Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,094        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          1,094                    2017  2017                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,094                       1  Version 1                               
 
D_MENTAL MDSYNFMT  HA9B                Have History of Mental Illness?          
                             12                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                              4                       R  Refused                                 
                            880                       0  No                                      
                            195                       1  Yes                                     
 
COMATOSE MDSYNFMT  HA11B               Was Sp Comatose?                         
                          1,088                       0  No                                      
                              6                       1  Yes                                     
 
MENTSUM  NUM2FMT   HA12AB              Summary Score From Bims                  
                              6                       D  Don't know                              
                            619                       .  Missing                                 
                              1                       R  Refused                                 
                            468        Score             Number                                  
         Notes:  Inapp if COMATOSE = 1 or interview for mental status not performed.
 
CSMEMST  MDSYNFMT  HA12B               Have a Problem with Short-Term Memory?   
                             16                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            292                       0  No                                      
                            305                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSMEMLT  MDSYNFMT  HA13B               Have a Problem with Long-Term Memory?    
                             22                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            320                       0  No                                      
                            271                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSCURSEA MDSYNFMT  HA14B               Was Able To Recall Current Season?       
                              6                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            292                       0  No                                      
                            315                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSLOCROM MDSYNFMT  HA14B               Was Able To Recall Location Of Room?     
                              6                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            195                       0  No                                      
                            412                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSNAMFAC MDSYNFMT  HA14B               Was Able To Recall Names/Faces?          
                              6                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            221                       0  No                                      
                            386                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSINNH   MDSYNFMT  HA14B               Was Able To Recall - In Nursing Home?    
                              6                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            247                       0  No                                      
                            360                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
CSDECIS  CSDECIS   HA15B               How Skilled Making Daily Decisions?      
                              9                       D  Don't know                              
                            481                       .  Inapplicable/Missing                    
                            156                       0  Independent                             
                            144                       1  Modified independence                   
                            150                       2  Moderately impaired                     
                            154                       3  Severely impaired                       
         Notes:  Inapplicable if COMATOSE = 1 or interview for mental status conducted.
 
HCHECOND HEARING   HA16B               Description Of Hearing                   
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            721                       0  Hears adequately                        
                            190                       1  Hears with minimal difficulty           
                            121                       2  Hears in special situations only        
                             40                       3  Hearing is highly impaired              
         Notes:  Inapplicable if COMATOSE = 1
 
HCHEAID  MDSYNFMT  HA17B               Sp Use Hearing Aid?                      
                             14                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            917                       0  No                                      
                            145                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
HCUNCOND UNDSTND   HA18B               Ability Of Sp To Make Him/Her Understood 
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            619                       0  Understood                              
                            263                       1  Usually understood                      
                            111                       2  Sometimes understood                    
                             79                       3  Rarely or never understood              
         Notes:  Inapplicable if COMATOSE = 1
 
HCUNDOTH UNDSTND   HA19B               Ability Of Sp To Understand Others       
                              3                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            530                       0  Understood                              
                            308                       1  Usually understood                      
                            162                       2  Sometimes understood                    
                             73                       3  Rarely or never understood              
         Notes:  Inapplicable if COMATOSE = 1
 
VISION   VISION    HA20B               Ability Of Sp To See?                    
                             11                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            736                       0  Adequate                                
                            173                       1  Impaired                                
                             86                       2  Moderately impaired                     
                             49                       3  Highly impaired                         
                             21                       4  Severely impaired                       
         Notes:  Inapplicable if COMATOSE = 1
 
VISAPPL  MDSYNFMT  HA20AB              Does Sp Use A Visual Appliance?          
                              5                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            442                       0  No                                      
                            629                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
BSAYSOT  BEHAVFMT  HA21B               How Often Phy Behavior Symptoms Occur    
                              3                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            985                       0  Behavior not exhibited                  
                             66                       1  Behavior occurred 1 to 3 days           
                             19                       2  Behavior occurred 4 to 6 days           
                             15                       3  Behavior occurred daily                 
         Notes:  Inapplicable if COMATOSE = 1
 
BSVERBOT BEHAVFMT  HA21B               How Often Verb Behavior Symptms Occur    
                              3                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            930                       0  Behavior not exhibited                  
                            102                       1  Behavior occurred 1 to 3 days           
                             35                       2  Behavior occurred 4 to 6 days           
                             18                       3  Behavior occurred daily                 
         Notes:  Inapplicable if COMATOSE = 1
 
BSNOTOT  BEHAVFMT  HA21B               How Often Other Behavr Symptoms Occur    
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            978                       0  Behavior not exhibited                  
                             55                       1  Behavior occurred 1 to 3 days           
                             24                       2  Behavior occurred 4 to 6 days           
                             27                       3  Behavior occurred daily                 
         Notes:  Inapplicable if COMATOSE = 1
 
