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
                              11,049                    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

                              11,049                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,049             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

                               5,047                    1 Male
                               6,002                    2 Female

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

                                   1                   -9 Not ascertained
                                  64                   -8 Don't know
                                   2                   -7 Refused
                               2,375                    1 Yes
                               8,607                    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?

                               8,674                    . Inapplicable
                                  21                   -8 Don't know
                                 918                    1 Yes
                               1,436                    2 No

                  Note: Applies only if D_AFEVER = 1

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

                               8,674                    . Inapplicable
                                  21                   -8 Don't know
                                 710                    1 Yes
                               1,644                    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?

                               8,674                    . Inapplicable
                                  21                   -8 Don't know
                                 435                    1 Yes
                               1,919                    2 No

                  Note: Applies only if D_AFEVER = 1

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

                               8,715                    . Inapplicable
                                   8                   -8 Don't know
                                  63                    1 Yes
                               2,263                    2 No

                  Note: First available in 2012

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

                               8,715                    . Inapplicable
                                   8                   -8 Don't know
                                  25                    1 Yes
                               2,301                    2 No

                  Note: First available in 2012

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

                               8,674                    . Inapplicable
                                  21                   -8 Don't know
                                 558                    1 Yes
                               1,796                    2 No

                  Note: Applies only if D_AFEVER = 1

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

                                   1                   -9 Not ascertained
                                  87                   -8 Don't know
                                   2                   -7 Refused
                                 779                    1 Yes
                              10,180                    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?

                              10,270                    . Inapplicable
                                   2                   -8 Don't know
                                 323                    1 Yes
                                 454                    2 No

                  Note: Applies only if D_NGEVER = 1

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

                               8,569                    . Inapplicable
                                   2                   -9 Not ascertained
                                  21                   -8 Don't know
                                 369                    1 Yes
                               2,088                    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

                              10,680                    . Inapplicable
                                  39                   -8 Don't know
                                   3                   -7 Refused
                                  16                    0 0% Disability Rating
                                  72                 1-10 1% to 10% Disability Rating
                                  37                11-25 11% to 25% Disability Rating
                                  62                26-50 26% to 50% Disability Rating
                                  36                51-75 51% to 75% Disability Rating
                                  17                76-99 76% to 99% Disability Rating
                                  87                  100 100% Disability Rating

                  Note: Applies only if D_NGDSBL = 1.

D_RACE     45  2  RACEFMT            DI1      BQ11A     N Race of SP

                                  51                   -8 Don't know
                                 127                    1 American Indian
                                 199                    2 Asian or Pacific Islander
                               1,242                    3 Black or African American
                               8,979                    4 White
                                 252                    5 More than One
                                 199                   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?

                                  33                   -8 Don't know
                                  18                   -7 Refused
                               1,059                    1 Yes
                               9,939                    2 No

HISPORMA   49  2  YES1FMT                               N SP  is Mexican/Mex American/Chicano

                              10,976                    . Inapplicable
                                  25                    1 Yes
                                  48                    2 No

                  Note: First available in 2013

HISPORPR   51  2  YES1FMT                               N SP is Puerto Rican

                              10,976                    . Inapplicable
                                  26                    1 Yes
                                  47                    2 No

                  Note: First available in 2013

HISPORCU   53  2  YES1FMT                               N SP is Cuban

                              10,976                    . Inapplicable
                                   5                    1 Yes
                                  68                    2 No

                  Note: First available in 2013

HISPOROT   55  2  YES1FMT                               N SP is Other Hispanic/Latino/Spanish Orig

                              10,976                    . Inapplicable
                                  20                    1 Yes
                                  53                    2 No

                  Note: First available in 2013

HISPDTOS   57 30                                        C SP is Other Hisp. Origin (Verbatim)

                  Note: First available in 2013

SPCHNLNM   87  2  CHILDFMT           IN14     BQ18,19   N Number of children living

                                   3                   -9 Not ascertained
                                  92                   -8 Don't know
                                   3                   -7 Refused
                               1,657                    0 No children
                               1,383                    1 One child
                               2,779                    2 Two children
                               2,200                    3 Three children
                               1,311                    4 Four children
                                 697                    5 Five children
                                 924               6-HIGH Six or more children

                  Note: Not asked in facility interviews until 1997.

SPDEGRCV   89  2  DEGREFMT           DI3a     BQ9       N Highest grade SP completed

                                  12                   -9 Not ascertained
                                 196                   -8 Don't know
                                  16                   -7 Refused
                                 166                    1 No schooling
                                 930                    2 Nursery to 8th grade
                               1,446                    3 9th to 12th grade, but no diploma
                               3,143                    4 High school graduate
                                 770                    5 Vocational, technical, business, etc.
                               1,762                    6 Some college, but no degree
                                 482                    7 Associate's degree
                               1,206                    8 Bachelor's degree
                                 920                    9 Post graduate degree

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

SPMARSTA   91  2  MARFMT             IN13     BQ13      N Marital status of SP

                                  29                   -8 Don't know
                                   2                   -7 Refused
                               5,103                    1 Married
                               2,989                    2 Widowed
                               1,420                    3 Divorced
                                 191                    4 Separated
                               1,315                    5 Never married

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

INCOME     93  3  INCFMT             DI4,DI5  BQ24-27   N Income range of SP

                                   0                  -25 Less than $25,000
                                 294                    1 $5,000 or Less
                               1,231                    2 $5,001-$10,000
                               1,828                    3 $10,001-$15,000
                               1,259                    4 $15,001-$20,000
                               1,085                    5 $20,001-$25,000
                                 862                    6 $25,001-$30,000
                                 596                    7 $30,001-$35,000
                                 682                    8 $35,001-$40,000
                                 439                    9 $40,001-$45,000
                                 546                   10 $45,001-$50,000
                               2,227                   11 $50,001 or more
                                   0                   25 $25,000 or more

