplicable
                                  24                   -8 Don't know
                                 862                    1 Yes
                               1,527                    2 No

                  Note: Applies only if D_AFEVER = 1

D_AFKORE   26  2  YES1FMT            EN10     BQ12A     N SP served in AF during Korean conflict?

                               8,886                    . Inapplicable
                                  24                   -8 Don't know
                                 734                    1 Yes
                               1,655                    2 No

                  Note: Applies only if D_AFEVER = 1

D_AFWWII   28  2  YES1FMT            EN10     BQ12A     N SP served in AF during World War II?

                               8,886                    . Inapplicable
                                  24                   -8 Don't know
                                 527                    1 Yes
                               1,862                    2 No

                  Note: Applies only if D_AFEVER = 1

D_AFGULF   30  2  YES1FMT                               N SP served in AF during gulf war?

                               9,020                    . Inapplicable
                                   3                   -8 Don't know
                                  46                    1 Yes
                               2,230                    2 No

                  Note: First available in 2012

D_AFIRAF   32  2  YES1FMT                               N SP served in AF during Iraq/Af conflict?

                               9,020                    . Inapplicable
                                   3                   -8 Don't know
                                  20                    1 Yes
                               2,256                    2 No

                  Note: First available in 2012

D_AFPEAC   34  2  YES1FMT            EN10     BQ12A     N SP served in AF during peace time?

                               8,886                    . Inapplicable
                                  24                   -8 Don't know
                                 553                    1 Yes
                               1,836                    2 No

                  Note: Applies only if D_AFEVER = 1

D_NGEVER   36  2  YES1FMT            EN11     BQ12B     N SP ever active Nat'l Guard/Reserve?

                                  79                   -8 Don't know
                                 777                    1 Yes
                              10,443                    2 No

                  Note: Inapplicable if SP is less than 17 years old (15 for Facility CAPI).

D_NGALL    38  2  YES1FMT            EN12     BQ12C     N All active duty spent in Nat'l Guard?

                              10,522                    . Inapplicable
                                   1                   -8 Don't know
                                 312                    1 Yes
                                 464                    2 No

                  Note: Applies only if D_NGEVER = 1

D_NGDSBL   40  2  YES1FMT            EN13     BQ12D     N Does SP have disability from service?

                               8,778                    . Inapplicable
                                  13                   -8 Don't know
                                 341                    1 Yes
                               2,167                    2 No

                  Note: Applies only if D_AFEVER = 1 or D_NGEVER = 1

D_VARATE   42  3  VADISFMT           EN14     BQ12E     N Current VA disability rating

                              10,958                    . Inapplicable
                                  37                   -8 Don't know
                                   3                   -7 Refused
                                   7                    0 0% Disability Rating
                                  67                 1-10 1% to 10% Disability Rating
                                  30                11-25 11% to 25% Disability Rating
                                  56                26-50 26% to 50% Disability Rating
                                  26                51-75 51% to 75% Disability Rating
                                  14                76-99 76% to 99% Disability Rating
                                 101                  100 100% Disability Rating

                  Note: Applies only if D_NGDSBL = 1.

D_RACE     45  2  RACEFMT            DI1      BQ11A     N Race of SP

                                  52                   -8 Don't know
                                 116                    1 American Indian
                                 201                    2 Asian or Pacific Islander
                               1,228                    3 Black or African American
                               9,275                    4 White
                                 215                    5 More than One
                                 212                   91 Other

                  Note: In 1998, categories changed.  See Notes on Using the Data for details.

D_ETHNIC   47  2  YES1FMT            DI2      BQ10A     N Is SP of Hispanic ancestry?

                                  29                   -8 Don't know
                                  15                   -7 Refused
                               1,061                    1 Yes
                              10,194                    2 No

SPCHNLNM   49  2  CHILDFMT           IN14     BQ18,19   N Number of children living

                                   4                   -9 Not ascertained
                                  83                   -8 Don't know
                                   8                   -7 Refused
                               1,659                    0 No children
                               1,421                    1 One child
                               2,886                    2 Two children
                               2,251                    3 Three children
                               1,311                    4 Four children
                                 716                    5 Five children
                                 960               6-HIGH Six or more children

                  Note: Not asked in facility interviews until 1997.