BSELFILL MDSYNFMT  HA21AB              Behavior At Risk For Injury?             
                              8                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            190                       0  No                                      
                             28                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSELFCAR MDSYNFMT  HA21AB              Behavior Interfere With Care?            
                              8                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            170                       0  No                                      
                             48                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSELFACT MDSYNFMT  HA21AB              Behavior Interfere With Activities?      
                              8                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            158                       0  No                                      
                             60                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSOTHILL MDSYNFMT  HA21BB              Behavior Put Others Risk Of Injury?      
                              6                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            192                       0  No                                      
                             28                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSOTHACT MDSYNFMT  HA21BB              Behavior Intrude On Privacy Of Others    
                              7                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            183                       0  No                                      
                             36                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSOTHENV MDSYNFMT  HA21BB              Behavior Disrupt Care/Living Env?        
                              6                       D  Don't know                              
                            868                       .  Inapplicable/Missing                    
                            166                       0  No                                      
                             54                       1  Yes                                     
         Notes:  Inapp if BSAYSOT,BSVERBOT,and BSNOTOT=0 or Inapp
 
BSNOEVAL BEHAVFMT  HA21CB              How Often Sp Reject Evaluation           
                              5                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            952                       0  Behavior not exhibited                  
                             95                       1  Behavior occurred 1 to 3 days           
                             18                       2  Behavior occurred 4 to 6 days           
                             18                       3  Behavior occurred daily                 
         Notes:  Inapplicable if COMATOSE = 1
 
BSOFTWAN BEHAVFMT  HA21DB              How Often Wander Around?                 
                              3                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                          1,005                       0  Behavior not exhibited                  
                             32                       1  Behavior occurred 1 to 3 days           
                              8                       2  Behavior occurred 4 to 6 days           
                             40                       3  Behavior occurred daily                 
         Notes:  Inapplicable if COMATOSE = 1
 
BSWDANGR MDSYNFMT  HA21EB              Did Wandering Put Sp In Danger?          
                              4                       D  Don't know                              
                          1,011                       .  Inapplicable/Missing                    
                             72                       0  No                                      
                              7                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE or BSOFTWAN = 1
 
BSWOTACT MDSYNFMT  HA21EB              Did Wandering Intrude On Privacy?        
                              4                       D  Don't know                              
                          1,011                       .  Inapplicable/Missing                    
                             61                       0  No                                      
                             18                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE or BSOFTWAN = 1
 
PFTRNSFR PERFLEV   HA22B               Level Of Self Perform: Transfer          
                              1                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            331                       0  Independent                             
                            100                       1  Supervision                             
                            141                       2  Limited assistance                      
                            348                       3  Extensive assistance                    
                            151                       4  Total dependence                        
                              6                       7  Activity occurred only once/twice       
                             10                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
PFLOCOMO PERFLEV   HA22B               Level Of Self Perf: Locomot. On Unit     
                              1                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            370                       0  Independent                             
                            137                       1  Supervision                             
                            151                       2  Limited assistance                      
                            223                       3  Extensive assistance                    
                            157                       4  Total dependence                        
                             11                       7  Activity occurred only once/twice       
                             38                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
PFDRSSNG PERFLEV   HA22B               Level Of Self Perform: Dressing          
                              5                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            219                       0  Independent                             
                             81                       1  Supervision                             
                            196                       2  Limited assistance                      
                            426                       3  Extensive assistance                    
                            157                       4  Total dependence                        
                              4                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
PFEATING PERFLEV   HA22B               Level Of Self Perform: Eating            
                              1                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            478                       0  Independent                             
                            296                       1  Supervision                             
                            118                       2  Limited assistance                      
                            120                       3  Extensive assistance                    
                             71                       4  Total dependence                        
                              1                       7  Activity occurred only once/twice       
                              3                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
PFTOILET PERFLEV   HA22B               Level Of Self Perform: Toilet Use        
                              1                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            284                       0  Independent                             
                             84                       1  Supervision                             
                            147                       2  Limited assistance                      
                            389                       3  Extensive assistance                    
                            177                       4  Total dependence                        
                              6                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
PFBATHNG BATHLEV   HA23                Level Of Self Perform: Bathing           
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            130                       0  Independent                             
                            107                       1  Supervision                             
                             60                       2  Physical help limited to transfer only  
                            351                       3  Physical help in part of bathing actvty 
                            417                       4  Total dependence                        
                             19                       8  Activity did not occur                  
         Notes:  Inapplicable if COMATOSE = 1
 
MOLCANE  MDSYNFMT  HA24B               Did Sp Use Cane?                         
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                          1,042                       0  No                                      
                             42                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
MOLWLKR  MDSYNFMT  HA24B               Did Sp Use Walker?                       
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            702                       0  No                                      
                            382                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
MOLWCHR  MDSYNFMT  HA24B               Did Sp Use Wheelchair?                   
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                            453                       0  No                                      
                            631                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
MOLPROS  MDSYNFMT  HA24B               Did Sp Use Limb Prosthesis?              
                              4                       D  Don't know                              
                              6                       .  Inapplicable/Missing                    
                          1,083                       0  No                                      
                              1                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1
 
CTBOWELC CONTFMT   HA25B               Sp's Level of Bowel Control?             
                              5                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            448                       0  Always continent                        
                            163                       1  Occasionally incontinent                
                            170                       2  Frequently incontinent                  
                            271                       3  Always incontinent                      
                             19                       4  Not rated                               
         Notes:  Inapplicable if COMATOSE = 1
 
CTBLADDC CONTFMT   HA26B               Sp's Level of Bladder Control?           
                              4                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            298                       0  Always continent                        
                            224                       1  Occasionally incontinent                
                            228                       2  Frequently incontinent                  
                            292                       3  Always incontinent                      
                             30                       4  Not rated                               
         Notes:  Inapplicable if COMATOSE = 1
 
