RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                    H HMO Supplement
                                   0                    K Key Record
                                   0                    N Non-Respondent
                                   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                    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
                              14,874                    8 Interview Description

VERSION     3  1  $VERSION                              C Version Number

                              14,874                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              14,874             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              13,924                    C Community
                                 950                    F Facility

INT_DATE   13  8                                        N Interview Date (YYYYMMDD)

LANG       28  2  $LANGFMT           CL26               C Language of interview

                                 950                   -1 Inapplicable
                              13,298                    E English
                                 626                    S Spanish
                                   0                   91 Other

                 Notes: Applies only to Community interviews
                        First available in 1992

PROXY      30  2  PROXFMT            IN4                N Self - respondent or proxy

                                 950                   -1 Inapplicable
                              12,407                    1 SP responded
                               1,517                    2 Proxy responded

                  Note: Applies only to Community interviews

D_PROXRL   32  2  RELFMT             IN4a               N Proxy's relationship to SP

                              13,357                    . Inapplicable
                                   0                   -5 Never ask again
                                   0                    1 Sample person
                                 482                    2 Spouse
                                 119                    3 Son
                                 341                    4 Daughter
                                  13                    5 Brother
                                  57                    6 Sister
                                  54                    7 Father
                                 233                    8 Mother
                                   6                    9 Son-in-law
                                  29                   10 Daughter-in-law
                                   8                   11 Grandson
                                  32                   12 Granddaughter
                                   5                   13 Nephew
                                  11                   14 Niece
                                  14                   50 Partner/roommate
                                  22                   51 Friend/neighbor
                                   0                   52 Boarder
                                   7                   53 Nurse/nurses aide
                                   3                   54 Legal/financial officer
                                   5                   55 Guardian
                                   1                   56 Partner
                                   0                   57 Roommate
                                  28                   91 Other relative
                                  47                   92 Other non-relative

                  Note: Applies only to Community interviews with proxies. 56/57 new in ATC13.

PNSPDED    34  2  IND1FMT            IN6a               N Proxy necessary - SP deceased

                              13,357                    . Inapplicable
                                   0                    1 Indicated
                               1,517                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1992

PNSPINH    36  2  IND1FMT            IN6a               N Proxy necessary - SP in hospital

                              13,357                    . Inapplicable
                                  10                    1 Indicated
                               1,507                    2 Not indicated

                  Note: Applies only to Community interviews with proxies

PNSPINS    38  2  IND1FMT            IN6a               N Proxy necessary - SP institutionalized

                              13,357                    . Inapplicable
                                   0                    1 Indicated
                               1,517                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1992

PNSPLAN    40  2  IND1FMT            IN6a               N Proxy necessary - language problem

                              13,357                    . Inapplicable
                                 134                    1 Indicated
                               1,383                    2 Not indicated

                  Note: Applies only to Community interviews with proxies

PNSPNAM    42  2  IND1FMT            IN6a               N Proxy necessary - SP not able mentally

                              13,357                    . Inapplicable
                                 705                    1 Indicated
                                 812                    2 Not indicated

                  Note: Applies only to Community interviews with proxies

PNSPNAP    44  2  IND1FMT            IN6a               N Proxy needed - SP not capable physically

                              13,357                    . Inapplicable
                                 416                    1 Indicated
                               1,101                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1995

PNSPNOK    46  2  IND1FMT            IN6a               N Proxy needed - didn't keep med records

                              13,357                    . Inapplicable
                                 620                    1 Indicated
                                 897                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1995

PNSPOTH    48  2  IND1FMT            IN6a               N Proxy necessary - other reason

                              13,357                    . Inapplicable
                                  16                    1 Indicated
                               1,501                    2 Not indicated

                  Note: Applies only to Community interviews with proxies

PNSPPAP    50  2  IND1FMT            IN6a               N Proxy needed - SP prefers proxy answer

                              13,357                    . Inapplicable
                                  56                    1 Indicated
                               1,461                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1995

PNSPUNA    52  2  IND1FMT            IN6a               N Proxy necessary - SP unavailable

                              13,357                    . Inapplicable
                                 191                    1 Indicated
                               1,326                    2 Not indicated

                 Notes: Applies only to Community interviews with proxies
                        First available in 1992

RRECHELP   54  2  YES4FMT            IR3                N Did respondent receive help answering?

                                 359                    . Missing
                                 950                   -1 Inapplicable
                               2,236                    1 Yes
                              11,329                    2 No

                  Note: Optional interviewer data applicable to community interviews

D_IHLPRL   56  2  RELFMT             IR3                N Helper's relationship to SP

                              12,638                    . Inapplicable
                                   1                   -8 Don't know
                                   0                   -5 Never ask again
                                   0                    1 Sample person
                               1,405                    2 Spouse
                                  93                    3 Son
                                 225                    4 Daughter
                                   9                    5 Brother
                                  34                    6 Sister
                                  12                    7 Father
                                  82                    8 Mother
                                   6                    9 Son-in-law
                                  15                   10 Daughter-in-law
                                   6                   11 Grandson
                                   9                   12 Granddaughter
                                   5                   13 Nephew
                                  15                   14 Niece
                                  57                   50 Partner/roommate
                                  51                   51 Friend/neighbor
                                   1                   52 Boarder
                                  11                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   2                   55 Guardian
                                   2                   56 Partner
                                   0                   57 Roommate
                                  12                   91 Other relative
                                 183                   92 Other non-relative

                  Note: Applies only if RRECHELP = 1

RINFOSAT   58  2  YES4FMT            IR5                N Info provided by respondent satisfactory

                                 359                    . Missing
                                 950                   -1 Inapplicable
                              13,463                    1 Yes
                                 102                    2 No

                  Note: Optional interviewer data applicable to community interviews