SPDEGRCV   51  2  DEGREFMT           DI3a     BQ9       N Highest grade SP completed

                                 150                   -8 Don't know
                                  21                   -7 Refused
                                 175                    1 No schooling
                                 990                    2 Nursery to 8th grade
                               1,533                    3 9th to 12th grade, but no diploma
                               3,267                    4 High school graduate
                                 758                    5 Vocational, technical, business, etc.
                               1,797                    6 Some college, but no degree
                                 451                    7 Associate's degree
                               1,212                    8 Bachelor's degree
                                 945                    9 Post graduate degree

                 Notes: 1st asked in new panels in facilities after 96 & all community after 98
                        First available in 1998

SPMARSTA   53  2  MARFMT             IN13     BQ13      N Marital status of SP

                                  24                   -8 Don't know
                                   2                   -7 Refused
                               5,223                    1 Married
                               3,109                    2 Widowed
                               1,454                    3 Divorced
                                 197                    4 Separated
                               1,290                    5 Never married

                  Note: After 1994, marital status was asked annually in the fall round.

INCOME     55  3  INCFMT             DI4,DI5  BQ24-27   N Income range of SP

                                   0                  -25 Less than $25,000
                                 276                    1 $5,000 or Less
                               1,321                    2 $5,001-$10,000
                               1,829                    3 $10,001-$15,000
                               1,246                    4 $15,001-$20,000
                               1,151                    5 $20,001-$25,000
                                 941                    6 $25,001-$30,000
                                 632                    7 $30,001-$35,000
                                 664                    8 $35,001-$40,000
                                 428                    9 $40,001-$45,000
                                 639                   10 $45,001-$50,000
                               2,172                   11 $50,001 or more
                                   0                   25 $25,000 or more

INCOME_C   58  8                     DI4,DI5  BQ24-27   N Actual income of SP

INCOME_H   66  8  INCFMT             DI4,DI5  BQ24-27   N Household income range

                               1,297                    . Missing
                                   0                  -25 Less than $25,000
                               6,373                   -1 Inapplicable
                                   5                    1 $5,000 or Less
                                 156                    2 $5,001-$10,000
                                 357                    3 $10,001-$15,000
                                 381                    4 $15,001-$20,000
                                 439                    5 $20,001-$25,000
                                 283                    6 $25,001-$30,000
                                 306                    7 $30,001-$35,000
                                 230                    8 $35,001-$40,000
                                 222                    9 $40,001-$45,000
                                 168                   10 $45,001-$50,000
                               1,082                   11 $50,001 or more
                                   0                   25 $25,000 or more

                 Notes: Inapplicable if RNONIMP = 3
                        First available in 2001

RACEAS     74  2  IND2FMT            DI2a     BQ11A     N Is SP Asian?

                                  40                   -8 Don't know
                                  27                   -7 Refused
                                 184                    1 Indicated
                              11,048                    2 Not indicated

                  Note: First available in 1998

RACEAA     76  2  IND2FMT            DI2a     BQ11A     N Is SP Black or African-American?

                                  37                   -8 Don't know
                                  27                   -7 Refused
                               1,276                    1 Indicated
                               9,959                    2 Not indicated

                  Note: First available in 1998

RACENH     78  2  IND2FMT            DI2a     BQ11A     N Is SP Native Hawaiian/Pacific Islander?

                                  40                   -8 Don't know
                                  27                   -7 Refused
                                  31                    1 Indicated
                              11,201                    2 Not indicated

                  Note: First available in 1998

RACEWH     80  2  IND2FMT            DI2a     BQ11A     N Is SP Caucasian?

                                  31                   -8 Don't know
                                  27                   -7 Refused
                               9,461                    1 Indicated
                               1,780                    2 Not indicated

                  Note: First available in 1998

RACEAI     82  2  IND2FMT            DI2a     BQ11A     N Is SP American Indian or Alaskan Native?

                                  40                   -8 Don't know
                                  27                   -7 Refused
                                 304                    1 Indicated
                              10,928                    2 Not indicated

                  Note: First available in 1998

RACEOTH    84  2  IND2FMT            DI2a     BQ11A     N Is SP of another race?

                                  39                   -8 Don't know
                                  27                   -7 Refused
                                 222                    1 Indicated
                              11,011                    2 Not indicated

                  Note: First available in 1998

D_DIVCUR   86  2  $CENSUS                               C Census division of SP's residence

                                   0                   UN Unknown
                                   0                   00 Not known
                                 334                   01 New England
                               1,462                   02 Middle Atlantic
                               1,940                   03 East North Central
                                 830                   04 West North Central
                               2,345                   05 South Atlantic
                                 918                   06 East South Central
                               1,146                   07 West South Central
                                 901                   08 Mountain
                               1,217                   09 Pacific
                                 206                   10 Puerto Rico

JOBSTAT    88  2  YES1FMT            EN8a               N Is SP now working at job or business?

                                 612                    . Inapplicable
                                  18                   -8 Don't know
                               1,344                    1 Yes
                               9,325                    2 No

                 Notes: Inapplicable if SP is under 16 years old or was interviewed in facility
                        First available in 1999