ALZHMR   SEL3FMT   HA28B               Sp Has Alzheimer'S Disease               
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            892                       0  Not Selected                            
                            180                       1  Selected                                
                              4                       2  Selected,cause of Medicare eligibility  
 
ANEMIA   SEL3FMT   HA28B               Sp Has Anemia                            
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            876                       0  Not Selected                            
                            200                       1  Selected                                
 
ANXIETY  SEL3FMT   HA28B               Sp Has Anxiety Disorder                  
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            812                       0  Not Selected                            
                            264                       1  Selected                                
 
APHASIA  SEL3FMT   HA28B               Sp Has Aphasia                           
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,048                       0  Not Selected                            
                             28                       1  Selected                                
 
ARTHRIT  SEL3FMT   HA28B               Sp Has Arthritis                         
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            905                       0  Not Selected                            
                            171                       1  Selected                                
 
ASTHCOPD SEL3FMT   HA28B               Has Asthma/COPD/Chron Lung Disease?      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            924                       0  Not Selected                            
                            151                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
AFIBDYS  SEL3FMT   HA28B               Has Atrial Fib Or Other Dysrhythmia?     
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            944                       0  Not Selected                            
                            131                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
BPH      SEL3FMT   HA28B               Did Sp Has BPH?                          
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,031                       0  Not Selected                            
                             45                       1  Selected                                
 
CANCER   SEL3FMT   HA28B               Sp Has Cancer                            
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,037                       0  Not Selected                            
                             38                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
CATGLAUC SEL3FMT   HA28B               Has Cataracts/Glaucoma/Macular Degen?    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            965                       0  Not Selected                            
                            111                       1  Selected                                
 
CERPALSY SEL3FMT   HA28B               Sp Has Cerebral Palsy                    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,070                       0  Not Selected                            
                              5                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
CVATIAST SEL3FMT   HA28B               Did Sp Have Cva, Tia, Or Stoke?          
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            991                       0  Not Selected                            
                             79                       1  Selected                                
                              6                       2  Selected,cause of Medicare eligibility  
 
CIRROSIS SEL3FMT   HA28B               Did Sp Have Cirrosis?                    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,069                       0  Not Selected                            
                              7                       1  Selected                                
 
CORARTDS SEL3FMT   HA28B               Did Sp Have Coronary Artery Disease?     
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            975                       0  Not Selected                            
                            101                       1  Selected                                
 
DVTPEPTE SEL3FMT   HA28B               Did Sp Have DVT, PE, Or PTE?             
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,055                       0  Not Selected                            
                             21                       1  Selected                                
 
DEMENT   SEL3FMT   HA28B               Sp Has Dementia                          
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            667                       0  Not Selected                            
                            403                       1  Selected                                
                              6                       2  Selected,cause of Medicare eligibility  
 
DEPRESS  SEL3FMT   HA28B               Sp Has Depression                        
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            662                       0  Not Selected                            
                            413                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
DIABMRN  SEL3FMT   HA28B               Has Diabetes Mellitus(Retin/Nephr/Neur)? 
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            830                       0  Not Selected                            
                            243                       1  Selected                                
                              3                       2  Selected,cause of Medicare eligibility  
 
GERDULC  SEL3FMT   HA28B               Did Sp Have Gerd Or Ulcer?               
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            828                       0  Not Selected                            
                            248                       1  Selected                                
 
HARTFAIL SEL3FMT   HA28B               Have Heart Failure(Cfh/Pulmonary Edema)? 
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            913                       0  Not Selected                            
                            161                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
 
HEMIPLPA SEL3FMT   HA28B               Sp Has Hemiplegia/Hemiparesis            
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,037                       0  Not Selected                            
                             39                       1  Selected                                
 
HIPFRACT SEL3FMT   HA28B               Sp Has A Hip Fracture                    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,056                       0  Not Selected                            
                             19                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
HUNTDIS  SEL3FMT   HA28B               Did Sp Have Huntington'S Disease?        
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,073                       0  Not Selected                            
                              2                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
HYPERKAL SEL3FMT   HA28B               Did Sp Have Hyperkalemia?                
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,051                       0  Not Selected                            
                             25                       1  Selected                                
 
HYPRLIPI SEL3FMT   HA28B               Has Hyperlipidemia/Hypercholesterolemia? 
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            711                       0  Not Selected                            
                            365                       1  Selected                                
 
HYPETENS SEL3FMT   HA28B               Sp Has Hypertension                      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            386                       0  Not Selected                            
                            686                       1  Selected                                
                              4                       2  Selected,cause of Medicare eligibility  
 
HYPONMIA SEL3FMT   HA28B               Did Sp Have Hyponatremia?                
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,059                       0  Not Selected                            
                             17                       1  Selected                                
 
MALNUTRI SEL3FMT   HA28B               Did Sp Have Malnutrition/Risk For It?    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,053                       0  Not Selected                            
                             23                       1  Selected                                
 
MANICDEP SEL3FMT   HA28B               Sp Has Manic Depression                  
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,045                       0  Not Selected                            
                             30                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
SCLEROS  SEL3FMT   HA28B               Sp Has Multiple Sclerosis                
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,073                       0  Not Selected                            
                              3                       1  Selected                                
 