INCOME_C   96  8                     DI4,DI5  BQ24-27   N Actual income of SP

INCOME_H  104  8  INCFMT             DI4,DI5  BQ24-27   N Household income range

                               7,398                    . Missing
                                   0                  -25 Less than $25,000
                                   8                    1 $5,000 or Less
                                 114                    2 $5,001-$10,000
                                 326                    3 $10,001-$15,000
                                 409                    4 $15,001-$20,000
                                 398                    5 $20,001-$25,000
                                 280                    6 $25,001-$30,000
                                 323                    7 $30,001-$35,000
                                 286                    8 $35,001-$40,000
                                 234                    9 $40,001-$45,000
                                 233                   10 $45,001-$50,000
                               1,040                   11 $50,001 or more
                                   0                   25 $25,000 or more

                  Note: First available in 2001

RACEAS    112  2  IND2FMT            DI2a     BQ11A     N Is SP Asian?

                                  44                   -8 Don't know
                                  27                   -7 Refused
                                 197                    1 Indicated
                              10,781                    2 Not indicated

                  Note: First available in 1998

RACEASAI  114  2  YES1FMT                               N SP is Asian Indian

                              11,034                    . Inapplicable
                                   3                    1 Yes
                                  12                    2 No

                  Note: First available in 2013

RACEASCH  116  2  YES1FMT                               N SP is Chinese

                              11,034                    . Inapplicable
                                   2                    1 Yes
                                  13                    2 No

                  Note: First available in 2013

RACEASFI  118  2  YES1FMT                               N SP is Filipino

                              11,034                    . Inapplicable
                                   8                    1 Yes
                                   7                    2 No

                  Note: First available in 2013

RACEASJA  120  2  YES1FMT                               N SP is Japanese

                              11,034                    . Inapplicable
                                   0                    1 Yes
                                  15                    2 No

                  Note: First available in 2013

RACEASKO  122  2  YES1FMT                               N SP is Korean

                              11,034                    . Inapplicable
                                   1                    1 Yes
                                  14                    2 No

                  Note: First available in 2013

RACEASVI  124  2  YES1FMT                               N SP is Vietnamese

                              11,034                    . Inapplicable
                                   2                    1 Yes
                                  13                    2 No

                  Note: First available in 2013

RACEASOT  126  2  YES1FMT                               N SP is Other Asian

                              11,034                    . Inapplicable
                                   0                    1 Yes
                                  15                    2 No

                  Note: First available in 2013

RACEASOS  128 30                                        C SP is Other Asian (Verbatim)

                  Note: First available in 2013

RACEAA    158  2  IND2FMT            DI2a     BQ11A     N Is SP Black or African-American?

                                  41                   -8 Don't know
                                  27                   -7 Refused
                               1,303                    1 Indicated
                               9,678                    2 Not indicated

                  Note: First available in 1998

RACENH    160  2  IND2FMT            DI2a     BQ11A     N Is SP Native Hawaiian/Pacific Islander?

                                  44                   -8 Don't know
                                  27                   -7 Refused
                                  28                    1 Indicated
                              10,950                    2 Not indicated

                  Note: First available in 1998

RACEPIHA  162  2  YES1FMT                               N SP is Native Hawaiian

                              11,048                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

                  Note: First available in 2013

RACEPIGU  164  2  YES1FMT                               N SP is Guamanian Chamorro

                              11,048                    . Inapplicable
                                   1                    1 Yes
                                   0                    2 No

                  Note: First available in 2013

RACEPISA  166  2  YES1FMT                               N SP is Samoan

                              11,048                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

                  Note: First available in 2013

RACEPIOT  168  2  YES1FMT                               N SP is Other Pacific Islander

                              11,048                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

                  Note: First available in 2013

RACEPIOS  170 30                                        C SP is Other Pacific Islander (Verbatim)

                  Note: First available in 2013

RACEWH    200  2  IND2FMT            DI2a     BQ11A     N Is SP Caucasian?

                                  29                   -8 Don't know
                                  27                   -7 Refused
                               9,202                    1 Indicated
                               1,791                    2 Not indicated

                  Note: First available in 1998

RACEAI    202  2  IND2FMT            DI2a     BQ11A     N Is SP American Indian or Alaskan Native?

                                  44                   -8 Don't know
                                  27                   -7 Refused
                                 338                    1 Indicated
                              10,640                    2 Not indicated

                  Note: First available in 1998

RACEOTH   204  2  IND2FMT            DI2a     BQ11A     N Is SP of another race?

                                  42                   -8 Don't know
                                  27                   -7 Refused
                                 213                    1 Indicated
                              10,767                    2 Not indicated

                  Note: First available in 1998

D_DIVCUR  206  2  $CENSUS                               C Census division of SP's residence

                                   0                   UN Unknown
                                   0                   00 Not known
                                 320                   01 New England
                               1,467                   02 Middle Atlantic
                               1,942                   03 East North Central
                                 813                   04 West North Central
                               2,298                   05 South Atlantic
                                 913                   06 East South Central
                               1,054                   07 West South Central
                                 848                   08 Mountain
                               1,186                   09 Pacific
                                 208                   10 Puerto Rico

JOBSTAT   208  2  YES1FMT            EN8a               N Is SP now working at job or business?

                                 632                    . Inapplicable
                                   1                   -9 Not ascertained
                                  16                   -8 Don't know
                                   1                   -7 Refused
                               1,332                    1 Yes
                               9,067                    2 No

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