NUROBLAD SEL3FMT   HA28B               Did Sp Have Neurogenic Bladder?          
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,067                       0  Not Selected                            
                              9                       1  Selected                                
 
OBURPATH SEL3FMT   HA28B               Did Sp Have Obstructive Uropathy?        
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,070                       0  Not Selected                            
                              6                       1  Selected                                
 
ORTHHYPO SEL3FMT   HA28B               Did Sp Have Orthostatic Hypotension?     
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,067                       0  Not Selected                            
                              9                       1  Selected                                
 
OSTEOP   SEL3FMT   HA28B               Sp Has Osteoporosis                      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            947                       0  Not Selected                            
                            129                       1  Selected                                
 
OTHFRACT SEL3FMT   HA28B               Did Sp Have Other Fracture?              
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,048                       0  Not Selected                            
                             26                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
 
PARAPLEG SEL3FMT   HA28B               Sp Has Paraplegia                        
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,068                       0  Not Selected                            
                              8                       1  Selected                                
 
PARKNSON SEL3FMT   HA28B               Sp Has Parkinson'S Disease               
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,014                       0  Not Selected                            
                             60                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
 
PVDPAD   SEL3FMT   HA28B               Has Peripheral Vasc/Peripheral Art Dis?  
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,001                       0  Not Selected                            
                             75                       1  Selected                                
 
PTSD     SEL3FMT   HA28B               Has Post Traumatic Stress Disorder?      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,070                       0  Not Selected                            
                              5                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
PSYCOTIC SEL3FMT   HA28B               Has Psych Disorder(Other Than Schizo)?   
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,009                       0  Not Selected                            
                             66                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
QUADPLEG SEL3FMT   HA28B               Sp Has Quadriplegia                      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,068                       0  Not Selected                            
                              7                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
RENLESRD SEL3FMT   HA28B               Has Renal Insufficiency/Failure/Esrd?    
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            997                       0  Not Selected                            
                             75                       1  Selected                                
                              4                       2  Selected,cause of Medicare eligibility  
 
RESPFAIL SEL3FMT   HA28B               Did Sp Have Respiratory Failure?         
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,059                       0  Not Selected                            
                             16                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
SCHIZOPH SEL3FMT   HA28B               Sp Has Schizophrenia                     
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,014                       0  Not Selected                            
                             58                       1  Selected                                
                              4                       2  Selected,cause of Medicare eligibility  
 
SEIZEPIL SEL3FMT   HA28B               Has Seizure Disorder Or Epilepsy?        
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,002                       0  Not Selected                            
                             72                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
 
THYROID  SEL3FMT   HA28B               Has Thyroid Disorder(Hyper/Hypo/Hashim)? 
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            891                       0  Not Selected                            
                            185                       1  Selected                                
 
TOURETTE SEL3FMT   HA28B               Did Sp Have Tourette'S?                  
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,074                       0  Not Selected                            
                              2                       1  Selected                                
 
BRAININJ SEL3FMT   HA28B               Sp Has Traumatic Brain Injury            
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,063                       0  Not Selected                            
                             11                       1  Selected                                
                              2                       2  Selected,cause of Medicare eligibility  
 
COLCROHN SEL3FMT   HA28B               Has Ulcerative Colitis/Crohn's/IBS?      
                              5                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,068                       0  Not Selected                            
                              8                       1  Selected                                
 
INFMDRO  SEL3FMT   HA29B               Sp Has Multidrug-Resistant Organism?     
                             12                       .  Inapplicable/Missing                    
                          1,080                       0  Not Selected                            
                              2                       1  Selected                                
 
INFPNEU  SEL3FMT   HA29B               Sp Has Pneumonia                         
                             12                       .  Inapplicable/Missing                    
                          1,059                       0  Not Selected                            
                             23                       1  Selected                                
 
INFSEPT  SEL3FMT   HA29B               Sp Has Septicemia                        
                             12                       .  Inapplicable/Missing                    
                          1,078                       0  Not Selected                            
                              4                       1  Selected                                
 
INFTBRC  SEL3FMT   HA29B               Sp Has Tuberculosis                      
                             12                       .  Inapplicable/Missing                    
                          1,082                       0  Not Selected                            
 
INFURNRY SEL3FMT   HA29B               Sp Has Urinary Tract Infection           
                             12                       .  Inapplicable/Missing                    
                          1,013                       0  Not Selected                            
                             69                       1  Selected                                
 
INFHPPTS SEL3FMT   HA29B               Sp Has Viral Hepatitis                   
                             12                       .  Inapplicable/Missing                    
                          1,079                       0  Not Selected                            
                              3                       1  Selected                                
 
INFWND   SEL3FMT   HA29B               Has Wound Infection (Other Than Foot)?   
                             12                       .  Inapplicable/Missing                    
                          1,070                       0  Not Selected                            
                             12                       1  Selected                                
 
AGITAT   SEL3FMT   HA31B               Did Sp Have Agitation?                   
                            461                       .  Inapplicable/Missing                    
                            622                       0  Not Selected                            
                             11                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALCOH    SEL3FMT   HA31B               Was Sp Alcohol Dependent?                
                            461                       .  Inapplicable/Missing                    
                            627                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ALLRGY   SEL3FMT   HA31B               Did Sp Have Allergies?                   
                            461                       .  Inapplicable/Missing                    
                            608                       0  Not Selected                            
                             25                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ANOREX   SEL3FMT   HA31B               Did Sp Have Anorexia?                    
                            461                       .  Inapplicable/Missing                    
                            625                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
AOSTEN   SEL3FMT   HA31B               Did Sp Have Aortic Stenosis?             
                            461                       .  Inapplicable/Missing                    
                            627                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ATAXIA   SEL3FMT   HA31B               Did Sp Have Ataxia?                      
                            461                       .  Inapplicable/Missing                    
                            628                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
APSYCH   SEL3FMT   HA31B               Did Sp Have Atypical Psychosis?          
                            461                       .  Inapplicable/Missing                    
                            632                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BLIND    SEL3FMT   HA31B               Did Sp Have Blindness?                   
                            461                       .  Inapplicable/Missing                    
                            623                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BREAST   SEL3FMT   HA31B               Did Sp Have Breast Disorders?            
                            461                       .  Inapplicable/Missing                    
                            625                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CERDEG   SEL3FMT   HA31B               Did Sp Have Cerebral Degeneration?       
                            461                       .  Inapplicable/Missing                    
                            629                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CLINOB   SEL3FMT   HA31B               Did Sp Have Clinical Obesity?            
                            461                       .  Inapplicable/Missing                    
                            621                       0  Not Selected                            
                             12                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CDIFF    SEL3FMT   HA31B               Did Sp Have Clostridium Difficile?       
                            461                       .  Inapplicable/Missing                    
                            631                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONJ     SEL3FMT   HA31B               Did Sp Have Conjunctivitis?              
                            461                       .  Inapplicable/Missing                    
                            630                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
CONST    SEL3FMT   HA31B               Did Sp Have Constipation?                
                            461                       .  Inapplicable/Missing                    
                            554                       0  Not Selected                            
                             79                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEGJNT   SEL3FMT   HA31B               Did Sp Have Degenerative Joint Disease?  
                            461                       .  Inapplicable/Missing                    
                            625                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HERNIA   SEL3FMT   HA31B               Did Sp Have Hernia?                      
                            461                       .  Inapplicable/Missing                    
                            632                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DIVCOL   SEL3FMT   HA31B               Did Sp Have Diverticula Of Colon?        
                            461                       .  Inapplicable/Missing                    
                            625                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DOWNS    SEL3FMT   HA31B               Did Sp Have Down'S Syndrome?             
                            461                       .  Inapplicable/Missing                    
                            627                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DYSPHA   SEL3FMT   HA31B               Did Sp Have Dysphagia?                   
                            461                       .  Inapplicable/Missing                    
                            548                       0  Not Selected                            
                             85                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
EDEMA    SEL3FMT   HA31B               Did Sp Have Edema?                       
                            461                       .  Inapplicable/Missing                    
                            603                       0  Not Selected                            
                             30                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTR    SEL3FMT   HA31B               Did Sp Have Gastritis/Duodenitis?        
                            461                       .  Inapplicable/Missing                    
                            632                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GASTRO   SEL3FMT   HA31B               Did Sp Have Gastroenteritis?             
                            461                       .  Inapplicable/Missing                    
                            628                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GHEMOR   SEL3FMT   HA31B               Did Sp Have Gastrointestinal Hemorrhage? 
                            461                       .  Inapplicable/Missing                    
                            630                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
GOUT     SEL3FMT   HA31B               Did Sp Have Gout?                        
                            461                       .  Inapplicable/Missing                    
                            608                       0  Not Selected                            
                             25                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HESOPH   SEL3FMT   HA31B               Did Sp Have Hemorrhage Of Esophagus?     
                            461                       .  Inapplicable/Missing                    
                            628                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HIV      SEL3FMT   HA31B               Did Sp Have HIV Infection?               
                            461                       .  Inapplicable/Missing                    
                            633                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HYPER    SEL3FMT   HA31B               Did Sp Have Hyperplasia Of Prostate?     
                            461                       .  Inapplicable/Missing                    
                            623                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HYPOP    SEL3FMT   HA31B               Did Sp Have Hypopotassemia/Hypokalemia?  
                            461                       .  Inapplicable/Missing                    
                            619                       0  Not Selected                            
                             14                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
HPOTEN   SEL3FMT   HA31B               Have Hypotension(Othr Than Orthostatic)? 
                            461                       .  Inapplicable/Missing                    
                            623                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
INSOM    SEL3FMT   HA31B               Did Sp Have Insomnia?                    
                            461                       .  Inapplicable/Missing                    
                            570                       0  Not Selected                            
                             63                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
KYPHO    SEL3FMT   HA31B               Did Sp Have Kyphosis?                    
                            461                       .  Inapplicable/Missing                    
                            629                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
LIMB     SEL3FMT   HA31B               Have Missing Limb(E.G.,Amputation)?      
                            461                       .  Inapplicable/Missing                    
                            629                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BRAINS   SEL3FMT   HA31B               Did Sp Have Nonpsychotic Brain Syndrome? 
                            461                       .  Inapplicable/Missing                    
                            632                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
ORGBRN   SEL3FMT   HA31B               Did Sp Have Organic Brain Syndrome?      
                            461                       .  Inapplicable/Missing                    
                            632                       0  Not Selected                            
                              1                       2  Selected,cause of Medicare eligibility  
         Notes:  Inapp if no active diag on MDS or avail medical records
 
OSARTH   SEL3FMT   HA31B               Did Sp Have Osteoarthritis?              
                            461                       .  Inapplicable/Missing                    
                            572                       0  Not Selected                            
                             61                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
BONFRC   SEL3FMT   HA31B               Did Sp Have Pathological Bone Fracture?  
                            461                       .  Inapplicable/Missing                    
                            633                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RENTUR   SEL3FMT   HA31B               Did Sp Have Renal Ureteral Disorder?     
                            461                       .  Inapplicable/Missing                    
                            626                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
RESPIR   SEL3FMT   HA31B               Did Sp Have Respiratory Infection?       
                            461                       .  Inapplicable/Missing                    
                            627                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SCOLIO   SEL3FMT   HA31B               Did Sp Have Scoliosis?                   
                            461                       .  Inapplicable/Missing                    
                            625                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
STD      SEL3FMT   HA31B               Have Sexually Transmitted Diseases       
                            461                       .  Inapplicable/Missing                    
                            633                       0  Not Selected                            
         Notes:  Inapp if no active diag on MDS or avail medical records
 
SPSTEN   SEL3FMT   HA31B               Did Sp Have Spinal Stenosis?             
                            461                       .  Inapplicable/Missing                    
                            618                       0  Not Selected                            
                             15                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
LEGULC   SEL3FMT   HA31B               Did Sp Have Ulcer Of Leg,Chronic?        
                            461                       .  Inapplicable/Missing                    
                            628                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
URIRET   SEL3FMT   HA31B               Did Sp Have Urinary Retention?           
                            461                       .  Inapplicable/Missing                    
                            623                       0  Not Selected                            
                             10                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
VERTI    SEL3FMT   HA31B               Did Sp Have Vertigo?                     
                            461                       .  Inapplicable/Missing                    
                            629                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapp if no active diag on MDS or avail medical records
 
DEHYD    MDSYNFMT  HA34B               Did Sp Experience Dehydration?           
                              2                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                          1,058                       0  No                                      
                             16                       1  Yes                                     
         Notes:  Inapplicable id COMATOSE = 1.
 
DELUS    MDSYNFMT  HA35B               Did Sp Experience Delusions?             
                             14                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            980                       0  No                                      
                             82                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
HALLUC   MDSYNFMT  HA36B               Did Sp Experience Hallucinations?        
                             10                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                          1,022                       0  No                                      
                             44                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOLOSS   MDSYNFMT  HA37BB              Experience Loss From Mouth Solids/Liquid 
                             18                       .  Inapplicable/Missing                    
                          1,056                       0  No                                      
                             20                       1  Yes                                     
 
SOHOLD   MDSYNFMT  HA37BB              Experience Problem Holding Food In Mouth 
                             18                       .  Inapplicable/Missing                    
                          1,058                       0  No                                      
                             18                       1  Yes                                     
 
SOCOUGH  MDSYNFMT  HA37AB              Experience Problem Coughing During Meals 
                             18                       .  Inapplicable/Missing                    
                          1,039                       0  No                                      
                             37                       1  Yes                                     
 
SOPAIN   MDSYNFMT  HA37BB              Experience Pain/Difficulty Swallowing    
                             18                       .  Inapplicable/Missing                    
                          1,054                       0  No                                      
                             22                       1  Yes                                     
 
SODENT   MDSYNFMT  HA37BB              Experience Prob With Dentures            
                             18                       .  Inapplicable/Missing                    
                          1,053                       0  No                                      
                             23                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOTEETH  MDSYNFMT  HA37BB              No Natural Teeth Or Fragments            
                             18                       .  Inapplicable/Missing                    
                          1,020                       0  No                                      
                             56                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOTISSUE MDSYNFMT  HA37BB              Abnorm Mouth Tissue (Ulcer/Mass/Lesion)  
                             18                       .  Inapplicable/Missing                    
                          1,075                       0  No                                      
                              1                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOCAVITY MDSYNFMT  HA37BB              Obvious Likely Cavity Or Broken Teeth    
                             18                       .  Inapplicable/Missing                    
                          1,049                       0  No                                      
                             27                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOGUMS   MDSYNFMT  HA37BB              Inflamed Gums Or Loose Teeth             
                             18                       .  Inapplicable/Missing                    
                          1,066                       0  No                                      
                             10                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
SOCHEW   MDSYNFMT  HA37BB              Mouth Pain Or Problem With Chewing       
                             18                       .  Inapplicable/Missing                    
                          1,068                       0  No                                      
                              8                       1  Yes                                     
         Notes:  Inapplicable if COMATOSE = 1.
 
HEIGHT   NUM3FMT   HFE1, HF38B         Height Of Sp In Inches                   
                            117                       D  Don't know                              
                             13                       .  Inapplicable/Missing                    
                            964        Range in inches   Number                                  
 
WEIGHT   NUMFMT    HFE1,HA39B          Weight Of Sp                             
                             63                       D  Don't know                              
                              1                       R  Refused                                 
                          1,030        Range in pounds   Weight                                  
 
ADLIVWIL MDSYNFMT  HA10B               Did Sp Have Living Will?                 
                             27                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            816                       0  No                                      
                            239                       1  Yes                                     
 
ADDNRES  MDSYNFMT  HA10B               Did Sp Have 'Do Not Resuscitate' Order?  
                             27                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            463                       0  No                                      
                            592                       1  Yes                                     
 
ADDNHOSP MDSYNFMT  HA10B               Did Sp Have 'Do Not Hospitalize' Order?  
                             27                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            939                       0  No                                      
                            116                       1  Yes                                     
 
ADOTREST MDSYNFMT  HA10B               Feeding/Medication/Other Restrictions?   
                             27                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            900                       0  No                                      
                            155                       1  Yes                                     
 
CNRBLADD SEL3FMT   HA33B               Did Sp Have Bladder Cancer?              
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             32                       0  Not Selected                            
                              3                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
CNRBREAS SEL3FMT   HA33B               Did Sp Have Breast Cancer?               
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             27                       0  Not Selected                            
                              8                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or SP is male
 
CNRCERVI SEL3FMT   HA33B               Did Sp Have Cervix Cancer?               
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             35                       0  Not Selected                            
         Notes:  Inapplicable if CANCER NE 1 or SP is male
 
CNRBOWEL SEL3FMT   HA33B               Did Sp Have Colon/Rectum/Bowel Cancer?   
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             34                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
CNRLUNG  SEL3FMT   HA33B               Did Sp Have Lung Cancer?                 
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             29                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
CNROVARY SEL3FMT   HA33B               Did Sp Have Ovarian Cancer?              
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             33                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or SP is male
 
CNRPROST SEL3FMT   HA33B               Did Sp Have Prostate Cancer?             
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             29                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or SP is female
 
CNRSKIN  SEL3FMT   HA33B               Did Sp Have Skin Cancer?                 
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             30                       0  Not Selected                            
                              5                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
CNRSTOMA SEL3FMT   HA33B               Did Sp Have Stomach Cancer?              
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             33                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
CNRUTERU SEL3FMT   HA33B               Did Sp Have Uterus Cancer?               
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             34                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1 or SP is male
 
CNROTHER SEL3FMT   HA33B               Did Sp Have Other Cancer?                
                              4                       D  Don't know                              
                          1,055                       .  Inapplicable/Missing                    
                             31                       0  Not Selected                            
                              4                       1  Selected                                
         Notes:  Inapplicable if CANCER NE 1
 
MYOCARD  SEL3FMT   HA33D               Did Sp Have Myocardial Infarction?       
                            133                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            871                       0  Not Selected                            
                             77                       1  Selected                                
                              1                       2  Selected,cause of Medicare eligibility  
 
CATAROP  MDSYNFMT  HA33E               Sp Ever Have Operation For Cataracts?    
                            314                       D  Don't know                              
                             12                       .  Inapplicable/Missing                    
                            663                       0  No                                      
                            105                       1  Yes                                     
 
MAMMOGR  MDSYNFMT  HA43A               Sp Had A Mammogram In The Last Year?     
                            134                       D  Don't know                              
                            375                       .  Inapplicable/Missing                    
                            553                       0  No                                      
                             32                       1  Yes                                     
         Notes:  Inapplicable if SP is male
 
PAPSMEAR MDSYNFMT  PV12                Sp Had A Pap Smear Since A Year Ago?     
                            141                       D  Don't know                              
                            375                       .  Inapplicable/Missing                    
                            557                       0  No                                      
                             21                       1  Yes                                     
         Notes:  Inapplicable if SP is male
 
D_HYST   MDSYNFMT  HA43D               Ever Had a Hysterectomy?                 
                            279                       D  Don't know                              
                            367                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            310                       0  No                                      
                            137                       1  Yes                                     
         Notes:  Inapplicable if SP is male
 
DRECEXAM MDSYNFMT  HA43DA              Digital Rectal Prostate Exam In Past Yr? 
                            101                       D  Don't know                              
                            731                       .  Inapplicable/Missing                    
                            245                       0  No                                      
                             17                       1  Yes                                     
         Notes:  Inapplicable if SP is female.
 
BLOODPSA MDSYNFMT  HA43DB              Prostate Cancer Blood Test In Past Yr?   
                            107                       D  Don't know                              
                            731                       .  Inapplicable/Missing                    
                            205                       0  No                                      
                             51                       1  Yes                                     
         Notes:  Inapplicable if SP is female.
 
FLUSHOT  MDSYNFMT  PVF1                Sp Had A Flu Shot In The Past Year?      
                            114                       D  Don't know                              
                             52                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            144                       0  No                                      
                            783                       1  Yes                                     
         Notes:  Collected in winter and summer rounds for current flu season
 
D_PNEU   MDSYNFMT  HA43DD              Ever Had Pneumonia Shot?                 
                            135                       D  Don't know                              
                            146                       0  No                                      
                            813                       1  Yes                                     
 
D_SMOKE  MDSYNFMT  HA43E               Ever Smoke Cigarettes/Cigars/Pipe?       
                            135                       D  Don't know                              
                            675                       0  No                                      
                            284                       1  Yes                                     
 
NOWSMOKE MDSYNFMT  HA43F               Does Sp Smoke Now?                       
                              2                       D  Don't know                              
                            951                       .  Inapplicable/Missing                    
                             91                       0  No                                      
                             50                       1  Yes                                     
         Notes:  Applies only if EVRSMOKE = 1 and SP not comatose/deceased.
 
IADSTOOP DIF2FMT   HA43G               Was Stooping/Kneeling Difficult?         
                             16                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            112                       0  No difficulty                           
                             76                       1  A little difficulty                     
                            145                       2  Some difficulty                         
                            168                       3  A lot of difficulty                     
                            559                       4  Unable to do it                         
         Notes:  Inapplicable if COMATOSE = 1.
 
IADLIFT  DIF2FMT   HA43G               Was Lifting Heavy Items Difficult?       
                             21                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            126                       0  No difficulty                           
                             67                       1  A little difficulty                     
                            125                       2  Some difficulty                         
                            172                       3  A lot of difficulty                     
                            565                       4  Unable to do it                         
         Notes:  Inapplicable if COMATOSE = 1.
 
IADREACH DIF2FMT   HA43G               Was Reaching/Extending Arms Difficult?   
                             42                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            321                       0  No difficulty                           
                            191                       1  A little difficulty                     
                            229                       2  Some difficulty                         
                            138                       3  A lot of difficulty                     
                            155                       4  Unable to do it                         
         Notes:  Inapplicable if COMATOSE = 1.
 
IADGRASP DIF2FMT   HA43G               Was Writing/Grasping Difficult?          
                             33                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            392                       0  No difficulty                           
                            213                       1  A little difficulty                     
                            202                       2  Some difficulty                         
                            113                       3  A lot of difficulty                     
                            123                       4  Unable to do it                         
         Notes:  Inapplicable if COMATOSE = 1.
 
IADWALK  DIF2FMT   HA43G               Was Walking Difficult?                   
                             17                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            124                       0  No difficulty                           
                             62                       1  A little difficulty                     
                             81                       2  Some difficulty                         
                            103                       3  A lot of difficulty                     
                            689                       4  Unable to do it                         
         Notes:  Inapplicable if COMATOSE = 1.
 
DIFUSEPH ADL2FMT   HA43H1              Was Using The Phone Difficult?           
                             38                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            477                       0  No                                      
                            340                       1  Yes                                     
                            221                       3  Doesn't Do                              
         Notes:  Inapplicable if COMATOSE = 1.
 
REASNOPH MDSYNFMT  HA43I1              Not Use Phone Due To Health/Phys Problem 
                            873                       .  Inapplicable/Missing                    
                             16                       0  No                                      
                            205                       1  Yes                                     
         Notes:  Inapplicable if DIFUSEPH is not equal to 3
 
DIFSHOP  ADL2FMT   HA43H2              Was Shopping Difficult?                  
                             11                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            170                       0  No                                      
                            346                       1  Yes                                     
                            549                       3  Doesn't Do                              
         Notes:  Inapplicable if COMATOSE = 1.
 
REASNOSH MDSYNFMT  HA43I2              Not Shop Due To Health/Phys Problem      
                            545                       .  Inapplicable/Missing                    
                             38                       0  No                                      
                            511                       1  Yes                                     
         Notes:  Inapplicable if DIFSHOP is not equal to 3
 
DIFMONEY ADL2FMT   HA43H3              Was Managing Money Difficult?            
                             23                       D  Don't know                              
                             18                       .  Inapplicable/Missing                    
                            111                       0  No                                      
                            356                       1  Yes                                     
                            586                       3  Doesn't Do                              
         Notes:  Inapplicable if COMATOSE = 1.
 
REASNOMM MDSYNFMT  HA43I3              Sp Doesn't Manage $ Due To Health Prob   
                              7                       D  Don't know                              
                            508                       .  Inapplicable/Missing                    
                             42                       0  No                                      
                            537                       1  Yes                                     
         Notes:  Inapplicable if DIFMONEY is not equal to 3
 
SPHEALTH GENH2FMT  HA43J               Description Of Sp's General Health       
                             22                       D  Don't know                              
                             72                       .  Inapplicable/Missing                    
                             34                       0  Excellent                               
                            132                       1  Very good                               
                            269                       2  Good                                    
                            392                       3  Fair                                    
                            173                       4  Poor                                    
         Notes:  Inapplicable if COMATOSE = 1.
 
GENHLTH  COMP2FMT  HA43K               Sp's Health Compared To 1 Year Ago?      
                            100                       D  Don't know                              
                             72                       .  Inapplicable/Missing                    
                             26                       0  Much better                             
                             58                       1  Somewhat better                         
                            516                       2  About the same                          
                            257                       3  Somewhat worse                          
                             65                       4  Much worse                              
         Notes:  Inapplicable if COMATOSE = 1.
 
LIMACTIV TIME6FMT  HA43L               Hlth Limited Soc Activities In Past Mo?  
                             30                       D  Don't know                              
                             72                       .  Inapplicable/Missing                    
                            542                       0  None of the time                        
                            224                       1  Some of the time                        
                            112                       2  Most of the time                        
                            114                       3  All of the time                         
         Notes:  Inapplicable if COMATOSE = 1.
 
